The nurse was very smart and did not interrupt from beginning to end, but when she looked at Li Jingsheng, there was obviously a hint of enthusiasm in her eyes.
In the manual bone setting and reduction clinic, Dr. Xu should be the well-deserved boss.
He is equivalent to the chief surgeon in the operating room and has a very high status.
Looking at this relationship, the relationship between Li Jingsheng and Dr. Xu is obviously unusual. Naturally, she wanted to have a good relationship with Li Jingsheng.
Although nurses usually scold intern doctors as if they were scolding grandchildren, they are well versed in the survival of the hospital.
The patient who came in this time was a little girl about twelve years old. She was as thin as a bamboo pole. She was not short, probably about 1.6 meters tall.
The left hand was hung with a bandage and splinted.
A man in his early forties followed behind her. His temples were stained with frost, and he could see a lot of white hair.
People nowadays are generally under a lot of pressure, and their mortgage and car loans are overwhelming. After reaching middle age, there are old people above and young people below, and the pressure is even greater, as if there are several mountains pressing on the body.
Middle-aged men are afraid of losing their jobs, afraid of getting sick, and afraid of not making money.
After all, there are only a few who live a nourishing life.
"Where was this treated?"
"Treated at our local town health center."
The girl's father replied with a smile.
"Seven or eight days ago, my daughter fell while riding a bicycle and fractured her left wrist joint. At that time, she couldn't use her left hand and it hurt so much when she opened her fingers. The X-ray was taken at the health center in the town. , saying it was a joint displacement, the doctor reset it with the radiograph and put a splint, and asked us to go home to recuperate. A week has passed, and she still complains of pain, and she can't even turn a book with her left hand.
I heard someone said that the bone setting and reduction here is very good, so I wanted to take her to have a look again.
In the X-ray taken on Sunday, your doctor here told me that the child’s wrist joint was not successfully restored.
There is a risk of becoming disabled if not corrected promptly.
You didn't go to work yesterday, so I specifically asked for leave for her today to come to you for treatment. "
Many experts and chief physicians do not go to work on Saturdays and Sundays.
If your condition is complicated, it is best to see a doctor from Monday to Friday.
This parent obviously didn't realize this, and the trip ended up being in vain.
After Li Jingsheng listened to it, he had some thoughts in his mind. Dr. Xu is probably the only truly powerful osteopathic doctor in the Second Hospital.
Otherwise, this little girl who came to see a doctor yesterday could have found another doctor for treatment.
To worship this master is to find a treasure.
Although Dr. Xu does not admit that he is his master now.
it does not matter.
Just like Sun Wukong in Journey to the West, who worshiped Patriarch Bodhi as his master, Bodhi also did not recognize him as his master.
This does not affect the skills Sun Wukong learned from Bodhi.
"Let me take a look at the film."
Dr. Xu asked for the film from the family member, looked at it carefully, and frowned slightly.
"Doctor, my daughter's hand is not tight, right?"
The family members were in their forties and had passed their forties. When they saw the doctor's expression, their hearts suddenly sank.
"You are such a caring parent! Fortunately, you came in time."
After being scolded, the family members not only did not get angry, but showed a look of joy.
He begged, "Oh, we parents really don't understand anything. Our children are only so old. What if they really end up with a disability? From what you say, it can be cured. Please worry more."
After he begged the doctor, he did not forget to glare at his daughter fiercely.
“Let’s see if you dare to look around next time you ride a bike?”
The little girl was scolded, but she lowered her head and remained silent.
My mother is kind and my father is strict. This is almost nature.
Many children are afraid of their fathers.
In fact, it’s just a different way of loving.
Mother's love is softer, while father's love is deep and heavy.
"Xiao Li, look at these two pictures. This one was taken before treatment, and this one was taken in our hospital yesterday. Compare it."
Li Jingsheng took it and compared it carefully.
He found that the wrist bone in the second photo was still fractured.
The structure of the wrist joint is extremely complex, consisting of multiple bones such as the scaphoid, lunate, triquetrum, pisiform, and capitate bones.
The arrangement of the wrist bones is also extremely clever.
Divided into two rows, with four carpal bones in each row.
Therefore, whether the wrist bone is fractured or dislocated, its manual reduction is more difficult than shoulder joint reduction.
The child's wrist fracture was not serious, but it was accompanied by multiple dislocations. In this case, the doctor at the town health center should not have treated him.
Judging from Li Jingsheng's limited orthopedic clinical experience, this type of surgery generally requires surgical reduction with internal fixation.
In fact, everyone knows the level of the doctors at the town health center.
Occasionally catching a patient with appendicitis is like celebrating the New Year.
The surgeon who performed the manual reduction on this child may have been overconfident in his skills.
The fracture was not completely reduced and there was still a large fracture line.
Not to mention misaligned wrist bones.
It was only slightly better than before treatment, but the reset was not successful at all.
Splinting the patient in this situation will only lead to malunion of the wrist bone.
No wonder Dr. Xu frowned after watching the film.
"Xiao Li, check the patient first."
Unexpectedly, the second patient was asked to check again by Li Jingsheng.
Dr. Xu is no longer taking care of him, but is cultivating him with all his strength.
He already had a lot of experience when he touched the bones of the hip joint patient just now, and he should be able to go further this time.
Following this trend, it is possible to practice bone touching to the entry level today.
This time, when he touched the little girl's wrist bones, he felt more carefully the subtle changes in bones, muscles, cartilage, ligaments, and subcutaneous tissue.
"She may need to remove the splint for a better examination."
Li Jingsheng looked at Dr. Xu.
"The splint can be used again after being removed, and it can also save some treatment costs for the patient's family. Let me remove it!"
Dr. Xu may seem stern, but he has a truly benevolent heart.
In this regard, he is actually very similar to Li Jingsheng.
If someone comes to seek help from someone who is sick or suffering from illness, one should not ask whether he or she is rich or poor, whether he is old or young, whether he is a good friend, whether he is a foreigner or a foreigner, he is stupid or wise, and they are all the same. They are all considered as close relatives. This is the true parent-like heart of a doctor.
After removing the splint, Li Jingsheng continued to examine the patient's bones.
The little girl's endurance was particularly good. Even when Li Jingsheng touched the bones and hurt her, he still just gritted his teeth and did not cry out in pain.
But her brows wrinkled from time to time.
"Examination as detailed as possible can make the effect of bone correction and reduction better. If the pain is unbearable, you can use anesthesia. Anyway, you will need anesthesia during the reduction."
Li Jingsheng said to the little girl.
"It's okay, I'm not afraid of pain."
The little girl's voice was trembling slightly, but her eyes were extremely determined.
This is a sensible child.
Knowing that it was not easy for her father to take her to seek medical treatment, she endured the pain, just so that she could be cured this time and no longer have to worry about her father.
Li Jingsheng tried his best to pay attention when touching the bones, but it was impossible not to feel any pain at all.
Perhaps because she is thin, and children have delicate skin, Li Jingsheng can feel the bones, muscles, and ligaments more clearly when touching the bones.
She has very little wrist muscle.
"If you are so thin, you need to eat more! If possible, it is best to do some physical exercise every day."
Li Jingsheng said to her.
"The child is actually quite sensible. It's just that I haven't taken good care of her in the past few years." The man hesitated and then said. "But don't worry, doctor, I will definitely try my best to improve her food in the future so that she can eat more nutritiously."
In fact, even if the man didn't say anything, Li Jingsheng could tell that the little girl was malnourished.
Her current physical condition can be described as sallow and thin.
"Where's the baby's mother?"
It's okay not to ask, but when asked, the little girl's eye circles turned red.
"Her mother went out to work and never came back!"
When he said this, the man's face was filled with bitterness, and pain flashed in his eyes.
"I'm sorry! I asked about your sadness."
Li Jingsheng quickly apologized.
The man shook his head, indicating that he was fine.
But the pain in his expression did not fade away.
It must have made him very sad and sad that his wife left him and their daughter.
You can imagine how difficult life can be for a person who is both a father and a mother.
After more than ten minutes, Li Jingsheng finished touching the bones.
This time the harvest was greater than the previous one.
He had a feeling that he had touched some of the key points of the Bone Touching Technique, but it was also as if there was a layer of veil between him and it was a little hazy.
Dr. Xu took over.
He just touched the little girl's wrist bones briefly and then began to treat her.
"Xiao Li, watch carefully. This is called pulling and pulling, and this is called spinning!"
As soon as Dr. Xu finished speaking, her wrist bones made bone ringing sounds one after another, and she finally couldn't help but cry out in pain.
Fortunately, Dr. Xu's technique is extremely skilled and the operation is precise and precise.
The bone setting and reduction were completed in a matter of seconds.
"Child, don't move. I've already reset your position. If you move around and cause the fracture line to crack again, you'll have to suffer again!"
When the little girl heard this, she immediately didn't dare to move.
Just because of the brief severe pain just now, her left hand was still shaking slightly.
Li Jingsheng hurriedly stepped forward to help and learned to put on the splint.
Dr. Xu patiently taught him how to operate each step and what precautions should be taken when applying the splint.
…
Time passed little by little, and six patients had been successfully reset without realizing it.
Except for one patient who only had a left ankle sprain, and the difficulty of manual reduction was average, the other five patients all had bone reduction reduction that was extremely difficult. Either it was not cured by manual reduction in other hospitals, or it required incision and surgical reduction.
Dr. Xu came to treat one by one, and all six patients were cured.
Li Jingsheng now finally understood why Dr. Xu dared to reject the dean's nephew.
Without Dr. Jin, the Second Hospital can be replaced by someone else. Without Dr. Xu, the manual orthopedic reduction clinic is basically useless.
With real ability, it turns out that you can really ignore many workplace rules.
Li Jingsheng had touched the bones of all 6 patients.
The more you touch it, the more you will understand.
When he touched the sixth patient just now, he could actually feel some very small details of the patient's bones.
For example, the bone temperature of the affected area may be abnormally elevated.
The results confirmed the presence of sterile inflammation.
This condition is more common after bone and joint damage.
It is aseptic inflammation caused by bone damage.
Li Jingsheng also didn't expect that his talent for touching bones was so good that he would make such great progress after touching the sixth patient.
He thought it might be related to the fact that his proficiency in ordinary bone-setting techniques had been improved to the proficiency level.
After all, this is equivalent to the bone setting and reduction level of a junior attending physician.
While the sixth patient was still wearing a plaster and the new patient hadn't come in, he took a break and quietly opened the properties panel to check.
The doctor level experience value has actually increased a bit. Although the increase is not much, it is an additional gain.
Then look down.
In the skill column, the entry level for Bone Touching is 0.2\/10.
When he really found out that the art of bone touching had reached the entry level, he had the urge to cry with joy.
It was no wonder that he stayed up two nights reciting the theoretical knowledge of bone touching.
It can’t be said to be reciting. Perhaps it is more appropriate to call it understanding and memorizing.
Because that knowledge must be understood before it can be used in practice.
I thought it would take at least half a month to a month to practice bone touching to the entry level.
I didn't expect to reach it so quickly.
Although the entry-level bone-touching technique has only scratched the surface, the techniques and experience are still very basic, and the effect of bone-touching is mediocre.
Now, except for the shape, bone position, and bone temperature of the bones, other deeper information cannot be found at all.
But that's enough.
His condition for cheating is to develop proficiency in a certain skill to the point of entry. As long as the entry threshold is reached, health points can be used to solve the problem of difficulty in upgrading.
Instinctively continue to view the attribute information.
Health points increased from 219 to 235 points.
It rose a full 16 points.
It seems that every time a patient is touched, it is equivalent to a diagnosis and treatment, which can increase the health value by 1 point.
Learned the bone-touching technique and gained an additional 10 points of health.
After all, bone touching is an advanced medical skill. Dr. Xu's secret skill is not passed down to others, but it only increases health by 10 points. It's a bad review.
At any rate, adding 100 health points is enough for it to have B-level!
"Hey! Why is there an extra bone-touching talent in the talent column?"
Talent: Five-star talent for touching bones.
I thought that I was just a piece of useless material, unable to do anything, and having nothing left to eat.
No matter whether he was an intern in the hospital or later worked officially, he was always the bottom one in the same department.
Although he felt good about himself every day at that time, he believed that his lack of talent was due to his unreasonableness, and he did not like to flatter his leaders and superior doctors.
Later, I quit my job and opened a clinic to work alone, only to realize that I was actually a piece of shit.
I didn't expect that he actually had a talent for touching bones, and it was a five-star talent.
This made him very happy.
What came to his mind was that I am born to be useful. Everyone has their own strengths, it’s just that you didn’t realize it...
No wonder the bone-touching technique was practiced so quickly.
After careful calculation, he only touched seven injured people in total. This also includes the beggar.
I don’t know if the five-star talent is the strongest?
Anyway, it's definitely not bad.
Li Jingsheng felt itchy when he saw the balance of more than 200 health points. He spent 10 health points to upgrade this highly anticipated advanced medical skill to the proficiency level.
Proficiency in bone touching is 10.2\/100.
Cheating is fun.
If you rely on touching patients' bones to improve your proficiency in bone touching, you will need to touch at least two to three hundred patients to reach the proficiency level.
This is despite his five-star bone-touching talent.
Otherwise, more patients need to be touched to achieve this.
He found that after improving his proficiency in the bone-touching technique, all aspects of his experience were completely different.
Not only were some doubts and difficulties in the theoretical knowledge of bone touching suddenly revealed, but I also gained a deeper understanding of the experience of bone touching.
Become more familiar with various bone touching techniques.
Bone palpation is the basis of all bone-setting techniques, and this medical technique even determines the upper limit of all bone-setting techniques.
It’s better to upgrade late than to upgrade early.
Upgrade early and benefit early.
After just a slight hesitation, he directly upgraded this medical skill to the proficiency level.
It took another full 90 health points.
The original health balance of 235 points only had 135 points left.
He felt that his life was like money, there was never enough to spend.
No matter how much you give him, he will spend it all.
The rest must be kept for emergencies.
After the Bone Touching Technique was upgraded to the proficient level, suddenly, the vision and layout were all opened up.
The comprehension and understanding of the Bone Touching Technique is simply not comparable to that of the skilled level.
You can even understand those deep skills and knowledge points.
For example, when touching the bones, there is an operation process of starting with lightness and then applying weight. In the past, he always thought that this operation was only to reduce the patient's pain, so as not to damage the fracture site due to excessive force when touching the bones.
Now I have a deeper understanding.
The techniques range from light to heavy, allowing you to feel the different shapes and qualities of the bones.
When you touch it lightly, you understand the basic shape of the bone.
What you want to know when you touch the bones with increased force is the quality of the bones, including the density of the bones, the degree of connection with subcutaneous tissue, ligaments and other tissues, and the degree of mobility of the bones?
For example, normal bone structure is often very stable when dislocation does not occur.
After a dislocation occurs, if you apply a little more force, you can feel that there is a large space for movement in the bone position, which is unstable and unstable.
In this way, it can be inferred whether the joint is dislocated and whether it is serious or not.
If a fracture occurs, you can feel the fracture line or the bone changes at the fracture end with a little more force.
For example, dents, enlargements, bulging of the bone proximal to the fracture, and even bone fragments, etc.
He now finally understood why Dr. Xu could tell whether there was a fracture or dislocation of the joint by touching the beggar's bones.
Now that Li Jingsheng's bone-touching technique has reached a proficient level, he has initially acquired this ability.
Not only that, if he sets the bone and resets it now, he will know the nature of the bone better during the operation.
As long as you touch the patient's bones, you can look at the lines on the palm of your hand and build a clear picture of the bones in your mind.
Similar to high-tech x-ray scan results.
Even in some details, it is far better than the instrument scan results.
And because the bone status map is constructed directly in the brain, where is the fracture and what is the position of each bone? What is the distribution of bones after dislocation or dislocation? To what extent do they need to be restored to be considered a successful reset...
This information will be very intuitive.
The operation is more precise and flexible than operating directly under X-ray guidance.
"Xiao Li, Xiao Li! Get ready to work."
Doctor Xu's call brought Li Jingsheng back to reality.
It took a long time to check the attribute panel just now. To outsiders, he looked like he was in a daze.
The patient has walked in.
This is a young man in his twenties, still wearing the delivery clothes of a certain group, and he came alone.
He held his right hand with his left hand, with a pained expression on his face from time to time.
The delivery clothes on his body were still stained with scratches and dirt. Looking at this situation, he probably accidentally fell while riding to deliver food.
Food delivery is a very hard industry. It comes in rain and wind, and you are always faced with the risk of being misunderstood by customers and giving you negative reviews.
One bad review may result in many orders being wasted.
"Doctor, I accidentally injured my right hand. I just checked in with the doctor at the outpatient clinic of your hospital. They took a film and said that all I need to do is reset it here."
The little brother held the film under his arm.
Even though he is only 21 or 2 years old, he is very capable in speaking and doing things, and he does not look like a young 'rookie' who has just stepped out of society.
