Gou is practicing medicine in the clinic

Chapter 206 Dacheng Grade Bone Touching, Amazing
When I came to the ward, I could see a very young male patient, about 27 or [-] years old, sitting on a chair beside the bed.

"Luo Feiming, this is Dr. Li from our orthopedic surgery department. He is very good at manipulative bone setting, bone trauma treatment, and joint treatment. He came here specially to check the condition of your wrist bones."

Leaving aside Ruan Xiaoqin's other skills, he really didn't mention his speaking skills.

Li Jingsheng was originally an ordinary resident in orthopedic surgery, but now he is touting him so much that he is almost equivalent to an expert.

"thanks, thanks!"

While the man named Luo Feiming was thanking him, he had already started looking at Li Jingsheng.

"The doctors in your Second Hospital are all quite young!"

There is something in the words.

There is no hair on the mouth, and the work is not fast.

Young doctors are often unreliable in their skills, and patients and their families dare not trust them easily.

Luo Feiming underwent surgery in the No. [-] Hospital, and his bone injury has not healed for a year, so he will be more vigilant to doctors.After all, if his hand couldn't be healed, it would probably be useless.

"Nowadays, hospitals require highly educated doctors to recruit doctors, and younger doctors are the general trend. Dr. Li looks young, but he is quite famous in our orthopedic surgery department!"

Ruan Xiaoqin helped to speak to avoid embarrassment.

Li Jingsheng walked up to the patient, but the patient didn't intend to stand up.Li Jingsheng could only squat down.

"I'll show you your left hand."

The patient took the initiative to extend his left hand to check with Li Jingsheng.

Li Jingsheng began to touch the patient's bones.

Immediately, his brows frowned slightly.

The bone touch technique is currently a small success of 971/1000.

Basically, you only need to touch it once, and you can feel the bone image, blood vessel damage, and soft tissue condition.

The effect of bone palpation is not worse than that of CT.

The bone injury of this patient lasted more than a year because of the time span.

When touching the bone, the feel is relatively obscure.

It's not that the hand feeling is not clear enough, but that the nature and state of the bone injury cannot be judged.

Li Jingsheng originally wanted to wait for the automatic promotion of the bone touch technique, because he wanted to save a little more life points to upgrade his surgical and diagnostic skills.

These medical skills are more difficult to upgrade, but they are very important.

It is more in the interest to save the health points to upgrade them.

Bone touching and other bone-setting techniques, anyway, there are many opportunities to use them every day, and it is enough to automatically improve the skill proficiency.

After spending 29 health points, he raised the Bone Touching skill from a small success to a great success on the spot.

Fortunately, he promoted the doctor's rank to a senior attending doctor not long ago.

Otherwise, it would be impossible to raise the Bone Touching Technique to the Dacheng level.

The mastery of bone touching is 1000/2000.

This is also the first medical skill to be promoted to the Dacheng level.

At this time, the bone touching technique has reached the level equivalent to that of the deputy chief physician.

When the bone palpation operation is at a small level, the vitality and density of the bones can be felt, as well as whether there are lesions.

For example, a patient with bone cancer can feel it out after his bone palpation technique has been upgraded to a small level.

Today, the Dacheng-level bone palpating technique not only makes the judgment of the above-mentioned bone images more accurate and reduces misjudgments, but also has the ability to analyze bone injuries, check bone age, bone healing status, and bone nutritional status.

When doctors diagnose and treat patients, they can easily judge the nutritional status of a patient based on the patient's skin color, appearance, body thinness, and hair quality.

Li Jingsheng has this ability now.

With just one glance, it is possible to roughly deduce whether a patient is malnourished.

But the human skeleton is inside the body and cannot be seen with the naked eye.

As for touching the bones with your hands, if you don't know how to touch any bone, you will feel the same, that is, it is hard.

However, professional orthopedic surgeons can grasp some bone image information that is invisible to the naked eye.

For example, whether the bone is seriously missing, whether it is sunken or not, and other obvious bone images.

Professional orthopedic surgeons like Li Jingsheng who have learned bone palpation are even better.

If you touch it, you can almost find out most of the bone information that needs professional imaging examination to obtain.

At this moment, his bone touch technique has reached a high level, this ability has been further strengthened, and he has made a qualitative breakthrough.

He can enter into deep bone injury analysis, and can find out the nutritional status of the bones. To put it bluntly, he can find out whether a certain bone of the patient has poor blood supply or other chronic hidden lesions.

Although the patient did not speak, his brows frowned because Li Jingsheng felt the pain when he touched the bone.

There was already a hint of displeasure on his face.

Li Jingsheng grasped the patient's left wrist and touched it as if he was addicted after upgrading the bone touch operation.

And touch and press back and forth on the wrist joint many times.

"Come on, let me see your right hand again!"

He found some very special bone image information, but he needed to compare it with the patient's right wrist, and then analyze it further.

"My right hand is fine."

The patient's tone was already tinged with displeasure and coldness.

"You don't understand this! Dr. Li must have discovered the problem, and you need to use your normal right wrist bone for comparison. The wrist joint is the most complicated joint in the human body. The last time you had surgery and bone grafting for this disease, you couldn't get it right." It is very difficult to cure it. Doctor Li has made some discoveries now, which is a good thing, and you have to cooperate with our doctor."

Ruan Xiaoqin played beside him.

Sometimes you really need a doctor like that.

Maybe his medical skills are a bit lazy, but he is very good at dealing with family members and patients.

After hearing this, the patient honestly stretched out his right hand, and the face that was originally stretched looked much better.

That is, the patient is ignorant.

With Li Jingsheng's current strength, it is definitely a great fortune for a bone injury patient to be touched by him.

His current bone-touching level is likely to be at the same level as Dr. Xu's.

In the entire Second Hospital, and possibly in the entire Lijiang City, there are only these two bone-touching masters.

The level of the deputy director is not a bad street level.

Whether it's diagnosis, prescriptions, or surgery, reaching the level of a deputy director in any field is enough to become a transcendent existence of the hospital.

Already able to lead a group to do surgery on their own, or directly hold up half the sky in an outpatient clinic.

Or in the inpatient department all-powerful, grasping all diagnosed diseases.

The diagnostic skills of many internal medicine chiefs may be a little loose, but the level of medication is extremely high. If such a doctor meets a wise department director, he will be placed in the "palm print" of the inpatient department.

It is a doctor's order specially given to young doctors. All the patients with serious illnesses or refractory diseases whose etiology has been identified in the department will be treated by the deputy chief physician with excellent prescriptions.

It can often make the cure rate and discharge rate of that department reach an extremely good level.

Diagnosis and prescription are the two ultimate ways to deal with diseases.

Complement each other and are indispensable.

But no one is perfect, and doctors are the same. Some prescriptions are talented, and some are strong in diagnosis. The best way is to cooperate closely with each other.

After Li Jingsheng touched the patient's right hand, he went on to touch the left hand.

Fortunately, this patient is a man. If it is a young female patient, I am really worried that her boyfriend's old punch will hit Li Jingsheng in the face.

"There's something wrong with your bone injury!"

Li Jingsheng frowned.

"Have you been injured before? At least ten years or more."

His bone palpation technique has reached a high level, and he can already analyze bone injuries through the bone images he feels out.

The injured navicular bone and surrounding bones of this patient's left wrist felt strange to the touch.

At first he felt strange.

After the direct bone palpation technique was promoted to Dacheng, he realized it by repeatedly palpating the bone and comparing it with the patient's normal right wrist.

Those bone ends that feel a little rough or slightly swollen are impossible to heal from bone injuries formed within a year.

It is an old bone injury that has been at least three years old, and a strange bone image after recovery.

Later, he compared it with the old bone injuries and bone images he had touched these days, and finally roughly deduced that the patient's bone injuries had been at least ten years old.

"It's amazing, it's amazing. I didn't expect you to be able to figure this out! Just now, Dr. Ruan said that you are an expert. I didn't believe it at all because you were too young. Now I believe it. Please sit down ,please sit down!"

The patient looked at Li Jingsheng with unbelievable horror.

Then get up and give up your seat.

The attitude towards Li Jingsheng has also undergone a 180-degree change.

It wasn't until this moment that he realized how good the young doctor in front of him was.

Just by touching his wrist bones, he can even know about his injury ten years ago.

"You, your wrist bone was injured before, why didn't you tell us when you were admitted to the hospital?"

Ruan Xiaoqin was shocked by Li Jingsheng's strength, and at the same time was angry that the patient concealed such important medical history information.

Doctors do their best to cure patients.

But the patient did not tell the truth to the doctor.

"Uh... It's been a long time, I really forgot. I was only about 15 years old at that time. I remember that I was injured when I participated in the school's track and field not long after the third year of junior high school. At that time, I also injured my left wrist. I couldn’t use force. At that time, my family was poor and they didn’t give me any treatment. After more than half a year, I seemed to be fine.”

The patient quickly explained.

The patient is 27 years old this year, and his left wrist was injured when he was 15 years old. It has been eleven or twelve years now.

"Doctor Li, what do you think is going on now?"

Ruan Xiaoqin didn't have any confidence in dealing with this extremely difficult disease.

Don't even know where to start.

Li Jingsheng actually found out all the bone injuries suffered by the patient more than ten years ago, which made Ruan Xiaoqin almost worship him.

Not convinced!

Old people do not rely on muscles and bones for energy.

His qualifications are older than Li Jingsheng's, and his professional title is also higher than Li Jingsheng's, but in terms of diagnosis and treatment ability, he has to admit that there is a "little" gap with Li Jingsheng.

It's like a man said to a woman on a blind date that my income last month was just short of [-].

How much difference?
The woman asked.

The man bowed his head and said in a low voice, only 7000 yuan was left.

Then the woman directly picked up the glass of water and splashed it on the man's face, without looking back angrily.

The level of medical skills between Ruan Xiaoqin and Li Jingsheng is indeed only "a little bit".

At least he thought so.

"Let's discuss it in the office!"

Naturally, Li Jingsheng would not discuss the treatment plan here in front of the patient.

Because the patient's bone injury is extremely complicated, it is not as simple as just an old injury.

Back in the office, Ou Qinglan and several other doctors looked at Ruan Xiaoqin and Li Jingsheng.

"How? Did you find anything?"

Ou Qinglan asked Li Jingsheng.

"Some gains. But to treat this patient, I'm afraid I have to invite several chief physicians from the department to discuss it together." Li Jingsheng frowned slightly.

His extraskeletal diagnosis is currently at the proficient level, and it must be relatively weak.

After all, the proficiency level is only equivalent to the level of senior residents.

His current actual doctor ability has reached that of a senior attending physician.

You can already start to progress to the sub-high level.

Now the bone-touching technique has reached the level of deputy director, and other bone-setting techniques are not weak.

As an orthopedic surgeon, extra-skeletal diagnosis is definitely not enough to stretch the hips too much.

He is considering whether to upgrade to extraskeletal diagnosis?
As his abilities continued to grow stronger, his vision became much higher.

He is definitely not satisfied with just upgrading from the proficient level to the proficient level.At least you have to be promoted to Xiaocheng level.

At present, this ultra-difficult orthopedic injury case requires the use of extraskeletal diagnosis.

Li Jingsheng gritted his teeth and directly spent 427 health points to upgrade the orthopedic surgery diagnosis from the proficient level to the small achievement level.

It's like going up two levels in a row.

The little life he had saved with great difficulty bottomed out again, only 54 points left.

I don't panic at all, anyway, no matter whether it is in the hospital or the clinic, a lot of life points can be recorded every day.

At this moment, instead, he had a tinge of joy brought about by the improvement in orthopedic surgery diagnosis.

The diagnostic ability of orthopedic surgery has directly reached the level of senior attending physicians.

Exactly the same level as his doctor.

This is very nice.

It also immediately made his diagnosis and treatment ability jump to the top ten in orthopedic surgery.

Definitely not ranked before.

Even though he helped the orthopedic surgeon diagnose two difficult cases, that was with the help of bone palpation and general surgery.

Now it's different.

The real level of orthopedic surgery diagnosis is not false at all.

Not only can he have a good diagnosis of diseases in the field of bone trauma, but also has considerable attainments in the diagnosis of orthopedic diseases in the fields of bone joints, bone diseases, and spine.

"Dr. Li will chat with Dr. Ou first, and I will report to Professor Wu and others to see if we can organize another discussion in the department while you are here."

Ruan Xiaoqin was as excited as if he had been injected with chicken blood.

Because if this case is successfully diagnosed and treated, he will benefit greatly.

And can successfully solve a 'hot potato' in his hand.

Because of the benefits, his enthusiasm is naturally high.

Ou Qinglan was very depressed, it was fine for Professor Wu to 'hook' Li Jingsheng with her, now Dr. Ruan is also using her to keep Li Jingsheng.

Have any of these people asked her opinion?
Of course, she must be happy.

Because she really likes Li Jingsheng very much.

It was just being used as a bargaining chip to seduce Li Jingsheng, and she was never asked for her opinion, and no one cared about her feelings, which made her feel a little angry.

Most of the low-level doctors have her similar experience.

Especially female doctors and nurses, who are more attractive, will encounter many difficulties and harassment in the workplace.

"Qinglan, open that case again and let me see it!"

Li Jingsheng now has a small-level orthopedic diagnosis, coupled with the previous harvest of bone touching, he wants to try to see if he can diagnose the patient's cause first.Then a preliminary treatment plan will be developed.

In the morning, Dr. Xu told him not to rely on any superior doctors, which inspired him a lot.

After repeatedly studying the patient's past surgery plan, as well as the pre-operative injury, and the current situation, Li Jingsheng gradually formed a disease context in his mind.

Then sort it out.

There are two causes of the disease, one is improper bone grafting, and the other is that the patient has no old fractures.This should be the main reason.

At this time, Director Hua came in excitedly.

He looked directly at Li Jingsheng.

He didn't care that Li Jingsheng and Ou Qinglan were sitting together, discussing the case intimately.

"Doctor Li, have you really found out the cause of the patient's long-term non-union fracture?"

Director Hua asked him.

"I dare not say that it must be correct. At least I can be sure that part of the reason for the failure of the patient's last operation is related to the old bone injury more than ten years ago."

Li Jingsheng did not dare to criticize the First Hospital for improper bone grafting.

If the chief surgeon heard about it, he would be so angry that he would jump his feet.

"My boy, I really have you. If you can crack this tough bone, you will have made a great contribution to our orthopedic surgery department. Are you sure you will handle this patient with full authority?"

Director Hua was more ruthless than Dr. Xu, and directly pressed the patient on him.

"I'm just a small hospital. If such a difficult case is entrusted to me, even if my belly bursts, I won't be able to eat it!"

Li Jingsheng looked bitter.

"Your promotion has already entered the process. It is estimated that the letter of appointment will come out next month at the latest. Don't cry in front of me, what a small hospital, you are now completely at the attending level."

Director Hua revealed a very important piece of good news.

Hearing this, Li Jingsheng was excited.

Originally, according to the agreement between him and Director Hua, he had to work in the Second Hospital for a year before he could be promoted to attending, but now he has been promoted to attending after working for less than two months.

Director Hua is trying to push him up to death!
It is also understandable that orthopedic surgery does lack masters who can control the situation.

Li Jingsheng has shown extraordinary abilities in all aspects, and any department director would cultivate them to the death.

Because the department is in great need of such super talents.

Cultivating ten ordinary talents is no match for one evildoer.

"You gave me a letter of appointment so soon! Isn't the hospital afraid of losing money?"

Li Jingsheng showed a humble smile.

He was naturally happy when he heard that he was promoted to be the chief physician.

I used to be in the No. [-] Hospital, looking forward to it for several years, thinking that I could be promoted to an attending physician, and then wait for retirement.

However, the colleagues around him got the appointment letters one by one. He obviously passed the examination of attending, but the appointment letter from the hospital was delayed.

When you ask the department leaders, there is always one sentence. Now the number of attendings is tight, so wait a little longer.

Later, Li Jingsheng resigned directly.

Because he feels that his ability is not bad.

Of course, it turns out that I was the 'big fool' on TV at that time, stupid and naive.

Maybe the medical knowledge is fairly solid, and the work is diligent, and I really can't find other advantages.

This is the conclusion he came to after opening the clinic.

Whether it's the level of diagnosis, the level of prescriptions, or the ability to deal with people, they are all rotten.

Surgical ability, let alone.

Rotten to the bottom.

"You got a lot last month, right? I'm afraid there are not as many general indications as you. Old Xu told me specifically at lunch just now, saying that he will let you learn to practice independently in the future. Unless you are really unsure You can ask him for help, and you have to find a way to solve everything else.”

Director Hua exposed him face to face.

It is undeniable that Dr. Xu is very kind, and Director Hua also wants to keep him as a talent.So last month's salary, as long as Li Jingsheng completed it independently, will be counted as Li Jingsheng's personal performance.

Don't think that big hospitals don't have commissions, in fact, there are performance commissions.

Basically no matter which unit, it is more pay for more work.

Otherwise, everyone will not be motivated to work.

Ou Qinglan looked at Li Jingsheng with a smile, with inquiry in her eyes.

The salary is higher than that of general attending physicians, and Li Jingsheng only works three days a week, how many people are envied!
"Hey, I'd better speak honestly in front of you in the future. But I really can't accept this patient. He will definitely need surgery, and he should need another bone graft. I'm not high enough to preside over this kind of surgery!"

Li Jingsheng refused again with a dry smile.

Income is the secret of every doctor, and we generally do not disclose it to others easily.

The attending physician of orthopedic surgery has a miserable life of seven or eight thousand a month.A good [-] goes up.

(End of this chapter)