Practicing Medical Skills in a Small Clinic

Chapter 522 - 241: Cancer-like but Not Cancer, Bloodless Surgery



Chapter 522 - 241: Cancer-like but Not Cancer, Bloodless Surgery

The X-ray shows obvious osteolytic changes, something just feels off.

It’s hard to say, but looking at the bone imaging in the film, it always feels a bit inconsistent, appearing incongruous.

After repeated examinations, Li Jingsheng felt a slight shock; no wonder it always felt off.

He examines bones every day and has a very clear impression of the proportions and diameter of most bones in the human body.

Bone Touching Skill is like automatically forming a bone position map in the brain.

This is an ’image’ constructed through the collaboration of tactile sensation and the brain, achieving a similar effect to directly viewing X-rays.

To be accurate, the image formed by Bone Touching Skill is more three-dimensional.

Earlier, the bone imaging on the X-ray felt incongruous because it showed anomalies compared to the skeletal image he usually forms by touch.

The patient has lesions, and the bones appear noticeably thicker, but not entirely throughout.

Instead, it thickens in the middle and gradually narrows at both ends.

Without rich experience, this anomaly would be impossible to detect.

"Dr. Ruan, please take another look at the patient’s X-ray today. Is there a bone expansion in the osteolytic lesion?"

Li Jingsheng shared this observation with the other party.

Ruan Xiaoqin examined again carefully, then said in surprise, "Now that you mention it, there does seem to be some expansion."

Li Jingsheng nodded after hearing this, "In the patient’s lesion, the boundary is clear, with patchy calcification. I think a CT scan might reveal an expansile soft tissue density bone destruction, characteristically showing a calcified matrix. Based on my diagnostic experience, this patient’s disease might be quite serious!"

The other doctors just listened quietly.

They greatly admired Li Jingsheng’s ability to detect mild expansion of the bone lesion from the X-ray.

"I’ll go to the ward to see the patient!"

Li Jingsheng said as he stood up.

"Um... I won’t go with you. When the patient sees me, it’s like seeing an enemy of nine incarnations. I really haven’t done anything to him!"

Ruan Xiaoqin said apologetically.

"No problem, I’ll go look for him myself."

Li Jingsheng went to the ward, where he saw the patient’s girlfriend peeling a banana to feed him.

Luckily, he wasn’t single, or this display of affection would certainly make his back teeth ache with envy.

"Am I interrupting?"

Li Jingsheng said to the two with a smile.

The difference between having someone and not having someone is truly significant.

He also had a girlfriend now, and she was very beautiful, so he wasn’t envious at all.

When he stepped forward to greet them, his expression was natural, and his smile was relaxed.

"No, no, are you here to perform some examination on my boyfriend?"

The girl put away the banana and stepped back a bit, then responded to Li Jingsheng with a slightly shy smile.

"Yes, I want to examine his hand bones."

Li Jingsheng looked at the patient.

"How do you want to examine? I’ll cooperate fully."

The patient had a fairly good impression of Li Jingsheng; even when causing a scene in the ward, Li Jingsheng hadn’t said any harsh words to him.

"Just give me your hand. It might be slightly painful during the examination, so bear with it."

"No problem."

The patient extended his hand for Li Jingsheng to examine.

During the bone touching, Li Jingsheng gradually approached the lesion.

Because the patient’s right thumb was swollen, the closer it got to the affected joint, the more pained the patient’s expression became.

As soon as he touched the joint, Li Jingsheng frowned.

Considering that this examination would cause great pain to the patient, he did not continue.

"How is it? Is my boyfriend’s bone injury easy to treat?"

"Anesthesia exploration might be necessary. It seems there’s a problem inside the joint."

What Li Jingsheng felt was actually not good.

It was somewhat cancer-like, but the bone quality and surface feel were slightly better than that of cancer patients.

However, he was very aware that such significant changes in bone quality shouldn’t be just ordinary tumors or simple lesions. It couldn’t possibly be arthritis.

He had felt the skeletal images of arthritis patients, which were entirely different from this.

Arthritis comes in various types, such as osteoarthritis, rheumatoid arthritis, septic arthritis, etc., none of which match this patient’s skeletal image.

Thus, he had an ominous premonition.

"Do we need to perform a surgical examination?"

The patient and his girlfriend asked in unison.

"Yes, this examination is necessary."

Li Jingsheng confirmed with a serious expression.

"So, is this arthritis?"

"It’s still unclear exactly. It’s certainly not just arthritis. Have you injured this area repeatedly, more than just twice?"

Li Jingsheng asked the patient.

His Bone Touching Skill was now very advanced, enabling him to sense the approximate timing of bone injuries.

It’s just like how a trunk injury would leave a scar.

Bone injuries also leave traces like calluses. If severe, bone spurs or proliferating tissue might even develop.

Even with a simple touch, he felt that the bone lesion in the patient had been injured more than twice.

"Yes! I’ve indeed been injured multiple times."

The patient could not deny it when met with Li Jingsheng’s gaze.

He finally lowered his head slightly.

"Doctor, do you think the constant poor condition of my injury is related to the repeated injuries during medication?"

He ultimately couldn’t help but voice his question.

Getting new injuries during medication, especially in the same spot, was truly inexplicable.

"Why do repeated injuries occur in the same spot while on medication? Is your job particularly hazardous?"

"His job isn’t related to injuries. My boyfriend loves playing basketball. Even while on medication, he can’t resist playing with his friends, which ultimately leads to further injury. I tried to persuade him, but he never listened."


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