After dinner, Li Jingsheng reviewed today's debridement and suture process, summarizing areas that were not done properly and aimed to improve next time.
At this moment, Master Liu finished his IV infusion and hopped out on one foot from the infusion room, supporting himself against the door.
"The wound on that foot has just been stitched, you shouldn't let it touch the ground or get wet. Hopping around on one foot like this is too dangerous."
Li Jingsheng quickly went over to support him.
"It's fine, it's fine, I'll just be careful."
Master Liu, being thrifty, definitely couldn't bear spending money on crutches.
"Sister Tang, are the crutches still behind the treatment room door?"
"Let me check!"
Tang Ping searched the treatment room.
"They are still here!"
She had already taken them out.
Both crutches were covered in dust.
These were bought shortly after the clinic opened, prepared for patients in need.
"Master Liu, how about this? You pay a 100 yuan deposit, and these crutches can be lent to you for free, making your mobility easier." Although Li Jingsheng was familiar with Master Liu, he had to collect a deposit before lending things out.
The most unreliable thing nowadays is human nature.
Previously, things were lent out without a deposit out of goodwill, but the patients eventually disappeared.
Actually, the borrowed items aren't very valuable, just worth one or two hundred yuan. Moreover, when the patient's condition improves, they no longer need them.
Yet people just wouldn't return them.
Master Liu paid the 100 yuan deposit, and Li Jingsheng instructed him to come for intravenous infusion and wound check-up every day around 9 AM, along with some precautions.
Vertical mattress sutures must be removed promptly, otherwise the stitches can pressure and tighten the surrounding skin, leading to scarring at best or causing local tissue necrosis at worst.
Especially when postoperative skin edema occurs, the risk of local tissue necrosis increases.
Patients may not understand these things; it's the doctor's responsibility to be concerned.
Otherwise, if something goes wrong, patients will just blame the doctor's poor medical skills and hold the clinic accountable.
Don't be fooled by the six to seven hundred yuan earned from this business; in reality, it's all hard-earned money. The clinic bears considerable risk and needs to provide up to three days of intravenous infusion services and subsequent suture removal services.
With Master Liu sent off, the clinic became quiet.
Tang Ping went into the treatment room to clean up.
Li Jingsheng, on the other hand, sat behind the counter excitedly, counting the substantial gains from treating Master Liu.
The 100 yuan deposit and 1100 yuan treatment fee were already locked in the safe.
What he was counting was the gain in medical skills.
Vertical mattress stitching +0.7, drug efficacy +0.1, pharmacokinetics +0.1, superficial debridement advanced to entry level, and gained 0.1 proficiency. Square knot +0.5, ligation for hemostasis +0.1. Health points +12.
The gains were unexpectedly abundant.
The proficiency in various medical skills increased significantly.
Vertical mattress stitching actually increased by 0.7, if practicing this stitch on fabric, an increase of 0.1 proficiency a month would be considered good.
Even if buying pigskin for practice, a month of hard training would at most increase by around 0.2.
The suture duration for Master Liu just now was around 17 minutes, yet the proficiency increased by 0.7, equivalent to three and a half months' worth of hard practice.
Such a fast growth rate is truly pleasing.
It also made Li Jingsheng realize that directly applying medical skills to treat diseases on patients is the fastest way to improve proficiency.
What's more exciting is the newly acquired 12 health points.
After treating the previous cold patient, the health points gained from defeating a level 1 cold was 1 point.
This time, surprisingly, so many health points were earned from suturing a wound.
How exactly is this calculated?
It seems there are many areas worth exploring in this attribute panel.
Like playing a game, researching its rules and devising strategies to achieve twice the result with half the effort.
Also, after stitching Master Liu's wound so well and lending him crutches for free, saving him a lot in medical costs, he still didn't receive a positive review from him.
This left Li Jingsheng feeling a bit gloomy.
Patient reviews are voluntary and can't be forced.
Only when they feel particularly satisfied will they voluntarily give positive reviews.
Li Jingsheng
Level: Junior Resident 189.5/500
Diagnosis: Pulmonary Medicine proficiency 71.4/100, Gastroenterology entry level 9.7/10, General Surgery entry level 0.1/10
Prescription: Drug efficacy proficiency 10.6/100, pharmacokinetics proficiency 10.4/100
Skills: Interrupted sutures proficiency 47.1/100, continuous sutures proficiency 21.8/100, vertical mattress sutures proficiency 10.7/100, compression hemostasis entry level 6.7/100, ligation for hemostasis entry level 8.6/10, bandaging proficiency 31.2/100, square knot proficiency 10.3/100, slip knot entry level 5.6/10, superficial debridement entry level 0.1/10
Talent: None
Health Points: 12
He noticed that his level experience increased by 1.5, which was a pleasant surprise.
There was a new addition of General Surgery diagnosis in the diagnostic skills.
Now with 12 health points, he already has the ability to level up superficial debridement to proficiency level.
The importance of debridement goes without saying.
However, other medical skills are equally important, especially diagnostic skills, which determine the accuracy and correctness of treatments.
"I'll save them for now; after all, leveling up is just a matter of an instant."
After some consideration, he restrained himself from spending all 12 health points impulsively.
Being prudent in times of peace is something every sane adult tries to do; saving up money for emergencies.
Li Jingsheng is more concerned about poverty.
Previously, he could spend over 20,000 to buy a favored motorcycle, could spend his full salary without hesitation. This nine-plus months led him to understand one thing: he must save money and strive to spend every penny where it matters most.
Just now, during the suturing and knotting process, he realized simply mastering square and slip knots wasn't sufficient.
The square knot is composed of two single knots made in opposite directions, forming a knot by crossing the ligation lines back and forth, tightened more without easily loosening.
It's quite suitable for suturing ordinary wounds or ligating smaller blood vessels.
But for suturing wounds under greater tension or ligating larger blood vessels, it becomes somewhat 'unsuitable'.
If he could master the surgical knot tying method, the suturing effect just now would have been better.
Stopping bleeding for that venous vessel would also be safer.
Compared to surgical knots, square knots lack flexibility. Moreover, knots may loosen or sink when the tension at the tying location is too high.
Surgical knots are seldom used, yet indispensable.
"I must quickly learn how to tie surgical knots."
With the successful learning experience of vertical mattress sutures, Li Jingsheng is now brimming with confidence in learning anything.
The surgical knot had been learned before, but he felt his hands were clumsy; tying square knots suited him more. Thus, he abandoned surgical knots and focused on practicing square knots.
There are ready-made tools on the counter.
The needle, thread, tweezers, fabric, and other items for learning vertical mattress sutures were still there.
With nothing else to do, he immediately started learning how to tie surgical knots.
It must be mentioned, many medical students habitually use their fingers to pinch the sutures during knotting practice. After mastering the technique, they must attempt to tie knots using toothed tweezers and needle holders.
Because during sutures, even with gloves on, hands should not touch the wound.
If a resident training student finally gets an opportunity to suture skin, and dares to directly turn over the patient's wound with their hand, the senior doctor would quickly teach this trainee how to do things properly.
During suturing, when the needle needs to pass through the inner side of the skin edge, the correct method is to hold the needle holder with the right hand and the toothed tweezers in the left hand to lift the wound.
Avoid flipping the wound directly with the hand.
…
Time was flying by.
Li Jingsheng was diligently practicing surgical knotting, while Tang Ping stood by watching for a while before moving away.
No patients came to visit, making her somewhat worried.
If the clinic doesn't make money, her salary surely can't be paid.
Glancing stealthily at the boss, practicing surgical knotting intently with a rag.
How great it would be if the clinic's business could improve even slightly!