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Chapter 25 - Chapter 25: Skin Incision Technique

After successfully upgrading the sliding knot, he had used up a total of 10 life points, with 102 points left.

He gritted his teeth, deciding to also upgrade the superficial debridement technique.

This surgical skill is widely applicable, needed in treatment for various accidental injuries, including bites from dogs, cats, snakes, and more.

No matter how good the suturing skill is, if debridement is weak, it's all for naught.

Just like diagnostic skills and pharmaceutical skills rely on each other. Poor diagnostic skills mean the underlying cause of the disease is unclear, making medication ineffective.

Diagnostics can be highly advanced and identify the cause, but if medication skills are poor, it's just as hard to treat the patient's condition.

Diagnostics are akin to eyes, while pharmaceuticals are weapons. You identify the enemy first and then eliminate it with weapons.

The two are interdependent; neither can be lacking.

If debridement is done poorly, even if the chief physician performs the suturing in person, it's worthless.

Superficial debridement technique proficiency 10.1/100.

This hits the mark. With proficient-level debridement, he can easily handle superficial wounds. Combined with three proficient-level suturing skills, unless it's critical areas like the face, neck, or female breasts, he can handle the suturing.

Upgrading superficial debridement to proficient level has many advantages, such as dealing with contaminated wounds, blunt injuries, jagged wounds, and wounds on the abdomen and spine. These can mostly be managed.

Typically, contaminated wounds are very troublesome to manage.

Now he can handle Class II and III wounds.

But still, it's only proficient-level superficial debridement, unable to handle some high-risk areas or complicated wounds.

After upgrading the superficial debridement technique, his life points were down to just 92 points.

Really spends 'money' like water!

He did not stop the crazy upgrading momentum.

Gastroenterology entry-level 9.7/10.

This diagnostic skill is quite important. Patients visiting a small clinic typically have common minor ailments like colds, fevers, diarrhea, bloating, stomach aches, and constipation.

Gastroenterology falls under the diagnosis of diseases in the digestive system.

Upgrading it to proficient level can substantially enhance his diagnostic capability in the field of gastrointestinal diseases.

And it only costs 1 life point to upgrade it to proficient level.

20 life points have already been spent, so he doesn't mind this 1 point.

Li Jingsheng decisively upgraded it to proficient level.

Gastroenterology proficiency 10.7/100.

Spending 'money' is satisfying.

A slight heartache, yet full of rewards.

Spending brings desired 'services,' and this bittersweet feeling is irresistible for everyone.

Just look around—what adult isn't working hard to earn money?

Work may be tough, but buying desired items or services after earning money is enough to keep us tirelessly working day after day.

Life points may be difficult to earn, but the benefits they bring are immense.

Seeing each medical skill rapidly improve fills him with an indescribable sense of fulfillment.

After advancing gastroenterology diagnostics to proficient level, he pleasantly discovers significant enhancements in diagnosing digestive system diseases, pathological analysis, and comprehensive prediction abilities.

Previously, when patients with stomach pain came for a consultation, the approach was often just the three-fisted methods: advising regular meals, prescribing common stomach medications like Weishu Ping, and if still ineffective, resorting to anti-inflammatory infusions.

If these three strategies still don't work, then the patient can only be referred to a large hospital for treatment.

This sort of tarnishes the reputation.

Patients may remain silent, but internally they'll definitely curse, "Damn, this clinic's medical skills are trash. Gave me so many medicines and injections, yet the condition doesn't get better, a scam. I'm never coming back."

Furthermore, they spread the word to neighbors and acquaintances, advising them never to visit Sunshine Clinic, branding it as a scam clinic, fatal without responsibility.

Last time when I had a stomach ache, treated there for seven or eight days without improvement, yet spent a lot of money.

Now, with Li Jingsheng's gastroenterology diagnostic skills at proficient level, he can significantly reduce misdiagnosis rates.

He can better diagnose conditions like abdominal pain, constipation, and fecal occult blood.

Life points are down to just 91 points.

He wants to upgrade diagnostics for General Surgery and Cardiovascular Medicine as well.

But ultimately he suppressed this impulse.

Impulse buyers often regret after purchasing.

He hopes to keep more life points in reserve for peace of mind.

Because no one can predict what disease a patient will present with next.

Upgrading multiple medical skills in one go, he plans to observe and adapt as needed.

The greatest desire is to advance diagnostics and drug efficacy for Pulmonary Medicine, but unfortunately these require considerable life points to upgrade. Success is also uncertain.

Getting stuck while upgrading the ligature hemostasis skill proves that even with cheat codes, there's no unlimited upgrading.

Besides requiring enough life points, there are additional requirements.

For instance, to upgrade ligature hemostasis from entry-level to proficient, the sliding, square, and surgical knots must all be proficient level. Missing even one won't do.

Diagnostic and pharmaceutical skills are closely tied to the physician's level.

He's somewhat concerned about being limited by physician levels, spending lots of life points yet unable to upgrade.

Then it would really be screwed.

After careful consideration, he decides to wait.

The pieces of pigskin for practicing suturing and incisions are still there.

Better hurry up and use them.

Already past eleven at night, he locks up the clinic's shutters, allowing focused practice without worrying about disturbances.

Under the light, he continues practicing the cortical incision technique.

This is the most fundamental type within the incision techniques.

Under suitable conditions, usually, the skin area requiring incision is held taut, then cutting through each layer along pre-drawn lines.

As for other more advanced incision techniques, they're much harder, and since he hasn't even learned to walk, it's naturally impossible to leap to running.

Anything takes one step at a time to climb upward.

The first piece of pork quickly turns into a mess, riddled with holes. Unfortunately, his talent in incision surgery isn't great, even after exhausting one entire pork piece, hasn't reached entry-level yet.

Putting down the scalpel, he goes to the restroom, drinks a glass of water, and stretches a bit.

The wall clock approaches midnight.

According to traditional Chinese medicine health principles, it is necessary to sleep by eleven to allow the body's organs to repair.

Scientific research supports this, proving it's more than hearsay, but has scientific basis.

"Rise with the sun, sleep with sunset" is a routine developed through millions of years of human evolution. The dark, silent night not only helps humans quickly fall asleep but also allows organ detoxification, immunity restoration, exhaustion recuperation, and brain rest.

Research shows that those with prolonged poor sleep quality are more susceptible to illness.

Staying up late is even a leading factor inducing cancer and severe diseases.

Being a professional doctor, he understands the harm of sleep deprivation.

But merely over two months remain before the clinic's lease expires. Without an earnest effort, he truly turns into a lazy fish.

Returning to his desk, he resumes practicing the cortical incision technique.

Using his right hand to hold the scalpel, his left thumb and forefinger separate and fix the upper and lower ends of the incision. This tightens the skin on both sides of the incision.

This fixation work should actually be done by an assistant.

Having owed the nurse months of wages, hiring an assistant is purely wishful thinking.

Trying to ensure the scalpel remains perpendicular to the skin surface, then slightly exerting pressure slides across the cortex.

As a novice, he's prone to errors like multiple incisions.

Also, letting the skin move with the knife, which is a major taboo.

Through repeated practice, absorbing lessons and making improvements, his incisions become increasingly precise.

The depth, incision lines, skin margin layers—each aspect has reached a fairly standard level.

He senses an indication in his heart; he has reached entry-level.

Calling out the attribute panel, indeed, discovers an additional medical skill on it.

Skin incision technique entry-level 0/10.

Learning another extremely important surgical skill fills him with great excitement. Life seems promising.

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