Practicing Medical Skills in a Small Clinic

Chapter 585: Chapter 268: Severe Paralysis and a Satisfactory Treatment Outcome

Her expression was very focused, and after listening for a while, her brow slowly relaxed.

Obviously, the diagnosis had already reached a conclusion.

This seemingly miraculous method of diagnosis appeared to be somewhat more advanced than the Bone Touching Skill.

Li Jingsheng patiently stood by, waiting for the old lady to finish her diagnosis, and it was a small eye-opener for him.

There are many diagnostic methods in the world, all of which can ultimately diagnose the cause of the disease.

It is said that all methods lead to the same end.

"Young man, I have completed the diagnosis."

The old lady said to Li Jingsheng.

"Don’t you need to touch his injured area with your hands?"

"This patient’s injury is relatively simple; I think it’s the same whether I touch it or not. Go ahead."

The old lady had full confidence in her auscultation skills.

Li Jingsheng didn’t say anything further and began his hands-on diagnosis of the patient. The old lady had already taken a tablet to fill in the diagnostic results.

"Uncle, can you speak?"

"Yes!"

The uncle laboriously uttered a word.

"Where does it hurt?"

Unlike the old lady, he didn’t have the skill to just tap with a small hammer to know where the injury was.

Following the normal procedure, he began with a patient interview.

"It doesn’t hurt."

The uncle’s words weighed heavily on Li Jingsheng’s mind.

He turned to the nurse and said, "Please get me a probe."

This type of probe is actually an ordinary long needle, except the handle is thicker, similar to an old-style sewing machine needle.

The grip is square, and the needle tip is quite fine.

It’s used clinically to test if the patient has a sense of pain. The skin is more sensitive to a needle prick, and it won’t actually puncture the patient and cause bleeding. It’s commonly used in clinical questioning for patients with special conditions.

Really pinching the patient and asking if it hurts generally doesn’t happen.

Such methods can easily lead to complaints from both families and patients.

But there are some stubborn doctors who use simple and crude methods for diagnosis.

"Does it hurt?"

Li Jingsheng pricked the patient’s sole with the probe.

"No, it doesn’t hurt."

The patient’s response was consistent with the sole’s reaction.

Under normal circumstances, the sole is very sensitive, and a fine needle prick or slide will make one feel pain or itch. At that moment, the foot would involuntarily contract.

But this uncle had no reaction whatsoever.

Li Jingsheng tested both of the uncle’s feet and got no reaction. There was no sense of pain or touch.

He tested the patient’s hands as well, with the same results.

He realized that the patient’s symptoms were very likely similar to high paraplegia.

Based on the current tests, there seemed to be no sensation from below the neck down to the shoulders.

However, being able to speak was slightly better than being a living dead.

The ability to speak implies a swallowing function, meaning he could eat.

But he would likely have incontinence, requiring family care.

"How did you get injured?"

"While unloading, an eighty-pound bag of corn fell, hitting my neck and back, and then I couldn’t move."

After saying a long sentence, the uncle’s breathing became much rougher.

His breathing was exceptionally rapid.

Li Jingsheng focused on the patient’s neck.

Before using the Bone Touching Skill, he still tested the patient’s neck, ears, and facial pain and touch with the probe.

In fact, under normal circumstances, the skin’s temperature perception is also very keen.

Testing the temperature sensation in nerve function with an ice pack is completely feasible.

It can be concluded that pain, touch, and other nerve functions are entirely lost near the shoulders.

Above the neck, all nerve functions are basically normal.

Upon careful observation, he found that the spine at the back of the neck showed a bizarre, abnormal depression and protrusion.

This indicated cervical vertebra dislocation.

It’s likely compressing the nerves, potentially causing nerve tears, leading to high paraplegia.

He began cautiously palpating the patient’s bones.

Sure enough, his findings almost matched his interview and reasoning results. The patient’s cervical vertebra dislocation was quite severe.

There were localized soft tissue contusions and hematoma, but the spinal nerve inside the bone couldn’t be palpated.

The spinal nerve is the most important nerve in the human body, comparable to a main highway.

There are thirty-one pairs in total.

This includes eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves.

It can now be confirmed that the spinal nerve in the neck is compressed, possibly torn, or severed.

After repeated confirmation and deliberation, he finally concluded that the spinal nerve was only compressed and likely not severed.

There are several reasons for this judgment.

Although the cervical vertebra dislocation was severe, both the bone position angle and the degree of dislocation, as well as the tension in the skin on the neck, indicated that the situation was still somewhat ideal.

Moreover, the severity of local soft tissue damage allowed Li Jingsheng to roughly estimate the pulling force at the time of injury.

Lastly, during the Bone Touching, the assessment of bone quality, bone damage, and bone vitality.

Based on the above points, he concluded that the nerve was not severed.

However, there might be a certain degree of twisting.

Once the diagnosis was finished, he quickly wrote down his diagnostic results on the tablet.

Submitting the answer.

On the big screen, his ranking instantly jumped to fourth place.

His total score changed to 25 points.

That was a perfect score!

It showed that there were quite a number of experts.

Ahead of him were Doctor Xu, Wei Xianxian, and He Wanjun.

The teacher was still his teacher, with a very high level of bone-touch diagnosis.

So far, Wei Xianxian had maintained a perfect score, which made Li Jingsheng a bit surprised.

This person’s character might be poor, but his ability was genuinely strong.

This was just a provincial-level skill competition, and there were already so many experts. It goes without saying, nationwide, there would only be more Bone Setting experts.