Practicing Medical Skills in a Small Clinic-Chapter 253 - 151: Adhesion, Fusion, and Joint Dislocation; The Apprentice Steps Up (Part 2)

Chapter 253: Chapter 151: Adhesion, Fusion, and Joint Dislocation; The Apprentice Steps Up (Part 2)

Li Jingsheng followed the standard procedure, reviewing films, then examining the bones, and finally devising a manual repositioning treatment plan for the patients.

He has mastered four advanced osteopathic techniques, and together with his Master Level in Ordinary Osteopathic Skill, he can handle basically more than 60% of cases.

Cases that are truly complex and severe, not just him, even Doctor Xu wouldn’t be able to manage.

Such cases need to be sent to the orthopedics ward, hospitalized first, then treated with surgery.

Moreover, not all fractures can be cured by surgery.

Many cannot be cured, or after treatment, the original motor function cannot be restored.

The treatment of bone injuries is far more complicated than imagined.

Even a mere meniscus injury might not be cured.

Or even if cured, only part of the lower limb motor function can be restored.

As Li Jingsheng understands more about bone setting and healing, and gains more experience, his reverence for bone injuries grows stronger.

Gradually, three patients have been examined, he successfully repositioned all of them.

Now, he essentially possesses the capability to run a manual repositioning clinic.

It’s already past eight thirty, and Doctor Xu still hasn’t arrived.

Such a thing has never happened before.

During his long internship here, Doctor Xu mostly arrived on time. At most a minute or two late.

The one time he was over ten minutes late was because he was rescuing a child who had fallen from height on his way to work. No wonder there were bloodstains on his clothes that time.

The fourth patient was brought in.

Li Jingsheng examined and found he could still treat this one.

But he needed the patient to get a film first.

Some patients go straight to the manual repositioning clinic, then come in for treatment.

In such cases, patients need to get a film first, then bring it for further diagnosis.

"Why hasn’t the mentor arrived yet today?"

Li Jingsheng was somewhat worried.

Soon, Director Hua from the orthopedics department came over personally.

"How is everything going here?"

Director Hua asked.

"Dr. Li has already successfully treated three. The fourth one just finished the examination order and went to get a film." Li Li reported truthfully.

"Hmm, very good! Dr. Li has the potential to become the new pillar of our orthopedics manual repositioning clinic." Director Hua praised him satisfactorily. "Old Xu is ill, currently on a drip, probably won’t be here for a while longer. Please continue to hold on in the meantime."

No wonder Doctor Xu hasn’t arrived.

Turns out he’s unwell.

Must be quite serious, otherwise he wouldn’t need a drip.

Just as they were speaking, the fifth patient came in.

Director Hua was somewhat worried and stood by to watch, perhaps wanting to see Li Jingsheng’s skill firsthand.

Li Li immediately handed the film and documents to Li Jingsheng.

Dr. Chen could only feel envious.

Because only Li Jingsheng had the ability to treat and cure patients.

Li Jingsheng took the film, but instead of examining it first, he assessed the patient.

The patient’s right wrist was almost entirely bruised, though the swelling wasn’t particularly severe.

Nonetheless, it was clearly swollen.

There were traces of Chinese herbal medicine applied on it.

External application and internal treatment have always been a feature of Chinese medicine.

"How did this happen?"

Li Jingsheng asked.

"Accidentally got pressed while operating machinery. Thought it was no big deal since it was a circular iron column pressing the hand. My colleague immediately shut off the power switch when the machine rolled over my hand. I consulted a Chinese medicine doctor in our town who prescribed herbs for external application and oral injury medicine. It’s been five days, the swelling has reduced significantly, but the hand is utterly immobile. Worried it might turn disabled, I was referred here for manual treatment of bone injuries."

The patient is around fifty years old, sturdy with robust limbs and somewhat plump.

You can tell this person seems to have an affinity for Chinese medicine.

Some patients trust Chinese medicine, others lean towards Western medicine, it purely depends on personal preference and understanding.

Both types of medicine can treat illnesses.

But currently, Western medicine is the mainstream in the market.

Li Jingsheng understood the injury causation, then took and inspected the film carefully.

The film was a hand CT scan.

Fingers were almost unharmed, from the back of the hand towards the wrist, the damage worsened.

It’s uncertain what kind of machine caused the rolling injury.

Some rotating machinery pulling workers in, directly flattening into tragic incidents resembling paper, even made headlines.

The situation for this patient must have been extremely dangerous too.

If it weren’t for the colleague shutting off the switch, chances are the person would have been lost.

Roller injuries primarily fear two scenarios: one, adhesion of tissues. Since such damage entails both bone and soft tissue injury, adhesion is nearly inevitable.

The other scenario is bone cracking, even comminuted fractures.

Even surgery can’t ensure a cure.

Hips can be replaced, knees can be replaced, and shoulder joint prosthetics have matured significantly.

Currently, wrist joint replacement is not feasible.

Human medicine constantly progresses, yet many fields remain unconquered.

Conquering many medical fields necessitates collaboration across scientists, manufacturers, hospitals, and doctors. The integration of resources and coordinated application of technology pose significant obstacles.

Thus, many medical conundrums remain far from resolution.

After reviewing the film, Li Jingsheng discovered the patient’s wrist bones had two minor fractures, joint dislocation wasn’t too severe, yet soft tissue damage and adhesion were very serious.

"Your case isn’t suitable for manual repositioning!"

With only the four advanced osteopathic techniques currently grasped by Li Jingsheng, it is still not possible to tackle such complex bone injuries.