"Well... I did go a little too far. I promise I will never do such a thing again." The woman's face was full of embarrassment.
The man was smiling beside him.
Doctors have never been a service industry, but some patients and family members are not in the right position.
When they encounter Li Jingsheng's near-monopoly bone-setting treatment, if they are not treated, it will be useless even if they complain to the Health and Family Planning Commission, not to mention the medical department. Doctors themselves need to take certain risks when treating patients.
If the doctor thinks that the risk of the operation is too great, there is every reason to let the patient choose 'conservative treatment'.
In addition, there are many other defensive diagnosis and treatment methods.
"Sometimes I really hope that your family members can understand the difficulties of doctors. Dr. Li has treated nearly thirty patients this morning. If he works overtime to treat you, other patients can also ask for overtime. Then Dr. Li will eat Without lunch and no way to rest, he won't have the energy to treat other patients in the afternoon, right?"
Nurse Li Li said next to her.
"It's because we didn't think carefully, I'm sorry!"
After hearing this, the patient apologized for his wife.
This is already pretty good.
Some family members and patients rely on some "relationship" to engage in all kinds of nonsense, which is enough to make a younger female doctor cry.
"Teacher, his tibia fracture is very serious. I'm worried that the reduction effect of the manual reduction method will not be very good."
Li Jingsheng showed the film to Dr. Xu.
"You see, it's mainly here that I'm worried about bone fragments forming."
Manual reduction and bone setting cannot cure all bone injuries.
Comminuted fractures cannot be cured.
Some joint dislocations accompanied by severe fractures cannot be cured and require surgical internal fixation.
Doctor Xu frowned after carefully watching the film.
"Come here, let me touch you."
After feeling the patient's bones in person, he pondered for a moment and said, "It's not easy for you to come all the way here. I can try to restore your position. If the effect is not good, then you can only consider surgery."
"Okay, okay, please take care of yourself!"
The patient found that complaining was not easy, and his attitude was completely different from that at noon.
"Xiao Li, just reset him, and I'll take care of this bone." Dr. Xu said to Li Jingsheng.
"no problem."
Li Jingsheng is only missing the last lesson of massage, and he is fully capable of resetting the broken tibia.
More than twenty minutes later, he had successfully reset the patient's broken tibia.
The broken bone became the final obstacle.
"Hold on and don't move. Pay attention to my techniques."
Dr. Xu clasped the patient's fracture site with both hands, and then used his thumbs to massage the soft tissue and muscles near the broken bone.
"You have to pay attention to the direction and angle of force. If you directly try to push the bone fragment with your hands, the soft tissue will be damaged. Using the power of muscle movement to automatically move it to the defective area is a relatively gentle method, but it is very Test your judgment and skills..."
It's basically the same as scratching the itch in every shoe.
This places very high demands on doctors in all aspects.
You need to be able to accurately judge the status and position of the broken bone just by feeling it, which is equivalent to having an X-ray instrument in your brain, scanning it all the time.
The requirements for massage techniques are higher.
Every massage must accurately predict the movement of the broken bone and bring it back to its original position little by little.
Dr. Xu's forehead was already sweating, and his breathing became rapid and heavy.
It seems that the teacher's health has not yet recovered.
As time passed by, Li Jingsheng paid close attention to every massage technique performed by Dr. Xu.
"Okay, the position of the broken bone has been adjusted. Putting it back into its original position is very technical. First of all, you need to know the shape of the broken bone. Irregular triangles are the most common. Remember, more than one broken bone will be very difficult. If it is difficult to reduce manually, let the patient choose surgery directly. Also, you have successfully reduced the broken bone. At this time, you need to think of a good plan in your mind to put the broken bone back into the defective area.
For example, this patient's bone fragment is triangular, and the defect is here. Put this end back first and then gently press down the other end.
The reduced fracture site needs to be reopened during this process. "
Dr. Xu signaled Li Jingsheng to slightly open the reset tibia to the right.
"Okay, okay, that's it."
The opening angle is not big, about fifteen or six degrees.
Dr. Xu gently rubbed it twice, then grabbed Li Jingsheng's hand and pushed upward slightly to return the opened fracture angle to its original position.
"Dr. Chen, bring me the splint and I'll fix it for him."
Dr. Xu's entire operation process is gentle and lively, showing the master's style of lifting everything with ease.
Only Li Jingsheng can feel how strong the teacher is.
He was sure that Dr. Xu's bone-setting skills were more than a minor level.
Because he himself has two bone-setting techniques that have reached Xiaocheng level, which is far behind Dr. Xu.
"A fracture like yours with a broken bone is extremely difficult to reduce manually. If you can successfully reduce it, it will save you a lot of money and time. You don't need to be hospitalized, but you must take good care of it. If there are no abnormalities, one month Later, the hospital will take X-rays for review. Remember, don’t go to other hospitals to save trouble. After the re-examination shows no problems, and after another two months of maintenance, there should be no problem. At that time, we will teach you some rehabilitation exercise methods. Within two months , it is not recommended that you do any rehabilitation exercises.”
Dr. Xu warned family members and patients.
For patients with such severe fractures, premature weight-bearing exercises must be prevented.
Patients are eager to work and make money, and walking with weight too early may not only cause secondary fractures, but may also lead to risks such as malunion.
After the patient left, Dr. Xu looked at Li Jingsheng, "Have you remembered the massage techniques just now?"
"Yes, I basically remember it. It's just that some of the force-generating techniques still need to be understood in practice."
"It's okay, take your time. Massage seems simple, but it is widely used in manual bone setting. Sometimes it can even play a role in fine-tuning. If the bone-setting reduction does not achieve the expected results, you can use it to make fine adjustments to achieve the desired result. Satisfactory results. In addition, it has certain therapeutic effects on bone necrosis, joint degeneration, etc. After you learn it, you can slowly carry out such treatment projects in the clinic."
Dr. Xu explained to him the use of the last bone-setting technique in a serious and thoughtful manner.
Each bone-setting technique has different uses.
Only by learning them all can you become a true bone-setting master, without any shortcomings.
Not to mention continuing to receive new patients.
Not long after, Dr. Xu received a text message from the medical department.
"A patient who complained to us has withdrawn the complaint."
A rare smile appeared on his face.
Needless to say, it must have been the middle-aged couple who were treated just now who took the initiative to withdraw the lawsuit.
"This is justice and the people's hearts are free!"
Li Jingsheng also smiled happily after hearing this.
Sometimes a small gesture by a patient can make the doctor feel very warm.
He was busy until nearly 6:20, when Li Jingsheng finished treating the last patient, and the manual reduction clinic could finally get off work.
A total of more than fifty patients were treated today.
There are many cases of difficult fractures.
He opened the properties panel to take stock of the day's harvest.
The doctor level experience has increased by nearly 70 points, which is so fast.
Rescuing the patient who had bone cement implanted should have brought quite a reward.
Under normal circumstances, one day's level experience should only be a few points, or at most a dozen points.
The proficiency of the eight bone-setting techniques that I have learned has increased a lot.
The biggest increase was in ordinary bone-setting techniques, which increased by a full 77 points of proficiency, which even frightened Li Jingsheng.
It is actually a basic bone-setting technique.
No matter what kind of bone setting, you need to use it.
For some simple bone setting of joint dislocation, even basic bone setting techniques are enough.
At this rate, it is estimated that ordinary bone-setting techniques can be naturally promoted to a minor level in just four or five days of working in the Second Hospital.
This medical skill is very important.
It is the basis of all bone-setting techniques. If its level is too low, it will definitely prevent other advanced bone-setting techniques from being upgraded.
The gain in health points is also very gratifying.
It took 600 health points to upgrade two advanced bone-setting techniques.
But the current balance is still 327 points.
Helping rescue the patient who had bone cement implanted was rewarded with 100 health points.
Good things like this don't happen every day.
Even so, the life points earned from working in the Second Hospital for one day are staggering.
This was several times faster than how he could earn health points working in the clinic.
In the future, as his strength increases and his status and reputation in the hospital increase, he will probably earn health points faster.
It seems that I made the right move to join the Second Hospital.
The benefits are beyond imagination.
"Get off work! Xiao Li, will you come to work tomorrow?"
Dr. Xu asked.
Doctor Chen and Li Li both looked at Li Jingsheng with envy.
Other doctors work according to their schedule.
Listen to this, Dr. Li can go to work if he wants to? Take a vacation when you want?
"I have to work in the clinic tomorrow, and from now on I will basically have one day off."
"Okay! The doctor's duty list is over there. If you have something to do in the future and you need to take a day off, let me know in advance." Dr. Xu knew that he only worked three days a week.
The hospital has indeed made great concessions in order to recruit this talent.
"Everyone get off work!"
Doctor Xu left first.
"Dr. Li, how about I treat you to a casual meal to show your face?"
Dr. Chen came forward.
After watching Li Jingsheng learn the bone-setting techniques, he received all kinds of preferential treatment. Dr. Chen has long been envious.
If you build a good relationship, you might be able to teach him a few tricks.
"I appreciate it. I have something else to do, so I'll leave first."
Li Jingsheng naturally would not easily attend other people's dinner parties.
With his current income, he can eat delicacies from the mountains and seas every day.
The mouth of the cannibal is soft.
He knew exactly what Dr. Chen had in mind.
When I came out of the outpatient clinic, I saw a well-dressed middle-aged man carrying a bag and walking back and forth in the outpatient hall. Look here from time to time.
Isn't this person Professor Wu?
Why are you waiting in the outpatient hall?
Do you want to harm another female nurse or doctor?
Seeing Li Jingsheng coming out, Professor Wu immediately turned his head.
Li Jingsheng ignored him and walked over directly.
The exit is over there, and the two of them must face each other.
Li Jingsheng walked closer, but Professor Wu still didn't look here. It just so happened that I didn’t even have to say hello.
Don't even think about asking him to please Professor Wu like Ruan Xiaoqin.
He is a doctor who relies on skills to make a living, rather than a doctor who relies on flattery to get his position.
Besides, Professor Wu obviously didn't want to be discovered by Li Jingsheng with his shameful appearance.
"Xiao Li!"
When he was about to walk out of the glass door of the outpatient hall, Professor Wu's voice called him from behind.
"Professor Wu, did you call me?"
Li Jingsheng turned around and saw that there was no one at the front desk of the Orthopedic Surgery Clinic.
Even the nurse girls are off work.
"The cause of the patient's disease today was found to be fat embolism. The cause is probably that the intramedullary pressure increased after cement perfusion, which caused fat droplets to enter the blood vessels and cause embolism."
Professor Wu told him the specific cause of the disease.
"Thank you for telling me this, I learned a lot!"
“I’ll let you know if I happen to meet you here!”
Professor Wu explained.
"Okay, bye."
Li Jingsheng turned and left.
Not long after he left, he instinctively looked back.
Professor Wu also walked out and walked straight towards the parking lot. I didn't see anyone else following me.
"Professor Wu is interesting. Are you waiting for me in the outpatient hall?"
Li Jingsheng originally thought that Professor Wu was going to harm another nurse girl, but now it seemed that he was waiting for him.
The purpose is to tell Li Jingsheng the pathological mechanism of that patient?
It's certainly not that simple.
Could it be that he wanted to apologize to Li Jingsheng? Then he couldn't save face, so he used this method to ease the relationship between the two?
This is possible.
After all, many of these high-status chief physicians are used to being pampered and aloof. It is too difficult for them to apologize to a young doctor with shame.
When Li Jingsheng comes to work at the Second Hospital next time, you will know Professor Wu's attitude.
He didn't think about it any more.
The female patient actually had high intramedullary pressure, which caused fat droplets to enter the blood vessels and cause embolism. Be careful when treating patients with bone diseases in the future.
…
Returning to the clinic, he found that Tang Ping and others were still busy.
"Boss, you are back!"
The three of them looked particularly happy when they saw Li Jingsheng coming back.
"Is there anything going on at the clinic?"
Li Jingsheng looked at Tang Ping.
In his absence, Tang Ping acted as the 'store manager'.
"There are five or six more difficult patients. I said that the boss is not here, so he can either come back tomorrow or go to the hospital for a checkup. For ordinary patients with headaches and fever, they basically buy medicine and leave."
Tang Ping made a detailed registration and showed the report to him for review.
"You guys did a great job. Is it okay to sell medicine today?"
Li Jingsheng asked Xiao Gao who was adding goods to the counter.
"It's not bad. I wasn't very familiar with using the membership card system at first, but Siying learned it after a while, and then she taught us how to operate it."
Xiao Gao praised Han Siying.
"Siying has made great progress indeed. When treating people, she has strong diagnostic skills. One female patient just had a simple cough. After auscultation, she felt that it might be a lung disease. Later, the patient went to the health station for treatment. After examination, he found a lung tumor and was transferred directly to the oncology department of the People's Hospital for treatment."
Tang Ping also spoke highly of Han Siying.
"Siying, that's good! I will work at the clinic tomorrow. If the counter is not busy, you can come over and follow me for diagnosis."
Li Jingsheng saw that it was not easy to recruit a certified doctor.
Decided to train her first.
At least common illnesses can be dealt with by her.
"Okay, thank you boss!"
Han Siying happily nodded in agreement.
"Boss, there is one more thing. The owners of several pharmacies on this street came to you, sat for a while, and then left. They seem to be discussing, let us sell less health care medicines that nourish qi, blood, and brain. .”
Xiao Gao reported to Li Jingsheng.
"It's okay. When they come, I'll make tea for them. If they ask for something, just ask them to come to me."
Li Jingsheng's eyes flashed with a sharp light.
The owners of several pharmacies are usually very arrogant and never interact with Li Jingsheng. What do you want to do when we come to visit you together?
Are you putting pressure on him?
Isn’t it just because you saw the Sunshine Clinic’s medicines selling well that you got jealous?
Everyone is doing their own business, and they will definitely not agree to these people's unreasonable conditions.
Now Li Jingsheng is no longer the small clinic owner who was at the mercy of others.
Among the health medicines, the two categories of nourishing qi and blood are the most important. Li Jingsheng was told not to sell them, but they had the nerve to say so.
At this time, a middle-aged woman pushed in the door, followed by a young mother holding a baby.
It's an acquaintance.
The baby with cow's milk protein allergy causing diarrhea.
"Dr. Li, I can't wait until you come back!"
"Is there nothing wrong with the child?"
Li Jingsheng's heart sank slightly.
After treatment, the child's condition improved significantly. It looks like he is almost fully recovered, but he must not let anything happen again.
"It's always been good. After the last follow-up visit, didn't you ask us to come here for a follow-up visit today? We came here this morning and heard that you went to the Second Hospital for a consultation. We are close to each other anyway, so why don't you come here to have a look again? Are you back?"
When the child's grandmother mentioned that Li Jingsheng went to work in the Second Hospital, she was particularly impressed.
Now Li Jingsheng has this additional identity, and in the eyes of patients, he has become a hospital doctor.
The status, authority, and credibility are all several levels higher.
"So that's it! The child has been eating normally recently, right?"
"It's normal. The little guy has been eating a lot lately! I feel like breast milk can't even supply him."
The child's mother said with a blushing face.
"You don't need a daughter-in-law in terms of nutrition, right?"
Li Jingsheng asked the child's grandmother.
"Pig's feet, old hens, pig's belly, fish... she has never been cut off. My precious little grandson is all fed by my daughter-in-law. I will definitely pick out the ones and cook them for her to eat!"
The child's grandmother could only swear to heaven.
"My mother-in-law has really cooked a lot of delicious food for me these days, and my daily meals are very good."
My daughter-in-law was quite thin when she came here last time.
This time I obviously gained a lot of weight.
His face was also much rosier.
Li Jingsheng looked satisfied and nodded.
"Did you take pictures of the child's poop? Let me take a look."
The child's mother showed him the photo.
"Well, recovery is going really well. Let me weigh the little guy."
Li Jingsheng weighed the child.
"Wow, not bad. Weight is 8.6 kilograms."
Seeing this weight, Li Jingsheng knew very well that the child's disease was cured.
(End of chapter)
