Chapter 169 The influence of super strong muscles on reduction, the sixth manual technique academy

For a family, it is very lucky to be able to marry a wife who can help earn money to support the family.

Some women work as full-time housewives with peace of mind.

She even thinks that it is natural to spend her husband's money. She would rather play mahjong all day long and have various entertainments with her "girlfriends" than go to work to make money.

Such families are often very fragile.

As long as the husband's financial problems arise, the family will immediately fall into trouble.

If the wife can also have a stable job, the family's ability to resist risks will be higher and it will be more harmonious.

Some families do not have an elderly person to help take care of the children, so there is no other option but for one of the couple to take care of the family full-time.

After the patient collapsed, his wife took on the burden of the family because she had a job.

Undoubtedly, he is very happy and lucky.

"No one can guarantee whether he will become disabled after he recovers. However, for a bone injury like his, there should be no technical problems with manual reduction."

Doctor Xu did not push his apprentice forward this time.

Instead, communicate with family members and patients in person.

Because of such a serious bone injury, Li Jingsheng was not able to treat it.

"It means it can be cured, right?"

The patient and his wife looked at Dr. Xu together.

"You can try it. If the therapeutic effect of manual reduction is not good, it is not too late for you to consider surgical treatment." Dr. Xu obviously had enough confidence to take this job.

But when answering the patient, he was very conservative.

There is no way, this is all forced out by some family members and patients who like to be serious.

For example: The doctor told the patient that the disease can be cured.

The result was that the patient did not get better after treatment. This result was not what the doctor wanted to see. What was even worse was that the patient sued the doctor.

Therefore, when communicating with medical staff, they said that they can try, which means that they can treat it.

They said it might be a certain disease, but that basically means that the disease has not gone away.

"Can it be cured now?"

After a brief exchange with the patient, the family members asked Dr. Xu.

"Can!"

Doctor Xu nodded.

"Lie down on the treatment bed inside. Dr. Li will conduct a preliminary examination for you, and then determine the manual reduction and subsequent treatment plan."

I thought that Dr. Xu would do it himself if he took over this big job.

Unexpectedly, he dumped it to Li Jingsheng again.

"I……"

Li Jingsheng wanted to say, Teacher, I really can't do this job.

As a result, as soon as he said a word, Dr. Xu said expressionlessly, "Young people should work more and don't always think about being lazy. First, check the patient's bones by touching them, then squeeze and separate the bones, and directly reset him."

Isn’t that enough?”

Li Jingsheng really wanted to roll his eyes.

Teacher, teacher, you can give me some time to adapt!

The broken bones were squeezed together, and there was also local hematoma. It really couldn’t be cured!

Dr. Xu ignored him and went straight in.

"Xiao Li, why are you wasting your time? Hurry up! You are always so slow. You have to treat two patients in one morning."

Seeing Li Jingsheng's hesitation, Dr. Xu began to curse.

Li Li winked at him and motioned for him to click in.

Dr. Chen wished that such a good thing could happen to him.

Just comparing people to each other makes people angry.

Dr. Xu never lets him handle these difficult bone-setting cases.

Li Jingsheng went in and felt the patient's bones.

It was found that the fractures of the tibia and fibula were very serious, especially the tibia, where the broken parts could move almost freely.

For such a serious injury, the patient only needed a simple splint to fix it. He is really a cruel person.

Not to mention sitting in a wheelchair, even lying on a flat bed will cause severe pain.

However, the patient's face remained normal, and the expression of pain could be seen between his eyebrows.

No wonder his wife, who is so outstanding, is willing to marry an ordinary-looking man and has a very good relationship with him.

This kind of showy man is indeed very attractive.

"The broken tibia is pulled by the interosseous membrane and the interosseous muscles, causing it to get closer to the broken end of the fractured fibula, causing lateral displacement. During manual reduction, they definitely need to be divided.

, let them return to their original position, and then perform reduction and invasive external fixation.”

After Li Jingsheng touched the bones, he gave a series of treatment plans.

For some fractures, after reduction, a cast or a splint is enough.

Some fractures require drilling holes at both ends of the broken bone for internal or external fixation.

Otherwise, after the reduction is completed, if the patient turns over or moves casually, it may cause the connected broken bones to shift.

It takes at least half a month for the callus to grow.

This is just a fibrous callus and requires children.

Bone callus often takes more than a month and a half to grow.

It takes a hundred days to break the muscles and bones.

It takes more than 100 days for bones to grow well. That is more than three months.

In fact, it will take at least half a year to return to the previous strength.

Generally, for serious fractures like this, as long as fibrous callus grows, the broken bone can be stabilized.

"Basically, this is a treatment plan. If you are willing, I will help you apply for a doctor from the anesthesiology department."

Doctor Xu asked the couple.

After discussion, they finally agreed.

In fact, patients will basically agree to the treatment plan decided by the doctor.

A fractured tibia cannot be operated with local anesthesia.

An epidural is required.

Therefore, a doctor from the anesthesiology department must be invited.

"You lie here first. You go and pay the fee and go through the formalities. The anesthetist will talk to you when he comes and ask for a signature. Then he can be treated. He needs to be hospitalized, and I will issue a hospitalization bill for you."

Dr. Xu handles the corresponding procedures for the patient.

"Xiao Li, go deal with other patients. There's such a long queue outside, so you have to work harder, do you understand?"

Li Jingsheng used to come here and study with me for two hours every day, just as a guest.

Now that he is an employee of the Second Hospital, Dr. Xu is no longer polite to him.

He urged him to work desperately.

Of course, this is for his own good.

A strict teacher produces a good disciple.

Only by forcing him to constantly challenge various cases and practice operations can he quickly improve his bone setting level.

Li Jingsheng listened to the advice and asked Li Li to call new patients in and then deal with them according to his ability.

I'm pretty lucky, calling four cases in a row was relatively 'easy'.

They were all cured by him.

It received three positive reviews.

He has long discovered that the probability of receiving favorable reviews for surgical reduction in outpatient clinics is particularly high.

It's just that Dr. Xu or the entire clinic lost the good reviews in the past.

It doesn't fall on him personally.

Now that he is officially in charge, he operates the entire process, and can even directly prescribe medicines to patients, issue hospitalization orders, etc. in his own name.
To be continued...