Practicing Medical Skills in a Small Clinic

Chapter 802 - 374: Rapid Blood Sedimentation, Female White-Collar’s Broken Arm Is a Blessing (Part 3)

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Chapter 802: Chapter 374: Rapid Blood Sedimentation, Female White-Collar’s Broken Arm Is a Blessing (Part 3)

She looked at Li Jingsheng with hopeful eyes.

"You should be able to undergo manual reduction treatment. However, I suspect there may be issues with your bones; let’s take a look at the situation first."

Li Jingsheng took her back to the consultation table and asked her to lie down on the examination bed in the back.

She seemed to have a cleanliness obsession, and when Han Siying helped her lie down, she seemed somewhat reluctant.

Many women who live refined lives are rather particular.

They have high-quality requirements for what they eat, wear, and use.

Sometimes, men with lower incomes might genuinely struggle to support a refined girlfriend.

Some beautiful, refined women are particular about the food they eat, the houses they live in, and often choose mid-to-high-end brands for their clothes. Cosmetics are a major expense as well.

In Li Jingsheng’s experience, this woman with the fracture is probably someone an average man couldn’t afford.

Of course, a woman of her caliber generally wouldn’t even consider ordinary men.

Moreover, she has strong work capabilities herself; her income is likely more than ten times that of an average man.

"I’ll conduct a palpation examination on you; this process might be somewhat painful. Can you bear it?"

"Let’s give it a try! Am I allowed to scream and shout here?"

"Err... It’s definitely okay to shout when it hurts. If it becomes unbearable, I can administer a brachial anesthesia here."

"In that case, better give me the anesthesia! I’ve been afraid of pain since I was little. I never dare to look at the syringe in the nurse’s hand during injections."

"Alright, we might also use it during manual reduction later. However, brachial anesthesia can be somewhat painful as it requires injections at multiple points. Additionally, before we perform the brachial plexus anesthesia, we need to do a skin test. It requires waiting about ten minutes; are you allergic to any medication?"

"I haven’t found any drug allergies. You can test it before administering the anesthesia. Since I’m injured like this, work is disrupted whether I mind or not. Let me focus on treatment first before worrying about other things."

She seemed to take things in stride.

"Okay, then you lie here first. After the anesthesia takes effect, I’ll come back for the palpation examination and manual reduction. I must clarify one point in advance, though — although from the X-ray images, I can perform manual reduction on your fracture, if I find any severe bone disease during palpation, and I believe manual reduction isn’t advisable, then you’ll need to consider other treatment options at a larger hospital."

Li Jingsheng had to make things clear to her.

Otherwise, after taking the X-ray and administering the anesthesia, if I then told her treatment isn’t possible, she’d likely feel very disappointed.

It’d easily lead to conflicts then.

If explained beforehand, she can accept it.

"No problem. Hopefully, manual reduction will work. I’m really scared of surgery."

She gladly accepted what Li Jingsheng told her.

Sometimes, communicating with enlightened and educated patients like her is indeed less worrisome.

...

Over twenty minutes later, Meng Luo informed Li Jingsheng that the brachial anesthesia had taken effect for that female office worker.

Li Jingsheng went inside for the palpation examination.

As soon as he touched her forearm’s radius, he sensed something abnormal.

After further palpation examination, he finally understood why this woman ended up with such a severe fracture from merely bumping into a doorframe.

"Your bone quality isn’t good; the osteoporosis is quite serious. Do you often consume relatively monotonous food?"

For busy office workers like her, often when busy, there’s no time to eat proper meals.

Having missed mealtime, they usually settle for a quick bowl of instant noodles.

A meal or two isn’t a problem, but eating like this excessively, the body can’t have assured nutrition.

"Not really, I know that health is the foundation of all endeavors. I rarely cook my meals myself, but I do pay attention to nutritional balance. I often eat shrimp, fish, some meats. However, I eat less pork and usually opt for chicken, lamb, and beef."

Women are most afraid of gaining weight.

She’s only twenty-four years old, and her body metabolism is at a very good level, so she doesn’t actually need to worry about this.

Just some proper control is enough.

Women who truly begin to gain weight usually do so after having children; starting from twenty-eight or twenty-nine, the body’s function begins its decline, making it very easy to develop a little belly.

Nowadays, many women pursue late marriage, a choice that’s actually quite unfavorable for them.

Once a woman is over thirty years old, unless she maintains very well, she is almost certain to begin deteriorating.

The optimal childbearing age is generally in their twenties.

The older one gets, the risks associated with pregnancy multiply.

For instance, hypertensive disorders of pregnancy.

Moreover, the risk of fetal malformations significantly increases.

This female patient’s diet is particularly healthy, then what’s the reason for her osteoporosis?

Li Jingsheng first thought of coffee; for office workers like her who frequently work overtime, coffee is surely integral in staying awake.

Long-term excessive coffee consumption can lead to calcium loss.

"Do you usually drink coffee?"

"I occasionally drink a cup during small gatherings with friends, but not very often."

So it’s not coffee’s fault.

What’s causing this, then?

Having dealt with two tricky female patients this morning.

This made Li Jingsheng quite frustrated, a bit of resentment brewing in his heart; he refused to believe there wasn’t a solution.

He needed to find a way to pinpoint the real cause.

"Do you usually work overtime and stay up late?"

"Definitely! Making money isn’t easy; it all comes at the cost of health."

"When you stay up late working, what do you do if you feel sleepy?"

"I like drinking cola, and sometimes Red Bull and other energy drinks to keep energetic."

Upon hearing this, Li Jingsheng’s face showed a trace of a smile.

The problem should be found.

Drinking too much carbonated beverages poses major health risks. It can cause cardiovascular diseases, harm kidneys and liver, and lead to osteoporosis.

"I can perform manual reduction for your bone injury, but I have to tell you some bad news – your bone condition might resemble that of an eighty or ninety-year-old person, with severe osteoporosis. If you do not trust my palpation results, you can find time to get tested at a large hospital for accurate data."

Li Jingsheng said to her.

"For your health, I advise you to quit carbonated drinks altogether. If you’ve been consuming them for a long time, I even recommend going to a large hospital to check your kidney and liver functions. If there’s progression to chronic renal failure, it becomes a very severe disease. To mention uremia might frighten you; renal failure is the Pandora’s box to uremia."

Early kidney damage can be treated.

Once it develops into the decompensated stage of renal failure, then one’s only option might be considering a kidney transplant."

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