Gou is practicing medicine in the clinic

Chapter 139 Continuous promotion of three medical skills, growth summary
After listening, Li Jingsheng realized that Master Liu likes to mix some difficult dialects in his speech.

It can also be called plastic mandarin.

It seems that this young man was not cut at the waist.

"Why carry it away? Can he still walk by himself?"

Li Jingsheng squatted down for the first time, and began to check the injury of the young man on the simple stretcher.

There was a [-] to [-] centimeter-long gash on the right waist, and blood was still oozing out.

The amount of bleeding doesn't look particularly serious.

The wound appears to be shallower than expected.

It's just that there are more scratches on the skin.

"We heard that it is best not to move around because the stomach is injured and the waist is injured. We are afraid that something will happen to him, so we got a simple stretcher to bring him here."

Worker Shun hurriedly replied.

Master Shun should have a very high status in their small team.

The brain is also more flexible than Master Liu.

"Are you working nearby this time?"

Li Jingsheng knew that they were looking for work everywhere in the city.Smash people's walls, clean up renovation garbage, and make some hard-earned money.

"No, we're at Country Garden, and we came here by bus."

Hearing this, Li Jingsheng's face couldn't help twitching.

Master Shun and Master Liu are both people who can pick out Xiangxiang.They are so frugal.

"No way, we hailed a taxi at the very beginning. When they saw that Xiaoshan was covered in blood, they refused to let us sit for fear of dirtying the car. In the end, we had no choice but to squeeze the bus. Fortunately, there were no people at this time. If it was one or two hours late, we would have to call the 120 ambulance at the rush hour."

Master Shun seemed to have seen through Li Jingsheng's thoughts, and explained with a bitter face.

Calling an ambulance will cost at least 150 yuan.

It is not easy for them to earn a few hard-earned money, so they are naturally reluctant to squander it like this.

It's cheap to squeeze the bus, only 1 yuan/person.

Three people can get it done for only 3 yuan.

"Hey, you kid is really serious. I told you to pay attention to safety, pay attention to safety, but you didn't listen. What's wrong with being hurt like this now? It made me and Lao Liu stop work and send you here for treatment. I don't know what to do. What are you talking about!"

Master Shun complained about the young man lying on a simple stretcher.

Obviously, the relationship between him and Master Liu is an equal relationship, and the relationship with this young man is that of a contractor and a worker.

The last time Master Liu was injured, Master Shun didn't have this attitude.

The young man was lying on the stretcher with a painful expression on his face, and he was scolded without saying a word.

"Doctor Li, is his injury serious?"

"The wound is not deep, but it's a bit long. How did he get hurt?"

Li Jingsheng was not in a hurry to give treatment.

Definitely check it out before treating it.

"Damn. When he was standing on the ladder drilling, I don't know how he fell down. Fortunately, he was not injured by the impact drilling."

Master Shun briefly described what happened.

Doing their job is not only hard, but also very dangerous.

In addition, it belongs to the nature of a "guerrilla" and the safety protection is not so formal. In order to speed up the progress of the construction period, safety accidents are particularly prone to occur.

Mentioning that the young man fell off the ladder, Master Shun still had lingering fears.

If someone is really going to die, he, the contractor, will definitely lose a lot of money.

The owner bears at most part of it.

At that time, it will be normal to work for nothing for a few years.

"If you want to treat him here, I have to give him an abdominal ultrasound first. If there is no major problem, I can debride and suture him. The total cost may be around [-]. For the first three days, I will come to my hospital every day. Follow-up consultation and infusion at the clinic."

At least three days of drips, as well as debridement, hemostasis, sutures, and tetanus shots, are only charged 1200 yuan, which is quite conscientious.

"Okay, as long as it can be cured, get it for him!"

Master Shun was very cheerful this time.

It's not like last time, I have to call the owner and ask the other party to bear part of it.

"Pay the inspection fee of 100 first, or directly pay 1200 in advance?"

"Pay the inspection fee first! Because I fell off a ladder, I'm afraid there may be internal injuries, rupture of internal organs, and bleeding."

Li Jingsheng explained.

The conditions of the small clinic are limited, so he can only make a prediction by observing with the naked eye and the situation of the injured.

Then check it with the help of B-ultrasound.

If there is intra-abdominal hemorrhage, he will not be able to take on this big job.

Surgical cases are too rare for his small clinic.

It's hard to get one, as long as you can eat it, you definitely don't want to push it away.

After B-ultrasound examination, no obvious bleeding or organ rupture was found in the young man's abdominal cavity.

He was immediately relieved.

"Come on, try to bend your left leg."

He gave the patient further physical examination.

"Okay, very good, put your left leg down, raise your right leg, and bend."

After checking that the nerve functions of the left and right legs were not affected, he was relieved this time.

"Master Shun, you can pay the operation fee now. I have to make one thing clear, because I don't have the conditions for hospitalization here. After the operation, he can only take care of him at home. He must follow the doctor's advice. For example, don't let the wound touch water, then You must not touch it. Also, you must not use force, otherwise the wound will be torn again, and you will be responsible for it.”

Li Jingsheng explained the precautions clearly in advance.

If there is no hospitalization condition, then you can only be flexible.

"Yes, I will definitely explain to him."

Master Shun was very happy to hear that surgery could be done here, and he scanned the QR code and paid the money on the spot.

It may be seen that Master Liu was also seriously injured last time, and he was also cured by Li Jingsheng.

So this time it seems very reassuring.

Didn't even ask much.

"Sister Tang, I'm getting ready for surgery."

Li Jingsheng greeted Tang Ping.

The popularity of the clinic has dropped a lot, and she was feeling worried, and she couldn't help but feel refreshed after such a big job came.

"You can just wait outside. After the operation, he will be given an infusion."

Li Jingsheng said to the two of them.

"Old Liu, why don't you go back to work first, and I'll rush over here when Xiaoshan finishes his operation."

"it is good!"

Master Liu is an honest man, and he left as soon as he promised.

"Be careful, don't let anything happen again."

Master Shun told his back.

Li Jingsheng asked Xiao Gao to carry the injured into the treatment room, and then asked Xiao Gao to sell medicine outside, while he and Tang Ping operated on the injured.

After strict disinfection, local anesthesia was given, and then the wound was cleaned.

Since the wound was drawn by the sharp angle of the aluminum alloy window, this kind of wound must be debrided.

Fortunately, the wound was not particularly deep.

Li Jingsheng was quickly considering the operation plan in his mind.

The body surface debridement is currently at the proficiency level, and it is not bad to deal with this wound, but if you want to achieve a good debridement effect, you must have the proficiency level body surface debridement to do it.

Gritting his teeth, he decided to upgrade the body surface debridement to the proficient level. After finally receiving a larger surgical operation, he must do his best.

In the blink of an eye, his body surface debridement was upgraded from proficient level to proficient level.

A total of 89 health points are consumed.

Body surface debridement proficiency 100.5/500.

Now let alone debridement of more complicated scratch wounds, it is easy to deal with debridement of more serious dirt damage, rotten wounds, and mistooth wounds.

The effect of debridement will definitely reach an excellent level.

It's not just the qualification level anymore.

After the debridement is done, all that remains is suturing, ideally intradermal suturing.But if you haven't learned it yet, you can only consider simple continuous suture.

Using continuous suture to treat this wound can achieve the advantages of fast suture and hemostasis, which can shorten the operation time, but it is not very friendly to healing, and it is more likely to leave ugly suture scars.

No way, come to his small clinic for surgery, you can't ask for perfection.

He can only promise to cure the patient.

As for spending more than 1000 yuan, it is impossible to cover everything.

Using running sutures to treat this wound would not have been the best.In addition, this medical skill is only at the proficient level, so the suture effect must be discounted, and the healing may be affected.

Upgrading the continuous suture technique to the proficient level can smooth out some of the disadvantages of this medical skill and minimize the adverse effects as much as possible.

Thinking of this, he decisively spent 69 points of life to upgrade the continuous stitching to a level.

Continuous suture proficiency 100.8/500.

In an instant, more than 100 health points were used up, and his health points were only 184 points left.

It seems that the life value has not been overheated.

Basically, as long as you save a little more, it will always be used up quickly.

The proficient level of continuous stitching is really good. He can feel that he has more understanding of stitching, and some skills are naturally integrated.

Especially the continuous suture technology, that is a leap forward.

Great progress has been made in terms of stitching time, stitching neatness and fit.

It's all right this time.

The proficient level of body surface debridement combined with the proficient level of continuous suture can already do its best to treat the patient's wound well.

It's a pity that the intradermal suture has not been able to reach the entry level, otherwise, the effect of this operation can be better.

"Hey... this, is this a hell?"

Li Jingsheng checked the newly improved continuous suture technique, and found that there was an extra intradermal suture in the skill.

At first, he thought he was suffering from hypocrisy.

However, it was soon determined that it was not a hypochondriac, but an extra intradermal suture.

"Could it be because the continuous suture technique has been upgraded to the proficient level?"

Intradermal suture is originally an advanced skill after combining the two most basic suture techniques, interrupted suture and continuous suture.

He has been practicing intradermal suture hard and already has a certain foundation.

Now that the continuous suture has been promoted to the proficient level, his intradermal suture has also improved, so he has reached the entry level.

Yes, definitely so.

This also gave him a good direction of thinking, and he should be able to learn from this successful experience when learning other surgical skills in the future.

Introductory Intradermal Suture 0/10.

This method of suturing allows precise fit of the skin edges while reducing scarring.

Although a brief introduction, intradermal sutures can be used in a variety of wound closures.

After practicing well, it will also be very helpful for him to practice anastomosis in the future.

Sewing the skin is definitely not his goal. He will eventually achieve the anastomosis of blood vessels, intestines, and even nerves and tendons.

At that time, his surgical ability can be considered to have reached a certain level.

The current ability is very good for clinics and even grass-roots hospitals.

But it is not enough to put it in a big hospital.

Why do surgeons practice knotting cotton or tofu?Why practice cutting pigskin and paper?

Everyone practices various surgical techniques day and night, isn't it just to be able to complete three or four major surgeries one day?

All kinds of vascular anastomosis, nerve anastomosis, and intestinal anastomosis are unavoidable barriers.

"Since the intradermal suture has reached the entry level, let's use this suture."

Li Jingsheng immediately changed his original plan.

Directly spend 100 life points to directly upgrade the newly introduced intradermal suture from the entry level to the proficient level, and upgrade it to two levels in a row.

It's cool to hang up.

In the blink of an eye, intradermal sutures rose from the level of junior inpatients to the level of junior attending physicians.

If the health value is more sufficient, he will even upgrade this medical skill to the level of a senior attending.

So far, he finally has five good suturing skills, which can basically deal with suturing all wounds.You might even consider practicing anastomoses.

Now that the technology is in place, Li Jingsheng will debride the patient's wound quickly without hesitation.

Tang Ping stared at the side for a while.

The boss is simply a surgical genius. The last time I saw him debride a patient, he was not at this level.

It's only been less than a month, and I haven't seen the boss have the opportunity to practice debridement. How do you feel that his debridement ability has improved a lot?
Li Jingsheng didn't care what she thought, he happily experienced a proficient level of debridement, which cleaned and smoothed the patient's wound, which gave people a very comfortable feeling.

"Tsk tsk, this proficient level of debridement is really good. If one day it can be upgraded to the Xiaocheng level, the wounds cleaned up may be tighter than bearings."

He felt very satisfied and had a sense of accomplishment.

After the debridement is completed, sutures are started for the patient.

The bleeding never stopped.

Although it was only a small bleeding, it was very inconvenient without an electric coagulation knife.

This kind of small bleeding cannot be stopped by ligation, and it is much more convenient to have an electric coagulation knife.

I have to find a way to make money to buy one back.

Only when you earn more money can you buy these expensive outfits.

The proficient level of intradermal suture is really cool.

The sewing is fast and good, and the needle and thread are like a godsend.

The sutured wounds were neatly aligned and fitted closely.

It also looks very beautiful.

Pleasant to the eye.

"Boss sewed beautifully today!"

Tang Ping couldn't help but praise.

She should be able to see that Li Jingsheng used another new suture technique.

"Intradermal sutures are indeed much more aesthetically pleasing than the two mattress sutures."

Li Jingsheng remembered that the railroad marks using vertical mattress sutures were almost invisible compared with the current intradermal sutures.

However, each suture has its own advantages and disadvantages, and the vertical mattress suture is still very effective in dealing with some specific wounds.

Compared with aesthetics and rehabilitation, rehabilitation is definitely more important.

"It took 27 minutes, and this efficiency is quite satisfactory."

Li Jingsheng finished suturing, and the inspection was correct.

Glancing at the wall clock on the wall, the entire operation was expected to take more than an hour, but it took only 27 minutes to complete it.

The proficient level of debridement and intradermal suture is really efficient.

Intradermal suture integrates the advantages of intermittent suture and continuous suture, and the speed is also very fast. It is really a very good advanced suture skill.

"Doctor, how long will it take for my wound to heal?"

The patient has not spoken.

He also breathed a long sigh of relief when he heard that the operation was successfully completed.

When I came here, the wound was so long and located on the waist, it was really scary.

The patient must be terrified.

"It depends on the healing situation. If you take good care of it, you may be able to recover in half a month."

It is also the first time for Li Jingsheng to use proficient surface debridement and intradermal suture, and he feels that the wound healing speed will definitely be faster than before.

The premise is that no infection can occur and no tear can occur.

The specific recovery time is still effective, and it can only be verified by waiting for time.

Bandage the patient's wound.

"Come on, I'll help you get off the ground, walk slowly."

Li Jingsheng and Tang Ping helped the patient off the 'operating table'.

The patient tried to take a step, but it was all right, with an obvious relaxed expression on his face, and a hint of joy.

Carefully helped the patient to the infusion room, Li Jingsheng prescribed the medicine for the patient, and Tang Ping gave the patient the infusion.

This is definitely going to be a tetanus.

Li Jingsheng still remembers the lesson of the old man picking up waste last time.

I don't know how the old man is treated?

After prescribing the medicine to the patient, Li Jingsheng took the time to check the results on the attribute panel.

A smile suddenly appeared on his face.

The level experience has been increased by 10 points, making a lot of money.

The proficiency of general surgery diagnosis, suture, and debridement has all been increased.The life value has increased by 61 points.

Intradermal suture has reached the entry level, and a new advanced medical skill has been added, which should award 10 health points.

Performing surgery on this patient has increased his health by a total of 51 points.

His health balance reached 145 points.

After a long time of trouble, surgery is king.

Every time a surgical operation is performed, the life value can increase like a bamboo shoot.

In addition, the speed of bonesetting and reset to earn life points is also very fast.

The one who opened the clinic should be the king of internal medicine. Is this to make him follow the path of surgical development?
……

When I got off work at night, I did the math, and the total turnover of the clinic was 6385 yuan.

The diagnosis and treatment earned more than 800 yuan, and the rest was all earned by Tang Ping and Xiao Gao from selling health medicines and tonics.

not bad.

At least it's much better than expected.

When the cancer patient just finished making trouble, no customer or patient came in for nearly two hours.

Li Jingsheng felt very panic at that time, fearing that the clinic would be so cold.

Fortunately, Director Lian Tao enlightened him and helped him find a way to deal with it.

Stabilize yourself first, keep calm, this is more important than anything else.

The next time he encounters such a rogue patient, Li Jingsheng will definitely handle it more perfectly.

The other party should not have been given a chance from the very beginning.

The next time he sees such patients, he will be careful from the moment he sees them.

Avoid conflicts as much as possible.

It is best to persuade people to leave without hurting the peace.

Also, when there should be no woman's benevolence, one must be ruthless.

Otherwise, you will hurt yourself.

Now that things have happened, all we can do is to observe and then respond according to the situation.

Legally, he has always had the upper hand.

I just don't think it's necessary to go to court, it's not worth it.

What to do now is to find ways to eliminate the impact as soon as possible.As for that patient, as long as he doesn't make trouble anymore, Li Jingsheng doesn't bother to take care of him anymore.

　Thank you for the reward and support of the book friend Sword Soul platform, thank you very much.

　　
　
(End of this chapter)