"Of course there is no problem with this. My idea is this. It would be unethical to have an operation on a child so young! If you can help us successfully reset it, that would be the best. If it doesn't work, we will think of other ways."
The man had obviously thought about it before coming.
After inviting several people into the clinic, Li Jingsheng found that Boss Zhao was chatting with the 'glamorous man'.
They look like old friends.
What Lao Zhao is best at is hiding a knife behind his smile, killing people with a soft knife, and being good at using all kinds of dirty and ruthless moves.
The handsome man who pestered Tang Ping might be in bad luck this time.
Evil people will be punished by evil people.
Li Jingsheng really didn't sympathize with that glamorous man.
When Boss Zhao saw Li Jingsheng leading the patients and their families in, he just glanced at them casually and continued chatting with the glamorous man.
Maybe he said something that the handsome man liked to hear, and from time to time he heard the handsome man letting out a scary laugh.
In fact, you have to observe a person's personality and you can hear some of it by listening to his laughter.
People without scheming tend to laugh heartily.
A scheming and vicious person smiles in a sinister way, which sounds very scary.
There is another kind of person who is smiling but not smiling, which is equally terrible.
Li Jingsheng ignored Boss Zhao and the glamorous man, and instead tried his best to treat the infant patient.
"Let me touch him first!"
Li Jingsheng said to his family members.
The old man who came with him stood aside and watched.
"Don't you need to watch the movie?"
the baby's grandfather asked in surprise.
"Let's feel the bones first! Sometimes the pictures taken are not always accurate. I'll touch them first and then confirm them with the pictures. The diagnosis will be more accurate."
Li Jingsheng explained.
"Hu Hai, you heard what Dr. Li said. Just watch from the side. Then you will understand how advanced Dr. Li's bone-setting skills are."
While the old man was persuading, he also looked expectant.
Last time, he took his grandson to see a doctor, and Li Jingsheng also gave a diagnosis after touching it.
The results are consistent with the X-ray examination.
"Okay, if you believe what you are told, then please ask Dr. Li. My grandson is still young, so please be gentle when you do it."
The man agreed.
The baby's mother is only twenty-two or thirty years old, very young.
Everything is decided by the father.
"Can I check if I'm holding my baby?"
"Yes! But you must hold it firmly. During the examination, if you touch the injured area, be careful of the child struggling and falling."
Li Jingsheng saw that she was too young, so he gave her a few special warnings.
"Also, the child looks like he has just cried and is sweating profusely. In this case, it is best to remove the wrapper. The child cannot be covered, as it may damage the child's health."
There are many older generations taking care of their children, and they are worried about their children getting cold on hot days.
Cover it tightly.
That is very unscientific and can easily lead to heatstroke in children.
And being covered like that for a long time is unbearable for adults, let alone a baby.
"The baby just sweated all over, won't he catch a cold?"
the woman asked worriedly.
"If your clothes get wet with sweat, you can just change into clean clothes. Generally, you won't catch a cold, and children are very adaptable and can adapt quickly."
"I didn't understand this before! No wonder my baby looks weaker than other children of the same age."
The woman quickly followed the advice and took off the cotton robe she was wearing.
"I'll teach you a way to tell whether your child is cold or hot. Just touch the back of his vest. If he's sweating, it's hot. In this case, it's time to wear less clothes."
After finishing speaking, Li Jingsheng had already started to examine the baby.
The family members seemed to want to test him and did not tell him which hand of the baby was injured.
This doesn't bother him.
After holding the baby's two forearms with a slight squeeze, he immediately gave up his left hand and began to examine the child's right hand.
This is a small, silent detail.
But after the family members looked at him, their eyes immediately changed.
There is obviously a bit more trust.
"Can you hold me on the other side? It will be easier to check."
Li Jingsheng said to the woman.
Perhaps because she was breastfeeding, her breasts were so large that the baby's elbows were pressed against her.
It is very inconvenient to check your child.
The woman seemed to realize it, her face turned slightly red, and she quickly and carefully changed her position to hold the child.
Li Jingsheng began to examine the baby's bones.
This was the first time that he treated a baby alone and performed bone palpation on the baby.
Children's bones are very soft and have not yet been fully calcified.
Especially in a child's skull, the skull will slowly close when it is very large.
Many people only know that the skull is the hardest bone in the human body and think that the same is true for babies.
Actually this is not quite correct.
When a baby is born, the head has to be squeezed out of the narrow birth canal, so it is destined to have a certain amount of room for movement and the ability to contract.
The skulls of babies under one year old are very fragile.
Be careful not to hit the ground or hard objects. Rough fathers should not hit their children on the head because they cry.
This is very dangerous behavior.
It is easy to beat the baby to death or maim it.
Even if the child is older or several years old, it is still not recommended to hit the child on the head. The most traditional method is to hit the hand with a ruler, but that hit will not hit hard. There is also the most commonly used method in rural areas, which is to use small bamboo branches to beat the children's buttocks and legs.
It can make the child feel pain without causing too much harm.
A child who really cannot be beaten or scolded will easily become a lawless master when he grows up. At that time, you will face discipline from society and even discipline from the police.
Li Jingsheng's thumbs were slightly flexed, and his thumbs were slightly dorsally extended and abducted in a figure-eight position. The fingertips of both thumbs were used to feel the bones of the baby's arms and hands.
Touch fibers, muscles, ligaments, bone locations, bone mass, etc.
His bone-touching method is currently at the proficient level, and he can only barely reach the level of mechanical contact from the outside and cleverness from the inside.
As for turning your hands as you wish and letting the Dharma come out of your hands, that state is still far away.
However, it is completely sufficient for diagnosing common fractures and joint dislocations.
After some bone-searching, he already had the answer in his mind.
A bone map of the baby's right wrist is constructed in the brain.
In other words, the bone-touching technique has not yet been mastered. If you have enough health points and upgrade to another level, the bone map constructed in your mind will be more detailed.
His current doctor level has been upgraded to a junior attending physician, and his proficiency in medical skills can be upgraded to a level higher than mastery.
Proficiency is equivalent to the level of a junior attending physician, so what is the next level?
Li Jingsheng was quite looking forward to it.
However, even if he earns enough health points, he must prioritize upgrading gastrointestinal diagnosis.
Because the baby we received not long ago has not yet been diagnosed.
I feel that as long as the cause of the baby's disease is diagnosed, the reputation of his small clinic will be further greatly improved. And the benefits obtained from the attribute panel should also be very generous.
The improvement in medical skills and doctor level made him addicted.
Because every time you advance to a level, your medical skills will be significantly improved.
In particular, the improvement of the doctor's level is equivalent to the breakthrough of 'internal strength' to the next new level, which brings great benefits.
"The child's wrist joint is severely dislocated, but his bones are soft and have strong toughness. After inspection, no fractures have been found for the time being. The ligament sprain is also very slight, and there is some damage to the blood vessels, but it is okay, and it is only a local injury. Hematoma. If the bone can be reduced successfully through manipulation, the swelling should subside the next day."
When Li Jingsheng said this, he actually had some confidence in his heart.
Bang bang!
The baby's grandfather couldn't help applauding and praising him, with a smile on his face as if he had found a famous doctor.
"Oh, today I have met a living miracle doctor! Just by touching it, the diagnosis result is exactly the same as the film we took in the hospital, and even more detailed. If I didn't know the teacher's personality, And since you came here with the teacher, I have to wonder if the teacher had colluded with you in advance!"
The man's words made his teacher and daughter smile.
"I would never take the word "miraculous doctor" seriously. Please show me the films taken in the hospital."
Li Jingsheng asked for the information packet from his family members.
X-rays and CT were taken.
It is estimated that the doctor who received the child thought it was nothing serious at first and took an X-ray to take a look at the child.
After all, X-rays are cheaper and more convenient.
After the results were taken, the attending doctor saw that the child's wrist bone was seriously dislocated.
To be on the safe side, I applied for a CT scan.
In terms of accuracy, CT is more precise.
However, to check for bone injuries, X-rays are usually sufficient.
Before CT, X-ray was widely used in clinical practice. It and B-ultrasound examination are called the two swordsmen.
After watching the film, Li Jingsheng felt more confident.
"After watching the film, because you have already had an examination in the hospital, you don't need to take another film here. If you are willing, I can try the manual repositioning of the child. The fee is 500 yuan. If you go to the Department of Orthopedics, The hospital needs to receive at least 800 yuan for manual reduction."
Li Jingsheng also clearly marked the price.
Orthopedic reduction of infants is inherently risky.
In addition, the difficulty of this reset is not low, and the fee is 500 yuan, which depends on technology.
"No problem, as long as it can be cured, five hundred yuan is not expensive, and the child does not have to go to the hospital for surgery. Please help us cure it!"
The child's mother took the initiative this time.
She was afraid of having her child go to the hospital for surgery.
"After the restoration is successful, a plaster will be required for about three to six weeks. The specific situation will depend on the child's recovery."
Seeing that the family members agreed, Li Jingsheng explained the follow-up treatment plan.
"How much does it cost to put a plaster on? It won't hurt the child, right?"
"The cost of bandages and plasters are all included. To be honest, it is equivalent to our clinic giving it to patients. You can come all the way to see me, but if the charge is not cheaper, it will not be justified. After the child recovers, , if you think the treatment here is good, and if your friends and colleagues around you need it, please help introduce it and promote it, I would be very grateful."
"No problem. As long as it is really cured, even if you don't want us to introduce you, I will take the initiative to introduce you!"
The words of the child's grandfather made everyone smile again.
Li Jingsheng didn't talk nonsense and asked the child's mother to hold the child.
Before that, he had one more thing to do.
To successfully reposition this baby, extension and traction techniques must be used.
It's only at the proficiency level, which is barely possible, but it can easily damage the baby's joints and bones.
The child is still so young, he must be foolproof.
There is no way to take into account the upgrade of gastrointestinal diagnosis now.
We must first upgrade the bone setting technique of extension and traction to a proficient level, and then successfully perform manual reduction on this baby.
He checked his health points, and the balance was 340 points.
Proficient in pulling and pulling techniques 37.1/100.
These days, I have been studying with Dr. Xu in the outpatient clinic of the Second Hospital, and I have had ample opportunities to practice my hands, so my proficiency in the extension and traction technique has increased to 37.1.
As long as you can get the opportunity to practice on patients, your medical proficiency will improve very quickly.
To upgrade to mastery, 63 health points are required.
Gritting his teeth, Li Jingsheng decisively upgraded the extraction and traction technique.
After consuming 63 points of health, his drawing and pulling technique was instantly upgraded to the proficiency level.
The operation of traction has obviously improved a lot, and it can reach the point where it dares to pull the patient's affected limb.
Moreover, the definition and understanding of traction are also deeper.
The previous understanding of traction is to use a steel wire to pass through the bone, and then pull the bone in one direction to facilitate subsequent orthopedic reduction operations.
He also understood this when using manual traction on patients.
Now, when he performs traction operations on patients, his movements will be more flexible. Not as rigid as before.
The purpose of traction is ultimately to reset the bone joints, or to restore the fracture to the tight seal it had before the fracture.
As for pulling and stretching, it can be understood as an advancement of pulling.
Used together with traction, dislocated bones and joints can be returned to their original positions.
"Hold him firmly. Considering that the child is too young, we won't give him anesthesia."
Li Jingsheng reminded the family members.
In fact, the pain caused by manual reduction is only momentary and is not as scary as imagined.
The truly unbearable pain should be when a woman gives birth, as well as trigeminal neuralgia, migraine, etc.
At this moment, Boss Zhao, Glorious Man and others all gathered around to watch.
Especially Boss Zhao, this is the first time he knows that Sunshine Clinic can carry out manual bone setting and reduction business.
His eyes were fixed and unblinking.
Li Jingsheng grabbed the baby's hand, stretched it gently, and then gave it a slight lift.
"Qua..."
The baby immediately cried loudly and struggled.
His mother hugged him tightly, fearing that the child would fall to the ground again.
After all, the child has already suffered so much after falling from the stroller seat to the ground.
If you fall again, God knows what the result will be?
"This kid has a very loud voice. He will definitely be a big shot in the future!" Li Jingsheng said with a smile.
The two family members just forced a smile and stared at the child's right hand.
Whether it is cured or not is what they care about most.
Li Jingsheng had already stretched out an index finger and put it into the palm of the child's right hand, allowing the child to grab it instinctively.
Feel carefully.
His expression turned serious.
The family members did not dare to express their anger, and others were watching closely.
"The force is quite good, the reset should be successful. Just hold it steady, and I'll touch it again to make sure everything is fine."
Li Jingsheng's words made the child's grandfather and mother look happy.
The old man who led them over also smiled.
Although the child's grandfather is his student, he introduced the child. If the child is not cured, he, the introducer, will be very embarrassed.
Sometimes you can't be too enthusiastic about doing good things, and that's why.
Li Jingsheng felt the child's bones, and his originally serious face became relaxed.
"We are very lucky. The child's wrist bone has been successfully reset. If you are worried, I can take another X-ray of the child to confirm. The fee is 100 yuan."
Li Jingsheng said to the child's grandfather and mother.
"Take a photo to be safe."
The child's grandfather is still a little worried.
The economic situation of a family like theirs should not be bad. A few hundred dollars shouldn't be much.
And for the sake of the children, let alone hundreds of dollars, no matter how much money you have, you have to spend it when it is time to spend it.
Boss Zhao looked at all this, his eyes were red.
What kind of luck has this boy named Li had recently?
Not only did I sign a contract with Modu Youyao, but now I can actually set my bones manually, and the reset was successful.
The family members couldn't tell that Boss Zhao was a doctor after all. When Li Jingsheng tested the child's grip, he could tell at a glance that the child's right hand had recovered.
As for the child's grip strength, his right hand is not as flexible and powerful as before.
This is because when the joint is dislocated, it suffers certain damage and hematoma occurs around the joint. Even if the reduction is successful, joint pain will still occur, and hematoma will worsen the movement of the wrist.
It'll be fine in two days, that's okay.
Li Jingsheng doesn't care whether Boss Zhao is jealous or not, he only cares about making his own money.
After taking X-rays of the child, it was confirmed that the manual reduction was indeed successful.
A smile appeared on his face.
Not only did he earn 600 yuan, but he also successfully increased his reputation. It also means that there are more publicity opportunities for Sunshine Clinic’s manual bone reduction.
After bringing his family members out, Li Jingsheng did not mention putting a plaster on the child.
This requires help.
Tang Ping was called over to help.
After Xiao Gao received the customers, he felt fine and came over to follow.
Li Jingsheng heard Boss Zhao talking to the handsome man about kidneys. When I first heard it, it sounded quite professional, but since everyone was an expert, I knew as soon as I heard it that some parts were quite metaphysical.
The handsome man listened with rapt attention, which meant that the medical knowledge promoted by Boss Zhao to him had attracted his attention.
Recall that Tang Ping said that this man had bought a bottle of kidney-tonifying medicine after coming here so many times.
It seems that there is something wrong with this person's kidneys.
Kidney deficiency is a common phenomenon among many middle-aged men.
The work is stressful, and most of them have wives. Even those who are doing well will have at least one lover.
The kidneys are too busy and will become weak if they are overworked.
Many symptoms of kidney deficiency will appear at this time.
"Boss Chen, you only have sore knees and get tired easily, right?"
"right."
"Let me test it for you. If the Shenshu point, Mingmen point, Yongquan point, and Sanyinjiao point are painful when touched, it proves that there must be something wrong with the kidneys. If multiple acupoints are painful, it is serious. Uremia Listen Have you passed?"
"I heard that this disease cannot be cured."
The handsome man's expression had become a little nervous.
"It can be cured, but it requires a kidney transplant. Many people wait until they die without being able to find a suitable kidney source. Therefore, getting uremia is no different from being sentenced to death."
I heard Boss Zhao tell this handsome man these things seriously.
Li Jingsheng smiled secretly in his heart.
If doctors want to fool ordinary people, they really shouldn't be too simple.
The first two things that almost every intern must learn after entering the hospital are: first, protect themselves. Second, learn to deceive patients and family members. In clinical terms, this is called harmonious communication.
Thank you book friend Qi Jiuling and the Sword Soul platform for your support. Thank you very much.
(End of chapter)
