Practicing Medical Skills in a Small Clinic

Chapter 487 - 229: High-Difficulty Separation, Heartwarming Moment (Part 2)

When encountering problems, don’t panic; handle them calmly.

"Now watch my hemostasis steps carefully. Stuff gauze between the muscle and the bone surface tightly, or it won’t effectively stop the bleeding."

As Director Hua forcefully stuffed the gauze in, the bleeding quickly stopped.

The principle here is compression hemostasis.

Li Jingsheng has already mastered compression hemostasis, although the level isn’t high.

Standing next to him and learning at the moment, he gained quite a lot.

"Director Hu, please remove the spinous process!"

For some highly risky surgical steps that are difficult for novice doctors to grasp, Director Hua wouldn’t easily let his subordinate doctors take risks.

Because with some surgical steps there are opportunities for trial-and-error, while others do not.

Once something goes wrong, it immediately becomes a surgical accident with no chance of recovery.

After the removal of the spinous process, the laminectomy allows Li Jingsheng to learn alongside, receiving some meticulous guidance and explanation.

Only excellent orthopedic surgeons participated in this surgery.

It can be considered as integrating the cutting-edge power of orthopedics.

But it’s limited to the levels of Deputy Director and Attending Physician.

As for residents, among those present, only Li Jingsheng had this honor to be on stage.

Other senior residents could only observe and learn from below the operating table.

...

The surgery ended, and it was already past six-forty in the evening.

Li Jingsheng gained unexpectedly from this surgery, especially with the extradural exploration and intradural exploration after laminectomy, deepening his understanding of vertebrae.

Many practical knowledge cannot be learned from books.

Because understanding text is definitely not as clear as seeing, touching, or even participating.

Human language has evolved for at least thousands of years, yet many things remain difficult to fully express through language.

Practical experience with teaching is the best way to improve surgical skills.

During this surgery, he snatched an extremely important suturing opportunity.

After the laminectomy, the dura mater was also cut open.

After the surgery, the dura mater needed suturing, and Li Jingsheng successfully took the task.

He used continuous suturing.

Because he earned quite a lot of vitality points during the surgery, after taking the suturing task, he immediately advanced the continuous suture to Minor Achievement level without hesitation.

As a result, after finishing the suturing, he unexpectedly received a reward of 500 vitality points.

Although the highest vitality reward he received before was one thousand, getting a reward of five hundred points still made him feel very excited and happy.

There are so many medical skills he needs to improve.

The reef knot, surgical knot, slip knot are now a bit behind the surgical tasks Li Jingsheng can take on.

Now he only has two things to do: work hard to earn money, earn vitality points, and then upgrade medical skills.

Strive to master surgical techniques as soon as possible.

"Jingsheng, I see your suturing skill is quite good. There is another surgery at around half-past seven that requires tendon, vessel, and nerve anastomosis. Would you like to participate?"

Director Hua is eager to foster talent, seeing Li Jingsheng perform so excellently, he can’t help but want to develop him further.

"Sure! I’ll eat first, go to the bathroom, and then come to the operating room to find you."

Li Jingsheng readily agreed.

Anastomosis is a high-level surgical technique he has long wanted to master.

But previously his suturing skills and knotting were very poor, unable to even sew layers properly, not to mention anastomosis.

Now the conditions seem mature.

Furthermore, having just earned a 500-point vitality reward, he can upgrade the corresponding suturing or knotting skills if necessary.

He estimates he needs to upgrade knotting skills.

Besides high suturing requirements, anastomosis demands high knotting skills.

For instance, anastomosing vessels, if the knotting is not firm, could lead to internal bleeding upon perfusion or thrombosis, which could easily result in patient death.

Therefore, superior knotting skills are crucial.

He has currently mastered the reef knot, slip knot, and surgical knot, which are enough.

The only need is to increase the proficiency of these skills. Skills at mere proficiency or Master Level are still somewhat lacking.

"The surgery isn’t taking place here; it’s at General Surgery’s fifth laminar flow operating room. It’s a joint surgery of two departments, follow along to gain insight and snatch an anastomosis training opportunity; it should be very good."

Many patients in the surgical department need orthopedic surgeons for joint surgery.

For instance, an open chest procedure invites orthopedic surgeons to saw open the sternum or ribs.

Director Hua observed Li Jingsheng displaying strong surgical capabilities before deciding to take him along to gain insight.

Otherwise, he wouldn’t dare to easily involve him.

Or else easily ridiculed by other department doctors.

General Surgery is considered a versatile department.

It basically involves opening abdomen, reattaching severed limbs, removing tumors... almost anything.

Including proctology as a sub-department of General Surgery.

In fact, in many smaller hospitals, hemorrhoidectomy and anal fissure repair are directly handled by General Surgery without specialized sub-departments.

Emerging from the operating room, Li Jingsheng finally had a chance to check his phone.

He was a bit worried about Ou Qinglan looking for him for their shift together.

However, she should know that Li Jingsheng was in the operating room, as Hu Jia invited him while she was in the office.

Upon checking his phone, Ou Qinglan had sent him a message.

"Waiting for you in the hospital canteen."

His heart warmed.

He immediately called her while briskly walking towards the hospital canteen.

It was rather late now, the canteen was probably almost closed.

"Finished with surgery?"

Her gentle voice came through.

"Yes, just came out of the operating room. Where are you?"

"I’m waiting for you in the canteen! I asked the canteen auntie to prepare your favorite fried pork in a box, it’s still warm, come quickly."

"Okay!"

After hanging up the phone, Li Jingsheng felt both touched and warm.

Having a girlfriend felt wonderful.

Regarding care and consideration, Ou Qinglan was impeccable. This feeling is something Li Jingsheng never experienced with his ex-girlfriend.

Perhaps every woman is different.

Comparatively, Ou Qinglan is very selfless in love, with Li Jingsheng occupying her mind and eyes.

While the ex-girlfriend seemed much more selfish, primarily Li Jingsheng caring for and protecting her.

This also makes Li Jingsheng willing to cherish this love dearly.

He sprinted all the way to the canteen, and upon seeing Ou Qinglan, he felt indistinct mixed emotions.

Anyway, it was very warm.

The canteen was already quite empty; Ou Qinglan was sitting there playing with her phone.

"Qinglan!"

"Our Dr. Li is finally off duty! Let me fetch your meal. Had it not been reserved early, it would’ve been snatched by others."

Ou Qinglan smiled, stood up, and walked towards the window.

"Auntie, could you please give me my meal?"

The canteen auntie retrieved it from the warming cabinet and handed it over.

Then glanced at Li Jingsheng.

"Young man, your girlfriend really cares for you. She only ate two vegetarian dishes herself but prepared this much fried pork for you, along with cucumber and hot dog. She specially asked me to keep it warm for fear it would turn cold. Cherish such a girl well, don’t hurt her feelings."

The canteen auntie said with a smile to Li Jingsheng.

"Okay, I’ll cherish her well."

Li Jingsheng couldn’t describe what he was feeling, truly wanting to hold her tightly and make the moment eternal.

This silly girl.