Practicing Medical Skills in a Small Clinic-Chapter 102 - 101: Unlimited Bone Palpation Opportunities, Teaching by Example
To be honest, what he’s doing is somewhat against the rules.
Because Li Jingsheng is an external doctor, he hasn’t registered at the Second Hospital. It’s definitely not allowed for him to wear work clothes and perform clinical operations at the Second Hospital.
"Having an extra hand in our Bone Setting clinic is a good thing! At least in the future, when we need to hold the injured, we’ll have an extra man to help!"
The nurse said with a smile.
"Hi handsome, I’m Li Li, a clinic nurse. Very happy to become colleagues with you."
This female nurse seemed very enthusiastic.
"Hello, please take care of me!"
Li Jingsheng’s reply was like a universal formula.
This petite nurse with thin eyebrows and delicate makeup, with a sharp look in her eyes, made it hard to tell whether she’d be easy to get along with. Newly arrived, he chose a strategy of not engaging too deeply, not offending, not distancing, maintaining harmony on the surface.
The doctor named Chen looked slightly aloof, and when his eyes met with Li Jingsheng’s, he merely nodded and didn’t converse with him.
"Li Li, call the first patient in!"
Doctor Xu sat at the "VIP seat," already prepared for battle.
"Xiaoli, when you feel the bones later, you must carefully sense the bones, muscles, and tendons, and then pay attention to distinguishing the patient’s bone condition. The patients we see here mostly come with external injuries, but occasionally there’ll be other bone diseases as well. If you can’t identify these bone diseases, the bone setting might fail and even cause trouble."
Before stepping into the fray, this was the last reminder for Li Jingsheng.
It could actually be seen as a special kind of care.
Dr. Chen on the side couldn’t help but look at Li Jingsheng with a bit of jealousy.
Clearly, he had never received such special care.
The first injured person was brought in, directly a master-level bone injury.
His hip joint was dislocated from a fall,
He was unable to stand or sit, lying on the stretcher constantly groaning, the injured person looked pale and almost lifeless.
Seeing this, a general doctor would tremble at heart.
Who would dare to perform a bone setting on him? What if during the procedure, the patient is stimulated and breathes their last?
Moreover, treatment for hip dislocation usually involves opening up for surgical repositioning.
"How did this happen?"
Doctor Xu didn’t rush to examine the patient but started with a consultation.
"He was hit by a car while riding a motorcycle."
The family member answered somewhat angrily.
The middle-aged man helping hold the stretcher had a guilty look on his face.
Li Jingsheng immediately realized that the middle-aged man holding the stretcher was very likely the driver at fault.
Under normal circumstances, when a car hits a motorcycle, regardless of the error, the car is often at a disadvantage. Unless traffic laws clearly define that the person hit ran a red light, only then might the complete responsibility be on the other party.
"We heard that the Bone Setting at the Second Hospital is very skillful, which is why we specially came here for treatment. Please take extra care."
The driver at fault said while taking out a pack of good cigarettes from his pocket and secretly handed it to Doctor Xu.
Li Jingsheng chuckled internally; the societal ways often get brought into the hospital, but they don’t understand doctors.
Reputable hospitals emphasize medical ethics and won’t accept gifts.
Some swear that before surgery, you must give red envelopes to the main surgeon, anesthesiologist, and nurse, claiming that if you didn’t give one to the anesthesiologist, you’d wake up in pain halfway through surgery.
Not to say it never happens, but it’s hard to encounter such things in regular hospitals.
The Medical Affairs Department, Disciplinary inspection room aren’t just for display.
As long as the hospital’s foundation isn’t rotten, a complaint call can immediately make the involved doctor unable to handle the repercussions.
"I will definitely treat diligently, don’t worry. Our hospital rules don’t allow taking gifts, please refrain from this. Otherwise, you might harm me." Doctor Xu said in a serious tone.
The driver at fault reluctantly put the cigarettes back into his pocket.
Doctor Xu then looked at the patient on the stretcher.
"What’s your situation now? Can you still move?"
Prior to bone setting, a consultation must be conducted, collecting necessary information, before starting treatment.
"Hands can move, legs can’t, really painful at the hips...I feel like I’m dying."
The patient was a small-framed man in his fifties, speaking weakly.
Upon hearing this, the driver at fault nearly broke down in tears, standing worriedly aside.
"Can you feel me touching your leg?"
"Yes!"
"Have you done a full-body check?"
This time, Doctor Xu asked the family members.
"Yes, yes, they said other places aren’t a big deal, just skin abrasions on the arm. Right hip dislocation."
The driver at fault quickly answered.
Doctor Xu then took the films from the hands of the family for a detailed look.
Li Jingsheng stood beside and looked as well.
He was pleasantly surprised to find that after reaching Master Level in General Surgery diagnosis proficiency, his ability to interpret films seemed to have improved as well.
Looking at chest films, he had a more precise insight into whether there were bleeding points, fractures, etc.
Some bleeding points are very hidden, and doctors in the Radiology department might not notice.
But sometimes, an experienced Head Physician can spot clues from some hints, thus preventing medical accidents.
The chest, abdominal cavity, and head have been checked, and indeed there’s no major issue.
Only the right hip joint is dislocated.
The injured looking almost lifeless, still calling for death, this really seemed like some sort of "extortion"!
At least there was an attempt to scare the driver at fault.
Everyone has their own calculations, it’s all about wanting a bit more compensation.
