Gou is practicing medicine in the clinic

Chapter 207 Presiding over the consultation, the ideas of the directors were subverted

Chapter 207 Presiding over the consultation, the ideas of the directors were subverted
If you can only sit in the clinic, prescribe general doctor's orders, and engage in academic research, your income will be relatively much lower.

A powerful orthopedic surgeon can perform surgery and has a certain level of diagnosis, so the income is often very considerable.

"This patient's operation is not a major operation, but an ordinary second-level operation. If you are not high enough at that time, I will stand up for you personally."

Director Hua really dared to let go.

He actually asked Li Jingsheng to operate in his name.

You know, if something happens, Li Jingsheng will be fine.Director Hua will be in trouble then.

This is why senior doctors refuse to let novice doctors perform operations as long as they feel that the risk is a little higher.

Mainly afraid of accidents.

Director Hua insisted, Li Jingsheng kept refusing, and Ruan Xiaoqin next to him became anxious.

When Ruan Xiaoqin was first assigned to this 'Second Entry' patient, Ruan Xiaoqin wished he could throw this patient as far away as possible.

Now after Li Jingsheng touched the patient's bone, he has obviously made great progress and saw the hope of a cure.

Even fools know that as long as it is cured at that time, it will be a great achievement.

Ruan Xiaoqin is such a shrewd person, how could he be willing to slip away such a good opportunity?
Definitely grab it!

"Director Hua, haven't I always been in charge of this case! Do you think I can be in charge together with Dr. Li?"

Ruan Xiaoqin said cautiously.

He didn't dare to talk to director Hua casually like Li Jingsheng did.

"Alright! But I have a request. You are the assistant, and Dr. Li is the main one. It is best to invite your superior doctor to the operating room."

Director Hua is very worried about Li Jingsheng, but he is worried about Ruan Xiaoqin.

This made Ruan Xiaoqin very worried.

It's just that there is no way, who told him that he is not reliable in his usual work, and he is the best at flattering!
"Thank you, Director Hua! I will tell Professor Wu about this later, and ask him to help me sit down."

Ruan Xiaoqin repeatedly nodded in agreement.

Just let him participate.

"Let's all go to the consultation room to discuss this case! Dr. Li will preside over it, and our directors will participate as long as they are here."

After Director Hua finished speaking, he turned around and left without giving Li Jingsheng any chance to refute.

Fortunately, Li Jingsheng had raised his extraskeletal diagnosis to the level of Xiaocheng, and it would not make a big fool of him to say a few words.

In the consultation room, nearly thirty orthopedic surgeons gathered together.

It is very difficult to gather so many doctors together at ordinary times, and this kind of grand occasion can only be seen in the department's general consultation on Monday.

The number of doctors in the whole orthopedic surgery is not more than 30, but more than 40 doctors.

Some people are resting or have something to do, so they cannot participate in this consultation.

Director Hua probably wanted to take advantage of this opportunity to formally integrate Li Jingsheng into orthopedic surgery.

After all, only when everyone understands Li Jingsheng's strength will he recognize this newcomer.

At present, only Professor Wu and a few doctors under him have a high degree of recognition for Li Jingsheng.

Although the doctors in the other groups had heard that Li Jingsheng had good abilities, they didn't really know much about it.Let everyone know that there is a powerful newcomer in the orthopedic surgery department, who was the patient who had a blood clot after the bone cement operation was rescued last time.

That first show of skill let the doctors in the department know that a very capable young doctor came to the manipulation clinic.

Afterwards, Li Jingsheng performed several operations with Professor Wu, and gained some fame and status.

"Doctor Li came to the office with me first!"

Director Hua walked out, maybe he felt that there was something and needed to have a private chat with Li Jingsheng alone, so he added this sentence.

"Ok."

Li Jingsheng looked at Ou Qinglan apologetically.

"Hurry up! You are so amazing, you will be promoted to attending soon. You don't know how fierce the competition for the appointment of attending in our department is."

Ou Qinglan whispered to him.

"I really don't know. Then I'll go first and see you later."

Li Jingsheng was really reluctant to leave.

Because I am very busy all day long, I really don't have much time to spend with her.

Follow Director Hua to the director's office.

"Xiao Qin, let's put aside the matter of sorting out the medical records, and you inform all the doctors in the orthopedic surgery department to come to the consultation room to participate in the consultation of the patient with a fractured left wrist."

Director Hua said to Doctor Qin.

Dr. Qin's mouth pursed. Since Li Jingsheng came, he has changed from the department's darling to the director's dislike.

Li Jingsheng appeared in the doctor's office, and Director Hua called Dr. Qin to the director's office to sort out the medical records, just to make room for Li Jingsheng.

It is convenient for Li Jingsheng to date Ou Qinglan.

Now Li Jingsheng came to the director's office and drove him away again.

Doctor Qin felt aggrieved!

After agreeing, she walked out of the office a little lonely and closed the door behind her.

He knew that Director Hua must have something to discuss with Li Jingsheng.

"Sit! It's not the first time you've entered my office, don't be so reserved."

Director Hua made him a cup of tea himself.

If Dr. Qin sees this kind of treatment, he will probably be so angry that he vomits blood.

It's really annoying to compare people to people.

"Do you know why I seized this opportunity to ask you to preside over the consultation of this case?"

Director Hua looked at Li Jingsheng.

"It's not just for training me, but maybe I want to take this opportunity to help me establish a certain reputation in the department."

Li Jingsheng is a ruthless person from the old street in the south of the city, so he can naturally guess the meaning of Director Hua.

"That's right, that's what I mean. There's another intention. Because of our poor performance this year, our Orthopedic Surgery Department has only won two attending places. There are a total of eleven doctors who meet the conditions for promotion. You just came In less than two months, you have given you a precious appointment, which will definitely cause dissatisfaction among other doctors. What you have to do is to perform better, shut their mouths, and convince him."

Director Hua sees the problem more comprehensively than he does.

This is the vision and thinking pattern that a department director should have.

The big picture must be considered, not just one individual.

The head of a department is equivalent to the head of a department. If one thing is done unfairly, it will cause dissatisfaction among others.

"Understood! Thank you for your key training on me."

Li Jingsheng himself is the boss, and he already has four employees under him.

These principles of managing people are easy to understand.

"Work hard and strive to become a general of orthopedic surgery as soon as possible. This is the best reward for me. It is not in vain for Lao Xu's respect and training for you."

Director Hua also highlighted Dr. Xu.

Listening to the implication, Dr. Xu should have worked hard on the matter of Li Jingsheng's promotion to attending.

It's just that Dr. Xu himself is only an attending doctor, and the right to speak is not important.

If you want to exert your strength, you can only rely on Director Hua.

……

Li Jingsheng came out of the director's office and went straight into the consultation room.

At this moment, the consulting room is already full of doctors.

The entire orthopedic surgery is almost a 'monk class'.Except for Ou Qinglan, who was so beautiful that she overwhelmed everyone else, there were only two female interns.

There may be very few female doctors who do surgery.

Orthopedic surgery has always been rough, and there are too many physical tasks, so female doctors shy away from it one after another.

I really don't know how Ou Qinglan got into such a 'fairy department' in the first place.

"Hi, teachers and colleagues, let me introduce myself, Li Jingsheng, a resident physician in the manipulative reset clinic. It is a great honor to have the opportunity to discuss a difficult case with you. Because of the rush of time, I did not make a PPT, just use some raw materials. gone."

Li Jingsheng looked at Ou Qinglan, who understood.

Directly put a U disk into the machine.

"This is a radiograph taken after the patient was injured a year ago. It can be seen that the left wrist scaphoid has an obvious fracture..."

Li Jingsheng enlarged the first X-ray of the wrist bone on the screen.

"Xiao Li, the doctors in our entire department have already seen this case. Everyone's time is precious, you don't have to be so tedious, just explain your analysis and diagnosis of this case directly."

A doctor with a slightly ferocious face interrupted him mercilessly.

Those sitting in the front row were all chief physicians, six of them, and three who hadn't come, making a total of nine.

This vicious-looking male doctor, 57 or eight years old, has very old qualifications.

The name is Zhong Hu.

He is good at the treatment of bone diseases, and also has a deep understanding of the bone and joint field. He is a powerful orthopedic surgeon.

He is straightforward and has a bad temper.

"Director Zhong is right. We have so many doctors sacrificing their rest time to come for consultations, not to listen to your long-winded speeches and engage in formalism."

Another chief physician approved him.

Li Jingsheng could feel that the aura in the consultation room was extremely unfavorable to him.

That kind of oppression made him like a small boat in a raging sea.

May be overwhelmed at any time.

"Having the appreciation of Lao Wu and Lao Xu of the Manipulation Restoration Clinic does not mean that you will be appreciated by all our chief physicians. If you have any dry goods, release them quickly. If not, I will pat my ass and leave! I still have a bag in my hand." What a big deal!"

Another chief physician criticized him in public.

This person looks mediocre, but his temperament is not bad.

Looks like he's in his early 50s.

It is Director Chen Anchen of the Department of Orthopedics and Traumatology, and he is very powerful.In the field of orthopedics and traumatology, he is a rare all-round chief physician.

High level of diagnosis, but also has a strong surgical ability.

I don't know how to use the medicine, but it must not be bad.

Moreover, relative to orthopedic surgery, drug treatment is not so important.In many cases, basically just follow the formula.

Dr. Xu is just a manipulative orthopedic doctor, and only at the attending level. It is quite normal to be looked down upon by these chief physicians.

Professor Wu focuses on academics and scientific research, and he is considered the bottom of all chief physicians.

Although he came up with a new trick of bone cement, most of the other chief physicians looked down on him because of the low admission rate.

If the knee joint was treated last time and the patient was put to death, Professor Wu might not even be able to lift his head up in the department.

"Since the directors are so straightforward, I won't repeat myself. There are two reasons for the failure of this patient's last operation. First, 12 years ago, the patient injured his left wrist because of athletics, and he has never been to the hospital for treatment. Self-healing after half a year. A year ago, riding a shared bicycle and injured his left wrist again. Although he went to the hospital for treatment this time, the receiving doctor did not find any old injury on the patient's left wrist.

The second reason for the failure was that the surgical bone graft did not take into account the sharpness of the radial styloid process and the very narrow space between it and the navicular bone. "

Li Jingsheng threw dry goods directly.

The entire consultation room immediately became silent.

All doctors think, analyze.

"How do you know that the patient's left wrist was injured 12 years ago? And after so many years of injury, no matter how serious the bone injury is, it should have healed itself. I don't think it will affect the bone graft surgery."

It was Director Chen Anchen who raised the question.

Both he and Professor Wu are chief physicians in the field of orthopedic trauma, and both of them lead the team.

But he has always looked down on Professor Wu.

Because if Professor Wu didn't rely on the special treatment item of bone cement, he would not be qualified to lead the group independently.

Also, even if the group is led, the level of the group of doctors under Professor Wu is obvious to all.

There is no one who can fight.

Whether it is surgery or internal medicine, it is basically the same.

The level of doctors leading the group is not high, and it is difficult for the doctors under him to become stronger.

Only when the general is strong, the soldiers brought out will be strong.

This is also the reason why Professor Wu took the initiative to repair the relationship after discovering Li Jingsheng's outstanding surgical ability, and tried his best to win him over.

"Dr. Li found out by touching the bones."

As soon as Ruan Xiaoqin finished speaking, the audience burst into laughter.

Everyone never believed in bone touching.

Just like scientists never believe in superstition.

Only Dr. Xu looked at Li Jingsheng with surprise.I really didn't expect that this apprentice was so monstrous that he had already reached a new level of bone touching.

You know, he is only at this level as a teacher.

"The patient himself admitted it himself. This should not be faked."

Ruan Xiaoqin became a little annoyed.

But there were many chief and deputy chief physicians present, and he, the attending physician, would never dare to get angry.

"Is the bone touching technique really that powerful? Can you feel the old bones from more than ten years ago?"

The doctors who laughed just now seemed to believe it a little bit.

Patients certainly don't lie.

Now that the patient has admitted it, it is likely to be true.

Everyone couldn't help but change their views on the bone touching technique.

In the past, Dr. Xu never communicated with them too much, and was only responsible for bone setting and bone setting for patients in the outpatient clinic.Their understanding of bone-setting techniques is actually very one-sided and superficial.

Li Jingsheng himself has a deep understanding of this point.

It was the first time that Dr. Xu was able to tell the truth about the injury just by touching the beggar who was hit by a car. It was really shocking.

Later, as his bone touching skills improved little by little, he realized that this medical skill was beyond words.

And no matter which Chinese medicine doctor you ask, even some knowledgeable western doctors will admit the existence of bone palpation.

It's just that very few people have received the true biography, and they don't have a deep understanding of the bone touch technique.

"If Director Chen is willing, I can touch the bone for you and let you and the doctors see it on the spot."

Li Jingsheng looked at Director Chen Anchen.

Only this old comrade danced the most happily, and the voices of opposition were louder and louder.

"Okay, let me touch it!"

Director Chen Anchen readily agreed, he really wanted to witness for himself whether the bone touching technique was so magical.

The other orthopedic surgeons were all in high spirits, as if they were watching a circus performance.

Those two chief physicians who shouted that time is precious, don't they think that time is precious.

Li Jingsheng immediately walked up to Director Chen Anchen, said he was offended, and began to touch Chen Anchen's left hand.Touch from finger to shoulder joint.

Seemingly finding nothing, he began to touch Chen Anchen's right hand again.

Everyone is more of a mentality of watching monkey tricks.

Especially after Li Jingsheng touched Director Chen's left hand, he didn't find anything, and he didn't speak, which made them feel that bone touching was nothing more than that.

When he touched Director Chen's right forearm, Li Jingsheng touched it back and forth in one position several times, and then moved upwards. There was no abnormal movement after that.

"Are you done touching?"

Director Chen Anchen asked calmly.

"Let's talk about the left hand first. The joint of the index finger should have been sprained five or six years ago. It doesn't feel that the injury is particularly serious, but it hurt the joint. The radius of the right hand should have been seriously injured 20 years ago. It should have been a fracture at that time. No Hengduan, but it’s not far from Hengduan. Now every time you have a rainy day, there may be pain in this place.”

Li Jingsheng's words had already caused a complete silence in the audience.

They are all waiting for Director Chen Anchen to give an answer.

"Old Chen, you should say something! Is he sure about it?"

Director Zhong Hu is impatient, and he can't stand this kind of appetite.

"He was absolutely right. Six years ago, when I was treating a patient, I grabbed my index finger and almost broke it on the spot. Fortunately, it was my left hand that was injured, otherwise the operation would have been useless. Even so, until now, when I need to use both hands to hold forceps, my left hand is still a little uncoordinated. As for the fracture of the radial bone in my right hand, Director Hua should still have an impression, right?"

Chen Anchen looked at Director Hua.

"I was very impressed by this incident. We were both residents at the time, and I remember that we were both promoted to attending physicians at a critical moment. Then you were diagnosed by the patient because you were checking a young female patient for a thigh bone injury. My husband was beaten. When I saw your nose was bleeding and your hand was broken, I was almost scared to death.”

Director Hua still has lingering fears when he mentioned what happened that year.

"Ah! Good luck tricks people! Because of this incident, I was promoted to the next year, but you were promoted in the same year. Since then, I have been lagging behind you."

Director Chen Anchen sighed faintly.

Originally, in terms of strength, he also had the opportunity to compete for the position of head of the department.

But because of that accidental injury, he fell behind step by step.

"What's not to be behind? Do you think I want to be the head of the department? I can't help it now. I think I was a handsome guy back then. Now look at my bald head. I've lost all of it. I I haven’t known what the truth is like for several years.”

Director Hua smiled wryly.

Sometimes it's like this, only when you sit in that seat, you know the hardships and difficulties.

"Grandma is a tweezer, so if you touch the bones, you can know the bones are real?"

Director Zhong Hu's eyes widened suddenly.

Then he looked angrily at Dr. Xu who was sitting in the same row as the director.

"Old Xu, Lao Xu, you are too dishonest. I have questioned your bone-touching technique several times, but you have never refuted it. You have lied to me for several years! I always thought that bone-touching is a magic stick technology."

(End of this chapter)

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