Gou is practicing medicine in the clinic

Chapter 152 Bone Transection Successfully Reset, You Can Sleep Safely
Transverse fractures mostly occur in extremities and belong to a relatively stable fracture type.

The patient's injury seems to be serious, but as long as the operation is done properly, it can be successfully reset by manipulation.

It just has high operational requirements for the operator.

Dr. Xu's physical condition is extremely poor today, and he can't do it himself, so Li Jingsheng can only do it for him.

Clinically, because transverse fractures are difficult to reset, even in tertiary hospitals, surgical reduction is often the only option.For the treatment of orthopedic injuries, sometimes the top three hospitals are not as good as local specialty orthopedic hospitals in many technical fields.

"Doctor, what about me? I arrived before him!"

The patient with wrist soft tissue adhesion accompanied by fracture and joint displacement became anxious at first glance.

No patient likes being cut in line.

"Don't be in a hurry, I'll get it for you naturally after I've finished treating him."

Dr. Xu comforted the 'jumped' patient.

"Why can't you treat us first?"

The patient's wife is still a little unconvinced.

Whose time is not time?

"Because your tissue is adhered, it is more difficult to treat, and you need to do a skin test first for anesthesia. Just sit there and wait patiently, it won't take long. Of course, I can understand your eagerness, but the matter of treatment Don't be in a hurry!"

Dr. Xu's attitude towards ordinary patients is very easy-going.

After listening to his explanation, the faces of the patient couple showed a relieved smile.

Both expressed understanding.

On the treatment bed in the inner room, the patient is already lying on his side under the guidance of Li Jingsheng.

It can cause a fracture of the arm bone, and the trauma is naturally not light.

It can be seen that the patient's left arm has a scary bruise.According to his description, he encountered an open door while riding a bicycle. Fortunately, he was wearing a helmet. After going to the hospital for examination, only his left arm suffered a serious fracture.

The rest of the parts are all scratches, which is not in the way.

It's okay to say that it's not a problem, but the abrasions on the knees, wrists, etc. are actually quite serious.

This kind of superficial injury to the dermis is not so easy to recover.

It can be as little as a week or more, or as long as half a month or more.And to prevent infection.

The scariest thing is the occurrence of scar hyperplasia.

Some people have scar constitution, and scar hyperplasia is very prone to occur after the epidermis is injured.Knees and other parts are high-incidence areas for scarring.

Later treatment will be more difficult than imagined.

An injection costs several hundred, and the cost of treatment may be more expensive than the treatment of bone injuries.

"Teacher, let me set his bones first, and then do traction, do you think it's okay?"

"pretty good."

Doctor Xu nodded in confirmation.

"Dr. Chen, I will trouble you to be my assistant later. The main thing is to maintain the stability of the traction, and then gently shake the distal end of the fracture. I will remind you in which direction to swing."

Li Jingsheng saw that the opportunity was rare, so he no longer looked forward and backward, and directly provoked the leader.

Anyway, with Dr. Xu on the sidelines, he is not afraid of messing up.

"No problem, no problem."

Dr. Chen is extremely eager for every learning opportunity.

This opportunity to get started is even more precious to him.

What's more, this patient's fracture is very serious, and the reduction is extremely difficult. He can participate in part of the practical operation, and I believe the benefit will be greater.

At this moment, Dr. Chen is as happy as an intern who got a chance to pull a hook in the operating room.

Li Jingsheng began to reset the patient.

After touching the bone again and constructing the bone map in his brain, he successfully connected the patient's broken bone with multiple advanced bone-setting techniques such as traction, extension, rotation, flexion, and extension.

It's just that this kind of reset can't reach the ideal docking state.

It is impossible to achieve a tight fit between the two ends of the broken bone.

Even if it is performed by Dr. Xu, it is impossible to set the bone in place at one time.

"Doctor Chen, give traction to the patient's left hand! I use both hands to fix the fracture that has been initially reduced."

"it is good!"

Dr. Chen has already prepared, and Dr. Xu is rare to guide Dr. Chen's traction operation essentials carefully.

Soon, the traction was done.

As the steel cable continued to tighten, Li Jingsheng felt the pull.

"Stop, stop! This strength is just right."

Feeling that the strength of the traction was about the same, he hurriedly called to stop.

"Dr. Chen, try to swing the patient's left hand from side to side. Don't use too much force."

It would be better if this operation is done by Dr. Xu.

Although Dr. Xu's physical condition is not good, the assistance of this kind of strength is completely fine.

But Li Jingsheng did not call Dr. Xu, but gave Dr. Chen some opportunities to get started.

In terms of ideology, he is obviously different from Dr. Xu.

Dr. Xu keeps his technology under wraps and is very taboo to spread the bone setting technology to many people.

However, Li Jingsheng felt that if medicine wanted to flourish, it had to pass on these advanced medical skills from generation to generation.

Dr Chen is very caring.

Carefully swing the patient's left hand while trying to keep the traction stable.

It can be seen that he cherishes the training opportunity given by Li Jingsheng very much.

"The strength can be increased a little bit."

Li Jingsheng can understand Dr. Chen's caution.

As the patient's left limb swings, a bone fricative is clearly audible.

Li Jingsheng concentrated his attention and felt the connection of the two ends of the patient's broken bone with all his strength through the bone palpation technique.

"Okay, very good, then gently rock back and forth."

The fricative is slowly decreasing.

"Swing it left and right again, not too much."

"A little smaller."

……

Finally, the bone fricative sound from the broken end of the patient's fracture has completely disappeared.

"It fits really well, it's finally connected. Get the splint and help him hold it in place!"

After the manipulation is reset and connected, if it is not fixed, it will be a waste of time.

This time, Dr. Chen didn't need anyone to teach me to play the splint.

Because what he does most is to play splints and casts.

Which fixation method to use is flexibly determined by professional doctors according to the situation.

After the splint was finished, Li Jingsheng felt the bone and checked the effect of manual reset.

quite satisfied.

The bone line at the fractured end is barely palpable.

It shows that the osteosynthetic reduction was very successful.

"Teacher, please check."

Li Jingsheng said to Dr. Xu.

Dr. Xu touched the patient's fractured end, then fixed the splint on the fractured part with one hand, and gently tapped the distal end of the fractured part with the other hand.

Fortunately, the anesthetic was administered, otherwise the patient would have fainted countless times.

"Xiao Li, touch it again."

After the percussion, Dr. Xu asked Li Jingsheng to touch the patient's bone again to feel the changes in the fracture site.

After Li Jingsheng touched it, a clear expression appeared on his face.

The bone line at the fracture site has almost completely disappeared, and the fit of the broken bone has obviously improved to a higher level than after he reset the patient.After the connection, the stump of the humerus becomes more stable.

Like a broken stick, butt it lightly together, and break it again with a touch.

If it is butted together with force to achieve a tight fit, pick it up, and the broken part of the joint will not move at all, which is quite stable.

At this moment, the patient's humeral stump has achieved this articulation.

A teacher is a teacher!
The level is obviously stronger than his apprentice.

However, Li Jingsheng has only been studying for about a month, and he can independently complete the restoration of bone transection, which is already very good.

Doctor Xu is a teacher who has practiced for decades.

If Li Jingsheng were allowed to practice for decades, he would definitely be much better than Dr. Xu.

"Your arm has been connected, but you must pay attention to maintenance. It is best to rest for about a month. You need to come to our hospital for a review every half a month."

Dr. Xu put forward some requirements for patients.

This patient is considered complete.

After the patient left, Dr. Xu looked at Li Jingsheng.

"Do you know the usefulness of the distal end of the fracture I just tapped?"

"It should be to make the fracture ends more tightly embedded and increase the stability of the fracture ends."

Dr. Xu was very satisfied with Li Jingsheng's answer.

A rare gratifying smile appeared on his face, "Your bone-setting talent is excellent, and your comprehension and hands-on ability are first-class. You said that it would be great if you could follow me to learn bone-setting wholeheartedly!"

He also knew that Li Jingsheng had no such idea at all, so he stopped mentioning it after a few sentences.

"During the operation just now, you have a better grasp of the essentials of the two techniques of swinging and touching the broken end of the bone, right?"

"Well, I think the patient with severe soft tissue adhesion outside, I should be able to try it."

There was a hint of anticipation and excitement in Li Jingsheng's expression.

He understood Dr. Xu's intentions from the time Dr. Xu gave him priority to treat the patient with a transected humerus.

Intentionally let him further master the two techniques of swinging and touching when treating this patient.

Because to reset the patient with soft tissue adhesions in the wrist, two bone-setting manipulations, rocking and touching, are required.

"It's not trying, but you have to go all out. If you fail to reset him, he can only go to the inpatient department for hospitalization and wait for surgery."

Doctor Xu said with a serious expression.

After finishing speaking, regardless of whether Li Jingsheng agreed or not, he shouted outside.

"Li Li, let the patient with a displaced wrist bone come in!"

The manipulative room is not reset outside, but the patient is treated in the inner room, which is obviously taking care of Li Jingsheng.

If you screw up, you won't be embarrassed in public.

Try to minimize the negative impact.

"Finally it's my turn!"

The patient came in happily.

His face was filled with joyful anticipation.

If he knew that the doctor who was about to operate on him did not master the key technical essentials and just used him as a 'guinea mouse' for practice, he might not be able to laugh.

"Lie down on the bed, just lie on your back."

Doctor Xu directed the patient to lie down on the bed.

Then he looked at Li Jingsheng.

There is only one meaning revealed in the eyes, and I leave it to you.

Li Jingsheng felt a little apprehensive at the moment.

Faced with such an uncertain disease, any doctor is similar, and he must have retreated in his heart.

After all, there are very few doctors who really don't treat patients as human beings.

"Doctor Li, the anesthetic has already taken effect."

Nurse Li Li stood by and reminded him.

Director Hua sat on the small round stool outside and watched the whole process without saying a word.

The patient with humerus transection just now was cured by Li Jingsheng, which shocked Director Hua quite strongly.

Although I learned from nurses Li Li and Dr. Chen that Li Jingsheng has made great progress and can cure some patients alone.But seeing with his own eyes that Li Jingsheng was able to manually reset the transection of the humerus still made Director Hua feel shocked and pleasantly surprised.

He looked at Li Jingsheng with more appreciation and affection.

Li Jingsheng had no other distractions at the moment, and began to concentrate on performing manual resets for patients.

I saw his left hand grasping the patient's forearm, and his right hand grasping the patient's palm, like shaking hands.

"I need to shake your wrist to loosen those soft tissues that stick together. If you're tense, just close your eyes."

After Li Jingsheng finished speaking, he grabbed the patient's wrist and began to shake it.

This scene is actually very scary.

The patient has already suffered a fracture and a displacement of the carpal joint. At this time, most people's thoughts are to keep rest, and they must not add to the injury.

As a result, in the hands of doctors, they don't treat patients as human beings at all.

But as a machine.

Although the patient was a man in his 50s, he closed his eyes in fright and turned his head away.

Li Jingsheng grabbed the patient's hand and shook it for a while, feeling that it was almost done.

Then feel the patient's bone.

Some soft tissue adhesions were found to still exist.

The shaking just now had a certain effect, and part of the soft tissue adhesion was released.

But that's certainly not enough.

"It's okay to move a little more!"

Dr. Xu watched from the side, and he could guess the general situation of the patient without touching his bones.

He made a sound at the right time to embolden Li Jingsheng.

"understand!"

Li Jingsheng increased the strength of the swing this time, and boldly and flexibly added stretching and flexion while swinging.

This is actually not the first time that he has flexibly split and combined advanced bone-setting techniques.

It's just that the swing method has just been mastered, and the level is still very limited.

After rocking and flexing for a while, he tried to examine the patient again.

There is still a small part of the adhered soft tissue that has not been released.

The small part is close to the joints, and his swing method itself is not particularly brilliant, but he has just mastered it initially, and it is the first time he has grasped a fractured limb with joint displacement to do such a large-scale movement.

Nervousness is inevitable.

What if the patient's bone injury is aggravated?
Wouldn't that be a disaster?
So I can't let go.

He has wobbled twice, but he still hasn't cured the patient. He knows that the patient's patience has been exhausted.

If you still can't get it right the last time, nine times out of ten it will make the patient angry.

Just like Dr. Chen was scolded for grabbing the patient's injured limb in circles.

Li Jingsheng instinctively checked the properties panel.

Because based on experience, his fifth advanced bone setting method, swinging and touching, is likely to have already started.

In the column of skills, it is in the category of bone-setting techniques.

When he found out that there was really an extra 1/10 of the Swing Touch Method Beginner, he was instantly overjoyed.

This advanced bone setting method has finally been introduced, and it has successfully reached the entry level at this critical moment.

Without any hesitation, he directly spent 99 points of health to upgrade the proficiency of this medical skill from beginner to master.

This time it was safe.

For the understanding of the swinging touch method and the mastery of various skills, he already has the level of the junior attending class.

"This young doctor doesn't seem to have strong hand strength. Would it be better for me to be treated by an older doctor?" The patient was already a little unhappy when he saw that Li Jingsheng did not fix it after two attempts.

But it's polite to speak.

"I was afraid of hurting you just now! Increase your strength this time, you relax!"

After Li Jingsheng finished speaking, he grabbed the patient's hand and shook it again.

This time, it was as if a different person operated it, and the movements were more than ten times more proficient.The strength is sufficient, and the range is even more astonishing.

"Hey, stop, don't fool me!"

The patient's arm was numbed and felt no pain.

But seeing the young doctor grabbing his injured hand and shaking it like a rag, he was so scared that he was about to sit up from the treatment bed.

It's too scary.

The doctor really can't be offended.

If he continued to shake like this, his hand was already injured, so I don't know if it was crippled by the shaking?
"Don't move, don't move!"

After shaking, Li Jingsheng grabbed the patient's wrist and fiddled with it a few times, squeezing, lifting, and pressing.

"All right."

he said to the patient.

"This, this...is it really cured for me?"

The patient obviously couldn't believe what he was saying.

"You can't feel it now after taking the anesthesia, but it's okay, I'll fix your wrist first, and you can take a picture later and check to see if it's all right."

Li Jingsheng was full of confidence.

Dr. Xu came over, touched the patient's wrist with a serious face, and showed a satisfied and relaxed smile on his face.

"The soft tissue adhesions have all been released, the joints are smooth, the bone position has returned to normal, and the two fractures have been reset. This is as good as it gets. You can see for yourself after the film is taken Effect."

Hearing Dr. Xu say the same thing, the patient's expression softened a lot.

However, he was still afraid that the doctors would conspire to deceive him.

After finishing the fixation, he volunteered to take another film for review.

More than half an hour later, the patient came back happily.

Apparently the medical technologist in charge of filming has been asked.

"Doctor, the doctor who took the film said that it has been reset. Let me show it to you again."

In terms of professional level, the reading ability of specialist doctors is more authoritative.

In the medical technical room, some doctors have real knowledge and strong ability to read films.Some related households and people who dawdle are basically coping jobs.

When describing the test results, they often just look at them casually and copy a few sentences from the textbook.

Doctor Xu took it and looked carefully at the light.

"The reset was very successful, you just need to go back and take good care of it, and come back for a review in four weeks."

"Haha, I'm completely relieved this time."

The patient got an affirmative answer twice, and the last doubt in his mind was dispelled.

"To be honest, when this young Dr. Li was operating on me, he shook me so hard. It seems that the technology of the big hospital is very good, and it is guaranteed. It is the right place to come to you."

The patient apologized to Li Jingsheng tactfully.

After all, not long ago, he misunderstood the young doctor.

"Is it right to know now? In your situation, except for us, there are very few places willing to reset your manipulations. Basically, you need to perform surgery. Now that you have successfully reset your manipulations, you can have fun secretly! Save Not to mention losing a large amount of treatment expenses, people can still suffer less and don’t need to be hospitalized.”

Dr. Xu's words were clearly addressed to his disciples.

However, the treatment of this patient is indeed very difficult.

He himself has been to two big hospitals to inquire about it, and they all said that surgery is needed to cure it.

"Thank you! When I go home today, I can finally sleep soundly! To tell you the truth, I can't sleep at all when I think of the possibility of being disabled these days. If my hand is disabled, what will happen to the whole family in the future? Live? My wife only earns 3000 a month, and there are four children to support, as well as an elderly person.”

"It's not that you want a boy, and you have to give birth to a son! Now you know it's difficult to raise?"

His wife complained nearby.

(End of this chapter)