Improving a little every day is enough to help him make a living within the brutal environment of numerous grassroots medical institutions.
With his current pace of rapid progress, he can definitely outpace his peers in a short period of time.
If Boss Zhao doesn't feed him, there will come a day when Boss Zhao won't even get a sip of soup.
As for Jinkui Clinic and the South City Community Health Service Station, they are not charity organizations either and similarly don't want competitors to thrive.
It's just that these two places have some sense of decorum and don't openly target Li Jingsheng.
In the adult world, when it comes to interests, even family can turn against each other, let alone strangers.
After successfully learning the Skin Incision Method, Li Jingsheng didn't hesitate this time and directly added 10 points to its vitality.
Instantly, this surgical technique increased to a proficient level.
Practicing entry-level Skin Incision Method on pork, small animals, or paper is fine, but using it on patients would be extremely intimidating.
Even if the patient doesn't know his background and is willing to let him operate, he still wouldn't dare to do it.
Underneath the skin are all critical tissues like blood vessels, nerves, tendons, and ligaments. If you're talking about the thoracoabdominal cavity, it becomes even more terrifying. Inside are organs like the heart sac, lungs, liver, intestines, kidneys, and so on.
Casually damage one of these in a patient, and at best you could lose everything and get your license revoked.
At worst, it could lead to a fatal accident, not to mention compensating millions, you might even end up in prison.
The second half of your life would be ice-cold.
That's why he didn't hesitate at all when upgrading this surgical skill.
The ultimate goal of spending a lot of time and energy to learn a medical skill is to use it on patients to help remove lesions.
He cherishes every point of vitality but when it's necessary, he won't act like a miser.
The higher the risk of the medical skill, the more it's worth upgrading to a higher level.
Even proficiency level feels insufficient.
The Skin Incision Method isn't just about cutting open the skin layer of the human body.
It's a basic technique of incision.
Almost every surgeon needs to learn how to cut through tissues layer by layer just like cutting through skin.
If you master this medical skill, you can apply it almost universally to all surgical operations. High-risk major surgeries like laparotomy, thoracotomy, and craniotomy can utilize this technique.
"Keep pushing forward, strive to master surgical ligation, and then use these two pieces of skinned pork to further expand one or two suturing skills, that would be even better."
Li Jingsheng looked up at the clock on the wall, even though it was already close to one o'clock in the morning, he didn't feel sleepy at all.
There's no reason, just excitement.
Such a massive improvement in medical skills within one day, coupled with several newly learned techniques, it's just like getting great equipment in a video game, it's mesmerizing, it's exhilarating.
In terms of suturing skills, he has already mastered simple interrupted sutures, continuous sutures, and vertical mattress sutures, each with unique features, each applicable to different scenarios.
Simple interrupted sutures are the most commonly used suturing method, often used for superficial wounds, but its shortcomings are also very apparent. It's slow, can't be used under complex conditions, and is only applicable to simple wound sutures.
The phrase "slow work yields fine results" perfectly describes interrupted sutures.
Experts can suture very neatly using this method, but it is time-consuming and labor-intensive. When faced with high-tension wounds or deeper wounds requiring vascular or intestinal anastomosis, it is not suitable.
The advantage of continuous sutures is their quick and easy operation, but they also have an obvious drawback; they can cause misalignment of the wound edges.
This is a significant flaw.
Yet why is continuous suturing one of the two foundational suturing techniques that must be learned?
Because many advanced suturing techniques have elements of this method.
The two suturing techniques Li Jingsheng wants to learn most right now are horizontal mattress sutures and intradermal sutures.
Once he learns horizontal mattress sutures, combined with the three suturing techniques he has already mastered, he can start practicing anastomosis techniques.
Vascular anastomosis, tendon anastomosis, nerve anastomosis, intestinal anastomosis...
These types of tissue or organ anastomosis were things he previously didn't dare to even think about.
Many include anastomosis as a component when taking clinical practice skill exams, but how many medical students dare to use it on patients?
Speaking of which, it's necessary to mention the certification systems abroad versus those domestically.
Abroad, one must hold a certificate to practice, conducting practical skills directly on human bodies during exams. This is why it takes foreign surgeons ten years or more from studying to practicing.
Domestically, as everyone knows, the regulations are too stringent, such that there are hardly enough certified doctors.
This does not help relieve the strained medical resources.
The domestic model is to get certified first, then junior doctors are guided by senior doctors, learning through hands-on practice.
This model has pros and cons, and fits the country's situation.
Li Jingsheng decided to use the two pieces of pork to first practice horizontal mattress suturing. Once mastered, he can then attempt vascular anastomosis.
If one day he can connect blood vessels, that would be a real breakthrough.
Reattaching a severed finger can at least earn five to six thousand yuan.
At larger hospitals, reattaching a finger costs at least ten thousand yuan. Small clinics can't charge as much, otherwise, people would go directly to large hospitals for the surgery.
Mastering anastomosis techniques isn't just about reattaching fingers; it has applications in many surgical procedures.
It's considered an advanced skill in surgical medicine.
Once mastered, one can hold a prestigious position in the operating room of large hospitals.
Li Jingsheng took immediate action, practicing horizontal mattress sutures on the two heavily scarred pieces of skinned pork.
With the foundation in vertical mattress sutures, learning horizontal mattress sutures is relatively easier.
This suturing technique can reduce tension at the wound site, commonly used for closing larger skin defects and suturing skin flaps with significant tension. Additionally, due to partial suture alignment parallel to the wound, theoretically, horizontal mattress eversion can tighten the epidermal blood vessels to assist with wound hemostasis.
This means the suturing technique naturally carries some hemostatic effect.
Li Jingsheng practiced horizontal mattress sutures, trying to use surgical knots whenever a knot was needed.
...
Unknowingly, it was already three in the morning.
He practiced these two surgical techniques with total absorption, without any distractions.
He even forgot about everything around him.
This intense focus on doing one thing well allowed his practice to make rapid progress.
He was awakened by a strong urge to urinate.
He tied the last surgical knot, stood up, and hurriedly ran to the bathroom.
But when he saw the surgical knot he just tied, he stopped in his tracks.
The knot was neat, closely aligned with the dermis, and quite firm. He seemed to have learned the surgical knot technique without even realizing it.
He slightly squeezed his legs together and quickly ran to the bathroom.
If he didn't make it to the bathroom, he would have soiled himself.
After relieving himself, the pressure on his bladder was released, and he felt unprecedentedly comfortable.
Returning to the practice bench, he instinctively checked the attribute panel.
"Yes!"
He clenched his fists in excitement, bringing them to his chest, his face full of joy and excitement.
Thanks to his relentless effort, both surgical techniques he practiced had reached the entry level. The horizontal mattress eversion suture had reached entry level 0.1/10, while the surgical knot barely reached entry level 0/10.
"Great! I've mastered two more surgical techniques, now I can handle most ordinary injuries."
Looking at the two newly learned medical techniques, Li Jingsheng was overjoyed.
Without much hesitation, he spent 20 points of health to upgrade both techniques to proficient level.
Then, he spent another 1 point of health to upgrade the previously stalled ligation hemostasis skill to proficient level.
This time, there was no stumbling, it was smooth sailing.
The entire upgrade process was extremely smooth.
With three more proficient level surgical skills, he as a small clinic doctor now had preliminary surgical abilities comparable to a senior resident in a large hospital.
However, compared to excellent surgeons in large hospitals, there was still a significant gap.
The learning environment, conditions, and resources available in large hospitals were not something a small clinic doctor like him could compete with.
He did not become arrogant or complacent.
But now, with so many proficient level surgical techniques, he should be able to have a crushing advantage when competing with Boss Zhao in the field of surgery.
His health points had been reduced to nearly half, with only 60 points remaining.
He couldn't use them anymore; he needed to save them for now.
It was getting late, and he still had to open the clinic for business the next day, so he hurriedly went to bed.
Quickly tidying up the table, he didn't throw away the two pieces of meat.
He surely wouldn't eat them himself.
No matter how poor he was, he couldn't stoop to eating them.
Covered with scalpel incisions, densely stitched sutures, and marked incision lines, how could he eat them?
He planned to ask Tang Ping the next day if she wanted them.
She had a little poodle at home; removing the stitches and giving it a simple clean could make it a high-grade nutritious meal for the dog.
...
The next morning, Li Jingsheng was awakened by his phone ringing.
It rang several times before it woke him up.
He slept too deeply.
It was best not to stay up late; he had to go to bed by twelve at the latest.
"Hello, what's going on?"
Li Jingsheng mumbled as he groped for his phone.
"Boss, it's almost eight o'clock, are you still sleeping?"
"Ah... I overslept! I'll be right there to open up."
Li Jingsheng usually got up at seven in the morning and opened for business around seven-thirty.
The early bird catches the worm.
Business wasn't good, so if he wasn't diligent, it would really be hopeless.
Opening the door, he saw Tang Ping dressed in a fitted, tight black business suit, with a white lace-edged shirt underneath, and high-heeled shoes. She looked every bit the professional elite.
Her curvaceous figure made Li Jingsheng's hormones surge.
The mature charm of a married woman was something unmarried women lacked.
The woman from yesterday, who was almost turned away by Li Jingsheng, stood beside Tang Ping, smiling brightly.
"Dr. Li, the treatment here yesterday was very effective, so I've come back for more IV therapy. I've also brought a new customer for your clinic, but you need to give her a discount!"
It seemed her condition had significantly improved.