Chapter 208 The aura is reversed, and it is not a good thing to be arrogant.

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 if I say it's white, is there any use?"

Dr. Xu must have felt very happy when he saw that his apprentice had successfully shocked the old stubborns in these departments. He could not help but show a trace of pride on his face.

Manual bone setting has always been regarded by these people as a trivial and unsophisticated medical technique.

Even if 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 3,000 or 4,000.

In fact, the current single-day consultation volume of the manual reduction clinic is 50 or 60 people per day in bad times, and 70 or 80 people per day in good times. 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 unappreciated. 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 chief 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.

One of the major causes of bone graft failure.”

Li Jingsheng told everyone another sad news.

The destruction of such an important blood supply will undoubtedly increase the difficulty of the second operation.

"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?

Advanced bone palpation is actually more powerful than CT.

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 palpation is so powerful.

"Haha, it's not as mysterious as everyone thinks. I believe that many of the teachers and colleagues here have already felt the knife 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. Even more powerful, 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 feeling 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, but after being touched by Li Jingsheng, he was completely conquered.

Now he actually helps 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 from 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 can’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 even realizing it.

It is slowly falling towards him.

Generally, before major surgery, you need to contact the blood bank to prepare blood. There are only one or two bags of blood in reserve, so 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, during surgery, only slightly larger blood vessels can be avoided or ligated in advance.

"We already know that this patient's local blood supply has been destroyed. Color ultrasound and CT can show some of it. I wonder how Dr. Li plans to treat him?"

Director Hua had not spoken. At this moment, he saw that the directors began to discuss the feel of the knife with great interest, and they seemed to have the intention to continue the discussion in depth.

This is not possible.

There are so many patients to deal with in the entire orthopedic surgery department. 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 artery between the first and second extensor sheaths of the retinaculum. But now that the local blood supply has been destroyed, it cannot

Let’s 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 and some of the weaker residents, their eyes were blank because they couldn'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 transplant 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 be bold in exploring 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 that we will fail again. Out.

Only with a new path can we be successful."

Director Zhong Hu was actually the first to support Li Jingsheng's innovative plan.

"Director Zhong won't oppose him this time?"

Director Hua had a narrow smile on his face.

"Hey, I, Old Zhong, am not the kind of straight-minded person. In the field of medicine, whoever makes sense and who can really cure the patient's disease, I will obey. 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. Our orthopedic surgery department needs such young and promising people.

doctor."

Director Zhong Hu really dares to say anything.

This kind of straightforward personality is actually quite good.

It is often easier to deal with this kind of person, and you don't have to worry about guessing what he is thinking.

"Haha, Director Zhong's ideological awareness is still high! 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.
To be continued...