Practicing Medical Skills in a Small Clinic novel Chapter 308

Chapter 308: Chapter 169: The Impact of Super Strong Muscles on Reduction-searching, Sixth Manipulation Technique Mastered (3)

The burly man looked intimidating, but in conversation, he was fairly gentle.

"Doctor, will my injury affect my boxing after it heals?"

"If you recover well, it won’t affect. You’ll likely need to rest for a few months."

Li Jingsheng examined his bones and found it much more difficult than expected.

Without careful scrutiny, it was even hard to distinguish between muscle and bone.

Moreover, the humerus was enveloped inside due to the overly developed muscles, making some areas unpalpable.

Additionally, he discovered the density of the man’s bones was far greater than that of an average person.

It felt like this density was almost approaching that of teeth.

The hardest bone in the human body isn’t the skull but the teeth.

Training ordinary bones to be as hard as teeth is terrifying to imagine.

If he punched someone with such force and hardness of bones, the damage would be astonishing.

In the boxing ring, one punch could knock down a professional boxer, rendering them unable to resist. It’s like a modern-day version of martial arts.

"Teacher, there’s a transverse humeral fracture here. His muscles are too developed for me to reposition it."

Li Jingsheng directly stated that he couldn’t realign it this time.

Very afraid that Doctor Xu would insist on him taking on the task again.

"Let me take a look."

Doctor Xu came out.

"The patient with a tibial fracture inside has already signed the anesthesia risk disclosure form, and the anesthetic is being administered. Get ready to help realign it. Bone-splitting isn’t difficult; as long as you handle it carefully, you’ll succeed."

This was an attempt to help Li Jingsheng truly master the bone-splitting technique.

Doctor Xu palpated the burly man’s bones.

He had seen much and had little change in his expression.

"For patients with well-developed muscles, when a transverse bone fracture occurs, the difficulty of repositioning doubles. To solve it, effective use of both the folding and rotating techniques is necessary. They must be combined."

After Doctor Xu finished speaking, he turned to Li Li.

"Do a skin test for this patient and administer local anesthesia."

Unexpectedly, the patient said, "Can I go without anesthesia? I’m not afraid of pain."

"Certainly not. It’s not that you’re not afraid of pain, but you have an incredible tolerance for it. When I was examining you, I could feel your muscles tensing, which is unfavorable for repositioning. We’ll apply a brachial plexus anesthesia, which will help relax your muscles."

The patient said no more.

When Li Li performed the skin test, she seemed tiny standing next to him.

A real-life beauty and the beast scenario.

"We have to wait over ten minutes for the results here. Let’s first go in and deal with the patient with the leg fracture."

Doctor Xu led Li Jingsheng into the inner room.

The anesthesiologist had already administered anesthesia to the patient.

"Old Yu, can we proceed?"

Old Yu tested the patient’s lower limb sensory levels.

He also checked for muscle relaxation.

"Alright, you can realign it now."

This time, without being urged by Doctor Xu, Li Jingsheng eagerly moved to the left side of the treatment bed. He first palpated the patient’s bones, mentally mapping out a diagram of their positions.

Doctor Xu watched him with encouraging eyes.

Old Yu silently observed, somewhat curious.

Li Jingsheng used his thumbs along with the index, middle, and ring fingers to compress the gaps between the two bones from both the dorsal and posterior sides of the fracture site, which tightened the interosseous membrane. This separated the approaching fracture ends, stabilizing the proximal and distal fracture segments relatively.

Throughout the whole process, he maintained a stern expression, highly focused.

Despite his five-star bone-setting talent, mastering such a highly challenging technique was incredibly daunting.

Even the slightest failure to execute an intricate motion could yield unsatisfactory results.

The atmosphere in the treatment room was rather heavy and tense.

The patient and their family were very anxious, though Li Jingsheng initially felt a bit nervous. Later on, he relaxed.

Indeed, those who can, find it not difficult, while those who cannot, struggle.

At this moment, the two fractured bones were aligned into unified bone positioning.

The repositioning was treated as though for a "single" fracture.

After a successful docking, he grasped the distal end of the patient’s severed limb and swung it. This time, there was no need for Dr. Chen as an assistant.

Neither did he set up traction.

"Done!"

He revealed a slight smile of success.

His face faintly showed excitement, alongside an unprecedented sense of robust confidence.

"Teacher, to be sure, would you please check him?"

Li Jingsheng asked Doctor Xu to inspect the patient.

After Doctor Xu palpated the bone, he couldn’t help showing an expression of admiration.

"Not bad, very good. It’s even unnecessary to perform invasive external fixation. Bring the splint, and I’ll teach you a composite fixation method."

Dr. Chen brought over the splint they had prepared earlier.

"This splint is custom-made, and currently, only available in our hospital. I personally drafted the design and had it manufactured by a company. The purpose is to avoid invasive external fixation as much as possible. However, it requires the patient’s high-level cooperation."

Doctor Xu showed the custom splint to Li Jingsheng.

Certain aspects indeed had ingenious designs.

It could lock the bone ends from both sides, exerting some pressure on the skin and soft tissues, but compared to invasive external fixation, this was clearly more favorable to patients.

Invasive external fixation means drilling into the bone and fixing it with a metal framework.

Although very stable, it causes ongoing pain for patients.

"When using it, make sure to avoid large blood vessels. You mustn’t put pressure on the vessels; you can use the Bone Touching Skill in conjunction."

Again with the Bone Touching Skill, Dr. Chen was disheartened.

Without Doctor Xu’s authentic teachings, even such custom splints were unusable.