Practicing Medical Skills in a Small Clinic

Chapter 552: Chapter 252: Finally Open for Business, This Patient Can’t Be Accepted (Part 3)

This is a very bad situation.

Although it looks like a benign tumor, it’s hard to remove completely due to unclear boundaries.

This can easily recur.

About forty minutes later, the entire mass was successfully removed by Li Jingsheng.

The surgical process was thrilling yet safe, and went smoothly.

Now, there is an air conditioner specially used for the operating room, with constant temperature and humidity, which is very beneficial for both the surgeon and the patient.

Sweating is basically avoided.

If it were a cold winter, it would be even more necessary.

Otherwise, with temperatures below zero, the doctor would be shivering, and a shaky cut could go anywhere!

The patient might be so scared by the doctor’s shaking that they would run away on the spot.

Aside from the comfortable temperature and humidity brought by the air conditioner, the real-time monitoring of vital signs by the life monitor also allowed Li Jingsheng and Meng Luo to grasp changes in the patient’s condition during the surgery.

The bleeding control by the Electric Coagulation Knife speaks for itself.

For stopping bleeding in small blood vessels, it’s practically a magic tool.

Also, these surgical tools are extremely useful, not to mention the special pair of glasses. Combined with the headlamp, they make it easy to spot many details.

Not just blood vessels and nerves.

In anatomical illustrations, blood vessels are generally marked in red, and veins are sometimes marked in blue.

Nerves are marked in yellow.

But in actual surgery, these cannot be marked, so the surgeon has to judge and discover them on their own.

Especially nerves, which like to mingle beside blood vessels or within subcutaneous tissues.

Carelessly cutting them could be disastrous.

A slight mistake, and the patient’s hand function could be lost.

With all this equipment, Li Jingsheng was able to carry out the surgery very smoothly.

It’s worth praising that Meng Luo’s cooperation was first-class.

There was no need for Li Jingsheng to remind him; most of the time, he knew what tool Li Jingsheng needed next.

After removing the mass cleanly, he performed a secondary debridement on the patient and began suturing.

More than ten minutes later, the suturing was completed.

Upon examining the wound and finding no issues, it was then disinfected.

The patient’s right upper arm could be seen shrinking.

However, because the surgery was just completed, a certain amount of local hematoma was present. This is a normal phenomenon and will recover in a day or two.

"Dr. Li, such a big tumor, it isn’t something bad, is it?"

After the surgery, the patient was helped to sit up by Li Jingsheng and Han Siying from both sides.

Due to long-term exercise, the patient’s body was quite robust.

Post-operative mental status, physical mobility, and all other aspects were good.

"I feel it should be a benign tumor. But its boundary was very vague, making the surgery difficult. To be safe, I removed some normal tissue as well. You see, these tissues are all normal."

Li Jingsheng pointed to show the patient.

"Haha, well done. Choosing you for this surgery was definitely the right decision. Cutting a bit more is a thousand times better than not cutting cleanly."

After checking, the patient laughed in satisfaction.

"These areas were easy to handle, so I removed some extra normal tissue. But there were places that were difficult, like the ulnar nerve, which was almost closely adhered to the tumor. If I had to cut it, your arm would basically be useless. Although I made my best effort to help you clean it, it’s still necessary to be cautious of recurrence. The safest way is to check once every three months after the surgery."

Li Jingsheng gained a lot from this surgery.

Not just the 2,500 treatment fee, but also an enhancement in life value and surgical skills.

The only hope now is for the patient not to relapse.

"Alright!"

The patient readily agreed.

"These days, don’t let the wound get wet, and it’s best not to use too much strength with your left arm. Then come over for three days of infusion. You can finish the infusion today before leaving; after such a big surgery, preventing infection and inflammation is necessary."

Li Jingsheng’s operating room can’t maintain a sterile environment.

Nor is it necessary.

The cost is too high.

He only performs these small surgeries.

He doesn’t dare take on surgeries with overly stringent environmental requirements.

"Since you’ve already cut it out, I’ll definitely listen to you! Whatever you say, I’ll do it."

The patient was very cooperative.

"With your attitude, I’m relieved. To be honest, I was worried that you’d educate yourself on the internet and then not listen to me, instead relying on online advice. I’ll send this tumor to the hospital for a pathological test, and I need you to provide a copy of your ID."

"No problem!"

"Siying, take him to the infusion room to rest for a while. I’ll write a prescription for him here."

"Okay!"

Han Siying led the patient out.

Li Jingsheng saw that Meng Luo was carefully checking the quantity of instruments and consumables, showing an excellent work attitude.

"Teacher Meng, I’ll leave this to you. You know where the instrument sterilization is, right?"

"It’s the composite sterilization cabinet you bought the other day! I’ve used it before!"

It has ultrasonic cleaning and high-temperature sterilization functions.

Extremely convenient.

According to Li Jingsheng’s thinking, he originally wanted to take down the operating room’s door.

But having just the door is useless.

Better to develop slowly, and when the surgical business picks up, consider building an advanced operating room!

The purpose of opening a clinic is to make money.

That’s for sure.

Now after spending nearly ninety thousand yuan, he upgraded the hardware of the operating room, which is sufficient for the time being.

If he can perform ten surgeries of this grade a month, he’ll be laughing.

He prescribed medication for the patient, letting Tang Ping administer the infusion.

After finishing his work, Li Jingsheng checked Dr. Shao’s cases, which were handled in a standard manner.

"Dr. Li, I’m not good with these two cases, and I need you to diagnose them personally."

"No problem, bring them over!"

Li Jingsheng took over Dr. Shao’s work.

"Where do you feel uncomfortable?"

The person sitting over was an old man, accompanied by his children, appearing at least over eighty.

His back was severely hunched.

"Cough, cough, cough..."

Before the patient spoke, he started coughing violently.

Li Jingsheng faintly noticed blood in the patient’s sputum.

Instinctively, he stepped back a bit.

In clinical practice, one must be cautious of infectious diseases.