Gou is practicing medicine in the clinic

Chapter 72 Is This Really a Clinic Doctor?
"That's fine! Please help us treat it!"

The child's mother agreed.

"Dr. Li, I came here specially after I saw the report about you and the Sunshine Clinic in the newspaper at work today. Please help my son to sew it up. I live in the nearby Sunshine Washington."

She added two more sentences.

Although the newspapers have declined, the positive news reports have far-reaching influence and will last for a long time.

Most importantly, this kind of reporting can give his small clinic a credible and good impression in the public mind.

It can greatly enhance the positive image of small clinics.

It was precisely because of the great benefits that Boss Zhao couldn't bear it, and was so angry that he had a heart attack.

"Don't worry, I will do my best. The child is the future of the motherland. If you can make him leave no scars, try not to leave scars."

Li Jingsheng agreed, but he was thinking about which suture method to use?
Since the wound is not particularly long, six to seven stitches should be enough.

According to his understanding of stitching, it is not that the denser the stitching, the better.

Sutures are actually a secondary injury to the skin.

The wound is quite long, extending from the thenar of the palm to the middle of the thumb.

"The hemostasis at the proximal end of the limbs should not be bound for too long. Usually, it should be loosened in about three to 10 minutes to prevent ischemic necrosis at the extremities."

"Oh, then I've been tied up for a long time, so I have to untie it quickly."

The female family members became anxious when they heard this.

"Don't worry, I observed when I checked the wound just now, and the blood supply in the left hand is okay. If you are really worried, I will help him loosen it for a while."

Li Jingsheng looked at the anxious face of the female family member, so he had to help the child untie the belt on the left arm first.

As soon as it was released, blood immediately started gushing from the wound.

"It's bleeding again, it's bleeding again, what should I do! Doctor Li, hurry up and help my son treat it!"

The female family member saw that her son's left hand was bleeding again, and couldn't help stamping her feet anxiously.

His brows were also furrowed tightly.

The child is the flesh that falls from the mother, and the mother's love for the child is natural.

"don’t worry!"

At this time, his proficient compression hemostasis method came in handy.

He used his right thumb to press a little above the boy's wound, and a miraculous scene appeared, and the bleeding stopped quickly.

"No wonder everyone praises you for your excellent medical skills. You are indeed very capable."

Seeing this scene, the female family members more than doubled their trust in Li Jingsheng.

The frown was also widened a lot, and the anxiety and worry on his face also faded a little.

The fastest way to gain the trust of family members and patients is medical skills!
The female orthopedic surgeon came over at some point, but just stood by and watched quietly.

Li Jingsheng skillfully and precisely pressed the upper part of the wound, and successfully stopped the bleeding, which gave her a slight look of appreciation.

To say admiration is far from enough.

She works in the Orthopedic Surgery Department of the Second Hospital, so she must have seen many skilled surgeons.

Li Jingsheng's surgical skills are outstanding among doctors in the clinic.

But in the second hospital, it is at an ordinary level.

Even the weakest tertiary hospitals are by no means comparable to doctors in small clinics.

What's more, the Second Hospital is a general hospital with decades of history. To Li Jingsheng, it is definitely a super giant.

"Do you need me to act as a temporary nurse for you?"

the girl asked.

In front of her family members, she did not ask why Li Jingsheng's clinic had no nurses.

All medical staff are very careful when speaking in front of family members and patients.

This is professional instinct.

After all, the current medical environment is very harsh, and all the doctors and nurses who survived have been severely beaten.

"You are a doctor in a big hospital. If you become a nurse for me, I'm afraid that you will be wronged!"

Li Jingsheng was still thinking about whether to call Tang Ping to come over.

It takes about 10 minutes to walk from her home to the clinic.

Seeing the anxious face of this family member, I was afraid that she would not want to wait that long.

Now that the female doctor from the Second Hospital is willing to act as his temporary assistant, that would be great.

"What's the matter here! Where are the sutures, local anesthetics, needle holders and other items?"

She didn't care about the so-called noble status at all.

"It's in the treatment room!"

Li Jingsheng pointed to the treatment room inside.

When the female family members heard that the woman was a doctor from a large hospital, they couldn't help but look at Li Jingsheng even more highly.

The doctors in this small clinic are really not easy, even the female doctors in large hospitals come to talk to him.

"Okay, give me the belt, you can tie it up again."

Li Jingsheng was still a little worried about the unprofessional level of the female doctor.

After helping the little boy to tie him up, he took him directly into the treatment room.

The female family members also followed in.

This is the case in small clinics, no matter how small the operation is, the family members have to stand by and supervise.

The family members want to see how you treat the child, so to put it bluntly, they are worried.

After entering the treatment room, Li Jingsheng washed his hands, and then went to see the surgical kit prepared by the female doctor.

"As expected of a doctor in the compound, this level of professionalism is quite professional!"

"This is just the basic homework of surgery! I just took the disposable protective clothing and gloves after cleaning my hands. Don't you feel distressed?"

She strictly enforces aseptic operation.

This is basically a good habit of all doctors and nurses in the compound.

The aseptic operation of surgery has deeply penetrated into the bones of every medical staff.

"Look at what you said. This is a normal consumption of the operation. I'm not that stingy. It's true that I'm sorry to ask you to be my assistant."

Li Jingsheng stood beside her and watched her pack. Surgical sutures, loopers, tweezers and other items were all placed in order.

He was relieved.

Clean your hands, put on disposable rubber gloves, and then operate as usual to disinfect the little boy's wound.

"Woooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo..."

The little boy couldn't help crying out in pain.

"The wound will hurt a little during disinfection, bear with it, and it won't hurt after I give you anesthesia."

Before Li Jingsheng administered the anesthetic, he was very cautious and did a skin test first.

The female doctor looked at it thoughtfully.

It was her first time to have an operation in a small clinic.

Also take this opportunity to understand the real diagnosis and treatment operations of the small clinic.

Much more regulated than she imagined.

Except that the conditions of the operating room cannot be compared with that of the compound, many other aspects of operations are exactly the same as those of the compound.

And when local anesthetics are given in the compound, skin tests are usually not done.

Li Jingsheng's cautiousness is something she thinks is worth learning.

After the skin test, there was no abnormality, and local anesthetics were started.

In terms of dosage injection, Li Jingsheng grasped it very precisely.

This made the female doctor look at him with admiration.

Also as a doctor, she could feel that Li Jingsheng's drug efficacy and pharmacokinetic level should be higher than hers.

You know, prescription medicine is notoriously difficult to improve.

Because it involves various pharmacology and the mechanism of the body's absorption of drug effects, it is by no means something that can be learned by rote memorization.

It requires a lot of clinical practice and thinking, and continuous learning.

Under normal circumstances, medical students memorize the theoretical knowledge of prescriptions and medicines in school, and then when they become interns, the superior doctors will ask the interns to manage the bed and write cases. At this time, they will have the opportunity to learn the application of medicines in clinical practice.

Excellent medical students can often start to learn to prescribe some simple medical orders when they reach the stage of regular training.

This requires a certain level of prescription and medical skills.

Otherwise, not only will the doctor's orders be scolded by the nurses, but they will call back and ask for revisions, and they will also be scolded by the superior doctors.

Even directly into the limbo.

After the anesthesia took effect, the operation began soon.

Li Jingsheng began to clear the wounds of the little boy.

Because it was scratched by a knife, and the force at that time must have been not small.It was a one-off wound.

Although it was a little long and a little deep, the skin edge of the wound was still neat.

Simple debridement will do.

Although it was just a simple debridement, with her eyesight, she could still see that Li Jingsheng's level of superficial debridement was not low.At least with the level of a senior resident physician.

Her bad impression of doctors in the clinic is quietly changing.

In the past, like most doctors and nurses in large hospitals, she believed that most of the doctors who opened clinics were incompetent and poor.

At this moment, after watching Li Jingsheng calmly treat the patient's wounds, and the efficacy, pharmacokinetics, and debridement levels of the medicine are not weak, she realized that she used to live in an ivory tower, and she was a bit spectator.

Next, Li Jingsheng sutured the patient's wound.

Interrupted sutures are used, and square knots are used for knotting.

I haven't learned the triple knot yet, otherwise it will be stronger with the triple knot.

There is also suture method, if you can learn intradermal suture and use intradermal suture at this moment, the effect will be better.

Intradermal sutures allow for precise alignment of the skin edges, reducing scarring.

However, considering that the child's wound is on the palm, intermittent sutures are also suitable.

The proficient interrupted suture method is enough to treat this wound, but it is unrealistic to achieve a satisfactory suture effect.

He couldn't help but feel ashamed when he thought that only entry-level suturing methods dared to suture patients' wounds.

Do you want to upgrade the interrupted suture to another level now?
Interrupted suture proficiency 47.1/100.

It can be upgraded to mastery level by spending 53 health points.

That has reached the attending suture level of Zhenger Bajing.

Then suturing the wound will surely achieve a very satisfactory result.

After hesitating for three or four seconds, he resolutely consumed 53 health points to upgrade this medical skill.

Proficient in interrupted suture 100.1/500.

It will be difficult to advance to the next level.

With this stitching level, it should be one of the best stitching levels in Chengnan Old Street.

Even those surgeons in the community health service station, I am afraid that many of them will be crushed by him.

Try to use the newly promoted proficient interrupted suture to suture the patient's wound.

One stitch down, it's too silky.

The feel, as well as the selection and determination of the needle position, and the threading of the needle, the whole movement is as smooth as flowing clouds and water.

The proficiency level is not a little bit better than the proficiency level.

It's a big grade of cleverness.

"Well!"

The female doctor couldn't help but her eyes lit up. The stitching skills of the doctors in this small clinic are amazing.

This is no weaker than several key doctors in the department.

His surgical ability is so strong, why would he want to open a clinic?
Isn't it more promising in the compound?

While she was in a daze, Li Jingsheng sewed up to the third stitch in the blink of an eye.

The knot is tied using a surgical knot.

This surprised the female doctor, and after thinking for a while, she quickly understood Li Jingsheng's intentions.

It may be considered that the wound in this section is deeper and the tension is greater, and the surgical knot is stronger.It will also fit closer to the skin.

Seeing Li Jingsheng skillfully suturing, tying knots, and then cutting the sutures for the patient, she found that Li Jingsheng's surgical skills were not weak at all.

Especially the stitching level, it's amazing.

I don't know how many times better than her.

She couldn't help asking herself, is he really a clinic doctor?
　Thank you to two book friends, dadaoqiang, Dandan Bandit, for your support.Many thanks.

　　
　
(End of this chapter)