A little progress every day is enough for him to get a bite of food in many cruel primary medical institutions.
The current rapid progress can definitely overwhelm other peers in a short period of time.
Boss Zhao wouldn't give him food, and one day he wouldn't even let Boss Zhao take a sip of soup.
As for the Jingui Clinic and the Chengnan Community Health Service Station, they are neither charities nor do they want their opponents to live.
It's just that these two families wanted to save face and didn't attack Li Jingsheng openly.
In the adult world, as long as there is a matter of profit, father and son are likely to kill each other, let alone strangers.
After Li Jingsheng successfully learned the skin incision method, he directly added 10 points of health to it without any hesitation this time.
In an instant, this surgical skill was directly upgraded to a proficient level.
The entry-level skin incision method is okay to practice on pork, small animals, and paper, but it is too scary to use it on patients.
Even if the patient didn't know his true identity and was willing to let him use the knife, he would not dare to do it.
Underneath the skin are important tissues such as blood vessels, nerves, tendons, and ligaments. If it's the chest and abdomen, it's even more terrifying. There are internal organs inside, such as pericardium, lungs, liver, intestines, kidneys, etc.
If a patient breaks one at random, he or she will lose all his money and have his license revoked.
At worst, if someone loses his life, not only will he be compensated millions, but he will also have to go to jail.
I guess I will be cold for the rest of my life.
Therefore, when he upgraded his medical skills, he did not hesitate at all.
The ultimate goal of the medical skills learned after spending a lot of time and effort is to be used on patients to help them remove lesions.
He cherishes every bit of life, but will never be a miser when it's time to use it.
The more risky a medical skill is, the more worthy it is to upgrade it to a higher level.
Even at the proficiency level, he felt it was still not enough.
The skin incision method does not only cut through the human body's cortex.
It is a basic technique of incision.
Almost every surgeon needs to learn to cut through tissue layer by layer, just like cutting through skin.
Once you have mastered this medical skill, you can apply it to almost all surgical operations. It can be used for high-risk major surgeries such as laparotomy, thoracotomy, and craniotomy.
"Keep up the good work, try to learn surgical knots, and then use these two pieces of skin-on pork to develop one or two suture techniques. It would be even better."
Li Jingsheng looked up at the clock on the wall. Although it was almost one o'clock in the morning, he was not sleepy at all.
Nothing else, just excitement.
In one day, medical skills have made such great progress, and several new medical skills have been added. It is just like finding good equipment in a game, which is fascinating and exciting.
There are currently three types of suture medicine that have been mastered: 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 and is often used to suture superficial wounds. Its shortcomings are also very obvious. The suturing speed is slow, the suturing conditions cannot be too complicated, and it can only be used for simple wound suturing.
Slow work makes fine work, which means interrupted stitching.
Experts can sew very neatly using this method, but it is time-consuming and labor-intensive. It is of no use when it comes to wounds with high tension, deep wounds, blood vessels, intestines, etc. that require anastomosis.
The advantage of continuous suturing is that it is quick and easy to operate, but the disadvantage is equally obvious. It can cause uneven alignment 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 suturing?
Because of the advanced suture method, many have its shadow.
There are two suture methods that Li Jingsheng wants to learn most now, 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 something he had never imagined before.
Although many people have met this item when taking the clinical practice skills test, how many medical students dare to use it on patients?
At this point, we must talk about the verification mechanisms at home and abroad.
Foreign countries require a certificate to work, and the practical skills are tested directly on the human body. This is also the reason why it takes more than ten years, or even longer, for foreign surgeons to go from school to start operating.
In China, everyone knows that it is too strict, and there are probably only two doctors who can be certified.
This is not conducive to relieving strained medical resources.
The domestic model is that after obtaining the certificate, the superior doctor will be in charge and lead the new doctors under him to teach them step by step.
This model has advantages and disadvantages, and it is considered to be in line with national conditions.
Li Jingsheng decided to use these two pieces of pork to practice horizontal mattress sutures 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 connected, I will really be able to survive.
You can earn five to six thousand yuan just by repairing a severed finger.
A large hospital will cost at least tens of thousands of dollars to repair a broken finger. Small clinics cannot charge so much, otherwise people would go directly to big hospitals to pick them up.
Once you learn the anastomosis technique, it can be used not only for reconnecting severed fingers, but also for many surgical operations.
It is a high-level skill in surgery.
Once you learn it, you can have a high status in the operating room of a large hospital.
Li Jingsheng did as he was told, practicing horizontal mattress stitching on two scarred pieces of pork with skin.
With the foundation of vertical mattress suture, it is relatively easy to learn horizontal mattress suture.
This suturing technique can reduce tension at the wound and is often used to close large skin defects and suture flaps with significant tension. And because some sutures are parallel to the wound, horizontal mattress eversion can theoretically tighten the epidermal blood vessels to help the wound stop bleeding.
In other words, this suture medical technique has a certain hemostatic effect.
While Li Jingsheng practices horizontal mattress suturing, he tries to use surgical knots when knotting is needed.
…
Before I knew it, it was already three o'clock in the morning.
He practiced these two surgical techniques like crazy without any distractions.
He has even forgotten everything about the outside world.
This attitude of being extremely focused on doing one thing well allowed his practice to improve by leaps and bounds.
Was awakened by a strong urge to urinate.
After tying the last surgical knot, he stood up and prepared to run to the toilet.
But when he saw the surgical knot he had tied, he couldn't help but froze.
The knot is neater, fits the skin more closely, and the knot is firm. He seems to have learned how to tie surgical knots without knowing it.
He clamped his legs slightly and ran to the toilet.
If you don't go to the toilet, you have to poop on yourself.
After untying the little hands, the pressure on the bladder was released, and the whole person felt more comfortable than ever before.
Returning to the practice table, he subconsciously checked the attribute panel.
"yeah!"
He was so excited that he clenched his hands into fists and held them tightly in front of his chest, his face full of joy and excitement.
With his unremitting efforts, all the two medical skills he practiced reached the entry level. The horizontal mattress eversion suture has reached entry-level 0.1/10. The surgical knot barely reaches entry level 0/10.
"That's great! I have two more surgical skills. This time I can handle most common injuries."
Li Jingsheng looked at the two new medical skills and felt happy.
Without much hesitation, he spent 20 health points to upgrade both medical skills to proficiency level.
Then, he spent another 1 point of life to upgrade the previously stuck ligation and hemostasis technique to the proficiency level.
This time I didn’t get stuck again, it was done in one go.
The entire upgrade process is extremely smooth.
With three more skilled surgical skills, he, a doctor in a small clinic, has initially acquired the surgical capabilities that only senior residents in large hospitals have.
However, compared with the outstanding surgeons in the hospital, there is still a certain gap.
The learning environment and conditions of the compound, as well as the various resources available to him, were not comparable to that of a doctor in a small clinic like him.
Nor was he complacent.
But now that we have so many skilled surgical skills, we should be able to form a crushing advantage when competing with Boss Zhao in the field of surgery.
Nearly half of the health points have been spent, with only 60 points left.
It can’t be used anymore, so it needs to be kept.
It's getting late, we have to open for business tomorrow, so we have to go to bed quickly.
He hurriedly cleared the table, but he didn't throw away the two pieces of meat.
You definitely won’t be able to eat it yourself.
No matter how poor you are, you can’t afford to eat.
They are all wounds made by scalpels, densely packed with sutures, and blue marks on the incision edges. How can I eat them?
I'll ask Tang Ping tomorrow if she wants it.
She has a little poodle at home. As long as the sutures are removed and the dog is simply cleaned, it should be a high-end nutritious meal for the dog.
…
The next morning, Li Jingsheng was awakened by the ringtone of his cell phone.
It rang several times before he woke up.
Sleeping too deeply.
It is best 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 seven in the morning and opens the business at 7:30.
Early bird gets the worm.
The business is already in bad shape, but if we don’t work harder, it will really be hopeless.
When she opened the door, she saw Tang Ping wearing a tight-fitting black suit, a white lace shirt underneath, and high-heeled leather shoes. Properly dressed for elite women in the workplace.
Her exquisite curves made Li Jingsheng's hormones soar.
Married women exude a mature charm that unmarried women do not have.
The aunt who was almost rejected by Li Jingsheng yesterday stood next to Tang Ping with a smile on her face.
"Dr. Li, the effect of the treatment at your place yesterday was quite good. I came here for infusion again. I also brought a new customer to your clinic, but I have to give her a cheaper price!"
It seems that her illness has been mostly cured.
