Dr. Xu's status is very special. He is obviously only an attending physician, but he is qualified to sit in the director's row.
Even though I only sit in the last position, it is still an honor.
"Hmph, why should I refute? Director Zhong thinks it's black, but is it useful if I say it's white?"
Dr. Xu must have felt very happy when he saw that his apprentice had successfully shocked the old stubborns in these departments. There was also a hint of pride on his face.
Manual bone setting has always been regarded by these people as a trivial medical technique.
Even though the reputation of the manual bone setting room is increasing every year, there are not 10,000 orthopedic patients treated in a year, but there should be three or four thousand.
In fact, the current single-day consultation volume of the manual reduction clinic is 50 or 60 people per day when it is bad, and 70 or 80 people per day when it is good. This is a very scary number of consultations.
Although not every patient with orthopedic injuries can be cured, manual reduction has indeed made great contributions to the Orthopedic Surgery Department of the Second Hospital.
It not only reduces the diagnosis and treatment pressure of orthopedic surgery, but also has a certain drainage effect.
It is no exaggeration to say that the current reputation of orthopedic surgery is at least half due to the manual reduction clinic.
It’s just that human nature is so despicable.
Obviously everyone knows this, but that doesn't stop everyone from looking down on Dr. Xu, who uses bone-setting techniques.
These directors believe that although manual bone setting has some technical content, it lacks academic and scientific research support and has always been unpopular. To put it bluntly, Dr. Xu’s professional title is too low.
He is not even rated as a deputy high-ranking officer, so it is normal for him to be despised by them.
"Dear teachers and colleagues, now I can determine the approximate time of bone injury by touching the bones. I believe everyone has no doubts about this. Next, I will talk about the patient's condition and treatment ideas. If there are any mistakes or omissions, please help. I correct you."
Li Jingsheng successfully calmed down the situation by touching the bones of Director Chen Anchen.
The natural next step is to strike while the iron is hot and strive for further progress, preferably to establish his position as the attending physician in orthopedic surgery in one fell swoop.
"By touching the bones, I not only discovered that the patient had an old bone injury from ten years ago, but also that the local blood supply was damaged due to the last operation. The blood supply from the dorsal radial side to the fracture area was almost completely changed. This should be the same as last time. A big reason for bone graft failure.”
Li Jingsheng told everyone another piece of unfortunate news.
The destruction of such an important blood supply undoubtedly made the second operation more difficult.
"You can even feel if the local blood supply is damaged?"
The directors present were shocked again.
Today is destined to be a day of irregular heartbeats for them.
Bone palpation can not only find out the approximate time of bone injury, but also the local blood supply. Isn't this even more powerful than CT?
The advanced bone palpation technique is actually more powerful than CT scan.
At least it is equivalent to an MRI examination.
It's just that there are very few orthopedic surgeons who can reach this level, and Western doctors have always despised Chinese medicine, so they just sit back and look at the sky. Very few people know that bone touching is so powerful.
"Haha, it's not as mysterious as everyone thinks. I believe that many of the teachers and colleagues here have already experienced the knife sensation during surgery, right? A more powerful surgeon can cut with one knife, even with his eyes closed. You know what kind of tissue you are cutting. What’s even more powerful is that as long as the blade touches the outer wall of the blood vessel, it can be sensed immediately.”
Li Jingsheng already possesses knife sense.
Especially after he became a master of bone palpation, he found that his knife sense became clearer and sharper during surgery.
"I have a deep understanding of the knife feel and hand feel that Xiao Li mentioned. I can now have a certain degree of knife feel during surgery. I can cut paper with my eyes closed, and I can send and receive it from my heart within five layers. Cut as many layers as you want.”
Director Chen Anchen was an 'opposition' from the beginning. After being touched to the bone by Li Jingsheng, he was completely conquered.
Now he actually helped Li Jingsheng speak.
"I do have a sense of knife. Although my ability in this area is still average, I have seen Professor Yi Haiyang, a neurosurgery professor at the People's Hospital, perform surgery. In a major surgery, he was able to control the blood loss within 40ml. This is my Something I couldn’t even imagine.”
Another director who had been silent spoke next.
The aura that was originally extremely unfavorable to Li Jingsheng had been reversed without realizing it.
It was slowly falling towards him.
Generally, before major surgery, you need to contact the blood bank to prepare blood. With only one or two bags of blood in reserve, many directors are afraid to operate.
Afraid of accidents.
In the absence of blood supply reserves, many patients who need surgery can only wait.
Especially type A blood, which is relatively lacking.
Not to mention those special blood types such as panda blood.
A bag of plasma is usually 200ml, and there are also larger ones of 400ml, but the amount is smaller.
The blood reserve of two bags of plasma is 400ml, but the chief physician still dare not operate, which means that the amount of surgical bleeding will greatly exceed this amount.
The extraordinary Professor Yi Haiyang was able to control the blood loss within 40ml during a major surgery, which is definitely enough to make countless colleagues in the surgical field admire him.
It also shows that this person's knife sense has reached an extremely terrifying level.
For such people, even slightly larger blood vessels can be avoided or ligated in advance during surgery.
"We already know that this patient's local blood supply has been destroyed. Color Doppler ultrasound and CT scan can show some of it. I wonder how Dr. Li plans to treat him?"
Director Hua has not spoken. At this moment, he sees that the directors are beginning to discuss the feel of the knife with great interest, and they are very interested in continuing to discuss it in depth.
This is not okay.
There are so many patients in the entire orthopedic surgery department that need to be dealt with. Everyone must take the precious lunch break to conduct consultations and get down to business.
"I roughly checked the information. Under normal circumstances, this patient can choose the distal radius retrograde bone flap pedicled by the superficial retinaculum artery between the first and second extensor sheaths. But now that the local blood supply has been destroyed, it cannot Use this plan again.”
Li Jingsheng talked eloquently and actually had a solid foundation and understanding of orthopedic surgery.
This made the chief physician present nod secretly.
The deputy director, attending physician, and resident doctors behind him also looked at him with admiration.
As for the interns, there were also some weaker residents with blank eyes. Because they don't understand.
I just know that this surgical plan is more complicated.
"I personally have a bold idea to free the bone flap from another place and perform a secondary bone graft treatment on the patient's carpal navicular bone."
After Li Jingsheng finished speaking, he waited for several directors to express their opinions.
"It's good to boldly develop treatment ideas! Although I am good at bone disease treatment, I very much support the treatment plan proposed by Xiao Li. If we continue to follow the old path of the First Hospital, we will only be embarrassed, and there is a high probability of failure again. Step out. Only with a new path can success be possible.”
Director Zhong Hu was actually the first to support Li Jingsheng's innovative plan.
"Director Zhong won't you oppose him this time?"
Director Hua had a narrow smile on his face.
"Hey, I, Old Zhong, am not a straight-minded person. In the field of medicine, I will obey whoever makes sense and who can really cure the patient's disease. Xiao Li's qualifications are a bit shallow. , but his performance in all aspects is indeed remarkable. I don’t mince words. Director Hua gave him an attending position. I had some objections at first, but now I have no objection at all. We need this kind of young and promising orthopedic surgery department doctor."
Director Zhong Hu really dares to say anything.
This kind of straightforward personality is actually quite good.
It's often easier to deal with this kind of person because you don't have to work hard to guess what he or she is thinking.
"Haha, Director Zhong has a high ideological consciousness! We are all part of the battleship of Orthopedic Surgery, and we definitely hope that Orthopedic Surgery will become stronger and stronger. Sometimes you may not understand some of my decisions, but I have never been partial. Pass."
Director Hua must have been under a lot of pressure these days because of this matter.
Now that I can get the approval of Director Zhong Hu, there will be no problem with other directors.
"Xiao Li, you have to come up with a feasible surgical bone grafting plan and cure this patient before we will truly recognize you. My three senior residents have all reached the point of being promoted to attending physician. This time, you If you seize the opportunity, you have to convince them."
Chen Anchen is an absolutely powerful person.
There are actually three resident doctors waiting to be promoted to attending hospital.
What is this concept?
It is equivalent to having at least four attending physicians under his command.
No wonder he looks down on Director Wu.
No strong person will look down on the weak.
At most, it's just to save face and not say anything.
"Well... this request made by Director Chen is very difficult, but I can try my best. Anyway, if it doesn't work, I still have your senior doctors and colleagues to back me up! Director Cai just said that everyone As a man on a battleship, he will be both prosperous and devastated. In the future, if I have any medical problems, I would like to ask all the teachers for your advice."
Li Jingsheng has been running a clinic for nearly a year, and his ability to speak and work has been honed.
At this moment, facing Director Chen's difficulty, he actually circled all the directors, deputy directors, and attending physicians.
Sometimes, an appropriate display of weakness is actually a very clever means of communication.
"I have no problem here at all. As long as I'm not busy, if you come to me, I will do my best to help you solve your doubts."
Director Chen Anchen promised with a smile on his face.
"Not to mention me. Don't ask me if I'm not good at it. You can come to me at any time in the field of bone disease."
Director Zhong Hu also agreed.
Except for a few of the other chief physicians and deputy chief physicians who did not speak, most of them expressed their opinions in public and welcomed Li Jingsheng to come to them for consultation and discussion.
The atmosphere in the consultation room has become quite harmonious at this moment.
Being a good teacher is even more prominent in the medical profession.
Every senior doctor hopes to pass on medical skills from generation to generation.
Director Hua's face showed an unprecedented smile.
Doctor Xu had no expression on his face, but a smile at the corner of his mouth showed that he was very satisfied with his apprentice's performance.
"Thank you teachers!"
Li Jingsheng was very knowledgeable and bowed to everyone.
This performance made the director and deputy chief physicians of the Orthopedic Surgery Department more and more pleased with him.
Dr. Qin saw that Li Jingsheng was doing well and almost won the support of the entire department's director, deputy director, and attending physician. His face turned very ugly.
The better Li Jingsheng performs in the department, the smaller his chances of winning the competition for Ou Qinglan.
In fact, he has no chance at all now.
Ou Qinglan's attitude towards him was the politeness between colleagues. To put it bluntly, it was beyond politeness.
This made him very depressed.
If he had known that Li Jingsheng would suddenly capture Ou Qinglan's heart, he should have taken action earlier.
Fate is something that once lost, it will be missed for life.
If Dr. Qin is smart, he can change his target and find another unmarried female doctor or female nurse to launch an offensive.
He couldn't understand why Li Jingsheng was just a clinic doctor, so how could he be so powerful?
And it is not strong in one aspect, but in all aspects.
Meeting such an opponent is really disappointing.
“Let’s talk about the surgical plan I envisioned. Is it feasible to transplant the free condylar bone flap from the patient’s medial femur?”
Li Jingsheng put forward his own views on surgery.
His knowledge of orthopedic surgery was still a bit lacking. When he mentioned this surgical plan, his palms were sweating.
The performance before has been very good, but we can't suffer a big failure at the last moment.
"Taking the condylar flap from the medial side of the femur for transplantation is a routine and it's no problem at all. What are you going to do with the radius?"
Director Chen Anchen asked him.
In this situation, the weaker Professor Wu seemed completely unable to intervene.
Because if he talks too much, he will make mistakes. In front of so many doctors and students under his command, if he makes a fool of himself, where will he put his old face?
"I want to remove the radial styloid process because the film shows that the edge of the radial styloid process is extremely sharp. When I touch the bone, the patient complains of pain whenever I touch that piece."
It definitely won't work without cutting off the radial styloid process.
Any pain will seriously affect the patient's wrist movement function.
"What do you think of his surgical plan? I think it's pretty good. You can at least give it a try."
Director Chen Anchen asked other directors for their opinions.
"Old Chen, you are an expert in the field of bone trauma and have rich surgical experience. Since you nodded, we naturally have no objections."
"That's right."
"I think it's appropriate for Lao Chen to take Xiao Li for this surgery."
Other directors also have their own plans.
Everyone knows that this patient is a bad patient who failed in the bone grafting operation at the First Hospital, and no one wants to be involved.
"Director Wu is in charge of this patient, and it's not my turn no matter what. I'm just giving my personal opinion for reference only."
Director Chen Anchen also did not want to get into this big trouble.
It’s no problem to let these chief doctors help with consultations and make suggestions.
But when it comes to interests, everyone will definitely show their selfish side.
"I'm responsible, I'm responsible. This is an opportunity to become famous. You don't want to give it away. Don't regret it when the time comes."
Professor Wu is actually quite smart.
He had been listening just now, and he was also seriously thinking about the treatment plan for this patient.
After careful consideration, he thought the surgical plan proposed by Li Jingsheng was feasible.
Even Chen Anchen also thought it was feasible, which gave him confidence.
Although Professor Wu has been promoted to a senior position in recent years, has become a team leader, and has his own medical team, his status in the department has always been relatively low. Not to mention in the hospital.
He desperately wants to change this situation.
The risk of this case is very high at the moment, but if it is really cured, it will definitely make a big splash.
"Now that a feasible surgical plan has been discussed, the patient will be monitored by Lao Wu, and then the attending care will be handed over to Li Jingsheng, assisted by Dr. Ruan Xiaoqin."
Director Hua directly set the tone and assigned tasks to people.
"I'm OK."
Professor Wu readily agreed.
"I am happy to be Dr. Li's assistant."
Ruan Xiaoqin has nothing but flattering skills that always make people feel so comfortable.
"Professor Wu, Doctor Ruan, what should I do if I come to you after work later?"
Li Jingsheng's clinic still has a lot of work to do, and he will definitely need to stay in the clinic to work all day tomorrow. The decoration of the new facade also needs to be supervised in a timely manner.
Fortunately, these days are just basic tasks such as whitewashing, making doors, and replacing doors and windows.
This patient's surgery is not a major one, so he should be able to do it directly after working overtime at night.
"Ok, deal."
Professor Wu nodded in agreement.
After the meeting, Li Jingsheng, Dr. Xu and Dr. Chen hurried to the manual reduction clinic.
"Dr. Li, your performance just now was so handsome. I used to feel that staying in the manual reduction clinic was a bit... hard to hold my head up." Dr. Chen secretly glanced at Dr. Xu who was walking in front.
"Today you demonstrated the magic of bone touching in public, but you didn't see the shocked expressions of the chief and deputy chief physicians. I think our surgical reduction clinic's status in the department will definitely be much higher in the future."
Dr. Chen said with excitement.
"Just do your own thing, why do you have to care about what others think?"
Doctor Xu turned his head and lectured.
"oh!"
Dr. Chen shrank his neck and shoulders and agreed honestly.
But judging from his unconvinced expression, he must be speaking what he meant.
"I'm going to use the bathroom, you guys go to the clinic first!"
Dr. Xu turned into a corridor. There are such corridors extending in all directions throughout the hospital, connecting hospital buildings one after another.
There are either outpatient rooms or restrooms in the corridors.
After Dr. Chen and Li Jingsheng walked out for a while, he pouted and said, "Dr. Xu said you shouldn't care about other people's opinions. You didn't see it in the consultation room just now. When you demonstrated your bone palpation technique in public and got the approval of all the doctors, Dr. Xu I'm so happy..."
"Ahem..."
Dr. Xu's cough sounded from behind, and his face looked ugly.
Dr. Chen turned his head and looked, suddenly frightened out of his wits, and forced out a smile that was uglier than crying.
"You are the most talkative, it would be great if you could put this skill to use." Doctor Xu didn't scold him much, he just approved, and then quickly walked forward.
Dr. Chen breathed a sigh of relief and patted his chest with an expression as if he was surviving a disaster. "I was scared to death. I just heard Dr. Xu say that he needed to go to the toilet. Why did he come out so quickly?"
"You haven't learned your lesson yet? The teacher will punish you later when he hears it."
Li Jingsheng finally understood why Dr. Chen never liked Dr. Xu after being in the outpatient clinic for so long.
He has poor talent, but he still has a bit of a tongue.
That is to say, Dr. Xu's personality is quite good. If it were other senior doctors, they would have dealt with this kid eight hundred years ago.
It is even suspected that Dr. Chen was kicked out by his superior doctor to work in the manual reduction clinic because of his bad mouth.
The two returned to the manual reduction clinic, and Li Jingsheng was now required to practice medicine completely independently. Even if you encounter more difficult cases, you have to find a way to solve them yourself.
He began to work honestly.
Not long ago, upgrading bone manipulation and extraskeletal diagnosis almost used up all the hundreds of health points he had saved.
With only over fifty points left, he had to work hard to treat more patients and earn more health points.
(End of chapter)
