Practicing Medical Skills in a Small Clinic

Chapter 524 - 242: Diagnosing for Master, Amyotrophic Lateral Sclerosis

"His lateral bone cortex damage alone is bad enough, and there’s even a chunk missing!"

Li Jingsheng examined it and his tone grew a bit more serious.

Based on experience, cortical damage is already a significant issue. Missing such a large part indicates the osteolysis has been occurring for a long time.

"Let’s take a look at the medullary cavity!"

Professor Wu, being a chief physician, remained relatively calm.

"It’s a tumor!"

Although Li Jingsheng had anticipated this, he couldn’t help but shake his head upon seeing the pink-white tumor tissue inside the medullary cavity.

After examination, the pink-white tumor within the medullary cavity was soft in texture, very similar to an enchondroma.

Carefully curette the tumor tissue until the normal medullary cavity is visible, then deactivate with 95% alcohol.

"Send it for pathology!"

Professor Wu’s tone was detached, but his expression was much more relaxed.

This patient was already quite distrustful of the hospital, harboring many grievances. If this surgery hadn’t found anything, the patient might seize the opportunity to make a fuss, putting Professor Wu in a passive position.

Fortunately, discovering the tumor now provides an explanation to the patient.

It also proves that the doctor’s judgment was very accurate.

In fact, for this patient’s situation, an MRI should have been done first.

CT, ultrasound, and X-ray sometimes have limitations due to their imaging principles.

The results may contain some discrepancies.

For instance, this time the result for the patient looked like arthritis, but who could have thought a tumor was growing inside the joint medullary cavity?

"Doctor, is the growth you mentioned a tumor?"

The patient inquired from Li Jingsheng.

"Correct! But tumors can be benign too, so there’s no need to be too anxious before the pathology results come out."

As Li Jingsheng looked at the patient, his gaze was somewhat complex.

No doctor wishes for a patient to have a tumor, yet clinical practice can be that harsh. Whatever it is when you open them up, that’s what it is, and no one can change it.

"How exactly did it develop? I don’t smoke, don’t drink, and I rarely even eat late-night snacks. I also regularly engage in sports, so how did I develop a tumor?" The patient was under brachial plexus anesthesia, so apart from being unable to move his right hand, he was otherwise unaffected.

Hearing that it truly was a tumor, he found it difficult to accept.

Inside, he likely felt afraid as well.

"No one can clearly explain something like this. However, I personally think it might be related to repeated injuries, which have possibly stimulated it. Learn from this experience and just pay attention in the future. There’s no need to have a psychological burden, nor should you be afraid. Now that we’ve identified the problem, it’s actually a good thing. Once the pathology results come in, we’ll help you devise a further treatment plan."

While soothing the patient, Li Jingsheng also sutured him up.

Once it was all done, the patient was sent back to the inpatient ward.

Inside, the patient must have felt somewhat crushed, remaining silent when taken away.

He had a serious expression, deeply absorbed in thought.

Many patients diagnosed with major illnesses exhibit this behavior.

Some with more fragile states of mind even collapse to the ground, weeping in despair.

After leaving the operating room, Li Jingsheng hurried off to the outpatient clinic.

This surgery earned him a considerable amount of life points, totaling 213, but he couldn’t feel happy due to ongoing worries that the pathology results might indicate a malignant tumor.

Upon returning to the clinic, the patients had already queued up.

Even when the Second Hospital’s manipulative reduction outpatient clinic only had Doctor Xu, it was already quite famous.

Now, with significantly improved handling capacity and Li Jingsheng’s abilities catching up to Doctor Xu, the Second Hospital’s manipulative reduction and bone setting are thriving.

Almost the entire medical circle in Jiangli City knew about the Second Hospital’s special treatment skills.

And it continued spreading to nearby cities and rural areas.

According to incomplete statistics, bone injuries accounted for less than 2% of all emergency outpatient cases.

Mostly occurring due to accidental injuries.

But once the reputation spreads and further expands, the impact is significant.

Bone injury and disease patients from all over flocked to seek treatment.

This made the Second Hospital’s manipulative reduction outpatient clinic busier and more crowded.

If this trend continues to grow, Li Jingsheng and Doctor Xu definitely won’t be able to manage.

For the two of them, it wasn’t an issue.

They lived like deities, never working overtime, with high salaries.

Of course, the high salaries were due to earning based on effort.

The more work done, the higher the revenue, so naturally, the salary wasn’t low.

Li Jingsheng handled each patient one by one, methodically.

While not 100% satisfaction, at least he was attentive to every patient he treated.

For those cases that couldn’t be treated through manipulative reduction, he would only suggest surgery to the patient.

If the patient agreed to be treated at the Second Hospital, he would write them a note, directly guiding them to which doctor to see.

This helped prevent patients from having to queue and register repeatedly.

While his standing at the Second Hospital might be average, in the orthopedic department, from the head of the department to the resident physicians, they all respected him.

The orthopedic department indeed needed such a young leader.

Only by expanding the basic foundation could everyone live better lives.

"Dr. Li, we have a tricky patient in Consultation Room One, and Doctor Xu is asking for you to have a look."

The nurse from the adjacent consultation room came running for assistance.

"Alright, I’ll head over as soon as I finish with this patient."

Li Jingsheng felt a bit strange inside.

This was the first time Doctor Xu actively sought his help.

Who knows what case it was?

"Little one, how old are you?"

Li Jingsheng asked a little girl with a dislocated left wrist joint, smiling.

"Two!"

She replied timidly, in a babyish voice.

Immediately after, as she displayed an expression of pain and was about to cry, Li Jingsheng seized the opportunity to fix her wrist.