Practicing Medical Skills in a Small Clinic

Chapter 561: Chapter 257: Skin Grafting, Promotion to Associate Chief Physician

Collected the money, registered according to regulations, and filled out the surgery risk notification for the patient and family to sign.

Li Jingsheng arranged the surgery on the spot.

There weren’t any additional requirements before the surgery, just needed to shave the beard and brush the teeth clean.

Collected two thousand yuan, and the disposable toothpaste and toothbrush were provided by the clinic.

Service is definitely something that needs to be done well.

Watched the young man enter the operating room as his stepfather followed closely.

"Please take care!"

He said only one sentence to Li Jingsheng, with earnestness in his eyes.

"I will, rest assured, both you and Auntie can relax and wait outside."

Li Jingsheng deliberately placed a row of long benches outside the operating room, which can seat six people in total.

Because it’s an outpatient surgery, sterile management is relatively more relaxed.

Unlike the inpatient department’s operating room, where management is stricter, typically requiring patients to bathe and change clothes, and then be pushed in by doctors or nurses.

Now, they generally just prepare and let family members push the patient to the designated operating room door to wait.

When it’s time to queue, medical personnel will take the patient into the operating room.

Some surgeries require patients not to wear clothes, which is usually handled in the pre-anesthesia room with nurse assistance.

Especially for female patients.

Sometimes, encountering a few lazy interns, they request the patient to remove clothes outside and cover them with a sheet to push them in.

Many female patients find this hard to accept.

Actually, it can be refused.

Many believe the operating room is sterile, which is not correct.

Even the best Class 100 laminar flow operating room cannot achieve absolute sterility.

Only relative cleanliness is attainable.

Li Jingsheng’s clinic now has a dedicated operating room, with thorough sterilization before each surgery; operations are strictly executed according to norms during the surgical processes.

Conducting this surgery entirely meets the requirements.

"Boss, what position should he be in?"

"Supine position!"

Li Jingsheng took only two people for this surgery; one was Siying, serving as his medical assistant.

The other was Meng Luo, the dedicated surgical nurse.

"Will local anesthesia do?"

"Absolutely!"

Li Jingsheng had already put on gloves and changed into surgical attire.

His clinic’s operating room has no pre-anesthesia room but does have a dressing room.

Anyway, that’s how it works.

If he wants to build it better, he must wait until he earns more money. At the very least, he should buy this yard before considering.

Otherwise, when the lease ends, if they ask him to move out, wouldn’t the operating room renovation be in vain?

Renovating an operating room to high standards is not cheap.

The minimum is 500 yuan/square meter, and the expensive ones are beyond imagination.

The Second Hospital’s two laminar flow operating rooms were built gritting one’s teeth.

Imagining a clinic owner building such operating rooms, is it feasible?

After placing the patient in a supine position, began draping and then performed local anesthesia.

Meng Luo handled these tasks.

Leaving her behind was a particularly wise decision by Li Jingsheng.

For this surgery, when it’s a child, general anesthesia is often necessary.

His clinic cannot perform such surgeries.

For adults, local anesthesia suffices.

"Siying, open his mouth."

Li Jingsheng couldn’t help but recall performing a cheek abscess surgery on a female patient in the past, where Tang Ping served both as nurse and medical assistant.

Back then, the clinic was just starting, and everything was difficult.

Equipment was extremely simple.

Now, compared to those times, everything is much better.

With the hook opening the patient’s oral cavity, the submucosal mass could be clearly seen.

"Hold the opening. Meng Luo, pass me the scalpel."

Meng Luo handed the scalpel to Li Jingsheng.

He chose to start cutting at a position about two to three millimeters from the lesion, slicing open the mucosa.

The Great Success Level incision method allowed him to easily grasp the depth of the cut.

Just cut as deep as desired.

However, when it comes to incisions or separations within a precision of millimeters, precise control is still difficult for him.

Because the difficulty is so high.

A higher level is presumed necessary to handle it.

Currently, he is a senior attending physician, needing over two thousand more experience points to level up.

Advancing from attending to associate senior level is really difficult.

But lately, he’s been diligently accumulating life points, preparing to level up before the skill competition.

At least reaching associate senior level is a must for attention.

By then, all the experts from various hospitals will be present, and the stronger he is, the easier it is to bring glory to the Second Hospital.

Last week, Director Zhong Hu privately approached him, wishing to recruit him as a medical assistant.

Because Director Zhong Hu was really in a pitiful state, without a single capable assistant.

This is why Professor Wu poked at this sore point, which immediately led to Director Zhong Hu angrily rolling up his sleeves, ready to fight.

Everyone has their pains and weaknesses.

Being publicly embarrassed, it’s normal to be furious.

After carefully slicing open the patient’s diseased oral mucosa, Li Jingsheng discovered the lesion extended to the parotid duct opening.

Promptly, carefully sliced around the duct opening.

Luckily, his sharp separation and incision skills were very adept now, otherwise, chances were good this surgery would fail.

If after the surgery, this street-smart young man started drooling daily, perhaps it would directly ruin his clinic.

Upon meticulous examination, no erythema was found.

The likelihood of being benign is high.

Clinically, if erythema is found at the lesion site, it’s usually treated as malignant.

It requires extending the incision, with the excised area at least 5 millimeters larger than the lesion.