Chapter 139: Upgrading three medical skills in a row, summary of growth

Style: Romance Author: River fish manWords: 5831Update Time: 24/01/18 10:57:07
After listening, Li Jingsheng realized that Master Liu liked to mix in some difficult-to-understand dialects when speaking.

Also known as plastic mandarin.

It seems that this young man did not have his waist cut.

"Why do you have to carry him? Can he still walk on his own?"

Li Jingsheng squatted down immediately and began to check the injury of the young man on the simple stretcher.

There was a bloody gash that was 14 to 15 centimeters long on the right waist, and blood was still oozing out.

The amount of bleeding didn't appear to be particularly severe.

The wound seemed shallower than expected.

There are just more scratches on the skin.

"We heard that if you hurt your stomach or waist, it's best not to move around. We were afraid that something might happen to him, so we got him a simple stretcher and brought him here."

Workmate Shun Ye rushed to answer.

Master Shun should have a very high status in their small team.

The brain is also more flexible than Master Liu.

"Are you working nearby this time?"

Li Jingsheng knew that they were looking for jobs everywhere in the city. Earn some hard money by smashing walls, cleaning up decoration rubbish, etc.

"No, we are at Country Garden and came here by bus."

Hearing this, Li Jingsheng's face couldn't help but twitch.

Master Shun and Master Liu are both good at picking things up. They are so frugal.

"There was nothing we could do. We stopped a taxi at first. When they saw that Xiaoshan was covered in blood, they refused to let him sit for fear of staining the car. In the end, we had no choice but to squeeze into the bus. Fortunately, there were no people around at this time. If it were one or two hours later, during the off-duty rush hour, we might have to call the 120 ambulance."

Master Shun seemed to have read through Li Jingsheng's thoughts and explained with a grimace.

Calling an ambulance will cost you at least 150 yuan.

It is not easy for them to earn a few hard-earned money, so naturally they are reluctant to squander it like this.

It's cheap to take the bus, only 1 yuan/person.

Three people can do it for only 3 yuan.

"Hey, you kid, it's true. I told you to pay attention to safety, but you didn't listen. What should I do now that you're injured like this? Lao Liu and I had to stop work and send you here for treatment, and we didn't know what to do. What can I say about you!"

Master Shun complained about the young man lying on the simple stretcher.

Obviously, the relationship between him and Master Liu is equal, and the relationship with this young man is that of a contractor and a worker.

Master Liu was injured last time, but Master Shun didn't have this attitude.

The young man was lying on the stretcher with a painful expression on his face. He was scolded and remained silent.

"Doctor Li, his injury doesn't matter, does it?"

"The wound is not deep, just a bit long. How did he get injured?"

Li Jingsheng was not in a hurry to treat him.

It must be checked thoroughly and then treated.

"It was scratched. When he was standing on the ladder drilling, I don't know how he fell off. Fortunately, he was not injured by the impact drill."

Mr. Shun briefly described what happened.

Doing their kind of work is not only hard, but also very dangerous.

In addition, due to its "guerrilla" nature, safety protection is not very formal. In order to speed up the construction period, safety accidents are particularly prone to occur.

Speaking of the young man falling from the ladder, Mr. Shun was still frightened.

If a life was really going to happen, he, the contractor, would definitely have to pay a lot of money.

The owner will bear up to a portion.

At that time, it will be normal to work for nothing for several years.

"If you want to treat him here, I have to do an abdominal ultrasound first. If there are no major problems, I can debridement and suture him. The total cost may be around one thousand two thousand. For the first three days, I have to come to my hospital every day. Clinic follow-up and infusion.”

It requires at least three days of intravenous drip, debridement, hemostasis, suturing, and tetanus shots. It only costs 1,200 yuan, which is quite conscientious.

"Okay, as long as it can be cured, let's get it for him!"

Master Shun was very happy this time.

There is no need to call the owner and ask the other party to bear part of the problem like last time.

"Pay the inspection fee of 100 first, or pay 1,200 directly in advance?"

"Pay the examination fee first! Because he fell from the ladder, he is afraid of internal injuries, rupture of internal organs, and bleeding."

Li Jingsheng explained.

The small clinic had limited conditions, so he could only make a prediction through naked eye observation and the symptoms of the injured.

Then check it with the help of B-ultrasound.

If there is abdominal bleeding, he will not be able to take on this big job.

Surgical cases were too rare for his small practice.

After finally getting one, as long as I can eat it, I will definitely not be willing to push it away.

After B-ultrasound examination, no obvious bleeding or organ rupture was found in the young man's abdominal cavity.

He felt relieved immediately.

"Here, try to bend your left leg."

He conducted further physical examination of the patient.

"Okay, good, put your left leg down, lift your right leg, and bend it."

After checking that the nerve function of his left and right legs was not affected, he was relieved this time.

"Master Shun, you can pay the surgery fee. One thing I have to make clear is that since I don't have the conditions for hospitalization here, he can only take care of himself at home after the surgery. He must follow the doctor's instructions. For example, don't let the wound touch water, then You must not touch it. Also, do not use force, otherwise it will cause secondary tearing of the wound, and you will be responsible for it yourself."

Li Jingsheng explained the precautions clearly in advance.

If you don’t have the conditions for hospitalization, you have to be flexible.

"Okay, I will definitely explain it to him."

Mr. Shun was very happy to hear that surgery could be performed here. He scanned the QR code and paid the money on the spot.

Maybe I saw that Master Liu was seriously injured last time, and he was also cured by Li Jingsheng.

So I felt particularly reassured this time.

Didn't even ask.

"Sister Tang, we are ready for surgery."

Li Jingsheng greeted Tang Ping.

The clinic was much less popular, and she was feeling worried. She felt refreshed after such a big job came.

"You can just wait outside. After the operation is completed, he will be given infusions."

Li Jingsheng said to the two of them.

"Old Liu, why don't you go back to work first, and I'll wait for Xiaoshan to finish the operation and then rush over."

"good!"

Master Liu is an honest man and will leave as soon as he agrees.

"Be safe, but don't let anything happen to you again."

Master Shun shouted at his back.

Li Jingsheng asked Xiao Gao to carry the injured into the treatment room, and then asked Xiao Gao to sell medicine outside. He and Tang Ping performed surgery on the injured.

After strict disinfection, apply local anesthesia, and then start cleaning the wound.

Since the wound was made by the sharp angle of the aluminum alloy window, this kind of wound must be debrided.

Fortunately, the wound is not particularly deep.

Li Jingsheng was rapidly considering the surgical plan in his mind.

The surface debridement technique is currently at the proficiency level, which can be used to deal with this wound. However, if you want to achieve a good debridement effect, you must have the proficiency level surface debridement technique.

Gritting his teeth, he decided to upgrade body surface debridement to a proficient level. After finally receiving a larger surgical operation, he must do his best.

In the blink of an eye, his surface debridement skills were upgraded from proficient level to proficient level.

A total of 89 health points were consumed.

Body surface debridement proficiency 100.5/500.

Now let alone debridement of complex scratch wounds, we can easily deal with debridement of serious stains, rotten wounds, and crooked wounds.

The effect of debridement will definitely reach an excellent level.

And it’s no longer just a passing level.

After the debridement is done, all that's left is suturing, ideally intradermal suturing. But if you haven’t learned it yet, you can only consider simple continuous sutures.

Using continuous sutures to treat this wound can achieve the advantages of fast suturing and hemostasis, and can shorten the operation time, but it is not very friendly to healing and is more likely to leave ugly suture scars.

I have no choice but to come to his small clinic for surgery. I can't ask for perfection.

He can only guarantee that the patient will be cured.

As for spending more than a thousand yuan, it is impossible to cover everything.

The use of running sutures to treat this wound is inherently suboptimal. In addition, this medical skill is only at the proficiency level, so the suturing effect will definitely be compromised, and the healing may be affected.

Upgrading the continuous suturing technique to the proficiency level can smooth out some of the disadvantages of this medical technique and minimize the adverse effects.

Thinking like this, he decisively spent 69 health points to upgrade the continuous suture level.

Continuous Suture Mastery 100.8/500.

More than a hundred health points were used up in an instant, and he only had 184 health points left.

It seems that the health value has not been warmed up very much.

Basically, as long as you save a little more, it will always be used quickly.

The proficient-level continuous stitching is really good. He can feel that he has gained more understanding of stitching, and some skills are naturally integrated.

Especially the continuous suture technology has been improved by leaps and bounds.

Regardless of the sewing time, the neatness and fit of the stitches, there has been great improvement.

It's done this time.

With proficient-level surface debridement and proficient-level continuous suturing, we can do our best to treat the patient's wound.

It is a pity that intradermal suturing has never reached the entry-level level. Otherwise, the effect of this operation could be better.

"Eh... This, is this really a ghost?"

Li Jingsheng checked the newly improved continuous suture technique and found that there was an extra intradermal suture in the skill.

At first, he thought he was suffering from a hypothetical disorder.

However, it was quickly determined that it was not a hypothetical symptom, but an extra intradermal suture.

"Is it because the continuous suturing technique has been upgraded to the proficiency level?"

Intradermal suturing is originally an advanced skill that combines the two most basic suturing techniques of interrupted suturing and continuous suturing.

He has been practicing intradermal suturing hard and already has a certain foundation.

Now that continuous suturing has been upgraded to the master level, his intradermal suturing skills have also improved, so he has reached the entry level.

Yes, that's definitely the case.

This also gave him a good thinking direction. He should be able to learn from this successful experience when learning other surgical skills in the future.

Introduction to intradermal suturing 0/10.

This suturing method can accurately align the skin edges and reduce scarring.

Although it is only a brief introduction, intradermal suture can be applied to various types of wound suturing.

Once practiced, it will be very helpful for him to practice anastomosis in the future.

Suturing the skin is definitely not his end point. He will eventually anastomose blood vessels, intestines, and even nerves and tendons.

Only then will his surgical ability truly reach a certain level.

This current ability is quite impressive for clinics and even grassroots hospitals.

But it’s simply not enough to see in big hospitals.

Why do surgeons practice tying knots on cotton or tofu? Why practice cutting pig skin and paper?

Everyone practices various surgical techniques day and night, isn't it just to be able to complete third- and fourth-level major surgeries one day?

Various vascular anastomoses, nerve anastomoses, and intestinal anastomoses are all obstacles that cannot be avoided.

“Since intradermal suturing has reached the entry level, let’s use this suturing technique.”

Li Jingsheng immediately changed his original plan.

Directly spend 100 health points to directly upgrade the new entry-level intradermal suture from the entry level to the master level, two levels in a row.

Cheating is fun.

In the blink of an eye, intradermal suturing has risen from the level of a junior hospital resident to the level of suturing by a junior attending physician.

If his health points were more abundant, he would even upgrade this medical skill to the level of a senior doctor.

At this point, he finally has five suturing skills that he can master, which can basically handle the suturing of all wounds. You might even consider practicing anastomosis.

Now that the technology was in place, Li Jingsheng quickly debrided the patient without hesitation.

Tang Ping watched from the side and her almond-shaped eyes widened.

The boss is simply a surgical genius. The last time I saw him debridement a patient, he was not at this level.

It has only been less than a month, and I have never seen my boss have the opportunity to practice debridement. Why do I feel that his debridement ability has improved a lot?

Li Jingsheng didn't care what she thought. He happily experienced a master-level debridement technique. He cleaned the patient's wounds cleanly and flatly, which made people feel very comfortable.

"Tsk, tsk, this proficient level debridement technique is really good. If it can be upgraded to the Xiaocheng level one day, the wounds cleaned will probably be tighter than bearings."

He felt particularly satisfied and accomplished.

After debridement is completed, suturing the patient begins.

The bleeding never stopped.

Although it was just a minor bleeding, it was particularly inconvenient without an electrocoagulation knife.

This kind of small bleeding cannot be stopped by ligation. It is much more convenient to have an electrocoagulation knife.

I have to find a way to make money to buy one.

Only when you earn more money can you buy these expensive outfits.

The proficiency level of intradermal suturing is really great.

I sewed quickly and well, and the needle and thread pulled like magic.

The sutured wounds are evenly aligned and fit closely.

It also looks very beautiful.

Delightful for the eyes.

"The boss sewed so beautifully today!"

Tang Ping couldn't help but praise.

She should be able to tell that Li Jingsheng used another new suturing technique.

"Intradermal suturing is indeed much more beautiful than two mattress sutures."

Li Jingsheng thought of the railway marks using vertical mattress sutures. Compared with the current intradermal sutures, they were simply invisible.

However, each type of suture has its own advantages and disadvantages. Vertical mattress suture is still very effective in treating some specific wounds.

Compared with beauty and recovery, recovery is definitely more important.

"It took 27 minutes. This efficiency is quite satisfactory."

Li Jingsheng completed the suturing and the inspection was correct.

I glanced at the clock on the wall and saw that the entire operation was expected to take more than an hour. Unexpectedly, it only took 27 minutes to complete.

Proficient level debridement and intradermal suturing are really efficient.

Intradermal suturing integrates the advantages of interrupted suturing and continuous suturing, and is very fast. It is really a great high-level suturing skill.

"Doctor, how long will it take for my wound to heal?"

The patient remained silent.

At this moment, he breathed a long sigh of relief when he heard that the operation was successfully completed.

When it came, the wound was so long and located on the waist, which was really scary.

The patient must be very frightened.

"It depends on the healing situation. If you take good care of it, it may not take half a month to basically recover."

It was also the first time for Li Jingsheng to use master-level surface debridement and intradermal suturing, and he felt that the wound would definitely heal faster than before.

The premise is that infection and tearing cannot occur.

The specific recovery time is still effective, we can only wait for time to verify.

Bandage the patient's wound.

"Come on, let me help you get off the ground. Walk slower."

Li Jingsheng and Tang Ping helped the patient off the operating table together.

The patient tried to take a step, but it was fine. There was an obvious expression of relief on his face, with a hint of joy.

Carefully help the patient to the infusion room, Li Jingsheng prescribes medicine to the patient, and Tang Ping gives the patient the infusion.

This will definitely lead to tetanus.

The lesson learned by the old man scavenging last time is still deeply remembered by Li Jingsheng.

I don’t know how the old man’s treatment is going?

After prescribing medicine to the patient, Li Jingsheng took the time to check the results on the attribute panel.

A smile suddenly appeared on his face.

The level experience is increased by 10 points, and you can make a lot of money.

Proficiency in general surgical diagnosis, suturing, and debridement has all been increased. HP increased by 61 points.

Intradermal suturing has reached the entry level, and a new advanced medical skill has been added. This should award 10 health points.

Performing surgery on this patient increased his health by a total of 51 points.

His health balance reached 145 points.

After a long time of fussing, surgery is the way to go.

Every time you perform a surgical operation, your health points will increase like bamboo shoots.

There are also methods of bone setting and reduction that can earn health points equally quickly.

The person who opens the clinic should obviously be the king of internal medicine. Is this asking him to take the path of surgical development?



After getting off work at night, I calculated that the clinic’s total turnover was 6,385 yuan.

They made more than 1,800 yuan from diagnosis and treatment, and the rest was earned by Tang Ping and Xiao Gao from selling health medicines and tonics.

not bad.

At least it's much better than expected.

When the cancer patient just finished his work, not a single customer or patient came in for nearly two hours.

Li Jingsheng felt extremely panicked at that time, fearing that the clinic would be so cold.

Fortunately, Director Lian Tao enlightened him and helped him find a way to deal with it.

Stabilize yourself first and stay calm, this is more important than anything else.

Next time he encounters such a rogue patient, Li Jingsheng will definitely handle it more perfectly.

The other party should not be given a chance from the beginning.

The next time he sees such a patient, he will be careful from the moment he sees him.

Try to avoid conflicts between the two parties as much as possible.

It would be best if you could persuade people to leave without hurting your friendship.

Also, you must be ruthless when you should not be kind to a woman.

Otherwise, you will only be hurt.

Now that things have happened, all you can do is observe and then make changes according to the situation.

Legally, he has always had the upper hand.

I just don’t think it’s necessary to file a lawsuit, it’s not worth it.

What we need to do now is to find ways to eliminate the impact as soon as possible. As for the patient, as long as he stopped making trouble, Li Jingsheng didn't bother to care about him anymore.

Thank you to the book friend Sword Soul Platform for your support. Thank you very much.

(End of chapter)