novelraw Chapter 334 - 178: Worry and Treating Patients on Behalf of the Master (Part 2)
Chapter 334 - 178: Worry and Treating Patients on Behalf of the Master (Part 2)
Outside, it’s overflowing with people again.
I really don’t understand why so many people encounter misfortune every day.
Patients coming here for bone setting are mostly injured by various accidents.
Falls, sprains, car accidents, high falls, bone fractures due to osteoporosis, and so on.
"Dr. Li, we’ve been looking forward to seeing you! Ready to start?"
Li Li greeted him with a smile as radiant as a flower.
"Teacher Li is being biased! I clearly came earlier than Dr. Li, but I’ve never seen you smile like this."
Dr. Chen silently prepared the tools and consumables for bone setting.
"Hmph, what’s the use of coming early? If you have the ability, like Dr. Li, to handle everything on your own, treating each patient as they come. The patients outside have urged me several times already, haven’t you always told me not to call for numbers first?"
Li Li rolled her eyes.
This remark made Dr. Chen smile awkwardly.
Nurses tend to behave like this, often bullying doctors with lower status.
Dr. Chen is relatively lucky; some intern doctors get scolded by nurses just like they’re being scolded as children.
"Start calling the numbers! Isn’t Doctor Xu here yet?"
Li Jingsheng didn’t see Doctor Xu’s figure in the outpatient room outside.
"Probably will arrive a bit later; Doctor Xu seemed to have coughed up blood yesterday." Li Li spoke of Doctor Xu’s condition with concern.
"Was it sudden coughing up blood?"
Li Jingsheng’s heart sank slightly; as a resident doctor with years of experience in Pulmonary Medicine, he knew that coughing up blood indicates damage to the respiratory tract.
"He was treating a patient with a femur fracture on the right leg, maybe exerted too much force or something. After treatment, he began coughing vigorously, and later coughed up blood."
Li Li described the scenario.
Li Jingsheng couldn’t help but feel anxious.
If it’s just dry upper airways or overexertion causing capillary rupture and coughing up blood, or a laryngeal hematoma leading to submucosal vascular rupture and bleeding due to coughing, those issues aren’t serious.
The concern is when there’s a problem with the lungs.
On a day visiting Doctor Xu at his home, the doctor’s wife briefly mentioned it being an old ailment.
Doctor Xu then prevented further discussion.
Some chronic issues aren’t of major concern; however, some can develop into tumors or severe conditions.
The first patient had already been assisted inside by family, initially thought to be a simple shoulder dislocation.
After examining the x-ray, there was unexpected damage to the joint capsule.
The difficulty of repositioning this isn’t high, but the treatment is particularly cumbersome.
A long recovery time is needed, and there’s a chance of habitual dislocation later on.
After repositioning this patient, applied a suspension band, then prescribed medicine for bone injuries, and it’s considered done.
One patient after another came in for Li Jingsheng to treat; he has evidently become the new main force in the manual repositioning clinic.
Around 8:40, Doctor Xu arrived.
His complexion looked a bit pale, his voice slightly hoarse while speaking, otherwise seemed okay.
"How many have been treated already?"
Doctor Xu asked.
"This is the fifth one." Averaging about ten minutes per treatment.
Dr. Chen can assist with many things, too.
Like with patients having joint dislocation, after successful repositioning, having Dr. Chen wrap the bandages is definitely feasible.
Also, patients needing plaster casts are similarly managed by Dr. Chen.
"Mm, not bad." Doctor Xu nodded. "When repositioning, never rush; first fully understand the patient’s injuries and bone condition, then formulate a suitable treatment plan."
Doctor Xu advised him earnestly.
"Understood."
While speaking, Li Jingsheng had already understood the bone injury situation of this patient: left hand scaphoid fracture.
At the local hospital, the proposed treatment plan was surgical operation.
First cutting open for repositioning, then internal fixation with screws and Kirschner wires.
Post-operatively, a plaster splint for immobilization for two to three months, followed by a second surgery three months later to remove the Kirschner wires and start functional exercises.
Upon unexpectedly learning about the remarkable manual bone setting treatment at the second hospital, the patient rushed over overnight.
After assessing the bones, Li Jingsheng considered trying manual repositioning.
After proper communication with the patient, fees were pre-paid on site by the family.
It must be mentioned that regardless of whether manual repositioning fails or the results are less than optimal, the fees still have to be collected.
Following treatment by Li Jingsheng, the patient’s scaphoid was successfully repositioned, immobilized with a plaster splint, and prescribed traditional Chinese medicine to promote bone injury recovery. This patient was resolved.
The sixth patient was a young woman in her thirties.
Her attire was quite fashionable.
A red dress, long wavy hair, manicured nails; she had a slim figure.
Yet at the moment, she needed family support to walk, and her movements were slow.
Her head slightly leaned forward, unable to turn.
At a glance, she seemingly resembled a zombie walking.
With Li Jingsheng’s professional eye, he immediately recognized this young woman had a cervical spine issue.
"Did you twist your neck?"
Li Jingsheng guided the patient to sit down, inquiring about the cause of her condition.
"Yes."
The man supporting her was over 1.85 meters tall and overweight.
With this weight, he was probably at least 250 to 260 pounds.
The woman was very slender, around 1.6 meters tall and likely weighing no more than 100 pounds.
"Did you have the x-ray check?"
"Had it checked at your hospital, said it was cervical dislocation."
The man handed the x-ray to Li Jingsheng.
"The twist is quite unusual! How did this happen?"
A person’s cervical spine has seven segments; it’s easier to twist at the middle segments 3, 4, and 5.
Among them, 4 and 5 are the most prone to twisting.