Practicing Medical Skills in a Small Clinic

Chapter 831 - 390: Credit Earned, All Thanks to Dr. Li’s Lifesaving Skills

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Chapter 831: Chapter 390: Credit Earned, All Thanks to Dr. Li’s Lifesaving Skills

Along the way, he swiftly pedaled his bicycle.

Over ten minutes later, he arrived at the Orthopedics Department of the Second Hospital, rushing straight to the inpatient ward.

Having experienced the trials and tribulations of society, he no longer possessed the aloofness of his earlier years.

Opportunities to curry favor with influential leaders must certainly be seized.

The success of Sunshine Clinic today is inseparable from the support and assistance of benefactors. For instance, Xie Guiqiu, who has helped him numerous times, as well as the scavenging elderly retired cadre, Director Hua, Dean Fu, journalist Chu Yao, and others.

These people have all helped Li Jingsheng in various ways.

Director Jia of the Health Bureau is definitely the most important leader within this system.

A single word can even decide the life and death of Sunshine Clinic.

Maintaining a good relationship with such a bigwig can provide endless benefits.

Li Jingsheng hurriedly ran into the inpatient ward.

"Where is Director Jia’s grandson?"

He directly asked the nurse at the station.

"Over there, in Ward 0."

The beds in the Orthopedics Department are becoming increasingly scarce, but Director Hua insisted on retaining Ward 0. Inside, there are only two beds, and most of the time, they remain empty.

Only in rare cases are patients admitted.

And even though there are two beds, there will always only be one patient admitted.

Because the patients residing there are often of high status.

Simply put, Director Hua wants patients to feel respected and specially treated, using this ward to build relations.

Only Director Hua knows the extent of the benefits.

Among so many department heads, the Orthopedics Department’s business within the hospital is not particularly impressive, and its revenue generation is only average. Of course, now it is rapidly strengthening, and its revenue-generating capacity is becoming increasingly formidable.

However, even the head of the General Surgery Department might not have as much influence as Director Hua.

Some people may seem unremarkable, but they understand human relationships and can handle social interactions. They strengthen themselves through relentless networking.

Li Jingsheng quickly approached Ward 0.

Even though the door was open, he still knocked on it.

"Jingsheng, you came quite quickly! This here is Director Jia’s grandson, please take a look."

Director Hua was accompanying within the room.

By the bedside was a middle-aged woman wearing glasses, likely over fifty years old.

Apart from looking somewhat stern, her temperament was quite impressive.

She had an expression of anxiety on her face.

There was also a young woman with tear-stained cheeks, presumably the child’s mother.

She had a sweet and beautiful appearance, and her clothing was quite conservative.

Families with slightly better circumstances, especially those with some influence or power, often have wives who are one in a million. They have looks, and they have culture.

The male family member hasn’t been seen yet.

"This lady is the Director’s wife, surname Liu. This is the child’s mother."

Director Hua introduced the Director’s wife with great solemnity, and introduced the child’s mother in passing.

"Hello!"

Li Jingsheng nodded in greeting to the middle-aged woman.

This is not a situation to smile, as the grandson is lying in bed, seriously injured. In such a situation, even the most ingratiating smile could easily provoke the other’s displeasure.

Li Jingsheng maintained a normal expression, respectful and polite.

"Hello! Dr. Li, you must be out of breath, rushing over here?"

"I heard Director Hua say that the child’s condition is quite serious, and I was worried about any problems arising, so I hurried over. It might have been a bit urgent, but rest assured, this won’t affect my performance."

Li Jingsheng explained.

"Such a kind young man! I originally wanted to ask if you needed a rest."

"No need to rest, let me first check on the child’s condition."

Li Jingsheng bent down to examine the child’s injuries. The child had cried until his tears were dry. It was clear at once that there was a problem with the angle of the neck; his head was lowered and he couldn’t straighten his neck.

The left arm was hanging limply by his side.

The palm appeared somewhat pale, lacking in blood.

Moreover, the fingers were naturally slightly curled.

Looking at the situation, based on his experience, Li Jingsheng believed at the very least, the child’s left hand was dislocated. There might even be a hematoma.

"Did his neck start not being able to lift up after the fall?"

"Yes! Ever since the fall, it’s been hanging like this. If we exert even a little upward force, he cries out in pain. He can’t even lie on his back."

The child’s mother said in a choked voice.

"If the neck vertebrae are severely damaged, surgery might be needed to correct and repair. Let me first take a look at the film," Li Jingsheng spoke as conservatively as possible, emphasizing the seriousness.

Treating a family member of such influential figures, especially their little grandson, is far trickier than treating an elderly person.

Any slight mistake could lead to flattering gone wrong.

Instead of pleasing them, it might backfire.

"The child is so young, and it’s a cervical injury. Is it possible not to operate? My heart feels like it’s being torn. If I could take the pain instead, I’d rather be the one lying in the hospital bed."

Madam Jia asked anxiously from the side.

"His left hand injury is not minor either, at least the shoulder joint is dislocated from the fall. This indicates the force of the fall must have been quite strong. The cervical vertebrae is one of the most complex bone joints, and it houses important blood vessels and major nerves, posing significant risks. If the damage is severe, forced realignment is too dangerous. I’ll first look at his films, then assess by palpation before giving you a reply."

After receiving the films, Li Jingsheng examined them.

Dislocation of the left shoulder joint, subluxation of the elbow joint.

The child’s skeletal development is not yet complete. The bone quality is soft, and joints are relatively unstable.

Joint dislocation is a common occurrence.

The child’s cervical vertebrae segments 3 and 4 show significant dislocation. Earlier visual observation revealed a posterior protrusion of the intervertebral disc.

After watching the film, Li Jingsheng already had some idea in his mind.

However, his brow furrowed even tighter, and his expression became even more serious.

"The injury is severe! The condition of his left arm is worse than I anticipated; there are actually two dislocations and displacements."

After speaking, Li Jingsheng squatted down to examine the child’s bones.

Director Hua, standing beside him, was very pleased with Li Jingsheng’s performance.

He just worried that Li Jingsheng would rush over and, without a word, easily treat Director Jia’s grandson.

Fortunately, this kid knows how to handle things, understanding how to amplify his achievements.

"Sigh, several of our orthopedic experts also said after reviewing the film that the child’s fall injury is extremely severe. Normally, a child’s arm joint dislocates at most once. But he has two dislocated areas.

There’s no need to mention the cervical spine.

Cervical disc herniation is often treated only with surgery.

But the surgical risk is particularly high; some patients can never stand again post-operation. Or they experience paralysis, and so on."

Director Hua was in sync with Li Jingsheng as they spoke together.

Their teamwork was quite seamless.

"Oh no, what should we do now! The child is so young, it’s my fault, my fault entirely, I shouldn’t have taken him to play on the slide."

Madam Jia, hearing both of them speak so seriously, was stamping her feet in anxiety.

This also makes it hard for her to explain to her son and daughter-in-law!

Li Jingsheng had already begun to examine the child’s bones.

First, he felt the left hand, noting the fingers were somewhat cold. Then he felt the right hand, which was at a normal temperature.

His expression changed slightly.

"How long has the child been injured?"

"Almost over an hour now! What’s wrong?"

Both Madam Jia and the child’s mother were deeply unsettled.

"I just felt the child’s left hand; the fingers were cold, and the palm and back of the hand, even the forearm’s temperature, were somewhat abnormal. The right hand is normal. This indicates either cervical spine compression, leading to nerve damage on the left side and poor blood circulation, or a hematoma in the left arm and dislocated joints pressing on the blood vessels, preventing normal blood flow.

No matter the situation, it must be dealt with promptly.

Prolonged poor circulation in the left arm can easily lead to tissue necrosis."

Li Jingsheng wasn’t exaggerating in the least this time.

If it’s only nerve damage or compression causing poor circulation, it’s not a huge issue.

But if dislocated joints cause a hematoma, compressing major blood vessels, that’s a significant problem.

People who like to sleep on their sides sometimes wake at night feeling like one arm has lost sensation. It’s as if it’s not theirs.

This is due to blood vessel compression, causing blocked circulation.

Normally, this poor circulation condition quickly recovers once the pressure is removed.

At most, there’s numbness and discomfort at that moment, which alleviates in about ten minutes.

However, there’s one scenario where it never alleviates.

That’s when a limb suffers from necrosis due to prolonged ischemia.

Li Jingsheng practices in orthopedic techniques for bone setting, frequently applying casts and splints to patients.

He is well aware of the risks involved.

There was a previous case where a patient, due to ignorance, removed their cast to inspect it, then rewrapped it unprofessionally, too tightly, ultimately causing limb ischemia and necrosis.

As a result, the patient sued the hospital, demanding compensation for amputation, disability, and other expenses.

Luckily, after medical evaluation and investigation, it was found that the patient had altered the external fixation themselves.

After taking over the bone setting clinic, Li Jingsheng always instructed his subordinate doctors and nurse Li Li to ensure that any patients with external fixation are aware of the dangers of binding too tightly.

The best way is not to tamper with the external fixation done by the doctor.

If it’s too tight, it may cause poor circulation.

If it’s too loose, it won’t provide proper stabilization.

"Dr. Li, Director Hua, I entrust my grandson to you two. Please, you must save my grandson!"

Madam Jia’s face turned pale.

Though she had been through much turbulence and seen many things in life, facing illness makes one’s noble status irrelevant.

When fear is called for, it prevails just the same.

"We’ll have to cut his sleeve; do you agree? Removing the clothing may cause a chill and could also disturb the cervical and left arm injuries, causing further damage."

"Yes, yes."

At this moment, Madam Jia only wanted to save her grandson.

She couldn’t care less about a piece of clothing.

After cutting the sleeve, Li Jingsheng carefully examined the bones and quickly identified the problem.

It was the partial dislocation of the elbow joint.

The local hematoma was quite severe.

There was a good sign that from the left elbow joint upwards, the surface body temperature was normal. This indicated the poor circulation was occurring below the left elbow.

"Does the child have a history of drug allergies?"

"No."

"We’ll give him an arm block anesthesia and first relocate the left arm. The hematoma at the elbow joint is severe; I’ll perform massage therapy to first clear the circulation and ensure the safety of the left arm."

Li Jingsheng displayed a subtle hint of general-like demeanor.

His calmness combined with confidence provided the family with immense assurance.

"Jingsheng, you are the expert in this area. I’ll assist in coordinating here. Whatever you need, I’ll handle the arrangements."

Director Hua chimed in supportively.

"Please have a nurse quickly bring the medication for a skin test, and then administer arm block anesthesia. I’ll also re-examine the child’s cervical spine."

Li Jingsheng proceeded to examine the child’s cervical spine again.

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