After so honing, the fractured end finally revealed healthy spongy bone.
At this mont, orthopedic diagnostics ca in very handy, allowing him to discern if the honing was adequate.
Avoid consulting Professor Wu on everything.
Junior doctors should not consult on every issue unless they encounter sothing unknown or risky; otherwise, it’s best not to ask about everything. First, it makes soone annoying, and secondly, it gives senior doctors the impression that the young doctor lacks independence.
Tasks that are sowhat challenging won’t be assigned to such young doctors.
So young doctors like "new moms" are most prone to making this mistake.
They feel the more they consult senior doctors, the closer the relationship.
This is pure nonsense.
Asking irrelevant questions repeatedly, especially with a bad-tempered senior doctor, will likely result in a scolding if they ask three irrelevant questions in a row.
After being reprimanded once, next ti there’s a real issue, they might not dare to speak up.
After the honing, Li Jingsheng’s level increased by 105 again.
Today’s surgery was clearly just a secondary "minor surgery," yet the gains were unexpectedly generous.
This was because he had never been the chief surgeon for such an orthopedic surgery before.
As this surgery involved a wide range of procedures, it felt like striking gold and silver.
Like finding a pond full of fish by the seaside.
There was an elent of luck.
Next, he began to examine the area from the radial styloid to the joint surface.
Upon examination, he found a significant cartilage defect and obvious spurs on the styloid. It was precisely this that caused the patient imnse pain.
Directly remove the radial styloid.
At this point, it’s ti to reposition the scaphoid.
This is Li Jingsheng’s forte.
In terms of manual repositioning, only Doctor Xu in the entire Second Hospital could outshine him. However, he was rapidly catching up with Doctor Xu.
For instance, in Bone Touching Skill, he is now on par with Doctor Xu.
The patient’s luck was indeed good to encounter Li Jingsheng for this surgery.
If it were another doctor repositioning the scaphoid, it would likely be much more cumberso.
This patient had a certain cortical defect on the palmar side, making repositioning more difficult.
Other doctors would need to use the cortical bone on the dorsal, ulnar, and radial sides to guide repositioning.
But Li Jingsheng skipped these steps and easily helped the patient complete the scaphoid repositioning.
Of course, this appeared easy because his manual repositioning skill was high.
Actually, it involved techniques like massage and alignnt.
"Dr. Li’s manual repositioning is truly well-deserved and has broad applications in many orthopedic surgeries."
Professor Wu watched with a hint of envy.
Although he always despised manual bone setting as a simple technical job, he was indeed envious deep inside.
Doctor Xu’s inco far exceeded his as a chief physician.
"You flatter !"
Li Jingsheng humbly replied, taking a Kirschner wire to temporarily fix the repositioned scaphoid.
At this point, the protocol would involve using a C-arm X-ray machine to assess the repositioning situation.
Li Jingsheng actually didn’t need this.
His Bone Touching Skill and manual repositioning ability allowed him to skip this step.
Out of respect for protocol and Professor Wu, he still looked over to Professor Wu, "Please use the X-ray machine to check. If there are no issues, I will proceed to the next step of harvesting the bone flap for transplantation."
Watching Professor Wu operate previously, he felt that bone grafting and harvesting bone flaps were quite difficult.
Now doing it himself, he found it wasn’t as hard as he imagined.
As long as the four basic surgical skills are well-practiced, performing these tasks posed no significant obstacles, just a bit unfamiliar.
Li Jingsheng’s suturing, incision, hemostasis, and knotting skills have all reached a fairly high level, and he has ntally rehearsed these tasks many tis, so it wasn’t difficult.
At most, he was a bit anxious.
Because, after all, many tasks were being done for the first ti, he was a bit worried about ssing up.
Watching a senior doctor do it many tis doesn’t an you can do it.
Observing is easy, doing is difficult.
When really hands-on, the technical and knowledge requirents in all aspects are very high.
Professor Wu took the C-arm X-ray detector to check the scaphoid repositioning.
"Unbelievable, truly unbelievable! The repositioning is so perfect, it truly is enviable!"
To receive such praise from a professor shows how well Li Jingsheng did with the scaphoid repositioning.
This is considering the scaphoid had issues; if it were a new scaphoid fracture, Li Jingsheng wouldn’t even need surgery, just a direct repositioning, guaranteed to be even better.
"If there are no issues, then I’ll begin harvesting the bone flap."
Li Jingsheng requested permission.
"Go ahead!"
Professor Wu, who had been initially nervous about the surgery’s outco, was now filled with anticipation.
He had a premonition that this patient, undergoing a second surgery, would very likely recover fully.
Harvesting a bone flap from the dial femoral condyle requires an incision on the thigh, and the wound is quite large.
Considering safety, this ti having gained a substantial boost in life value, Li Jingsheng decisively upgraded the superficial incision thod.
He had used the incision thod multiple tis earlier, increasing its proficiency to 112/500, reaching mastery-level.
An impressive gain of 12 proficiency points.
It felt like it was improving rapidly.
Being in the operating room is the fastest way to gain life value and skill proficiency.
He plans to participate more in surgeries at the Second Hospital once the clinic relocates and is fully operational.
Having proven his surgical ability and gained the trust of senior doctors, he will surely be able to handle many important surgical tasks in the future.
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