Practicing Medical Skills in a Small Clinic-Chapter 90: The Veteran Is Here to School the Coach
"Procrastination!"
Li Jingsheng only responded with two words.
That’s just how he is. When he’s truly decided on something, he’ll go through hell and high water without regret.
Just like when he decided to quit his job to open a clinic. Once decided, he actually dared to resign.
At the time, family and friends thought he was foolish for giving up a stable job to mess around on his own.
Ou Qinglan watched Li Jingsheng with a hint of nervousness.
At first, everyone thought Doctor Xu was deliberately trying to scare Li Jingsheng away. Now things have developed to this point, everyone realizes Xu Feng is really going crazy.
"Close your eyes, relax, don’t be so tense. Feel my hand carefully."
Doctor Xu held his arm.
"The main components of the shoulder joint are the glenoid cavity of the scapula and the head of the humerus. Feel their connection structure closely, then compare it with the skeletal anatomy diagrams in books. Remember, every joint is not simply a few bones put together, but a complex of muscles, ligaments, blood vessels, nerves, skin, and fat. To pull it out of the glenoid cavity, all you need is a precise pull at the right spot."
Crack!
"Uh..."
Li Jingsheng let out a muffled groan, and pain surged from his left shoulder.
When he opened his eyes, he was horrified to find his left shoulder had been dislocated. His entire left arm was now powerless.
It’s not as painful as he imagined.
He could feel Doctor Xu disassembling his left shoulder with the ease of dismantling a simple toy.
"Did you feel the process of the shoulder joint dislocating from the glenoid cavity?"
"A bit too quick, only felt a little."
Li Jingsheng said as he bore a slightly painful expression on his face.
With his left shoulder dislocated, could it not be painful?
Now his left hand was supported by Doctor Xu, otherwise, it would be even more painful.
"Close your eyes, closely feel how I put the shoulder joint back in place. Remember, you must act according to the situation, don’t use brute force. If the muscle group in the shoulder area of the patient is tense, at this time don’t perform repositioning operation. Find ways to reduce the patient’s pain and inner fear, wait until the muscles are in a relaxed and natural state, then gently guide the humeral end back into the glenoid cavity."
Speaking, Doctor Xu gently rotated Li Jingsheng’s left hand and then lifted upward.
The dislocated shoulder joint instantly returned to its original position.
The entire process was a bit painful but still bearable.
"Carefully recall the anatomical structure of the shoulder joint and connect it with the key points of the movements I just made."
Although Doctor Xu was unapproachable and eccentric, he was extremely patient when teaching.
He continued to support Li Jingsheng’s left arm, giving him ample time to recall the entire operation process just now.
Such hands-on teaching is ten times more effective than Li Jingsheng reading books, watching videos, or listening to senior doctors’ explanations. Each movement’s operation key points, the process, and the repositioning principles could all clearly present themselves in his mind.
After about seventeen or eighteen minutes, he seemed to have understood and memorized it almost completely.
He opened his eyes.
"How was it? Do you understand the key points of the repositioning technique? This is just the simplest shoulder joint repositioning. Some patients have special conditions, making the reposition ten times more difficult than this."
Doctor Xu’s tone clearly softened significantly.
Not as cold as before.
Since Li Jingsheng agreed to let him dislocate his shoulder, Doctor Xu’s attitude towards Li Jingsheng had imperceptibly changed.
"I basically understand most of the operational key points, but there are still some parts I’m not grasping, like when you initially dislocated the shoulder joint, I only noticed the process of rotating the arm..."
Li Jingsheng never thought learning medicine could be learned this way.
It was like a new window had opened, he had seen a different world, learning a different method.
"I’ll do it again, this time a bit slower, but your pain will be more intense. You can’t do frequent operations in a short time; three times is the limit. Twice won’t have too much impact on your joint. So, I hope this time you’ll pay close attention to remembering every step and key point."
Doctor Xu taught him while operating.
"Left hand supports the patient’s shoulder. Grip these three positions to create a clasp effect, right hand holds the humerus. Once your technique becomes refined, you can also hold the forearm..."
Crack!
His left shoulder was dislocated again, and the pain intensified significantly.
However, all his focus was used to feel how to operate, and how the humerus of the shoulder joint slipped from the glenoid cavity.
This time, he noticeably gained many new insights.
The many details and key points of the operation he didn’t notice last time, he felt clearly this time.
"Don’t put it back yet, let me carefully digest everything again."
Li Jingsheng pleaded.
Doctor Xu supported his arm patiently waiting for him.
"If there’s anything you don’t understand, feel free to ask."
He seemed unapproachable, but actually not so.
Another nearly twenty minutes passed, and Li Jingsheng asked about some key points he hadn’t grasped, to which Doctor Xu answered each one patiently.
Li Jingsheng felt he had gained immensely.
He subtly grasped the repositioning technique and key points of the shoulder joint. 𝕗𝚛𝚎𝚎𝐰𝗲𝗯𝗻𝚘𝚟𝚎𝗹.𝕔𝐨𝕞
Dislocating it is actually slightly harder than putting it back. Knowing how to dislocate it, you’ll know how to put it back.
He instinctively checked the attribute panel.
Level experience points increased by 10 points.
A new medical skill appeared in the skills section.
Ordinary Osteopathic Skill, Entry Level 0/10.
He’s overjoyed.
It seems today’s pain was extremely worth it.
Not only did he manage to get Doctor Xu to agree to teach him Bone Setting, but he also quickly learned the Bone Setting skill he’d long dreamed of mastering.
For him, the hardest part of any medical skill is learning and reaching the entry level.
Once he reaches entry level, he doesn’t need to ask anyone for help.
He can directly improve using the attribute panel.
His current health is at 271 points, which isn’t much, but more than enough to enhance his bone setting technique.
Without any hesitation, he used up 100 health points to level up this newly learned medical skill twice, going from entry level straight to master level.
This is the highest level he can currently achieve.
With his ordinary osteopathic skill upgraded to master level, his proficiency in this medical skill is now on par with an average junior attending physician.
He now has considerable expertise in repositioning ordinary joint dislocations.
"Is there anything you still don’t understand?"
Doctor Xu glanced at the time on the computer, estimating it was almost time for the afternoon shift, so he was a bit anxious.
"I basically understand the simple bone setting techniques now. Thank you, Master, for teaching me the bone setting techniques."
Li Jingsheng sincerely thanked him.
"Don’t call me Master, I never intended to take you as a disciple." Doctor Xu immediately corrected. "Since there’s no issue, I will put your left arm back for you."
Clearly, he had already taught Li Jingsheng the bone setting techniques, and he had taught with particular devotion.
Why is he now refusing to accept him as a disciple?
Li Jingsheng suddenly felt conflicted.
"Then can I call you Teacher? Teacher, I want to put my arm back myself, is that okay?"
Li Jingsheng changed his address.
In the hospital, it’s common to call senior doctors "Teacher".
However, if the person holds a deputy director or higher position, it’s best not to call them Teacher, but Director instead. Those who have teaching roles at medical colleges, with associate professor titles or higher, can be directly addressed as Professor.
Director, Professor, these are titles everyone likes to hear.
Doctor Xu is just an attending physician, not even rated a deputy senior, and his teaching roles probably aren’t that strong either, possibly just an assistant instructor.
He might not even have teaching duties.
Calling him Teacher is quite appropriate.
Some people may find it odd why top-level physicians don’t like the title Teacher.
This is because the term Teacher is associated with nurses.
Everyone calls nurses by "so-and-so Teacher" and not "so-and-so Nurse."
Nurses today mostly have a bachelor’s degree or higher, but in previous years, many nurses were vocational school graduates, which overall lowered the status and image of nurses. Therefore, senior doctors with some status prefer being called Director or Professor by others.
This is human nature.
"You, you want to put it back yourself? If you injure the joint socket, it’s not just a matter of pain." Doctor Xu stared at him in shock.
Some doctors in the office had gone to the inpatient ward.
At this moment, only five people remained, and Ou Qinglan was about to leave.
When she heard that Li Jingsheng wanted to put his dislocated left arm back himself, her small cherry lips instantly formed an O shape.
This Doctor Li from the small clinic, what kind of tough character is he?
Agreeing to let Doctor Xu dislocate his shoulder was already crazy enough, and now he wants to put it back himself.
Does he think he’s a genius?
The doctors in the department who know bone setting and repositioning techniques have all studied and practiced for years before daring to handle it.
Li Jingsheng has been learning for just about an hour or so.
She could never have guessed that Li Jingsheng has an amazing attribute panel, and had quietly elevated his newly learned ordinary osteopathic skill to master level. Li Jingsheng’s repositioning technique is no worse than that of a junior attending physician.
"Hold my shoulder for me, I’ll try it myself. After studying for so long, I need to practice!"
Li Jingsheng said naively.
"Well... okay! Don’t act recklessly, if it doesn’t work, stop immediately, injuring the shoulder joint would be troublesome."
Doctor Xu saw that he wanted to try and had to agree.
However, Doctor Xu absolutely did not believe that Li Jingsheng could put his arm back by himself.
Repositioning one’s own joint is much more difficult than operating on a patient.
Li Jingsheng grabbed his left arm with his right hand, showing a pained expression, but he endured the pain, slightly lifting his left shoulder. Then, under Doctor Xu’s shocked gaze, he naturally gave it a gentle upward push.
Click!
This was the sound of the joint fitting back into the socket.
The whole process was incredibly smooth, without a trace of stiffness or awkwardness.
It was as if he hadn’t just learned, but had practiced joint repositioning thousands of times.
"This, did it really succeed? My goodness!"
The young male doctor who had feelings for Ou Qinglan widened his eyes, as if witnessing a ghost in daylight.
"Pfft!"
Ou Qinglan, who had just drunk some water, spit it out directly.
When she heard Li Jingsheng wanted to reposition his shoulder joint himself, she meant to take a sip of water to calm herself, but just as she sipped it, Li Jingsheng demonstrated an almost perfect shoulder joint repositioning operation for her.
"Monster!"
"So awesome!"
The other doctors all looked at Li Jingsheng with amazed expressions.
"You... were you just messing with me? Are you sure you’ve never studied bone setting and repositioning techniques before?"
Doctor Xu absolutely did not believe that a newcomer who had never studied could learn shoulder joint repositioning techniques in such a short time and perform them so smoothly and skillfully.
He wouldn’t believe it even if he was beaten to death.
This kid must be some seasoned expert, deliberately toying with the instructor here.
