Practicing Medical Skills in a Small Clinic novel Chapter 26

Chapter 26: Chapter 26: Crushing Competitive Edge

Improving a little every day is enough to help him make a living within the brutal environment of numerous grassroots medical institutions.

With his current pace of rapid progress, he can definitely outpace his peers in a short period of time.

If Boss Zhao doesn’t feed him, there will come a day when Boss Zhao won’t even get a sip of soup.

As for Jinkui Clinic and the South City Community Health Service Station, they are not charity organizations either and similarly don’t want competitors to thrive.

It’s just that these two places have some sense of decorum and don’t openly target Li Jingsheng.

In the adult world, when it comes to interests, even family can turn against each other, let alone strangers.

After successfully learning the Skin Incision Method, Li Jingsheng didn’t hesitate this time and directly added 10 points to its vitality.

Instantly, this surgical technique increased to a proficient level.

Practicing entry-level Skin Incision Method on pork, small animals, or paper is fine, but using it on patients would be extremely intimidating.

Even if the patient doesn’t know his background and is willing to let him operate, he still wouldn’t dare to do it.

Underneath the skin are all critical tissues like blood vessels, nerves, tendons, and ligaments. If you’re talking about the thoracoabdominal cavity, it becomes even more terrifying. Inside are organs like the heart sac, lungs, liver, intestines, kidneys, and so on.

Casually damage one of these in a patient, and at best you could lose everything and get your license revoked.

At worst, it could lead to a fatal accident, not to mention compensating millions, you might even end up in prison.

The second half of your life would be ice-cold.

That’s why he didn’t hesitate at all when upgrading this surgical skill.

The ultimate goal of spending a lot of time and energy to learn a medical skill is to use it on patients to help remove lesions.

He cherishes every point of vitality but when it’s necessary, he won’t act like a miser.

The higher the risk of the medical skill, the more it’s worth upgrading to a higher level.

Even proficiency level feels insufficient.

The Skin Incision Method isn’t just about cutting open the skin layer of the human body.

It’s a basic technique of incision.

Almost every surgeon needs to learn how to cut through tissues layer by layer just like cutting through skin.

If you master this medical skill, you can apply it almost universally to all surgical operations. High-risk major surgeries like laparotomy, thoracotomy, and craniotomy can utilize this technique.

"Keep pushing forward, strive to master surgical ligation, and then use these two pieces of skinned pork to further expand one or two suturing skills, that would be even better."

Li Jingsheng looked up at the clock on the wall, even though it was already close to one o’clock in the morning, he didn’t feel sleepy at all.

There’s no reason, just excitement.

Such a massive improvement in medical skills within one day, coupled with several newly learned techniques, it’s just like getting great equipment in a video game, it’s mesmerizing, it’s exhilarating.

In terms of suturing skills, he has already mastered simple interrupted sutures, continuous sutures, and vertical mattress sutures, each with unique features, each applicable to different scenarios.

Simple interrupted sutures are the most commonly used suturing method, often used for superficial wounds, but its shortcomings are also very apparent. It’s slow, can’t be used under complex conditions, and is only applicable to simple wound sutures.

The phrase "slow work yields fine results" perfectly describes interrupted sutures.

Experts can suture very neatly using this method, but it is time-consuming and labor-intensive. When faced with high-tension wounds or deeper wounds requiring vascular or intestinal anastomosis, it is not suitable.

The advantage of continuous sutures is their quick and easy operation, but they also have an obvious drawback; they can cause misalignment of the wound edges.

This is a significant flaw.

Yet why is continuous suturing one of the two foundational suturing techniques that must be learned?

Because many advanced suturing techniques have elements of this method.

The two suturing techniques Li Jingsheng wants to learn most right now are horizontal mattress sutures and intradermal sutures.

Once he learns horizontal mattress sutures, combined with the three suturing techniques he has already mastered, he can start practicing anastomosis techniques.

Vascular anastomosis, tendon anastomosis, nerve anastomosis, intestinal anastomosis...

These types of tissue or organ anastomosis were things he previously didn’t dare to even think about.

Many include anastomosis as a component when taking clinical practice skill exams, but how many medical students dare to use it on patients?

Speaking of which, it’s necessary to mention the certification systems abroad versus those domestically.

Abroad, one must hold a certificate to practice, conducting practical skills directly on human bodies during exams. This is why it takes foreign surgeons ten years or more from studying to practicing.

Domestically, as everyone knows, the regulations are too stringent, such that there are hardly enough certified doctors.

This does not help relieve the strained medical resources.

The domestic model is to get certified first, then junior doctors are guided by senior doctors, learning through hands-on practice.

This model has pros and cons, and fits the country’s situation.

Li Jingsheng decided to use the two pieces of pork to first practice horizontal mattress suturing. Once mastered, he can then attempt vascular anastomosis.

If one day he can connect blood vessels, that would be a real breakthrough.

Reattaching a severed finger can at least earn five to six thousand yuan.

At larger hospitals, reattaching a finger costs at least ten thousand yuan. Small clinics can’t charge as much, otherwise, people would go directly to large hospitals for the surgery.

Mastering anastomosis techniques isn’t just about reattaching fingers; it has applications in many surgical procedures.

It’s considered an advanced skill in surgical medicine.

Once mastered, one can hold a prestigious position in the operating room of large hospitals.

Li Jingsheng took immediate action, practicing horizontal mattress sutures on the two heavily scarred pieces of skinned pork.

With the foundation in vertical mattress sutures, learning horizontal mattress sutures is relatively easier.

This suturing technique can reduce tension at the wound site, commonly used for closing larger skin defects and suturing skin flaps with significant tension. Additionally, due to partial suture alignment parallel to the wound, theoretically, horizontal mattress eversion can tighten the epidermal blood vessels to assist with wound hemostasis.

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