Practicing Medical Skills in a Small Clinic-Chapter 72: Is He Really a Clinic Doctor?

"Alright then! Please help us with the treatment!"

The child’s mother agreed.

"Dr. Li, I came here especially after seeing the report about you and Sunshine Clinic in the newspaper today at work. Please make sure to stitch up my son well. I live nearby at Sunshine Mansion."

She added a couple of sentences.

Although newspapers are in decline, this kind of positive news report has a far-reaching impact, and it’s very enduring.

Most importantly, such reports can leave a trustworthy impression of his small clinic in the public’s mind.

It can greatly enhance the positive image of the clinic.

Precisely because of its great benefits, Boss Zhao couldn’t hold it in and ended up having a heart attack from anger.

"Don’t worry, I will do my best. Children are the future of our nation, and I’ll do everything I can to leave no scar."

Li Jingsheng promised, while pondering which stitching method to use.

Since the wound isn’t particularly long, six to seven stitches should be sufficient.

In his understanding, it’s not the closer the stitches, the better.

Stitching is essentially a secondary injury to the skin.

The wound is quite long, extending from the thenar region to the middle of the thumb.

"To stop bleeding, bind the proximal limb, but not for too long, usually about thirty minutes before releasing, to prevent ischemic necrosis at the limb’s end."

"Oh no, I’ve had it bound for quite a while; I need to loosen it quickly."

The female family member panicked upon hearing that.

"Don’t worry. When I checked the wound earlier, I observed that the blood supply to the left hand is still okay. If you’re really worried, I’ll loosen it for a while."

Seeing the female family member’s anxious face, Li Jingsheng decided to loosen the belt on the child’s left arm.

As soon as it loosened, blood immediately started gushing from the wound.

"It’s bleeding again, bleeding again, what should we do! Dr. Li, please treat my son quickly!"

The female family member stomped her foot anxiously seeing her son’s left hand bleeding again.

Her eyebrows were furrowed tightly.

Children are a piece of their mother’s flesh, and a mother’s love for their child is innate.

"Don’t worry!"

At this moment, his master level technique of pressure hemostasis came into play.

He pressed a little above the boy’s wound with his right thumb, a magical scene unfolded, and the bleeding quickly stopped.

"No wonder everyone praises your medical skills highly, you truly are competent."

The female family member felt even more trusting of Li Jingsheng after witnessing this scene.

Her tightly furrowed brows also relaxed significantly, and the anxiety and worry on her face faded a bit.

The quickest way to gain trust from families and patients is still through medical skills!

The female orthopedic doctor from the Second Hospital didn’t know when she had come over, but she was just standing silently by the side observing.

Seeing Li Jingsheng skillfully and accurately press the upper part of the wound to successfully stop the bleeding, she gave a slight appreciative look.

To say admiration would be far-fetched.

She worked in the Second Hospital’s Orthopedic Department, and had surely seen numerous brilliant surgeons.

Li Jingsheng’s surgical skills, within the clinic’s doctors, were outstanding.

But placed in the Second Hospital, it’s just ordinary level.

In a tertiary hospital, even the weakest is not something a small clinic doctor can rival.

Not to mention, the Second Hospital is a comprehensive hospital with decades of historical background, an absolute giant compared to Li Jingsheng.

"Do you need me to be a temporary nurse for you?"

The girl asked.

In front of the family members, she didn’t question why Li Jingsheng’s clinic didn’t have a nurse.

All medical staff, in front of family and patients, speak with particular caution.

This is just professional instinct.

Given the current harsh medical environment, every surviving healthcare worker has been through tough times.

"You’re a doctor from a major hospital, I’m afraid it might be a bit beneath you to be my nurse!"

Li Jingsheng was still considering whether to call Tang Ping over.

It would take about ten minutes to walk from her home to the clinic.

Seeing the family member’s anxious face, he feared she wouldn’t want to wait that long.

Now that the female doctor from the Second Hospital was willing to assist him temporarily, it was the best scenario.

"It’s no big deal! Where are the sutures, local anesthetic, needle holders, and other items?"

She didn’t care at all about her so-called noble status.

"In the treatment room!"

Li Jingsheng pointed to the treatment room inside.

The female family member, hearing that this woman was a doctor from a major hospital, looked at Li Jingsheng with even more admiration.

This little clinic’s doctor is no simple person, even attracting a lady doctor from a major hospital to collaborate.

"Alright, give me the belt, let’s tie it up again."

Li Jingsheng was still somewhat concerned about the female doctor’s professional skills.

After helping the young boy secure it, he directly led him into the treatment room.

The female family member followed them in.

In small clinics like this, even the smallest surgery, the family must supervise closely.

The family wants to see how you’re treating the child, simply put, they’re not at ease.

Once inside the treatment room, Li Jingsheng washed his hands, then went over to check the surgical package prepared by the female doctor.

"She’s truly a doctor from a major hospital, her professionalism is impressive!"

"This is just basic surgical practice! After washing my hands, I took disposable gowns and gloves, hope you don’t mind?"

She strictly adhered to sterile procedures.

This is basically a good habit for all major hospital doctors and nurses.

Sterile procedures for surgeries are ingrained deeply in every medical worker’s bones.

"Listen to you, this is all standard surgical consumption, I’m not that petty. That you would be my assistant is what’s truly overwhelming."

Li Jingsheng stood by watching her prepare, sutures, curved needles, forceps, and other items all laid out in order.

He relaxed.

He washed his hands, put on disposable rubber gloves, and then, as per routine, disinfected the little boy’s wound.

"Wah wah... It hurts so much! Wah wah..."

The little boy couldn’t help but cry out in pain, continuously sobbing.

"Disinfecting the wound will hurt a little. Just bear with it. After I administer the anesthesia, it won’t hurt anymore."

Before injecting the anesthesia, Li Jingsheng was very cautious, first conducting a skin test.

The female doctor watched from the side, lost in thought.

This was her first time assisting in surgery at a small clinic.

She also took this opportunity to understand the real diagnostic procedures in a small clinic.

It’s much more standardized than she imagined.

Although the conditions of the operating room cannot compare with a large hospital, many other practices are exactly the same as those in a large hospital.

Moreover, large hospitals usually do not conduct skin tests when administering local anesthesia.

The caution and meticulousness exhibited by Li Jingsheng were qualities she found worth learning.

After the skin test showed no abnormalities, the local anesthetic was administered.

Li Jingsheng was extremely precise with the dosage injection.

This left the female doctor with no choice but to regard him with admiration.

As a fellow doctor, she could sense that Li Jingsheng’s pharmacokinetics and pharmacodynamics were likely superior to hers.

It’s important to note that improving expertise in prescription medicine is notoriously difficult.

Because it involves various pharmacological principles and the body’s mechanisms for absorbing drug effects, it’s not something one can learn by rote memorization.

It requires extensive clinical practice and contemplation, continuous learning.

Normally, medical students memorize the theoretical knowledge of prescriptions in school, and then, during their internship, senior doctors allow them to manage patients and write case reports, offering opportunities to learn the application of medication in clinical practice.

Slightly more outstanding medical students typically start to learn to prescribe some simple medications during their residency training.

This requires a certain level of expertise in prescription medicine.

Otherwise, the prescriptions would not only earn scoldings from nurses who demand modifications repeatedly, but also from senior doctors.

Some may even be directly sidelined.

Once the anesthesia took effect, the surgery began quickly.

Li Jingsheng began to debride the little boy’s wound.

Since it was caused by a knife cut, and the force at the time must have been significant, resulting in a single cut wound.

Although it was somewhat long and somewhat deep, the skin edges of the wound were fairly neat.

A simple debridement would suffice.

Despite being a simple debridement, her sharp eyesight could tell that Li Jingsheng’s superficial debridement level was not low. At least at the level of a senior resident.

Her previous poor impression of clinic doctors was quietly changing.

Previously, like the vast majority of large hospital staff, she believed that most clinic doctors lacked skills and were quite amateurish.

Watching Li Jingsheng calmly treating the patient’s wound, with his drug efficacy, pharmacokinetics, and debridement skills all being strong, she realized she had been living in an ivory tower, somewhat shortsighted.

Next, Li Jingsheng performed wound suturing for the patient.

He used interrupted suturing, with knotting done using square knots.

He hadn’t learned the three-loop knot yet; otherwise, using it would have been more secure.

Also, regarding the suturing method, if he could master intradermal suturing, it would be more effective here.

Intradermal suturing can precisely align the skin edges, thereby reducing scar formation.

However, considering the child’s wound is on the palm, using interrupted suturing is also quite suitable.

An advanced level of interrupted suturing is adequate for handling this wound, but achieving perfectly satisfactory suturing results is unrealistic.

Thinking about how in the past he dared to suture patients’ wounds with only an Entry Level stitching method, he felt somewhat embarrassed. 𝒻𝑟ℯℯ𝑤𝑒𝑏𝑛𝘰𝓋𝑒𝓁.𝒸𝑜𝘮

Should he upgrade the interrupted suturing to the next level?

Proficiency in interrupted suturing: 47.1/100.

It would consume 53 life value points to upgrade it to Master Level.

That would reach the genuine Attending Level suturing standard.

Suturing this wound again would undoubtedly achieve a very satisfactory result.

Hesitating for three to four seconds, he resolutely consumed 53 life value points to upgrade this medical skill.

Master Level interrupted suturing: 100.1/500.

It will be harder to upgrade to the next level.

With this suturing skill, it should be among the top in the Old Street of South City.

Even among the community health service station surgeons, many would be overshadowed by him.

He attempted to use the newly upgraded Master Level interrupted suturing to suture the patient’s wound.

As soon as the needle went in, it was incredibly smooth.

The tactile sensation, along with the choice and determination of needle positioning, and the threading, the whole process was as smooth as flowing clouds and water.

Master Level is far superior to proficiency level.

It’s superior by a significant margin.

"Hmm!"

The female doctor’s eyes couldn’t help but brighten, the suturing skill of this small clinic doctor is impressive.

It’s already comparable to a few backbone Attending Level doctors in the department.

With such strong surgical skills, why did he think of opening a clinic?

Wouldn’t there be more potential in a large hospital?

While she was lost in thought, Li Jingsheng had already stitched the third stitch in the blink of an eye.

The knot used was a surgeon’s knot.

This startled the female doctor slightly, but upon brief reflection, she soon understood Li Jingsheng’s intention.

Considering this segment of the wound is relatively deep and has high tension, using a surgeon’s knot would be more secure. It would also adhere more closely to the skin.

Watching Li Jingsheng skillfully suture, tie knots, and then cut the suturing thread, she realized that Li Jingsheng’s surgical foundation was not weak at all.

Especially his suturing skill, it was astonishingly impressive.

She couldn’t help but ask herself, is he really a clinic doctor?