Gou is practicing medicine in the clinic

Chapter 208 The air field is reversed, it's not a good thing to talk

Dr. Xu's status is very special. He is obviously only an attending physician, but he is qualified to sit in the row of the director.

Although only sitting in the last position, that is also an honor.

"Hmph, why should I refute? Director Zhong thinks it's black, but is it useful for me to say it's white?"

Dr. Xu must have been very relieved when he saw his apprentice successfully shocked the old stubborn people in these departments.There was also an involuntary look of satisfaction on his face.

Bone-setting techniques have always been regarded by these people as a trivial medical technique.

Even if the reputation of the technique bone setting room is increasing every year, there are not ten thousand orthopedic patients cured a year, there should be three or four thousand.

In fact, the current single-day consultation volume of the manual reset clinic is 60-80 people a day when it is bad, and [-]-[-] people a day when it is good.This is a very scary amount of consultations.

Although not every patient with orthopedic injuries can be treated, manipulative reduction has indeed made great "military achievements" for the orthopedic surgery department of the Second Hospital.

It not only reduces the diagnosis and treatment pressure of orthopedic surgery, but also plays a certain drainage effect.

It is no exaggeration to say that at least half of the orthopedic surgery's current reputation is due to the manipulative reduction clinic.

It's just that human nature is so despicable.

Obviously everyone knows this, but it doesn't prevent everyone from looking down on Dr. Xu, who is bone-setting.

These directors believe that although the bone-setting technique has some technical content, it lacks academic and scientific research support, and it is always somewhat unappealing.To put it bluntly, Dr. Xu's professional title is too low.

It's normal to be despised by them if you can't even be rated as a deputy high school.

"Teachers and colleagues, now I can determine the approximate time of the bone injury by touching the bones. I believe everyone has no doubts about it. Next, I will talk about the patient's condition and treatment ideas. If there are any mistakes or omissions, please help me. I correct you."

Li Jingsheng successfully calmed down the situation by touching the bones of Director Chen Anchen.

The next step is naturally to strike while the iron is hot, and strive to make further progress, and it is best to establish the position of attending physician in orthopedic surgery in one fell swoop.

"Through touching the bones, I not only found that the patient had an old bone injury ten years ago, but also the local blood supply was destroyed because of the last operation, and the blood supply from the radial dorsal side to the fracture area was almost completely changed. This should also be the last time A major cause of bone graft failure."

Li Jingsheng told the audience another unfortunate news.

The destruction of such an important blood supply will undoubtedly increase the difficulty of the second operation.

"You can feel that the local blood supply is damaged?"

The directors present were shocked once again.

Today is destined to be a day for their arrhythmia.

Bone palpation can not only find out the approximate time of bone injury, but also find out the local blood supply. Isn't this more powerful than CT?
Dacheng-level bone palpation is actually better than CT.

At least it is equivalent to an MRI examination.

It's just that there are very few orthopedic surgeons who can reach this level, coupled with the fact that Western doctors have always looked down on Chinese medicine, that's why they sit on the sidelines. Few people know that bone touching is so powerful.

"Hehe, it's actually not as mysterious as everyone thinks. I believe that many of the teachers and colleagues here have already had a sense of knife during the operation, right? A better surgeon can cut it with one knife, even with eyes closed. Know what tissue is being cut. Even more powerful, as long as the blade touches the outer wall of a blood vessel, it can be sensed immediately."

Li Jingsheng already has a sense of sword.

Especially after the bone touch operation was completed, he found that the feeling of the knife became clearer and sharper during the operation.

"I have a deep understanding of the knife feel and hand feeling that Xiao Li said. I can already have a certain degree of knife feel in surgery. I can cut paper with my eyes closed. I can send and receive freely within five layers. Cut as many layers as you want."

Director Chen Anchen's 'opposition' from the beginning was completely conquered by Li Jingsheng.

Now he actually speaks for Li Jingsheng.

"It does feel like a knife. Although my ability in this area is still very average, I have seen Professor Yi Haiyang, a neurosurgery professor at the People's Hospital, perform an operation. In a major operation, he was able to control the amount of bleeding within 40ml. This is me. Things you can't even think about."

Another director who had been silent all this time followed suit.

The aura that was originally extremely unfavorable to Li Jingsheng has been reversed unconsciously.

Slowly falling towards him.

Generally, before major surgery, you need to contact the blood bank to prepare blood. There are only one or two bags of blood in reserve, and many directors dare not use the knife.

Afraid of accidents.

In the absence of blood supply reserves, many patients who need surgery can only wait.

Especially the type A blood that is relatively scarce.

Not to mention those special blood types such as panda blood.

A bag of plasma is usually 200ml, and the large ones are 400ml, but less.

The blood storage of two bags of plasma is 400ml, but the chief physician still dare not use the knife, which means that the amount of blood loss during the operation will greatly exceed this amount.

This supernatural Professor Yi Haiyang can actually control the blood loss within 40ml during a major operation, which is definitely enough to make countless colleagues in the surgical field worship.

It also shows that this person's sword sense has reached a terrifying level.

This kind of people can avoid or ligate in advance as long as the blood vessels are slightly larger.

"This patient's local blood supply is damaged, we already know it. Color Doppler ultrasound and CT can show some. I don't know how Dr. Li plans to treat him?"

Director Hua has not spoken for a long time, but at this moment, he saw that the directors began to discuss the sense of knife with relish, and they had the intention of continuing to discuss in depth.

This will not work.

There are so many patients in the orthopedic surgery department that need to be dealt with, everyone spared the precious noon break time for consultations, and must get down to business.

"I checked the information roughly. Under normal circumstances, this patient can choose the superficial artery between the first and second extensor sheaths as the retrograde bone flap of the distal radius. But now that the local blood supply is damaged, it cannot Take this plan again."

Li Jingsheng talked eloquently, and he actually had a solid foundation and his own understanding of orthopedic surgery.

This made the chief physician present nod secretly.

The deputy directors, attending physicians, and residents behind him also looked at him with admiration.

As for the interns, there are also some weaker residents with blank eyes.Because they don't understand something.

I just know that the operation plan is more complicated.

"I personally have a bold idea to free the bone flap from other places and do a second bone graft treatment on the patient's navicular bone."

After Li Jingsheng finished speaking, he waited for several directors to express their opinions.

"It's good to boldly develop treatment ideas! Although I am good at bone disease treatment, I am very supportive of the treatment plan proposed by Xiao Li. If I follow the old path of the first hospital, I will only be ashamed and will probably fail again. Walk out A new path is the only way to succeed.”

Director Zhong Hu was the first to support Li Jingsheng's innovative plan.

"Director Zhong doesn't object to him this time?"

Director Hua had a narrow smile on his face.

"Hey, my old clock is not the kind of one-sided straight tube. In the field of medical skills, whoever says something makes sense, and whoever can really cure the patient's disease, I will obey. Xiao Li's qualifications are a little shallow , but the performance in all aspects is indeed remarkable. I don’t beat around the bush. Director Hua gave him an attending appointment. I had some objections at first, but now I don’t have any objections. Our orthopedic surgery needs this kind of young and promising doctor."

Director Zhong Hu really dared to say anything.

This straightforward character is actually quite good.

Dealing with this kind of person is often easier, you don't have to try to guess what he thinks.

"Haha, Director Zhong's ideological awareness is still high! Everyone is a part of the battleship of orthopedic surgery, and I definitely hope that orthopedic surgery will become stronger and stronger. Sometimes you may not understand some of my decisions, but I have never been partial Pass."

Director Hua must have been under a lot of pressure these days for this matter.

Now that Director Zhong Hu's approval can be obtained, other directors will have no problem.

"Xiao Li, you have to come up with a feasible surgical bone grafting plan and cure this patient before we will truly recognize you. The three old residents under me have all reached the point of being promoted to attending. If you take the opportunity, you have to convince them."

Chen Anchen is an absolutely powerful faction.

There are actually three residents waiting to be promoted to attending.

What is this concept?
It is equivalent to having at least four attending physicians under him.

No wonder he looked down on Director Wu.

No strong man will look down on the weak.

At most, it's just to save face and keep silent.

"Well... Director Chen's request is very difficult, but I can try my best. Anyway, if it doesn't work, I will have your superior doctors and colleagues as my backing! Director Hua said just now, everyone I am a person on a battleship, everyone is prosperous and everyone is damaged. In the future, I will have medical problems, and I ask all the teachers to give me advice."

Li Jingsheng has been running the clinic for nearly a year, and his ability to speak and do things has been tempered.

Facing Director Chen's difficulties at this moment, he turned around and circled all the directors, deputy directors, and attending physicians.

Sometimes, an appropriate show of weakness is actually a very clever means of communication.

"I have no problem here. As long as I'm not busy, you come to me, and I will try my best to solve your doubts."

Director Chen Anchen promised with a smile on his face.

"Not to mention me, don't ask me what I'm not good at, in the field of bone disease, you can come to me at any time."

Director Zhong Hu also agreed.

Other chief physicians and deputy chief physicians, except for a few who did not speak, most of them expressed their views in public, and Li Jingsheng was welcome to ask them for advice and discussion.

The atmosphere in the consulting room has become quite harmonious at this moment.

Good as a teacher, especially in the doctor industry.

Every senior doctor hopes to pass on medical skills, pass on the torch, and pass on from generation to generation.

An unprecedented smile appeared on Director Hua's face.

Dr. Xu had no expression on his face, but a smile at the corner of his mouth showed that he was very satisfied with his apprentice's performance.

"Thank you teachers!"

Li Jingsheng was very good at business and bowed to everyone.

This performance made the director and deputy chief physicians of orthopedic surgery more and more pleasing to his eyes.

Dr. Qin saw that Li Jingsheng's situation was very good, and almost won the support of the director, deputy director, and attending physician of the entire department present.His face became very ugly.

The better Li Jingsheng performed in the department, the smaller his chances of winning the competition for Ou Qinglan.

In fact, he has no chance at all now.

Ou Qinglan's attitude towards him was politeness among colleagues, to put it bluntly, it was more than politeness.

This made him very depressed.

If he had known that a Li Jingsheng would suddenly capture Ou Qinglan's heart, he should have acted sooner.

Fate is something, once lost, it is a lifelong miss.

If Dr. Qin is smart, he can change his target and start an offensive with other unmarried female doctors or nurses.

He couldn't figure it out, this Li Jingsheng, who was obviously only a clinic doctor, how could he be so strong?
And what is strong is not one aspect, but all aspects.

It is really disappointing to meet such an opponent.

"Let's talk about my envisioned surgical plan. The transplantation of the patient's medial femoral condyle bone flap will work. I wonder if it will work?"

Li Jingsheng put forward his own views on surgery.

The reserve of orthopedic surgery knowledge is still a bit insufficient. When he mentioned this surgical plan, his palms were sweating.

The previous performance was very good, but he couldn't fall into a big somersault at the last moment.

"Take the condylar bone flap from the medial side of the femur for transplantation. There are examples to follow, and it's completely fine. What are you going to do with the radius?"

Director Chen Anchen asked him.

On this occasion, Professor Wu, who is weaker, seems to be completely unable to intervene.

Because he said too much and made mistakes, in front of so many doctors and students under his command, if he made a fool of himself, where would his old face be?

"I want to remove the radial styloid process, because it can be seen from the radiograph that the radial styloid process is extremely sharp. When I feel the bone, as long as I touch that piece, the patient complains of pain."

Certainly not without cutting off the radial styloid process.

Any pain can seriously affect the patient's wrist motor function.

"What do you think of his surgery plan? I think it's pretty good, at least you can try it."

Director Chen Anchen asked the opinions of other directors.

"Old Chen, you are an expert in the field of orthopedic trauma, with rich surgical experience. You nodded, so we naturally have no objections."

"That's it."

"I think it would be appropriate for Lao Chen to take Xiao Li for this operation."

Other directors also have their own abacus.

We all know that this patient is a bad patient who failed the bone graft operation in the First Hospital, and no one wants to be involved.

"Director Wu is in charge of this patient. No matter how I say it, it's not my turn. I just offer some personal opinions for reference only."

Director Chen Anchen also didn't want to get into this big trouble.

It is no problem to let these chief physicians help to consult together and make suggestions.

But when it comes to interests, everyone must show their selfish side.

"I'm in charge and I'm in charge. This is a chance to become famous. You don't want to give it away. Don't regret it when the time comes."

Professor Wu is actually quite smart.

He had been listening just now, and he was also seriously thinking about the treatment plan for this patient.

The operation plan proposed by Li Jingsheng, after careful consideration, he felt feasible.

Even Chen Anchen thought it was feasible, which gave him confidence.

Although Professor Wu has been rated high in recent years, became the team leader, and has his own medical team, his status in the department has always been relatively low.Not to mention in the hospital.

He desperately wants to change this situation.

Right now, the risk of this case is very high, but if it is really cured, it will definitely show its face.

"Since a feasible surgical plan has been discussed, Lao Wu will be in charge of this patient, and then Li Jingsheng will be in charge of the main diagnosis and treatment, assisted by Dr. Ruan Xiaoqin."

Director Hua directly set the tone and assigned the task to someone.

"I'm OK."

Professor Wu readily agreed.

"I'm happy to be Dr. Li's assistant."

Ruan Xiaoqin is nothing else, the magic of flattery is always so comfortable.

"Professor Wu, Dr. Ruan, what should I do when I come to see you after work?"

Li Jingsheng's clinic still has a lot of work to do, and he will definitely need to work in the clinic all day tomorrow.The decoration of the new facade must also be supervised in time.

Fortunately, in the past few days, I have only done basic tasks such as painting the white paper, fixing the gate, and changing the doors and windows.

This patient's operation is not considered a major operation, so he should be able to work overtime at night and do it directly.

"Ok, deal."

Professor Wu nodded in agreement.

After the meeting, Li Jingsheng, Dr. Xu and Dr. Chen rushed to the Manipulation Restoration Clinic.

"Dr. Li, your performance just now was really handsome. I used to think that staying in the manual reduction clinic was a little... I couldn't hold my head up." Dr. Chen sneaked a glance at Dr. Xu who was walking in front.

"Today you showed the magic of touching bones in public. You didn't see the shocked expressions of the directors and deputy chief physicians. I think that the status of our manual reset clinic in the department will definitely be much higher in the future."

Doctor Chen said excitedly.

"Just do your own thing, why do you have to care what other people think?"

Doctor Xu turned his head and said.

"Oh!"

Dr. Chen shrank his neck and shoulders, and agreed honestly.

Just judging from his unconvinced expression, it must be wrong.

"I'm going to the bathroom, you go to the outpatient clinic first!"

Dr. Xu turned into a corridor. There are such corridors extending in all directions throughout the hospital, connecting each hospital building.

There are either outpatient rooms or restrooms in the corridors.

After Dr. Chen and Li Jingsheng walked out for a while, they pouted and said, "Don't care about what Dr. Xu said. You didn't see it in the consultation room just now. When you showed your bone touching technique in public and won the approval of all doctors, Dr. Xu Couldn't be happier..."

"Cough cough..."

Dr. Xu's cough sounded from behind, and his face was ugly.

When Dr. Chen turned his head to look, he was frightened out of his wits and squeezed out a smile that was uglier than crying.

"You are the most talkative, so it would be great to use this ability in your own hands." Dr. Xu didn't scold him much, but only criticized him, and then walked forward quickly.

Dr. Chen breathed a sigh of relief, and patted his chest with the expression of the rest of his life, "I was scared to death. Just now I heard Dr. Xu said that he was going to the toilet, why did he come out so soon?"

"You haven't learned your lesson yet? The teacher should mess with you when he hears about it."

Li Jingsheng understood why Dr. Chen didn't like Dr. Xu after spending so long in the outpatient clinic.

The talent is poor, but he still has a little mouth.

That is to say, Dr. Xu's character is not bad. If it were other senior doctors, he would have dealt with this kid 800 years ago.

I even suspected that Dr. Chen was kicked by the superior doctor to work in the manipulative reset clinic because of his bad mouth.

The two returned to the manipulative reset clinic, and Li Jingsheng has now been asked to practice medicine completely independently.If you encounter a difficult case, you have to find a way to solve it yourself.

He began to work honestly.

Not long ago, upgrading the bone touch technique and extraskeletal diagnosis almost used up the hundreds of life points he had saved.

There are only more than 50 points left, and he has to work hard to treat a few more patients and earn more life points.

(End of this chapter)