Gou is practicing medicine in the clinic

Chapter 306: I can save several thousand and the pain will be gone immediately, and I won’t overturn the car.
"Didn't you just touch the patient's spine? Now you can touch your own spine, or touch each other's, and feel the subtle differences carefully. If someone gets the answer right, I will give you an extra reward."

All six apprentices, including Dr. Chen, were overjoyed when they heard that Li Jingsheng would receive additional rewards.

"Tang Xianyue, can you let me touch your back? You are thin, so it is easier for me to touch you more accurately."

A slightly wretched-looking boy said to another female medical student.

This person's name is Gao Yang. He is of medium height and is over 1.7 meters tall, which is considered relatively short.

She has a three-part hairstyle.

To be honest, airplane heads, flat heads, and bald heads are more popular among boys now.

The three-quarter hairstyle was very popular in the 80s. Many male celebrities had this hairstyle. Now it is no longer popular to have such long hair.

Gao Yang's head is longer and has a face similar to that of a horse.

With this hairstyle, she looks a bit like a traitor.

Coupled with those sneaky little eyes, it gives people a bad impression of being cunning and vulgar.

"How beautiful you are!"

Tang Xianyue rolled her eyes and flatly refused.

How could he let him touch his back?
Wouldn't that mean you're making yourself inferior and letting men take advantage of you?
If she was really that stupid, she wouldn't be able to become a medical student.

"Why am I beautiful? You are the one who is really beautiful! The teacher said that medicine does not differentiate between men and women. If you are afraid of suffering a disadvantage, I will let you touch my spine first." He really agreed with that sentence. Human beings are the most despicable. Then invincible.

All the girls clearly refused.

He was still shameless and made a bunch of high-profile excuses.

To put it bluntly, don't you just want to get closer to Tang Xianyue and get out of singles as soon as possible?

"Xianyue, let's pair up!"

Ye Hui took the initiative to say to Tang Xianyue.

They are the only two female students here.

"it is good!"

Tang Xianyue agreed with a smile.

Li Jingsheng is not in a hurry to treat, but is thinking about the patient's treatment plan.

The patient's bone injuries have formed a very accurate bone position map in his brain.Including the surrounding muscles, blood vessels, and soft tissues, they are all understood quite clearly.

"Do you live far from our hospital?"

He asked family members and patients.

He already had three reduction methods in his mind. After screening, he thought that the side pull reduction method and the hand and elbow pressure method were both suitable.

However, both methods have their own advantages and disadvantages, and the final choice must be comprehensively considered based on the patient's actual situation and the patient's own wishes.

Just like surgery, all patients want to arrange surgery as soon as they are admitted to the hospital.

Some patients have been hospitalized for a week and have not yet been able to arrange surgery, so they are anxiously urging doctors and nurses.

He even thought that the doctor simply forgot about him after taking him in.

It's really not like that.

For slightly larger surgeries, not only must there be indications for surgery, but also the most favorable surgical plan must be formulated based on the patient's actual condition.

If the patient has underlying diseases or has some special circumstances, the timing of surgery also needs to be considered.

As long as it is a regular hospital, every patient it receives is valued.

Doctors will also be included in the assessment.

Basically all large hospitals have one thing in common, which is to try to shorten the length of stay of patients.

Being urged to leave the hospital by nurses and doctors is most common in large hospitals.

Many patients felt that the wounds were not healed yet and wanted to stay in the hospital for two more days, but the doctor kicked them out directly.

On the one hand, beds in large hospitals are extremely tight.

There are only so many hospital beds. If old patients are not discharged, new patients cannot be admitted.

A radish and a pit.

On the other hand, both doctors and teams are assessed, and the average length of stay exceeds the assessment line. This is directly linked to the doctor's bonus, rating, etc.

As long as the patient is considered to be in a condition that allows him to go home and recuperate, he will definitely be discharged from the hospital.

Therefore, after being admitted to the hospital, you can just live there with peace of mind.

If you haven't been scheduled for surgery after staying for several days, the attending doctor is probably considering a better surgical plan.Sometimes the surgery is difficult and you may even need to ask other doctors for help.

If the patient is really impatient to wait, he can take the initiative to ask while the attending doctor is doing rounds.

Some attending doctors are chief physicians or deputy chief physicians and come for ward rounds only once a week.You can also ask their doctors. Generally, doctors in the same group will have some understanding of the basic conditions of each condition.

"The place where we live is quite far away. It takes more than six hours to get there by chartered car. If you take a long-distance bus, it may take nearly a day."

Taking a long-distance bus requires spending a lot of time waiting for the bus.

You may even need to transfer trains.

Really troublesome.

If you don’t have a car, you can take a bus from the West Bus Station in Jiangli City to the East Bus Station, which takes almost two hours.

Taking a minibus is faster, but the price is much more expensive.

"It's so far, so I'll try the first method to reset you first. If the effect is not good, then you can only consider the second method. The first method can be done in one go, but because your condition is serious , the situation is also very complicated, so I dare not make a guarantee.

The second method requires three to five treatments.

You live too far away, so it’s not easy to come here. If I can solve it in one time, I will try my best to solve it in one time.

But even with the second method, as long as you put on a waist protector after the reset is successful, you can still walk normally without having to lie down again. "

Li Jingsheng always considers and considers patients.

This made patients and their families trust him even more.

"Doctor Li, we are from the countryside and don't know much. This is a little thought from me, just treat it like buying you a drink."

The patient's husband took out two red bills, held them and put them directly into Li Jingsheng's pocket.

"Brother, we have rules and we cannot accept money or goods from patients and their families. Don't make it difficult for me."

Li Jingsheng returned the money to others.

"Don't be too little, this is my little thought. As long as you can help my wife cure her illness, it will be a great help to my family."

The uncle spoke too plainly.

To put it bluntly, it was just to give some gifts so that Li Jingsheng would be more dedicated in treating his wife.

"Brother, we really can't accept gifts!"

"It's okay, it's okay. Even if your dean comes, don't be afraid. This is what I give to you willingly. The operation costs tens of thousands, and may lead to lifelong paralysis. If you can help my wife to be cured by direct manipulation, How much money will it help my family save! That means my family’s conditions are not good, otherwise I would definitely have to give more.”

The dispute here attracted a lot of attention.

Li Jingsheng did not give in anymore.

Instead, accept the money first and then start treating the patient.

"Dr. Chen, help me lift the patient to the treatment bed inside."

Li Jingsheng greeted Dr. Chen, who was more experienced.

There are certain considerations when transferring patients with lumbar disc prolapse.Improper operation can easily aggravate the patient's injury.

He didn't dare to call five new students.

Just like patients injured in a car accident, if circumstances permit, it is best not to move them without authorization.

Because no one knows the extent of the injury, blindly moving the injured can easily cause secondary injuries.

Not only did this kind of tragedy happen, but it was even brought to court later.

The cause was that an old lady was hit by a car while crossing the road.

At that time, I fell to the ground and couldn't move.

Because it was at a complicated traffic intersection, kind-hearted passers-by were worried that the old lady would be run over twice by a passing car, so they carried the old lady to the side of the road.

As a result, not long after being carried to the roadside, the old lady died.

After the forensic autopsy, it was found that the cause of death of the old lady was that the broken ribs pierced the heart.

When the family asked the driver to hold him accountable, the driver stopped talking.

The old lady was not dead originally, but she died after passers-by carried her to the shoulder of the road.The driver believed that it was likely that passers-by lifting the old lady caused her ribs to pierce her heart, which ultimately led to the death of the injured person.

This matter is justified by the public opinion and the mother-in-law opinion by the mother-in-law.

It ended up being a confusing account.

Two kind-hearted passers-by were each ordered to pay 1 yuan to the family of the deceased.

This is because they have good intentions and perform good deeds.

Otherwise, the judge probably would not have ruled like this.

Two passers-by may also be liable for more compensation.

What the two passers-by couldn't accept the most was that they lost their money and their family members scolded them.Call them nosy or even call them murderers.

Therefore, when encountering injuries from car accidents, falls, etc., it is best not to move them blindly.

After Li Jingsheng and Dr. Chen worked together to carry the patient into the treatment bed in the back room, five students crowded in at the door to watch his operation without him having to greet him.

"What I want to perform on the patient now is lateral lever reduction therapy. Generally, the patient needs to be placed in a prone position. During the operation, special care must be taken to protect the patient's lumbar spine to avoid secondary injury."

Li Jingsheng explained the operation essentials to several people.

Includes some points on transferring the patient, as well as helping the patient turn over into the prone position.

"How do you feel now?"

He stood to the side of the patient, ready to administer the treatment.

"It hurts. My waist is swollen and painful, and it's a little sore! It's very uncomfortable!" The patient was a little embarrassed to speak, and kept sucking in the cold air and humming.

"I will treat you immediately. Relax and relax your whole body. If you are tense, it may cause the treatment to not go smoothly."

Li Jingsheng asked the patient.

In many cases, doctors and patients actually cooperate and trust each other.

He felt that the patient had adjusted his mentality and was relaxed.

"You just looked at the patient's X-ray and touched the patient's lumbar spine. Which side was she injured?"

"Left side!" "Right side!"

The answers from these students made black lines appear on Li Jingsheng's forehead.

"The patient's injury was actually on the right side, so during treatment, we have to put our hands on the patient's left shoulder."

He placed a hand on the patient's left shoulder.

Place the other hand next to the spinous process.

As soon as it was put on, before any force was exerted, the patient started to scream in pain.

"Doctor Li, be gentle!"

The patient's husband was so anxious that he weighed his feet outside and looked inside.

"Okay, I will keep a good balance!"

Li Jingsheng did not choose to give the patient anesthesia.

He has his own comprehensive considerations.

In the patient's current condition, spinal anesthesia is actually inappropriate.

General anesthesia is not necessary.

Local anesthesia is of little use.

Moreover, the pain lasted very short, and he believed that it was completely within the tolerance range of the human body.

Also, the patient's family conditions are not good and the financial burden is heavy. He wants to help the patient save some money.

The cost of general anesthesia will be much higher.

After pressing the patient's spinous process, he pressed the spinous process tightly with the heel of his palm, and then pushed to the left.

"Dr. Chen, remember, you must use the heel of your hand to push the spinous process toward the healthy side. The force should not be too heavy, nor too light, but just right. Once you have more experience, you will be very skilled in the operation. If the patient you encounter is a child or a thin patient, you can also use your thumb instead of the heel of your palm to operate."

While Li Jingsheng pushed the spinous process hard with the heel of his right hand, he held the patient's shoulder with his left hand and pushed in opposite directions.

"Did you see my left hand? Push and pull in the opposite direction. The strength also needs to be controlled."

Dr. Chen feels that his brain and eyes are not enough.

Basically, all doctors are similar when they first learn a treatment method.

"Also, remember, if the patient's spine is not accompanied by a backward bulging deformity, the patient's upper body should not be rotated. In addition, the patient's tolerance must also be considered. Reduction of such a complex lumbar disc prolapse requires Overcorrection can achieve good therapeutic results.

But there is a saying that goes too far.

This over-correction should be neither too excessive nor too weak, otherwise it will not achieve good results.

Overcorrection may even directly cause further rupture of the annulus fibrosus, which will greatly increase the difficulty of subsequent repair. "

Li Jingsheng was operating and teaching at the same time.

This is true teaching by word and deed.

There was already a hint of 'grandmaster' bearing in him.

In terms of strength, it has also reached a very high level.

But there is still a lot of room for improvement.

"Oh...yo...it hurts, it hurts so much!"

After all, the patient is a woman and her endurance is quite poor.

I can't help it even if it hurts a little bit.

"Be patient, it'll be fine in about a minute or two. If I don't give you general anesthesia, it will hurt a little, but you can save thousands."

What Li Jingsheng said was really not an exaggeration.

That's pretty conservative already.

The basic cost of general anesthesia is generally more than [-].

It was impossible to give her general anesthesia directly. She needed to do some examinations and then fast for at least eight hours before the anesthesiologist would consider giving her general anesthesia.

If it doesn't work, if she can't cure it today, she will have to wait until the day after tomorrow.

Because Li Jingsheng only works three days a week.

The added cost for the patient must be more than [-].

Food and shelter are the minimum expenses.

The caregiver's lost wages have not yet been taken into account.

Upon hearing that Li Jingsheng had saved her several thousand in treatment fees, the female patient immediately stopped complaining about pain.

The family members outside were also secretly happy after hearing this.

It seems that the 200 yuan given as a gift is still very effective.

The doctor saved them a lot of money at once.

After almost a minute, a very slight "clunking" sound was heard from the patient's waist.

Li Jingsheng's face showed a successful smile.

The patient also relaxed a lot instantly.

The static muscles in my forehead, neck, etc. that were so painful were all gone now.

"Dr. Li, Dr. Li, I feel that you have cured me. Really, I feel that there is no pain in my waist anymore, and I can move my legs."

The patient is also worried that Li Jingsheng does not believe her.

Lift the calf back slightly to show that it is really cured.

She also underestimated Li Jingsheng.

Whether it was cured or not, Li Jingsheng knew much better than she did.

"Don't move, don't move. Although I have returned it to you, I still need to come back one or two times to consolidate the effect."

Li Jingsheng quickly stopped the patient from moving.

"All five of you, come in and stand at the back to watch every step and action of mine."

Li Jingsheng repeated the operation just now and explained each step to the five students.

We now receive several cases of this advanced surgical reduction case every day.

Their bone injuries vary.

This case is very representative and rare.

Very educational.

After treating the patient twice in a row, he felt the condition of the patient's lumbar vertebrae by touching the bones and found that they had been completely restored and the effect was very good.

"Come back and touch the patient's vertebrae, and be gentle."

Let six people touch it in turn.

He saw every student's performance when touching bones and remembered it in his heart.

These five new students don't know it yet, but Teacher Li has already begun to screen them secretly.

"It seems like it's really settled!"

"Amazing."

"When I learn it, I can help my mother treat lumbar pain."

Several students expressed their opinions.

Li Jingsheng was not much older than them, and he was more easy-going, so they didn't feel restrained.

The whole learning atmosphere is quite relaxed.

"Bring the lumbar board over here, I'll help the patient put it on."

Doctor Chen has already rushed to get the backboard.

At present, no student can make Li Jingsheng trust them to handle this matter.

Once he has trained one or two capable assistants, he will be much more efficient in treating patients.

Because as long as the treatment is completed, the remaining cleaning work can be left to the assistant.

Dr. Chen is less talented and can do ordinary plastering and splinting. If the situation is serious, you should never leave it to him.

This is very similar to Li Jingsheng's situation in the First Hospital.

The superior doctor didn't even dare to use a retractor on him.

Dr. Chen is not that exaggerated. His skills in plastering and splinting are barely qualified.

It can't be called excellent.

After Dr. Chen brought the backboard, Li Jingsheng told him a few words and gave the 200 yuan to Dr. Chen.

Dr. Chen was seen leaving the clinic in a hurry.

Li Jingsheng carefully applied the waist splint to the patient, and at the same time taught his newbies some key points and precautions in applying the splint to the patient.

After putting on the waist board, tie the patient up.

That's it.

This extremely difficult-to-treat patient can be cured directly in one go.

The second remedial plan prepared by Li Jingsheng was directly abandoned.

"Come on, let me help you get up and take a few steps!"

Li Jingsheng helped the patient up.

"Wow, I can really go, I can really go! It doesn't hurt much anymore, Dr. Li, thank you!"

A happy smile bloomed on the female patient's face.

As she spoke, her voice was choked and her eye circles turned red.

I can understand her mood.

Most patients will feel very hopeless and depressed when facing the disease.Now that I have been treated, I feel like I have been reborn.

It is not difficult to understand her excitement.

"You can't go back to work now! You'll have to recover from your injury for at least half a year."

Li Jingsheng said to the patient.

(End of this chapter)