Gou is practicing medicine in the clinic

Chapter 305: Prolapsed vertebrae, a talented student

"Teacher Li, start calling!"

Li Jingsheng said to Li Li.

A female patient in her 40s was pushed directly in, lying on a flat bed with a painful expression on her face.

The inability to even walk means that the injured area is either in the lumbar spine or in the cervical spine.

The patient's head can rotate and his upper limbs can be placed on his chest, indicating that there should be no problem with his upper body.

Then the problem area is likely to be the lumbar spine.

Patients over 40 years old have a much higher probability of lumbar spine problems than young people.

Especially those who have been engaged in heavy physical labor for a long time or who need to bend down to work are most likely to develop diseases such as lumbar disc herniation.

"Is your lumbar spine bad?"

Li Jingsheng asked the female patient directly.

"Yes, my wife's lumbar spine was injured before. After recuperating for nearly a year, she is fine. She can work normally. Unexpectedly, this time the pain suddenly made her unable to even walk."

The male family member looks to be in his 40s and is a very honest and honest man.

He is plainly dressed and has rough hands with thick fingers.

It means that what you usually do should be heavy physical work.

Five students stood neatly behind Li Jingsheng and watched.

They found that the teacher could tell what was wrong with the patient at a glance, and they couldn't help but admire Li Jingsheng's medical skills even more.

"Did you take a movie?"

"It was taken! It was taken in your hospital today. Professor Zhong is very nice. After seeing the film, he asked us to come to you first and ask. He said that if you can cure it with manipulation, my wife will not need surgery."

The man looked at Li Jingsheng eagerly and said.

His eyes were full of hope.

Not only is surgery very risky, but the cost of treatment is also much higher.

It would be great if Li Jingsheng could help his wife reset her position.

"Oh, your wife is seriously ill! Her lumbar disc has prolapsed."

After watching the movie, Li Jingsheng frowned slightly.

Manual reduction of the lumbar spine is inherently risky and difficult.

It is by no means as simple as protruding and pressing the patient in hard.

In order to gain the trust of others, some quack doctors will use fake patients to pose for photos.For lumbar disc herniation, just press it back and the patient will be cured on the spot.

It does not necessarily mean that it will not work, at least the vast majority of these patients cannot be treated with manual therapy.

He pressed it back roughly without even thinking about it.

The spinal nerves inside are in the triangular bone cavity.

Violent operation can injure the spinal nerve and cause paralysis on the spot.very dangerous.

Many patients with lumbar disc herniation have degenerative lesions of the nucleus pulposus, rupture of the annulus fibrosus of the intervertebral disc, or hyperplasia, etc.

The pain occurs because the spinal nerves are irritated or compressed.

There are many options for conservative treatment, which are also step-by-step and are by no means a one-step solution.

Li Jingsheng has seen some patients with serious conditions, and the sacral spine tissue protruded directly from the ruptured fibers.It even prolapsed into the spinal canal.

In this case, if you press back violently, the ruptured annulus fibrosus will be more seriously injured, and the spinal nerve may also be directly and severely damaged.

Therefore, if you encounter lumbar disc herniation or cervical spine disease, do not listen to the lies of quack doctors.

Cases of labeling people as disabled are not uncommon.

Although many people criticize regular hospitals for being very expensive, for not being able to cure people’s illnesses even after surgery, for having poor medical skills, etc.But in terms of safety, regular hospitals are definitely much higher.

To put it in simpler terms, a monk who can escape cannot escape from the temple.

If something goes wrong, you can ask the hospital to take responsibility.

The hospital seems to be making money, so it will definitely not be able to bear the loss of a few more patients!
The hospitals that survive, especially public hospitals, are basically reliable and trustworthy.

Some reputable private hospitals are equally trustworthy.

Technically, it may even surpass public hospitals.

But this is rarely the case.

The current domestic situation is that the vast majority of high-level doctors are concentrated in public hospitals.

Especially those top-notch compounds.

"Dr. Li, please find a way to help! I usually wash dishes in restaurants and only earn more than 2000 yuan a month. There are two children and two elderly people at home, and my husband's health is not very good. If I have to have surgery, I'm afraid it will bring down the family."

The female patient endured the pain in her waist and begged Li Jingsheng to help her.

Many families have children and elderly people to support. When the couple's income is not high and they are sick, it really makes things worse for the family.

"As long as there is a way, I will definitely help you find a way. I am also from a rural area, and I know that it is not easy for every family."

Li Jingsheng comforted the patient.

"Under normal circumstances, the interstitial disc will not prolapse! You must have had some symptoms before this. Please describe your illness to me in detail!"

Director Zhong is a very good doctor. Apart from being a little impatient, he is impeccable in every aspect.

He not only specializes in medical skills and has a high professional level, but he is also very good to patients.

Have a bodhisattva heart.

As long as it can help them save treatment costs or find a better treatment option, we will tell the patients and their families.

Let them avoid detours.

Zhong Hu didn't feel confident about introducing the patient to Li Jingsheng this time.

Because this patient's condition is indeed quite serious.

"I remember that at the beginning, after washing the dishes, I stood up a little anxiously while holding the dishes. At that time, I felt a little swelling and pain in my waist, but the problem was not serious. Later, I was still worried about aggravating the condition, because I know my waist has never been good.

When I take the washed dishes to the cabinet for disinfection, I try to take as little as possible and take them in multiple batches.

Unexpectedly, when I woke up after a good sleep the next day, my lumbar spine hurt so much that it was difficult to even walk.

It feels like when you walk, one foot is higher than the other.My man noticed that I was walking a little weird and asked me what was wrong. "

The patient at this time should already be limping.

"The next day, in addition to not being able to walk well, my waist also needed to be straightened a little bit, and it was extremely painful. Later, I was afraid that my condition would worsen, so I called my boss to ask for leave.

Because it was so painful, I could only lie on the bed.

The problem is that no matter whether I am lying down, sitting, or standing, my lower back always hurts.There were bursts of pain, as if someone was cutting my waist with a saw.

On the second night, I found that it was extremely painful when I coughed.

My husband sent me to the hospital today.

I heard that you here are good at treating bone injuries and bone diseases, so we specially called the car here early in the morning. "

The female patient gave a rough account of her illness.

Onset is rapid.

When she first felt pain in her waist, she should have taken leave immediately and gone home to rest.

It’s just that most people grit their teeth and get the job done.

Because work is not easy, making money is even more difficult.

If you ask for leave, you have to worry about being deducted from your wages by your boss.

There is no one to take over the work at hand.

After Li Jingsheng listened, he asked the patient to lie on his side.

The patient grunted in pain while helping to turn her over.

"I'll check your bones first. It might hurt a little, so please be patient."

Li Jingsheng lifted up the patient's clothes, exposing his back.

Her body type is relatively fat.

Even if he is lying on his side, he can still see the fat on his belly falling into a ball.

At this moment, the patient needs to bend his waist slightly to feel less pain.

It can be seen that there is obvious bulging in her lumbar spine.

"You can carefully observe the patient's lumbar spondylolisthesis, and then look at the patient's films, so that you can gain some experience when encountering similar cases in the future."

Li Jingsheng said to the five students.

Doctor Chen is holding the film and watching it at the moment, as if he is the elder brother of these five people.

The five of them behaved differently. Ye Hui was very courageous and had already taken the initiative to watch the patient's film with Dr. Chen.

At this point it’s almost done.

So he came over to watch Li Jingsheng touch the patient's bones.

"If they are patients with severe lesions, their spine may have S-shaped lesions. This patient's condition is relatively ideal. But at this location, next to the spinous process, you can touch and see one by one."

Li Jingsheng said to the six people.

Dr. Chen did his part and reached out his hand first to touch it.

After all, he is an experienced doctor with some practical experience, and he has done a good job of the importance of the touch and the key points of the touch.

"Let me touch it too."

Ye Hui couldn't help but be curious. After Dr. Chen finished touching it, she reached out and touched it too.

Although the patients and their families were somewhat unhappy, they did not raise any objections.

Now they are asking Li Jingsheng to help with treatment, so naturally they don't dare to offend the doctor.

One of the male students touched her more roughly.Li Jingsheng quickly stopped him.

"Yang Luqing, be gentler next time you touch the patient's bones. Remember, you don't necessarily have to press down very hard to feel the shape and nature of the disease when touching bones or other lesions. Instead, you need to feel it with your heart and start by touching it. , soft and hard, whether the surface is smooth, whether it is an active lesion, etc. are comprehensively evaluated.”

As a teacher, Li Jingsheng must teach his students well.

Otherwise, it will harm others in the future.

"I'll definitely pay attention next time."

Yang Luqing was criticized, his head was slightly lowered, and his face was slightly red.

On the first day of study, it must have been a bit embarrassing to be criticized by the teacher in front of so many people.

But this can't be helped.

There is no clinical medical student who has not been scolded.

He is too glassy-minded and not suitable to be a doctor at all.

"All six of you have touched it. Tell us how you feel."

"What I felt looked like a herniated lumbar disc, but it felt a bit different." Dr. Chen was the first to speak.

"Feels like a spasmodic knot!"

Ye Hui was the second to answer.

"It should be a lump caused by hematoma."

"Could it be varicose veins?"

After hearing these people's answers, Li Jingsheng was quite speechless.

Everyone's imagination was so wide open that even varicose veins appeared.

Only Ye Hui's answer was more accurate.

This also made Li Jingsheng appreciate her a little more.

All teachers are similar, and they definitely prefer some students with good talents.

"Apart from this, have you found anything else?"

Li Jingsheng asked six people.

Shaking their heads one by one.

Li Jingsheng just felt the bones and found that there was muscle atrophy on one side of the patient.

(End of this chapter)