If you sit on a hot chair that someone else has just sat on, there is a certain risk of infection if the other person carries an infectious virus.
Although human skin has a strong barrier capability, caution is always the best.
"Here, you won't dislike it after I've used it, right?"
She took out a water mat from the drawer, first put a newspaper on the chair, and then spread the water mat on Li Jingsheng.
It's actually a cute pink color with cartoon patterns painted on it.
"You really know how to enjoy it!"
Li Jingsheng sat on the water cushion. It was cool and soft, and very comfortable.
"Hehe, who doesn't know how to enjoy it? How is your orthopedic surgery diagnosis level? Help me take a look at this case."
She smiled and invited him to watch a medical case on the computer.
Li Jingsheng moved his chair over and got very close to her. She didn't have any intention of avoiding it, but her pretty face turned slightly red.
After all, she was in the office, and it was the first time she sat so close to a member of the opposite sex, so she felt a little embarrassed.
The medical history is not complex.
This patient was injured in a car accident more than a year ago, causing a fracture of the radius of his right hand with a certain degree of defect, and dislocation of the distal radioulnar joint. Then I chose to have surgery in the second hospital.
Checking the past medical records, the last operation was open reduction, ulnar head transplantation, and internal fixation with steel plates and screws.
Postoperatively, the patient's bone injury healed fairly well.
However, patients often report pain on one side of the wrist joint, especially when moving the wrist.
The result of the re-examination at that time was that there was osteophyte formation on the ulnar stump.
However, it can be seen from the film that the size of the osteophytes is very small and the density is also very low. The attending doctor recommended that the patient observe for a period of time before further treatment.
It is common for osteophytes and bone spurs to form after joint injuries.
It is usually caused by repeated friction and stimulation.
It will cause a certain degree of pain to the patient, but generally will not affect the patient's joint movement function.
Moreover, some patients gradually recover after a certain period of adaptation.
In a patient like this patient's case, it is recommended that observation is entirely advisable.
Unexpectedly, as time passed, the man's pain not only did not decrease, but gradually worsened. Now the patient can barely rotate his forearm, and the pain is excruciating when he reaches for things.
I had no choice but to come for treatment again.
After X-ray examination, it was found that the patient's ulnar stump osteophytes had increased many times, and the density was close to normal bone.
Repeatedly comparing the patient's pre-operative, one-year post-operative, and current films, we can see that the patient's ulnar stump osteophytes have grown particularly dramatically. Its length and thickness are close to the ulna.
The whole is conical, and a medullary cavity can be seen forming.
The fracture site of the distal radius had healed that year.
"The patient's pain must be caused by osteophytes. Wouldn't direct surgical removal be enough?"
Li Jingsheng's extra-orthopedic skills are average, but fortunately his basic knowledge of orthopedic surgery is fairly solid.
In addition, his general surgical diagnosis has reached a proficient level, which is somewhat helpful for his extraskeletal diagnosis ability.
"The difficult thing now is not how to deal with the osteophytes, but that as long as the patient's right hand moves after the osteophytes are removed, because the stump bone is unstable, a slightly larger swing will irritate the surrounding tissue and cause pain. In this way, it will also cause pain. New osteophytes will regenerate.”
This is what Ou Qinglan is worried about.
"I checked the information and found that regeneration of stump osteophytes is almost a necessary complication of this kind of surgery and there is no way to avoid it."
Tissue hyperplasia really makes the doctor's head hurt.
Needless to say, scar hyperplasia is more difficult to eliminate than cancer tumors.
Bone hyperplasia is also very difficult to deal with.
It is easy to relapse after treatment.
Clinical breast hyperplasia is even more frightening to lesbians, fearing that it will directly turn into cancer after 4A.
"Didn't you ask the superior doctor for advice?"
"Dr. Ruan said he wanted to exercise my clinical thinking and let me think on my own."
The Dr. Ruan she was talking about must be the sharp-mouthed and monkey-cheeked Dr. Ruan Xiaoqin.
This person is thirty-seven or eighteen years old, and at least he is an attending physician.
He has some status within the department.
Ruan Xiaoqin was not seen today.
"Isn't the patient scheduled for surgery yet?"
"No. The surgical plan has not been determined yet. We will discuss it this afternoon."
She shook her head.
"Are you in Professor Wu's group?"
"right!"
"Isn't your group only studying bone cement treatment?"
"Who said that! Bone cement treatment is a special treatment project that Professor Wu specializes in. Our group mainly treats bone trauma cases. We also have a little dabbling in joints."
I see.
Think about it, there are only a few patients treated with bone cement every year.
If the hospital had such a large group of doctors and only treated a few orthopedic patients a year who were willing to receive bone cement treatment, it would probably go out of business long ago.
It is impossible for hospital leaders to agree.
Bone trauma is a big deal, and there are still quite a lot of patients.
"It's okay, I'll check the information for you."
Li Jingsheng had nothing to do anyway, so he took out his mobile phone and searched online for relevant literature on osteophyte treatment.
There are quite a few studies on this aspect, but there is not much relevant treatment experience.
Even fewer are useful.
No wonder Ou Qinglan felt distressed.
Fortunately, Li Jingsheng's English reading skills were passable, so he entered an international medical exchange forum and began to read related posts.
Because the registration threshold for this forum is very high, only doctors with certain achievements in the surgical field can become registered members.
He could only flip through page after page as a tourist.
Visitors cannot post, reply, or search, but they can view some surgical discussion threads that are open to the public.
In order to help his girlfriend, he also worked hard.
When he opened a clinic, he often delved into some surgical clinical knowledge and finally discovered this website. I feel that the posts there are of high quality, and most of the people who post them are top experts in surgery-related fields.
He has kept this website ever since.
Unfortunately, because of my low status, I didn’t have any decent honors or certifications, so after I submitted my registration application, it was always under review.
The forum announcement states that in order to ensure the quality of this medical forum, a higher threshold is set for registered members.
And even if you successfully register as a member, you can't irrigate people wantonly.
If there are serious errors in posts or replies, points will be deducted. If a certain number of points is accumulated, the membership will be cancelled.
After some searching with his mobile phone, Li Jingsheng finally found an authoritative statement on the formation of osteophytes on stumps.
“The stump often has osteophyte regeneration, and when the size is large, it is often due to subperiosteal osteogenesis.”
In this way, the regeneration of osteophytes is closely related to the stimulation of the periosteum.
In order to verify whether this netizen's view was correct, he quit the forum and started frantically searching for information on periosteum and osteophytes.
After multiple verifications, it is basically certain that the views expressed by that netizen are accurate.
After checking this step, Li Jingsheng already had some confidence in his mind.
He noticed that his level of orthopedic surgery seemed to have improved, and he subconsciously checked the attribute panel.
There is actually a new medical skill in the diagnostic skill column.
Introduction to Orthopedic Surgery 0/10.
He was particularly surprised that he was able to elevate orthopedic surgery diagnosis to an entry-level level at this critical moment.
It has been three days since he joined the orthopedic surgery department. Although he has been messing around in the surgical clinic, if he can improve his orthopedic surgery diagnosis level, it will greatly improve his abilities in many aspects.
It is even more crucial to improve his status in orthopedic surgery.
No matter how awesome the bone-setting technique is, it’s just because no one can replace it.
However, in terms of academic and medical professional titles, it is of little use.
If you are exhausted, you will be like Dr. Xu, enjoying good food and drinking hot food, marrying a beautiful wife, and living a happy life.
Nowadays, orthopedic surgery diagnosis has reached an entry-level level, which may be of little use to other orthopedic surgeons. It is just the lowest passing level.
For Li Jingsheng, who has an attribute panel, it is equivalent to having the foundation for cheating.
He checked the balance of his health points. Because he had just upgraded his massage technique to a minor level in the morning and spent 490 health points, he didn't have much left now.
A total of only 67 health points.
This is only possible after many patients have had their bones corrected later.
In general, as long as he has the opportunity to work in the orthopedic surgery manual reduction clinic, the acquisition of health points is guaranteed.
He is no longer an apprentice now and has the ability to practice medicine completely independently, so he must earn health points much faster than before.
In the past, it was relatively easy to earn fifty or sixty health points by working two hours in the morning.
Now I have no pressure to earn one or two hundred health points after working all day.
It's even possible to earn more.
Therefore, without any hesitation, he directly added 10 points of proficiency to his newly acquired orthopedic surgical diagnosis.
Orthopedic surgery diagnosis proficiency 10/100.
This medical skill instantly rose from the level of a junior resident physician to the level of a senior resident physician, basically on the same level as Dr. Qin, with no problem.
But Doctor Qin must be stronger.
Because Dr. Qin has already worked as a general inpatient and will soon be promoted to attending physician.
Li Jingsheng has just been promoted to the senior resident level, so there is still a certain strength gap between the two.
With skilled-level orthopedic surgery diagnostic capabilities and proficient-level general surgical diagnosis, Li Jingsheng had some direction when thinking about the difficult case in front of him.
No longer like before, like a headless fly, unable to grasp the key points.
He began to think about practical surgical options.
The main reason is the lack of surgical experience in the field of orthopedic surgery.
So even though he had found the cause and had a general surgical direction, the specific implementation plan was still vague.
At this time, Ruan Xiaoqin walked in.
Ruan Xiaoqin's eyes changed slightly when he saw that Li Jingsheng was also there and taking Dr. Qin's seat.
But nothing was said.
After a while, Professor Wu also came in. Standing at the door, he saw Li Jingsheng sitting very close to Ou Qinglan at the same glance. His face twitched.
The day before yesterday, Li Jingsheng and Ou Qinglan were sitting in the two seats side by side at the door stall. He was so angry that he was furious.
Today, Li Jingsheng took Dr. Qin's seat directly, and moved his chair almost next to Ou Qinglan. This completely ignores Professor Wu’s warning yesterday.
And there are suspicions of getting worse.
The other doctors in the office couldn't help but sweat for the two of them.
They all hunched their necks, waiting for Professor Wu's thunderous anger to be poured out.
It's just interesting that although Professor Wu had a sullen face, surprisingly he didn't get angry.
This surprised several doctors in the office.
"The doctors from our second group went to the consultation room to discuss two cases."
Professor Wu is actually very helpless.
Facing a lawless and evil young doctor, he really couldn't control himself.
Li Jingsheng was very helpful in rescuing the patient the day before yesterday.
"OK!"
The three doctors in the second group agreed in unison.
"Where's Xiao Qin?"
"Director Hua asked him to do something."
"Call Xiao Qin and ask him to come to the consultation room to discuss and study together when he has time. These two cases are very typical and are particularly worthy of study and research by you young doctors."
After Professor Wu finished speaking, he left directly.
He was probably also afraid of making him angry if he stayed here and saw Li Jingsheng and Ou Qinglan flirting with each other.
"Dr. Ou, go to the consultation room quickly! Call Dr. Qin."
Ruan Xiaoqin deliberately separated Ou Qinglan and Li Jingsheng.
And deliberately created some opportunities for Dr. Qin to come into contact with Ou Qinglan.
"good."
Ou Qinglan took out her mobile phone and called Dr. Qin on the spot.
Group 2, Qin Fei.
This is the phone name she saved.
"Dr. Qin, where are you now?"
"I'm helping Director Hua sort out some patients' medical records. Is there anything you need my help with? As long as I can do it, I will do my best to help you."
Dr. Qin's imagination is truly extraordinary.
His attentiveness makes people laugh even more.
"Thank you for your kindness. I have nothing to do. Professor Wu just informed all the doctors in our second group to come to the consultation room to discuss the case. If you have time, please go there immediately."
"Okay, okay, I'll be right over. Have you come up with a plan for your long osteophyte case on the ulna stump? Do you want my help?" Qin Fei immediately became energetic when he heard that the case was being discussed.
It is estimated that Director Hua temporarily arrested him to sort out the medical records and make room for Li Jingsheng, which made him want to die.
Writing medical records and disease progression is a very painful thing.
Organizing medical records is equivalent to studying the medical records from beginning to end and correcting any problematic areas. This process is relatively boring.
Of course, there are definitely benefits.
Studying a medical record from beginning to end is equivalent to clinically diagnosing and treating a patient.
A large amount of clinical experience can be accumulated.
You can learn about the cause diagnosis, the effects of medication, surgical plans and prognosis, etc.
"Thank you, I will figure it out myself."
After saying that, Ou Qinglan hung up the phone.
She doesn't give any chance to other men.
Li Jingsheng must have been particularly pleased, and at the same time he was also a little curious, what did Ou Qinglan like about him?
If you want money, you don’t have money; if you want status, you don’t have status.
In terms of medical skills, there are many young doctors who are better than Li Jingsheng.
"Your surgical reset clinic opens at 1 o'clock. There are still twenty-three minutes left. Can you accompany me to the consultation room?"
She extended an invitation to Li Jingsheng.
"Hold hands?"
Li Jingsheng raised his eyebrows, deliberately teasing her.
"If you want to see Professor Wu smash the table, just do that! Besides, if you really want to experience the romance of holding hands, you can treat me to a movie or a late night snack! But I have agreed in advance that I must be back before eleven o'clock Home."
She responded not to be outdone.
This girl is so enthusiastic.
Just flirt and get a response.
This is the importance of two people seeing eye to eye. There is almost no resistance when a man pursues a woman.
Li Jingsheng should be right in her eyes.
The two have known each other for some time. Through many contacts, she should have a general understanding of Li Jingsheng's character. Judging from her reaction, she must have a good impression of Li Jingsheng.
"today?"
Li Jingsheng should have nothing to do after get off work. At worst, he won't read or practice surgical skills tonight.
It's not a bad thing to ask her to watch a movie together to heat up the relationship.
If you want to be happy and fulfilled in life, love, friendship, and family affection are all indispensable.
The best way to get over the pain of a broken relationship is to fall in love again.
After breaking up with his girlfriend, he kept his grief buried deep in his heart.
Every day I think about working hard, trying to change the operating conditions of the small clinic, and trying not to leave myself any time to be sad.
The reason for quitting the rental house was not only for financial reasons, but also because I didn't want to hurt my feelings.
Whenever it was late at night, loneliness would make him feel very painful.
All he can do is read and study hard, or practice surgical skills until late at night, to prevent himself from thinking about love-related memories.
If Ou Qinglan can really fill this vacancy, he will no longer have to be afraid of loneliness and loneliness late at night.
"It doesn't seem possible. I have to work the night shift today, and I will still be on the night shift tomorrow. I should be able to get off work normally the day after tomorrow. Is it okay the day after tomorrow?"
The hardest part of a doctor's schedule is interns, trainees, and residents.
Sometimes there is not enough manpower, and it is common to have to work for thirty-six hours in a row during busy times.
Especially emergency departments and operating rooms are often so busy that people can die suddenly at any time.
"Okay, I'll make an appointment with you the day after tomorrow."
Li Jingsheng couldn't let her take the initiative every time.
"Haha, I thought you were a big piece of wood! It seems you are not! Come on, let's go to the consultation room quickly."
She smiled happily, showing her white and neat teeth.
It is undeniable that the way she smiles is really charming.
I really don’t know what Professor Wu, that old gangster, was thinking. With such a cute and beautiful girl, he was old enough to be someone’s father, yet he still had the nerve to make such a crooked idea.
This kind of thing happens not too often in hospitals, but not too often.
In hospitals with a slightly worse style, many head nurses are the lovers of the dean. This is almost an open secret.
Some professors will block their young female doctors from graduating or from joining good research groups. If you want to graduate and join a research group, you have to devote yourself to it.
Ou Qinglan is now Li Jingsheng's girlfriend, and he will definitely not allow that to happen.
If Professor Wu doesn't know what's going on, he doesn't mind ruining the old gangster's reputation.
This does not require any personal connections. He only needs to use the routine he learned from Boss Zhao when he opened a clinic in Chengnan Old Street, and he can teach Professor Wu how to behave with his tail between his legs in minutes.
(End of chapter)
