The evening before yesterday, Professor Wu Neng took the initiative to wait for him in the clinic and was interested in repairing the relationship with Li Jingsheng.
It shouldn't get to that point.
Of course, the best way is to become stronger. As long as Li Jingsheng can perform better in the Second Hospital, Professor Wu will naturally consider the consequences of offending him.
As long as she is not a lustful ghost, she will definitely give up her crooked thoughts about Ou Qinglan.
Judging from the fact that Professor Wu looked very calm and rational when Li Jingsheng took Ou Qinglan away at the bar that night, Professor Wu was a sensible old hooligan.
He probably won't do anything that costs too much.
Li Jingsheng and Ou Qinglan went to the consultation room together. Perhaps out of concern for influence, or because girls are thin-skinned, she walked in front.
I didn't dare to walk side by side with Li Jingsheng.
Even so, the nurses still gave him strange looks and ambiguous smiles.
It is perfectly normal for young male and female doctors and nurses to fall in love.
It's just that as colleagues, we can't help but make fun of them.
When both parties achieve positive results, everyone will send blessings together.
Be it a doctor or a nurse, they are both very hard and boring professions. Have some fun once in a while, this is a rare happy time for everyone.
Ou Qinglan was thin-skinned and couldn't resist the strange looks from the nurses, so she walked quickly into the consultation room.
Li Jingsheng didn't care.
After operating a clinic for nearly a year, his skin has thickened and he has become very mature, and he doesn't care what others think.
As long as you live well, that's fine.
Entering the consultation room of the orthopedic surgery department, Professor Wu was already sitting in the main seat.
Ruan Xiaoqin and two other doctors have also arrived.
Ou Qinglan, who was more ladylike, sat at the bottom.
There are three interns or trainees sitting there, all very young.
The second group is very weak. The only one stronger below Professor Wu is Ruan Xiaoqin, who is the chief physician.
The third strongest among the remaining people is Dr. Qin, who is infinitely close to the ability of the chief physician.
Others are basically shrimp soldiers and crab generals.
This shows that the strength of the second group of orthopedic surgery is very weak, the staff is weak, and there is a lack of mid-level and senior doctors.
If other groups in the orthopedic surgery department are in a similar situation, it means that the entire orthopedic surgery department in the Second Hospital is not that good.
Many of these people present have met each other.
All of these people were present at the drinking party that night.
The number of people was not small, there were eight people in total.
There are just no powerful masters.
Li Jingsheng originally thought that the diagnosis level of orthopedic surgery was only that of senior residents, and he would not be ranked in the second group.
Hehe, now it seems that there is no problem for him to be ranked fourth.
If extraskeletal diagnosis is upgraded to another level and becomes proficient, it will immediately rank among the top three.
It is not difficult to understand that the female patient who was rescued the day before yesterday had a poorly stitched leg wound.
"Professor Wu, I have nothing to do anyway, can you come in and study for a while?"
"welcome!"
Professor Wu forced a smile to Li Jingsheng.
Li Jingsheng unceremoniously sat down next to Ou Qinglan.
Professor Wu's face twitched twice on the stage and he lowered his head to read the information.
Didn't say anything.
Compared with his attitude towards the two of them the day before yesterday, he seemed to be a completely different person.
This is the usefulness brought by the display of strength.
After seeing Li Jingsheng's great potential, Professor Wu changed his attitude towards him.
"Sorry, I'm late!"
Doctor Qin hurried in.
Then he sat down in an empty seat next to Ruan Xiaoqin.
He is the third person in the second group, which can also be seen from the seating arrangement.
Seeing Li Jingsheng also come to the consultation room and sitting with Ou Qinglan, he looked depressed.
"Everyone is here, let's start! In the first case discussed, the patient underwent open reduction, plate and screw internal fixation, and ulnar head transplantation in our hospital more than a year ago. Now he says that his right hand cannot rotate. When I straighten my palm, the pain is severe..."
Professor Wu started playing the PPT video.
"Dr. Ruan, you are in charge of this patient. Do you have any good surgical plans or suggestions?"
"I have given it to my doctor, Dr. Ou, to practice her clinical diagnosis and treatment skills. Doctor Ou, tell me what you think."
Ruan Xiaoqin is so cunning.
Cases that he couldn't handle himself were left to the doctors below.
"Dr. Ou has passed the examination for his medical certificate. Although he is still in the regular training period and has not graduated from his master's degree, he will soon graduate. At that time, he will be an official resident physician in our orthopedic surgery department and practice his clinical diagnosis and treatment skills. It’s still necessary.”
It turned out that she had not graduated yet, no wonder she was forced by Professor Wu to attend the wine party that night and could not refuse.
If you have a master's degree in medicine, or a professional master's degree, you will have four certificates in one upon graduation, and you can apply for jobs directly.
Unless you are entering a top-tier hospital such as People's Hospital or Qiaobang Hospital, you may be required to train for one to three more years, and you will be allowed to work after passing the exam. If you go to an ordinary triple-B hospital, you can basically apply for a job after graduation.
Ou Qinglan stood up and said nervously, "I... still only have some of the most rudimentary options. The current patient's disease is caused by enlarged osteophytes, and surgery should be the only solution."
What she said basically means she didn't say anything.
Professor Wu had no expression on his face and shook his head slightly.
"Sit down!"
Obviously, he was not satisfied with Ou Qinglan's answer.
He looked at Ruan Xiaoqin and Doctor Qin. They were the only two generals under his command.
"Dr. Qin, you have been studying this case for a long time. Let me tell you your opinion first."
Ruan Xiaoqin signaled in a senior tone.
"I think the osteophytes irritate the surrounding soft tissues and cause the patient's pain. Moreover, the soft tissues of the patient's wrist are swollen, so surgical removal of the osteophytes is the first choice. The only troublesome thing now is the recurrence problem, and I have asked two superior doctors for advice."
Doctor Qin talked a lot, but also gave no solution to the problem.
It just points out the key issues.
Of course he kicked the ball back to the two superior doctors.
There is a strict hierarchy of doctors in the hospital. When encountering problems that cannot be solved, interns and regular trainees can find resident doctors. Resident doctors can find attending physicians, who can seek out chief physicians.
This is a matter of course.
Therefore, the chief physician has no strength and cannot lead the team at all.
Otherwise, I will be slapped in the face every day and I will lose face!
Professor Wu is able to lead the team largely because of his specialized skills in bone cement treatment.
At the Second Hospital, he was the only one.
"Dr. Li and Dr. Ou sat together and discussed for so long, they should have gained something, right? Why don't you tell us."
Ruan Xiaoqin now grabs every shield he can.
Even the guest Li Jingsheng was caught by him.
"I?"
Facing everyone's gaze, Li Jingsheng could only stand up.
It must be mentioned here that according to the rules, those above the attending level should not stand up when speaking during discussions. It is more polite for those below the attending level to stand up and speak out of respect for the superior doctors.
It depends on personal wishes.
Everyone was standing and speaking. If only one resident doctor acted independently and was arrogant, he would definitely lose points.
Doctor Qin looked at him slightly mockingly.
Seeing Li Jingsheng's surprised expression, he guessed that Li Jingsheng must have been unprepared.
Just wait and make a fool of yourself.
Among the dwarfs, he was the general. His performance was better than that of Li Jingsheng, and he was able to win back some favor in front of Ou Qinglan.
"I am not good at orthopedic surgery, so I would like to make some immature suggestions. If there are any mistakes or omissions, please correct me from the superior doctors."
Since I asked him to talk, let him express his opinion.
It’s just a discussion anyway.
He ignored Doctor Qin's mocking look.
"I checked the literature and found that osteophytes on the bone stump are almost inevitable during surgery. The reason is that the instability of the bone stump stimulates the periosteum and soft tissue during rocking, which leads to subperiosteal osteogenesis. I think. To cure it radically, I think we cannot just remove the osteophytes during surgery, otherwise it will definitely recur. It is best to remove the bone stump together with the surrounding periosteum.
Of course, I have never done this kind of surgery. I would like to ask Professor Wu to correct me on whether it is feasible. "
Li Jingsheng talked eloquently and gave a less specific surgical plan.
But the direction and goals are clear.
Remove all bone stumps, osteophytes, and periosteum.
Professor Wu's eyes hidden behind his glasses suddenly lit up, and he couldn't help but look at Li Jingsheng with great admiration.
"The key to the formation of osteophytes is the periosteum. Removing the periosteum together may seem bold, but it is actually feasible. This treatment plan is in line with my point of view. If done well, it should be able to cure the problem once and for all and avoid recurrence."
There was a deathly silence.
Dr. Qin looked at Li Jingsheng with disbelief. He couldn't believe that such an advanced surgical plan and clinical knowledge of orthopedic surgery came from Li Jingsheng's mouth.
The other doctors looked at him in shock.
Several intern doctors looked at Li Jingsheng with admiration, as if Li Jingsheng was the goal of their future efforts.
Ruan Xiaoqin's expression became a little strange. He really didn't expect Li Jingsheng to be so strong.
Ou Qinglan's smile turned into a flower.
"You can do it. You can answer such difficult questions and really provide solutions!"
Beauty is in the eye of the beholder.
When she looked at Li Jingsheng now, she liked him everywhere, and she felt that he was a unique man in the world.
It's her thing.
"Hehe, it was just an accidental collision."
Li Jingsheng laughed dryly.
It would be great if one day I could achieve something remarkable and become a member of that international medical forum.
Only by becoming a member can you have the opportunity to discuss medical problems with top international surgeons.
I felt that I had the courage to give the surgical plan just now, and got Professor Wu's approval, so I should have gained life points.
He checked it secretly, 107.
He was rewarded with 50 health points.
And extraskeletal diagnosis proficiency +10.
This is so cool.
"Let's discuss the second case. This patient is only 18 years old. She suffered from intermittent pain in her right wrist three years ago, which would relieve itself after a few days. Recently, the pain has worsened and her forearm rotation has been limited, which has seriously affected her life and study. You came to our hospital specifically for treatment.”
PPT slides are played on the big screen.
It can be seen that the patient's X-ray shows reduced density and neat edges in the proximal pole of the scaphoid and the radial side of the lunate.
"This case is difficult to diagnose. The cause is currently unknown."
Professor Wu said, and played a second slide, this time a CT film.
The patient's wrist bone was also photographed.
In terms of clarity, the carpal bones shown by X-ray are clearer, especially the outline of the bones.
The film effect looks whiter.
The CT renderings are darker, but more precise in details.
If the cause of the disease was not difficult to understand, it would not be possible to perform a CT scan on the patient because it is much more expensive.
CT shows a low-density area at the scapholunate joint.
Li Jingsheng thought to himself, you ask me to touch the bones to diagnose this kind of bone disease!
The effect of bone palpation at the junior level is no worse than that of CT.
Patients can also consume less radiation and spend less money.
After checking X-ray and CT, the conclusions reached are actually similar. At this time, it may be suspected that the patient has a tumor, which may be highly malignant.
Therefore, Professor Wu prescribed a more advanced examination for the patient, MRI.
As a result, T2W1 showed uniform high signal in the scapholunate joint, indicating that the lesion was fluid.
It has to be said that modern examination equipment is quite impressive, and the cause of this patient’s disease has been found.
Even a layman like Li Jingsheng already knew that the patient had an intracarpal ganglion cyst.
"After reading the third slide, I believe you already know the diagnosis. Yes, it is an intraosseous ganglion cyst, just a relatively ordinary tumor. It is not a malignant tumor. Before it was diagnosed at the time, I was thinking about this The patient sweated a lot, fearing it was a bad tumor."
Although Professor Wu has poor personal ethics when it comes to men and women, he still retains his original intention as a doctor towards his patients.
This also made Li Jingsheng get to know him again.
There are no absolute bad guys and good guys in the world. In the final analysis, they are all for their own selfish desires.
"This time everyone is free to speak and talk about the surgical plan."
Professor Wu convened a discussion with his doctors, and after solving the most difficult case, the second case seemed to be not for discussion, but for teaching.
It can be seen that he has put some effort into training these doctors.
"I'll say it first!"
Dr. Qin lost a game to Li Jingsheng, and now he seized the opportunity to stand up and compete for performance.
"Most ganglion cysts are accessed from the back of the hand, but this patient's CT and MRI can accurately determine the location of the tumor on the volar side, so I think it is better to choose the volar approach..."
Dr. Qin’s surgical experience is really impressive.
It's quite rich.
I have definitely seen more than one ganglion cyst surgery, and may even have been involved in multiple cases.
After he finished speaking, Professor Wu nodded with satisfaction.
"Well, not bad. Xiao Qin has always worked hard. I will try my best to give you as much training as possible during this operation."
Doctor Qin was overjoyed when he heard this.
I was so happy that I couldn't even close my mouth.
"Thank you Professor Wu for your cultivation! I will study harder and strive to become a pillar of the second group as soon as possible."
Professor Wu nodded repeatedly.
Ruan Xiaoqin smiled and praised from the side, "Dr. Qin is already the pillar of our second team, why are we waiting for the future!"
"Haha, I don't dare to take these two words seriously now. At least I have to wait until I am promoted to attending physician before I dare to think about it. At present, the backbone of the second team is Dr. Ruan and Professor Wu."
The two men flattered each other.
"Dr. Li, don't be silent! Tell me your opinion too."
Dr. Qin was very proud of being praised by Professor Wu.
He gave Li Jingsheng a provocative look.
"I don't have any opinion, but if I haven't discussed surgery with the patient yet, I can go over and try manual therapy, and maybe I can avoid surgery."
Li Jingsheng said calmly.
Ganglion cysts, if severe, can only be treated surgically.
If it is not serious, some can be massaged by hand and pressed down directly.
When Dr. Qin heard that Li Jingsheng could perform manual treatment, he stopped laughing.
I thought I was pretty cool, but I didn't expect that people didn't even need an operation, they could just massage it.
However, only Dr. Xu and Li Jingsheng have the highest level of manual bone setting and reduction.
Other doctors in the orthopedic surgery department, including Director Hua, are also very skilled in this area.
"Forget about manual treatment, there is no need to create complications. Moreover, the patient's cyst is larger, so surgical treatment will be more thorough."
Professor Wu directly refused to let Li Jingsheng try manual therapy.
This is for the benefit of the department.
How much does manual therapy cost?
Fifty dollars?
Two hundred yuan at most is a lot.
The total cost of an operation is less than 2,000 yuan, which is simply not worthy of his title of director. There is a high probability that it will reach more than 3,000.
In fact, most tumors, even if they are benign, basically go up.
The bigger one is more difficult to handle, that is to jump up to 10,000 yuan.
"Let's discuss the third case again..."
Professor Wu was also worried that his doctors would say he looked ugly, so he immediately turned to the discussion of the third case.
"I have to rush back to the clinic to go to work. Goodbye everyone."
Li Jingsheng glanced at the time. It was almost one o'clock and he had to go back to the clinic quickly.
"If Dr. Li has time after work later, you can come over and participate in the osteophyte removal surgery. At that time, I will give you some hands-on training opportunities based on your ability."
Professor Wu stopped him.
This guy is really interesting.
Is it because Li Jingsheng played a central role in formulating the surgical plan for this case and gave him some sweeteners?
Or maybe you don’t want to owe Li Jingsheng a favor?
Are there any deeper considerations, to repair the relationship with Li Jingsheng, or even to recruit such talents into the second group?
"Doctor Ou will also participate when the time comes."
Professor Wu saw that he was hesitant and added another sentence.
Other residents rushed to perform this kind of surgery when they had the opportunity.
Li Jingsheng was not an ordinary resident doctor. He had an indifferent attitude, which made Professor Wu very depressed. He could only move out the beauty Ou Qinglan.
"Haha, okay, I'll come over after work in the evening."
All the honey traps have been used, and it doesn’t matter if you don’t agree!
…
Back at the outpatient clinic, Li Jingsheng's bone-setting techniques were a slam dunk this time. He had no shortcomings, just one word: do it.
Every patient is cured.
His health points and proficiency in various bone-setting techniques are increasing rapidly.
Dr. Xu was watching from the side, which was a great relief to me.
Even his face, which was originally pale and slightly sickly, looked much better.
Seeing that the apprentice is so promising and has quickly learned all the bone-setting techniques, the teacher must be happy!
There is a successor.
I was busy until 5:30 in the evening, and I had finished handling all the patients.
One case couldn't be cured and had to be hospitalized for surgery.
Everything else is done.
Not all fractures and joint dislocations can be treated with manual reduction.
Many of them are actually incurable and must be treated with surgery, steel plates, screws, traction and other means.
After get off work, Li Jingsheng went directly to the canteen to eat.
Then he went straight to the orthopedic surgery inpatient department to prepare for the operation.
(End of chapter)
