This little girl was only eleven years old. When she took the initiative to tell the doctor that she was willing to amputate her legs, she must have gone through an extremely difficult ideological struggle in her heart.
He has both the desire to live and the understanding of his parents.
She saw that her mother was unable to make a decision about her treatment and was in extreme pain, so she wisely asked the doctor to amputate her leg.
"Son, uncle really admires your courage. Does your body still hurt now?"
Li Jingsheng examined her at that time and remembered that not only did her legs hurt, but she also had pain in her shoulders.
"It doesn't hurt anymore."
She shook her head slightly and looked at Li Jingsheng with innocent eyes.
"Uncle Li, can I ask you a question?"
"sure!"
"It was you who discovered that I might have a bad disease that day, and that's why I went to the hospital to get timely treatment. I think your medical skills must be very good. Although the doctor never told me about my condition, I know that no The good things may not only grow on my legs, but may also spread to other parts. I really want to know, if the bad things have spread to other parts, can my disease be cured?"
Never underestimate the wisdom of children.
She must have thought about a lot of issues during these days of treatment in the hospital.
His tone and expression when he spoke were like those of a little adult.
The hard work allowed this child to mature mentally in less than a month.
Li Jingsheng was really stumped by this question.
He cannot deceive a child.
To be honest, that's even worse. The hopeful look in the child's eyes. If Li Jingsheng told her that bone cancer is difficult to cure after metastasis, it would be tantamount to personally extinguishing the child's hope for life.
"Uncle will check you first and then answer you, okay?"
Li Jingsheng needed some time to answer her question tactfully.
At the same time, the child must be convinced that his answer is authoritative.
"Um!"
She nodded.
"Let me feel your bones!"
"good!"
She actively cooperated.
Li Jingsheng carefully touched her legs first.
The doctor may have wanted to consider her future recovery life, so they did not perform a complete high amputation.
A little above the knee level, it was amputated.
Part of the thigh is also preserved.
When touching the bones, Li Jingsheng looked serious and closed his eyes to feel the condition of the child's leg bones.
Everything below the patella is gone.
Part of the femur remains, about two-thirds.
After touching it, Li Jingsheng felt that the operation was quite clean. At least with his current level of bone palpation, there was no obvious cancerous phenomenon in his legs.
"Let me look at your shoulder bones again."
He then touched the child's shoulder, humerus, radius, ulna, etc.
Feel all the way from the bones of the shoulder to the fingers.
"Is the child undergoing chemotherapy now?"
"Yes. After the operation, she has been undergoing chemotherapy in the Oncology Department of the People's Hospital. The medical staff there were worried about infection and originally did not recommend her to go outside. She wanted to come to see you, and she was very determined. I begged the doctors and nurses Finally, they finally agreed."
Chemotherapy uses chemical drugs to kill cancer cells and inhibit the growth and reproduction of tumor cells.
At the same time, it will also kill normal cells and immune cells together, leading to a decrease in the immunity of patients after chemotherapy.
At this time, special attention should be paid to infection.
Chemotherapy is a treatment method that damages oneself eight hundred times and kills one thousand enemies.
This little girl had just had her limb amputated, her energy and blood were severely damaged, and her body was already weak. I have gone through at least one round of chemotherapy, and it is really not appropriate to go outside for activities at this time. Especially in an environment with complex germs like a clinic.
Patients who come to the clinic will carry different germs and viruses, and they spread the viruses through coughing, breathing, spitting, blowing their noses and other behaviors.
It is conceivable that the clinic is a relatively closed space, and it has basically become a place where germs are densely packed.
This is why it is best for people with weak immunity not to go to crowded places.
"My child, my uncle has checked you out. Generally speaking, your physical condition is good. The bad things in your body are indeed still there, but only a small part of them are left. Diseases are actually the same as the devil. , if you are weak, it will show its teeth and become domineering. If you are strong, it will be afraid of you and it will run away."
Li Jingsheng looked at the child sincerely.
Eyes are the windows to the soul.
If he lies, the child will definitely notice it.
Therefore, he chose to use this most frank way, with a touch of fairy tale color, to help her build determination and confidence in fighting the disease.
"Have you ever read the story of the Seven Dwarfs and Snow White?"
"Um!"
"The disease in your body is like that vicious queen. As long as you fight it firmly, don't give up, don't be afraid, and cooperate with the doctor's treatment, I believe you can defeat it."
Li Jingsheng found that the little girl's eyes were full of light, which was the light of confidence.
He was secretly happy that the desired effect was basically achieved.
"Tell uncle, what is your name?"
"Tang Shiyu!"
"Here, write your name on this note."
Li Jingsheng took the note and pen from the consultation table and asked her to write her name.
The little girl's handwriting is slightly distorted, but not sloppy.
After Li Jingsheng took it, he wrote his name on a new note.
"We are now exchanging signatures and making a small agreement. When your illness is cured, you will come to the clinic to find me. At that time, I will treat you to any delicious food you want and accompany you to the playground. "
"Really?"
Her eyes sparkled.
His face was full of expressions of emotion.
"Hook!"
Li Jingsheng stretched out a finger.
"Hang yourself on a hook and you won't be allowed to change for a hundred years!"
She stretched out her little hand to hook up with him, completing the agreement.
"Shiyu, come on! Uncle believes that you can defeat the devil in your body."
"Yes, I will!"
She nodded seriously.
"Dr. Li, it's time for us to go! Thank you for being so patient in helping my daughter, thank you!"
The child's mother is an adult and can better understand Li Jingsheng's kindness.
Before leaving, he bowed deeply to Li Jingsheng.
This scene was also seen by Tang Ping, Xiao Gao and Han Siying.
They didn't say anything, they just watched the mother pushing the little girl away with blessing eyes.
Everyone hoped for a medical miracle to happen to that little girl.
But this hope is very slim.
In the face of terrible diseases, human lives are often ruthlessly plundered.
Just after sending this strong little girl away, the glass door was pushed open and a patient was carried in.
Li Jingsheng felt frightened when he saw such patients being carried in.
There are only two situations.
Either he had been treated here, and if something happened, he would bring the person here to cause trouble.
Or they are seriously ill.
Neither one is what he wants.
He quickly stood up and asked proactively, "What's going on?"
"My father broke his leg. I heard that you can do manual therapy here, so we came here."
"Where did you come from?"
Li Jingsheng had already begun to secretly observe the patients on the stretcher. The man in his seventies was thin and wearing dark blue striped shorts. Obvious bruises and scars could be seen on his left calf.
"We came from the Second Hospital. We were supposed to be treated there, but the doctor was ill. A young doctor secretly told us that we could go to the Sunshine Clinic and ask. We have no other requirements, we just don't want to have surgery and try to be treated conservatively. . My father is 76 years old this year, and the hospital doctor also said that the risk of surgery is very high, and advised us to treat conservatively."
The old man was carried over by two men in their fifties, followed by a woman in her forties.
Four people in total.
Judging from their faces, they look quite similar, so they should be brothers and sisters.
There is only one young doctor in the manual reduction clinic, Dr. Chen.
Most likely, he secretly asked family members to carry the patient to Sunshine Clinic.
It's a good idea to sell one to Li Jingsheng.
"It seems that the teacher's illness has not recovered yet! I should buy some fruit after work."
Li Jingsheng is not the kind of heartless person.
Dr. Xu was ill, and his clinic had been in the newspapers and on TV in the past two days, and the small clinic was overcrowded with patients who came for treatment.
There was no way he could go to the second hospital to help.
After work, I must go and visit.
"Have you taken any films at the Second Hospital?"
"made a bid!"
The old man's daughter quickly handed the information packet to Li Jingsheng.
After receiving it and checking it, the old man's left leg had a severe fracture of the fibula and a minor fracture of the tibia.
Judging from the fracture, it should have been caused by a side fall.
If you fall from the front, the tibia will usually fracture first. And the direction of the fracture is also different.
"How was he injured?"
"I fell down while going up the stairs. My dad likes to exercise. He lives very close to the Central Park. We don't know why he fell. Someone called us from behind. When they rushed over, he had been lying on the ground for a long time. "
This time it was the old man's son who answered.
Li Jingsheng nodded, already feeling confident.
"Does the old man live alone now?"
"Yes! He said he is not used to living with us. He lives alone in that old house in the city center."
"After his bone is set, he will definitely need someone to take care of him. I don't have the conditions for hospitalization here. You can discuss it yourself at that time. I have already seen the film, and I am not sure whether the reduction can be successful. You also know that his fracture is quite serious. Yes, both bones are fractured, so the reduction is very difficult.”
After Li Jingsheng watched the movie, he actually had some confidence in his mind.
This business can be sustained.
According to the outpatient charging standards of the Second Hospital, the total cost of manual reduction treatment for such a patient is about 1,200 to 1,800 yuan.
Not fixed.
If you do surgery, it will be expensive.
At least five thousand going up.
There is nothing surprising if it costs more than fifteen thousand.
The patient is older, so the cost of surgery is normal. And the hospital stay is also longer than that of young people.
The metabolism of the elderly slows down, the body naturally ages, and the healing time of bones is much longer than that of children.
It takes a hundred days to break the muscles and bones.
This refers to ordinary adults. If they are elderly, they will be basically healed in three months at most. It is impossible to achieve full recovery.
Of course, hospitalization is based on the assessment of external wounds and comprehensive conditions. Generally, you can be discharged home for about two weeks to rest.
"So it can be cured?"
The three family members all showed a hint of joy.
"You can try it!"
Li Jingsheng will definitely not be able to finish his words.
"How much will it cost?"
"Little sister, it doesn't matter how much it costs! Anyway, as long as it can cure dad's leg. Besides, the clinic is definitely cheaper than a big hospital, and it won't be expensive for us."
The eldest brother talks nice, but in fact how can he not care about it.
If you really don't care about the cost of treatment, you can have surgery in a big hospital, so why go to a small clinic for treatment?
Li Jingsheng naturally did not prick it, but smiled and said, "The cost of bone setting, external fixation, bone paste and calcium tablets is about 700 yuan."
External fixation will definitely require splinting.
The cost price is close to eighty yuan. The retail price of calcium tablets is 30 yuan per bottle, and two bottles cost 60 yuan. Then the bone ointment is out of stock here.
He is planning to find cooperation with Jingui Clinic.
After all, we all know each other now. If we learn from Boss Zhao's methods and tie up some interests, our relationship will be more harmonious.
"Treat it, treat it, seven hundred yuan is not expensive."
A few hundred dollars is really cheap.
In fact, in the 1950s and 1960s, medical treatment was very cheap in my country.
Nowadays, many hospitals and doctors are utilitarian, and for various reasons, people look down on medical treatment.
“You can pay by scanning the QR code there.”
Li Jingsheng must collect the money first.
The three brothers and sisters fought over it, and finally the eldest brother paid for it.
"Doctor Gao, please go to the Golden Chamber and ask Boss Ye to get some bone-repairing plaster. Pick the best one."
In fact, bone-extending plaster is just one kind, and there is no such thing as good or bad.
But this must be said in front of the patients and their families.
"OK!"
Xiao Gao hurried out of the clinic and went to Jingui Clinic to get medicine.
Li Jingsheng began to touch the bones of the old man.
After touching the bones, he found that the patient's bones had some porosis, but there were no other problems.
Bone setting and reduction are more difficult, but he can do it.
First, the rotation and expansion method was used to adjust the position of the fibula. After alignment, the patient's fractured part was successfully reattached through the combination of lifting, pressing, end-squeezing and swinging.
In fact, it is mainly about the reduction of the fibula fracture.
The tibia itself is relatively strong, and the fracture is not serious. It can be reset well by rocking it.
Overall, this reset was less difficult than expected.
It's easy to earn these few hundred yuan.
After the examination was correct, the patient was applied with the bone-repairing ointment brought back by Xiao Gao, and then a splint was applied to fix the broken limb.
After it is done, observe the smooth blood flow of the lower limbs and you are done.
I opened two bottles of calcium tablets and asked my family members to take them back and give them to the patient according to the dosage.
The nutritional status of the elderly is not ideal, which means that they usually do not eat very well. The three children seemed to care about the old man, but no one asked him if he was in pain or how he felt.
The doctor said it was okay and they carried the person back.
As soon as the three of them went out, they heard faint arguments.
Who takes care of the elderly has become a point of contention among the three.
The three of them did not discuss this matter in the clinic just now.
Li Jingsheng didn't mind other people's housework. The patient had been cured anyway, and the rest was beyond the doctor's ability.
"The lunch box has arrived, come and eat!"
He invited three employees to eat.
"That old man's children are so old, but they are still quite filial!"
Han Siying praised the old man's children.
After Tang Ping heard this, he smiled and shook his head but did not speak.
Xiao Gao just lowered his head to cook.
"Boss, did I say something wrong?"
Han Siying wanted to find the answer from Li Jingsheng.
"Siying has just graduated from school. Although she has one year of hospital internship experience, she still has relatively little social experience. When I was setting the bones of the old man, the old man let out a cry of pain. Did you observe the expressions of the three brothers and sisters?"
Li Jingsheng asked her.
"This is really not the case. I only saw the three of them rushing to pay for the treatment. Also, when they heard that the old man's bone injury could be reduced manually, the three of them were very happy. Later during the treatment, the three of them also said, Dad is blessed with good fortune, met a good doctor, didn’t have to suffer, etc. Doesn’t this show that they are very filial to the elderly?”
After Han Siying finished speaking, she took a big mouthful of rice, then put a piece of meat into her mouth and chewed it.
She eats very quickly.
Only Tang Ping eats more elegantly.
"There are some things that you can't take at face value. When I was treating the old man, the old man cried out in pain, and his youngest daughter was talking to someone else on her mobile phone. The eldest son just looked at it indifferently, while the second son called his wife to report what happened here. The situation. None of the children really cared about the old man's feelings. Also, after the old man was brought in, he was conscious and able to speak. No one had ever consulted him for treatment opinions.
After the last three people carried the old man out of the clinic, they argued about who would take care of the old man.
They are all trying their best to shirk it, with various reasons.
Tell me, are these three children really filial or fake? "
Li Jingsheng looked at her with a smile on his face.
Analyze some details for her.
"Then...are the three of them acting? Who are they acting for? What is their purpose?"
She was still a little unconvinced.
A lot of knowledge, especially social experience and experience, cannot be learned from textbooks.
"Isn't this simple? The three children must be concerned about the old man's inheritance! The second brother said that he wanted to find a nanny for the old man, but the younger sister and the eldest brother were both opposed. The idea was that the nanny had defrauded the old man of his savings and house. They must be worried that if they hire a nanny to take care of their father, they will be defrauded of their house and savings.”
Li Jingsheng has worked in the hospital for several years, and worked in the inpatient department. This kind of thing has long been commonplace.
After hearing this, she stopped talking and ate in silence.
Obviously thinking and analyzing what Li Jingsheng said.
When the meal was almost finished, she suddenly said something.
"It turns out that the adult world is so hypocritical! I was almost deceived by those three people."
"The person they want to deceive is not you, but their father."
Li Jingsheng gave her a touch-up.
There is a reason why she failed to pass the recruitment process.
In addition to poor practical skills, my social experience is also very shallow.
However, such talented students often have strong learning abilities. I believe she will soon adapt to real society and become mature.
"Dr. Gao, did you just go to Jingui Clinic to get medicine and pay for it?"
"Did not give."
"Boss Ye knows that you are from our Sunshine Clinic, right?"
Li Jingsheng was worried that Xiao Gao would be impetuous in his work, lest Boss Ye ask for money from Lao Zhao.
"I told her, and she seemed to have known about it for a long time. She also told me that if our clinic needs Chinese medicine, we can go to her to get it, and it will be given to us at cost price."
Black lines appeared on Xiao Gao's forehead.
How much the boss doesn't trust his ability to do things.
"Well, it was done well."
When Li Jingsheng was giving medicine to the patient, he carefully looked at the Xugu ointment he got back. It's almost exactly the same as the one in the Second Hospital, it's all black sticky paste, and even the taste is the same.
Dr. Xu had mentioned to him last time that if he needed bone-replenishing ointment, he could buy it from Jingui Clinic.
He also said it was authentic there.
It was the first time I tried to cooperate with Boss Ye. Unexpectedly, she looked cold but still gave me face.
I have to find a chance to thank her properly.
I settled the bill by the way.
It's definitely not okay to take other people's things for nothing.
After eating, more patients and customers came in one after another, and Li Jingsheng was very busy.
"Doctor, my foot seems to be sprained. Do you have bone-setting water, safflower oil or other medicines here?"
A young girl, who looked to be about twenty years old, was being supported by another girl.
They were still wearing their football uniforms.
Moreover, he was covered in sweat, and his hair was wet and stuck to his neck and forehead.
"Did you just sprain it?"
"Yes! I was so unlucky. I grabbed the ball and lost my center of gravity when I landed. I sprained my foot. My knee hit the ground directly."
The girl speaks very straightforwardly.
Girls who like sports are basically straightforward and carefree.
Li Jingsheng looked at her knees. Her right knee was slightly blue and seemed to be slightly swollen.
"You didn't break any bones, did you? Do you want to take a film to see?"
Li Jingsheng reminded her.
The ligaments, joints, and tendons of the knee joint are dense and special.
For example, the meniscus is located within the knee joint.
Some athletes retire due to meniscus injuries.
Especially multiple old injuries are the most troublesome.
"No, no, no, we play basketball a lot, and injuries are common."
She waved her hands repeatedly.
"Are you professional athletes?"
Jiangli City has a football team, a professional one. As for the basketball team, Li Jingsheng is not sure.
"We are not professionals, we are still studying! But my ideal is to be a basketball player at the national level."
she smiled.
(End of chapter)
