Practicing Medical Skills in a Small Clinic
Chapter 913 - 454: The Big Dummy Among Human Muscles, Special Request
Chapter 913: Chapter 454: The Big Dummy Among Human Muscles, Special Request
After the girl was helped up from the ground, she stood there, afraid to sit down.
Because as soon as she sat down, she would be in severe pain.
"Muscle has memory too? This is the first time I’ve heard of that! According to what you said, my illness isn’t a herniated disc then!"
She might feel that muscle amnesia is much better than a herniated disc.
While curious about this disease, she seems somewhat relieved.
This is a psychological comparison.
If you originally thought you had cancer but it turned out to just be inflammatory hyperplasia upon examination, you’d surely be happy.
"Although it’s not a herniated disc, gluteal amnesia is quite severe. You need to immediately undergo scientific and reasonable management and rehabilitation training. You can’t let the condition worsen. Otherwise, you won’t even be able to walk, and treatment will become expensive and time-consuming."
Li Jingsheng said to her.
The gluteal muscles are located in the buttocks and include the gluteus maximus, medius, and minimus.
Many people think the flesh on the buttocks is dead, but that’s not the case. It’s just slightly slow to respond.
Every muscle in the human body has its unique function.
The gluteal muscles are the largest muscle group in the human body, and they’re certainly not just empty bulk or merely decorative.
Their functions are numerous.
The largest and strongest muscle in the gluteal muscle group is the gluteus maximus, which is also the most powerful hip extensor muscle, primarily responsible for leg extension, hip external rotation, and sacroiliac joint stabilization.
In everyday life, movements like running, jumping, walking, squatting, and climbing stairs all require the involvement of gluteal muscles. They help stabilize the lower limbs and protect the joints, lumbar spine, and knees from injury during movement.
The gluteus maximus is the largest muscle by size in the human body, and it’s a typical big lug.
Its "intelligence is questionable."
There’s a structure called a muscle spindle within the gluteus maximus.
The nerve fibers present in the spindle are the key to controlling muscle movement.
In every gram of suboccipital muscle group, there are 36 muscle spindles, while in the gluteus maximus, there are only 0.7 muscle spindles per gram.
This makes it clear why the gluteus maximus is prone to amnesia.
The number of muscle spindles is much less than other muscles, which also makes its sensation relatively less sensitive.
Sometimes when we fall backward and land butt-first, we become aware of minimal pain because the gluteal muscles protect us.
If someone with less flesh on their buttocks, someone quite skinny, falls onto the ground, it’s easier to cause hip joint injuries, even serious fractures.
Muscles can protect the body and provide strength for our bodily movement functions. But due to the few number of spindles, the gluteus maximus has a significant flaw.
When we sit for long periods, the gluteus maximus remains in a relaxed state, and it’s at this time that it easily loses memory.
It will forget how to contract.
This causes a series of negative effects.
When gluteal muscle functions weaken, the muscles in the back and knees compensate, taking on the responsibilities of the gluteal muscles in addition to their own tasks.
Over time, these compensating muscles are prone to strain or injury, resulting in back or knee pain.
This female patient’s gluteal amnesia must have lasted quite a while.
Looking at her walking, like a ’lady,’ loose and lacking the beauty of an unmarried girl’s figure, is a typical display of gluteal amnesia.
After listening to Li Jingsheng’s explanation, she understood the cause of her pain.
"Dr. Li, what should I do now? You have to help me."
She pleaded with Li Jingsheng for treatment.
"For now, your condition doesn’t require medication; you just need to persist with some rehabilitation exercises. If after half a month of rehabilitation training there is still no effect, come back to see me."
Li Jingsheng’s treatment for patients is more formal than typical large hospitals.
He never randomly charges patients.
Especially now that he can achieve financial freedom just by selling health supplements, his medical ethics have become more noble than before.
Poverty breeds cunning, wealth nurtures virtue.
This applies to doctors just the same.
It’s rare for a doctor to maintain noble medical ethics when basic needs are an issue.
At the very least, one must ensure doctors can live in comfort to expect them uphold grand medical professionalism.
Li Jingsheng never charged patients excessively during treatment before.
But he did enthusiastically promote health supplements, work hard to gain business, and took risks in performing surgery on patients.
Now, with a stable and decent income, he truly possesses noble character without any demands.
For particularly difficult patients, he often doesn’t charge.
Or finds ways to reduce their costs.
After all, many patients do not wish to be pitied or sympathized with; they have their dignity. Not charging them might make them feel embarrassed, like they’re being discriminated against.
The poorer a person is, the more prone they are to feel inferior and sensitive.
Later, after realizing this issue, Li Jingsheng no longer waived treatment fees openly for extremely disadvantaged patients.
Instead, he cleverly lowered the price of medications or treatment fees.
For instance, he might only charge fifty or sixty dollars when originally needing to charge a hundred. Sometimes the cost isn’t even met while ensuring patients don’t notice.
The female patient’s condition appeared severe, yet he didn’t charge anything.
After teaching the girl some rehabilitation exercise movements, he let her leave.
Gluteal amnesia rehabilitation exercises are not complicated.
The key is persistence.
For instance, while sitting, lift the legs, keep the back straight, focus strength on the abdomen, and then forcefully employ strategic moves to treat the legs slowly.
When standing, you can also practice by placing both hands on your waist or holding onto an object like a railing. Then tighten your abs and arms, and lift your thigh backward or sideways to the limit, keeping your knees and toes straight for about twenty seconds.
If you persevere every day, girls practicing this exercise can even achieve a ’peach bottom’ that makes men swoon.
Besides practicing rehabilitation exercises while sitting and standing, you can also do some movements to help restore gluteal muscle memory when lying down, such as glute bridges and crunches.
These are all simple and easy rehabilitation exercises.
After sending off this female patient, Li Jingsheng continued to handle other patients one by one.
He noticed a young man, probably around twenty-six or twenty-seven, younger than him, sitting in the rest area, occasionally glancing his way.
At first, Li Jingsheng thought this young man must be a family member of a patient, here to accompany them.
But he was busy until after twelve noon, and the young man still didn’t leave.
He wondered to himself, what exactly is this guy doing here?
It was apparent that not only Li Jingsheng noticed the man, but Han Siying and others also noticed him.
"Boss, that guy has been sitting for a long time. Does he have something to discuss?"
Tang Ping came over and whispered.
"Siying, you go and ask him."
Li Jingsheng used his female apprentice as if she were a nurse.
This was actually a good practice for Han Siying. Doctors inevitably have to interact with people and must learn to communicate with patients and their families.
As you advance to Deputy Chief Physician, your social circle widens and you also need to learn to interact with peers and seniors.
Han Siying ran over to chat with the young man briefly and soon brought him over.
"Master, he says his wife got injured and he wants your help with her bone injury treatment."
"Dr. Li, I know you’re very busy, but my wife is in the hospital now. She broke her leg and can’t come here. Could I ask you to go and perform the Bone Setting treatment on her? I’m willing to pay extra."
The young man wasn’t dressed well.
His clothes looked old, and he had severe dark circles.
His overall mental state was very poor.
When someone at home is ill, not only do you have to spend a lot on medical expenses every day, but you also need to watch over and care for them at the bedside.
It is indeed very challenging.
"What kind of illness does your wife have? Which hospital is she being treated at? Tell me about her situation first. I see you’ve been here since early morning. Why didn’t you come over and talk to me earlier?"
Li Jingsheng asked the man to sit down and gently inquired about his wife’s condition.
"I arrived around ten, but seeing how busy you were, I didn’t dare interrupt. I was planning to wait until you were finished and about to eat lunch to talk to you."
The young man said, somewhat shyly.
"Tell me about your wife’s condition!"
Li Jingsheng gestured to the man.
"Have a glass of water!"
Tang Ping brought him a glass of water. In terms of interpersonal skills, Tang Ping was the most mature.
Pouring a glass of water seems like a small gesture, but it can warm someone’s heart.
"Thank you."
The man got up to receive the water and sat back down.
He began talking about his wife’s situation.
"My wife was diagnosed with lung cancer last year, with bone metastasis, losing the chance for surgery. I met her at work, and after we got married, we still rented a place, but we were trying to save money to buy a house.
Even if it’s just a small two-bedroom place, we would be satisfied.
Then we could start a family and have our own home.
But unexpectedly, at the end of last year, after having a persistent cough following a cold, she went to the hospital for a check-up, only to find out it was lung cancer. It was already stage three, and most frighteningly, bone metastasis was detected.
Every time I think about this, I feel particularly guilty.
In order to make more money and buy a house sooner, I neglected to care for her.
Actually, she’d been coughing severely every morning for quite some time. Sometimes when she worked late, she came home complaining about being very tired. But I never thought of taking her to the hospital for a check-up.
If we had gone for a check-up earlier, maybe there would’ve been a chance for surgery.
Alas..."
The man sighed deeply.
Obviously, he was very regretful about this matter.
The cheapest and easiest way to treat a serious illness is to intervene early.
Why do so many cancers seem like a death sentence upon diagnosis?
Because when detected, it’s usually already late-stage with no opportunity for surgery.
With radiotherapy and chemotherapy, many people recognize this as a treatment that harms greatly and benefits little. The cancer cells aren’t killed, and the patient might die first.
"After nearly a year of treatment, we are really out of money. We borrowed a lot. To save money, we only admitted her to the hospital for chemotherapy, while she took medication at home the rest of the time. The night before yesterday, she fell while getting up at midnight and couldn’t move. After being sent to the hospital, they said it was a fracture. Watching her cry in pain breaks my heart immensely."
The man described his wife’s situation.
Patients with lung cancer and metastasis usually don’t have a long survival period.
Her perseverance through nearly a year of treatment shows she has a strong mentality and has put effort into her treatment.
Li Jingsheng could deduce that her physical condition was surely very poor.
Especially after the cancer cells metastasize to the bones, the bone pain is unbearable for most people.
"What does the hospital say now?"
Li Jingsheng definitely needed to ask about the hospital’s perspective.
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