The Enhanced Doctor-Chapter 511 Wound Cleaning Little Prince Returns to the Martial World
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"Sister Li, let’s first soothe the injured and get them registered. Let’s take an X-ray for this elderly gentleman with a femur fracture. After treating both fractures, we can move on to wound cleaning and dressing," Liu Banxia said.
Zhou Li nodded and promptly arranged for a nurse to take the last elderly gentleman for an X-ray.
"Zhou Qian, please draw the curtain," Liu Banxia instructed when they arrived at the patient with bilateral hip dislocation.
Zhou Qian quickly drew the surrounding curtains.
"I will need to cut your pants open because of the hip dislocation. You’re wearing skinny jeans, and any movement will put too much strain on the area. Even a minor movement could cause extreme pain and worsen your injury," Liu Banxia explained.
"So, what should we do then?" the patient asked nervously.
"I will use manual reduction, but your jeans’ tightness might hinder me from feeling the movement of your femoral head," Liu Banxia explained.
"Can...can we switch to a female doctor?" the patient asked, hesitating.
"Unfortunately, we don’t have one available right now, but our nurse here will remain present," Liu Banxia replied after a moment of thought.
His reasoning was quite simple. The sooner a hip joint dislocation is reduced, the better the prognosis. He could still palpate a distal pulse for now, but if treatment was delayed too long, the outcome would become uncertain. Moreover, a hip joint dislocation would inevitably stretch some ligaments, and any delay would not be beneficial.
However, he had forgotten to consider that this was a young woman, and she would definitely face psychological obstacles in receiving treatment from a male doctor.
"Miss, there are a lot of patients today. Outside, there’s an elderly gentleman with a femur fracture and no fewer than ten others waiting for wound cleaning and dressing," Zhou Qian added.
"Dr. Liu is really skilled at manual reduction. Undergoing the reduction now will speed up your recovery. You see, he didn’t even have you get an X-ray first; it’s all to save time."
After a moment’s hesitation, the patient nodded.
If this had been in the past, Liu Banxia wouldn’t have dared to handle such a case. A hip joint, after all, is different from other joints. It’s enveloped by ligaments and skin flaps, and without adequate clinical skill, he wouldn’t risk performing a reduction.
However, having previously assisted Xu Peichen in a hip replacement surgery and witnessed such meticulous adjustments, he had gained a deeper understanding of the hip joint.
Afterward, during his free time, he had read some books and studied reduction methods.
Usually, hip joint dislocations are posterior. This can be confirmed by palpation after cutting open the pants. This joint doesn’t dislocate easily, as it’s wrapped in thick skin flaps and ligaments. Most dislocations occur in young, healthy adults after experiencing direct, forceful trauma, causing the joint to slip out from a weaker point in the ligaments.
The reduction technique itself wasn’t complicated, but the procedure had to be performed slowly and gently. Any haste or excessive force could exacerbate the patient’s injury.
Liu Banxia employed the Allis Maneuver, a common method suitable for a single operator. Its main drawback was a moderate success rate, around 60%.
However, Liu Banxia wasn’t worried. Otherwise, why would he have cut her pants? It was precisely to gain a more precise assessment and control of the patient’s femoral head position.
Placing his arm under the patient’s left popliteal fossa, he lifted her leg, flexing the hip and knee, and slowly applied upward traction. His other hand intermittently palpated the hip joint, making internal or external rotational adjustments to the affected limb.
With a distinct CLICK, the left leg was successfully reduced.
Although it looked easy, Liu Banxia was drenched in sweat after completing the reduction of this leg. Not only was it physically demanding, but it also required intense concentration—detailed work necessitates patience.
"Don’t get too excited yet," Liu Banxia said, moving to the other side. "We’ve only successfully reduced one leg. Even after both are reduced, due to the joint capsule damage, you’ll need to be mindful of many things."
"This recovery period might take around two to three months. Later, I’ll have an orthopedic doctor explain the necessary precautions. At the very least, you’ll need to stay in the hospital today. Have your relatives arrived?"
"They’re here. Doctor, you’re amazing! I barely felt any pain," the patient said joyfully.
"What exactly happened today? I heard it was a car reversing accident?" Liu Banxia asked, partly to distract the patient.
"Apparently, a woman was reversing her car when the heel of her high-heeled shoe broke, causing the car to veer towards the crowd," the patient said.
"If she had just slammed on the brakes, it would’ve been fine. But she was probably too flustered and drove forward again. Then, she must have stepped too hard on the accelerator, causing the car to dart forward and hit the snack cart across the street."
"I think that’s what happened. I didn’t even realize what was going on. When I heard shouting, I was pushed down some steps. Several people around me fell too, but luckily, no one landed on me."
"Then you were quite lucky. Our hospital received several severely injured patients, and other hospitals surely received more," Liu Banxia said casually.
"Alright, this leg is also reduced. Zhou Qian, please find the patient’s family, handle the admission procedures, arrange for a CT scan, and then transfer her to the ward."
DING! Consultation Completed
You’ve gained 100 Experience Points, 50 Proficiency Points in Diagnostic Studies, 500 Proficiency Points in Bone-Setting Skills, and 3 Glory Points.
"Sure," Zhou Qian nodded.
"How was this leg done so quickly?" the patient asked, astonished.
"First time’s for learning, second time’s for mastery. With the experience from the first one, this was much easier," Liu Banxia said.
The patient’s eyes widened. What did he mean? Was this his first time?
"Don’t worry, I’ve reduced many other joints before. I’ve even done hip replacement surgeries. No one would dare joke around with a patient," Liu Banxia reassured her with a laugh.
With that, he stepped out. There was still a patient with a femoral fracture waiting.
Zhou Li, who was waiting outside, hurriedly handed him the X-ray film.
"The fracture displacement isn’t that large," Liu Banxia said after a detailed examination. "I’ll check it once more. If there’s no damage to the blood vessels, I’ll reduce it directly and then perform an external fixation."
"Alright, I’ve finished triaging the other patients. After the reduction, you can just wait in the treatment room," Zhou Li said hurriedly.
"Okay."
Liu Banxia nodded.
For him, this patient’s fracture was a routine case. He checked the blood supply and the area around the fracture, then performed the reduction directly.
DING! Consultation Completed
Gained 50 Experience Points, 30 Proficiency Points in Diagnostic Studies, and 100 Proficiency Points in Bone-Setting Skills.
"Sir, we’ll need to do a CT scan later. If everything looks fine, we’ll put a cast on it. You’ll need to stay in the hospital for a day or two for observation, considering your age," Liu Banxia said.
"Alright. Sigh... I feel like I’ve been given a second chance at life today," the elderly gentleman nodded.
"Sister Li, please find someone else to help with this patient’s admission and medical history registration," Liu Banxia instructed.
"Alright," Zhou Li agreed and called over a nurse.
"How many patients need wound debridement?" Liu Banxia asked.
"Twenty-three. Some also require suturing," Zhou Li replied.
"Perfect," Liu Banxia announced, stretching languidly. "This feels like old times. I guess the Wound-Cleaning Prince is making a comeback. It’s just that Dandan is missing."
"Assign two nurses to me. Prepare large bottles of iodophor and the suture kits. Let’s get this done efficiently so everyone can rest sooner."
Zhou Li gave him a smile, recalling Liu Banxia’s ’eruption’ that day. Thinking about it now, it feels like so much time has passed. Back then, Liu Banxia was just an inconspicuous resident physician. And now? He plays a crucial role in the entire emergency center.
For Liu Banxia, simple wound debridement and suturing were truly no big deal. He was now even faster and his hands steadier than before.
Just moments ago, the patients had been complaining about being ignored. Now, however, things were proceeding smoothly. Those waiting in line were astonished as they watched patients enter the treatment room one by one and then emerge smiling broadly.
Based on their understanding, each person’s treatment should take at least twenty to thirty minutes. At that rate, wouldn’t it be dawn by the time it was their turn?
So, some patients were growing restless, contemplating whether to go to another hospital for treatment.
"Hey, brother, you’re all done already? That was fast!" a patient in line hurriedly asked upon seeing another man with a head wound walk out.
"Fast, really fast! I had three stitches on my head and two more on my hand, and it was all done in no time. The doctor inside, the one who’s been on TV, he’s incredible!" the young man exclaimed, then happily made his way out.
"A doctor who’s been on TV? Who’s that?" the patient who had asked earlier murmured, as he didn’t usually follow such news.
"Oh, I remember now! It’s that doctor from TV, the one who fell from a car!" a patient’s family member exclaimed.
"Anyone with a head wound can come into this treatment room first for suture preparation. This includes shaving the necessary area of the head," a nurse announced, stepping out.
Immediately, four people stepped forward, not wanting to waste time waiting for their turn to be shaved.
"Everyone, please don’t worry," the nurse continued. "We’re trying to get everyone treated so you can all go home and celebrate New Year’s Eve peacefully. It’s not even eight o’clock yet. We’re aiming to have everyone sorted out by eleven."
"Nurse, there are still so many people. Can he really manage it?" a patient’s family member asked.
"Rest assured. Others might not be able to, but our Dr. Liu definitely can," the nurse said with a smile before returning to the treatment room.
Not every nurse had many opportunities to work alongside Liu Banxia during consultations. The two present today were intern nurses. To us, it seemed like he diagnosed and treated each patient while just casually chatting!
The only downside was how quickly the iodophor was used up.
But Dr. Liu’s speed in treating wounds was truly remarkable, as was his suturing. They had only heard legends about Dr. Liu before, but today they were witnessing it firsthand.
