Practicing Medical Skills in a Small Clinic

Chapter 523 - 241: Like Cancer, Yet Not Cancer—A Bloodless Incision (2)

The girl beside him explained the reason.

"Playing basketball?"

"Yeah."

Both nodded simultaneously.

"I figured, you’re so tall, you must love basketball. Don’t stress too much for now. I’ll consult with the director soon, and if approved, we’ll proceed with exploratory surgery."

Li Jingsheng reassured the patient.

Liking sports is not a bad thing.

He just needs to control himself. With a thumb joint injury, playing basketball again makes it easy to get re-injured second and third times, leading to prolonged bone healing difficulty.

"If I don’t have this exploratory surgery, can the cause not be discovered?"

"Not necessarily. The most economical and accurate method is exploratory surgery under anesthesia. It’s best not to delay; if it’s a major issue, resolve it early. If it drags on, it might affect your whole body, and you might miss the chance for surgery later."

Li Jingsheng typically wouldn’t talk to patients like this.

The patient is too young to grasp the seriousness of the problem.

"Doctor, what major issue are you referring to?"

The girl is quick-witted and immediately picked up the deeper meaning in his words.

Her expression becomes a bit tense.

"Hard to say. Let’s do some tests first!"

After speaking, Li Jingsheng left the ward.

He returned to the office, where Ruan Xiaoqin looked expectantly at him.

"Dr. Li, did you find any problems? Your Bone Touching Skill is the best I’ve seen, completely reshaping my understanding of medical examinations."

Ruan Xiaoqin was still buttering him up.

"Bone Touching is not a sophisticated technique; it’s akin to developing a feel for the scalpel through surgery. In traditional Chinese medicine, the most impressive skill is pulse diagnosis. Checking the pulse is like conducting a comprehensive body examination; that’s what’s truly remarkable."

Li Jingsheng wasn’t knowledgeable about Chinese medicine.

Bone Touching Skill combined with Bone Setting technique inherited parts of traditional Chinese bone injury treatment while integrating the latest Western examination techniques and medical knowledge.

It’s a practical medical skill blending Chinese and Western medicine.

"I don’t believe in that traditional Chinese stuff; it’s akin to ancient superstition and Zhurong Skill. Pulse diagnosis seems like a mystical practice to me."

Ruan Xiaoqin expressed disdain for Chinese medicine.

"Then explain this: how does pulse diagnosis determine pregnancy in women? I’ve personally seen a traditional Chinese doctor check a woman’s pulse and then tell her she’s pregnant."

Li Jingsheng was referring to Boss Ye.

The bone injury medicine from Jinkui Clinic works well; he hadn’t tried the herbal tea.

Once, on a visit to Jinkui Clinic, he saw Boss Ye diagnose a thirty-something woman just by checking her pulse and then announced she was expecting.

This left Li Jingsheng quite astonished.

"Uh... well, it’s a bit mystical! Let’s discuss the patient’s bone disease instead."

Ruan Xiaoqin felt unable to argue.

Even though modern Chinese medicine has significantly declined, many practitioners can still determine pregnancy through pulse diagnosis.

"The patient’s bone joints seem to indicate a major disease. I suggest you report to Professor Wu immediately and proceed with anesthesia and exploratory surgery."

"Is it that serious?"

Ruan Xiaoqin’s expression changed slightly upon hearing this.

"Very serious."

Li Jingsheng reaffirmed.

"Alright, I’ll go find Professor Wu immediately."

Ruan Xiaoqin hurried off to find Professor Wu.

After all, the patient was admitted by Ruan Xiaoqin, and under the hospital’s primary consultation system, he’s responsible from start to finish.

Before long, Professor Wu arrived.

"Dr. Li, how confident are you about diagnosing the patient with a significant issue?"

The current examination results actually do not support exploratory surgery.

However, doctors are not rigid; if they believe it benefits diagnosis or treatment and the patient consents, they proceed.

"Over eighty percent confidence. It’s strange, not quite cancer, but somewhat similar. It could be early stage, or possibly another pathology."

Li Jingsheng said.

"Alright, I’ll work on communicating with the patient."

Professor Wu, now showcasing his group leader’s responsibilities, was not his first time demonstrating such leadership.

"I briefly mentioned it to the patient in the ward earlier. If you emphasize it further, the patient should agree."

Li Jingsheng coordinated with Professor Wu.

Physicians have parental hearts.

To persuade the patient to agree to this surgery, uniting to persuade him is necessary.

A few minutes later, Professor Wu returned.

"The patient agreed. Since you’re here, there’s still time before the afternoon outpatient session begins. Let’s proceed with the exploratory surgery now and submit specimens for testing early."

"I’m ready."

Li Jingsheng was quite willing upon hearing about the surgery.

The exploratory surgery primarily involves incision, suturing, and hemostasis, which he’s proficient in, fully capable of handling.

If nothing unexpected happens, surgery can be completed quickly.

"For brachial plexus anesthesia, we don’t need to wait for an anesthetist; we can handle it directly ourselves. Xiaoxin, arrange to have the patient brought to the operating room immediately."

"Will the operating room agree to this?"

Dr. Qin seemed a bit worried.

The operating room schedule is centrally managed, and this would be like jumping in line now.

"Most doctors are having lunch or resting at noon; many operating rooms are vacant. There’s no reason to refuse. I’ll handle the coordination, just prepare at once."

Though some chief physicians look down on him, the entire orthopedic department stands behind him.

Contrary to expectations, arrangements with the operating room were swift.

The procedure is a minor one, so it wouldn’t occupy much time.

Just inconvenience the circulating nurse a bit more for cleaning and disinfection.

Inside the operating room, after the patient completed brachial plexus anesthesia, Li Jingsheng performed the incision to conduct a surgical exploration.

In the second group, including Professor Wu, none have stronger surgical skills than Li Jingsheng.

Hence, whenever he’s present, he often finds ample surgical opportunities.

Even moments like now, directly leading the surgery.

With a single incision, he deftly avoided major blood vessels and nerves, keeping bleeding minimal.

"Why is there so little blood?"

A surgical nurse inquired.

"That’s because our orthopedic surgeons are skilled, understood?"

Professor Wu said proudly.

He genuinely admired Li Jingsheng’s exhibited incision skills.

This level of anatomical proficiency is usually possessed by senior chief surgeons who have trained for thirty to forty years.

He’s watched Li Jingsheng rapidly grow to new heights day by day.

Now, Li Jingsheng’s incision skills are remarkably strong.

Dissecting the cortex, subcutaneous fat layers, etc., the patient’s proximal phalangeal base is clearly visible.

There’s significant ulnar-side bone cortex destruction.