When you come to the ward, you can see a very young male patient, who is about twenty-seven or eighty-years-old, sitting on the chair next to the bed.
"Luo Feiming, this is Dr. Li from our orthopedic surgery department. He is very good at manual bone setting, bone trauma treatment, joint treatment, etc. He came here specially to check the condition of the carpal bones in your hand."
Putting aside Ruan Xiaoqin's other abilities, there is really nothing to say about Ruan Xiaoqin's speaking ability.
Li Jingsheng was originally an ordinary resident in orthopedic surgery, but now he is so praised that he is almost equal to an expert.
"thanks, thanks!"
While the man named Luo Feiming thanked him, he had already begun to look at Li Jingsheng.
"The doctors at your Second Hospital are all quite young!"
There is something in the words.
If you have no hair on your mouth, you will not be able to do things well.
Young doctors often have unreliable skills, and patients and their families dare not trust them easily.
Luo Feiming underwent surgery at the No. 1 Hospital. His bone injury has not healed for a year, so he will be more vigilant towards doctors. After all, if his hand can't be healed, it will probably become useless.
"Nowadays, hospitals require high academic qualifications to recruit doctors, and younger people are a major trend. Dr. Li looks young, but he is quite famous in our orthopedic surgery department!"
Ruan Xiaoqin helped with the conversation to avoid an awkward atmosphere.
Li Jingsheng walked to the patient, but the patient showed no intention of standing up. Li Jingsheng could only squat down.
"Let me show you my left hand."
The patient took the initiative to extend his left hand for Li Jingsheng to check.
Li Jingsheng began to feel the patient's bones.
Immediately, his brows frowned slightly.
The current level of Bone Touching is 971\\\/1000.
Basically, just by touching it once, you can feel out the bones, blood vessel damage, and soft tissue conditions.
The examination effect of bone palpation is no worse than CT.
This patient's bone injuries spanned more than a year.
When touching the bones, the feeling is rather obscure.
It’s not that the feel is not clear enough, but that the nature and status of the bone injury cannot be judged.
Li Jingsheng originally wanted to wait for the automatic promotion of bone touching because he wanted to save more health points to upgrade his surgical and diagnostic skills.
These medical skills are more difficult to upgrade, but they are particularly important.
It's more in your interest to save the health points and upgrade them.
Bone touching and other bone-setting medical techniques have the opportunity to be used every day anyway, and it is enough to automatically improve the skill proficiency.
It took 29 health points to upgrade the bone-touching technique from a minor to a major on the spot.
Fortunately, he had recently upgraded his doctor level to a senior doctor.
Otherwise, it would be impossible to upgrade the Bone Touching Technique to the Dacheng level.
The skill of Bone Touching is 1000\\\/2000.
This is also the first medical skill to be promoted to the Dacheng level.
At this time, the level of osteopathy was equivalent to that of a deputy chief physician.
When bone palpation is practiced at a minor level, the vitality and density of bones can be detected, as well as whether there are any lesions.
For example, a patient with bone cancer can detect it after his bone palpation skill reaches a small level.
Nowadays, the Dacheng-level bone palpation technique not only makes the judgment of the above-mentioned bone images more accurate and reduces misjudgments during bone palpation, but also has the ability to analyze bone injuries and detect bone age, bone injury healing status, and bone nutritional status.
When doctors diagnose and treat patients, they can easily determine the nutritional status of a patient based on the patient's skin color, appearance, body weight, hair quality, etc.
Li Jingsheng has this ability now.
Just by looking at it, you can roughly deduce whether the patient is malnourished.
But human bones are inside the body and cannot be seen by the naked eye.
As for touching the bones with my hands, if I don’t understand, every bone feels the same, just hard.
However, professional orthopedic surgeons can grasp some bone information that is invisible to the naked eye by touching the bones.
For example, whether the bones are severely missing or sunken, etc. are relatively obvious bone signs.
A professional orthopedic surgeon like Li Jingsheng who has learned the art of bone palpation is even more awesome.
By touching it, you can almost find out most of the skeletal information that requires professional imaging examinations.
At this moment, his bone-touching technique was perfected. This ability was further strengthened and he made a qualitative breakthrough.
It can conduct in-depth bone injury analysis and find out the nutritional status of bones. To put it bluntly, he can find out whether there is poor blood supply in a certain bone of the patient or other chronic hidden diseases by just touching it.
Although the patient did not speak, his brows furrowed because Li Jingsheng caused him pain when touching the bones.
There was already a trace of unhappiness on his face.
After Li Jingsheng upgraded his osteopathy surgery, he grabbed the patient's left wrist and touched it as if he was addicted.
And he touched and pressed back and forth on the wrist joint many times.
"Come on, let me see your right hand again!"
He found out some very special bone elephant information, but he needed to use the patient's right wrist to compare it and then analyze it further.
"My right hand is good."
The patient's tone already had a hint of displeasure and coldness.
"You don't understand this! Dr. Li must have discovered a problem and needs to use your normal right wrist bone for comparison. The wrist joint is the most complex joint in the human body. The last operation and bone grafting for your disease failed. Curing it is very difficult. Dr. Li has made some discoveries now, which is a good thing. You have to cooperate with our doctors."
Ruan Xiaoqin was nearby to cooperate.
Sometimes you really need a doctor like this.
Maybe his medical skills are a bit weak, but he is very good at dealing with family members and patients.
After hearing this, the patient honestly stretched out his right hand, and his face looked much better.
That is to say, this patient is ignorant.
With Li Jingsheng's current strength, it is definitely a great luck for patients with bone injuries to have his bones touched by him.
His current level of bone palpation is probably at the same level as Dr. Xu's.
There are only two bone-touching masters in the entire Second Hospital, and possibly even in the entire Lijiang City.
The level of a deputy director is not that of a bad person.
Whether it is diagnosis, prescription, or surgery, reaching the level of deputy director in any field is enough to become a transcendent presence in the hospital.
I have the ability to lead a team to perform surgeries by myself, or to hold up half the sky directly in the outpatient clinic.
Or he might dominate the inpatient department and deal with all diagnosed diseases.
Many internal medicine experts may have a bit of diagnostic skills, but their medication skills are extremely high. If such doctors meet a wise department director, they will be placed in the "palm print" of the inpatient department.
It is a medical order specially given to young doctors to check and prescribe. All seriously ill patients or difficult-to-treat patients in the department whose causes have been identified will be treated by the deputy chief physician who is skilled in this kind of prescription.
This can often bring the cure rate and discharge rate of that department to extremely excellent levels.
Diagnosis and prescription are the two most effective ways to deal with diseases.
They complement each other and cannot exist without one.
But no one is perfect, and the same goes for doctors. Some are gifted with prescriptions and others with strong diagnostic abilities. The best way is to work closely with each other.
After Li Jingsheng touched the patient's right hand, he then touched his left hand.
Fortunately, this patient is a male. If it were a young female patient, I would be really worried that her boyfriend's old punch would hit Li Jingsheng's face.
"There's something wrong with your bone injury!"
Li Jingsheng frowned.
"Have you been injured before? At least for more than ten years."
His bone-touching skills have reached a high level, and he can already analyze bone injuries through the bones he feels.
This patient's left wrist bone, the injured scaphoid and surrounding bones, felt strange to the touch.
At first he thought it was strange.
After his direct bone palpation technique reached a high level, he suddenly realized the problem by repeatedly palpating the bones and comparing it with the patient's normal right wrist.
Those bone ends that feel a little rough or slightly bulging are unlikely to have healed from bone injuries that occurred within a year.
It was an old bone injury that was at least more than three years old, and it looked like a strange bone after recovery.
Later, he compared it with the old bone injuries that he had touched these days, and finally roughly deduced that the patient's bone injuries were at least more than ten years old.
"It's amazing, it's amazing. I didn't expect you to be able to figure this out! Just now, Dr. Ruan said that you were an expert. I didn't believe it at all because you were too young. Now I believe it. Please sit down. ,please sit down!"
The patient looked at Li Jingsheng with unbelievable horror.
Then he quickly stood up and gave up his seat.
His attitude towards Li Jingsheng also changed 180 degrees.
It wasn't until this moment that he realized how awesome the young doctor in front of him was.
Just by touching his wrist bones, you can actually know the injury he suffered ten years ago.
"You, your wrist bone was injured before, why didn't you tell us when you were admitted to the hospital?"
Ruan Xiaoqin was shocked by Li Jingsheng's strength, and at the same time felt angry that the patient had concealed such important medical history information.
Doctors work hard to cure their patients' illnesses.
But the patient actually refused to tell the truth to the doctor.
"Uh... It's been a long time, I really forgot. I was only about fifteen years old at that time. I remember that I was injured when I was participating in the school's track and field sports not long after I was in the third grade of junior high school. I also injured my left wrist at that time, which lasted for a long time. I couldn't use any force. My family was poor at that time and they didn't give me any treatment. It took more than half a year to get better on its own."
The patient quickly explained.
The patient is twenty-seven years old. He injured his left wrist when he was fifteen years old. It has been eleven or twelve years now.
"Dr. Li, what do you think we should do now?"
Ruan Xiaoqin had no confidence at all in dealing with this extremely difficult disease.
Don't even know how to start.
Li Jingsheng just found out all the bone injuries that the patient suffered more than ten years ago, which made Ruan Xiaoqin almost worship him.
It’s okay not to be convinced!
When people grow old, they no longer rely on their muscles and bones.
He is older than Li Jingsheng and has a higher professional title than Li Jingsheng, but in terms of diagnosis and treatment ability, he has to admit that there is only a small gap between him and Li Jingsheng.
It's like a man telling a woman on a blind date that my income last month was just shy of 10,000.
How much difference?
the woman asked.
The man lowered his head and whispered, there was only seven thousand yuan left.
Then the woman directly picked up the glass of water and threw it on the man's face, and walked away angrily.
The medical skills of Ruan Xiaoqin and Li Jingsheng are indeed only slightly different.
At least that's what he thinks.
"Let's discuss it in the office!"
Naturally, Li Jingsheng would not discuss the treatment plan here in front of the patient.
Because this patient's bone injuries were extremely complex, not just old injuries.
Back in the office, Ou Qinglan and several other doctors looked at Ruan Xiaoqin and Li Jingsheng.
"How's it going? Did you find out anything?"
Ou Qinglan asked Li Jingsheng.
"There are some gains. But to treat this patient, I'm afraid we have to ask several chief physicians in the department to discuss it together." Li Jingsheng frowned slightly.
His extraskeletal diagnosis is currently at the proficiency level, which is definitely a bit weak relatively speaking.
After all, the proficiency level is only equivalent to the level of senior residents.
His actual medical ability has now reached that of a senior attending physician.
It’s time to start progressing to deputy high level.
Now the bone-touching technique has reached the level of deputy director, and other bone-setting techniques are not weak either.
As an orthopedic surgeon, it is definitely not possible to perform extra-orthopedic diagnosis of too much crotch extension.
He was thinking about upgrading to extraskeletal diagnosis?
As his abilities continue to grow, his horizons have also become much higher.
He would definitely be dissatisfied just from the proficiency level to the proficiency level. At least it has to be promoted to Xiaocheng level.
This extremely difficult orthopedic injury case now requires the use of extraskeletal diagnosis.
Li Jingsheng gritted his teeth and directly spent 427 health points to directly upgrade the orthopedic surgery diagnosis from the proficiency level to the expert level.
It's equivalent to two levels in a row.
The little health points he finally saved bottomed out again, with only 54 points left.
I don't feel panic at all. Anyway, now whether in the hospital or clinic, a lot of life points can be recorded every day.
At this moment, he felt a hint of joy brought about by the improved diagnosis level of orthopedic surgery.
The diagnostic capabilities of orthopedic surgery directly reach the level of senior attending physicians.
Just the same as his doctor level.
This is very nice.
His diagnosis and treatment capabilities immediately jumped to around the top ten in orthopedic surgery.
I definitely wouldn’t have been able to get ranked before.
Not to mention that he helped the orthopedic surgery department diagnose two difficult cases with the help of bone palpation and general surgical diagnosis.
That's different now.
The real level of orthopedic surgery diagnosis is real and not false at all.
Not only can we make good diagnosis of diseases in the field of bone trauma, but we also have considerable knowledge in diagnosing orthopedic diseases in the fields of bone joints, bone diseases, spine and other fields.
"Dr. Li will chat with Dr. Ou first, and I will report to Professor Wu and others to see if we can organize another discussion within the department while you are here."
Ruan Xiaoqin was as excited as if he had been injected with chicken blood.
Because if this case is successfully diagnosed and treated, the benefits he will gain will be huge.
And it can successfully solve a 'hot potato' in hand.
Because of the benefits, his enthusiasm is naturally high.
Ou Qinglan is very depressed. Professor Wu just used her to 'hook' Li Jingsheng, but now Dr. Ruan is also using her to keep Li Jingsheng.
Did these people ask her for her opinion?
Of course, she must be happy.
Because she really likes Li Jingsheng.
She was just being used as a bargaining chip to seduce Li Jingsheng, and she was never asked for her opinion, and no one cared about her feelings, which made her feel a little angry.
Most low-level doctors have similar experiences like hers.
Especially female doctors and nurses who are good-looking will encounter a lot of difficulties and harassment in the workplace.
"Qinglan, open that case again and let me take a look!"
Li Jingsheng now has a junior level of orthopedic surgery diagnosis, coupled with the previous bone palpation results, he wants to try to see if he can first diagnose the cause of the patient's disease. Then make a preliminary treatment plan.
In the morning, Dr. Xu told him not to rely on any superior doctor, which gave him great inspiration.
After repeatedly studying the patient's past surgical plans, pre-operative injuries, and current condition, Li Jingsheng gradually formed a disease context in his mind.
Then straighten it out.
There are two reasons for this. One is improper bone grafting, and the other is failure to consider that the patient has an old fracture. This should be the main reason.
At this time, Director Hua came in excitedly.
He looked directly at Li Jingsheng.
He didn't care that Li Jingsheng and Ou Qinglan were sitting together, discussing the case intimately.
"Dr. Li, did you really find out the cause of that patient's long-term non-healing fracture?"
Director Hua asked him.
"I'm not sure it's correct, but I'm sure that part of the reason why the patient's last operation failed is related to the old bone injury more than ten years ago."
Li Jingsheng did not dare to criticize the First Hospital for improper bone grafting.
If the surgeon heard this, he would be so angry that he would jump to his feet.
"Good boy, I really belong to you. If you can chew off this hard bone, you will have made great contributions to our orthopedic surgery department. I will give you full authority to handle this patient. Are you sure?"
Director Hua was even more ruthless than Dr. Xu and directly pressed the patient on him.
"I am only a minor in the hospital, and if such a difficult case is given to me, I won't be able to eat it even if my belly is full!"
Li Jingsheng had a grimace on his face.
"Your promotion to attending physician has already entered the process. It is estimated that the appointment letter for attending physician will be issued next month at the latest. Don't cry miserably in front of me. You are a minor inpatient. You are now fully at the attending physician level."
Director Hua revealed an extremely important piece of good news.
Li Jingsheng felt excited after hearing this.
Originally, according to his agreement with Director Hua, he needed to work at the Second Hospital for one year before he could be promoted to attending physician. Now that he has been working for less than two months, he was directly promoted to attending physician.
Director Hua wants to push him up to death!
It is also understandable that orthopedic surgery does lack experts who can control the situation.
Li Jingsheng showed extraordinary abilities in all aspects, and any department director would train him to death.
Because the department is in great need of such super talents.
Training ten ordinary talents is no match for one monster.
"You gave me the appointment as the attending physician so quickly! Aren't the hospitals afraid of losing money?"
Li Jingsheng showed a mean smile.
He was naturally happy to hear that he was promoted to a doctor.
I used to be in the First Hospital. I had been looking forward to it for several years, thinking that I could be promoted to an attending physician and then wait for retirement.
However, his colleagues around him got their appointment letters as attending doctors one after another. He clearly passed the examination as an attending doctor, but the appointment letters from the hospital were still waiting for him.
When asking department leaders, the answer is always: "The number of attending doctors is tight now, so please wait."
Later, Li Jingsheng resigned directly.
Because he feels that his abilities are not bad.
Of course, it turns out that at that time, I was the 'Big Fool' on TV, stupid and naive.
Maybe he has a solid medical knowledge and is diligent in his work, but I really can’t find any other advantages.
This is the conclusion he came to after opening a clinic.
Regardless of the level of diagnosis, prescription, or ability to deal with people, they are all poor.
Surgical capabilities, not to mention.
So bad.
"You got a lot last month, right? I'm afraid there aren't as many attending doctors as you. Lao Xu specifically told me during lunch just now that he wants you to learn to practice medicine independently in the future. Unless you are really unsure. You can ask him for help, but you have to figure out a solution for everything else."
Director Hua exposed him in person.
It is undeniable that Dr. Xu is very kind, and Director Hua also wants to retain this talent. Therefore, last month's salary, as long as Li Jingsheng completed it independently, will be regarded as Li Jingsheng's personal performance.
Don't think that big hospitals don't have commissions. In fact, they also have performance commissions.
Basically, no matter which company you work for, the more you work, the more you get.
Otherwise, everyone will have no motivation to work.
Ou Qinglan smiled and looked at Li Jingsheng with inquiry in her eyes.
The salary is higher than that of the average attending physician, and Li Jingsheng only works three days a week. How many people would envy him!
"Hey, I'd better speak honestly in front of you in the future. But I really can't handle this patient. He will definitely need surgery and will need bone grafting again. I'm not high enough to preside over this kind of surgery!"
Li Jingsheng smiled dryly and refused again.
Income is every doctor's secret, and people generally don't disclose it to others easily.
The chief physician of the Department of Orthopedic Surgery has a miserable life of seven to eight thousand a month. Those who do well can go up to 20,000 yuan.
(End of chapter)
