Gou is practicing medicine in the clinic

Chapter 241 It Looks Like Cancer, It's Not Cancer
X-ray films can see obvious osteolytic changes, and I always feel that something is wrong.

I can't say it, but looking at the skeletal imaging on the film, I always feel a little uncoordinated and inconsistent.

After checking repeatedly, Li Jingsheng was slightly startled, no wonder he always felt something was wrong.

He touches the bones of people every day, and has a very clear impression of the proportions and diameters of most of the bones in the human body.

Bone touch is to automatically form a bone map in the brain.

This is an 'image' constructed by the cooperation of hand feeling and brain.Watching the film directly with the eyes has the same effect.

To be precise, the image formed by touching the bone should be more three-dimensional.

Just now I felt that the bone image on the X-ray film was a bit inconsistent, that is, there was something abnormal after comparing it with the bone image he usually felt.

The patient has lesions, and the bones are obviously thicker, but not all of them are thicker.

Instead, it is thick in the middle and slowly shrinks at both ends.

If you are not experienced, you will not be able to find this abnormality at all.

"Dr. Ruan, take a look at the patient's film today. Is there bone swelling in the lesion of the osteolysis?"

Li Jingsheng shared this discovery with the other party.

Ruan Xiaoqin looked at it carefully for a while, and said in surprise, "Don't say it, it seems to be a little swollen."

After hearing this, Li Jingsheng nodded, "The patient's lesion has clear borders and plaque-like calcification. I think that if a CT scan is performed, it is likely to have expansive soft tissue density bone destruction and characteristic calcified matrix. According to my personal experience Diagnosis experience, this patient's illness is probably a serious illness!"

The other doctors just listened quietly.

They also admired Li Jingsheng's ability to see mild swelling in the patient's bone lesion from the X-ray film.

"I'm going to the ward to see the patient!"

Li Jingsheng got up and said.

"That... I won't go with you. When the patient sees me, it's like seeing the enemy of the ninth generation. I really didn't do anything to him!"

Ruan Xiaoqin said apologetically.

"It's okay, I'll go find him."

Li Jingsheng went to the ward and saw the patient's girlfriend peeling bananas to feed him.

Fortunately, he is no longer a bachelor, otherwise, after eating this wave of dog food, his back molars would definitely be sore.

"Didn't bother you?"

Li Jingsheng said to the two with a smile.

There is a really big difference between having and not having.

He also has a girlfriend now, and she is very beautiful, so he doesn't envy others at all.

When he came forward to say hello, he had a natural expression and a relaxed smile on his face.

"No, do you want to check my boyfriend?"

The girl put away the bananas, backed away a little, and responded to Li Jingsheng with a slightly shy smile.

"Yes, I want to check the bones of his hand."

Li Jingsheng looked at the patient.

"How to check? I will fully cooperate."

The patient had a pretty good impression of Li Jingsheng, and when he was making trouble in the ward, Li Jingsheng didn't say anything harsh to him.

"Just give me your hand. It hurts a little during the inspection, so bear with it."

"no problem."

The patient extended his hand for Li Jingsheng to check.

When Li Jingsheng touched the bone, he approached the diseased part little by little.

Because now the patient's right thumb is swollen, the closer to the diseased joint, the more painful the patient's expression.

As soon as he touched the joint, Li Jingsheng frowned.

Considering that this kind of examination would bring great pain to the patient, he did not touch it again.

"How is it? Is my boyfriend's bone injury easy to heal?"

"It may be necessary to do anesthesia exploration, and I feel that there is something wrong with the joint."

The result Li Jingsheng found out was actually very bad.

It is a bit similar to cancer, but the bone quality and surface feel are better than those of cancer patients.

But he is very clear that it is not an ordinary tumor or a simple lesion that can cause such a big change in bone quality.Even less likely to be arthritis.

He has touched the bones of arthritis patients, which are completely different from this one.

There are many kinds of arthritis, such as osteoarthritis, rheumatoid arthritis, septic arthritis, etc., which kind of bone appearance is different from this patient.

Therefore, he had an ominous premonition in his heart.

"Need a surgery check?"

The patient and his girlfriend asked in unison.

"Yes, this inspection must be done."

Li Jingsheng affirmed with a serious expression.

"So I have arthritis?"

"I don't know the details, but it's definitely not just arthritis. Have you been injured many times, not just twice?"

Li Jingsheng asked the patient.

His current bone feeling skills are very powerful, and he can find out the approximate time of the bone injury.

Just like when a tree trunk is injured, it will leave a scar.

Bone injuries also leave traces such as calluses.If it is serious, it may even grow bone spurs and hyperplastic tissue.

Although he just touched it briefly, he still felt that the patient's diseased bone was injured more than twice.

"Yes! I have indeed been injured many times."

When the patient faced Li Jingsheng's eyes, he couldn't deny it.

Finally, he lowered his head slightly.

"Doctor, then you said that my injured part is always bad. Is it related to my repeated injuries while taking medicine?"

He finally couldn't help but ask.

While taking the medicine, I got a new injury, and it was the same part.I really don't know what to say about him.

"Why does the same part continue to be injured repeatedly while taking the medicine? Is it because of the special work you do?"

"His work has nothing to do with the injury. My boyfriend loves to play ball. Even if he is taking medicine, he can't help but play with his friends, which eventually leads to more injuries. I persuade him, but he always refuses to listen to me."

The girl next to said the reason.

"Do you play basketball?"

"Ah."

The two nodded at the same time.

"I also guessed it. With such a tall person, he must like to play basketball. Don't have any psychological pressure for now. After I report to the director, if the above agrees, I will perform surgical exploration for you."

Li Jingsheng comforted the patient.

It's not a bad thing to like sports.

It's just that this buddy needs to control himself.If the thumb joint is injured, it is very easy to play basketball again and get injured twice, which will make the bone injury difficult to heal.

"If I don't do this surgical examination, can't I find out the cause?"

"That's not necessarily true. It's just that the most economical and accurate method is surgical exploration after anesthesia. You'd better not delay this. If it's a big problem, solve it as soon as possible. Otherwise, if you delay for a long time, your whole body may be affected. At that time, there is no chance of surgery.”

Li Jingsheng would never say such things to patients.

This patient is too young to realize the seriousness of the problem.

"Doctor, what's the big problem you're talking about?"

The girl's mind is exquisite, and she can hear the deep meaning in the words immediately.

Her expression also became a little nervous.

"It's hard to say, let's check it first!"

After speaking, Li Jingsheng walked out of the ward.

When he returned to the office, Ruan Xiaoqin looked at him expectantly.

"Doctor Li, have you found out anything wrong? Your bone touching technique is the best I've ever seen. It completely overturned my understanding of medical examinations."

Ruan Xiaoqin didn't forget to flatter him at this time.

"Touching the bones is actually not a high-tech technique, it is similar to practicing the sense of a knife during surgery. The best thing about Chinese medicine is pulse diagnosis. Feeling the patient is equivalent to doing a full-body checkup. That is really good."

Li Jingsheng doesn't know much about Chinese medicine.

Bone palpation and manipulative bone setting and reduction can be regarded as inheriting part of the orthopedic treatment techniques of traditional Chinese medicine, and at the same time incorporating the latest western medical examination techniques and medical knowledge.

It is a practical medical technique that combines traditional Chinese medicine and western medicine.

"I don't believe in those things in Chinese medicine. I just compete with the ancient Tiao Dashen and Zhu Rong. I think it's very metaphysical to feel the pulse."

Ruan Xiaoqin despises traditional Chinese medicine.

"Then let me ask you, pulse diagnosis can determine whether a woman is pregnant. How do you explain it? I have seen this with my own eyes. A Chinese medicine doctor felt the pulse on a woman's wrist and told her that she is happy."

The Chinese medicine practitioner Li Jingsheng mentioned was Boss Ye.

The orthopedic medicine from the Golden Chamber Clinic is very useful, but he has never drunk herbal tea.

Once when I went to the Golden Chamber Clinic, I happened to see Boss Ye taking the pulse of a woman in her 30s. He just felt it and said that the woman was happy.

This incident shocked Li Jingsheng.

"Uh... well, it's a bit metaphysical! Let's discuss that patient's bone disease!"

Ruan Xiaoqin really couldn't refute.

Although the decline of modern Chinese medicine is serious, many Chinese medicine practitioners know the technique of touching the Ximai.

"The patient's bones and joints seem to be seriously ill. I suggest you report to Professor Wu immediately, and then give the patient anesthesia and surgical exploration."

"Is it that serious?"

Ruan Xiaoqin's face changed slightly after hearing this.

"very serious."

Li Jingsheng confirmed again.

"Okay, I'll find Professor Wu immediately."

Ruan Xiaoqin rushed to find Professor Wu.

After all, that patient was treated by Ruan Xiaoqin, and according to the hospital's first-diagnosis system, he was required to be responsible to the end.

Not long after, Professor Wu came over.

"Doctor Li, how sure are you that the patient is a serious problem?"

Under the current inspection results, surgical exploration is actually not supported.

But doctors will not be dogmatic, as long as they feel that it is helpful for the diagnosis or treatment of the disease, and then obtain the consent of the patient, they can proceed.

"It's more than [-]%! It's strange, it doesn't look like cancer, but it's similar to cancer. It may be in the early stage, or it may be other lesions."

Li Jingsheng said.

"Okay, I will go to communicate with patients."

At this time, Professor Wu showed the responsibility of leading the team. This is not the first time he has shown this kind of responsibility.

"When I went to the ward just now, I roughly talked to the patient. As long as you speak more seriously, the patient should agree."

Li Jingsheng can be regarded as the same caliber as Professor Wu.

The hearts of doctors and parents.

In order to get the patient to agree to this operation, they can only unite to fool the patient.

Within a few minutes, Professor Wu came out.

"The patient agreed, why don't you take advantage of your presence and have some time before the outpatient clinic starts work in the afternoon, and perform this exploratory operation on the patient right now. It's better to send the specimens over for testing as soon as possible."

"I'm OK."

When Li Jingsheng heard that there was an operation available, he was very happy.

Exploratory surgery mainly involves incision, suture, and hemostasis. He is now proficient in all aspects and is fully capable of performing them.

As long as there are no accidents, the operation can be completed soon.

"There is no need to find an anesthetist for brachial plexus anesthesia, we can do it ourselves. Xiao Qin, you immediately arrange for the patient to be taken to the operating room."

"Will the operating room agree?"

Doctor Qin was a little worried.

The operating room is arranged uniformly by the hospital, and now it is considered a rush to jump in the queue.

"Many doctors have eaten and gone to rest at noon, and many operating rooms are empty. What do they not agree to? I just contact you, and you hurry to prepare."

Professor Wu is a chief physician at any rate, and behind him stands the entire orthopedic surgery department.

Although many chief physicians looked down on him, he was really bullied about the use of the operating room, and no one in the orthopedic surgery department would agree.

It went smoother than expected.

The operating room was quickly arranged.

It's a minor operation in itself and doesn't take long.

The most is to trouble the visiting teacher to clean and disinfect more.

In the operating room, after the brachial plexus anesthesia was completed, Li Jingsheng performed an incision for tumor exploration.

The second group, now including Professor Wu, has no one with better surgical ability than Li Jingsheng.

Therefore, when doing surgery, in most cases, as long as he is present, he can get a lot of opportunities to get started.

Even directly as the main surgeon at this moment.

With one cut, he relied on his keen sense of the knife to avoid larger blood vessels and nerves, and the amount of bleeding was very small.

"Why is there so little blood?"

asked an equipment nurse.

"It's because our orthopedic surgeons are skilled, do you understand?"

Professor Wu said with some pride.

He was really envious of Li Jingsheng's cutting ability.

This kind of anatomical ability can only be possessed by senior chief physicians who have practiced in the operating room for 30 to [-] years.

He almost watched Li Jingsheng grow up to a new height every day.

Now, Li Jingsheng's incision is really too strong.

After dissecting the cortex and subcutaneous fat layer, the base of the proximal phalanx of the patient can be clearly seen.

There was marked destruction of the ulnar cortex.

(End of this chapter)