Practicing Medical Skills in a Small Clinic-Chapter 180 - 127: Dr. Chen Wants to Become an Apprentice—A Burst of Humor
"Then I won't hold back. Considering there's a slight fracture and severe joint dislocation, let's administer some anesthesia!"
Li Jingsheng's last sentence was directed at Li Li.
"Is local anesthesia okay?" Li Li asked.
"Brachial plexus nerve anesthesia will suffice. Dr. Chen, please issue a temporary medical order."
Li Jingsheng wasn't a doctor at the Second Hospital and had no authority to issue medical orders.
Without such temporary medication orders, the hospital wouldn't reimburse the expenses.
According to hospital regulations, many require doctors to issue medical orders, which the nurse must then sign to confirm.
The anesthesia process went smoothly.
Dr. Chen and nurse Li Li were very cooperative.
After all, the family looked quite rowdy, and without Doctor Xu present, if they didn't handle things well, an uproar in the consultation room would surely lead the hospital to hold them accountable.
Once the anesthesia took effect, Li Jingsheng began seriously setting the patient's bones back in place.
With such a slight fracture with adduction type on the lateral neck of the humerus, let alone manual reduction, even open reduction would be quite challenging.
It not only requires high proficiency in ordinary osteopathic skills but also demands a very high level of twist and stretch skill for a successful bone setting and reduction. Conversely, the requirement for traction extension is somewhat lower.
Many orthopedic surgeons, when performing open surgery, might have experienced that what appeared slightly challenging on the imaging seemed much simpler post-incision during surgery.
Directly aligning the fracture site, inserting screws where necessary.
Apply a brace if needed.
In reality, after opening up, the difficulty of realigning the bones is much greater than anticipated.
This is actually due to manual technique issues.
Lacking understanding of bone quality and structure, relying solely on imaging to judge bone positioning, even though incision may reduce some difficulty, challenges remain.
Moreover, inadequate treatment can easily result in joint degeneration or malunion at the fracture site, affecting the patient's normal movement functions.
In even more severe cases, direct occurrences of bone necrosis might happen.
For instance, the femur is one of the areas most prone to necrosis.
Treating bone injuries, even now, is still a specialty of many renowned orthopedic hospitals domestically, often more recognized than top-tier hospitals.
These orthopedic specialty hospitals generally carry on the tradition of Chinese medicine bone setting and managing bone injuries.
Famous figures like Shuangqiao Old Lady, Pang's Family, and the like.
After diagnosis in big hospitals, recommending surgery without guarantee of fully restored movement functionality.
Patients then seek out specialty orthopedic hospitals, encountering truly skilled doctors, who, without surgery, use manual reduction and possibly traction hospitalization supplemented with topical bone injury ointments and oral bone regenerating medications.
Ultimately, they recover and are discharged, with movement function almost identical to before.
Such cases are not isolated but are quite numerous.
Li Jingsheng's pursuit of master bone setters wasn't out of ambition but merely to learn manual bone reduction to prevent his small clinic from closing. Ensuring a livelihood wherever he goes.
If he could boost the clinic's reputation, enhancing the sales of health products and advancement in surgical services, that would be even better.
At this moment, he enhanced his twist and stretch skill to Master Level, naturally forming a manual reduction approach in his mind.
"First, adduct and inward rotate while securing, then abduct externally, then forward bend, lift, and inward rotate, tightening the fracture surface, and slowly lower the elevated limb..."
With a solemn face, a serious expression, his gaze fixed on the patient's shoulder.
Snap!
The sound of bone cracking was heard, the child gave a slight groan, but didn't scream in pain.
The brachial plexus nerve anesthesia proved effective.
While it is a local anesthesia, it carries risks.
Li Jingsheng noticed a detail; even at such a top-tier hospital as the Second Hospital, a skin test was performed before administering local anesthesia to a child.
Apparently, his small clinic wasn't the only cautious one!
Human life is significant, everyone acts cautiously.
If something happens, not only might the patient's life be at risk, but the careers of the doctors or nurses involved could essentially end.
Even without losing their medical licenses, the chance of being sidelined in their career would be quite high. 𝒻𝓇𝑒𝘦𝘸𝑒𝒷𝓃ℴ𝑣𝘦𝑙.𝒸ℴ𝘮
"Is it fixed?"
The child's father asked anxiously.
"I'll check again to confirm, hold the child still."
Li Jingsheng used the bone touching skill to check again.
The dislocated shoulder joint was now realigned.
The site of the fracture was also set back to its proper position.
Actually, the child's fracture wasn't serious, quite mild.
But it was a fracture.
If left untreated, with proper care over two to three months, it could self-heal.
And there'd be almost no lingering aftereffects.
However, if inadequately cared for, such as not using a sling, allowing the fractured site to continue facing external impact, then it's unpredictable.
"The manual reduction was successful. However, the child needs to keep the arm suspended in a sling around the neck for some time. Also, there's a fracture, so medication needs to be prescribed for home use, along with proper care…"
Saying this, Li Jingsheng elaborated on the care details to the child and his parents.
and instructed them to return to the hospital for a check-up in a month.
Dr. Chen had already brought the bandage, humbly assisting Li Jingsheng in handling the subsequent steps.
A few minutes later, the bandage was secured.
Li Jingsheng checked thoroughly, Dr. Chen prescribed medication, then directed the family to proceed with payment and medication collection.
