Practicing Medical Skills in a Small Clinic novel Chapter 689

Chapter 689: Chapter 317: A Casual Knot—Is Tumor Removal Always Necessary?

"It seems like Director Ru’s most lucrative job right now isn’t being a doctor, but her wood carvings. I heard the cheapest ones sell for 1199 yuan. I really suspect that one day when she’s made enough money, she’ll quit being a doctor and become a sculptor instead."

"You don’t get it! If she stops being a doctor, those wood carvings might not even sell for a hundred yuan each. I’ve seen the description she put up for sale online; they can be pre-ordered, limited editions, and come with her autograph. It’s really just a selling point. At least, I wouldn’t spend that much money on a wood carving."

...

A few doctors had a heated discussion when Director Ru Qingqing was mentioned.

"Xiaoli, let me take over the next procedure! I’ll call you in for hands-on practice later."

Director Zhang said to Li Jingsheng.

The next step was to dissect the lung hilum, a complex and risky procedure that required a seasoned doctor.

Even with his trust in Li Jingsheng, Director Zhang wasn’t going to recklessly assign such a critical task to him.

Although the other doctors were discussing Director Ru’s affairs, their focus remained on the patient’s incision area.

When the operating room atmosphere is relaxed, the lead surgeon doesn’t scold much, and this is generally the state of things.

Everything can be discussed.

This also enhances the understanding among team members.

But when a patient encounters complications or the surgery doesn’t proceed smoothly, it’s a different story.

Everyone works together to assist the lead surgeon in completing the surgery.

Rescue when necessary.

In the event of a major issue, the lead surgeon’s mood is usually quite poor.

The wisest approach at this time is to lower your visibility.

Li Jingsheng stood nearby, attentively watching Director Zhang dissect the patient’s lung hilum. There was so much he needed to learn.

When Director Zhang dissected the lung hilum, his movements were not fast but very steady.

Cardiovascular surgeons, especially those who perform surgeries, generally have this habit.

They strive for stability.

Because thoracic surgery includes cardiac surgeries, even a slight tremor of the hand or a slight misjudgment of force can rupture a major artery.

For mitral or tricuspid valve repair surgeries, it’s needless to say.

They must strive for perfection to ensure the success of the surgery.

"Xiaoli, this is the pericardium. During surgery, you mustn’t cross the line. I once had a student who caused cardiac arrest during a lobectomy. Your incision skills have reached a very high level; it’s like having a very good foundation. What you lack now is surgical experience. In the future, when you have time, you can follow me more often. As long as you have the desire to develop in this area, I’ll teach you wholeheartedly and give you opportunities to train."

Director Zhang guided Li Jingsheng as he performed surgery.

"Our Director Zhang is really partial to you! The training opportunity in today’s surgery should have gone to the other doctors, but instead, you were given precedence."

The scrub nurse was quite young and very beautiful.

Of course, she was wearing a mask and dust cap at the moment, revealing only her smooth forehead, eyebrows, and eyes.

A woman’s beauty can largely be judged by her brows and eyes.

"Thanks to Director Zhang, and to all the teachers for giving way to me. I’m usually busy with outpatient consultations and don’t have much time to come and learn. Being given the chance when I do come makes me feel very fortunate."

Li Jingsheng gently reminded everyone that he wouldn’t be competing for training opportunities every day.

At most, he’d come by occasionally to have a try.

When it comes to interests, no one is easygoing. Snagging a chance once in a while is something they can somewhat tolerate.

"Dr. Li, there’s no need to be so polite. Being able to operate alongside such an excellent young doctor like you is quite nice."

"Exactly, Dr. He’s saying what I wanted to say. Dr. Li, you’re welcome to visit the thoracic surgery department anytime."

Both the first and third assistants warmly welcomed him.

The second assistant remained silent.

"Xiaoli, when handling the upper lobe tip and the anterior segment artery, make sure to first retract the upper lobe posteriorly and downward. Dr. Tang, have Xiaoli temporarily take over your role as the second assistant,"

"Alright! It’s easier to operate from this position."

Dr. Tang nodded kindly towards Li Jingsheng.

So this reserved doctor’s surname was Tang.

His voice was rather soft, and he liked to keep his words concise.

After Li Jingsheng took over, the responsibilities of exposing the view and retracting tissue for cutting were left to him.

"Xiaoli, ligate this distal artery!"

"Temporary ligation?"

"Yes!"

Director Zhang confirmed.

Li Jingsheng gritted his teeth and seamlessly upgraded his slip knot from Minor Achievement to Great Success Level.

With this level of proficiency, ligating such important blood vessels not only minimized damage but also ensured the slip knot wouldn’t suddenly come undone.

Blood vessels are not only very elastic but also exert a strong force due to the heart’s contractions and relaxations.

Slip knots are very prone to loosening.

Especially if the knotting technique is poor, making it more likely to bleed out or come loose.

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