After eating, Li Jingsheng summarized today's debridement and suturing process. If you don't do something well, try to correct it next time.
At this time, Master Liu finished the infusion and jumped out of the infusion room on one foot while holding on to the door.
"The wound on your foot has just been stitched up. You can't fall to the ground or get wet. It's too dangerous to jump on one foot like this."
Li Jingsheng hurried over to help the person.
"It's okay, it's okay, I just need to pay attention."
For a man as frugal as Master Liu, he would definitely 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 there!"
She has already taken it out.
The two crutches were covered with dust.
This was purchased shortly after the clinic opened and was specially prepared for some patients in need.
"Master Liu, do you think this is okay? You pay a deposit of 100 yuan, and these two crutches will be lent to you for free, and your movements will be easier." Although Li Jingsheng is familiar with Master Liu, he must collect a deposit. Dare to lend things out.
The most untestable thing these days is human nature.
In the past, I borrowed things without paying a deposit, which was out of kindness, but the patient disappeared in the end.
In fact, the value of the loaned items was not high, only one or two hundred yuan. And the patient does not need to use it again after his condition is cured.
They just won't pay it back.
Master Liu paid a 100-yuan deposit, and Li Jingsheng asked him to come over for infusions and wound inspections around 9 a.m. every day, and gave him some precautions.
When vertical mattress sutures are used, the stitches must be removed in time, otherwise the sutures will compress and tighten the local skin, which may cause scars in mild cases, or even cause local tissue necrosis in severe cases.
Especially when skin edema occurs after surgery, local tissue necrosis is more likely to occur.
Patients don't understand this, and doctors have to worry about it.
Otherwise, if something goes wrong, the patient will just scold the doctor for his poor medical skills and hold the clinic responsible.
Regardless of whether you can earn six or seven hundred from this business, in fact, all you earn is hard-earned money. The risk taken by the clinic is considerable, and it also needs to provide infusion services for up to three days and subsequent suture removal services.
After seeing Master Liu off, 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 Master Liu's treatment.
The deposit of 100 yuan and the treatment fee of 1,100 yuan have been locked in the safe.
What he is counting is the harvest of medical skills.
Vertical mattress suture +0.7, drug efficacy +0.1, drug metabolism +0.1, body surface debridement has been advanced to the basic level, and the proficiency level has been increased by 0.1. Square knot +0.5, ligation to stop bleeding +0.1. HP +12.
The harvest is beyond imagination.
The proficiency in various medical skills has increased a lot.
The vertical mattress suture actually increased by 0.7. If you practice this suture technique with a piece of cloth, it would be considered good if you can increase your proficiency by 0.1 in a month.
Even if you buy pig skins for practice, practicing hard for a month will only increase your weight by about 0.2 at most.
The suturing time given to Master Liu just now was only about 17 minutes, but it increased the proficiency level 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 the fastest way to improve medical proficiency is to directly use medical skills to treat diseases on patients.
The most anticipated thing is the newly earned 12 health points.
After treating the last cold patient, the health gained by killing the first-level cold disease is 1 point.
This time, I actually gained so much health points by suturing the wound.
How is it calculated?
It seems that there is still a lot worth exploring in this property panel.
Just like playing a game, studying its rules and formulating strategies can get twice the result with half the effort.
Also, Master Liu's wounds were so well stitched this time, and he even lent him free crutches to use, and helped him save a lot of treatment costs, yet he didn't get praise from him.
This inevitably made Li Jingsheng a little depressed.
Positive reviews from patients are voluntary and cannot be forced.
Only when it makes them feel particularly satisfied will they take the initiative to send out positive reviews.
Li Jingsheng
Grade: Junior resident physician 189.5/500
Diagnosis: Proficiency in Respiratory Medicine 71.4/100, Introduction to Gastroenterology 9.7/10, Introduction to General Surgery 0.1/10
Prescription: Proficient in medicinal efficacy 10.6/100, Proficient in medicinal preparation 10.4/100
Skills: Intermittent suture proficiency 47.1/100, continuous suture proficiency 21.8/100, vertical mattress suture proficiency 10.7/100, compression hemostasis introduction 6.7/100, ligation hemostasis introduction 8.6/10, bandaging proficiency 31.2/100, square knot proficiency 10.3/ 100, Introduction to Sliding Knot 5.6/10, Introduction to Body Surface Debridement 0.1/10
Talent: None
HP: 12
He found that the level experience also increased by 1.5, which was a little surprise.
General surgical diagnosis is added to the diagnostic skills.
Now that he has 12 more health points, he has the ability to upgrade the surface debridement technique to a proficient level.
The importance of debridement is self-evident.
But other medical skills are equally important, especially diagnostic skills, which determine the correctness and accuracy of treatment.
"Save it first. The upgrade is only an instant anyway."
After some consideration, he resisted the urge to spend all 12 health points.
Being prepared for danger in times of peace makes every sensible adult try to save as much money as possible to prepare for emergencies.
Li Jingsheng was even more frightened.
In the past, he could spend more than 20,000 yuan to buy a motorcycle of his choice and spend all his salary without hesitation. These nine months have taught him that he must save some money and try to spend every penny wisely.
During the process of sewing and knotting just now, he discovered that just mastering the square knot and the sliding knot was not enough.
The square knot is composed of two single knots in opposite directions. The ligatures are staggered back and forth to form a knot, and then pulled tighter and tighter to prevent them from falling off.
It is still very good for suturing and knotting ordinary wounds or ligating smaller blood vessels.
But when used for suturing and knotting wounds with high tension, or ligating larger blood vessels, it seems to be a bit 'unsuitable'.
If he could master the surgical knot tying method, the suturing effect just now would be better.
It will also be safer to stop the bleeding of that vein.
The square knot lacks flexibility compared to the surgical knot. Moreover, when the tension in the knotted area is too high, it is easy to loosen and sink.
Surgical knots are used less often, but you can't live without them.
"You have to learn surgical knots quickly."
Li Jingsheng has had successful experience in learning vertical mattress sutures and now feels confident in whatever he learns.
He had learned the surgical knot before, but he felt that his hands were a bit clumsy and a square knot suited him better. So I gave up surgical knots and focused on practicing square knots.
The tools are readily available on the counter.
The needle, thread, tweezers, cloth, etc. for learning vertical mattress stitching are all still there.
There was nothing going on 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 sutures with their fingers to tie. After you learn it, you must try to use toothed tweezers and needle holders to tie knots.
Because during the suturing process, even if your hands are wearing gloves, you cannot touch the wound.
If any medical practitioner finally gets a chance to sew the skin and dares to directly turn the patient's wound with his hands, the superior doctor will teach this medical practitioner how to do it in minutes.
During the suturing 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 in your right hand and the toothed tweezers in your left hand to turn up the wound.
Do not open the wound directly with your hands.
…
Time is passing quickly.
Li Jingsheng was concentrating on practicing surgical knots. Tang Ping stood aside and watched for a while before walking away.
She was a little worried when no patients came to visit her.
If the clinic can't make any money, her salary will definitely still not be paid.
He turned around and looked up quietly at his boss, who was holding a piece of rag and concentrating on practicing surgical knot-tying.
It would be great if the clinic's business could be a little better!
