Gou is practicing medicine in the clinic

Chapter 268 The paralysis was a bit severe, satisfactory treatment results
Her expression was very focused, and after listening for a while, her brows slowly relaxed.

Apparently, the diagnosis has come to fruition.

This miraculous diagnostic method seems to be more advanced than bone palpation.

Li Jingsheng stood patiently waiting for the old lady's diagnosis to be completed, which was a small eye-opener.

There are many diagnostic methods in the world, and the cause of the disease can eventually be diagnosed.

It can be regarded as all kinds of laws in the world, all leading to the same destination through different paths.

"Young man, I've finished the diagnosis."

The old lady said to Li Jingsheng.

"You don't need to touch his injured area?"

"This patient's injury is relatively simple. I think it doesn't matter whether he touches it or not. Please."

The old lady seemed confident in her skills of smelling and diagnosing.

Li Jingsheng said nothing more and began to diagnose the patient.The old lady was already filling in the diagnosis results with her tablet computer.

"Uncle, can you speak?"

"can!"

The uncle struggled to say a word.

"Where does it hurt?"

He doesn't have the skills of the old lady. He only needs to hit it with a small hammer to know where the injury is.

Follow the normal procedure and ask a doctor first.

"No pain."

Li Jingsheng's heart sank slightly when he heard the uncle's words.

He turned to the nurse and said, "Please bring me a probe."

This kind of probe is actually an ordinary long needle, but the handle is thicker, similar to the old-fashioned sewing blade machine needle.

The handshake area is square with a thinner tip.

Clinically used to test whether patients have pain sensation.Because the skin is more sensitive to needle pricks, the patient will not actually bleed.It is often used clinically for patient consultation in some special situations.

It is generally not the case to actually pinch the patient with your hands and then ask the patient if it hurts.

It is also easy to be complained by family members and patients.

It is not ruled out that some doctors with iron heads use some simple and crude methods to diagnose patients.

"Does it hurt?"

Li Jingsheng pricked the patient's sole with a probe.

"No pain."

The patient's response was the same as the plantar response.

Because under normal circumstances, the soles of the feet are very sensitive, and if a thin needle tip pricks or slides over it, it will cause pain or itchiness.At this time, the foot will shrink involuntarily.

But the uncle didn't respond.

Li Jingsheng tested the uncle's two feet, but there was no reaction.No pain or touch.

The patient's hands were also tested, and the same was true.

He realized that the patient's symptoms were likely similar to those of high paraplegia.

Judging from the current test, it should be from the neck to the shoulders, and there is no feeling.

But being able to talk is a little better than the real living dead.

If you can speak, you should be able to swallow and eat.

It is just estimated that he will be incontinent and will need to be taken care of by his family.

"How did you get hurt?"

"While unloading, an [-]-pound bag of corn fell and hit my neck and back, and I couldn't move."

After the uncle finished speaking a long sentence, his breathing became much thicker.

The breathing was extremely rapid.

Li Jingsheng targeted the patient's neck.

Before touching the bones, he still used probes to test the patient's pain and touch on the neck, ears, and face.

In fact, the skin is also very sensitive to temperature under normal circumstances.

It is also possible to use ice packs or the like to test the temperature-sensing function of nerve function.

It is basically certain that as long as the patient is close to the shoulder, all nerve functions such as pain and touch will be lost.

From the neck up, all nerve functions are basically normal.

After careful observation, he found that the spinous process at the back of the patient's neck showed strange and abnormal depressions and protrusions.

It indicates that the cervical vertebrae are dislocated.

It is possible that the nerve is compressed or even torn, causing the patient to suffer from high paraplegia.

He began to carefully feel the patient's bones.

As expected, the results were similar to what he had consulted and deduced.The patient's cervical spine was dislocated, which was quite serious.

There were local soft tissue contusions and hematomas, and he couldn't feel the spinal nerves because they were inside the bones.

The spinal nerve is the most important nerve in the human body, equivalent to the main artery.

There are 31 pairs in total.

It includes eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves.

What is certain now is that the spinal nerves in the neck are compressed, even torn or broken.

After repeated confirmation and deliberation, he finally concluded that the spinal nerve was only compressed and there should be no breakage.

There are several reasons for this judgment.

Although cervical dislocation is serious, the angle of the bone position, the degree of dislocation, and the tension generated by the skin of the neck indicate that the situation is relatively ideal.

There is also the extent of local soft tissue damage, which also allows Li Jingsheng to roughly infer the strength of the pulling force when injured.

The last step is to judge the bone quality, bone damage, and bone vitality when touching the bones.

Based on the above points, he concluded that the nerve should not be broken.

But it is possible that there is some degree of distortion.

After the diagnosis was completed, he quickly wrote down his diagnosis results on the tablet.

Submit your answer.

You can see on the big screen that his ranking immediately jumped to No. 4.

The total score is changed to 25 points.

This is a perfect score!

It shows that there are still many masters.

In front of him were Dr. Xu, Wei Xianxian, and He Wanjun.

The teacher is still his teacher, and his level of bone diagnosis is extremely high.

Wei Xianxian can still maintain perfect scores so far, which also makes Li Jingsheng feel a little impressed.

Although this person's character is very poor, his skills are really strong.

This is just a provincial and municipal-level skills competition, and there are already so many masters. It is conceivable that if it were placed nationwide, there would be even more masters of bone-setting techniques.

This is also a good thing.

Traditional Chinese medicine has been almost crushed to the point where its inheritance is about to be cut off. The bone-setting techniques are inherited from the ancient trauma department, and because of the huge market demand, it has been continued to this day.

And it's not too decrepit.

At least we can find some successors who know advanced bone-setting techniques.

Among the many contestants who participated in the manual bone setting competition, most of the doctors who were eliminated in the early stage had only a partial knowledge of bone setting, or mainly used Western medicine to treat bones.

Currently among the top three, Li Jingsheng knows two of them.

That He Wanjun, whose name looks like a woman, is most likely the old lady who had the same patient as Li Jingsheng.

This old lady is amazing. She only used a percussion hammer and a stethoscope, two simple auscultation equipments, to describe the patient's injuries correctly without any mistakes.

At this moment, another contestant came up in the rankings.

Ranked No. 5, also with 25 points.

So strong.

I feel like a cloud of masters!

Before Li Jingsheng went into the competition, he originally thought that he could win the championship by just going through the motions.

Only now do I realize how wrong I was.

To borrow a sentence from Professor Wang Zhenghai, I underestimate the doctors in the world!

No.5 is called Jiang Yue.

It was obviously a man's name, and there were a total of nine contestants present who persisted until the third round.I don’t know who it is?

"Okay, now our nine manual osteopathic doctors have completed their diagnosis. Five doctors have received a perfect score of 25 points, and one contestant has received a score of 23 points.
High scores, all very impressive.Three players abstained, leaving six players remaining. "

The host announces instant news.

The three players who abstained walked off the stage in frustration and returned to their seats.

"There are six of you in total, and we will randomly assign patients to you, one for each of you. If you find it difficult and unsure, you can give up at any time."

As soon as the host finished speaking, Li Jingsheng saw that a patient had been assigned to his tablet.

Not the patient just now.

Instead, there was a new patient.

He looks young, about 34-[-] years old, and he is a male patient.

It seems that the diagnosis can only be made again.

"Hello, where is the pain or discomfort?"

Li Jingsheng asked the patient.

"It's so annoying that you keep asking me. The doctor asked me just now, but found nothing and left."

The patient has a very bad temper.

It is understandable that many patients are suffering from illnesses and their physical discomfort will make them irritable.

Li Jingsheng usually treats these patients with the greatest degree of tolerance and understanding.

"Nurse teacher, were you there when he described his condition just now?"

"Yes." The nurse nodded and took the initiative to introduce the patient's condition to Li Jingsheng.

"He said it was difficult to turn his head, and he felt a lot of pain when he pressed his head. After the injury, he also felt numbness, weakness, swelling, and soreness in his limbs. His vision was also greatly reduced."

After listening to the description of the condition, Li Jingsheng sighed to himself, this is a hard job!

If you haven’t guessed yet, most of the patients suffered cervical spine injuries.

When the review team selects patients, they can actually select patients with other bone injuries. There is no need to select patients with cervical spine injuries to make it difficult.

"I'll check it for you. If it hurts, you can remind me."

After Li Jingsheng obtained the patient's consent, he began to examine his bones.

After touching the bones, it was found that the patient's cervical spine was not dislocated, but there were relatively hidden fractures and a certain degree of dislocation.

Fortunately, his bone-touching skills have long been promoted to Dacheng, otherwise it would be very difficult to find out.

"Can you sit up?"

Li Jingsheng asked the patient.

"It hurts to sit up and I don't want to sit up."

The patient did not want to be tormented by the doctor and seemed very uncooperative.

Resistance is severe.

"If you don't sit up, I'm afraid manual treatment won't be possible. Your odontoid process is fractured and dislocated to a certain extent. It's also very difficult to perform surgical reduction, and the risk is much higher than if I give you manual reduction."

Li Jingsheng could only persuade him in this way.

When the patient heard him say that there was a fracture in the odontoid process, he couldn't help but show a hint of surprise.

"It seems that you are a doctor with real skills. Please forgive me for my bad attitude just now. Please help me sit up. I am willing to fully cooperate with the treatment."

The patient's attitude changed 180 degrees.

This surprised Li Jingsheng.

Even the nurse next to him stared at the patient with wide eyes.

This person was cunning and didn't want to be used as a guinea pig by the doctors, so he deliberately showed an uncooperative attitude.

Now I found that Li Jingsheng knew the condition of his bone injuries just by touching him, and I immediately understood that I had met a doctor with real skills.So grab the opportunity right then and there.

"You don't need to be so surprised, because I have been treated in the county hospital before. The doctor was very talkative, but after treating me, there was no effect at all. He also asked me to go home and take good care of myself, saying that it was necessary to recover from the fracture. It took a long time. After five or six days, I felt that the injury had not improved at all, and this was not the solution, so I came to a large hospital in Jiangli City for treatment.

I heard that Qiaobang Hospital is the best hospital in Jiangli City, so I came here to seek medical treatment.

After they examined me, they said that my fracture had not been reset.

The expert who treated me also told me that if I had to undergo surgery, it would cost at least [-] to [-] yuan.There happened to be a competition here, and famous doctors from all over the province came to participate in a skills competition.

If I agree to participate, I will have the opportunity to have part of the surgery fee waived, and even the treatment fee completely waived.

The opportunity is pretty good, but I am really scared by the quack doctors in our county.I had a bad attitude just now, so please forgive me. "

The man explained to the two of them.

I can't blame him for his bad attitude.

For ordinary patients, if they encounter a quack doctor once, they will be bitten by a snake once and fear the snake for ten years.

"It's okay, it's okay. We all understand your concerns."

Li Jingsheng and the nurse helped the patient sit up.

At this time, you can see that when the patient's head moves to the left or right, the head appears to be obviously tilted to the side.

When the patient is sitting upright, his head is slightly tilted forward.

Injury to the cervical spine can be very uncomfortable and seriously affect the movement of the head.

Even the movement ability of the entire body will be affected.

"I'm going to perform repositioning treatment on you now, please sit still and don't move."

Li Jingsheng found that there were traces of wearing a neck brace on the patient's neck.

It's just that if the odontoid process is dislocated or fractured, wearing a neck brace without reduction may be of some use, but it will not significantly relieve the pain.

And over time, malunion forms, making treatment much more difficult.

At that time, there will be no second method other than surgical repair and reduction.

Quack doctors harm people!
I don’t know what kind of doctor I’m looking for. Doesn’t it hurt my conscience to fool the patient like this?

Of course, it is also possible that the doctor's skills are limited and he thinks the reset was successful.After the treatment, in order to save the patient's examination fees, coupled with being overconfident, he did not do a reexamination, which eventually led to such a problem.

Li Jingsheng would prefer the latter situation.

Otherwise, that doctor is definitely not a qualified doctor.

Such irresponsible doctors with corrupt medical ethics should be eliminated from the medical ranks.

"Doctor Li, please wait!"

After the nurse stopped Li Jingsheng, she took the film taken by the patient on the spot.

"This is the examination the patient had in our hospital. Please take a look before treatment."

"Why didn't you show it to me earlier?"

Li Jingsheng asked after taking it.

"Sorry, these are the rules of the game."

The nurse apologized profusely.

He didn't care about this beautiful female nurse. Her voice was gentle and her attitude was sincere, so he really couldn't get angry.

After seeing the lateral and frontal X-rays, Li Jingsheng became more confident in his judgment.

It is consistent with the conclusion reached by touching the bones.

It’s time to start treatment.

He stood behind the patient, placed the thumb of one hand on the patient's spinous process, and placed the other hand on the patient's chin.

"Teacher nurse, please help me with traction! Pull the patient's head upward, and the movement can be slower."

"Okay! If there is anything wrong with the operation, please remind me in time and help me correct it."

The nurse followed the method taught by Li Jingsheng, holding the patient's head with both hands and pulling it upward.

The patient actually showed an expression of enjoyment.

Li Jingsheng was really speechless.

Isn't it just a beautiful young female nurse holding his head and face with her hands?This patient is really hopeless.

At least in this case, just enjoy it in your heart, and you have to show an expression of enjoyment.

It made the nurse a little embarrassed, but she didn't have an attack.

Li Jingsheng pushed and pulled in opposite directions with his hands.

Throughout the entire operation, he seemed very careful and focused.

His expression remained solemn.

"Okay, that's it!"

Li Jingsheng felt that the patient's odontoid process had been reset, and the fracture site should have been almost reset.

Hold the patient's head with one hand, and carefully touch the patient's neck with the other hand.

After confirming that the odontoid reduction is successful, the reduction of the fracture site is not particularly close and can only be regarded as a preliminary reduction.

He pressed the patient's head again and pressed slightly harder, while using his other hand to massage.

After finishing it, I checked it again with the bone palpation technique to confirm that it was correct.

This time, external fixation can be done.

Ask the nurse to get a neck brace and fix it on the patient, like a simple hat connected to the neck.

This special kind of protection is buckled on the top of the head with two fixed straps.

The patient is immobilized.

Li Jingsheng breathed a sigh of relief and finally cured another person.

This patient was lucky enough to meet him.

Otherwise, surgery is likely to be required.

"Dr. Li, thank you for your wonderful rejuvenation! I can feel that you should have cured me this time. Because when I sit like this, I feel very comfortable and I no longer feel numb, weak or sore in my limbs. May I ask? Where is the doctor from?"

Patients themselves can actually feel whether their symptoms are relieved.

As long as the patient takes good care of himself, there will be almost no discomfort now.

"What, you still hope that Xia Yi will get hurt again and come to me?"

Li Jingsheng asked with a smile.

"Don't tell me, if I accidentally suffer a bone injury next time, even if you are outside the province, I will be willing to take a car to see you for treatment. If I had met you earlier, I would have been spared a few days of suffering."

The patient smiled for the first time.

This scene naturally attracted the attention of many people.

The reporters in the audience also captured the wonderful expressions of this moment.

"I am a doctor at the Orthopedic Surgery Department of Jiangli City Second Hospital. If you need anything in the future, you can contact me."

"Ok."

The patient readily agreed.

"There are so few good doctors like you. In the future, not only myself, but also if someone around me has a bone injury, as long as it is a serious one, I will recommend them to you for treatment. Otherwise, I will always suffer when I meet a quack doctor. ”

"Sir, since you have been cured now, just to be on the safe side, I will take you for a re-examination. Do you think that's okay?"

The nurse guides the patient for review.

Otherwise, there is no way to confirm the results on the spot.

"Row!"

The patient readily agreed.

When I left, I didn’t forget to say hello to Li Jingsheng, “Dr. Li, I’m leaving first. Thank you!”

"You're welcome! Remember to sit and lie down gently, and don't put any force on your head. Otherwise, it will easily cause a secondary fracture and affect the treatment effect. It will take about four to six weeks, and you need to go to the hospital for another check-up. I I will prescribe some bone injury medicine for you, just take it on time and in the right amount."

This patient's treatment has come to an end here.

Li Jingsheng didn't even need to see the results of the reexamination.

He looked at the other five contestants.The powerful old lady seemed to have encountered a problem. She frowned and checked the patient repeatedly.

The patient's bone injury was quite complicated, and it might be difficult to cure the patient's disease just by resetting the cervical spine.

(End of this chapter)