Practicing Medical Skills in a Small Clinic novel Chapter 180

"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.

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