Gou is practicing medicine in the clinic

Chapter 13
After eating, Li Jingsheng summarized today's debridement and suturing process.Some places that are not well done, strive for correction next time.

At this time, Master Liu jumped out of the infusion room with one foot while holding the door after the infusion.

"The wound on that foot of yours has just been healed. It cannot fall to the ground or get wet. It is too dangerous to hop on one foot like this."

Li Jingsheng hurried over to help him up.

"It's okay, I'll just pay attention."

For a frugal person like Master Liu, he must be reluctant to spend money on crutches.

"Sister Tang, is the crutch behind the treatment room door still there?"

"Let me see!"

Tang Ping searched in the treatment room.

"Still!"

She has already taken it out.

The two crutches were covered with ashes.

This was bought not long after the clinic opened, and it was specially prepared for some patients in need.

"Master Liu, do you think this will work? You pay a deposit of 100 yuan, and these two crutches will be lent to you for free, so that your movement will be more convenient." Although Li Jingsheng is familiar with Master Liu, he has to collect a deposit. Dare to lend something.

The most vulnerable thing these days is human nature.

In the past, it was a kindness to borrow things without paying a deposit, but the patient disappeared in the end.

In fact, the value of the things lent out was not high, only one or two hundred yuan.And the patient does not need to use it after the illness is cured.

People just don't pay it back.

Master Liu paid a deposit of 100 yuan, and Li Jingsheng asked him to come around 9 am every day for infusion, check the wound, and explained some precautions.

When vertical mattress suture is used, the suture must be removed in time, otherwise the suture will compress and tighten the local skin, resulting in scarring, or even local tissue necrosis in severe cases.

Especially when edema occurs in the postoperative skin, local tissue necrosis is more likely to occur.

Patients don't understand these things, and doctors have to worry about them.

Otherwise, if something goes wrong, the patient will just scold the doctor for his poor medical skills and let the clinic take responsibility.

Regardless of the fact that this business can earn six or seven hundred, it is actually hard money.The clinic took considerable risks, and needed to provide up to three days of infusion services and subsequent stitch removal services.

After sending off Master Liu, the clinic became deserted.

Tang Ping entered the treatment room and was busy cleaning.

Li Jingsheng was sitting behind the counter excitedly counting the huge gains from the treatment for Master Liu.

The deposit of 100 yuan and the treatment fee of 1100 yuan have been locked in the safe.

What he was counting were medical gains.

Vertical mattress suture +0.7, drug efficacy +0.1, drug kinetics +0.1, body surface debridement advanced to the entry level, and proficiency increased by 0.1.Square knot +0.5, ligation to stop bleeding +0.1.Health +12.

The richness of the harvest is beyond imagination.

The proficiency of various medical skills has increased a lot.

The vertical mattress suture has actually increased by 0.7. If you practice this suture technique with a piece of cloth, you can increase your proficiency by 0.1 in a month, which is not bad.

Even if you buy pigskin to practice, you can increase by about 0.2 at most after a month of hard work.

The sewing time given to Master Liu just now was only about 17 minutes, but the proficiency has been increased by 0.7, which is equivalent to the total amount of hard training for three and a half months.

Such a rapid growth rate is really gratifying.

It also made Li Jingsheng realize that using medical skills to treat diseases directly on patients will improve the proficiency of medical skills the fastest.

The most anticipated thing is the newly earned 12 points of life.

After treating the last cold patient, the life value gained from killing the first-level cold disease is 1 point.

Surprisingly, he earned so much life from suturing the wound this time.

How exactly is it calculated?
It seems that there is still a lot to explore in this property panel.

Just like playing a game, studying the rules of the game and formulating a strategy can get twice the result with half the effort.

What's more, Master Liu's wound was stitched up so well this time, and he even lent him a walking stick for free, and saved him a lot of treatment fees, yet he didn't get good reviews from him.

This made Li Jingsheng unavoidably a little depressed.

Patient praise is voluntary, and there is no way to force it.

Only when they feel particularly satisfied will they take the initiative to send positive reviews.

Li Jingsheng

Grade: junior resident physician 189.5/500
诊断：呼吸内科熟练71.4/100，胃肠内科入门9.7/10，普外科入门0.1/10
Prescription: proficiency in efficacy 10.6/100, proficiency in drug generation 10.4/100
技能：间断缝合熟练47.1/100，连续缝合熟练21.8/100，垂直褥式缝合熟练10.7/100，压迫止血入门6.7/100，结扎止血入门8.6/10，包扎熟练31.2/100，方结熟练10.3/100，滑结入门5.6/10，体表清创术入门0.1/10
Talent: none
Health: 12
He found that the level experience was also increased by 1.5, which was a small surprise.

There is an additional general surgery diagnosis in the diagnostic medicine.

Now that he has 12 health points, he has the ability to upgrade the body surface debridement to the proficient level.

The importance of debridement is self-evident.

It's just that other medical skills are equally important, especially diagnostic medical skills, which determine the correctness and accuracy of treatment.

"Save it first, anyway, upgrading is an instant thing."

After some consideration, he resisted the urge to spend the 12 life points.

Being prepared for danger in times of peace makes every sensible adult try to save as much money as possible for a rainy day.

Li Jingsheng was even more afraid of poverty.

In the past, he could spend more than 2 yuan to buy a motorcycle he liked, and he could spend all his salary without hesitation.These more than nine months have taught him a truth, that he must save some money and strive to spend every penny wisely.

In the process of suturing and knotting just now, he found that it is not enough to master the square knot and slip knot.

The square knot is composed of two single knots in opposite directions. The tying thread is staggered back and forth to form a knot, and then the more it is pulled, the tighter it is not easy to fall off.

Still good for suturing knots in common wounds or tying small blood vessels.

However, when it is used for suturing and knotting wounds with high tension, or for ligating larger blood vessels, it seems a bit 'out of place'.

If he could master the surgical knot-tying method, the suture effect just now would be better.

It would also be safer to stop the bleeding from that vein.

Square knots are less flexible than surgical knots.Moreover, when the tension in the knotted part is too high, it is easy to loosen and sink.

Surgical knots are used less often, but can't do without it.

"I have to learn surgical knots as soon as possible."

Li Jingsheng has a successful experience in learning vertical mattress suture, and now he is full of confidence in learning everything.

The surgical knot has been learned before, but he feels that his hands are a bit clumsy, and a square knot is more suitable for him.So he gave up surgical knots and devoted himself to practicing square knots.

Tools are readily available over the counter.

The needle and thread, tweezers, cloth, etc. for learning the vertical mattress stitch are still there.

There was nothing wrong with him right now, so he learned to tie surgical knots on the spot.

It must be said that when practicing knotting, many medical students are used to pinching the suture with their fingers to tie the knot.After learning it, you must try to tie the knot with toothed tweezers and needle holders.

Because during the suturing process, even if you wear gloves on your hands, you cannot touch the wound.

If a Gui Peisheng managed to get a chance to sew the skin, and dared to directly turn the patient's wound with his hands, the superior doctor would teach this Gui Peisheng how to do it in minutes.

During the suture process, if the crochet needle needs to be inserted from the inside of the skin edge, the correct way is to hold the needle holder with the right hand and the toothed tweezers with the left hand to turn over the wound.

Do not touch the wound directly with your hands.

……

Time is passing fast.

Li Jingsheng was concentrating on practicing surgical knots. Tang Ping stood by and watched for a while before walking away.

She was a little worried when no patients came to visit.

The clinic can't make money, so her salary must still not come out.

Turning his head and looking up at the boss quietly, he was holding a piece of rag and concentrating on practicing surgical knot tying.

It would be great if the business of the clinic could be a little bit better!
(End of this chapter)