Gou is practicing medicine in the clinic

Chapter 314: Daily routine of manual reset clinic, this grandson is useless

Li Jingsheng did not refuse.

When Dr. Xu took care of him in the past, he used a similar method.Let him reset the patient first, and then Dr. Xu will check it again after success.

The patient's bones were felt on the spot and examined carefully.

In fact, at his current level, the apprentice only needs to watch and listen to the bone ringing sounds during the reset, and then observe the condition of the patient's affected limb after the reset, so that he can make accurate judgments.

In order to reassure the patients and their families, I had no choice but to carefully touch the bones.

It's better to increase your proficiency in bone touching.

"Good reset! Put on the sling!"

Li Jingsheng praised it in front of the patient.

"great!"

After hearing this, she was so happy.

It was her first time to perform formal manual reduction of a patient's dislocated shoulder joint. She was a little nervous at first, but the teacher's affirmation made her instantly more confident.

The patient was dealt with quickly.

The next patient came in. This time the reduction was difficult because the knee joint and meniscus were injured.

Even the teacher Li Jingsheng had to operate carefully.

Meniscal injuries are sometimes difficult to repair even with surgery.

And the recovery period is quite long.

In this way, Li Jingsheng dealt with them one by one in an orderly manner, and most patients were able to solve their problems on the spot.

A small number of patients require hospitalization for traction treatment.

There are also some patients with serious injuries who cannot be restored manually and can only undergo surgery.

"Doctor, this hand was accidentally sprained when I was playing around with my girlfriend. Please help me take a look."

A young man in his 20s walked in with his girlfriend.

He is of medium height, slightly chubby, and has an average appearance, which is what many girls like.

His girlfriend who came with him seemed a little embarrassed.

"You are quite strong. You can actually twist your boyfriend's arm. You are a real man."

Li Jingsheng teased her.

"He just let me go! I didn't expect that twisting his hand would cause him injury. I regret it very much."

She lowered her head and glanced at her boyfriend secretly.

He looked like he was afraid of being scolded if he did something wrong.

"Haha, what are you regretting? It's okay, it's okay, their second hospital's manual bone-setting treatment is very good. I can be cured soon."

Instead, the young man comforted his girlfriend.

This guy was able to find such a beautiful girlfriend in his 20s, it's really not surprising.

Some petty men, if they are hurt like this by their girlfriends, they still have to scold them all the way!

"Your boyfriend is very nice! He's injured like this, and he's still afraid of you blaming yourself."

After Li Jingsheng finished speaking, he took the film directly from the patient's hand.

Most patients will first call the general outpatient department of orthopedic surgery, and then after the doctor sees it, they find that it is just a minor problem, and they will be recommended to the manual reduction outpatient clinic for treatment.

"You can't use your right hand now. You can't lift it, right?"

"Yes, yes, it hurts so much whenever I move it. My girlfriend twisted my hand, and when I was struggling, I heard a click, which was very painful. Then I couldn't use my right hand anymore. I have gained strength. Can you help me see if there are really no fractures? I seriously doubt whether the bones are broken!"

The patient was obviously skeptical of the previous clinician's diagnosis.

"Let me touch it for you!"

Li Jingsheng touched the young man's bones on the spot.

After touching it, I felt confident.

The situation is exactly the same as what is reflected in the film.

"Don't worry, the bone is not broken, and it cannot be broken. If the bone is really broken, you will definitely not be able to talk to me so calmly, but you will be in so much pain that your whole arm will be completely swinging."

The hardness and toughness of the bone are extremely high. It would take a lot of force to break the humerus of a normal young man.

It is usually caused by severe impact.

The pain caused by a broken bone is ten times more terrifying than a dislocated joint.

This patient's condition is just a subluxation of the shoulder joint of his right arm.

In Li Jingsheng's eyes, resetting this dislocation is like playing.

It’s just that such a good opportunity to practice hands must be reserved for students.

He turned to look at the two students.

Yang Luqing's eyes were eager, but Li Jingsheng passed directly over his face and stayed on Ye Hui's face.

"Ye Hui, this patient's right arm shoulder joint is subluxed. Please treat him."

"Row!"

Ye Hui's answer this time was much more confident than the first time, and his eyes were shining.

Yang Luqing's expression felt sad for a while, and it would be a lie to say he wasn't envious.

He and Ye Hui learned the method of bone-setting from Li Jingsheng at the same time, but Ye Hui got the opportunity to practice one after another.But he could only watch from the side, naturally feeling very uncomfortable.

"Teacher Li, call the next patient in and speed up! I have to do an operation at noon later."

The uncle who was diagnosed with a lung tumor has already arranged surgery at the cardiothoracic surgery department.

Just at noon today.

Director Zhang invited Li Jingsheng to perform surgery together.

For him, this is a very good training opportunity, and he must take advantage of it.

The last time he participated in the skills competition, he saw the level and ability of top surgeons, and then he understood the gap between him and others.Regardless of the fact that he helped several teams in our hospital win bronze awards, this is actually nothing.

It is by no means due to him alone.

He still has a long way to go before he wants to develop the clinic's surgical business.

What needs to be done now is to train a group of qualified bone-setting apprentices as soon as possible, who can help share the burden of a large number of ordinary patients.

This frees him up to pursue excellence.

It can also further expand the basic base of the second hospital’s manual bone setting business.By then, the hospital leaders will be satisfied and he himself will be able to develop better.

This development idea is a bit similar to a lone wolf in the wild, struggling to survive independently.

So he tried every means to give birth to wolf cubs and expand the wolf pack.

With a pack of wolves, you can face it calmly whether hunting or facing enemy invasion.

The next patient came in quickly.

He came in hopping, being supported by others.

Also a young man.

"Is this a sudden toe?"

Li Jingsheng took a look and asked.

"I was playing football, and it hit me suddenly. It hurt so much at the time, and now it's starting to swell."

The other two companions who were supporting the young man also looked at Li Jingsheng.

"Doctor, is this serious? We saw a doctor at the outpatient clinic over there and they said he had a fracture!"

"Show me the film."

Li Jingsheng asked for the film to check, then squatted down to feel the young man's bones.

"The toe bone is broken, accompanied by blood congestion and swelling. It should be able to be treated manually, but I'm afraid you will have to rest for more than three months before you can play football again."

When they heard that manual treatment was possible, the three of them breathed a sigh of relief.

"It takes so long to recuperate! I feel empty inside if I don't play football for a day. Can you give me some better medicine to help me recover as soon as possible?"

It is difficult for patients to accept when they hear that they have to rest for more than three months.

"The healing period of the bone itself will be relatively long. It should be enough to walk for one and a half months, but I recommend you to rest for at least three months when playing football. And you have to do it according to your ability, otherwise it is easy to have a secondary fracture. Usually two fractures occur in the same part. More than one fracture can easily stimulate the production of osteophytes or even osteoma."

Li Jingsheng really didn't scare him completely.

Last time, a patient suffered from osteoma during surgery. The prognosis has not yet been determined.

Some relapsed and turned into malignant tumors and did not even survive for half a year.

"Then I'd better take it easy! My family has only one generation for five generations. If I die young, my parents will cry to death."

When the patient heard that there was a possibility of osteoma, he was scared on the spot.

Basically no one wants to have trouble with their lives.

Compared with hobbies and life, the latter is definitely more important.

"Dr. Chen, please pay attention to the reset of this kind of bone injury."

Li Jingsheng asked the patient to sit firmly, and then pinched the patient's fractured phalanx with his thumb and index finger.

Thumb on top, index finger on bottom, pinch each other.

"Aw... it hurts, it hurts!"

The patient cried out in pain.

Li Jingsheng pulled the patient's toes with his other hand, and at the same time pressed down with appropriate force with his pinched fingers to smooth out the protruding bones.

"Okay, okay! Little prince playing football, why are you afraid of this little pain!"

Li Jingsheng joked with the patient.

Then he bandaged and fixed it himself. "I will prescribe you two boxes of medicine for bone and muscle repair. Remember to take it on time. If you have time, come back for a review at the hospital in three or four days. I only work here three days a week. That is the schedule. You can choose one. time."

Li Jingsheng pointed to the schedule on the wall.

He only went to work in the hospital when he was [-], [-], or [-] years old, and he was considered a strange existence among outpatient doctors.

After all, the hospital is just a platform for him to improve his skills, improve his professional title, and expand his network of contacts. Sunshine Clinic truly belongs to him, and he is in charge, regardless of anyone else's face.

If it develops well, it can even help him achieve financial freedom.

It is more likely to be passed on to sons and grandsons, so that generations of people will have enough food and clothing.

At the Second Hospital, getting thirty to forty thousand a month is considered pretty good.You have to be controlled everywhere.

After finishing treating the patient, Li Jingsheng looked towards Ye Hui.

She seemed to be having some difficulty repositioning the patient.

Li Jingsheng did not let Yang Luqing get started, but asked her to do this job, precisely because the patient's reset seemed simple, but in fact there was a small difficulty.

You need to be flexible to solve it yourself.

The so-called difficult people will not, and those who meet will not be difficult.

If he operated it himself, it would be a breeze to successfully reset it.But for Ye Hui, a rookie, there is a high probability that he will fall into a trap.

In fact, as he expected, Ye Hui encountered a problem.

"Dr. Ye, you can also try asking the patient to sit upright facing outward. You stand next to him, hold the elbow joint of the affected limb with one hand, pull it downward and adduct it close to the trunk. Then put the thumb of the other hand on the outside of the humeral head. , the other fingers support the head of the humerus outward under the armpit."

Yang Luqing was standing by to offer advice.

Li Jingsheng nodded slightly when he heard this.

In terms of flexibility of thinking and theoretical knowledge, Yang Luqing is obviously better than Ye Hui.

It's just that the hands-on talent is a little less.

After Ye Hui heard this, he thought about it seriously and then did it.

Oops!
Bone ringing sounds, which is a sign of successful reduction.

"This patient's shoulder joint situation is a little special. If you encounter similar shoulder joint dislocation in the future, the first method Ye Hui tried failed to reset. You can decisively use the second method Yang Luqing just mentioned."

Li Jingsheng walked over and gave the two students some guidance.

At the same time, he checked the patient's reset condition and performed massage.

"Well, the reset was successful. It only takes a week or two to recover. In this case, he doesn't even need a sling." After Li Jingsheng finished speaking, he looked at the patient and said. "Remember, don't lift heavy objects for two or three weeks."

Then he looked at the patient's girlfriend and said, "Don't twist his right hand anymore, otherwise it will cause habitual dislocation, which will be difficult to cure."

"If you don't explain, I won't dare to do it again!" The patient's girlfriend got into this trouble and was already scared.

Perhaps she didn't expect that twisting her boyfriend's arm just for fun would lead to a dislocated joint.

The shoulder joint structure of the human body is relatively simple, and it should be the joint most easily dislocated.

In particular, some people have loose joint capsules and are more prone to shoulder joint dislocation.

"Dr. Li, please check on my grandson. When he was playing with his classmates, he pressed his hand hard on the wall, and it hurt so much that he couldn't hold a pen to write. It seemed to be swollen. We know your skills here. Well, I rushed over immediately after picking up the children from school."

A little boy, a little over 1.2 meters tall and quite fat.

My grandma and mother brought me here for treatment.

There were still traces of dried tears on his face.

Looking at this situation, I must have cried.

Let alone children, even adults can cry bitterly sometimes when they are injured.

He was injured at school. He must have endured the pain silently at first, then found that he couldn't write, so he reported it to the teacher.When his parents got the news, they went to school to pick him up.

The moment I saw my loved one, I probably burst into tears.

"Kid, come and sit here. How old are you?"

Li Jingsheng gently waved the little boy to sit on the chair.

"Just turned seven."

The child's grandmother answered for her grandson.

"She looks chubby, so she must have good nutrition!"

Li Jingsheng found that the little boy's obesity had exceeded the normal range, but he was not extremely obese.

He stared at the little boy's chest, neck and other parts for a few more times.

But he didn't say much.

"Haha, my grandson may have eaten it. He has to eat a lot in a day! AB calcium milk, milk, bread, he has to eat a lot in a day. He even eats more than us adults. Eat a lot. , people will naturally grow strong!"

When it came to her grandson being fat, grandma immediately took over.

He proudly praised his grandson for eating a lot.

"It's really good to be able to eat, but I think his chest development seems a bit early. If you have time, you can take him to the pediatrician for a physical examination."

Li Jingsheng put it more tactfully.

A little boy who is only seven years old is developing like a girl. This is definitely abnormal.

But the little boy's grandmother still felt proud of him.

If Li Jingsheng dares to say at this time, Auntie, you have to control your grandson's food intake and stop feeding him like this, otherwise your grandson will be spoiled.

I guarantee that after hearing this, the family members will fall out in the next second.

It is sometimes difficult to be a doctor. Many truths cannot be told directly, but family members or patients can only be reminded tactfully.

"It's good to have some meat on your body! Like a man, I have raised three children and have rich experience. I have raised every child very well. Now my little grandson must be taller than his father. .”

The child's grandmother really couldn't listen to the advice.

Still immersed in self-movement.

The child's mother stood aside and didn't speak. Just looking at her expression, she probably agreed with her grandmother's words.

Li Jingsheng stopped persuading and quickly got down to business.

"Were the films taken in our hospital?"

"Shoot it, here it is."

The child's mother handed over the film.

Li Jingsheng took a look and found that the problem was not serious.

After asking the parents to pay the treatment fee, the little boy was manually reset on the spot.

After just two random massages, it was successfully reset.Seeing that the child was so young, he massaged it for a while to help reduce swelling and clear blood stasis.

"Kid, hold uncle's finger with your right hand."

The little boy did as he was told.

The child's grandmother and mother saw the child holding Li Jingsheng's index finger with his right hand, with smiles on their faces.

"Awesome!"

Li Jingsheng felt the child's right hand clenching tightly and knew it was cured.

"Okay, just be more careful next time!"

He said smiling at the little boy.

"Thank you uncle!"

I didn’t expect this little boy to be quite polite.

"Haha, you are quite polite! Your academic performance must be good, right?"

"I can get an A in Chinese, but sometimes I can only get a B in math."

"Well, that's good! Study hard and I believe you can get A's in the future!"

After the family members thanked Li Jingsheng, they walked out with their children.

"Mom, take him to the pediatrician for a check-up! I see that the skin on his neck is dark, and I want to check the insulin level."

Li Jingsheng couldn't bear it, so he warned the child's mother from behind.

"Ok!"

The mother of the child must have listened.

But after the three of them went out, they could faintly hear the child's grandmother muttering, "My grandson is fine. What kind of check-up should he do? Don't listen to the doctor's lies. He just wants to earn more for our check-up fee."

After hearing this, Li Jingsheng felt helpless for a while.

The patients and family members stabbed him in the heart not once or twice, but he was already numb.

Doctors who have worked in endocrinology will have diagnostic awareness in this area. When they see someone with dark skin on their neck, they can't help but take a second look.

This is actually the sense of responsibility of doctors.

A black neck is not necessarily a disease, but when there is a problem with insulin secretion, which is often called diabetes, there are often some signs.For example, three excess means drinking too much, drinking too much, and urinating too much.

There is also the darkening of the skin surface, especially the neck. When it turns dark, it is often a skin sign of diabetes.

That's not the case with tanning.

Obese people should be careful if their necks are dark because they haven’t been in the sun recently.

In fact, by the time Sanduo appeared, it had already happened.

For diabetes, the earlier intervention is better, the better.

If it is too late, it may even destroy both kidneys, which is often called uremia.

However, under normal circumstances, as long as diabetic patients actively take medication to control it, they generally will not develop uremia.

Instead, kidney failure progresses to uremia, which is almost difficult to prevent.

For such a young child, he was overweight, his neck was black, and his skin in other parts of his body was fine. Li Jingsheng highly suspected that there might be an insulin problem.

(End of this chapter)