Practicing Medical Skills in a Small Clinic

Chapter 306 - 169: The Impact of Extreme Muscle Strength on Reduction, Mastering the Sixth Technique

For a family, having a wife who helps earn money and support the household is incredibly lucky.

Some women feel at ease being full-time housewives.

They even believe spending their husband’s money is justifiable, preferring to play mahjong and entertain with ’girlfriends’ rather than work.

Such families are often very fragile.

As soon as the husband’s finances encounter issues, the family immediately falls into crisis.

If the wife can also have a stable job, the family’s resilience is higher, and harmony is more likely.

Some families don’t have elders to help with child-rearing, which leaves no choice but for one spouse to care for the family full-time.

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

Undoubtedly, he is very happy and lucky.

"No one can guarantee whether he will be disabled after recovery. However, for bone injuries like his, technical repositioning shouldn’t be a problem."

Doctor Xu did not push his apprentice forward this time.

Instead, he personally communicated with the family and the patient.

Because this bone injury was too severe for Li Jingsheng to handle.

"That means it can be treated, right?"

The patient and his wife looked directly at Doctor Xu.

"You can try. If the manual repositioning doesn’t work well, you can still consider surgery later." Doctor Xu clearly was confident enough to take on this task.

But he answered the patient conservatively.

There was no choice—this approach is driven by some family members and patients who tend to be picky.

For example: A doctor tells the patient that the illness can be cured.

But after treatment, it’s not cured. This isn’t a result the doctor wants to see. Worse, the patient sues the doctor.

So, when communicating with medical staff, if they say it can be tried, it means it can be treated.

If they say it might be a certain disease, it means it’s almost certainly that disease.

"Can it be treated now?"

After some simple exchange, the family and the patient asked Doctor Xu.

"Yes!"

Doctor Xu nodded.

"Lie flat on the treatment bed inside, and Dr. Li will conduct a preliminary examination, then determine the manual repositioning and subsequent treatment plan."

Initially, it seemed Doctor Xu would handle this major task himself.

Unexpectedly, it was handed over to Li Jingsheng again.

"I..."

Li Jingsheng wanted to say, "Teacher, I really can’t do this task."

But as soon as he spoke, Doctor Xu, expressionless, said, "Young people need to work more, don’t always think about lazing around. First do a bone examination, then clamp and separate bones, and directly reposition it, okay?"

Li Jingsheng really wanted to roll his eyes.

Oh, teacher, you’re forcing me without any training period!

The broken bones have been squeezed together, also accompanied by localized hematoma; it’s really impossible!

Doctor Xu ignored him and went directly inside.

"Xiaoli, what are you dawdling about? Hurry up! Always so slow, only two patients treated all morning."

Seeing Li Jingsheng hesitate, Doctor Xu started scolding.

Li Li winked at him, signaling him to step inside.

Dr. Chen wished this kind of good opportunity would fall to him.

But comparing oneself to others just leads to frustration.

Doctor Xu never let him handle these challenging bone-setting cases.

Li Jingsheng nervously went in to perform the bone examination.

He found the fractures on the tibia and fibula were very serious, especially the tibia, where the broken part could almost move freely.

Such severe injuries, yet the patient only had a simple splint for fixation—truly a tough person.

Forget sitting in a wheelchair; even lying flat would be extremely painful.

Yet the patient kept a normal expression, only showing signs of pain through his brows.

No wonder his capable wife chose to marry someone so average-looking and maintains a great relationship with him.

This kind of modest man is indeed very charming.

"The fractured tibia is being pulled by the interosseous membrane, also pulled by the interosseous muscles, causing it to approach the fibula fracture end, forming lateral displacement. During manual repositioning, it definitely needs separation and return to its original position, then repositioning and invasive external fixation."

Li Jingsheng finished the examination and provided a series of treatment plans.

Some fractures can be treated with a plaster cast or a splint after repositioning.

But some fractures require drilling holes at both ends for internal or external fixation.

Otherwise, after repositioning, even a simple move by the patient could cause the set bones to displace.

Bone callus growth takes at least half a month.

This is just fibrous callus, and only children can heal so quickly.

Bony callus usually takes over a month and a half to mature.

Injuries take a hundred days to heal, bone injuries included.

The bone needs over a hundred days to heal, which is more than three months.

Actually, to regain previous strength takes at least half a year.

Like with severe bone fractures, as long as fibrous callus forms, the fractured bone can reach a relatively stable state.

"That’s pretty much the treatment plan. If you’re willing, I can get the anesthesiologist for you."

Doctor Xu asked the couple.

After their discussion, they agreed.

Actually, for doctor-decided treatment plans, patients typically consent.

For tibial fractures, local anesthesia isn’t feasible.

Epidural anesthesia is required.

So, an anesthesiologist must be called.