After eating, Li Jingsheng summarized today's debridement and suturing process. If there are some things that were not done properly, he will try to correct them next time.

At this time, Master Liu finished the infusion and jumped out of the infusion room on one foot while holding on to the door.

"The wound on your foot has just been stitched up. You can't fall to the ground or get wet. It's too dangerous to jump on one foot like this."

Li Jingsheng hurried over to help the person.

"It's okay, it's okay, I just need to pay attention."

As a frugal person like Master Liu, he would definitely be reluctant to spend money on crutches.

"Sister Tang, is the crutch behind the treatment room door still there?"

"Let me see!"

Tang Ping searched in the treatment room.

"Still!"

She has already taken it out.

The two crutches are already covered with dust.

This was purchased not long after the clinic opened and was specially prepared for some patients in need.

"Master Liu, do you think this is okay? You pay a deposit of 100 yuan, and these two crutches will be lent to you for free, and your movements will be easier." Although Li Jingsheng is familiar with Master Liu, he must collect a deposit.

Dare to lend things out.

The most untestable thing these days is human nature.

I used to borrow things without paying a deposit, which was out of kindness, but the patient disappeared in the end.

In fact, the value of the loaned items is not high, only one or two hundred yuan. And the patient does not need to use it after he recovers.

They just won’t pay it back.

Master Liu paid a deposit of 100 yuan, and Li Jingsheng asked him to come over for infusion at around 9 a.m. every day, check the wound, and explain some precautions.

When vertical mattress sutures are used, the stitches must be removed in time, otherwise the sutures will compress and tighten the local skin, which may cause scars in mild cases, or even cause local tissue necrosis in severe cases.

Especially when skin edema occurs after surgery, local tissue necrosis is more likely to occur.

Patients don't understand this, and doctors must worry about it.

Otherwise, if something goes wrong, the patient will just scold the doctor for his poor medical skills and let the clinic take responsibility.

Regardless of the fact that this business can earn six to seven hundred, in fact, all the money earned is hard-earned money. The risk taken by the clinic is quite large, and it also needs to provide three days of infusion services and subsequent suture removal services.

After sending Master Liu away, the clinic became deserted.

Tang Ping entered the treatment room and was busy cleaning.

Li Jingsheng was sitting behind the counter excitedly counting the huge gains from Master Liu's treatment.

The deposit of 100 yuan and the treatment fee of 1,100 yuan have been locked in the safe.

What he is counting is the harvest in medical skills.

Vertical mattress suture 0.7, drug efficacy 0.1, drug metabolism 0.1, body surface debridement has advanced to entry level, and increased proficiency by 0.1. Square knot 0.5, ligation to stop bleeding 0.1. HP 12.

The harvest is beyond imagination.

The proficiency in various medical skills has increased a lot.

The vertical mattress suture actually increased by 0.7. If you practice this suture technique with a piece of cloth, it would be considered good if you can increase your proficiency by 0.1 in a month.

Even if you buy pig skins for practice, practicing hard for a month will only increase the amount by about 0.2 at most.

The suturing time given to Master Liu just now was only about 17 minutes, but it increased the proficiency level by 0.7, which is equivalent to the total amount of hard training for three and a half months.

Such a rapid growth rate is really gratifying.

It also made Li Jingsheng realize that the fastest way to improve medical proficiency is to directly use medical skills to treat diseases on patients.

The most anticipated thing is the newly earned 12 health points.

After treating the last cold patient, the life value gained by killing the first-level cold disease is 1 point.

This time I actually earned so much health points by suturing the wound.

How is it calculated?

It seems that there are many places worth exploring in this property panel.

Just like playing a game, studying its rules and formulating strategies can get twice the result with half the effort.

Also, Master Liu’s wounds were stitched so well this time, and he even lent him free crutches to use, and helped him save a lot of treatment costs, but he didn’t get praise from him.

This inevitably makes Li Jingsheng a little depressed.

Positive reviews from patients are given voluntarily and cannot be forced.

Only when they feel particularly satisfied will they take the initiative to send positive comments.

Li Jingsheng

Grade: Junior resident physician 189.5/500

Diagnosis: Proficiency in Respiratory Medicine 71.4/100, Introduction to Gastroenterology 9.7/10, Introduction to General Surgery 0.1/10

Prescription: Proficient in medicinal efficacy 10.6/100, Proficient in medicinal preparation 10.4/100

Skills: proficiency in interrupted suture 47.1/100, proficiency in continuous suture 21.8/100, proficiency in vertical mattress suture 10.7/100, introduction to compression and hemostasis 6.7/100, introduction to ligation and hemostasis 8.6/10, proficiency in bandaging 31.2/100, proficiency in square knot 10.3/

100, Introduction to Sliding Knot 5.6/10, Introduction to Body Surface Debridement 0.1/10

Talent: None

HP:12

He found that the level experience also increased by 1.5, which was a little surprise.

General surgical diagnosis is added to the diagnostic skills.

Now that I have 12 more health points, I have the ability to upgrade the body surface debridement technique to a proficient level.

The importance of debridement is self-evident.

It’s just that other medical skills are equally important, especially diagnostic skills, which determine the correctness and accuracy of treatment.

"Save it first, the upgrade will be instant anyway."

After some consideration, he resisted the urge to spend all the 12 health points.

Being prepared for danger in times of peace makes every sensible adult try to save as much money as possible to prepare for emergencies.

Li Jingsheng was even more afraid of poverty.

In the past, he could spend more than 20,000 yuan to buy a motorcycle he liked, and he could spend all his salary without hesitation. But these nine months have taught him a truth: he must save some money and strive to use every penny.

Flowers are on the blade.

During the process of sewing and knotting just now, he discovered that just mastering the square knot and sliding knot was not enough.

The square knot is composed of two single knots in opposite directions. The ligatures are staggered back and forth to form a knot, and then pulled tighter and tighter to prevent them from falling off.

It is very good for suturing and knotting ordinary wounds or ligating smaller blood vessels.

But when used for suturing and knotting wounds with high tension, or ligating larger blood vessels, it seems a bit inappropriate.

If he could master the surgical knot tying method, the suturing effect just now would be better.

It will also be safer to stop the bleeding of that vein.

Compared with surgical knots, square knots lack flexibility. Moreover, when the tension at the knotted part is too high, it is easy to loosen and sink in.

Surgical knots are rarely used, but you can't live without them.

"You have to learn how to do surgical knots quickly."

Li Jingsheng has had successful experience in learning vertical mattress sutures and now feels confident in learning anything.

He had learned the surgical knot before, but he felt that his hands were a bit clumsy and a square knot was more suitable for him. So he gave up the surgical knot and concentrated on practicing the square knot.

There are ready-made tools right on the counter.

The needles, threads, tweezers, cloth, etc. for learning vertical mattress stitching are all still there.

There was nothing going on right now, so he learned to tie surgical knots on the spot.

It must be said that when practicing knotting, many medical students are used to holding the sutures with their fingers to tie knots. After learning, they must try to use toothed tweezers and needle holders to tie knots.

Because during the suturing process, even if your hands are wearing gloves, you cannot touch the wound.

If any medical practitioner finally gets a chance to sew the skin and dares to directly turn the patient's wound with his hands, the superior doctor will teach this medical practitioner how to do it in minutes.

During the suturing process, if the crochet needle needs to be inserted from the inside of the skin edge, the correct way is to hold the needle holder in the right hand and the toothed tweezers in the left hand to turn the wound up.

Do not open the wound directly with your hands.

……

Time is passing quickly.

Li Jingsheng was concentrating on practicing surgical knots. Tang Ping stood aside and watched for a while before walking away.

She was a little worried when no patients came to visit her.

If the clinic can't make any money, her salary will definitely still not be paid.

He turned around and looked up quietly at the boss, who was holding a piece of rag and concentrating on practicing surgical knot-tying.
Chapter completed!