"Even if the cortex of his side bone is damaged, there is still a missing piece!"
After Li Jingsheng investigated, his tone became more solemn.
As a rule of thumb, cortical damage is already a serious problem. With such a large piece missing, it took a long time for bone dissolution to occur.
"Look at the medullary cavity!"
Professor Wu is relatively calm. After all, he is a chief physician.
"It's a tumor!"
Although Li Jingsheng had had this premonition for a long time, when he saw the pink-white tumor tissue in the medullary cavity, he couldn't help but shake his head.
After investigation, the pink-white tumor in the medullary cavity was soft in texture and very similar to enchondroma.
The tumor tissue was carefully cured until the normal medullary cavity could be seen, and then inactivated with 95% alcohol.
"Send him to pathology!"
Professor Wu's tone was indifferent, but his expression became much more relaxed.
The patient himself had distrusted the hospital and was quite complaining. If this surgical exploration yields nothing and the patient takes the opportunity to cause trouble, Professor Wu will be very passive.
Fortunately, now the tumor has been discovered and the patient has been given an explanation.
It can also prove that the doctor’s judgment is very accurate.
In fact, in this case, the patient should have an MRI done first.
CT, B-ultrasound, and X-ray sometimes have some disadvantages due to their imaging principles.
There will be some deviations in the detected results.
For example, the results taken by the patient this time looked like arthritis, but who would have thought that there was a tumor growing in the medullary cavity of the joint?
"Doctor, is the tumor you are talking about a tumor?"
The patient asked Li Jingsheng.
"Yes! But there are also benign tumors, so you don't have to be too nervous until the pathology results come out."
When Li Jingsheng looked at the patient, his eyes were a little complicated.
No doctor wants tumors to grow on his patients, but clinical practice is so cruel. Whatever is prescribed is what it is and no one can change it.
"How did it grow? I usually don't smoke or drink. I don't even eat late night snacks. I also exercise regularly. How come I have a tumor?" The patient only received brachial plexus anesthesia, except for his right hand. activities, and basically nothing else will be affected.
He found it hard to accept that he had a real tumor.
There should still be fear in my heart.
"No one can explain this kind of thing clearly. But I personally think it may have something to do with you being injured repeatedly and irritating it. In the future, you just need to learn lessons and pay attention. There is no need to have any psychological burden, let alone be afraid. Now that the problem has been discovered, On the contrary, it is a good thing. When the pathology results come out, we will help you further develop a treatment plan."
Li Jingsheng comforted the patient while suturing him.
After completion, the patient was returned to the inpatient ward.
The patient must have been a little broken inside. He didn't say a word when he was taken out.
He looked serious and worried.
Many patients diagnosed with serious illnesses have this behavior.
Some of those with fragile hearts even sat on the ground and broke down crying.
After Li Jingsheng came out of the operating room, he hurried to the outpatient clinic to work.
This operation earned him a lot of health points, 213 points. But he couldn't feel happy in his heart. He was still somewhat worried that the pathological result was a malignant tumor.
Back at the outpatient clinic, there was a long queue of patients.
The Manual Reduction Clinic of the Second Hospital had already gained quite a reputation when Dr. Xu was the only one in the clinic.
Now the processing capacity has been greatly improved, and Li Jingsheng's ability is no longer inferior to that of Dr. Xu, which makes the second hospital's manual reduction and bone setting boom.
Almost the entire medical circle in Jiangli City knows that the Second Hospital has this special treatment capability.
And it is also spreading to surrounding cities and rural areas.
According to incomplete statistics, orthopedic injuries account for less than 2% of all outpatient and emergency cases.
Most injuries occur accidentally.
But after the fame spread and further expanded, the impact was too great.
Patients with bone injuries and bone diseases from all over the country come to seek treatment.
As a result, the manual reduction clinic of the Second Hospital became busier and more crowded.
If this trend continues to increase, Dr. Li Jingsheng and Dr. Xu will definitely be unable to bear it.
There is nothing wrong with them as master and apprentice.
Everyone lives a magical life, never works overtime, and their wages are very high.
Of course, the salary is high because the more you work, the more you get.
If you do a lot of work and generate high income, your salary will naturally be high.
Li Jingsheng handled everything in an orderly manner.
Not to mention 100% satisfaction, at least he gave his best to every patient he treated.
If there is no way to perform manual reduction and treatment, the only option is to persuade the patient to undergo surgery.
If the patient agrees to be treated at the second hospital, he will write a note to the patient and directly tell the patient which doctor to find.
This can prevent patients from queuing and registering repeatedly.
His current status in the Second Hospital may be mediocre, but in the Department of Orthopedic Surgery, everyone from the department director to the resident doctors buys into his account.
Orthopedic surgery really needs such a young leader.
Only by enlarging the basic base can everyone live a better life.
"Dr. Li, we have a difficult patient in our first clinic. Dr. Xu asks you to come over and take a look."
The nurse from the nearby clinic ran over to ask for help.
"Okay, I'll be there right after I finish dealing with this patient."
Li Jingsheng felt something strange in his heart.
This was the first time Dr. Xu took the initiative to ask for help.
I don’t know what kind of cases we have encountered?
"Kid, how old are you?"
Li Jingsheng asked the little girl with a dislocated left wrist joint with a smile.
"Two years old!"
She answered timidly with a milky voice.
Immediately afterwards, her face showed an expression of pain and she was about to cry, but Li Jingsheng had already taken advantage of this time to help her heal her wrist.
I kneaded and massaged her wrist for a while and felt that nothing was wrong.
Then he got up and went to the nearby consulting room.
"Dr. Chen, hold on for a few minutes. I'll be back soon."
Li Jingsheng looked at the long queue of patients outside and felt helpless.
Every patient comes to see a doctor with huge expectations, and the appeal and pain of every patient cannot be ignored.
When I first started learning bone setting, I thought it was quite strange. I learned a lot of new knowledge about bone setting and reduction techniques every day.
Now that I have learned the basics of technology, it is more of a repetitive work.
After a whole day, it is actually very boring.
Very tired too.
After all, it is physical work.
The little girl's wrist joint was reset just now. It seemed easy, but it was successfully reset in two to three seconds.
But to achieve this level, it actually consumes a lot of energy.
It is equivalent to exerting a hundred kilograms of force, but only ten kilograms can be applied to the patient's bones. A bit like lifting it up high and putting it down gently.
Li Jingsheng could even notice that after working in the Second Hospital for nearly three months, his arms had become thicker.
It feels hard and firm when pinched, and is full of tight muscles.
These are all muscles that have been trained!
But it’s also a good thing, you can work and exercise at the same time.
For example, during the fight in the morning, the 1.95-meter-tall young man was grabbed by him.
If it had been before, I probably wouldn't have been able to hold it back.
Come to the clinic No. 1 next to it.
Dr. Xu is treating a patient's leg fracture.
"Please take a look at that patient. His right arm was dislocated two weeks ago and I reset it. Now he says he still can't use his right arm."
Dr. Xu was never polite when talking to him.
It's all straight forward.
This is also a sign of not treating him as an outsider.
It also has something to do with Dr. Xu's own character. Dr. Xu never licks even when facing the hospital leaders.
If it weren't for his excellent skills, this kind of personality would actually be at a disadvantage in the workplace.
Li Jingsheng looked at the patient sitting there, a pretty young woman.
The handsome boyfriend is by his side and takes good care of her.
"Did you wear a sling after your right arm was repositioned?"
"It was done. We were originally left to hang it for about three weeks, but we felt it was fine in the second week, so we took it off. Her right hand has been unable to use strength. Could it be that the joint has not been restored?"
The boyfriend asked rhetorically.
"Do you want to take pictures for review?"
"I took it. This is from today. This was taken when I was injured."
The man handed two information packets to Li Jingsheng.
I took it and looked at it. The first X-ray film clearly showed a dislocation of the right shoulder joint.
Looking at the film taken during today's review, the shoulder joint has been restored and there is no problem.
"Judging from the review film, the reset was very successful and there is no problem! Let me check it for you!"
Li Jingsheng looked at the female patient.
"sorry to bother you!"
She had a gentle voice when she spoke.
"You're welcome. Straighten your hands first." Li Jingsheng instructed her to straighten her hands and then stretched out her right hand. "Take my hand with your right hand as hard as you can."
She did as she was told.
It's just that the girl's hands are as soft as boneless. Even if she holds his hand hard, it's still like cotton.
"Don't worry about my pain, just be stronger."
Li Jingsheng thought the girl was worried, so he asked her to use more force.
"I... have tried my best." She replied a little embarrassed.
"Are you usually this strong?"
The power Li Jingsheng felt was exactly that of a five or six-year-old girl.
She must be twenty-three or four years old.
It's incredible.
"I used to be very strong. When I was in boarding school, I remember that to get hot water, you had to go to the boiler room downstairs. The charging standard was 50 cents for a hot water bottle and 1 yuan for a bucket. No matter how much you picked up, it was half a bucket or a full bucket. The bucket was full of one dollar. One of my roommates was from a poor family and was very small. She often used cold water to save money. I took the initiative to carry a bucket full of hot water upstairs and gave half of it to her."
She was full of smiles when she talked about interesting things while studying.
Some memories from the past are indeed wonderful.
"You are quite kind-hearted! Come on, use your left hand to hold my hand again and use your maximum strength."
Li Jingsheng tested her left hand.
She tightened her grip, much stronger this time.
But it is still weaker than the strength of a twenty-four-year-old young woman.
And her body shape is not thin.
She doesn't look like the helpless young lady.
"Since when did your strength become less strong? Ever since you injured your right arm?"
Li Jingsheng was full of doubts.
There are more than 55,000 known diseases in the world, and the number is still increasing.
Every year scientists or doctors discover new types of diseases.
Occasionally, we encounter various strange diseases in clinical practice.
This was the first time that Li Jingsheng encountered a case where the strength of the joint became reduced after the joint was restored.
It is understandable if the joint reduction is unsuccessful.
The film taken by the patient now clearly shows that the restoration was successful, and more than two weeks have passed, so it stands to reason that he has almost recovered.
"I don't know about this. It's just that I feel weak these days and get tired easily. The last time I injured my right hand was also due to fatigue. I lost my grip when climbing the ladder to change the light bulb, and then fell."
The female patient's words gave Li Jingsheng a new thought.
"Let your boyfriend do something as dangerous as changing a lightbulb!"
Li Jingsheng smiled and looked at the young man next to him.
"Don't mention it. I was on a business trip at the time. I heard that she was injured in a fall. I don't know how distressed I was."
The boyfriend hurried to the side to make amends.
It can be seen that this boyfriend is very handsome, but he comes across as someone who is good at superficiality and a bit slippery.
These days, boys who are too honest are at a disadvantage when chasing girls.
If you are stupid and don't know how to sweet talk, you will easily end up without a wife.
On the contrary, it is a smooth-talking man, even if he is so scumbag, he still has a female servant who will follow him and throw himself into his arms.
"Let me feel your bones and have a look! If you really can't find the cause, I'm afraid you need to go to an orthopedic department for a checkup."
"OK."
The female patient nodded in agreement.
Li Jingsheng first started to pinch her elbow joint upward.
The expression is serious.
You also have to keep a serious expression, because your boyfriend is watching, so if there is a misunderstanding, it will be difficult to explain.
Some men get mad and beat them when they see a male doctor touching his girlfriend or wife.
"No wonder your hand is weak. It feels like there are no muscles in your arm!"
Li Jingsheng quickly discovered the problem after touching it.
There were no obvious problems with her bones, but her arms had no muscles and felt very thin.
"I shouldn't be thin either! I weigh over one hundred and ten pounds."
The girl subconsciously touched her face.
"Isn't it normal for girls to have no muscles? If a woman has muscles as developed as a man, that would be terrible." Her boyfriend also said next to her.
"You're right. Let me show you my left hand again."
Li Jingsheng did not argue with them, but in his heart he felt that the girl's right arm muscles were a little lacking.
He feels the patient's bones every day and will never feel wrong.
After touching the female patient's left arm, he found that the condition was much better, but the left arm also had less muscle.
"Are you sure you were very strong before?"
"That's for sure! Who is lying about this!"
She nodded seriously in confirmation.
Li Jingsheng frowned and thought for a while, but couldn't think of a reason for the time being.
"Can I touch your right arm again? I always feel that your right hand is weak. It doesn't seem like a joint problem. It may have something to do with lack of muscles."
After thinking for a moment and finding no important ideas, he could only ask the female patient for her opinion again.
"Okay, no problem."
The female patient agreed generously.
The boyfriend didn't say anything, but his expression looked a little unhappy.
Li Jingsheng touched the muscles of her right arm again.
The muscles here are originally very rich. Even if it is a girl, as long as she exercises a little and makes a fist hard, a 'little mouse' will appear.
"Make a fist with your right hand."
"right!"
Li Jingsheng instructed the patient to make a fist and then exert force.
At this time, he felt the muscles of the patient's right arm trembling.
Like trembling.
"Okay, relax, relax and stop pushing."
Li Jingsheng said to the patient.
After she released her fist, the muscles in her right arm were still trembling, but slightly.
"Let me feel your left arm again."
Li Jingsheng directly pinched her left arm, and then carefully felt whether the muscles were trembling.
It seems that there is a little bit.
Her boyfriend's face turned even uglier, but he didn't speak. Just turn your head and look elsewhere.
"Are you straining your left hand?"
"No!"
The female patient shook her head in denial.
When she shook her head, Li Jingsheng noticed that her neck seemed not as flexible as a normal person's.
"Do you usually have trouble turning your head?"
Li Jingsheng discovered the second important clue and immediately prepared for further inspection.
"It's okay! I feel quite strenuous recently. Do you think it was caused by my fall last time?"
She probably also had this problem, but she didn't think it was a big problem, so she didn't ask the doctor.
"It's hard to tell. Let me check your neck!"
"Okay! Thank you!"
Again the girl readily agreed.
The boyfriend's face was a little green, but he still didn't say anything.
In my heart, I must mind that my girlfriend is constantly checked by Li Jingsheng.
"Doctor, you come and check, do you find anything wrong?"
When the boyfriend saw Li Jingsheng starting to touch his girlfriend's neck, he couldn't help it anymore and asked Li Jingsheng in a cold tone.
"Please wait!"
Li Jingsheng naturally knew that this man might be a little angry.
Nor will they argue with each other.
In fact, there is really no need to be angry. In the face of disease, doctors and nurses are all warriors fighting against the disease, and they cannot have other thoughts.
If this woman had an electrocardiogram, her boyfriend would be so angry that he would explode.
"Strange, why do you have mild ankylosis in your neck? Was your neck injured when you fell last time?"
"No! Only my right hand was injured. It was a big bruise at that time, but it gradually healed later."
She pointed to the side of her right elbow.
Fatigue, muscle loss in the right hand, unexplained tremors in the muscles of both arms, and stiffness in the neck... What disease could this be?
After Li Jingsheng thought hard, he couldn't help but be shocked.
He thought of a very rare disease.
Amyotrophic lateral sclerosis.
All the symptoms are very similar to this disease.
Li Jingsheng looked at Dr. Xu.
"Teacher, her disease doesn't seem to be a joint or bone problem, but a muscle problem. Should she go to the neurology department for a check-up?"
"A muscle problem?"
Dr. Xu was slightly surprised after hearing this.
He is only good at manual bone reduction and is fairly proficient in orthopedic surgery. Not good at diseases in other fields.
This apprentice has performed well in many fields, and he runs a clinic, so he usually deals with a variety of cases.
It can be said that he is well-informed.
Now tell him that the patient probably has a muscle problem, but Dr. Xu does not doubt his apprentice's diagnosis.
I just feel weird. It's obviously just a dislocation of the shoulder joint, so how did it turn into a muscle problem?
There should be no direct correlation between the two!
"I suspect she has a muscle problem, probably a neurological disease, causing muscle atrophy and loss, and weakness in her right arm."
Li Jingsheng explained in detail.
"Girl, you heard what Dr. Li said, go to the neurology department!"
Dr. Xu is an attending physician after all. When Li Jingsheng said this, he immediately thought of amyotrophic lateral sclerosis.
He agreed to advise the patient to get tested.
The doctor's obligation is to try to find out the cause of the patient's disease and then treat it accordingly.
"Are you, a young doctor, accurate? My girlfriend's nerves are fine. What's the problem?"
The boyfriend does not trust Li Jingsheng's test results.
"Neuropathy is difficult to see with the naked eye. We just recommended that she go to the neurology department for further examination. For almost all diseases, the earlier they are discovered and treated, the better."
Li Jingsheng took the time to come for consultation, which is a huge kindness.
This male family member is too small-minded.
Wasn't it just that she touched her girlfriend a few more times when she was checking her? There's really no need for this.
No wonder doctors in nail and breast surgery are always frightened when examining female patients.
If it is breast hyperplasia, nodules, or ductal fistula, can it be detected without touch?
An experienced doctor can tell whether it is a malignant tumor and how far it has progressed by just touching it.
"Sun Yang, we listened to the doctor right. Let's go to the neurology department! It's still early anyway."
The female patient persuaded her boyfriend.
"Okay, okay, I'll go with you! You are my baby! Let's go!"
The boyfriend took her hand and walked directly outside.
I don't have any gratitude towards Li Jingsheng, and I guess there is still a little bit of dissatisfaction in my heart.
The female patient is quite polite and somewhat grateful.
He turned back to Li Jingsheng and Dr. Xu and said, "Doctor, thank you!"
"You're welcome, go get checked quickly! This disease cannot be delayed."
Li Jingsheng was worried that she didn't know how serious the disease was, so he tried to persuade her again.
She was dragged away by her boyfriend.
"Do you suspect that the female patient just now has ALS?"
"It's possible. It's a pity that such a young, beautiful and quiet girl could get this disease? Alas!"
Li Jingsheng shook his head and sighed.
"Teacher, I'll go back to work over there first."
"Go!"
Doctor Xu nodded, showing a hint of contemplation.
Before calling Li Jingsheng over, he must have also examined the girl.
I really haven’t thought about neuropathy.
Dr. Xu didn’t even think too deeply about muscle disease.
Seeing his apprentice coming over, he immediately found out the cause of the disease. Although he didn't know whether it was accurate, Dr. Xu still felt that his apprentice was getting stronger.
When Li Jingsheng was so busy that he was about to get off work, Dr. Xu came over.
"The cause of that girl's illness has been diagnosed by neurology, and it is highly suspected to be amyotrophic lateral sclerosis. Your diagnosis is correct."
"I didn't expect it to be this sick. I feel so sorry for that girl!"
After hearing this, Li Jingsheng felt that fate was really cruel.
I don't know how to show mercy at all.
What a wonderful girl, so young to have this disease.
The key is that there is no specific medicine at all.
By then, she could only watch the disease erode her body bit by bit, slowly losing her ability to move, speak, and even drink water.
"The disease is not the most terrifying thing. I heard Director Luo from the Neurology Department say that after the preliminary diagnosis results came out, after talking to the female patient and her family, the man ran away immediately."
Dr. Xu is not a gossip person.
But when doctors and nurses encounter such callous things, they will still discuss it.
Human nature is much scarier than disease.
At most, the disease can only kill people and destroy the patient's body, but the coldness of human nature can cause the most terrible psychological harm to the patient.
Patients need to suffer both psychological trauma and disease devastation.
"The female patient shouldn't have fainted from crying on the spot?"
Li Jingsheng felt that that handsome boyfriend was really nothing.
When we first met, I felt that the man had a greasy mouth and liked to make superficial things. Unexpectedly, when I heard that my girlfriend had ALS, I abandoned her on the spot and ran away.
At least you can just pretend, wait a few days and then run away!
There are many people who will indeed become very realistic in the face of interests.
Even the hypocrisy has been omitted.
"She didn't cry. The girl just said she recognized the man. Director Luo was worried that the girl would not be able to bear the shock and commit suicide, so he insisted on asking her to provide her relatives' phone numbers and called the girl's parents over."
Dr. Xu said.
It is indeed strange for a female patient to suddenly suffer the double blow of being seriously ill and being abandoned by her boyfriend, and yet she has not cried yet.
Based on the experience of doctors, it is very easy for such women to commit suicide without thinking about it.
Because her heart was filled with despair and she felt that life was meaningless.
"I'm off work. You should call it a day when you're done! You should limit the number when it's time to limit the number, otherwise the patient will have to wait for a long time and you will be exhausted."
Dr. Xu looked outside the clinic and saw that there were five patients waiting in line.
He reminded Li Jingsheng.
(End of chapter)
