Practicing Medical Skills in a Small Clinic

Chapter 321 - 174: Professor Wu Is Interesting, Finally Healed

"Um... that was indeed a bit impulsive of me. I promise, I won’t do such a thing again." The woman looked embarrassed.

The man beside her accompanied with a smiling face.

Doctors have never been a service industry; it’s just that some patients and their families can’t get their positions right.

Encountering Bone Setting treatments like those by Li Jingsheng, which are almost monopolistic, if they don’t treat them, not even a complaint to the medical department or the health committee will help. Treating patients inherently carries certain risks for doctors.

If doctors believe the operational risk is too great, they have every reason to let patients choose ’conservative treatment’.

Besides, there are various other defensive medical practices.

"Sometimes I truly wish family members could better understand how hard it is for doctors. Our Dr. Li has already treated nearly thirty patients this morning. If he works overtime to treat you, other patients could similarly demand overtime. Then Dr. Li wouldn’t get lunch, nor would he rest, rendering him too exhausted to treat other patients in the afternoon, right?"

Nurse Li Li said on the side.

"We didn’t consider it thoroughly, sorry!"

The patient apologized for his wife after hearing this.

This was already quite good.

Some family members and patients, relying on ’connections’, cause a ruckus sufficient to make younger female doctors cry.

"Teacher, his tibial fracture is very severe, I worry that the effectiveness of manual realignment might be unsatisfactory."

Li Jingsheng showed the film to Doctor Xu.

"Look here, mainly this part, I’m concerned about forming bone fragments."

Manual Bone Setting cannot treat all bone injuries.

It cannot treat comminuted fractures.

Severe fractures accompanied by certain joint dislocations cannot be treated either and require surgical internal fixation.

After examining the film seriously, Doctor Xu furrowed his brows.

"Come, let me feel it."

He personally palpated the patient’s bones and, after pondering for a moment, said, "You’ve come from afar, which is not easy, you can attempt a manual realignment, but if the result is unsatisfactory, then surgery treatment will be the only option."

"Okay, okay, please take the trouble!"

The patient found that complaints were ineffective and his attitude had completely changed since noon.

"Xiaoli, you handle his realignment; I’ll take care of this part of the bone." Doctor Xu said to Li Jingsheng.

"No problem."

Li Jingsheng was only one course short of mastering massage therapy, but he could entirely handle the repositioning of the broken tibia.

After more than twenty minutes, he had successfully realigned the patient’s broken tibia.

The bone fragment became the last obstacle.

"You hold it steady and watch my method closely."

Doctor Xu’s hands grasped the patient’s fracture site, then manipulated the soft tissue and muscles near the bone fragment with his thumbs.

"Pay attention to the force and angle of exertion; trying to move this bone fragment directly by hand will injure soft tissues. Utilize the muscle movement to let it shift automatically to the defect area, which is a gentler method but extremely tests your judgment and technique..."

It’s practically equivalent to scratching an itch through a shoe.

This imposes very high demands on the physician in all aspects.

It requires accurately judging the fragment’s condition and location by feeling, like having an X-ray machine in the brain, scanning constantly.

The requirements for massage techniques are even higher.

Every massage must precisely anticipate the fragment’s movement, gradually restoring it to its original position.

Doctor Xu’s forehead was already beaded with sweat, and his breaths became rapid and heavy.

It seems the teacher’s body has not yet fully recovered.

As time ticked by, Li Jingsheng carefully watched every movement of Doctor Xu’s massage technique.

"Alright, the position of the fragment has been corrected. Aligning it onto the defect requires skill. First, you need to know the shape of the fragment, most commonly irregular triangles. Remember, if there’s more than one fragment, manual realignment becomes very difficult, and patients should opt for surgery. Also, since you’ve successfully realigned the broken bone, to restore the fragment properly to the defect area, you’ll need to plan the approach mentally.

For instance, this patient’s fragment is triangular, and the defect area is here. First, align this end back, then gently press down the other end.

During this process, the correctly realigned fracture site needs to be reopened."

Doctor Xu signaled Li Jingsheng to slightly open the realigned tibia to the right.

"Okay, okay, that’s enough."

The opened angle is small, about fifteen to sixteen degrees.

Dr. Xu gently massaged, pressing twice, then lightly exerted upward force with Li Jingsheng’s hand to restore the opened fracture angle back to its original position.

"Dr. Chen, bring the splint, I’ll help him fix it."

Doctor Xu’s operation was gentle and swift throughout, exuding a masterful ease.

Only Li Jingsheng could truly feel the extent of the teacher’s strength.

He was certain that Doctor Xu’s bone setting technique was far beyond the level of Minor Achievement.

As he personally had two bone setting techniques at the Minor Achievement level, he realized they were inferior to Doctor Xu’s.

"For fractures with a single bone fragment like yours, the difficulty of manual realignment is extraordinarily high. Successfully realigning means saving you a significant amount of money and time. You don’t need hospitalization but must be careful in nurturing recovery. If there are no abnormal conditions, come back for an X-ray recheck in a month. Remember, don’t go to other hospitals for convenience. After confirming the recheck results, rehabilitate for about two more months, then it should be fine. At that time, you’ll be taught some rehabilitation exercises. No rehab exercises are recommended within two months."

Doctor Xu instructed the family members and patients.