Practicing Medical Skills in a Small Clinic-Chapter 249 - 150: Acquiring Two Medical Techniques; Definitely Not a Minor Illness
This surgery made Li Jingsheng feel the shortage of manpower and the inadequacy of equipment. If the number of surgical patients increases in the future, some additional equipment will definitely need to be purchased.
As for manpower, there’s no need to worry about that.
As long as the business improves, there will definitely be recruitment of new medical staff.
Boss Zhao’s Quick Recovery Clinic already has multiple medical personnel.
As a large amount of pus was suctioned away, the patient’s abscess visibly collapsed significantly.
He chose the incision at the lower edge of the mandible, parallel to it, with an incision length of about 1.5cm. 𝑓𝑟ℯ𝘦𝓌𝘦𝘣𝑛𝑜𝓋𝑒𝓁.𝑐ℴ𝓂
These surgical techniques require the doctor themselves to read extensively and accumulate a certain amount of surgical practice experience. Li Jingsheng has very little surgical experience but likes to read.
With the Master Level general surgery diagnosis and skin incision method, he could naturally understand some surgical techniques and appropriate knife position choices during the surgery.
It’s like a skilled worker who knows how to do the job just by looking at the raw materials.
General surgery diagnosis mainly involves the diagnosis of the cause, unexpectedly providing certain help in surgical operations, making Li Jingsheng pay more attention to this medical skill.
In the future, when his vitality is more abundant, he can consider upgrading it further.
"Didn’t expect there to be so much pus!"
The oral mucosa has been cut at this moment, but the rubber drainage strip still couldn’t be inserted properly.
He picked up the vascular clamp and bluntly dissected the mucosa incision to the pus cavity.
The entire operation process was extremely careful.
He has initially mastered sharp dissection at the Entry Level. However, in blunt dissection, he only has theoretical knowledge and has only seen his teacher operate, not reaching a higher practical operation level.
At this moment, he’s doing it despite the challenge.
But before the surgery, he was prepared and had anticipated it.
Because the difficulty of this dissection is not very high.
It’s equivalent to giving him a great opportunity for practical operation training.
Under limited conditions, he must strive to create opportunities for himself to practice this basic surgical skill. As long as the risks are well controlled, there usually won’t be major problems.
The ideal is to succeed at Entry Level after practicing once or twice.
With the help of the vascular clamp, he gently dissected along the direction of the parotid duct and facial nerve.
He certainly felt a bit nervous inside.
Moments later, he successfully dissected to the pus cavity part.
Most of the real appearance of this pus cavity was revealed.
Suppuration was severe, the stench was overpowering, the superficial tissue inside the pus cavity was entirely suppurated. Like a rotten white meat lump, the surface was pale yellow, all covered in viscous pus.
After continuing to suction some remaining pus in the cavity, the next task was to establish drainage.
He began washing the entire pus cavity with saline.
"Ah... it hurts!"
The patient mumbled incoherently, with a slightly painful expression on their face.
In clinical nursing, medical staff judge the level of pain based on the patient’s facial expression and body movements.
The patient’s pain level should be around 4 at most.
The saline wash might have given the patient a certain sense of pain.
After all, the use of local anesthetics on the face and mouth area can’t achieve 100% nerve blocking effectiveness.
"Bear with it for a while! The surgery will be over soon."
Li Jingsheng was not only comforting the patient but also reassuring Tang Ping.
After repeatedly washing the pus cavity until it was clean, he inserted the rubber drainage strip.
When inserting the drainage strip, he didn’t operate it well the first time, it bent, so he had to replace it with a new one.
Because bending the drainage strip easily causes drainage to be obstructed.
At that time, it could potentially lead to a surgical failure.
The drainage strip needs to be inserted smoothly, and it was not as easy as imagined during operation.
The second time, he had already figured out the direction inside the pus cavity, and with the skin incision method upgraded to Master Level, his judgment on touch became more sensitive. At this moment of insertion operation, he relied on touch to operate and seriously learned from the first failed insertion reasoning.
Finally, he successfully inserted it.
After checking and finding no issues, he secured the drainage strip, marking the completion of the major operation.
The specific surgical effect is still unclear.
It needs to be observed in the coming days for the drainage effect and whether inflammation can be controlled.
"Alright, the surgery is done. Take her to the infusion room for infusion! I’ll prescribe the medicine right away and observe for a moment before giving her the infusion."
After confirming nothing was wrong, Li Jingsheng said to Tang Ping.
The patient should be in a dazed state at this moment.
After all, the surgery had just been completed.
When prescribing, mainly antibiotics are used to control inflammation, preventing further infection and suppuration.
The Minor Achievement level of efficacy and pharmacokinetics, doing this kind of thing is simply overkill.
Even so, he remained extremely cautious.
Each case must be treated like a lion hunting a rabbit, going all out.
Even when a predator captures prey much weaker than itself, it is still cautious and goes all out. Because they have a survival rule called injury avoidance.
Which means to avoid getting injured as much as possible.
In the cruel natural world, being injured potentially leads to the risk of death.
The survival rule of Li Jingsheng running a clinic to treat people is similar to that of a predator hunting.
Any accident must be avoided.
Because even a very small mistake can potentially lead to catastrophic severe consequences.
After completing the prescription and preparation, and confirming the patient showed no abnormal symptoms post-surgery, he let Tang Ping give her the infusion.
To Li Jingsheng, this was a major task.
He summarized the entire surgical process and carefully wrote the medical records and course notes.
Many doctors like to use templates to write medical records, which is definitely not good.
