novelraw Chapter 304 168: High-Risk Correction, the Hardships of Adulthood (Part 2)
Chapter 304 168: High-Risk Correction, the Hardships of Adulthood (Part 2)
After feeling it, he had a general idea.
The patient's fourth and fifth cervical interspace were obviously asymmetrical, wide on the left and narrow on the right, with the fourth spinous process deviating.
Upon further examination of the bones, there was a peeling sensation of the supraspinal ligament.
The patient's neck was tilted forward by more than 15 degrees.
The problem was basically identified.
To apply bone setting to this patient would require multiple bone-setting techniques, and a very high degree of attention to detail.
The five advanced bone-setting techniques he had learned, along with the basic bone-setting techniques, had all reached Master Level. After thorough evaluation, he believed he could challenge this case.
If he could elevate the techniques of traction extension and swing touch to the Minor Achievement level or above, his confidence in repositioning the patient would be greater.
Now, his safety assurance was about 50%.
If these advanced bone-setting techniques could reach the Minor Achievement level, the safety factor would at least reach 80%, or even higher.
Having officially joined the Second Hospital, Doctor Xu also intended to train his bone-setting skills by giving him some high-risk practice opportunities.
He believed he could quickly acquire life points.
Once he gradually elevated these bone-setting techniques to a higher level, within a month, his bone-setting proficiency could take a significant step up.
"Have you got it figured out?"
Doctor Xu asked him.
"I've figured it out. I'm somewhat confident I can reposition him successfully."
This time, Li Jingsheng answered with much more confidence.
"It's just a cervical disc repositioning. Even if there are problems with three or four segments, with your current skills, you can definitely take on the challenge. To ensure repositioning is safer and less painful for the patient, I suggest you can reposition him over three to four treatment sessions."
Upon hearing this from his teacher, Li Jingsheng's eyes brightened slightly.
Doctor Xu dared to let him treat it because he already had a reliable plan.
It made Li Jingsheng worry unnecessarily for quite some time.
Stage-based treatment is not a novel method in clinical practice. When encountering a more difficult condition or combined symptoms, doctors often take stage-based treatment approaches.
The critical issues are treated first, and once the most important problems are resolved, the non-lethal ones are addressed.
As for manual bone-setting and repositioning, what Li Jingsheng encountered was a one-time complete operation.
Repositioning through three or four treatment sessions was something he had never tried.
"Four sessions would be fine; after all, we don't live far away. As long as the treatment is safe, we don't mind coming over a few more times."
The old lady said.
"It takes nearly two hours by bus from Yanxia Lane in the north of the city to here!"
The patient's father quietly corrected from the side.
He worried that the doctor might not understand the actual situation and truly let them make such trips.
"Nobody's taking you for a mute! We live in the city, and you say it's not close? Seriously!"
The old lady was very unhappy with her husband's bluntness.
She glared at him.
The husband awkwardly shrank back, moving his neck back.
Yet both their eyes instinctively focused on Li Jingsheng.
Because, as they spoke, Li Jingsheng had already begun the manual bone-setting for the patient.
"Relax, relax!"
Li Jingsheng kept reminding the patient, standing behind him, his right hand holding the top of the patient's head and his left hand gripping the patient's neck.
He continually adjusted his posture and bone-setting techniques.
Push, pull, press, traction—whatever bone-setting technique could be used and could achieve a good therapeutic effect, he would use.
Dr. Chen watched with some envy.
Of these bone-setting techniques, he knew many basic methods, but to use them as skillfully and effortlessly as Li Jingsheng was beyond him.
As for some subtle techniques and advanced bone-setting arts used by Li Jingsheng, Dr. Chen didn't understand them at all.
The force techniques, the angle of massage, the two-way coordination, and so on, without detailed instruction and hands-on teaching by an operator, would be nearly impossible to learn.
"Oh... it hurts, it hurts..."
The patient's sudden scream startled the family.
In fact, ever since Li Jingsheng started examining him, the patient had been gritting his teeth to endure.
His body trembled continuously, his teeth gritting with a crunching sound.
Perhaps it hurt too much at this moment, breaking his limit of endurance, causing him to cry out in pain.
"Okay, okay, don't move, don't move."
Li Jingsheng had already corrected the spinous process to its proper position, and the protruding disc was 90% restored.
He dared not force the remaining 10%.
Worried about causing an accident.
Actually, his palms were full of sweat.
In terms of nervousness, he was more anxious than the two family members.
"Teacher, I've repositioned it about 90%, and for the remaining 10%, should I rely on traction to gradually restore it; what do you think?"
"Absolutely."
Doctor Xu was very pleased with his performance.
With just a small hint, Li Jingsheng was able to independently devise a reasonable treatment plan for the patient, which requires a high level of talent and a solid understanding and mastery of bone-setting techniques to accomplish.
"Let me tell you, now more than half of the repositioning is done. However, the next repositioning carries a very high risk. The safest course is to arrange hospitalization here, apply traction, and let it reposition gradually."
Li Jingsheng looked at the two family members.
"Hospitalization! Can't we do it at home?"
The old man was obviously concerned about the cost when he heard about the hospitalization.
"Such high-risk procedures require even us professional doctors to be extremely cautious. You want to save a bit of hospitalization fee and do it yourself at home? In fact, the hospital fees won't be very high for him, because medication costs are low, mainly the nursing fees are a bit higher. But it's worth spending this money; having medical staff supervising ensures safety. And it allows the traction to achieve the best effect."