Gou is practicing medicine in the clinic

Chapter 390: Getting credit all depends on Dr. Li for saving lives
Along the way, he pedaled his bicycle quickly.

More than ten minutes later, he arrived at the Orthopedic Surgery Department of the Second Hospital and went straight to the Orthopedic Surgery Inpatient Department without stopping.

After experiencing severe beatings and hardships from society, he has long lost the aloofness he once had.

This opportunity to curry favor with a big leader must be taken advantage of.

Sunshine Clinic cannot be what it is today without the support and help of noble people.For example, Xie Guiqiu, who has helped him many times, as well as the old scavenger who is actually a retired veteran cadre, Director Hua, Dean Fu, reporter Chu Yao, etc.

These people have helped Li Jingsheng in many ways.

Director Jia of the Health Bureau is definitely the most important leader in this system.

One sentence can even determine the life or death of Sunshine Clinic.

If you have a good relationship with such a big boss, you will definitely benefit a lot.

Li Jingsheng quickly ran into the inpatient department.

"Where is Director Jia's grandson?"

He asked the nurse directly on the platform.

"Here, it's in Ward 0."

The number of beds in the Orthopedic Surgery Department is getting increasingly tight, but Director Hua insists on keeping Ward 0.There are only two beds inside, and they are empty most of the time.

Patients are admitted only on rare occasions.

And even though it has two beds, it can only admit one patient.

Because the patients living there are often high-status beings.

To put it bluntly, Director Hua wants patients to feel respected and given special care. This ward is used as a favor.

Only Director Hua knows how great the benefits are.

With so many department directors, the business of orthopedic surgery is not considered outstanding in the hospital, and the income generated is only at a medium level.Of course, it is becoming stronger and stronger now, and its ability to generate income is also becoming more and more powerful.

However, even the director of general surgery may not have as much energy as Director Hua.

Some people appear to be inconspicuous, but they are well versed in the ways of the world and know how to deal with them.By continuously accumulating connections, they eventually become stronger and stronger.

Li Jingsheng quickly came to Ward 0.

He knocked on the door even though it was open.

"Jingsheng, you came very quickly! This is Director Jia's grandson. Please help me take a look."

Director Hua was staying with him in the house.

Standing by the bed was a middle-aged woman wearing glasses, probably in her 50s.

Apart from looking a bit serious, he has a pretty good temperament.

She looked anxious.

There was also a young woman with tears on her face, who should be the child's mother.

She looks sweet and pretty, and dresses very conservatively.

Families with better conditions, especially those with a bit of power, often marry only one-in-a-million wives.You need to have good looks and good looks, and you need to be cultured.

I haven’t seen the male family members yet.

"This is the director's wife, surnamed Liu. This is the child's mother."

Director Hua was very solemn when he introduced the director's wife, and when he introduced the child's mother, he introduced the mother.

"Hello!"

Li Jingsheng nodded and greeted the middle-aged woman.

It is not appropriate to smile at such an occasion. My grandson is lying on the bed, seriously injured.In this case, no matter how flattering the smile is, it will easily make the other party feel disgusted.

Li Jingsheng maintained a normal expression, respectful and polite.

"Hello! Dr. Li is out of breath. Did you run here?"

"I heard Director Hua say that the child's condition was quite serious. I was worried that something would go wrong, so I came over quickly. I may have run a little hastily, but don't worry, this will not affect my performance."

Li Jingsheng explained.

"What a kind young man! I wanted to ask you if you wanted to take a rest."

"No need to rest, I'll check on the child first."

Li Jingsheng leaned down to check the child's injury. The child had cried all his tears.You can tell at a glance that there is something wrong with the angle of his neck. His head is down and he cannot straighten his neck.

His left arm was stretched weakly by his side.

The palms look slightly pale and lack of blood.

And the fingers are slightly bent in a natural state.

Looking at this situation, Li Jingsheng based his experience on the fact that at least the child's left hand was dislocated.Hematoma may even have occurred.

"Is it because he broke his neck that he couldn't lift it up?"

"Yes! He has been lying down like this since he fell. As long as he puts a little force on it, he screams in pain. He can't even lie on his back."

the child's mother choked up.

"If the damage to the cervical spine is serious, I'm afraid surgery will be required to correct and repair it. I'll take a look at the film first." Li Jingsheng tried his best to be conservative and serious.

Treating the family members of such a powerful person and their grandson is much more difficult than treating the elderly.

If you make a slight mistake, you may end up patting the horse on the leg.

Not only will it fail to please the other party, it may be counterproductive.

"The child is so young and the cervical vertebra is injured. How can we avoid surgery? My heart is like a knife. If I could bear this pain on my child's behalf, I would rather be the one lying on the hospital bed."

Mrs. Jia asked anxiously from the side.

"The injury to his left hand was not minor. At least the shoulder joint was dislocated. This shows that the force of the fall must have been very serious. The cervical spine is one of the most complex bones and joints in the human body, and important blood vessels and main nerves all pass through here. , the risk is very high. When the damage is severe, forced reduction is too dangerous. I will take a look at the film first, and then I will feel the child's bones and then reply to you."

After Li Jingsheng took the film, he looked at it.

Left shoulder dislocation and elbow subluxation.

Children's bones are not yet fully developed, their bones are soft, and their joints are prone to loosening.

Joint dislocation is common.

The child's 3rd and 4th cervical vertebrae were obviously dislocated.When I looked at it with the naked eye just now, I found that the intervertebral disc had protruded backward.

After watching the film, Li Jingsheng already had some confidence in his mind.But his frown became tighter and his expression became more serious.

"The injury is serious! The injury to the left arm is more serious than I expected. There are actually two joints that are dislocated and displaced."

After Li Jingsheng finished speaking, he squatted down and felt the child's bones.

Director Hua stood nearby and was very satisfied with Li Jingsheng's performance.

He was just afraid that Li Jingsheng would come over, so he easily cured Director Jia's grandson without saying a word.

Fortunately, this kid is quite good at getting things done and knows how to maximize his achievements.

"Alas, after several of our orthopedic surgery experts saw the film, they all said that the child's fall was too serious. Normally, the child's arm joints are dislocated in at most one joint. But in his case, two joints were dislocated. .

Not to mention the cervical spine.

Cervical disc herniation can often only be treated with surgery.

However, the risks of surgery are extremely high. Some patients will never stand up again after surgery.Or side paralysis occurs, etc. "

Director Hua sang with Li Jingsheng beside him.

The two of them cooperated quite well.

"Oh, what can I do? The child is still so young. It's my fault. It's all my fault. I shouldn't have taken him to play on the slide."

When Mrs. Jia heard both of them saying it was serious, she stamped her feet anxiously.

There is no way to explain this to my son and daughter-in-law!
Li Jingsheng has already started to touch the child's bones.

First I touched my left hand and felt that my fingers were a little cold.When I touch my right hand again, the temperature is normal.

His face changed slightly.

"How long has the child been injured?"

"It's almost more than an hour! What's the matter?"

The nerves of Mrs. Jia and the mother of the child were severely aroused.

"I just touched the child's left hand. The fingers were cold, and the temperature in the palm, back of the palm, and even the forearm were a little abnormal. The right hand was normal. This shows that either the cervical spine was compressed and the nerves on the left side of the body were damaged. The blood circulation has deteriorated. Either there is a hematoma in the left arm or the dislocated bone joints are compressing the blood vessels, causing the blood to not flow normally.

In either case, it must be dealt with quickly.

The left arm has poor blood circulation for a long time and is prone to tissue necrosis. "

Li Jingsheng really didn't exaggerate this time.

If it is just nerve damage or compression that causes poor blood circulation, then there is no big problem.

If a dislocated joint causes hematoma and compresses important blood vessels, it will be a big problem.

People who sleep on their sides sometimes wake up in the middle of the night and feel that one of their arms has lost feeling.It seems that it is not his own.

This is because blood vessels are compressed, causing blood supply to be blocked.

Under normal circumstances, this kind of poor blood circulation can be restored quickly as long as the pressure is no longer applied.

At most, it was a little numb and uncomfortable at the time, but it would be completely relieved after ten minutes.

But there is one situation that can never be alleviated.

That is necrosis of limbs due to long-term ischemia.

Li Jingsheng is engaged in orthopedic surgery and bone reduction, and often has to put plasters and splints on patients.

He is well aware of the risks involved.

There was a time when a patient, out of ignorance, took apart the plaster to check, and then re-wrapped the gauze.However, due to unprofessionalism, the bandage was too tight, which eventually led to ischemia and necrosis of the limb.

For this reason, the patient also took the hospital to court, demanding that the hospital compensate for his amputation, disability and other expenses.

Fortunately, after medical evaluation and investigation, it was found that the cause was the patient's own change of external fixation.

After Li Jingsheng took over the orthopedic clinic, he always told his doctors and nurses Li Li that as long as there were patients with external fixation, they must be informed of the dangers of tight binding.

The best way is not to use the external fixation done by the doctor.

If it is too tight, it may cause poor blood circulation.

If it is too loose, the fixing effect will not be achieved.

"Doctor Li, Director Hua, my grandson is entrusted to you. Please save my grandson!"

Mrs. Jia's face turned pale.

He is also a person who has experienced strong winds and waves and has seen the world.But when facing illness, no matter how noble one's status is, the attitude is basically the same.

Be afraid when you should be afraid.

"I need to cut off his sleeves. Do you think it's okay? Taking off his clothes will easily cause him to catch a cold. Secondly, it will also easily affect the bone injuries in his neck and left arm, causing secondary injuries."

"Ok, Ok."

Mrs. Jia only needs to save her grandson at this time.

Who cares about a piece of clothing.

After cutting the sleeves, Li Jingsheng carefully checked the bones and quickly discovered the problem.

It's caused by subluxation of the elbow joint.

The local hematoma was quite serious.

There is a good sign that the child's left elbow joint is upward and the body surface temperature is normal.It shows that the poor blood supply occurs below the left elbow.

"Does the child have any history of drug allergies?"

"No."

"I'll give him an arm numbness and reconnect his left arm first. The hematoma in the elbow joint is severe. I'll give him a massage to clear the blood supply first and ensure the safety of his left arm."

Li Jingsheng faintly showed the style of a general.

His calmness and confidence gave his family a lot of confidence.

"Jingsheng, you are an expert in this field. You can arrange it. I will arrange it for you here. If you need anything, I will coordinate it."

Director Hua expressed his position from the side.

"Please ask the nurse to get the medicine over quickly, do a skin test, and then give the arm anesthesia. I'll check the child's cervical spine again."

Li Jingsheng checked the child's cervical spine again.

(End of this chapter)