Ruan Xiaoqin suggested in a senior’s tone.
"I believe the bone spur is irritating the surrounding soft tissues, causing the patient’s pain. Moreover, there’s swelling in the patient’s wrist soft tissues; removing the bone spur surgically is the first choice. The only tricky part now is the recurrence issue, so I would like the advice of two senior doctors."
Dr. Qin spoke at length without offering a solution to the problem.
He rely pointed out the key issues.
He naturally passed the ball back to the two senior doctors.
In the hospital, there is a strict hierarchy among doctors. When encountering unsolvable issues, interns and residents consult attending physicians, who then may consult the chief physician.
This is only natural.
Therefore, without so competence, a chief physician could not lead a team.
Otherwise, getting embarrassed daily would be too much to bear!
A significant reason why Professor Wu can lead a team is his specialized skill in bone cent treatnt.
In the Second Hospital, he is unique in this regard.
"Dr. Li and Dr. Ou have been discussing for quite a while; they must have so insights, don’t you think? Why don’t you share them?"
Ruan Xiaoqin was now grabbing any shield he could find.
He even pulled in Jingsheng, the guest.
"?"
Faced with everyone’s gaze, Li Jingsheng had no choice but to stand up.
It must be ntioned here, according to the rules, those above attending level do not stand while speaking during discussions, while those below do so out of respect for senior doctors. It’s a bit more polite.
It’s up to personal preference.
Everyone was standing to speak, except for one resident being so full of themselves, which would surely lose points.
Dr. Qin looked at him with a mocking expression.
Seeing Li Jingsheng’s surprised expression, he guessed Li Jingsheng had not prepared at all.
Then just wait to see him make a fool of himself.
Among the shorties, he would perform better than Li Jingsheng and win back so favor in front of Qinglan.
"I’m not specialized in orthopedic surgery, but I have so immature suggestions. If there are any mistakes, I would appreciate the senior doctors’ corrections."
Since he was asked to speak, he might as well share his views.
Anyway, it’s just a discussion.
He completely ignored Dr. Qin’s mocking gaze.
"I’ve checked the literature. The formation of bone spurs at such bone remnants is almost an inevitable surgical complication. It’s due to the instability of the bone remnant, which causes the swinging and irritation of the periosteum and soft tissue, leading to subperiosteal ossification. To cure it, I think the surgery shouldn’t just remove the bone spur, or else it will surely recur. Ideally, the bone remnant along with the surrounding periosteum should be removed.
However, I’ve never done such surgery, so I’m not sure if it’s feasible. I’d like Professor Wu’s opinion."
Li Jingsheng spoke eloquently, offering a sowhat vague surgical plan.
But the direction and goals were clear.
Remove the bone remnant, bone spur, and periosteum entirely.
Professor Wu’s eyes lit up behind his glasses, and he couldn’t help but gaze at Li Jingsheng with extre admiration.
"The key to bone spur formation is the periosteum. Removing it might seem bold but is actually feasible. This treatnt plan aligns well with my views, and executed well, it should be effective in preventing recurrence."
The room fell deathly silent.
Dr. Qin looked at Li Jingsheng with disbelief. He couldn’t believe such an advanced surgical plan and clinical knowledge in orthopedics ca from Li Jingsheng’s mouth.
The other doctors stared at him, equally shocked.
Several intern doctors looked at Li Jingsheng with admiration, as if he were the goal of their future efforts.
Ruan Xiaoqin’s expression turned a bit strange, not expecting Jingsheng to be so strong.
Ou Qinglan had already broken into a smile.
"You’re quite sothing, able to answer such a difficult question and actually provide a solution!"
Love is blind, as they say.
Right now, Jingsheng was perfect in Qinglan’s eyes, a one-of-a-kind man.
He was her type.
"Heh heh, it was just a lucky hit."
Li Jingsheng chuckled dryly.
If only one day he could achieve sothing noteworthy and beco a mber of the international dical forum.
Only as a mber would he have the chance to discuss dical puzzles with those top international surgeons.
It felt like he gained life points by bravely proposing a surgical plan and getting Professor Wu’s approval.
He secretly checked it, 107.
Earned 50 life points.
And his diagnostic proficiency in orthopedics increased by 10.
This was too thrilling.
"Now, let’s discuss the second case. This patient is only 18 years old and has experienced intermittent right wrist pain for the past three years, which relieves itself after a few days. The pain recently worsened, limiting forearm rotation and severely impacting her life and studies, so she ca to our hospital for treatnt."
The PPT slides played on the big screen.
One could see from the patient’s X-ray that the scaphoid near the pole and the radial side of the lunate show reduced density, with even edges.
"This case is challenging in terms of diagnosis. The cause is currently unknown."
Professor Wu spoke as he played a second slide, this ti a CT image.
It also focused on the patient’s wrist bones.
In terms of clarity, the X-ray shows the wrist bones more clearly, especially the bone contours.
The film appeared whiter.
CT images were darker but more precise in detail.
Had the cause not been obscure, the patient wouldn’t have undergone a CT scan, which is much more expensive.
CT showed a low-density area at the scapholunate joint.
Li Jingsheng said to himself, diagnosing this kind of bone disease by feeling the bone!
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