Li Jingsheng felt excited, and the newly upgraded bone-touching technique was still warm.
Just try it out with this takeaway guy.
However, he was not in a hurry. Instead, he calmed down and followed Dr. Xu and Dr. Chen to review the patient's wrist film.
It can be clearly seen that the wrist bones are misaligned, but it is not particularly serious.
No obvious fractures were seen.
There was an imperceptible smile on Dr. Chen's face. This patient's wrist joint dislocation was not very serious and the operation was moderately difficult. If you try hard, you might be able to get this opportunity to practice your skills.
"There is no fracture, and the wrist joint is only slightly dislocated. Dr. Xu, can I help the patient's bone correction?"
Dr. Chen made a request directly to Dr. Xu in front of the patient.
Only if you are impatient to a certain extent will you do this.
Any young doctor is eager to get the opportunity to practice.
Only practice can lead to rapid growth.
Watching a superior doctor perform a hundred operations may not be as rewarding as going on stage to sew a skin once.
Dr. Chen is so anxious because he also has Xiao Jiujiu in his heart.
Dr. Xu obviously favors Li Jingsheng, and he is very worried that such a good hand training opportunity will be taken away by Li Jingsheng.
He even wanted to take this opportunity to prove that his strength was no worse than that of Li Jingsheng, so that Dr. Xu could also focus on training him.
"Don't worry yet! His situation may not be that simple."
After Dr. Xu finished speaking, he looked at Li Jingsheng.
"Xiao Li, check him out."
Doctor Chen next to him had been holding back his anger for a long time. Why should this new intern be given priority?
"Dr. Xu, I can also examine patients and do it better."
Saying this in front of patients and superior doctors and nurses is actually a bit excessive.
Why don't you tell everyone clearly that his skills are better than Li Jingsheng's?
"Then check the patient first!"
Dr. Xu gave Dr. Chen a cold look, with a hint of dissatisfaction in his eyes.
The doctor-patient relationship is inherently tense, and doctors and nurses are very careful when speaking in front of patients. Dr. Chen's disobedience to arrangements and rushing to perform may cause a lot of trouble.
If patients complain, everyone will be unlucky.
Involution is okay and competition is okay, but you have to pay attention to the methods.
Dr. Chen seized the opportunity to examine the patient, with a hint of joy on his face.
Immediately walk to the patient for examination.
"I have been practicing medicine for six years and have cured many injured patients with manual reduction. Just relax and cooperate with my examination."
He tells the patient about his qualifications.
There's nothing wrong with being as self-praising as possible during the introduction. All young doctors do this.
Otherwise, patients and family members are likely to have various doubts about you.
In the eyes of patients, he is already a senior doctor after practicing medicine for six years.
In fact, in the eyes of insiders, this is just a junior resident doctor.
One year of internship and three years of formal training. If the examination goes well, you will become a resident physician after the formal training.
If you fail to take the medical certificate examination, let alone work for six years, even if you work for ten years, you will only be an assistant medical doctor doing odd jobs.
Without a medical license, he is not even qualified to be called a doctor.
Even if everything goes well for Dr. Chen and he works for six years, he will only have two years of experience as a resident physician.
This is a junior resident doctor.
The delivery boy obviously didn't understand this. When he heard Dr. Chen introduce himself as having six years of work experience, he immediately had a high degree of trust in Dr. Chen.
After some examination and operation, Dr. Chen confirmed in a serious manner, "It is consistent with the X-ray examination and no abnormalities were found. It should be possible to perform manual reduction treatment."
After all, some experiences in doctor-patient communication are not too harsh.
"Dr. Xu, do you think I can..." Dr. Chen was so eager to achieve success that he ignored Dr. Xu's previous reminder.
Dr. Xu made it clear that the patient's situation was not that simple.
"You are in a good mood to help the patient with the treatment. Don't be anxious first. Let Xiao Li check the patient as well. Make sure there is nothing wrong before resetting the bone. The biggest fear of manual reduction is that there are hidden dangers and the patient is not able to do it in time. It was found that this would bring hidden dangers to the treatment."
Dr. Xu taught Dr. Chen with sincerity and sincerity.
When Li Jingsheng walked up to the patient, he was already hungry and thirsty for his proficiency in bone touching.
"I'll check you again. It might hurt a little. If you can't bear it, we can give you anesthesia. But it's better to wait until the examination is over and there's no problem before giving you anesthesia. Because pain can be of great help to our doctors during the examination." diagnostic aid."
"It's okay, just check me out! I can bear it. Now I just hope I can get better quickly and go back to work as soon as possible."
The delivery boy is not afraid of hardship or pain, but he is afraid of delaying his work.
Taking a day off can cost hundreds of dollars!
"We will definitely work out the best treatment plan for you, don't worry."
While Li Jingsheng was speaking, he had already begun to feel the bones of the delivery boy.
When Dr. Chen examined the patient, he just touched it randomly and without any method. Dr. Xu obviously did not teach him the art of bone touching.
As soon as Li Jingsheng got started, things were different immediately.
Very targeted when touching the bones.
Step by step, he continued to deeply explore the bone position, ligaments, bones, muscles and other information he wanted to obtain.
Doctor Xu stood opposite and watched Li Jingsheng touch the bones, his eyes froze for a moment.
He found that this boy's progress was really not a little bit fast.
When touching the bones of a previous patient, an abnormal increase in bone temperature could be detected, and it was eventually discovered that aseptic inflammation had developed in the patient's joint injury site.
This breakthrough alone made Dr. Xu extremely surprised and shocked.
Looking at Li Jingsheng's movements and progress of touching the bones, Dr. Xu was horrified to find that this kid seemed to have made greater progress.
But he wasn't sure.
After all, it's so magical.
No matter how talented you are, you won't be able to become this powerful all at once, right?
After this guy finishes touching the bones, you will know the depth of the conclusion given by him.
At this moment, Li Jingsheng was fully experiencing the 'perfect' experience brought by the master-level bone-touching technique.
Compared with the entry-level, that is simply the difference between heaven and earth.
When you feel the bones, you can get an incredible amount of useful diagnostic information.
Not to mention touching the bones before the door, it's just a pony crossing the river.
Entry-level bone-touching is a little better than those who haven't started, but it's just a little stronger. Basically it's just a quick glance. The diagnostic information available is extremely limited.
Li Jingsheng successfully found out the patient's bone temperature, which was considered to be quite accurate.
The proficient level is more experienced than the entry level and can obtain more information.
But it's still not great.
Now his bone touching has directly reached the proficiency level, and he has begun to have the strength of a master. He is not at the level of a top expert, but it is perfectly fine to reach the level of a third-rate expert.
The patient's bone quality, bone temperature, bone position, joint structure, and even blood vessel conditions can already be initially felt.
The biggest benefit of feeling the condition of blood vessels is to determine the damage to soft tissues, cartilage, and cartilage layers.
This time the feeling of touching the bones has completely become a kind of "enjoyable" exploration.
Calm, confident, skilled and precise.
All kinds of bone and surrounding tissue information converged into his brain, slowly forming a clear bone map.
If he was asked to perform manual reduction now, the operation would be as intuitive as open reduction.
This is the benefit brought to him by the bone touching technique.
No wonder Dr. Xu said that bone manipulation is the basis of all bone setting techniques.
Dr. Xu patiently waited for Li Jingsheng to finish touching, and then said, "Xiao Li, tell me about your examination results."
Dr. Chen also looked at Li Jingsheng expectantly.
Would love to hear any difference in his test results.
"There seems to be a fracture in the scaphoid of the left wrist, and the carpal dislocation is more serious than the X-ray examination results. There is some damage to multiple blood vessels around the wrist, and the capitate bone adjacent to the scaphoid should also have been damaged to some extent."
Li Jingsheng gave the inspection conclusion.
"This, this is impossible! The X-ray clearly doesn't show any fractures!"
After hearing this, Dr. Chen was full of suspicion.
At this time, he seemed to belatedly remembering what Dr. Xu had said before. Dr. Xu believed that the patient's injury was not that simple.
Now after Li Jingsheng's examination, he discovered that there was a scaphoid fracture.
It would be fine if this was a lie, but if it were true, Li Jingsheng's bone setting level was far above him.
"Doctor, are you mistaken? After my colleague with six years of work experience examined me, he clearly said that it was just a slight dislocation of the wrist bone, not a fracture!"
The delivery boy obviously didn't believe this result.
He even thought that Li Jingsheng was a novice, and his experience and skills were definitely not as good as those of the old doctors.
Dr. Chen is actually not old either. His actual age may be one or two years younger than Li Jingsheng.
However, with the previous self-introduction, in the patient's mind, he is an experienced doctor and Li Jingsheng is a novice.
This also illustrates the importance of doctors boasting appropriately.
"Dr. Xu, why don't you please check again to see whose test results are more accurate, Dr. Li or mine." Dr. Chen admired Dr. Xu's skills very much.
Now that there is a dispute, it must be re-examined by a superior doctor.
"good!"
Dr. Xu felt the patient's wrist bones, and the whole process only took about 20 seconds.
"Go and get a CT scan. Sometimes there will be deviations in the X-ray examination. It's not worth it to save a little money and leave sequelae."
Dr. Xu suggested to the patient.
"Is this... necessary?"
The patient was somewhat reluctant.
To do one more inspection, you not only have to queue up, but also spend a lot of money.
The price of CT scan is not cheap.
"I think it is very necessary. Of course, your body is your own. We as doctors can only give suggestions. The specific decision is up to you."
Dr. Xu is more experienced in speaking and doing things than Dr. Chen.
Based on his level of bone palpation, he must have felt that the patient's wrist bone was fractured, but he did not say anything.
This can avoid being slapped in the face to the greatest extent.
After thinking for a while, the patient finally decided to go for a check-up.
After all, you are still so young, and it would be worthless if you were left with a disability.
Dr. Xu gave the patient an application for a replacement wrist CT and asked the patient to go directly.
The price is not cheap, charging 214 yuan.
If the examination is of the chest or abdomen, the cost will be more expensive.
After this patient left, a new patient was called in.
The patient is thirty-six or seventeen years old, female, and her dress is relatively fashionable. But her mouth remained slightly open in a weird shape, the expression on her face was stiff, and only her eyes showed fear and pain.
"What's going on?"
"We were playing mahjong, and she touched a good card and got it. Then she opened her mouth and laughed because she was so happy. As a result, she stopped laughing after two laughs, and then she pointed at her chin in fear. She seemed …laughed my jaw off.”
The two women who came with him introduced the situation.
Laugh off your teeth, laugh off your chin, laugh to death, originally just describe an exaggerated smile.
I didn't expect to see him for a long time, but I actually met one today.
Li Jingsheng looked at the woman and was already thinking about how to touch the bones.
"Xiao Li, check her out."
Dr. Xu once again gave him the opportunity to practice bone touching.
Nothing else, mainly high output.
If you give Li Jingsheng a chance to touch his bones, you can see his growth.
Especially for the last patient, Li Jingsheng actually found out that the patient's wrist bone was fractured, which made Dr. Xu extremely shocked and relieved.
Any senior doctor who encounters such a good seedling would do his best to cultivate it.
Li Jingsheng put on thin plastic gloves and examined the patient.
Because this has to be inserted into the patient's mouth, gloves are usually worn during the examination.
Otherwise, the patient will definitely disagree.
"The mandibular joint is dislocated. I should be able to reset it."
After the examination, Li Jingsheng came up with the idea of treating the patient.
He really wants to see what kind of help the master-level bone-touching technique can bring to ordinary bone-setting techniques?
He went through the manual reduction method of mandibular joint dislocation carefully in his mind.
"Well, then you try it!"
After Dr. Xu finished speaking, he reminded me again.
"Be careful not to get bitten by the patient's hand."
The manual reduction operation of the mandibular joint is not difficult. Before the reduction is successful, the patient will be unable to bite even if he wants to. However, after the reduction is successful, especially at the moment when the reduction is successful, the patient may suddenly bite the doctor's hand due to pain and instinct.
During the operation, the doctor needs to insert the thumbs of both hands into the patient's mouth.
After getting Dr. Xu's permission, Li Jingsheng directly asked the patient to sit on the stool, and then put his thumbs into the patient's mouth, placing them at the occlusal surface of the back teeth on both sides.
The other four fingers are placed on the outside of the patient's mouth, under the mandible.
When he was ready and before starting the reduction technique, he said to the patient seriously, "Please tell me carefully. What card did you get when your jaw dropped with laughter?"
The patient actually rolled his eyes and began to recall carefully.
It's too late, but it's soon.
Li Jingsheng pressed down with a little force, and then quickly withdrew his hand.
Click! clatter!
The jaw joint returned to its original position.
Just as the patient was about to open her mouth and cry out in pain, Li Jingsheng quickly held her chin with his hand.
"Don't say anything for now. Let my teacher check and confirm that the reset is successful. You have to hang your chin with a bandage for a few days. Otherwise, it is easy to cause a second dislocation."
When the patient heard what he said, he nodded and blinked repeatedly and made a hum sound to express his understanding.
"I can actually reset the jaw joint."
Dr. Chen looked like a neglected second concubine next to her.
Seeing Li Jingsheng curing a patient, he felt a little sad.
"There are great opportunities, Dr. Chen can try for them next time!"
"Well, it's my turn next time."
Dr. Chen greeted Li Jingsheng in advance.
"I'm OK."
Li Jingsheng smiled and agreed.
When Dr. Xu disagrees, there will be nothing we can do.
Put a bandage on the patient and support his chin. Dr. Xu checked everything correctly, gave the patient some precautions, and then asked the nurse to call the new patient in.
Taking advantage of this opportunity, Li Jingsheng secretly checked the harvest on the attribute panel.
The doctor level experience value and the proficiency of ordinary bone setting increased by 1 point each, and the proficiency of bone touching actually increased by 2 points. HP increased by 10 points.
The harvest is beyond imagination.
The skill of bone touching actually doubled the proficiency, which made Li Jingsheng particularly happy.
It feels so good to be a genius.
Unfortunately, so far, there is only one bone-touching talent.
If only he had a few more talents, he wouldn't have been so unsuccessful in the hospital.
After successful bone reduction, a patient's health actually increased by 10 points. This was the second surprise.
Because according to his experience, treating a common cold patient only adds 2 points of health.
The second life value will not be available until the patient recovers.
The health gained from bone setting is actually five times that of ordinary treatment.
This is really great.
From now on, I will come to the Second Hospital to study for two hours every morning. I can not only learn bone-setting techniques, but also earn a lot of health points. It's simply a huge profit.
Soon, after the female patient with a dislocated jaw was cured, new patients were admitted.
That's what big hospitals are like.
There are always endless patients to treat and endless surgeries to perform.
The patient who came in this time was a patient with a sprained left ankle joint.
Dr. Chen had already been working hard to give a good performance. When he saw a patient with an ankle sprain, he immediately excitedly asked Dr. Xu for a fight.
"Doctor Xu, can you give me a chance to exercise this time?"
"Okay, give it a try!"
Dr. Xu agreed after watching the film.
The patient stared at Dr. Chen who came over with a wary expression.
If you have no hair on your mouth, you will not be able to do things well.
This young doctor was clearly using him for training, so he definitely couldn't agree to it!
"Dr. Xu, Dr. Xu, I came to you for treatment just because of your reputation. You can't let the intern perform random operations on me!"
The patient was very direct.
"Don't worry, these two are not interns."
Doctor Xu said with certainty.
"Mr. Wang, I have six years of work experience and have been a formal doctor for a long time. I am good at resetting all kinds of sprains and dislocations. Dr. Xu has dealt with multiple patients in the morning and is very tired. This is not difficult. It’s the same if you ask me to reset your bones. Anyway, after the reset is completed, Dr. Xu will definitely check and check it in person. You, just keep your heart in your belly!”
Dr. Chen is very good at handling patients.
With a few words, the patient was convinced by him.
The orthopedic reduction began quickly.
Dr. Chen did not forget to give Li Jingsheng a faint look, which meant that Li Jingsheng was optimistic that he was about to use the bone-setting techniques he had practiced for six years.
Li Jingsheng had an attitude of learning with an open mind and really watched carefully from the side.
Dr. Chen was seen posing very professionally, holding the patient's calf with one hand and pinching the patient's left foot from the bottom with the other hand. Then he slowly rotated, using the bone-setting technique of spinning and turning.
With each turn, the patient's face showed the pain of being cut by a dull knife.
One lap, two laps, three laps...
I thought that the reset would be successful with just one or two turns at most, but Dr. Chen held the patient's left foot and turned it around and around, as if he was having fun and forgot about business.
The patient gritted his teeth and endured it at first.
Whenever he saw Dr. Chen's hand start to move later, he would tremble.
After turning around for six times without any intention of stopping, the patient couldn't bear it anymore.
This is a rhythm that will hurt him to death!
"My dear ancestors, have you finished it yet? The cold sweat on my head is so painful that it breaks out in several layers."
Dr. Chen looked embarrassed and slightly scared.
"Doctor Xu, why don't I ask you to do the operation! His ankle seems to be different from normal people."
This is a really lame excuse.
