Gou is practicing medicine in the clinic

Chapter 16 Practice incision

After saying goodbye to Tang Ping, he turned back to the vegetable market and bought two pieces of pork with skin from the aunt.

But the aunt was very happy.

"Young man, come here often! Your wife is so good-looking and capable."

"..."

Li Jingsheng was speechless for a while, he had a conscience, he wasn't even married yet, where did he get his wife?

His girlfriend who had been dating for several years, broke up as soon as he said it, which made him look down on love a lot.Everything follows fate, and when you meet a girl who is close to your eyes, maybe a new love will start at that time.

But it's definitely not going to be considered right now.

Love without a career is often a tragedy.

Back in the clinic, with the pork skin on, there are now many surgical skills to learn.

Cutting the cortex is one of the most basic surgical skills.

In the teaching videos and books, there are many resident doctors, and even the training doctors who are about to graduate, who can easily make perfect incisions with a scalpel on the patient's limbs, superficial chest and abdomen, which makes Li Jingsheng very envious.

Not to mention using a knife on a patient, he is rarely even allowed to sew skin.

Poor level, slow operation, aloof and high-spirited, not knowing how to curry favor with superior doctors, these are the reasons why he can't get the opportunity to exercise.

Social beatings are the best way to make people mature.

Looking back at his former self, Li Jingsheng felt that he was very childish and ridiculous.

They obviously don't have the ability to fart, but they still think of themselves as noble, seven are not angry, and eight are not convinced.

After resigning from the hospital, I realized that there is no place where personnel affairs are not complicated.

These two pieces of pork cost more than 30 yuan, so it can't be wasted.

That is to say, he won a "big business" today, so he dared to spend a little extravagantly.

Incision is not a necessary skill for small clinics, but it can become a nearly monopolistic unique skill after learning it.

Boss Zhao's clinic is so big, and what he does most is to give cold patients infusions, and to sell health food and equipment to the elderly.For serious wounds, the Kuaikang Clinic cannot suture them, let alone operate on patients.

The conditions of a small clinic itself are not met.

The establishment of a surgical operating room is not a small sum of money. If the supporting medical technology departments and testing laboratories are set up, it will not be a clinic, but a small hospital.

At the very least, it must be a township health center or a larger community health service station to have this strength.

Li Jingsheng's goal is not high, just earn some money to keep the clinic alive.

At this moment, I use pigskin to practice incision, one is based on the principle of not wasting, and the other is that after learning the incision, I can deal with cutting a tumor or draining pus.

Minor surgery does not require a laminar flow operating room, as long as an ordinary operating room is enough.

He can completely use the treatment room as an ordinary operating room.

It is definitely not possible to meet strict sterility requirements, but it is not necessary to meet extremely stringent sterility requirements for minor operations.

Cutting tumors and treating pustules is already a big business for a small clinic like his.

Only after learning the incision technique can we have the opportunity to take on these big jobs.

After drawing the knife position on the pigskin, everything is ready.

Holding the scalpel in his right hand, his eyes became sharper than ever. He cut into the drawn knife position, and then slowly dragged the knife to cut across.

"Use a scalpel to cut the abdomen when cutting the tissue, at a 45° angle to the tissue plane, and there is a cutting action."

"Keep the blade perpendicular to the abdominal wall during the incision, so as to keep the two edges of the incision symmetrical."

……

While cutting, I recalled in my mind the essentials of cutting the epidermis in anatomy.

There is a big difference between a surgical operation and a cook cutting meat.

The chef cuts the meat very quickly, and often cuts to the end.

But which surgeon dares to do this, it is definitely not scary, but deadly.

Surgical dissection is a delicate job. Don't look at the fact that the surgeon uses an electric drill to punch holes in the patient's head and cuts the patient's thoracic vertebrae with a chainsaw. It is bloody and violent. It is just a manifestation.

Take cesarean section as an example. Any professional surgeon will open the patient's abdomen layer by layer with a scalpel like peeling an eggshell.

Cut the abdominal wall skin, subcutaneous tissue, fascia layer, rectus abdominis, peritoneum...

The rectus abdominis layer is generally separated rather than cut open.

Therefore, in the end, it is the cook who is cutting the meat, not the surgeon.

Li Jingsheng has learned incision and practiced it before.

But unfortunately, because of the lack of careful guidance from the teacher, lack of opportunities to exercise, and the fact that he couldn't afford too many pigskin exercises, his incision skills have always been half-baked, and he has not even reached the entry level.

At this moment, he strictly followed the instruction, and tried hard to recall the operation process of the superior doctor, then kept his hand steady, and cut layer by layer according to the drawn line.

After cutting it, I couldn't bear to look directly at it.

The cut edges are ragged, like a dog bite.And the strength of grasping is not good, deep is deep, shallow is shallow.

It is said that when a powerful surgeon cuts open a patient's body with a scalpel, he can tell what tissue is cut just by the feel of his hand with his eyes closed.If you encounter important tissues such as blood vessels, nerves, ligaments, and tendons, you can find them immediately with the touch, and then naturally reduce the force to avoid accidental injury.

Li Jingsheng still remembers the old man with black-rimmed glasses and severe baldness, holding a scalpel and holding a book to demonstrate in general class.

Cut as many pages as you want.

That's really awesome.

At that time, all the medical students looked at the old man with fanatical eyes, and the admiration in their hearts reached the peak.

Until many years after graduation, every time Li Jingsheng recalled that scene, his heart still surged, and he regarded the old man as a monument in his heart.

"Professor Tang said that every master surgeon grows from countless times of tempering. If one practice is not good, you can practice ten times, a hundred times, a thousand times..."

Li Jingsheng gave full play to the spirit of Ah Q, comforted himself, drew a new knife position again, and then cut.

Just as he was concentrating on practicing, the glass door was pushed open, and Tang Ping walked in with a thermos bucket.Beside him was a little girl carved in jade.

The genes of the parents are not bad, and the appearance of the children is generally handsome or beautiful.

Tang Ping herself was very beautiful, and the daughter she gave birth to was naturally a perfect beauty.

"Boss, take a break, let's practice after eating!" She said with a smile.

"You really brought me food! Thank you, thank you!"

Li Jingsheng quickly put down the scalpel and put the things down.

While taking the thermos, he looked at the little girl timidly hiding behind Tang Ping and said with a smile, "Niuniu, thank you and your mother for bringing me delicious meals. Uncle treats you to some fruit some other day, okay?"

Doctors generally don’t buy cakes, ice cream and the like for children, because most of these things contain trans fat, which is the culprit for the high incidence of obesity, cardiovascular and cerebrovascular diseases, breast cancer, and colon cancer.

Whether it is an adult or a child, eating it will cause harm but no benefit.

Moreover, its metabolism in the human body is extremely slow and extremely harmful.

In the eyes of doctors, fruit is a good food that can promote human health.

"Niuniu, call someone! Call Uncle Li, I bought an apple for you last time, remember?" Tang Ping also bent down to teach her daughter to call someone.

"Hello Uncle Li!"

The little girl clutched her mother's clothes tightly, and called out timidly.

"Hey! How cute! Did you like the apple last time?"

Li Jingsheng likes children very much, and thinks they are innocent and have the purest hearts in the world.

The little girl shook her head slightly.

"Then what do you like to eat? Tell uncle, I'll buy it for you!"

Li Jingsheng asked.

"I want to eat KFC!" When she said the word KFC, she seemed to think of delicious fried chicken legs and French fries, secretly swallowing.

"Haha, I like to eat this, okay, uncle will buy it for you some other day."

Li Jingsheng found that these children like to eat junk food, because the taste of junk food is very good.

"Don't listen to her, you are arguing to eat KFC every day, those junk foods are not healthy at all." Tang Ping said to Li Jingsheng with a smile. "Eat slowly, just put the thermos in the clinic, and I'll bring it back after get off work tomorrow."

After finishing speaking, she pulled her daughter and said, "Say goodbye to Uncle Li!"

The little girl doesn't like to talk, she seems a little cynical.

But he still waved to Li Jingsheng.

Before leaving, those little eyes were full of expectation.Li Jingsheng said that he wanted to treat her to KFC, and she took it seriously.

Therefore, adults must not make empty promises to children.

"goodbye!"

Li Jingsheng waved goodbye to the mother and daughter.

"Be careful on the road! Don't play outside too late."

The area of ​​Old Street in the south of the city is a mixed bag of dragons and snakes, and there are all kinds of people.

Although the law and order is good, there are police patrols at night, but it is good to pay attention to the general rules.

Li Jingsheng was eating when a trembling old lady came in with a cane and opened the door.It seemed that he was panting heavily, and there was a "huzihuzi" sound.

(End of this chapter)