Gou is practicing medicine in the clinic

Chapter 169 The influence of super strong muscles on reset, the sixth technique
For a family, it is very lucky to be able to marry a wife who helps to earn money to support the family.

Some women are full-time wives with peace of mind.

She even thinks it is reasonable to spend her husband's money, and would rather play mahjong all day long and have various entertainments with her 'girlfriends' than go to work to make money.

Such families are often very fragile.

As long as the husband's financial problems, the family will be in trouble immediately.

If the wife can also have a stable job, the family's ability to resist risks will be higher, and it will be more harmonious.

Some families do not have the elderly to help take care of the children. There is no way to do this. Only one of the husband and wife can take care of the family full-time.

After the patient collapsed, his wife took on the burden of the family because of her job.

Undoubtedly, he is very happy and lucky.

"Whether it will be disabled after it recovers, no one can guarantee it. However, with a bone injury like his, there should be no technical problems in manual reset."

Dr. Xu did not push the apprentice forward this time.

Instead, communicate with family members and patients in person.

Because of such a serious bone injury, Li Jingsheng was not able to treat it.

"It means it can be cured, right?"

The patient and his wife looked at Dr. Xu in unison.

"You can try it. If the therapeutic effect of manipulative reduction is not good, it's not too late for you to consider surgical treatment." Dr. Xu obviously took on this task with sufficient confidence.

But when answering patients, I am very conservative.

There is no way, this is forced out by some family members and patients who like to be more serious.

For example: The doctor told the patient that the disease can be cured.

As a result, the treatment did not improve, and this result was not what the doctor wanted to see.To make matters worse, the patient sued the doctor.

Therefore, when communicating with medical staff, they said that they can try, that means they can be treated.

They said that it may be a certain disease, which basically means that the disease has not gone away.

"Can it be cured now?"

After a brief exchange between the family and the patient, ask Dr. Xu.

"can!"

Doctor Xu nodded.

"Lie down on the treatment bed inside, and Dr. Li will conduct a preliminary examination for you, and then determine the manipulation reset and follow-up treatment plan."

I thought Dr. Xu would do it himself if he took over this big job.

Unexpectedly, it was thrown to Li Jingsheng again.

"I……"

Li Jingsheng wanted to say, teacher, I really can't do this job.

As a result, as soon as he said a word, Dr. Xu said with a blank face, "Young people should do more work, don't always think about being lazy. First, check the patient's bone, then pinch and squeeze the bone, and reset him directly." Isn't that all right?"

Li Jingsheng really wanted to roll his eyes fiercely.

Teacher, teacher, if you catch the ducks on the shelves, at least give it an adaptation process!
The broken bones were all squeezed together, accompanied by local hematoma, I really can't do it!

Dr. Xu ignored him and went in directly.

"Xiao Li, why are you dawdling, hurry up! You are always so slow, you can treat two patients in one morning."

Seeing Li Jingsheng hesitate, Dr. Xu began to curse.

Li Li winked at him, motioning him to click in.

Doctor Chen wished that such a good thing would happen to him.

It's just that people compare with others, which makes people mad.

Dr. Xu never let him operate these difficult orthopedic cases.

Li Jingsheng bit the bullet and went in to touch the patient's bones.

It was found that the fractures of the tibia and fibula were very serious, especially the tibia, and the broken part could move almost freely.

With such a serious injury, the patient was just fixed with a simple splint, what a ruthless person.

Not to mention sitting in a wheelchair, even lying on a flat bed will cause severe pain.

However, the patient's expression remained normal, and the expression of pain could be seen between his brows.

No wonder his wife is so good, but she is willing to marry him who is plain-looking, and has a good relationship with him.

This kind of handsome man is indeed very attractive.

"The broken tibia is pulled by the interosseous membrane and also pulled by the interosseous muscle, causing it to move closer to the broken end of the fractured fibula, forming a lateral displacement. During manual reduction, they must be divided into bones , let them return to their original positions, and then perform reduction and invasive external fixation.”

After touching the bones, Li Jingsheng gave a series of treatment plans.

For some fractures, a plaster cast or splint is applied after reduction and the work is over.

Some fractures require drilling at both ends of the broken bone for internal or external fixation.

Otherwise, after the reset is completed, the patient turns over or moves casually, which may cause the fractured bone to be displaced.

It takes at least half a month for the callus to grow.

This is just a fibrous callus and requires children.

Bone calluses often take more than a month and a half to grow.

Broken bones for a hundred days.

It takes more than a hundred days for bones to grow well.That is more than three months.

In fact, it will take at least half a year to return to the previous strength.

Generally, as long as fibrous calluses grow out of such severe fractures, the broken bones can be stabilized in a relatively stable state.

"Basically, it is such a treatment plan. If you are willing, I will help you apply for a doctor from the anesthesiology department."

Doctor Xu asked the couple.

After discussing, they finally agreed.

In fact, the treatment plan decided by the doctor, the patient will basically agree.

The tibia is fractured, and local anesthesia cannot be used.

An epidural is required.

So a doctor from the anesthesiology department must be called in.

"You lie here first, and you go to pay the fee and go through the formalities. The anesthesiologist will talk to you and ask for a signature. Then he can be treated. He needs to be hospitalized, and I will issue you a hospitalization order."

Dr. Xu goes through the corresponding procedures for the patient.

"Xiao Li, you go to deal with other patients, there is such a long queue outside, you have to work harder, understand?"

Li Jingsheng used to come and study for two hours every day, that was a guest.

Now that he is an employee of the Second Hospital, Dr. Xu is not polite to him.

Desperately urging him to work.

Of course, it's for his own good.

Strict teachers produce excellent apprentices.

Only by forcing him to constantly challenge various cases and keep getting started with practical operations can he quickly improve the level of bone setting.

Li Jingsheng was very persuasive, and asked Li Li to call in new patients, and then deal with them according to their ability.

The luck is not bad, and the four cases called in a row are relatively 'simple'.

All were cured by him.

Received three positive reviews.

He has long discovered that the probability of getting good reviews is particularly high in the outpatient clinic.

It's just that Dr. Xu or the entire outpatient department lost the previous good reviews.

Can't fall on him personally.

Now that he is officially in charge, he will operate the whole process, and he can even prescribe medicines to patients directly in his own name, issue hospital bills, etc.

This feeling is completely different.

Three good reviews equals 30 HP.

Taking a look at the length of the line outside, forty orthopedic patients were only a lot more.

If he takes care of everything today, how much life and bone setting proficiency will he earn?
"Young man, why are you smirking?"

Anesthesiologist Lao Yu came over with the treasure chest.

Seeing Li Jingsheng smirking with the corners of his mouth pulled, he couldn't help but tease him.

"I'm not laughing, I'm just happy to have cured a new patient."

Li Jingsheng naturally wouldn't tell the truth.

Even my own parents won't tell me about the attribute panel.

"Hmph, dishonesty. I think you are probably thinking about some beautiful girl? You are the age to talk about marriage, I think it must be."

Lao Yu saw through that he was lying, but he was only half right.

After Li Jingsheng was dumped by his girlfriend once, he knew that a man has a career before he can fall in love.

He is now focused on his career.

As for love, let it be.

"Teacher Li, call the next patient in!"

Li Jingsheng did not argue with Lao Yu.

Some things are getting darker and darker.

It's better not to explain.

Another patient came in, this is a big man with a height of 1.8 meters.

The muscles on his body are knotted like dragons, and his whole body is like a walking humanoid monster.Just standing in front of one can naturally give people a strong sense of oppression.

"Who is the doctor who heals?"

The man's left arm appears to be injured and needs to be held with his right hand.

Perhaps because of the pain, veins appeared on his forehead, and his expression was slightly distorted.

It looks even more hideous.

"Doctors treat diseases. What's the matter with you?"

Li Jingsheng asked the patient.

Facing this kind of humanoid Tyrannosaurus, he felt somewhat psychologically stressed.

Fortunately, the opponent is now in an injured state, otherwise it would be a bit scary.

"I bumped this arm when I was exercising, and it was said that the bone was broken. Please help me to see it."

The strong man speaks like a bronze bell.

Very loud.

Lung capacity should be particularly amazing.

"Have you ever filmed it?"

"It was taken in your hospital, here!"

The man came alone, without family members accompanying him.

The film was clamped under his arm with his right hand.

Li Jingsheng took it over by himself, and after checking it, he frowned slightly.

"Why is the humerus broken? This is not an ordinary fracture, but a transverse fracture."

A strong man with such muscular body should be very resistant to blows.

It was a bit of a surprise that the left arm was broken.

It shows that the external force on his left arm should be very terrifying, and relatively concentrated on a very narrow surface.

"His grandma's, don't mention it, it's unlucky. I learned how to play parkour, and I made a fool of myself on the first day and broke my hand."

The age of the strong man should be 28 and nine years old.

At this age, I still learn how to play parkour like young people, isn't this just asking for guilt?
Parkour is a very dangerous sport.

Some powerful masters fly over the roof and walk on the wall like walking on the ground.

It's completely the modern version of light work.

It's just that they challenge various high-difficulty and high-risk sports.For example, jumping from the roof of building A to the roof of building B, there is a distance of seven or eight in the middle, but there is a certain gap.

If the dance is successful, it must be very exciting and a sense of accomplishment.

If the jump fails, it is directly equivalent to jumping off the building, smashing the body to pieces, and finally sending it to the crematorium.

Parkour is relatively popular abroad, and there are some domestic enthusiasts, but they are still very few.

The conservative weight of this strong man should be above 90KG.

In fact, it is more suitable for doing some horizontal exercises.

This kind of body is too clumsy to do parkour.

"Let me check it for you first."

Li Jingsheng motioned the patient to sit down, and the chair creaked under the pressure.

"It may hurt a little bit, can you bear it?"

"It's okay, just do it."

The expression of the strong man is a bit like he is learning from Brother Guan.

I think Guan Yu used to have bone therapy, but he was able to chat and play chess with others, and was called a tough guy by countless people in later generations.

Li Jingsheng tried to feel the patient's bones.

Good guy, the strong man's arms are almost as thick as Li Jingsheng's thighs.

Piece of solid muscle cast together like blocks of iron.

To the touch, it is hard and solid.

It is no easy task to build muscle to this extent.

"What do you do? Professional athlete?"

"I'm working hard in this direction. I like boxing, but my fighting skills are a bit poor, but my physical fitness is still good."

The burly man looked scary, but he was gentle enough to talk to.

"Doctor, will it affect my boxing after my injury recovers?"

"You're recovering well, and it won't affect you. I guess you'll have to rest for a while in the past few months."

Li Jingsheng touched the bones of this person and found that the difficulty was much higher than imagined.

If you don't distinguish carefully, it is even difficult to distinguish muscle from bone.

And because the muscles are too developed, the humerus is wrapped inside, and some surfaces cannot be touched.

In addition, he also found that the bone density of this strong man was much higher than that of ordinary people.

It feels that the density is almost close to the bone of the tooth.

The hardest bone in the human body is not the skull, but the teeth.

It is terrifying to think about being able to train ordinary bones to be as hard as teeth.

If a punch hits a person, with such strength and bone hardness, the damage it will cause must be astonishing.

In the boxing ring, a single punch can knock a professional boxer to the ground and lose the ability to resist.It's completely a modern version of martial arts.

"Teacher, there is a humerus fracture here. His muscles are too developed, and I can't reset it."

Li Jingsheng directly said this time that he could not reset.

I was afraid that Dr. Xu would force him again.

"Let me see."

Doctor Xu came out from inside.

"The patient with a fractured lower leg has signed the anesthesia risk notification and has started to take anesthesia. Get ready and go in to help him reset. Splitting the bone is not difficult, as long as you operate carefully, it will definitely succeed."

This is to help Li Jingsheng truly master the technique of squeezing and dividing bones.

Dr. Xu patted the strong man.

He was well-informed, and his expression hardly changed.

"For this kind of muscular patient, the bone is transected, and the difficulty of reset is doubled. To solve it, you must use the two techniques of folding the top and turning. They must be combined."

After Dr. Xu finished speaking, he said to Li Li.

"Give this patient a skin test and local anesthesia."

Unexpectedly, after hearing this, the patient said, "Is it okay without anesthesia? I'm not afraid of pain."

"Certainly not. You are not afraid of pain, but your endurance is amazing. When I check you, I can feel your muscles tense, which is not good for reset. Give you a brachial plexus anesthesia, which is good for relaxation. Relax your muscles."

The patient said nothing more.

When Li Li gave him the skin test, she stood beside him like a little kid.

A realistic version of Beast and Beauty.

"It takes more than 10 minutes for the results to come out here. Let's go and deal with the patient with a broken leg bone first."

Dr. Xu led Li Jingsheng into the inner room.

The anesthesiologist has administered anesthesia to the patient.

"Old Yu, is it possible to operate?"

Lao Yu tested the patient's lower limb perception level.

Then check the degree of muscle relaxation.

"Okay, it's time to reset."

This time, without Dr. Xu's urging, Li Jingsheng took the initiative to walk to the left side of the treatment bed, first felt the patient's bone, and constructed a bone map in his mind.

Doctor Xu looked at him with encouraging eyes.

Lao Yu watched silently, somewhat curious.

I saw that Li Jingsheng squeezed the gap between the two bones with the thumbs and index, middle and ring fingers of both hands respectively from the back side of the fracture part and the back side, which made the interosseous membrane tense, the fracture ends that were close together were separated, and the far and near fracture segments were relatively changed. Be stable.

During the whole process, he was serious and highly focused.

Although his bone-setting talent is five-star, it is really too difficult to master this extremely difficult handling.

As long as there is a subtle action essentials that are not in place, the effect will be unsatisfactory.

The atmosphere in the entire treatment room was relatively dull and tense.

The patients and their families felt very nervous. Li Jingsheng was a little nervous at first, but he let go later.

To put it bluntly, it is to go all out.

The teacher dared to leave it to him to handle it boldly, so what is there to be afraid of?

It's not sure, the teacher will definitely come out to wipe his ass.

He squeezed and divided the patient's bones over and over again.

Sweat leaked from his forehead unknowingly, and his back was already soaked.

With repeated operations, when it was the seventh or eighth time, he was secretly happy.This time it felt right.

Check out the properties panel.

As expected, there was a new skill added to the bone setting skill.

Getting started with pinch osteotomy 0/10.

Still have to be bold.

If it weren't for the hands-on operation, it might not be possible to practice the sixth advanced bone-setting technique in half a month.

Well, now that he has reached the entry level, he can officially open it.

Raise its proficiency from beginner to proficient level in one go, which is equivalent to the level of low-year-old attendings.

Costs a total of 100 health points.

Now, his life value is quite abundant, and he is quite rich and powerful.

"Ok?"

The quality of the family members is very high.

There was no rush or impatience throughout.

No noise was made to interfere with Li Jingsheng's operations.

"It'll be ready soon!"

Li Jingsheng seemed to be a different person.

From the pony crossing the river at the beginning, now it directly has the level of pinching and splitting at the attending level.

I saw him operate on the patient's calf again, and in less than 20 seconds, he completed the bone division and made them reach the ideal bone position.

Sure enough, it is not difficult for those who meet, but not for those who are difficult.

At this moment, he adjusted the two juxtaposed fractures to a unified bone position.

Operate like a "single" fracture when reducing.

After the docking was successful, he grabbed the patient's severed limb and swayed it.This time, Dr. Chen was not needed as an assistant at all.

No traction either.

"All right!"

He gave a small smile of success.

There was a hint of excitement on his face, as well as unprecedented confidence.

"Teacher, just to be on the safe side, please check it for him."

Li Jingsheng asked Dr. Xu to examine the patient.

After touching the bone, Dr. Xu couldn't help showing a surprised expression.

"Not bad, very good. There's no need for invasive external fixation anymore. Bring the splint and I'll teach you a compound fixation method."

Dr. Chen brought over the splint that had been prepared a long time ago.

"This kind of splint is specially made, and it should only be available in our hospital at present. I personally drew the picture and asked the manufacturer to customize it. The purpose is to avoid invasive external fixation as much as possible. But it requires a high degree of cooperation from the patient."

Doctor Xu showed Li Jingsheng the special splint.

Some places do have clever design.

The bone end can be locked from both sides, and the skin and soft tissue can be compressed to a certain extent, but compared with invasive external fixation, this method is obviously more popular with patients.

Invasive external fixation is to drill holes in the bone and fix it with a steel frame.

Although it is very firm, the pain caused to the patient is continuous.

"When using it, you must pay attention to avoiding large blood vessels. It cannot cause compression on the blood vessels. You can use it together with the bone touch technique."

It was another bone touch technique, and Dr. Chen was depressed.

Without Dr. Xu's true biography, I can't even use this custom-made splint.

　Thank you book friends for their lifetime agreement to reward and support, thank you very much.

　　
　
(End of this chapter)