"Okay then! Please help us with the treatment!"
The child's mother agreed.
"Dr. Li, I came here specially after seeing the newspaper report about you and Sunshine Clinic at work today. Please help my son sew better. I live in Sunshine Washington nearby."
She added a few more words.
Although newspapers have declined, this kind of positive news reporting has a profound influence and will last a long time.
Most importantly, this kind of coverage would give his small clinic a good impression of trustworthiness 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 became 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 we can make him leave no scars, we will try our best to leave no 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.
Suturing is actually a secondary injury to the skin.
The wound was quite long, extending from the thenar eminence of the palm to the middle of the thumb.
"The proximal end of the limbs should be tied to stop bleeding. It should not be tied for too long. It usually needs to be loosened after about thirty minutes to prevent ischemic necrosis at the end of the limb."
"Oh, I've been tied up for a long time, so I need to loosen it quickly."
The female family members became anxious upon hearing this.
"Don't worry. I just observed when I checked the wound that the blood supply in my left hand is okay. If you're really worried, I'll help him loosen it for a while."
Li Jingsheng saw the anxious look on the female family member's face, so he had to help the child untie the belt on his left arm.
As soon as he let go, blood immediately began to pour from the wound.
"It's started bleeding again, it's started bleeding again, what should I do? Doctor Li, please help my son treat it quickly!"
The female family member saw her son's left hand bleeding again and couldn't help stamping her feet anxiously.
His brows were also frowned tightly.
Children are the flesh that falls from the mother's body, and the mother's care for her children is natural.
"don’t worry!"
At this time, his skilled compression and hemostasis method came in handy.
I saw him pressing a little above the boy's wound with his right thumb. A very magical scene happened and the bleeding stopped quickly.
"No wonder everyone praises you for your superb medical skills. You are indeed very capable."
When the female family members saw this scene, their trust in Li Jingsheng more than doubled.
The frown on his face has also broadened a lot, and the anxiety and worry on his face have also faded a bit.
The fastest way to gain the trust of family members and patients is through medical skills!
The female doctor from the Orthopedic Surgery Department didn't know when she came over, but she just stood aside and watched quietly.
Li Jingsheng skillfully and accurately pressed the upper part of the wound and successfully stopped the bleeding, which made her look slightly appreciative.
To say admiration is far from enough.
She works in the Orthopedic Surgery Department of the Second Hospital, and she must have seen many brilliant surgeons.
Li Jingsheng's surgical skills are outstanding among the doctors in the clinic.
But when it comes to the second hospital, it's just average.
Even the weakest tertiary hospitals are by no means comparable to doctors from 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 the family members, she did not ask why there were no nurses in Li Jingsheng's clinic.
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 can survive have been severely beaten.
"You are a doctor in a big hospital. I am a nurse. I am afraid that I will wrong you!"
Li Jingsheng was still thinking about whether to call Tang Ping and ask her to come over.
It takes about ten minutes to walk from her home to the clinic.
Seeing the anxious look on this family member's face, I was afraid that she wouldn't want to wait that long.
Now the female doctor from the Second Hospital is willing to serve as his temporary assistant, which is great.
"What's here! Where are the sutures, local anesthetics, needle holders and other items?"
She doesn't care about the so-called noble status at all.
"Right in the treatment room!"
Li Jingsheng pointed to the treatment room inside.
The female family members nearby heard that this woman was a doctor from a large hospital, and they couldn't help but look at Li Jingsheng even more highly.
The doctors in this small clinic are really extraordinary. Even female doctors from big hospitals come to talk to him.
"Okay, give me the belt so I can tie it up again."
Li Jingsheng was still a little worried that the female doctor's professional skills were unprofessional.
After tying up the little boy, he took him directly into the treatment room.
Female family members also followed in.
This is the case in small clinics. No matter how small the operation is, family members have to stand by and supervise.
Family members want to see how you treat their children. 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 from the hospital, his professional skills are quite professional!"
"This is just basic surgery! I just took the disposable protective clothing and gloves after washing my hands. Don't you feel bad?"
She strictly follows aseptic procedures.
This is basically a good habit for all hospital doctors and nurses.
The aseptic operation of surgery is deeply rooted in the bones of every medical staff.
"Look at what you said, this is the normal cost of surgery, and I'm not that stingy. It's true that I feel sorry for you to be my assistant."
Li Jingsheng stood nearby and watched her pack. Surgical sutures, bent needles, tweezers and other items were all laid out in order.
He was relieved.
Wash your hands, put on disposable rubber gloves, and then disinfect the little boy's wounds as usual.
"Ouch...it hurts so much! Ouch..."
The little boy couldn't help shouting in pain and kept crying.
"The wound will hurt a little during disinfection. Just bear with it. I'll give you an anesthetic and it won't hurt anymore."
Li Jingsheng was very cautious and did a skin test before injecting anesthesia.
The female doctor looked on, thoughtfully.
It was her first time to have surgery in a small clinic.
I also took this opportunity to learn about the actual diagnosis and treatment operations of the small clinic.
It was more regulated than she thought.
Except that the conditions in the operating room cannot be compared with those in the compound, the operations in many other aspects are exactly the same as those in the compound.
Moreover, when local anesthesia is administered in the hospital, skin testing is usually not done.
She thinks Li Jingsheng's caution is worth learning.
After the skin test, there were no abnormalities, and local anesthesia was started.
Li Jingsheng grasped the dosage of injection very accurately.
This made the female doctor couldn't help but look at him with admiration.
As a doctor, she could feel that Li Jingsheng's drug efficacy and pharmacokinetics should be higher than hers.
You know, prescription medicine skills are notoriously difficult to improve.
Because it involves various pharmacology and the mechanism of the body's absorption of drug effects, it cannot 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, their superior doctors will ask the interns to manage beds and write cases. At this time, they 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 by the time they reach the regular training stage.
This requires a certain level of prescription and medical skills.
Otherwise, the medical orders issued will not only be scolded by the nurses and constantly pushed back, asking for modifications, but also scolded by the superior doctors.
Even directly into the cold palace.
After the anesthesia took effect, the surgery began quickly.
Li Jingsheng began to debridement the little boy.
Because it was scratched by a knife, and the force must have been quite strong at the time. It was a one-time wound.
Although it is a bit long and a bit deep, the skin edge of the wound is quite neat.
Simple debridement will do.
Although it was just a simple debridement, with her sharp eyesight, she could still tell that Li Jingsheng's superficial debridement was not low. At least he has the level of a senior resident physician.
Her bad impression of the clinic's doctors is slowly changing.
In the past, she, like most medical staff in hospitals, believed that most of the doctors who opened clinics were incompetent and incompetent.
After watching Li Jingsheng calmly treat the patient's wounds, and the efficacy, drug metabolism, and debridement level were all good, she realized that she had lived in an ivory tower before, and she was a little blind to the sky.
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 would be stronger using the triple knot.
There are also suture methods. If you can learn intradermal suturing and use intradermal suturing at this time, the effect will be better.
Intradermal suturing allows precise alignment of skin edges, thereby reducing scarring.
However, considering that the child's wound is on the palm of the hand, the interrupted suture method is also very suitable.
The skilled interrupted suture method is sufficient 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 in the past, only entry-level suture methods dared to sew the patient's wounds.
Should we upgrade interrupted sutures to another level now?
Intermittent suturing proficiency 47.1\/100.
It costs 53 health points to upgrade it to mastery level.
That would reach the level of suturing at the main level of the Eight Meridians.
If we suture this wound again, we will definitely be able to achieve very satisfactory results.
After hesitating for three or four seconds, he decided to spend 53 health points to upgrade this medical skill.
Interrupted Suture Mastery 100.1\/500.
It will be difficult to move to the next level.
With this level of stitching, it should be one of the best in Chengnan Old Street.
Even the surgeons at the community health service station, I am afraid that many of them will be crushed by him.
Try to use the newly upgraded proficient interrupted suture to sew the patient's wound.
One stitch in, it's so silky smooth.
The feel, as well as the selection and determination of the needle position, and threading the needle, the whole action is as smooth as clouds and flowing water.
Mastery level is not a little bit better than proficiency level.
But it's a big level up.
"Well!"
The female doctor couldn't help but her eyes lit up. The suturing skills of the doctors in this small clinic were amazing.
This is no weaker than a few backbone-level attending doctors in the department.
His surgical ability is so strong, why would he want to open a clinic?
Wouldn't there be a better future in the compound?
While she was stunned, Li Jingsheng sutured to the third stitch in the blink of an eye.
A surgical knot is used when tying the knot.
This made the female doctor a little surprised. After thinking for a moment, she quickly understood Li Jingsheng's intention.
It may be considered that the wound in this section is deep and the tension is high, so it is more secure to use a surgical knot. It will also adhere more closely to the skin.
Watching Li Jingsheng skillfully suture, tie knots, and then cut the sutures for the patient, she found that Li Jingsheng's surgical skills were not weak at all.
Especially the level of stitching, it’s amazing.
I don’t know how many times more powerful than her.
She couldn't help but ask herself, was he really a doctor in the clinic?
