Practicing Medical Skills in a Small Clinic novel Chapter 562

Chapter 562: Chapter 257: Skin Grafting, Promotion to Associate Chief Physician (2)

He carefully separated the lesion bit by bit and then excised it.

The entire process seemed extremely calm.

While cutting the lesion, he went all the way to the buccinator muscle, removing all the diseased tissue.

At this point, a large open wound was revealed.

He was a little at a loss regarding the wound treatment.

If he sutures it directly, he could close the patient’s wound, but after healing, the young man would find it very difficult to open his mouth.

Eating, speaking, and yawning will become obstacles.

Because his mouth would only be able to open a little bit.

The main issue was that the lesion was too large, creating a large wound after being excised.

What should be done?

Li Jingsheng is a responsible doctor; not only does he need to ensure the success of the excision, but he must also consider the patient’s postoperative quality of life.

The surgery should not negatively affect the patient’s quality of life after the operation.

"Young man, you’ve seen the large size of the tumor that was cut out. We now need to suture the wound. If we sew it up directly, you will have difficulty opening your mouth for eating and speaking in the future, you could only open a little. I have an alternative: graft a piece of skin from your arm. Blink if you agree."

Li Jingsheng asked for the patient’s opinion.

The young man blinked to indicate his agreement.

To avoid postoperative disputes, Li Jingsheng recorded the entire process.

It was not his first time excising a tumor.

However, taking and grafting skin during surgery was a first for him.

Fortunately, his suturing skill was already quite honed, as were his incision and separation skills, enabling him to perform what seemed like a not overly complicated surgical task.

If he had known that skin grafting was needed, he would’ve charged at least five or six hundred more yuan.

It’s too late now, he considered it an act of goodwill.

Otherwise, increasing the price mid-operation on the surgical table would make him like an unscrupulous clinic, wouldn’t it?

Li Jingsheng wouldn’t sacrifice the important for the trivial for merely a few hundred yuan.

He first performed brachial plexus anesthesia on the young man before starting the skin extraction.

The skin extraction process was without incident.

The difficulty was significant, especially with managing size and shape precisely.

After extracting the skin, Li Jingsheng sutured the graft to the wound area.

Fortunately, he harvested the inner upper arm skin layer, else the green dragon tattoo on his arm would have been a problem.

So, if one isn’t mixed up in society, there’s no need to imitate street bigshots with tattoos.

Many admire left green dragon, right white tiger tattoos, thinking they look powerful, but that’s a childish notion.

If one truly has ability, even looking scholarly, they can hold life and death in their hands.

Without strength, tattoos from head to toe are pointless.

They only foster avoidance, serving no beneficial purpose.

[You successfully grafted skin: Suturing Skill +1, Square Knot +1, Life Points +1000.]

Right after finishing the wound repair for the patient, Li Jingsheng earned his second-ever whopping 1000 life points.

This made him extremely happy.

Finishing the graft wasn’t the end.

There was still a tricky procedure of packing the wound surface with iodoform gauze.

This was another technical task.

Having received 1000 life points and deliberately saved 1672 life points recently, it was ample for him to upgrade his doctor level.

To avoid unnecessary delays, he did not hesitate and immediately spent 2291 life points to upgrade to Associate Chief Physician level.

After upgrading, he unexpectedly felt a bout of dizziness.

This had never happened before.

He silently lamented, realizing he should have waited till after surgery to upgrade.

Thankfully, the dizziness did not last long.

After upgrading, he delightfully noticed a significant increase in his clinical medical thinking and his understanding of pathology, medical science, and pharmacology.

It felt as though he suddenly turned from a poor student into an excellent one.

Before upgrading, he thought being at Attending Level was already very impressive.

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