Practicing Medical Skills in a Small Clinic novel Chapter 460

Chapter 460: Chapter 220: A Slightly Rigid Bone Profile, Doesn’t Flare Up by Day but Does by Night (Part 2)

Among the five senior doctors present, the lowest ranking was an associate chief physician, with only Li Jingsheng participating in the consultation as a resident physician.

This was actually a recognition of his capabilities.

Because in the discussion of several difficult cases, Li Jingsheng performed excellently.

Li Jingsheng took the materials and examined them carefully, noting that the patient, aged in his thirties, was in his prime earning years.

Nowadays, due to high housing prices, high dowries, and the scarcity of women, it is common for men to marry only at the age of thirty.

Some even marry later.

This male patient had undergone spinal canal repair surgery three months ago in the orthopedics department of the Second Hospital.

At that time, the surgery was performed by Hu Jia, under the supervision of Director Hua.

The surgery was quite complex, but not overly complicated. However, now three months post-surgery, the patient is still paralyzed below the waist and suffers from excruciating lumbar pain.

After two follow-up visits, no problem was found.

"Isn’t it strange with this patient? Three months ago, he had a spinal canal injury, and post-surgery scans clearly show healing. There’s no deformation or protrusion of the spine, neurology has been checked, and no issues were found. Our orthopedics department has checked X-rays and CT scans, and still no problem is found. Yet the patient complains of back pain and inability to stand."

This was also Hu Jia’s first encounter with such a case.

"Damn it, could this person be trying to scam our hospital on purpose?"

Zhong Hu had a rather short temper.

He was also impatient.

The spine is certainly very complex, but now that the bones have healed and no problem is found.

Neurosurgery has also checked, and the nerves had no issues.

Where exactly is the problem?

"This possibility can’t be ruled out, but the likelihood is very low. The patient even went to Qiaobang Hospital and got an expert consultation, but nothing was found either."

Director Hua dismissed Zhong Hu’s idea.

"Hey, do you think it could be due to vascular compression?"

"This has already been investigated, and no significant issues were found. Even if there were vascular compression, it wouldn’t result in pain, inability to stand, or inability to walk. It can only be said that there are too many challenges in medicine that remain unsolved by us humans."

Director Hua shook his head and sighed.

The challenges and puzzles in medicine are numerous and unsolved.

Faced with many issues, doctors are often helpless.

Li Jingsheng kept examining the patient’s data back and forth.

"The patient’s blood count still shows a slight anomaly, although not obvious. White blood cells are noticeably elevated."

Li Jingsheng frowned slightly; his orthopedic diagnostic skills were at the Minor Achievement level.

With just this level of diagnostic skills, making a breakthrough in this case diagnosis is challenging.

Because the spinal scans taken appear normal with no abnormalities found.

His immunology diagnostic skills were at the Entry Level, possessing certain diagnostic abilities but not highly developed.

The elevated white blood cells caught his attention.

"This has also been investigated, and nothing was found. The possibility of aseptic inflammation in the vertebrae can basically be ruled out."

Li Jingsheng greeted the patient.

"Hmm!"

The patient was not in high spirits.

Possibly seeing that Li Jingsheng was young, coupled with the prolonged unsolved illness, the patient felt depressed. Even hopeless.

"Can you describe the details of your original injury?"

Li Jingsheng is accustomed to dealing with all kinds of patients.

As long as they aren’t those who are abusive or violent, he can patiently communicate.

There’s no choice, clinical work requires enduring hardships beyond what ordinary people can imagine.

Medical students who make it to residency generally truly love this field.

Otherwise, enduring shifts in training for 36 consecutive hours isn’t something an average person can handle.

He still remembers having finished a twelve-hour day shift, then required to do a night shift. The next day, participating in a seminar organized by his mentor, needing to prepare a complete PPT presentation.

On duty in the staff room, constantly responding to patient calls, nurses could only ask him to handle them.

Busy until past three in the morning, when patients finally rested, he got a moment of peace. Despite being extremely tired, he bit the bullet, finishing the PPT presentation. By the time he was done, it was nearly six in the morning.

Thinking of leaning on the table for a nap.

Only to be woken up less than half an hour later.

A patient had a seizure, and he promptly went to handle it.