Chapter 150 Acquiring two medical skills in a row, it is definitely not a minor illness

This surgery made Li Jingsheng feel the shortage of manpower and incomplete equipment. If the number of surgical patients he receives increases in the future, he will definitely need to purchase some other equipment.

As for manpower, there is no need to worry about this.

As long as business increases, new medical staff will definitely be recruited.

Boss Zhao’s Kuai Kang Clinic has multiple medical staff.

As a large amount of pus was sucked out, the patient's abscess area obviously collapsed a lot.

The incision he chose was on the lower edge of the mandible, parallel to it, and the length of the incision was about 1.5cm.

These surgical techniques require the doctor to read a lot of books and have a certain amount of surgical experience. Li Jingsheng has little surgical experience, but he likes to read.

With proficient general surgical diagnosis and skin incision methods, you can naturally understand some surgical techniques and appropriate knife position selection during surgery.

Just like a skilled worker, he knows how to do the job when he sees the raw materials.

General surgical diagnosis is mainly about etiological diagnosis, but it was unexpected that it could also be helpful in surgical operations, which made Li Jingsheng pay more attention to this medical skill.

In the future, when your health is sufficient, you can consider raising it by another liter.

“I didn’t expect there was quite a lot of pus!”

The oral mucosa has been incised at this time, but there is no way to properly insert the rubber drainage strip.

He picked up the vascular forceps and bluntly separated the mucosal incision to the abscess cavity.

The whole operation process is very careful.

He has initially mastered sharp separation and reached the entry level. However, he only mastered the theoretical knowledge of blunt separation and only saw how the teacher operated it, and did not reach a high level of practical operation.

It's a bit of a rush at this moment.

However, he had prepared and predicted before the operation.

Because this separation is not very difficult.

It is equivalent to giving him a good practical training opportunity.

Under limited conditions, he must work hard to create opportunities for himself to practice this basic surgical skill. As long as the risks are well controlled, there is generally no big problem.

The ideal thing is to practice once or twice before you can successfully reach the entry level.

With the help of the vascular forceps, he gently followed the separation of the parotid duct and facial nerve little by little.

I'm definitely still a little nervous inside.

After a while, the abscess cavity was successfully isolated.

You can see most of the true appearance of this abscess cavity.

The suppuration was severe, the fishy smell was astounding, and all the superficial tissues in the abscess cavity were purulent. They were almost like rotten white meat, with a superficial light yellow surface and full of sticky pus.

After continuing to suck out some of the pus remaining in the abscess cavity, the next task is to establish drainage.

He began to flush the entire abscess cavity with saline.

"Ah...it hurts!"

The patient's pronunciation was unclear and his face showed a slightly painful expression.

In clinical nursing, medical staff will judge the degree of pain based on the patient's expression, body movements, etc.

This patient's pain level should be about 4 points at most.

Flushing with normal saline may cause some pain to the patient.

After all, the nerve-blocking effect of local anesthetics used on the face and mouth cannot reach 100%.

"Just be patient! The operation will be over soon."

Li Jingsheng was not only comforting the patient, but also giving Tang Ping a reassurance.

After repeatedly flushing the abscess cavity until it was clean, he inserted a rubber drainage strip.

When inserting the drainage strip, I didn't do it well the first time and it got bent, so I had to replace it with a new one.

Because the drainage strips are folded when enclosing them, it is very easy to cause poor drainage.

At that time, the operation may fail.

It is not as easy as imagined to pass the drainage strip all the way to the end.

The second time, he had figured out the direction inside the abscess cavity, and the skin incision method had been upgraded to a proficient level, which made his judgment of hand feel more acute. When performing the operation at this time, he operated by hand and absorbed it carefully.

The reason why the first placement failed.

Finally the insertion was successful.

After the inspection, no problems were found, so the drainage strip was fixed, and it was considered completed.

The specific effects of the surgery are still unclear.

It depends on the drainage effect and whether the inflammation can be controlled in the next few days.

"Okay, the operation is over. Let's take her to the infusion room for infusion! I'll prescribe the medicine right away and observe her for a while before giving her the infusion."

Li Jingsheng checked it correctly and said to Tang Ping.

The patient should be in a state of confusion at this moment.

After all, I just had surgery.

When prescribing, antibiotics are mainly used to control inflammation and prevent further infection and suppuration.

With Xiaocheng-level medicinal efficacy and pharmacodynamics, doing this kind of thing is simply killing a chicken with a knife.

Even so, he was still extremely cautious.

Every case must be treated with all-out effort.

When a ferocious beast captures its prey, even if it captures a prey that is many times weaker than it, it still remains cautious and goes all out. This is because they have a survival rule called avoidance of injury.

Just try to avoid getting hurt.

In the cruel nature, injury means the risk of death.

Li Jingsheng's survival rules for opening a clinic to treat people are similar to those of hunting wild beasts.

Any accidents must be avoided.

Because even a small mistake may have catastrophic consequences.

After prescribing and mixing the medicine, and then observing that the patient had no abnormal symptoms after the operation, Tang Ping asked her to give her an infusion.

For Li Jingsheng, this is a big job.

He summarized the entire surgical process and carefully wrote medical records and course notes.

Many doctors like to use templates to write medical records, but this is definitely not good.

It saves trouble, but it loses the meaning of medical records and also loses a good summary opportunity.

When writing medical records, he had a lot of experience with blunt dissection and the insertion of drainage tubes in surgical operations.

Check the properties panel subconsciously.

Doctor level experience +10, general surgical diagnosis +1, drug efficacy and drug metabolism +1, superficial skin incision method +10, health +61.

The above gains pale in comparison to the two additional skills in the skill bar.

Introduction to blunt separation 1/10.

During surgery, knife handles, hemostats, dissectors, and even fingers can be used for separation.

It can be used together with sharp separation or alone.

For example, when there are many small blood vessels distributed in the subcutaneous connective tissue, blunt dissection is suitable.

There are also some special tissue parts or organs that also require blunt dissection to deal with lesions.

At this point, he has no worries in the field of surgical separation.

It can be eaten both "soft and hard".

Introduction to implantation surgery 0/10.

This is a special medical skill. Many people have the impression that the role of implantation surgery is to insert a urinary catheter into the patient, or to drain the abscess or chest cavity. They think this is a relatively high-level surgical skill.

In fact, it is not only closely related to puncture, but also often used in high-precision minimally invasive interventional surgeries.

For example, inserting vascular stents, emergency opening of blocked heart arteries, pulmonary arteries, venous blood vessels, etc., rescuing patients with cerebral thrombosis, inserting metal spring coils to solve patients' intracranial hemangioma, etc.

This medical skill is not simple.

"The small can bring order to the family, the powerful can bring peace to the country."

Such a powerful medical skill is definitely qualified to be called one of the top skills in surgery.

It’s really surprising that Li Jingsheng was able to elevate implantation surgery to the entry-level level in one fell swoop.

Although there are not many opportunities to use implantation surgery now, he is still very satisfied.
To be continued...