Li Quan saw the first patient, and this was the opening of the business.

I can't help but feel refreshed.

He also understood that Dr. Luo was nominally a senior physician, but in fact he was just a person who was waving the flag for himself. The only person who really healed the disease was Li Quan.

"As long as it is indeed a dislocated joint and there is no bone crack, we can treat it. ”

Li Quan unequivocally took over the words of the patient's family.

"Okay, ask the doctor to take a look at my mother. She was in the bathroom the day before yesterday and accidentally fell because of a slippery floor, breaking her left leg. We took a picture at the local people's hospital and said that surgery was necessary to have any hope of cure. However, considering that my mother is old and in poor health, the hospital recommends conservative treatment. ”

The patient's son briefly explained the situation.

At the same time, he took out a bag of B-ultrasound films and medical records and other materials for Li Quan to see.

Li Quan took the B-ultrasound film and looked at it, and there was no obvious abnormality in the patient's left leg bone. There is a significant displacement of the femur in the hip position.

"Is the patient unable to stand now?" Li Quan decided to take a look at the patient's basic condition first. This is often referred to as a physical examination.

"My mom has been lying down since she fell. It hurts to even turn over, let alone stand. The patient's son replied.

Li Quan nodded.

"That means the patient can't even sit right now, right?"

"Well, I can't sit down. We tried to help her into a wheelchair, but before we could sit up, she cried out in pain. The patient's son nodded in confirmation.

After listening to the patient's description, Li Quan nodded.

He walked up to the patient and performed a preliminary diagnosis of the patient.

Although the medical treatment has now reached the realm of Xiaocheng, it is still subject to many restrictions after all.

For example, the patient can only lie down and cannot move.

Naturally, it is difficult for him to diagnose the specific location of the patient's lesions.

At this time, it is necessary to cooperate with pulse diagnosis to diagnose the cause.

Li Quan took the patient's pulse with a serious face.

As for moving the patient's legs, this is a big no-no, absolutely no. Because the cause is unknown now, as soon as you move the patient, she will cry out in pain. When the time comes, it is easy for the family members next to them to get angry.

I felt it carefully, the old man's pulse was not good, the pulse was very weak, and the pulse was a little urgent.

This shows that the old man's body is relatively weak.

Li Quan continued to examine the meridians at the position of the femur.

Generally speaking, the blood in the vicinity of the injured bone will definitely be damaged. Hematoma and stasis occur.

Sure enough, Li Quan quickly diagnosed that there was a blockage of the pulse around the femur.

The damage to the blood vessels in that area was not particularly severe. There were no signs of bleeding. Fractures should not be present.

As for whether there is a bone crack, it's hard to say.

Li Quan is now also diagnosing pulses while accumulating experience in diagnosing pulses through comparison.

The local people's hospital did not dare to easily treat the elderly because the damaged joint was in the femur. If it is a surgery, it must be a major operation.

Considering the old man's advanced age, he was already weak.

After such a major operation, the prognosis is likely to be extremely poor. It may even lead to the death of the elderly shortly after the surgery.

Conservative treatment is recommended by most hospitals.

"On initial examination, the patient should have a displacement of the femoral head. Does the patient have any pre-existing medical conditions, such as heart disease, diabetes, etc. Li Quan asked.

"Nope. The patient's son shook his head.

"In this case, first take the patient to do X-ray of the femoral position, if it is confirmed that there is no bone crack or fracture, we can reduce the patient manually. No surgery, no surgery, just as you go. ”

Li Quan said to the patient's family.

"Okay, okay!" the patient's family readily agreed.

They must have asked in other hospitals, but there is no hospital that can manually reduce the femur for this patient.

Even if it is an operation, few hospitals dare to accept it.

The cost of surgery will never be low.

10,000 that's the starting price.

In Li Quan's case, if he can reduce the position manually, the patient is naturally willing.

Dr. Luo is now willing to serve Li Quan as an assistant. The application for X-ray examination was issued as soon as possible.

The patient's family took the patient for the examination and did not mention it.

After about 20 minutes, the patient was carried back.

"Doctor, this is the result of the examination, please take a look. "The patient's family was very polite to Li Quan.

Because they really wanted to cure their mother's illness without surgery.

"Doctor Luo, can you see if there is a bone crack? If there is a fracture, I have seen it. Li Quan actually didn't see the bone cracking.

Asking Dr. Luo to take a look will not only make Dr. Luo face-saving. Moreover, the consultation between the two can also reduce omissions.

"Well, I looked, there was no bone crack. ”

Dr. Luo looked very carefully because he was a senior physician. If the control is not strict, he will be responsible for the problem.

"Doctor Luo, do you think you need to do any other tests?" Li Quan asked.

"Let's have the patient do a blood routine and coagulation tests. The main purpose is to prevent the patient's coagulation dysfunction. During joint reduction, internal bleeding is predisposed to. If the patient has a coagulation disorder, then the high risk should be considered. ”

Dr. Luo gave his opinion.

Li Quan humbly accepted.

Patients with coagulation disorders are generally leukemia patients. Even just one ordinary nosebleed can be fatal.

This one does have to be screened.

After a routine blood test and coagulation test, the results were normal.

This time, you can reset it with confidence.

"You're the patient's son, aren't you? There are some things I want to talk to you about before I perform a manual reduction on your mother. If you accept, we will then perform manual reduction on the patient. ”

Li Quan learned the lesson of last time.

Now it's all going according to the normal process. The risks that should be avoided must be avoided in advance.

"First of all, one thing must be clear. Manual reduction does not guarantee 100% success. In addition, after successful reduction, the patient may have another dislocation of the femoral head due to lack of attention to recuperation or disobedience to the doctor......"

Li Quan informed the patient's family of some of the risks.

"Doctor, you can treat my mother. We are comfortable with these risks. ”

The patient's family agreed.

"Let's talk about the cost. Since it is a manual reset, there is no charge if it fails. If successful, the cost of this reset is $1,200. In addition, I will prescribe some oral medicine to reduce inflammation and swelling and a course of calcium tablets for the elderly. The cost is ...... in total."

Li Quan did not have the right to prescribe medicine, and he looked at Dr. Luo, who was operating the computer.

"The total cost is 1672 yuan. You can now go to the payment window and pay the fee, and then we can treat the patient. ”

Dr. Luo took over the topic.

The two cooperate tacitly and are doing their best to generate income for the department.

However, every charge is a conscience price.

"Doctor, does it cost 1,200 yuan for a manual reduction? Can it be less?" The patient's son felt that the fee was too expensive.

"Manual reduction may seem simple, but it actually requires a high level of professional skill, and we physicians take a lot of risk. 1,200 yuan does not seem to be cheap, but compared with surgical treatment, it is more than ten times cheaper. The patient suffers less and recovers faster......"

Dr. Luo's three-inch incorruptible tongue is quite powerful.

The patient's family was moved.

"Okay, I'll pay the fee right away. ”

More than 1,000 yuan can cure such a serious disease, it is indeed worth it.

Critical patients can also suffer less.

The first business is more than half done. Now it's up to Li Quan next.

As long as the patient can be successfully replaced, they will successfully generate more than 1,600 yuan in income. Plus the money for X-rays, blood routines, and other tests. It adds up to a small 2,000 yuan.