Practicing Medical Skills in a Small Clinic-Chapter 254 - 151: Adhesion, Combined Dislocation, and Apprentice Steps Up (3)

Doctor Xu might have this ability.

Sometimes it's just so dramatic, the previous four patients are all ones Li Jingsheng can handle.

But just as Director Hua was watching from the side, a case he couldn't handle came in.

He truly wasn't slacking off on purpose.

"We asked two large hospitals, the surgery treatment costs at least eighteen thousand. They all say your bone setting techniques here are very advanced and affordable, can you help us find a way?"

The patient pleaded.

This person previously said he didn't see much effect from treatment at a traditional Chinese medicine clinic, then directly came to Second Hospital.

Not very honest!

This is quite normal, many patients worry that doctors will be unhappy if they find out they've been to other hospitals, so they deliberately hide it.

Actually, the vast majority of doctors don't mind this.

Everyone is practical; if they can treat it, they will, if not, they'll have to refer elsewhere.

"My four children are in school, the youngest is only eight years old, and our family conditions are really poor. Doctor, please help us! If it costs twenty to thirty thousand, we simply can't afford it. If my husband's hand is left disabled, I can't even begin to imagine our life afterwards."

The woman is around forty-eight or forty-nine years old, just like her husband, they both look like hard luck rural laborers.

Some towns are developing quite well, with factories.

Local residents don't have to leave their hometown, they can work near their homes. Though the wages are a bit lower, they can both earn money and care for the elderly and children, which everyone is quite content with.

This couple is nearly fifty years old, and their youngest child is only eight, really remarkable.

Pregnancy over 35 is considered high-risk.

The risks increase exponentially.

With low wages and four children, such a family's financial pressure is certainly substantial.

Now the backbone of the family is having problems, which is nothing short of a huge disaster for the family.

Li Jingsheng can empathize with the difficulties of this family.

"Alright, please sit over there and wait a moment, I'll wait for my mentor to arrive and see what he says."

Treating such difficult bone injuries carries a lot of risks. 𝗳𝗿𝐞𝕖𝘄𝗲𝕓𝗻𝚘𝚟𝕖𝐥.𝚌𝕠𝕞

Li Jingsheng absolutely dares not make this decision himself.

He has seen too many stories of farmers and snakes.

Don't be fooled by the patient's desperate pleas. If the treatment is successful, everyone is happy, but if it fails, a complaint is just the mildest consequence.

If he's unsure, he definitely won't agree easily.

The family and patient agreed, sitting aside to wait for Doctor Xu to arrive.

The sixth patient was brought in.

This is a patient with a fractured injury, transverse humerus fracture on the left arm.

Li Jingsheng was completely downcast.

It's as if they were intentionally making him lose face in front of Director Hua, with two consecutive challenging bone resetting cases.

After reviewing the films and feeling the bones, he had an idea.

He can piece together the broken bone for the patient, but the transverse fracture and the jagged fracture, even if they are pieced together, will make it very difficult to ensure the bone ends are tightly fitting.

This will definitely affect the healing of the bone injury and reduce the post-healing strength at the fracture site.

It might even lead to a secondary fracture.

In addition, a good fracture repositioning is like stitching a wound, which allows the wound to heal quickly.

If the broken bone is rejoined but cannot ensure a tight fit at the fracture ends, the healing time will be greatly prolonged. A deformed healing might even occur.

Just as Li Jingsheng was feeling a bit conflicted, Doctor Xu arrived.

"Director Hua, thanks for sticking around to look after things!"

He greeted Director Hua with a smile.

"Just wanted to see how your promising student is doing!"

Director Hua speaks and acts quite tactfully.

Even though Li Jingsheng couldn't handle two consecutive cases, he didn't utter a single critical word.

He didn't even say anything belittling.

Doctor Xu used to refute when he heard others calling Li Jingsheng his disciple.

Yet this time, unexpectedly, he didn't rebut.

He turned his head towards Li Jingsheng.

"Teacher, is your health alright?"

Li Jingsheng didn't rush to report his work but inquired about his mentor's health.

"It's alright! Just feel a bit weak all over, and a little dizzy. Are both of these patients' repositioning quite challenging?"

With a glance, Doctor Xu could guess the situation of the two patients without needing Li Jingsheng to report.

"That patient's wrist bone has two fairly minor fractures, there's some joint dislocation. Both of these are easy to resolve, but his soft tissue damage is severe, with adhesions which cause considerable difficulty for manual repositioning."

Li Jingsheng reported the first challenging patient's situation.

"Soft tissue adhesion injury combined with fracture and joint dislocation huh? That's indeed tough to handle."

Doctor Xu, in front of outsiders, was quite careful to maintain the pupil's face.

Of course, the operational difficulty was truly not low.

"What about this one? What's up with him?"

He looked toward the patient with the humerus fracture.

"This patient's humerus has a transverse fracture, I have no problem joining the bones, but it's hard to ensure the fracture ends are tightly fit."

"Yes, transverse fractures are genuinely difficult to treat. Do you have a treatment plan?"

Doctor Xu seemed to want to take the opportunity to test him, see whether he had been studying diligently.

"We might need to do a traction, then swing the distal fracture so the broken ends fit tightly. For this procedure, we'll need both an arm brace and an assistant. I'll only dare to do it when you are here."

Challenging a manual repositioning of humerus transverse fractures, Li Jingsheng wanted to give it a try.

This requires utilization of the fifth advanced bone setting technique.

He felt somewhat confident, around fifty percent at most.

"Looks like you haven't been slacking off lately, the treatment bed inside can be used for traction fixation. If this can be treated in the clinic, he shouldn't need hospitalization."

Doctor Xu revealed a satisfied expression after hearing.

Li Jingsheng hadn't been following him for just a day or two, upon hearing this he understood the meaning.

He was being encouraged to treat without restraint, with guidance and oversight from his mentor.

"Great, can you help me treat it now?"

When the patient heard the old doctor say it could be treated in the clinic without hospitalization, he was overjoyed.

Everyone knows clinic treatments are much cheaper.

Convalescing at home not only costs much less but is also more free and comfortable.

"I'll do it now, go lie down on the treatment bed inside."

Li Jingsheng now had many decisions he could make on his own.