When it comes to the neck and lumbar spine, Li Jingsheng still doesn't dare to get started.
If the force or angle is not grasped correctly and the person is crippled or even killed directly, the responsibility will be huge.
How dangerous is the neck?
Just a normal kiss between a couple can easily kill you.
The neck is not only densely covered with blood vessels, lymph nodes, and nerves, but also has important large blood vessels and some special 'structures'.
When a couple kisses on the neck, even a light kiss with a little force may form a 'strawberry' mark. This is actually because the capillaries in the neck cannot withstand the pressure and rupture and bleed.
When the neck feels stimulated, the carotid sinus will respond and convey the message to the heart.
The heart will stop beating.
The person being kissed will fall into coma and die suddenly.
Just superficial stimulation can easily lead to death. Li Jingsheng was naturally frightened to reset the patient's dislocated cervical disc.
"There are only two cervical discs that have prolapsed, and the difficulty of the reset is not particularly high. You can push, pull, press, traction, and massage, so you can just help him reset. Otherwise, he will have to go back to the People's Hospital for surgery, which is too much. It’s painful!”
After seeing it, Dr. Xu casually handed over the task to him.
"But...the risk of this patient's reduction..."
"Which clinical operation is risk-free? As long as the process is strictly followed, the risk can be controlled!"
Dr. Xu didn't give him a chance to speak at all.
Force this treatment task onto him.
"Okay then, I will strictly follow the procedures. If you don't understand anything, please ask the teacher."
Li Jingsheng looked at the patient.
The two family members exchanged glances, obviously reluctant.
The old lady immediately said with a grimace, "Doctor, I am just a son. What if something goes wrong? Can you please help me to treat it directly? Young doctors can learn more and then operate!"
The family members are not stupid.
The conversation between master and apprentice could be heard clearly.
Li Jingsheng emphasized twice that reset was risky, which already made their nerves tense.
"I have been ill recently. My body is weak and my hands can't help but shake. I can't do anything at all. This Dr. Li looks young, but his skills are very high. When I am away, he always adjusts the patient's bones and resets them. He never fails. Let's get over the problem. If you are really unwilling and don't force it, then you'd better go back to the People's Hospital for surgery."
Doctor Xu said with a serious face.
The family members were in a dilemma after hearing this.
I'll treat it here, I'm a little worried. Don't treat it here, go to the People's Hospital for surgery.
"Auntie, the risk of surgery is actually greater. It needs to be cut from the back of the neck. If a nerve is cut, at least it will be paralyzed for life."
Female nurse Li Li was doing ideological work for the family members.
"Treat it here! Come on, treat it for me!"
The patient now made his own decision and asked Li Jingsheng to treat him.
"Son, what should I do if something happens?"
The old lady was still a little worried.
"This is a regular large hospital, and it's not that easy for something to happen. If something does happen, the compensation they give you and your father will be enough to support you and your father in your old age." In the eyes of the patient, he really is the kind of person who has a poor life and no worries. The indifferent look.
In her thirties, she is still unmarried, has no partner, and has no children. She only has two elderly parents.
The pressure on patients can be imagined.
If this disease cannot be cured, he will basically be disabled for life.
Going to the People's Hospital for surgery is more risky and expensive.
So he took the plunge.
"Doctor, please feel free to treat me! I'm not afraid!"
The patient seemed to have difficulty speaking and could not stand up straight.
The neck is slightly lowered towards the ground.
The physiological curve anti-arch performance is extremely obvious.
He is not afraid, Li Jingsheng is afraid!
This is no joke.
When something happened on the first official day of work at the Second Hospital, Director Hua tried his best to hire him specially. When the time comes, not only will Li Jingsheng's future be ruined, Director Hua and Dr. Xu will also be implicated.
"teacher!"
Li Jingsheng looked at Doctor Xu again for help.
"Let the patient sit down on the chair first, and then feel his bones. Hurry up, there are many patients waiting behind you!"
Dr. Xu is really not afraid of getting into trouble.
Now that the superior doctors have said so, Li Jingsheng is no longer a mother-in-law.
After a year of running the clinic, he did become less courageous.
Every day is like walking on thin ice.
"Come, sit on this chair and relax your body as much as possible."
Li Jingsheng guided the patient to sit down.
It can be seen that the patient's expression is very painful.
Moreover, the patient's right hand already felt unable to use strength.
Cervical disc prolapse often results in direct high paraplegia.
This guy is very lucky.
"Dr. Chen, please help me hold his head while I take off his neck brace."
After Li Jingsheng let go, he was no longer timid and went all out.
"Okay, okay, I'm the best at this kind of job."
Dr. Chen was beaming with joy because of his job.
Seeing their son's resolute attitude, the family members were still a little worried, but they didn't say anything more. Just watching nervously.
After carefully untying the neck brace on the patient's neck, Li Jingsheng could already observe with the naked eye that there was an obvious disc herniation in the patient's cervical spine.
"I'll check it out for you first, relax!"
He felt the patient's bones and carefully felt the joint structure of the cervical spine, bone position changes, bone quality, bone temperature, cartilage damage and local soft tissue swelling, etc.
After touching it, he felt confident.
The space between the fourth and fifth vertebrae in the patient's neck is obviously asymmetrical, wide on the left and narrow on the right, and the fourth spinous process of the neck is deviated.
When further touching the bone, the supraspinal ligament feels peeling off.
The patient's neck tilts forward more than 15 degrees.
The problem is basically identified.
A variety of bone-setting techniques will be used to perform bone-setting on this patient, and a very strict level of control over details is required.
The five advanced bone-setting techniques and basic bone-setting techniques he has learned have reached the master level or above. After repeated evaluations, he believes that he is capable of challenging this case.
If the stretching, traction, rocking and touching techniques can be improved to above the level of Xiaocheng, we will be more confident in resetting this patient.
Now it is operated by him, and the safety is about 50%.
If these advanced bone-setting techniques can be upgraded to Xiaocheng level, the safety factor will be at least 80%, or even higher.
Now that he has officially joined the Second Hospital, Dr. Xu also intends to train his bone-setting abilities and give him some high-risk hand-training opportunities.
I believe that the speed of earning life points will be very fast.
When the time comes to upgrade these bone-setting techniques to a higher level one by one, within a month, his bone-setting level will reach a new level.
"Have you figured it out?"
Dr. Xu asked him.
"I've figured it out. I'm certain that I can successfully reset him."
Li Jingsheng's answer was much more confident this time.
"Isn't it just a cervical disc reduction? Let alone two cervical vertebrae with problems, even if there are three or even four cervical vertebrae, you can definitely challenge it with your current ability. In order to make the reduction safer and the patient suffer less, I suggest You can reset him in three to four sessions.”
Hearing the teacher's words, Li Jingsheng's eyes lit up slightly.
Dr. Xu dared to let him treat it, because it turned out that a safe arrangement had been made.
As a result, Li Jingsheng was still worried for a long time in vain.
Staged treatment is not a novel approach in clinical practice. When encountering a more difficult disease or when multiple symptoms are combined, doctors often adopt a staged treatment approach.
Treat the fatal ones first, wait until the most important problems are solved, and then solve the non-fatal problems.
Manual bone setting and reduction, Li Jingsheng was exposed to only one-time operation.
The restoration is performed in three or four courses, and the bride gets on the sedan chair once.
"It can be divided into four courses of treatment. We don't live far away anyway. As long as the treatment is safe, it doesn't matter if we make more trips."
said the old lady.
"It takes nearly two hours to get here from Yanxia Lane in the north of the city by bus!"
The patient's father corrected him quietly.
This is because they are worried that the doctors will not know the truth, which will really make them rush back and forth.
"If you don't speak, no one will treat you as a mute! You just live in the city and you're not close? That's true!"
The old lady was very upset when her husband told her the truth.
She glared at her husband.
The husband shrank his neck and moved back in embarrassment.
The two of them stared at Li Jingsheng in unison.
Because of his ability to speak, Li Jingsheng has already begun to perform bone-setting techniques on patients.
"Relax, relax!"
While instructing the patient, Li Jingsheng stood behind him, holding the Tianling Cap on the patient's head with his right hand, and pinched the patient's neck with his left hand.
I saw him constantly adjusting his posture and bone-setting techniques.
Pushing, pulling, pressing, pulling, manual traction... whichever bone-setting technique can be used to achieve the best therapeutic effect, he will use it.
Doctor Chen next to him looked envious for a while.
Among these bone-setting techniques, he knew many basic ones, but he couldn't use them as skillfully and freely as Li Jingsheng.
As for some of the hidden tricks and advanced bone-setting techniques used by Li Jingsheng, Dr. Chen couldn't understand them at all.
Among them, the force-generating techniques, massage angles, two-way cooperation, etc., if the operating doctor does not explain it in detail and teach it step by step, you will not be able to learn it even if you want to.
"Ouch...it hurts, it hurts..."
The patient suddenly screamed and the family members were frightened.
In fact, the patient has been gritting his teeth and enduring it since Li Jingsheng touched his bones.
His body was shaking and his teeth were clenching.
Maybe the pain was too much at the moment and it broke the limit of his endurance, so he let out a cry of pain.
"Okay, okay, don't move, don't move."
Li Jingsheng has helped the patient correct the spinous process to the correct position, and more than 90% of the prolapsed intervertebral disc has been restored.
He didn't dare to force the remaining 10%.
Worry about something happening.
In fact, his palms were sweaty.
In terms of nervousness, he was more nervous than the two family members.
"Teacher, now I'm pushing him back to about 90%, and the remaining 10% is slowly brought back to its original position by pulling. Do you think it's okay?"
"absolutely okay."
Dr. Xu was very satisfied with his performance.
With just a few clicks, Li Jingsheng can directly formulate a reasonable treatment plan for the patient. This requires a high level of talent and a considerable level of understanding and mastery of bone-setting techniques.
"Let me tell you, it is more than half restored now, but the subsequent reduction is extremely risky. The safest way is to be hospitalized here, put on traction, and let it slowly reset."
Li Jingsheng looked at the two family members.
"I need to be hospitalized! Can we do it at home?"
When the old man heard that he was going to be hospitalized, he must be worried about money.
"Even our professional doctors have to be careful with this kind of high-risk operation. In order to save the hospitalization fee, you do it yourself at home? In fact, the cost of his hospitalization will not be very high, because there are not many medications, and the main cost is nursing care. It’s a little more expensive. But it’s worth the money. Medical staff are watching to ensure safety and maximize the traction effect.”
Li Jingsheng once opened a clinic and now does ideological work for family members, which is very efficient.
"How long will you stay in the hospital?"
the old lady asked.
"It depends on his recovery. If it's faster, it'll be fine in three or four days. If it's slower, it'll be more than a week! You don't need to worry about the length of stay. The hospital's beds are very tight, and there's also a length of stay assessment system. As long as it reaches The discharge standards have been set. Even if the patient does not want to be discharged, our medical staff will urge him to be discharged. The main purpose must be to cure the disease!"
After listening to Li Jingsheng's explanation, both family members agreed.
With such a son, he must be cured.
Now being able to manually reset it is the best result.
"Here, put the pillow on him first, and I will prescribe hospitalization for you. You go and pay and go through the formalities. After that, we will come here to take him to the inpatient ward. This can reduce the risk of his activities. Before he recovers, he still needs to Mainly rest.”
Dr. Xu made arrangements for the patient.
Hospitalization is not complicated. First, go to the Orthopedic Surgery Department and see the nurse at the nurse desk to complete the procedures, and then go to the hospitalization window to pay the fee and register. After paying the fee, the inpatient department will arrange a bed.
This process requires running around upstairs and downstairs.
It is certainly best for the patient to remain in the outpatient department.
After Li Jingsheng installed the pillow for the patient, he quietly checked the results on the attribute panel.
Level experience +10, general surgical diagnosis +1, bone palpation +10, ordinary bone setting +10, pulling and stretching +10, rotation, flexion and extension +10, lifting, pressing and end-squeezing +10, rocking and touching +10 , HP +11.
The harvest is truly extraordinary.
Especially the proficiency of each of the six bone-setting techniques is +10.
This high-risk operation is a bit difficult, but it will greatly help improve technology.
"Xiao Li, come in with me."
Doctor Xu called Li Jingsheng into the inner room.
"Teacher, is there something wrong with how I handled this patient just now?"
Li Jingsheng asked proactively.
"There are two ways of traction, one is fixed traction and the other is manual traction. What did you consider when choosing to hospitalize the patient for traction?"
Dr. Xu is obviously ready to cultivate Li Jingsheng's ability in all aspects.
"Manual traction is time-consuming. We have a large number of patients in our outpatient clinic every day. This part of the time can be freed up to treat more patients. Also, the patient's cervical vertebrae are not stable now, and even if he wears a neck brace, it is not very safe. . They live in the north of the city, very far away from here. Their family background is probably not very good, so they are reluctant to take a taxi and would rather take a two-yuan bus.
There are numerous risks to patients during this procedure.
If something goes wrong, it will be a devastating blow to the patient's family. It is also detrimental to our hospital.
The cost of hospital treatment for patients should not be very high, and it is convenient for us to check the patient's recovery process at any time. Relatively speaking, patients will also be safer. After weighing all aspects, I think it is the best plan to hospitalize him for traction treatment. "
Li Jingsheng explained his considerations in detail.
After listening, Dr. Xu's expression softened much.
"It seems that you have thought more carefully than me. Inpatient treatment seems to increase the patient's financial burden, but it is the safest one. It should also be the most affordable one. After traction, what are you going to do?"
Some treatment options may seem expensive, but they are stable, safe and can be done in one go.
It might actually save you money.
If this patient suffers a secondary displacement of his cervical vertebra on his way home, it would be a trivial matter if the cost of treatment increases, but he may become paraplegic or even die.
"After the traction, I estimate that the cervical disc should be basically restored. I'm afraid I have to leave the rest to you, which requires massage therapy. I haven't even mastered the bone-squeezing technique yet!"
Li Jingsheng's learning speed is quite astonishing.
However, it is extremely difficult to learn and master all eight advanced bone-setting techniques.
He needs more time.
"Massage and massage are not difficult to learn. Once you have mastered pinching, squeezing and dividing bones, and with the bone touching technique as a foundation, it will be easy to master massage and massage."
Bone palpation allows doctors to keep track of the patient's bone condition at any time.
Whether it is bone setting or massage for patients, it can play a very good 'navigation' role.
Perhaps it is more appropriate to compare osteopathy to a CT scan.
"Originally, I was a little worried about you randomly admitting hospitalized patients, but now it seems that I was too worried. You can make the decision on your own for the next cases. If you really don't understand, ask me again."
After Dr. Xu finished speaking, he took him out.
"Li Li, call the new number in!"
The second patient couldn't wait for a long time. He didn't need Li Li to call his number at all, and he came in in a wheelchair with an excited face.
"It's my turn, it's my turn! My foot was broken. Can you please see if it can be cured?"
The patient was in his mid-thirties, and the person pushing the wheelchair was a middle-aged woman with a haggard face, about the same age as him.
It should be a couple.
The two of them were decently dressed and their financial situation should be okay.
The man was wearing a pair of dark blue jeans, which were covered with mud and blood stains. The trouser legs have been cut off directly to the knees.
This is also the most common emergency treatment measure in clinical practice.
Taking off the patient's pants is uncivilized and can easily cause secondary harm to the patient during the process.
It can be seen that the patient's right leg has a relatively serious hematoma and some skin injuries.
With Li Jingsheng's professional eyes, he could tell at a glance that the man's right calf was probably broken.
It's better than being injured.
But the bones inside must have been severely broken.
He took the information bag from the patient's wife and took out the film to check.
The film was taken at Qiao Bang Hospital.
The two strongest tertiary hospitals in Lijiang City are People's Hospital and Qiaobang Hospital.
What does it mean that patients who have undergone examinations in these two hospitals come to the second hospital for treatment?
It shows that the Second Hospital’s orthopedic surgical reduction is very famous!
No wonder Dr. Xu doesn't even give Dean Jin the face. If he doesn't accept a disciple, he won't accept him. No one can do anything to him.
And he was not afraid that the second hospital would fire him.
Having a special medical skill is so popular.
"Ah, why aren't you hospitalized for surgery for such a serious bone injury?"
After watching the movie, Li Jingsheng was so scared that his face changed color.
The tibia was almost completely broken, and the fibula was also severely fractured.
The broken ends of the two bones had been pushed together.
With such a serious bone injury, is there any other option besides surgery?
"When I was having an examination at Qiaobang Hospital, I unexpectedly heard someone say that your bone-setting techniques are very good. Then I asked a friend who is a doctor for advice. He told me that if my bone injuries could be treated with manual reduction, , then it is definitely better to choose the conservative treatment method of manual reduction. Not only will the recovery time be shorter, but the damage to the body can be reduced a lot.
What’s more, I was injured in this accident. The company learned that I might have to be hospitalized for more than two months, and they directly asked me to recuperate.
I guess my position will definitely be lost.
I still don’t know how long it will take for me to work again. My family is burdened with a large mortgage loan, and I still have 13 months left to pay off my car loan. It would be extremely difficult for my wife to handle it alone. If I can be cured here, I can save a lot of medical expenses. "
The man was extremely honest.
Tell all the actual personal situation.
The purpose of this is to arouse the doctor's empathy and help him to the best of his ability.
Capitalists are ruthless.
Men's positions should be better. The accidental injury required him to be hospitalized for two months, so the company probably wouldn't fire him directly.
But let someone else take over his position, and then when he returns to the company, arrange a new garbage position, such as logistics. It's equivalent to a soft dismissal.
The workplace can be so cruel.
By then, the male patient's condition will be very bad.
Resignation is almost inevitable.
Looking for a new job can be particularly difficult for men and women over the age of thirty-five.
He was still awake and had realized that the crisis in his life was coming. Start looking now for ways to save on treatment costs and minimize treatment time.
"What you have to do now is to take care of yourself and leave the money-making matters to me."
The wife comforted her husband.
"Doctor, although I heard that manual reduction treatment can save a lot of treatment costs, if it will leave him disabled or affect his future motor function, then we will still choose surgical treatment."
His wife looked directly at Li Jingsheng.
It was like giving him a chance.
(End of chapter)
