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Chapter 4 - Chapter 4: The Patient Is Very Satisfied

With this magical attribute panel, Li Jingsheng couldn't help but ponder. Since any medical skill could be quickly upgraded as long as there were enough life points, he could completely pursue a path of diverse talents in the future.

Whatever the medical skill, as long as you find a way to learn it and reach the Entry Level, it can be quickly improved.

This is simply defying nature.

While others might need five or six years to practice a surgical knot from Entry Level to proficiency, he just needs 10 life points.

The currently identified method to earn life points is treating patients.

Refusing over-medication and treating patients both earn life points.

Whether there are other methods, that requires slow exploration.

Time was ticking away moment by moment; Li Jingsheng glanced at the clock on the wall, nearing eleven in the morning.

It seems that, unexpectedly, he only saw one cold patient this morning.

It's a bit tragic; he can't even make the rent.

That one patient almost got turned away by him.

No wonder Tang Ping would mock him as the boss.

With nothing to do, Li Jingsheng simply picked up a piece of cloth filled with stitches, a crochet hook, forceps, and a needle holder to start practicing sutures and knots.

If financially better off, practicing sutures and knots could be done with pigskin, banana peels, raw pig intestines, rubber tubes, and orange peels. But these are advanced tools and not cheap.

The advantage is that the practice effect is relatively good as their feel is similar to the human tissues and skin.

A bit more advanced, you could buy live animals like mice, rabbits, frogs, etc., to practice. These are cultivated in laboratories specifically for medical experiment use. There are strict requirements on their constitution, microbe carrying, viruses, etc.

So their price is quite expensive.

A mouse costs 200 yuan, a rabbit around 65 yuan, which ordinary people simply can't afford.

Recently, Li Jingsheng has been crazy broke, so he can only use a piece of cloth cut from old clothes to practice sutures and knots. Naturally, the effect of the practice is significantly reduced, and efficiency is low.

To say the best effect, it surely is practicing on human bodies.

It must be mentioned, suturing on an anatomical donor is very different from a patient. Not to mention anything else, the mindset is completely different.

When suturing on a patient, involuntarily, you feel nervous, with significant psychological pressure.

If a stitch isn't done well, people might directly curse you, or even file a complaint.

Suturing on parts like the eyelids, neck, and pericardium is especially like dancing on the edge of a knife.

If the stitching deviates even slightly, there might be a medical accident.

Almost all teaching instructors and medical seniors believe that if a doctor wants to improve their medical skills, the best way is clinical practice.

Li Jingsheng has formally worked in the hospital for six years, but the opportunities to suture on the operating table can be counted on one hand.

The vast majority of young doctors severely lack practice opportunities, mainly doing odd jobs.

Sending specimens for examination, collecting lab reports, going to the medical office or other departments to sign forms, accompanying patients for checkups, managing beds... these are what Li Jingsheng did most in the past six years.

As long as a practical operation carries even a slight risk, either the superior doctor would do it personally, or let a trustworthy subordinate doctor perform it.

Other doctors having the opportunity to observe is already quite good.

Li Jingsheng now is taking a different path. He can quickly improve his surgical skills without operating on patients.

This is definitely a heaven-defying advantage.

As long as he has enough time, he only needs to stay in this small clinic for ten or eight years. With the golden finger, he can become a surgical expert.

At this moment, holding the piece of cloth, he is considering which kind of suture and knot to practice.

Now having the golden finger, spending a great amount of time painstakingly practicing surgical knots, slip knots, and simple interrupted sutures is evidently not what a wise person would do.

The clinic is about to close down, so there is an urgent need to learn some new medical techniques, then quickly upgrade to above proficiency, earn customer word-of-mouth, and expand the business volume to possibly survive.

To survive first, then plan for development. This is his current position for the clinic.

According to his nine months of experience in running the clinic, the main categories of patients are those with colds and fevers, injuries, fractures, buying contraceptives...

Fracture patients he has no ability to handle, so he can only push them to big hospitals.

In fact, that's a big cake, but unfortunately, the difficulty in treating orthopedic diseases is high, with a lot of technical content, and very stringent conditions. Li Jingsheng can't even treat the most common joint dislocations.

Sometimes seeing children who accidentally broke their hands and feet come seeking treatment, despite salivating, Li Jingsheng can only send them away.

It's heard that even a small clinic now charges starting from 300 yuan to treat a shoulder joint dislocation.

An X-ray costs 100 yuan, treatment fee 200 yuan. If in addition some calcium tablets are prescribed, a few more tens of yuan in drug fees can be earned. Seeing two such patients a day can balance the revenue and expenditure.

Moreover, the risk of resetting joint dislocations is low, and the reputation can easily earn full scores, which is truly tempting.

Despite being envious, without the techniques of bone setting and fracture reduction, even if such patients come, they can only be turned away.

To learn bone setting and fracture reduction techniques, I'm afraid it needs long-term planning.

Right now, it's better to first expand sutures and knots, because they could be needed at any time.

Just mastering simple interrupted sutures and continuous sutures is definitely not enough, facing some slightly complex injuries might become unmanageable.

He urgently needs to learn intradermal sutures and vertical mattress sutures.

The advantages of intradermal sutures are: they can precisely align the skin edges, reduce scarring, and accelerate wound healing.

Vertical mattress sutures are a supplement to simple interrupted sutures.

Some wound tissues cannot withstand too much tension, or the skin is too loose, using simple interrupted sutures can cause the sutured wound to rupture due to too much tension, severely impairing healing, and leaving unsightly scars, increasing infection risk.

At this time, if vertical mattress sutures are used, the effect can be very ideal.

They can significantly reduce the tension on the skin at the incision.

For wounds on the knee, elbow, neck, face, and deep lacerations, Li Jingsheng simply can't handle them. Once he learns these two suturing methods, he can basically deal with trauma patients he encounters in the future.

Intradermal sutures are actually an upgrade of simple interrupted and continuous sutures.

Li Jingsheng had wanted to learn this suturing technique for a long time, but he was worried about biting off more than he could chew. Furthermore, the clinic's performance was extremely poor, which was quite frazzling. Also, even if he learned it, there were hardly any opportunities to practice.

Moreover, this advanced suture technique cannot be practiced using cloth pieces.

You need to buy pigskin for practice.

He can't even pay the nurse's wages, so where's the money to buy pigskin for practice?

Now with the golden finger, he only needs to learn it without needing to buy pigskin for repeated practice. Occasionally indulging once or twice, buying two pounds of pork with skin can be affordable.

Intradermal sutures cannot be practiced for the time being, so he plans to first practice vertical mattress sutures.

Anyway, both advanced suturing methods need to be learned.

Vertical mattress suture is also an advanced suture, also known as everted suture.

The effect of practicing with cloth pieces is definitely poor, but fortunately, Li Jingsheng only needs to grasp the skills and initially learn them.

He first used scissors to cut a slit in the middle of the cloth piece, then reviewed the vertical mattress suture method on his phone.

Then, he began to recall every technical point and skill taught by his teacher in his mind.

Due to the long time elapsed, recalling some key points was somewhat vague.

But that's okay, taking it slowly.

He held the needle holder in his right hand, threaded the needle, and began suturing by the sequence of far-far-near-near.

Initially, the suturing wasn't good, either the distance wasn't right, or the angle of insertion wasn't correct.

The sutures didn't achieve the everted effect at all.

Let alone perfect eversion.

After careful study, he found that during the far-far suture, entering and exiting at a 90-degree angle to the skin surface is required for it to be acceptable.

In the initial operations, the angle was either too large or too small.

He was very patient in trying continuously, identifying issues and making timely corrections.

With a certain foundation and experience in sutures already, gradually, he grasped more essentials of the vertical mattress suture. His actions became smoother.

Time was passing bit by bit.

The female patient getting an IV drip had already finished and walked out.

She had a trace of a satisfied smile on her face.

"Young man, your medicine here is pretty good! After one bottle of drip, I feel not as uncomfortable as before, especially breathing feels easier. To be honest, the medicine at Quick Recovery Clinic is fine, but every time after an IV there, I feel like there's a big stone on my chest, and breathing is particularly hard. Often it takes a few days to recover. If this treatment here works well this time, I'll definitely recommend you to others."

Tang Ping on the side gave Li Jingsheng a surprised look.

The boss seemed different from before!

She couldn't quite specify it, just felt that the boss seemed to have a bit more confidence.

Also, the infusion effect for patients today was so good, could it be that the boss's medical skills have improved?

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