For a family, it is very lucky to have a wife who can help earn money to support the family.
Some women work as full-time housewives with peace of mind.
She even thinks that it is natural to spend her husband's money. She would rather play mahjong all day long and have various entertainments with her "girlfriends" than go to work to make money.
Such families are often very fragile.
As long as the husband's financial problems arise, the family will immediately be in trouble.
If the wife can also have a stable job, the family will be more resistant to risks and more harmonious.
Some families do not have elderly people to help take care of the children. There is no other way but one person in the couple can take care of the family full-time.
After the patient collapsed, his wife took on the burden of the family because she had a job.
Undoubtedly, he is very happy and lucky.
"No one can guarantee whether it will cause disability after recovery. However, for a bone injury like his, there should be no technical problem with manual reduction."
Doctor Xu did not push his apprentice forward this time.
Instead, communicate with family members and patients in person.
Because of such a serious bone injury, Li Jingsheng was not able to treat it.
"It means it can be cured, right?"
The patient and his wife looked at Dr. Xu together.
"You can try it. If the therapeutic effect of manual reduction is not good, it is not too late for you to consider surgical treatment." Dr. Xu obviously took this job with sufficient confidence.
But when answering patients, they are very conservative.
There is no way, this is all forced out by some family members and patients who like to be serious.
For example: the doctor tells the patient that the disease can be cured.
The result was that it did not improve after treatment. This result was not what the doctor wanted to see. To make matters worse, the patient sued the doctor.
Therefore, when communicating with medical staff, they say they can try, which means they can treat it.
They said it might be a certain disease, but that basically means that the disease has not gone away.
"Can it be cured now?"
After a brief exchange with the patient, the family members asked Dr. Xu.
"Can!"
Doctor Xu nodded.
"Lie down on the treatment bed inside. Dr. Li will conduct a preliminary examination for you, and then determine the manual reduction and subsequent treatment plan."
I thought Dr. Xu would do it himself if he took over this big job.
Unexpectedly, he dumped it to Li Jingsheng again.
"I……"
Li Jingsheng wanted to say, Teacher, I really can’t do this job.
As a result, as soon as he said a word, Dr. Xu said expressionlessly, "Young people should work more and don't always think about being lazy. First, check the patient's bones by touching them, then squeeze and separate the bones, and reset him directly." Isn’t that enough?”
Li Jingsheng really wanted to roll his eyes.
Teacher, teacher, you can at least give me some time to adapt!
The broken bones were squeezed together, and there was also local hematoma. It really couldn't be fixed!
Dr. Xu ignored him and went straight in.
"Xiao Li, why are you dawdling? Hurry up! You're always so slow. You'll have to treat two patients in one morning."
Seeing Li Jingsheng's hesitation, Dr. Xu began to curse.
Li Li winked at him and motioned for him to click in.
Dr. Chen wished that such a good thing could happen to him.
It's just people comparing themselves to each other, which makes people mad.
Dr. Xu never let him get started with these difficult bone-setting cases.
Li Jingsheng went in and felt the patient's bones.
It was found that the fractures of the tibia and fibula were very serious, especially the tibia, where the broken parts could move almost freely.
For such a serious injury, the patient only needed a simple splint to fix it. He is really a cruel person.
Not to mention sitting in a wheelchair, even lying on a flat bed will cause severe pain.
However, the patient's face remained normal, and the expression of pain could be seen between his eyebrows.
No wonder his wife, who is so outstanding, is willing to marry an ordinary-looking man and has a good relationship with him.
This kind of showy man is indeed very attractive.
"The broken tibia is pulled by the interosseous membrane and also by the interosseous muscles, causing it to get closer to the broken end of the fractured fibula, causing lateral displacement. During manual reduction, they definitely need to be divided. , let them return to their original position, and then perform reduction and invasive external fixation.”
After Li Jingsheng touched the bones, he gave a series of treatment plans.
For some fractures, after reduction, a cast or a splint is enough.
Some fractures require drilling holes at both ends of the broken bone for internal or external fixation.
Otherwise, after the reduction is completed, if the patient turns over or moves casually, it may cause the connected broken bones to shift.
It takes at least half a month for the callus to grow.
This is still just fibrous callus and requires children.
Bone callus often takes more than a month and a half to grow.
It takes a hundred days to break the muscles and bones.
It takes more than a hundred days for bones to grow properly. That is more than three months.
In fact, it will take at least half a year to return to the previous intensity.
Generally, for serious fractures like this, as long as fibrous callus grows, the broken bone can be stabilized.
"Basically, this is a treatment plan. If you are willing, I will help you apply for a doctor from the anesthesiology department."
Doctor Xu asked the couple.
After discussion, they finally agreed.
In fact, patients will basically agree to the treatment plan decided by the doctor.
A fractured tibia cannot be operated with local anesthesia.
An epidural was required.
Therefore, a doctor from the anesthesiology department must be invited.
"You lie here first. You go and pay the fee and go through the procedures. The anesthesiologist will talk to you when he comes and ask for a signature. Then he can be treated. He needs to be hospitalized, and I will issue a hospitalization bill for you."
Dr. Xu handles the corresponding procedures for the patient.
"Xiao Li, go deal with the other patients. There's such a long queue outside, so you have to work harder, do you understand?"
Li Jingsheng used to come here and study with me for two hours every day, just as a guest.
Now that he is an employee of the Second Hospital, Dr. Xu is no longer polite to him.
Urging him to work desperately.
Of course, this is for his own good.
A strict teacher produces a good disciple.
Only by forcing him to constantly challenge various cases and practice operations can he quickly improve his bone setting level.
Li Jingsheng listened to the advice and asked Li Li to call new patients in and then deal with them according to his ability.
I was pretty lucky, calling in four cases in a row was relatively 'simple'.
They were all cured by him.
Received three positive reviews.
He had long discovered that the probability of receiving favorable reviews for surgical reduction in outpatient clinics was particularly high.
It’s just that Dr. Xu or the entire clinic lost the good reviews in the past.
It doesn't fall on him personally.
Now that he is officially in charge, he operates the entire process. He can even prescribe medicines to patients, issue hospitalization orders, etc. directly in his own name.
This feeling is completely different.
Three good reviews equal 30 health points.
Taking a look at the length of the queue outside, there were only forty more orthopedic patients.
If he handles everything today, how much health points and proficiency in bone-setting medical skills will it cost?
"Young man, why are you giggling?"
Anesthesiologist Lao Yu came over carrying the treasure box.
Seeing Li Jingsheng grinning silly, he couldn't help but tease him.
"I'm not laughing at anything, I'm just happy to have cured a new patient."
Li Jingsheng naturally would not tell the truth.
Not even my parents would tell me about the property panel.
"Humph, not honest. I think you are probably thinking of some pretty girl, right? Your age is the right age to talk about marriage, I think you must be."
Lao Yu saw through his lies, but he was only half right.
After being dumped by his girlfriend once, Li Jingsheng knew that only when a man has a career can he have love.
He is now focused on his career.
As for love, just let it happen.
"Teacher Li, call the next patient in!"
Li Jingsheng did not argue with Lao Yu.
Some things become darker and darker as they are described.
It would be better not to explain.
Another patient came in, a big man about 1.8 meters tall.
The muscles on his body are as knotted as a dragon, and his whole body is made of steel, like a walking humanoid monster. Just standing in front will naturally give people a strong sense of oppression.
"Who is the doctor who treats the disease?"
The man's left arm appeared to be injured and he needed to be held with his right hand.
Perhaps because of the pain, veins appeared on his forehead and his expression was slightly distorted.
It looks even more ferocious.
"Doctors treat illnesses. What's wrong with you?"
Li Jingsheng asked the patient.
Facing this humanoid tyrannosaurus, he felt somewhat psychological pressure.
Fortunately, the opponent is currently injured, otherwise it would be a bit scary.
"I bumped my arm when I was working out, and it said the bone was broken. Please help me take a look."
A strong man speaks like a bell.
Very loud.
Lung capacity should be particularly impressive.
"Have you ever made a movie?"
"This was taken in your hospital, here!"
The man came alone, without any family members accompanying him.
The film was held under his arm with his right hand.
Li Jingsheng took it over by himself. After checking it, he frowned slightly.
"Why is the humerus broken? This is not an ordinary fracture, it is a transection."
A strong man with such well-developed muscles must have a body that is very resistant to beatings.
The left arm was broken, which was a bit surprising.
This shows that the external force endured by his left arm should be very terrifying, and relatively concentrated on a very narrow surface.
"His grandma's, don't mention it. I'm so unlucky. I learned other people to play parkour, but I made a fool of myself on the first day and broke my hand."
A strong man should be around twenty-eighty-nine years old.
At this age, if you still imitate young people in parkour, isn't this asking for trouble?
Parkour is a very dangerous sport.
There are some powerful masters who can walk over the walls as if they were on flat ground.
It is completely the modern version of Qinggong.
It’s just that they challenge various difficult and high-risk sports. For example, if you jump from the roof of building A to the roof of building B, there is a distance of seven or eight in the middle, but there is a certain gap.
If the jump is successful, it must be very exciting and a sense of accomplishment.
If you fail to jump, it is directly equivalent to jumping off a building, your body will be broken into pieces, and you will eventually be sent to the crematorium.
Parkour is relatively popular abroad. There are some enthusiasts in China, but after all, they are still very few.
The weight of this strong man should be conservatively kept at more than 90KG.
In fact, it is more suitable to do some horizontal exercises.
With such a size, it's a bit too clumsy to do parkour.
"Let me check it for you first."
Li Jingsheng motioned to the patient to sit down, causing the chair to creak.
"It might hurt a little bit, can you bear it?"
"It's okay, just do it."
The strong man's expression seemed a bit like he was imitating Brother Guan.
I remember when Guan Yu was scraping his bones for treatment, but he could chat and play chess with others, and was called a tough guy by countless people in later generations.
Li Jingsheng tried to feel the patient's bones.
Good guy, the strong man's arms are almost as thick as Li Jingsheng's thighs.
The strong muscles are cast together like blocks of iron.
To the touch, it's hard.
Building muscles to this extent is no easy task.
"What do you do? Are you a professional athlete?"
"I'm working hard towards this. I like boxing, but my fighting skills are a bit poor, but my physical fitness is still good."
The strong man looked intimidating, but he was gentle in conversation.
"Doctor, after my injury heals, will it affect my boxing?"
"If you recover well, it won't affect you. I guess you'll have to rest for a while in the past few months."
Li Jingsheng touched the man's bones and found that the difficulty was much higher than expected.
If you don't distinguish carefully, it is even difficult to distinguish muscles from bones.
And because the muscles are so developed, the humerus is wrapped inside, and some surfaces cannot be touched.
In addition, he also found that the bone density of this strong man was much higher than that of ordinary people.
It feels like the density is almost close to the bone of the teeth.
The hardest bone in the human body is not the skull, but the teeth.
Being able to make ordinary bones as hard as teeth is terrifying to think about.
If a punch were to hit a person, the force and the hardness of the bones would cause astonishing damage.
In the boxing ring, one punch can knock a professional boxer to the ground and render him unable to resist. It's completely a modern version of martial arts.
"Teacher, there is a humeral transverse injury here. His muscles are too developed and I can't reset it."
Li Jingsheng directly said that it could not be reset this time.
He was very afraid that Dr. Xu would force it on him again.
"Let me see."
Doctor Xu walked out.
"The patient with a broken leg has signed an anesthesia risk notification form and has started to take anesthesia. Please prepare and go in to help him reset. It is not difficult to separate the bones. As long as you are careful, you will definitely succeed."
This is to help Li Jingsheng truly master the pinching and bone-breaking technique.
Dr. Xu felt the strong man.
He has seen a lot, and his expression has hardly changed.
"For patients with such muscular muscles, the bones are transversely injured, and the reduction is doubled. To solve the problem, we must use the two techniques of roof folding and rotation. They must be combined."
After Dr. Xu finished speaking, he said to Li Li.
"Do a skin test on this patient and require local anesthesia."
Unexpectedly, after hearing this, the patient said, "Is it okay without anesthesia? I'm not afraid of pain."
"Definitely not. It's not that you are not afraid of pain, but your endurance is amazing. When I examined you, I could feel that your muscles were tight, which is not good for reduction. I will give you a brachial plexus anesthesia, which will help relax you. Relax your muscles."
The patient said nothing more.
When Li Li was doing a skin test on him, she stood beside him like a little kid.
A realistic version of beasts and beauties.
"It will take more than ten minutes to get the results here. Let's deal with the patient with a broken leg first."
Doctor Xu took Li Jingsheng into the inner room.
The anesthesiologist has given the patient anesthesia.
"Lao Yu, is it ready for operation?"
Lao Yu tested the patient's lower limb perception level.
Then the degree of muscle relaxation was checked.
"Okay, it's time to reset."
This time there was no need for Dr. Xu to urge him. Li Jingsheng took the initiative to walk to the left side of the treatment bed. He first touched the patient's bones and constructed a bone map in his mind.
Dr. Xu looked at him with encouraging eyes.
Lao Yu watched silently, somewhat curious.
I saw Li Jingsheng using his thumbs and index, middle and ring fingers to squeeze the gap between the two bones from the dorsal and posterior sides of the fracture respectively, causing the interosseous membrane to become tense, causing the fracture ends that were close together to separate, and the far and near fracture segments to become relatively deformed. Gotta be stable.
Throughout the entire process, he had a serious expression and was highly focused.
Although his bone-setting talent is five-star, it is really difficult to master this extremely difficult treatment.
As long as one of the subtle movements is not in place, the effect will be unsatisfactory.
The atmosphere in the entire treatment room was relatively dull and tense.
The patients and their families felt very nervous. Li Jingsheng was a little nervous at first, but later relaxed.
To put it bluntly, it means risking your life.
The teacher dared to leave it to him to handle it boldly, so what else was there to be afraid of?
If you really can't figure it out, the teacher will definitely come out to wipe your ass.
He pinched and divided the patient's bones over and over again.
Sweat dripped from his forehead unconsciously, and his back was already soaked.
As he repeated the operation, he felt secretly happy when he reached the seventh or eighth time. This time it felt right.
View the properties panel.
As expected, a new skill was added to the bone-setting skills.
Introduction to pinching and splitting surgery 0/10.
You still have to be bold.
If you don't get started with the operation, you may not be able to master the sixth advanced bone-setting technique in another half month.
Now that he has reached the entry level, he can officially cheat.
In one breath, its proficiency level was raised from beginner level to proficient level, which is equivalent to the level of a junior attending.
Costs a total of 100 health points.
Now, he has quite a lot of health and is quite wealthy.
"Ok?"
The quality of the family members is very high.
There was no rush or impatience throughout the process.
There was no sound to interfere with Li Jingsheng's operation.
"It'll be ready soon!"
Li Jingsheng seemed to be a different person.
From the little horse crossing the river at the beginning, to now having the level of pinching and dividing bones at the main level.
I saw him operating on the patient's calf again. In less than twenty seconds, he completed the bone separation and brought them to the ideal bone position.
As expected, it is not difficult for those who can master it, but it is not difficult for those who are difficult.
At this moment, he adjusted the two juxtaposed fractures to a unified bone position.
Reduction is performed as if it were a "single" fracture.
After the docking was successful, he held the distal end of the patient's severed limb and swung it. There was no need for Dr. Chen to be an assistant this time.
There was no traction either.
"alright!"
He gave a small smile of success.
There was a faint excitement on his face, and an unprecedented level of confidence.
"Teacher, just to be on the safe side, please check him out."
Li Jingsheng asked Dr. Xu to examine the patient.
After touching the bones, Dr. Xu couldn't help showing an expression of wonder.
"Not bad, very good. You don't even need invasive external fixation anymore. Bring me the splint and I'll teach you a composite fixation method."
Dr. Chen brought over the splint that had been prepared long ago.
"This kind of splint is specially made and should only be available in our hospital at present. I drew the pictures myself and asked the manufacturer to customize it. The purpose is to avoid invasive external fixation as much as possible. However, it requires a high degree of cooperation from the patient."
Dr. Xu showed Li Jingsheng the specially made splint.
Some places are indeed cleverly designed.
The bone ends can be locked from both sides to put some pressure on the skin and soft tissues, but compared with invasive external fixation, this method is obviously more popular with patients.
Invasive external fixation involves drilling holes in the bone and then fixing it with a steel frame.
Although it is strong, the pain caused to the patient is continuous.
"When using it, be sure to avoid large blood vessels. Do not compress the blood vessels. You can use it in conjunction with bone palpation."
It was bone palpation again, and Dr. Chen was depressed.
Without getting Dr. Xu’s true biography, I can’t even use this customized splint.
Thank you book friends for your lifelong agreement to reward and support me. Thank you very much.
(End of chapter)
