Free Web NovelChapter 582: Chapter 266: Successful Advancement, Doctor Xu’s Past (Part 2)
The promotion of teaching titles is as difficult as the evaluation of medical titles.
Both have requirements involving years of service, teaching accomplishments, and more.
Many people have taught in colleges for years and still remain assistants, unable to advance to lecturers.
Li Jingsheng instinctively turned to look at Doctor Xu, only to see him staring blankly at the screen.
The pleasant voice of the female host resounded again.
"Next, the 26 contestants who advanced please check the tablets. The system has randomly assigned manual bone setting patients. It’s still the same old rule: if you feel unsure, you can choose to withdraw at any time."
Li Jingsheng looked down at the tablet, sure enough, a new patient was assigned.
This time, the difficulty of manual bone setting increased several times.
The patient assigned to him is a 72-year-old man with a femoral fracture, accompanied by a dislocation of the right hip joint. Not to mention manual bone setting; even surgical operation might have a high degree of difficulty in repositioning.
"Fortunately, it’s within my capability."
Li Jingsheng’s expression was rather relaxed. He stood up directly and headed to the treatment room.
This time, he maintained a frosty demeanor throughout, with no expression on his face.
Upon entering the treatment room, he skillfully talked with the nurse, then was led in front of the patient.
If the patient observed carefully, they would find he was wearing a white coat, but did not have a work badge.
There was no hospital logo on the work uniform.
The patient was lying on a flat bed, accompanied by their family member.
Constantly groaning, evidently in extreme pain.
"Please show me the films."
The family member handed over the patient’s examination report to him. He took it and looked at it: the femoral fracture is quite severe.
The dislocated right hip joint was similarly difficult to reposition.
"I’ll examine you; it will be a bit painful, please bear with it."
After gaining agreement from the family member and the patient, Li Jingsheng began palpating for bone examination.
After palpation, he already had an idea in his mind.
"Can you help me as an assistant for a while?"
He said to the nurse.
"No problem, as long as I am capable, feel free to instruct."
The nurse agreed happily.
She was tall, at least above 165 cm. Her face was beautiful, and her figure was great.
Being selected to cooperate with the participating doctor, she must have gone through a strict screening in image, demeanor, and professional skills.
The more famous the big hospital, the higher the quality of the nurses inside.
Li Jingsheng explained his requirements to her, then asked her to help hold the patient’s leg.
His treatment plan was to first reposition the hip joint, then fix the fracture.
"Assist me according to what I said just now, okay?"
"Absolutely no problem."
The nurse seemed about thirty-one or thirty-two years old; it is said that women at this age are precious.
Her smile was genuinely sweet.
When speaking with Li Jingsheng, she was poised and generous, without any of the shyness typically seen in young girls.
"Please bring anesthesia and administer a lumbar block for the patient. I’m afraid he can’t endure the pain during repositioning."
Li Jingsheng said to the nurse.
Because the patient kept groaning, his willpower and endurance were likely relatively poor.
Lumbar anesthesia could also relax the muscles.
The anesthetist came quickly.
Two people: a male anesthetist who seemed around forty, and a nurse anesthetist.
It’s hard to say whether the anesthetists’ work is exhausting or not; Li Jingsheng never saw an overweight anesthetist.
They were all enviably slim.
High work intensity, immense pressure, busy like the wind—they cannot gain weight because of this.
Many people have the impression that anesthetists just sit in the operating room or treatment room, cross-legged, leisurely occasionally glancing at the monitor, free enough to read books.
In reality, it isn’t like that at all.
Anesthetists are responsible for the entire perioperative period of the surgical patient. Anesthesia saves lives, the chief surgeon treats the disease.
The patient’s life is guaranteed by the anesthetist.
Any unexpected emergencies during surgery, the anesthetist would be extremely stressed.
In situations like now, lumbar anesthesia might not be administered in the operating room; they often need to move around.
It was clear that both the anesthetist and the nurse anesthetist had strong professional skills; the risk was actually quite high in doing lumbar anesthesia, yet they appeared exceptionally relaxed.
"Alright, you can proceed."
The anesthesia took effect, the anesthetist reminded Li Jingsheng.
"Thank you!"
Li Jingsheng nodded to them, then looked at the nurse. The latter immediately cooperated wholeheartedly.
Li Jingsheng repositioned the patient’s body sideways, then applied forceful pressure and squeezing maneuvers. The family member watching beside was terrified.
When he heard the "crack" of the bone, he knew he had succeeded.
For the ensuing fracture repositioning, he used only two techniques: pressing and lifting, and rotating and flexing.
Considering the severe bruising at the site of injury, he additionally gave the patient a massage to help unclog the congestion.
To prevent thrombosis formation.
After completing the operations, he checked again through palpation to confirm that the patient’s hip joint was fully repositioned and the fracture site was aligned. Only then did he apply a splint to the patient, and inform the family of the precautions.
The family watched him operate the entire time.
When he announced the treatment was complete, the family member still had a skeptical expression.
The nurse used this opportunity to suggest the family member accompany the patient for a re-examination.
Li Jingsheng, having accomplished his task, returned to his seat.
Fortunately, it was not far; otherwise, there’d be no need to run back and forth.
Staying in the treatment room all the time would suffice.
He estimated that at least two-thirds of the contestants would be eliminated this round, or score low.
