Practicing Medical Skills in a Small Clinic-Chapter 74: Types of Wound Healing and a Visit to Apologize
"How about this, you help me make the introduction. Whether it works or not, I’ll be grateful to you."
Li Jingsheng was not ready to give up.
At least give it a try, if it fails, then think of another way.
People with peculiar tempers often have real skills.
"I’ll ask for you tomorrow! What’s your phone number? I’ll call you after I’ve asked."
"136...7799." 𝗳𝚛𝗲𝕖𝚠𝚎𝚋𝗻𝗼𝕧𝗲𝐥.𝚌𝚘𝐦
"Alright, I’ll get back to you with confirmation by the day after tomorrow at the latest, because I don’t know if Doctor Xu is working tomorrow."
She stored the phone number and waved to Li Jingsheng.
"Goodbye!"
"Take care, be safe on the road!"
He watched her leave the clinic and hail a taxi, quickly vanishing into the night.
Feeling like her life should be quite comfortable.
She lived in a high-end apartment complex, less than two kilometers from here to her place.
There’s a bus station not far away, with multiple bus lines directly accessible.
Yet she chose to take a taxi, without considering living costs.
And her attire was quite upscale.
Therefore, Li Jingsheng inferred that Ou Qinglan’s family background should be good.
Otherwise, relying solely on a resident physician’s salary wouldn’t be nearly enough for her expenses.
Looking at the messily placed tools in the treatment room and the uncleaned medical waste, he couldn’t help but chuckle bitterly. If Tang Ping were working with him, it would undoubtedly be cleaned up long ago.
Doctors really shouldn’t be used as nurses.
However, to be fair, her cooperation during the surgery was quite impeccable.
Knowing which suture to use and what instrument for the next step, she was very professional.
"Let’s go eat first, then come back to clean up."
Li Jingsheng glanced at the clock on the wall, it was 7:45 PM.
He needed to hurry to the fast-food restaurant; if he went too late, there wouldn’t be any fried rice left.
Despite earning a fortune daily, he was unwilling to spend recklessly.
The priority was to settle Tang Ping’s wages, then save enough for next year’s rent. If there’s anything left, purchase a high-resolution X-ray machine, a surgical lamp without shadows, and an electric coagulation knife for hemostasis...
There are still many expenses ahead.
...
Ultimately, he didn’t end up eating the fifteen yuan buffet, and had a six yuan fried rice instead.
Returning to the small clinic, the first task was cleaning the treatment room.
It took him more than half an hour to tidy it up.
Sanitize what needed sanitizing, ready for next use.
Clean what needed cleaning.
Tang Ping used to handle these tasks; it seemed easy watching her do it. Today, personally tackling them as the boss, he realized these chores weren’t easy at all.
"Once my clinic’s business improves, I must give her a raise."
Li Jingsheng was determined to keep Tang Ping.
It’s hard to imagine if he hired a lazy nurse, as the boss, he’d have to clean daily, organize equipment, likely exhausting himself to death.
After showering, he dug out a years-old dusty book on Traditional Chinese Medicine Orthopedic Science from the pile of medical books.
Planning brings success; lack of planning leads to failure.
Since he was preparing to apprentice under Doctor Xu to learn bone setting techniques, he needed to make some preparations.
Reviewing Human Skeletal Trauma Studies was very necessary.
He read until late at night before finally going to sleep.
Early next morning, just before eight, the rolling shutter door was banging loudly.
It wasn’t that he had grown lazy, but reading until late made waking up in the morning quite difficult.
Opening the door, it was Master Liu coming for infusion check-up.
Li Jingsheng checked his wound; it was healing well, with no redness, hardening, hematoma, or fluid retention, and certainly no suppuration. A scab had already begun to form.
It had fully achieved Master Level healing.
Clinically, wound healing is categorized into three types, the best being Master Level healing, where healing is excellent with no adverse reactions in the early stage, qualifying as Master Level healing.
This is the ideal state for traumatic healing.
Intermediate healing is when the wound shows redness, hard lumps, hematoma, fluid retention, but no suppuration.
The worst is basic healing.
Suppuration of the wound.
If this happens, it must be incised for drainage. Improper handling may even pose risks of gangrene.
Li Jingsheng performed a Master Level vertical mattress suture for Master Liu, which was quite friendly to wound healing. The main caution was timely removal of stitches.
Additionally, this suture could result in unsightly railroad scars.
Nowadays, Li Jingsheng’s interrupted suturing has reached Master Level; if he were to perform another suture for Master Liu, he could use interrupted and vertical mattress sutures together to achieve faster healing, reduce scarring, and lower infection risk.
Spending 53 points of life force to elevate interrupted suturing to Master Level was absolutely necessary.
Because it’s the foundation of all sutures.
It even relates to anastomosis surgery skills.
Such as the common vascular anastomosis.
"Dr. Li, my wound has been itching since yesterday, is that okay?"
"I checked, the wound is healing well. After today’s infusion, you don’t need any more. Wound itching is generally a good sign, indicating your wound is in the second phase of healing, the proliferation stage. Just continue resting well, and in about four days you should be ready for stitch removal."
Li Jingsheng explained.
Wound healing is divided into three stages: inflammatory phase, proliferative phase, and maturation phase.
During the second stage, patients may feel the wound is very itchy, and it’s crucial not to scratch it.
Especially wounds on the head and face. It’s even more important not to scratch them.
Because stimulating the wound during the healing phase can significantly increase the likelihood of scar proliferation.
No one wants an ugly hard lump or even a terrifying ’big centipede’ on their face or head.
Regular scars, although unsightly, will gradually fade and flatten over time.
But scar proliferation is very frightening, especially for those with a predisposition to scarring. Even a minor injury can result in a hard lump that not only won’t disappear but will frequently itch. If the patient scratches it, it will continue to grow like a tumor.
Moreover, even surgical removal might lead to the formation of an even larger scar.
Whether it’s laser treatment or drug injections, both are very expensive.
So, during wound healing, be sure not to scratch it.
Contrarily, the folk superstition that consuming soy sauce during wound healing will cause the wound to darken has no scientific basis.
"Good morning, boss! Master Liu, you’re here so early today!"
Tang Ping, wearing mid-heel shoes, denim shorts, a white mid-length blouse, and a bun hairstyle, looked particularly radiant.
She arrives at the clinic at this time almost every day, never late.
"Aren’t we all hoping the wound heals quickly so we can get back to work and earn a living? Lying at home for three days, I feel like I’m rusting."
Master Liu laughed sheepishly, though his eyes were locked onto Tang Ping’s lovely face and stunning figure.
"What’s the rush? I hardly see you take a break all year round, it’s a good chance to rest!"
She responded while heading to the changing room.
"Resting is nice, but it’s no good without money!" Master Liu’s gaze seemed glued to her back until she disappeared from view.
Most men share a common interest in admiring beautiful women.
Li Jingsheng, when free, also liked to glance at Tang Ping.
Not for any reason, just to decompress and relax.
He gave Master Liu some antibiotics as Tang Ping finished changing and came out directly to infuse.
Taking a glance at the wall clock, he wondered when Best Medicine would deliver the drugs?
With Brother Qiu’s assistance paving the way, they should’ve delivered by ten in the morning at the latest.
An old silver-grey Volkswagen Bora stopped at the clinic entrance.
A young man in his thirties, with a parted hairstyle, stepped out, carrying a light brown leather briefcase.
The man quickly walked to the door and pushed it open.
As soon as he entered, his face was filled with a smile.
"Dr. Li... Boss Li, you finally opened! I got here at half past seven, saw it closed, and went to have a bowl of noodles. My apologies for returning your call late yesterday, I hope you understand and forgive me."
This young man is none other than Litong Pharmaceutical’s representative, President Tian.
An old employee of Litong Pharmaceutical, he should be eligible for a promotion to supervisor if he performs well.
Li Jingsheng knows that President Tian is currently the leader of a small sales team.
"President Tian, you’re being polite. I understand; after all, my small clinic’s business is bleak. We only order a few hundred yuan worth of goods monthly, sometimes only once every two months. You have performance pressures, so you must prioritize big clients!"
Li Jingsheng said calmly.
"No, no, no, our company treats all clients equally, regardless of business size. Besides, you order tens of thousands worth, which makes you a top client."
President Tian waved his hands in explanation.
He makes it sound nicer than it is.
If Li Jingsheng hadn’t sent an order list for twenty thousand yuan, would he personally come today?
If they treated all businesses equally, would they leave Li Jingsheng hanging for two days?
"Wow, Beauty Ping is getting prettier!"
President Tian greeted Tang Ping with a big smile when he saw her walking out of the infusion room.
He always showed genuine enthusiasm towards Tang Ping.
"President Tian is here!"
Tang Ping smiled lightly as she greeted, then directly began cleaning the clinic.
Without any intention of offering President Tian a glass of water.
In contrast, she is incredibly warm to customers and visitors, often serving them water without Li Jingsheng instructing.
But she has a keen sense and a fair judgment in her mind.
She knows about Li Jingsheng’s experiences with President Tian even if she never interjects or asks.
Seeing her boss being angered, she naturally forms a dislike toward President Tian.
And when she saw her boss find a new supplier, she genuinely felt happy for him.
Now the boss doesn’t have to beg President Tian for supplies—it’s a buyer’s market. She’s not about to serve him tea.
"Boss Li, besides visiting to apologize today, I wanted to assure you that if you get supplies from Litong, I’ll ensure delivery by nine o’clock tomorrow morning, with the latest expiry dates."
He added again.
No one is a fool.
When Li Jingsheng first opened, President Tian exploited his lack of experience by delivering near-expiry drugs, an unscrupulous move.
When Li Jingsheng called for exchanges, he was completely dismissed.
Now hoping to secure his orders, President Tian must step up his service game.
"Thanks for your offer, but I’ve found another pharmaceutical company to order from. We can cooperate again when there’s an opportunity."
Li Jingsheng didn’t completely shut him out.
The adult rule of engagements is no matter how much you loathe someone, you mostly avoid them rather than make enemies. Maybe you’d even greet them with a smile just to keep peace.
"Finding a new company for contracts and accounts could take several days, right? I heard Sunshine Clinic made it to the newspapers; your medicine sales must be booming! Your counter is empty of stocks; waiting a week to restock will be a loss!"
President Tian tried to calculate in Li Jingsheng’s interest.
And there’s a line he didn’t utter—such small clinics rarely find companies willing to contract with them.
