Gou is practicing medicine in the clinic

Chapter 26 This time with crushing competitiveness

A little progress every day is enough for him to grab a bite of food in the cruel grassroots medical institutions.

Now the speed of rapid progress can definitely crush other peers in a very short period of time.

Boss Zhao doesn't give him food, and one day he won't even let Boss Zhao have a sip of soup.

As for the Golden Chamber Clinic and the Chengnan Community Health Service Station, they are also not charities, and they also don't want their opponents to live.

It's just that these two families want to show some face, and they didn't openly attack Li Jingsheng.

In the adult world, as long as it is about interests, father and son may kill each other, let alone strangers.

After Li Jingsheng successfully learned the skin incision method, he didn't hesitate at all this time, and directly added 10 points of life to it.

In an instant, this surgical technique directly rose to the proficiency level.

The entry-level skin incision method is okay to practice on pork, small animals, and paper, but it would be too scary to use it on patients.

Even if the patient doesn't know his details and is willing to let him use the knife, he dare not do it.

Under the skin are all important tissues such as blood vessels, nerves, tendons, and ligaments.If it is the chest and abdominal cavity, it is even more terrifying.It contains organs, pericardium, lungs, liver, intestines, kidneys and so on.

If you break one of them for a patient, you will lose your entire family and even lose your license.

If it is serious, people will be killed, not to mention the compensation of one million, and they will have to eat in prison.

It is estimated that the rest of my life will be cold.

Therefore, when he upgraded this medical skill, he did not hesitate at all.

The ultimate goal of the medical skills learned by spending a lot of time and energy is to use them on patients to help patients remove lesions.

He cherishes every bit of health, but is never a miser when it should be spent.

The more risky the medical technique is, the more worthy it is to upgrade it to a higher level.

Even at the proficiency level, he felt that it was not enough.

The skin incision method does not only incise the cortex of the human body.

It is a basic technique of incision.

Almost every surgeon needs to learn how to cut tissue layer by layer like cutting skin.

If you practice this medical skill well, you can learn by analogy and apply it to almost all surgical operations.High-risk major operations such as laparotomy, thoracotomy, and craniotomy can all be used.

"Continue to make persistent efforts, strive to learn the art of surgery, and then use these two pieces of rind pork to expand one or two suture skills."

Li Jingsheng looked up at the clock on the wall, although it was almost one o'clock in the morning, he didn't feel sleepy.

Nothing but excitement.

In one day, medical skills have improved so much, and several new medical skills have been added, just like getting good equipment from playing games, it is fascinating and exciting.

There are currently three types of suture medicine: simple interrupted suture, continuous suture, and vertical mattress suture, each with its own characteristics and different application scenarios.

Simple interrupted suture is the most commonly used suture method, which is often used in superficial wound suture, and its shortcomings are also very obvious.The suturing speed is slow, and the suturing conditions should not be too complicated, so it can only be used for simple wound sutures.

Slow work produces meticulous work, which is called intermittent suture.

Experts can use this method to sew very neatly, but it is time-consuming and labor-intensive. It is useless in the face of wounds with high tension, deep wounds, blood vessels and intestinal tracts that need to be anastomosed.

The advantage of continuous suture is that it is quick and easy to operate, but the disadvantage is also obvious, it will cause misalignment of the wound.

This is a big flaw.

But why is continuous suture one of the two basic suture methods that must be learned in suture?
Because of the advanced suture method, many of them have its shadow.

There are two suture methods that Li Jingsheng most wants to learn, namely horizontal mattress suture and intradermal suture.

After learning the horizontal mattress suture, plus the three suture methods he has learned, he can try to practice anastomosis.

Vascular anastomosis, tendon anastomosis, nerve anastomosis, intestinal anastomosis...

The anastomosis of these tissues or organs was beyond his imagination.

Don't look at many people who meet this item in the clinical practice skills test, but how many medical students dare to use it on patients?
Speaking of this, we must talk about the foreign and domestic textual research mechanisms.

In foreign countries, it is necessary to obtain a license to work, and to operate directly on the human body when testing practical skills.This is also the reason why it takes foreign surgeons more than ten years or even longer to go from school to work.

In China, everyone knows that it is too strict. It is estimated that there are not two doctors who can be licensed.

This is not conducive to alleviating strained medical resources.

The domestic model is that after getting the certificate, the superior doctor is in charge, leading the new doctors under him to teach them hand in hand.

This model has both advantages and disadvantages, and it is in line with national conditions.

Li Jingsheng decided to use these two pieces of pork to practice horizontal mattress suture first.As long as you learn it, you can try to practice vascular anastomosis in the future.

If one day I can get a blood vessel, then I will really get through it.

You can earn 6000 yuan if you cut off your fingers at least.

At least tens of thousands of yuan will be spent on severed fingers in large hospitals.Small clinics can't charge so much, otherwise they will go directly to a big hospital to pick them up.

After learning the art of anastomosis, it's not just about snapping off fingers, there are also many surgical operations that can come in handy.

It is an advanced skill in surgery.

After learning it, one can have a high status in the operating room of a large hospital.

Li Jingsheng did what he said, practicing horizontal mattress suture on two pieces of scarred pork with skin on.

With the foundation of vertical mattress suture, it is relatively easier to learn horizontal mattress suture.

This suturing technique reduces tension in the wound and is often used to close large skin defects and close flaps with significant tension.And because part of the suture is parallel to the wound, theoretically horizontal mattress eversion can tighten the epidermal blood vessels to help the wound stop bleeding.

In other words, this suture medicine has a certain hemostatic effect.

While practicing horizontal mattress suture, Li Jingsheng tried to use surgical knots when he needed to tie knots.

……

Before I knew it, it was already three o'clock in the morning.

He was obsessed with practicing these two surgical techniques without distraction.

He has even forgotten everything about the outside world.

This attitude of being extremely focused on doing one thing well has allowed him to improve his practice by leaps and bounds.

Awakened by a strong burst of urine.

After tying the last surgical knot, he stood up and was about to run to the toilet.

But when he saw the surgical knot he had tied, he couldn't help being stunned.

The knots are more neatly tied, and the cortex is more tightly fitted, and the knots are firmly tied. It seems that he has learned how to tie surgical knots without knowing it.

He squeezed his legs slightly, and hurried to the toilet.

If you don't go to the toilet, you have to drag yourself.

After untying the little hands and coming out, the pressure on the bladder was released, and the whole person felt more comfortable than ever.

Back on the practice bench, he subconsciously checked the attribute panel.

"yeah!"

He was so excited that he clenched his hands into fists and stood tightly in front of his chest, his face was full of joy and excitement.

With his unremitting efforts, the two medical skills he practiced have all reached the entry level.The horizontal mattress-style valgus suture has even reached the entry-level 0.1/10.The Surgical Knot is just barely reaching 0/10 for entry.

"Great! With two more surgical skills, this time I can deal with most common injuries."

Li Jingsheng was overjoyed when he saw the two new medical skills.

Also without much hesitation, he spent 20 health points to upgrade both medical skills to the proficient level.

Then, it took another 1 point of life to upgrade the previously stuck ligation and hemostasis to the proficiency level.

This time, there was no more stuck, and it was done overnight.

The whole upgrade process is extremely smooth.

With the addition of three more proficient surgical skills, he, a doctor in a small clinic, has preliminarily possessed the surgical prowess of a senior resident doctor in a large hospital.

However, compared with the excellent surgeons in the compound, there is still a certain gap.

The learning environment, conditions, and various resources available in the compound are not comparable to that of a doctor in his small clinic.

Nor was he complacent.

It's just that now that there are so many proficient surgical skills, he should be able to form a crushing advantage when competing with Boss Zhao in the field of surgery.

Nearly half of the life points have been spent, leaving only 60 points.

I can't use it any more, so I have to keep it first.

It's getting late, and I have to open for business tomorrow, so I have to go to bed quickly.

He hurriedly cleaned up the table, but he didn't throw away the two pieces of meat.

I certainly won't eat it by myself.

No matter how poor you are, you can't eat.

It is full of incisions made by a scalpel, densely packed sutures, and blue marks drawn on the incision edge. How can I eat it?
Ask Tang Ping tomorrow if she wants it.

She has a little poodle at home. As long as the stitches on it are removed and then cleaned briefly, feeding the dog should be a high-level nutritious meal.

……

The next morning, Li Jingsheng was woken up by the phone ringing.

It took several rings to wake him up.

Sleep too deeply.

It's better not to stay up late in the future, you must go to bed at twelve o'clock at the latest.

"Hey, what are you doing?"

Li Jingsheng asked in a daze after touching the phone.

"Boss, it's almost eight o'clock, are you still sleeping?"

"Ah... I overslept! I'll come out and open the door right away."

Li Jingsheng usually gets up at 07:30 in the morning and opens for business around [-]:[-].

Early bird gets the worm.

The business is not good in the first place, if you don't work harder, it is really hopeless.

Opening the door, Tang Ping was wearing a tight-fitting black suit, a white lace shirt and high-heeled leather shoes.Appropriate attire for elite women in the workplace.

Her exquisite curves made Li Jingsheng's hormones soar.

The mature charm exuded by married women is not possessed by unmarried women.

The aunt who was almost refused to leave by Li Jingsheng yesterday stood beside Tang Ping, smiling all over her face.

"Dr. Li, the results of your treatment yesterday were quite good, and I came for another infusion. I also brought a new customer to your clinic, but you should give her a cheaper price!"

It seems that most of her illness has been cured.

　Thank you book friend 20210213120053309 for your support!Many thanks!At the same time, I am also very grateful to every reader who silently supported Brother Jiang. The story unfolds slowly, and you can speak freely if you have any questions. After I see it, I will silently summarize it together and then improve it.

　　
　
(End of this chapter)