Practicing Medical Skills in a Small Clinic

Li Jingsheng used the heel of his right hand to forcefully push the spinous process while his left hand on the patient’s shoulder pushed in the opposite direction.

"Can you see my left hand? It pushes in the opposite direction. You need to control the force well, too."

Dr. Chen felt his mind and eyes were a bit overwhelmed.

Basically, all doctors are similar when they first learn a treatment method.

"Also, remember, if the patient’s spine does not have a backward convex deformity, the patient’s upper body should not rotate. You also have to consider the patient’s tolerance. For resetting this complex lumbar disc protrusion, overcorrection is needed to achieve a good therapeutic effect.

But there’s a saying, ’too much is as bad as too little.’

This overcorrection should neither be excessive nor too weak, otherwise it will not achieve good efficacy.

Overcorrection could even possibly directly cause further rupture of the fibrous ring, significantly increasing the difficulty of subsequent repairs."

Li Jingsheng was teaching while performing the procedure.

This was truly learning by example.

There was already a faint hint of ’master’ temperament about him.

In terms of skill, he had also achieved a very high level.

However, there was still much room for improvement.

"Ah... oh... the pain, it’s too painful!"

The patient was a woman after all, with quite a poor tolerance for pain.

She couldn’t bear even a little bit of pain.

"Bear with it, it’ll be over in about one or two minutes. Without full anesthesia, it’s a bit painful, but you can save several thousand dollars."

Li Jingsheng was not exaggerating at all.

This was already very conservative.

The basic cost for full anesthesia is generally over three thousand.

It’s impossible to directly give her full anesthesia. Some tests need to be done, and she has to fast for at least eight hours before the anesthesiologist will consider giving her full anesthesia.

If things go wrong and she can’t be treated today, she’ll have to wait until the day after tomorrow.

Because Li Jingsheng only works three days a week.

The additional cost for this waiting period would certainly be more than three thousand for the patient.

She needs to eat, to sleep, which are the very basic expenses.

Not counting the lost wages for the caregiver accompanying her.

Hearing that Li Jingsheng saved her several thousand in treatment fees, the female patient immediately stopped complaining of pain.

Her family members outside also secretly felt happy.

Apparently, the two hundred yuan they gave as a gift was quite effective.

The doctor saved them a sizable amount.

After about more than a minute, there was a faint ’thud’ sound from the patient’s lower back.

Li Jingsheng’s face showed a successful smile.

The patient also instantly relaxed a lot.

The bulging veins on her forehead and neck, caused by the pain, subsided at this moment.

"Dr. Li, Dr. Li, I feel like you’ve cured me. Really, I feel no more bloating pain in my lower back, and I can move my legs."

The patient was still worried that Li Jingsheng wouldn’t believe her.

She slightly lifted her calves backward to show she truly was healed.

She underestimated Li Jingsheng.

Li Jingsheng knew much better than she did whether she was cured.

"Don’t move, don’t move at all. Although we’ve put it back, we still need a couple more sessions to consolidate the effect."

Li Jingsheng quickly stopped the patient from moving around.

"All five of you come in, stand at the back and watch each step and key motion I make."

Li Jingsheng repeated the previous operation and explained each step to the five trainees.

This kind of sophisticated manual repositioning case now receives several cases each day.

Their bone injury situations are different from one another.

This current case is very representative and quite rare.

It has a lot of teaching significance.

After treating the patient twice in succession, he palpated to feel the condition of the patient’s lumbar bones; they were completely repositioned, with a very good effect.

"You all come over and feel the patient’s vertebrae, just gently."

He let the six of them feel it in sequence.

He noticed each trainee’s performance while feeling the bone, imprinting it in his mind.

These five new trainees didn’t know that Teacher Li had already begun to screen them secretly.

"It really seems to be flat now!"

"So amazing!"

"Once I learn this, I can treat my mom’s lumbar pain."

The trainees each voiced their opinions.

Li Jingsheng wasn’t much older than them, and he was quite amiable, so they didn’t feel restrained.

The overall learning atmosphere was quite relaxed.

"Bring over the backboard, let me apply the backboard for the patient."

Dr. Chen had already rushed to bring the backboard over.

No trainee was able to be entrusted by Li Jingsheng to handle this matter just yet.

Once a couple of competent assistants are trained, his efficiency in treating patients will greatly improve.

Because once the treatment is done, the remaining wrap-up work can be left to the assistants.

Dr. Chen’s talent was quite lacking. He could manage simple plastering and applying support boards, but would never dare handle the severe cases.

This was similar to Li Jingsheng’s situation in his early days at the first hospital.

His superior doctors wouldn’t even trust him with a retractor.

Dr. Chen wasn’t that exaggerated, and his skill in plastering and splinting was barely adequate.

Not excellent, though.

After Dr. Chen brought the backboard over, Li Jingsheng instructed him on two things, and those two hundred yuan was given to Dr. Chen.

Dr. Chen quickly left the outpatient room.

Li Jingsheng then meticulously applied the backboard for the patient and taught the rookies under him the key points and precautions for applying splints.

After applying the backboard and securing it for the patient,

the task was successfully completed.

This extremely difficult-to-treat patient was healed in one go.

The second backup plan Li Jingsheng prepared was directly discarded.

"Come, let me help you up and take a few steps!"

Li Jingsheng helped the patient stand.

"Wow, I can really walk, I can really walk! It doesn’t hurt much anymore, Dr. Li, thank you!"

The female patient’s joyous smile bloomed on her face.

She spoke, her voice choked with tears, and her eyes turned red.

Her emotions were understandable.

Most patients feel quite desperate and have low spirits when facing illness. Now being healed, they feel as if reborn.

It was not difficult to understand her emotional excitement.

"Now you can’t go back to work! Your injury needs at least half a year to heal."

Li Jingsheng told the patient.