Practicing Medical Skills in a Small Clinic novel Chapter 37

Chapter 37: Chapter 37: A Tough Nut to Crack

The Chengnan Community Health Service Station has nearly twenty doctors, with a nominal capacity of 40 beds, but the actual usage rate is estimated to be less than half.

In terms of size, it’s a big brother among health service stations.

Some smaller community health service centers are not much better than it.

As far as Li Jingsheng knows, the surgical operations at the Chengnan Community Health Service Station are not bad. It has a senior attending surgeon. It is said that he used to work in the anorectal surgery room of a large hospital.

We must introduce two departments here that many people cannot distinguish.

Anal Surgery and Anorectal Surgery are both sub-departments of General Surgery.

Anal Surgery mainly treats benign lesions of the anus and rectum. For instance, the most common hemorrhoids, rectal prolapse, anal fissures, etc.

Anorectal Surgery focuses on severe and malignant disorders of the intestines and anus.

The most common diseases like colon cancer, rectal cancer, Crohn’s Disease, etc.

From here, you can see that Anorectal Surgery is a very impressive department, primarily dealing with major illnesses.

This senior attending surgeon, being able to enter the surgery room of a large hospital and work in such an impressive department, could not be too weak. In the Chengnan Community Health Service Station, he is absolutely an ace.

Dr. Jin is a "young" surgeon at the Chengnan Community Health Service Station.

Around thirty-seven or thirty-eight years old.

He has been selected as the outstanding surgeon of the community health service station for several years and is reportedly being considered as the head of the general surgery department.

In terms of surgical skills, he is likely ranked among the top three at the Chengnan Community Health Service Station.

Such a senior surgical "expert," being unable to cure the abscess despite multiple treatments, surely indicates it is not simple.

Moreover, any medical institution with more than two doctors would conduct consultations to enhance safety when encountering hard-to-treat diseases.

Dr. Jin treated this old man three times with no improvement, surely having consulted other doctors.

Including that experienced anorectal surgeon.

So many doctors being unable to handle it, Li Jingsheng suddenly felt immense pressure.

He carefully examined the abscess, trying to identify the reason for its obstinacy.

Just by slightly pressing around the abscess, pink blood fluid oozed out, accompanied by a typical pus odor.

"When was your last treatment?"

"Just yesterday."

So it had been treated only yesterday.

No wonder it was pink blood fluid rather than yellow-white pus.

The remedies for superficial abscesses are mostly incision and drainage, antibacterial and anti-inflammatory treatment, or pulsed laser irradiation, etc.

For more stubborn abscesses, a large hospital might consider excising the entire lesion.

This requires very sophisticated debridement and incision techniques, as well as suturing skills.

Every surgery has strict indications and cannot be conducted carelessly.

If an abscess is too large, it is unsuitable for excision.

Otherwise, it would create a huge defect wound; it certainly isn’t something that can be fixed by transplanting a piece of skin.

This abscess of the patient reached a diameter of over 10 cm, already considered a large abscess. Not just Li Jingsheng’s small clinic, even a top-tier hospital couldn’t remove this abscess.

The venous plexus and nerves in the back are very rich.

Surgery poses a huge potential risk.

"Did you bring the treatment records from there?"

"They didn’t give them to us!"

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