If you can only sit in the clinic, write general medical orders, and engage in academic research, your income will be relatively much lower.
A powerful orthopedic surgeon who is good at performing surgeries and has a certain level of diagnosis often earns a very considerable income.
"This patient's surgery is not a major surgery, it's just an ordinary second-level surgery. If you don't have enough level at that time, I will personally stand up for you."
Director Hua really dared to let go.
He actually asked Li Jingsheng to perform surgery in his name.
You know, if something happens, Li Jingsheng will be fine. Director Hua will be in trouble then.
This is why senior doctors are unwilling to let novice doctors perform operations as long as they feel that the risks are higher.
The main fear is that something will happen.
Director Hua pushed hard, Li Jingsheng kept declining, and Ruan Xiaoqin next to him became anxious.
When he was first assigned to this 'second patient', Ruan Xiaoqin wanted to throw this patient as far away as possible.
Now after Li Jingsheng touched the patient's bones, he has obviously made significant progress and sees hope of cure.
Even a fool knows that as long as it is cured by then, it will be a great achievement.
How could someone as smart as Ruan Xiaoqin let such a good opportunity slip away?
You must hold on tight!
"Director Hua, haven't I always been responsible for this case? Do you think you can let me and Dr. Li take responsibility together?"
Ruan Xiaoqin said cautiously.
He didn't dare to talk to Director Hua casually like Li Jingsheng.
"Okay! But I have one request. You will be the assistant and Dr. Li will be the main one. It's best to invite your superior doctor to the operating room to take charge."
Director Hua was very relieved about Li Jingsheng, but he was very worried about Ruan Xiaoqin.
This made Ruan Xiaoqin very worried.
It's just that there is nothing I can do. Who told him that he is usually unreliable in his work and is best at flattering!
"Thank you, Director Hua! I will tell Professor Wu about this later and ask him to help me."
Ruan Xiaoqin nodded in agreement.
Just get him involved.
"Let's all go to the consultation room to discuss this case! Dr. Li will preside over it, and our directors will participate as long as they are here."
After Director Hua finished speaking, he turned around and left without giving Li Jingsheng any chance to refute.
Fortunately, Li Jingsheng had already upgraded his extraskeletal diagnosis to a minor level, so if he was forced to say a few words, it wouldn't make a huge embarrassment.
In the consultation room, nearly thirty orthopedic surgeons gathered together.
It is usually very difficult to bring so many doctors together, and this grand occasion can only be seen during the department's general consultation on Monday.
The number of doctors in the entire orthopedic surgery department is not just thirty, but more than forty.
Some people are off or busy and cannot participate in this consultation.
Director Hua probably also wanted to take advantage of this opportunity to formally integrate Li Jingsheng into the orthopedic surgery department.
After all, only if everyone understands Li Jingsheng's strength will they recognize this newcomer.
At present, only Professor Wu and a few of his doctors have a high degree of recognition for Li Jingsheng.
Although the doctors in several other groups have heard about Li Jingsheng's abilities, they don't really know much about him. Let everyone know that there is a new and powerful person in the orthopedic surgery department, who rescued the patient who suffered a thrombosis after bone cement surgery last time.
That time when he first showed his skills, the doctors in the department knew that a very capable young doctor had come to the surgery clinic.
After that, Li Jingsheng performed several operations with Professor Wu and gained some fame and status.
"Dr. Li came to the office with me first!"
Director Hua and everyone had gone out. Maybe he felt that something happened and he needed to have a private chat with Li Jingsheng alone, so he added this sentence.
"OK."
Li Jingsheng looked at Ou Qinglan apologetically.
"Go quickly! You are so awesome, you will be promoted to attending doctor soon. You don't know how fierce the competition for attending seats in our department is."
Ou Qinglan whispered to him.
"I really don't know. I'll go first and see you later."
Li Jingsheng was really reluctant to leave.
Because I am very busy all day long, I really don’t have much time to spend with her.
Follow Director Hua to the director's office.
"Xiao Qin, let's put the medical records aside for now. Inform all the doctors in the orthopedic surgery department to come to the consultation room to participate in the consultation of the patient with a left wrist fracture."
Director Hua said to Dr. Qin.
Dr. Qin's mouth dropped. Since Li Jingsheng came, he has gone from being the favorite of the department to being disliked by the director.
When Li Jingsheng appeared in the doctor's office, Director Hua called Dr. Qin to the director's office to sort out medical records, just to make room for Li Jingsheng.
It is convenient for Li Jingsheng and Ou Qinglan to date.
Now Li Jingsheng came to the director's office and drove him away again.
Doctor Qin felt so aggrieved!
After agreeing, he walked out of the office a little lonely and closed the door.
He knew that Director Hua must have something to discuss with Li Jingsheng.
"Sit down! This is not the first time you have entered my office. Don't be so formal."
Director Hua personally made him a cup of tea.
If Dr. Qin saw this kind of treatment, he would be so angry that he would vomit blood.
Comparing people to each other is really infuriating.
"Do you know why I seized this opportunity to let you preside over the consultation on this case?"
Director Hua looked at Li Jingsheng.
"It's probably not just to train me, but maybe I want to take this opportunity to help me build a certain reputation in the department."
Li Jingsheng was a ruthless person from the old streets in the south of the city, so he could naturally guess Director Hua's deep intentions.
"Yes, that's what I mean. There is another purpose. Due to poor performance this year, our Orthopedic Surgery Department has only secured two attending quotas. There are eleven doctors in total who meet the conditions for promotion to attending. You have just arrived. In less than two months, a precious attending position has been given to you, which will definitely arouse the dissatisfaction of other doctors. All you have to do is to behave better, block their mouths, and convince them. "
Director Hua sees the problem more comprehensively than he does.
This is the vision and ideological pattern that a department director should have.
The whole picture must be considered, not just one individual.
The department director is equivalent to the head of a department. If something is done unfairly, it will cause dissatisfaction among others.
"Understood! Thank you for your focused training on me."
Li Jingsheng is the boss himself and already has four employees.
These principles of managing people can be understood as soon as they are explained.
"Work hard and strive to become a general in the Department of Orthopedic Surgery as soon as possible. This is the best reward for me. It is also in vain for Lao Xu's respect and training for you."
Director Hua also highlighted Dr. Xu.
Listening to this implication, Dr. Xu should have made an effort in promoting Li Jingsheng to become the chief physician.
It's just that Dr. Xu himself is only the attending physician and does not have much say.
If you want to exert your strength, you can only rely on Director Hua.
…
Li Jingsheng came out of the director's office and went directly into the consultation room.
At this moment, the consultation room was already full of doctors.
The entire orthopedic surgery department is almost like a 'monk class'. Apart from Ou Qinglan, a super beauty who was so beautiful that she outshone all other beauties, there were only two female interns in sight.
Maybe there are very few female doctors doing surgery.
Orthopedic surgery has always been rough and involves too much physical work, so female doctors have avoided it.
I really don't know how Ou Qinglan entered such a 'fairy department' in the first place.
"Hello teachers and colleagues, let me introduce myself, Li Jingsheng, a resident physician in the manual reduction clinic. I am honored to have the opportunity to discuss a difficult case with you. Because of the rush of time, I did not make a ppt. It is better to use some raw materials directly. ”
Li Jingsheng looked at Ou Qinglan, who understood.
Directly insert a USB flash drive into the machine.
"This is a film taken after the patient was injured a year ago. It can be seen that there was an obvious fracture of the left wrist scaphoid..."
Li Jingsheng enlarged the first X-ray of the wrist bone on the screen.
"Xiao Li, all the doctors in our department have already seen this case. Everyone's time is precious, so you don't need to be so tedious, just explain your analysis and diagnosis of this case."
A doctor with a somewhat ferocious face interrupted him mercilessly.
Those sitting in the front row were all chief physicians, six of them, and three were still absent, making a total of nine.
This ferocious-looking male doctor appears to be in his mid-fifties and has very senior qualifications.
The name is Zhong Hu.
He specializes in the treatment of bone diseases and has deep involvement in the field of bones and joints. He is a strong performer in orthopedic surgery.
He is upright and has a bad temper.
"Director Zhong is right. We have so many doctors sacrificing their rest time to come here for consultation, not to listen to your long speeches and formalism."
Another chief physician criticized him.
Li Jingsheng could feel that the aura in the entire consultation room was extremely unfavorable to him.
That kind of oppression made him like a small boat in the rough waves.
May be destroyed at any time.
"Being praised by Lao Wu and Lao Xu from the manual reduction clinic does not mean that you can be praised by all our chief doctors. If you have any useful information, please release it immediately. If not, I will have to pat my butt and leave! There is still a bottle in my hand. It’s a big deal!”
Another chief physician criticized him in public.
This person is plain in appearance, but has a pretty good temperament.
Appearing to be in his early fifties.
He is Director Chen Anchen of the Department of Orthopedics and Traumatology, and he is very powerful. He is a rare all-around chief physician in the field of orthopedics and traumatology.
It has a high level of diagnosis and strong surgical capabilities.
I don’t know how it will be with the medication, but I think it won’t be much worse.
Moreover, in orthopedic surgery, drug treatment is not that important. In many cases, you can basically just follow the formula.
Dr. Xu is only a manual bone-setting doctor, and he only has the rank of attending physician. It is perfectly normal for him to be looked down upon by these chief physicians.
Professor Wu focuses on academics and scientific research, and is considered the last among all chief physicians.
Although they came up with a new bone cement technique, the other chief doctors probably looked down upon it because the admission rate was not high.
Last time, he wanted to treat a knee joint and the patient died. Professor Wu was afraid that he would not even be able to lift his head again in the department.
"Since the directors are so straightforward, I won't be verbose. There are two reasons why this patient's last operation failed. First, twelve years ago, the patient injured his left wrist due to track and field sports, and he never went to the hospital for treatment. He recovered on his own after more than half a year. A year ago, he fell again and injured his left wrist while riding a shared bicycle. Although he went to the hospital for treatment this time, the treating doctor did not find any old injury on the patient's left wrist.
The second reason for failure is that surgical bone grafting did not take into account the sharp edge of the radial styloid and the very narrow gap between the radial styloid and the scaphoid. "
Li Jingsheng just threw away the useful stuff.
The entire consultation room immediately became silent.
All doctors are thinking and analyzing.
"How do you know that the patient injured his left wrist twelve years ago? And after so many years of injury, no matter how serious the bone injury is, it should have healed on its own. I don't think it will affect the bone grafting operation."
The person who raised the question was Director Chen Anchen.
He and Professor Wu are both chief physicians in the field of orthopedic trauma, and both lead teams.
But he has always looked down upon Professor Wu.
Because Professor Wu would not be qualified to lead the team independently if he did not rely on the unique treatment project of bone cement.
Also, even if they lead a team, the level of the doctors under Professor Wu is obvious to all.
There is no one who can fight.
Whether it's surgery or internal medicine, it's basically the same.
The level of doctors leading the team is not high, and it is difficult for the doctors under them to become stronger.
Only when the general is strong can the soldiers he brings out be strong.
This is why Professor Wu took the initiative to repair the relationship and tried his best to win over Li Jingsheng after discovering his outstanding surgical ability.
"Dr. Li found it out by feeling the bones."
As soon as Ruan Xiaoqin finished speaking, the whole audience burst into laughter.
Everyone never believes in touching bones.
Just like scientists never believe in superstition.
Only Dr. Xu looked at Li Jingsheng with surprise. I really didn’t expect that this apprentice was so evil and had reached a new level of bone-touching skills.
You know, as a teacher, he is only at this level.
"The patient himself admitted it himself. This shouldn't be false."
Ruan Xiaoqin was a little angry.
But there were many chief physicians and deputy chief physicians present, and he, the attending physician, would never dare to get angry.
"Is bone palpation really that powerful? Can you detect old bone injuries from more than ten years ago?"
The doctors who just laughed at seemed to believe it.
Patients certainly don’t lie.
Since the patient admits it, this is most likely true.
Everyone couldn't help but change their views on bone touching.
In the past, Dr. Xu never interacted with them too much and was only responsible for setting and setting bones for patients in the outpatient clinic. Their understanding of bone-setting techniques is actually very one-sided and superficial.
Li Jingsheng himself has a deep understanding of this.
It was the first time I saw that Dr. Xu could describe the exact injury just by touching the beggar who was hit by a car. It was really shocking.
Later, as his bone touching skills improved little by little, he realized that this medical skill was incredible.
And no matter which Chinese medicine doctor you ask, even some knowledgeable Western medicine doctors will admit the existence of bone touching.
It's just that very few people have received the true teaching and don't have a deep understanding of the art of bone touching.
"If Director Chen is willing, I can feel the bones for you and let you and the doctors see it on the spot."
Li Jingsheng looked at Director Chen Anchen.
Only this old comrade danced the most cheerfully, and his objections were louder than ever.
"Okay, touch it for me!"
Director Chen Anchen readily agreed. He wanted to see for himself whether the bone-touching technique was so miraculous.
The other orthopedic surgeons were all excited as if they were watching a circus performance.
The two chief doctors who shouted that time was precious no longer felt that time was precious.
Li Jingsheng immediately walked up to Director Chen Anchen, said he was offended, and began to touch Chen Anchen's left hand. Feel from your fingers to your shoulder joint.
Seemingly finding nothing, he started touching Chen Anchen's right hand again.
Everyone is more of a monkey-trick mentality.
Especially after Li Jingsheng touched Director Chen's left hand, he didn't find anything and didn't say anything, which made them think that the bone touching technique was nothing more than that.
When he touched Director Chen's right forearm, Li Jingsheng touched the same position back and forth several times, then moved upwards. There was no abnormal movement after that.
"Have you finished touching it?"
Director Chen Anchen asked calmly.
"Let's talk about the left hand first. The joint of the index finger should have been sprained five or six years ago. The injury is not particularly serious, but it hurts the joint. The radius bone of the right hand should have been seriously injured twenty years ago. It should have been a fracture at that time. There is no transection, but it is not far from the transection. Now every time you have a rainy day, there is a possibility of pain in this area."
Li Jingsheng's words had caused silence in the whole place.
They are all waiting for Director Chen Anchen to give an answer.
"Old Chen, please tell me something! Is he sure he can feel it?"
Director Zhong Hu is an impatient person, and he cannot bear this kind of titillation.
"He is absolutely right. Six years ago, when I was diagnosing a patient, I suddenly grabbed this index finger and almost broke it on the spot. Fortunately, it was my left hand that was injured, otherwise the operation would have been useless. Even so, until now, when I need to hold tweezers with both hands, my left hand is still a little uncoordinated. As for the radius bone in my right hand being seriously injured and fractured, Director Hua should still remember it, right?"
Chen Anchen looked at Director Hua.
"This incident left a very deep impression on me. We were both just residents at the time, and I remember the critical moment when we were both promoted to attending physicians. Then you were in the clinic with a young female patient because you were examining a bone injury in her thigh. My husband was beaten. When I saw your nose was bleeding and your hand was broken, I was almost scared to death."
Director Hua was still frightened when he mentioned what happened that year.
"Alas! It's fate! Because of this incident, I was promoted to chief the next year, but you were promoted that year. Since then, I have been lagging behind you."
Director Chen Anchen sighed quietly.
Originally, in terms of strength, he also had a chance to compete for the position of department director.
But because of that accidental injury, he fell behind step by step.
"What do you mean by being behind and not falling behind? Do you think I want to be the head of this department? I can't help it now. I was a handsome guy back then, but now look at my bald head. I've lost all my hair. I haven’t known what it’s like to be rational for several years.”
Director Hua smiled bitterly.
Sometimes it's like this. Only when you sit in that seat can you understand the hardship and difficulty.
"Grandma is a clipper, so you can tell if the bone elephant is real by touching the bones?"
Director Zhong Hu's eyes widened suddenly.
Then he looked angrily at Dr. Xu, who was sitting in the director's row.
"Old Xu, Old Xu, you are so unreasonable. I questioned your bone-touching skills several times as a fake technique, but you never refuted it. You lied to me for several years! I always thought that bone-touching was a magic stick. technology."
(End of chapter)
