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Now reading: Chapter 25: Skin Incision Technique from Practicing Medical Skills in a Small Clinic, a Fantasy novel by Fisherman by the River.

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 debrident technique.

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

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

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

Diagnostics can be highly advanced and identify the cause, but if dication 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 debrident is done poorly, even if the chief physician performs the suturing in person, it’s worthless.

Superficial debrident technique proficiency 10.1/100.

This hits the mark. With proficient-level debrident, 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 debrident to proficient level has many advantages, such as dealing with contaminated wounds, blunt injuries, jagged wounds, and wounds on the abdon and spine. These can mostly be managed.

Typically, contaminated wounds are very troubleso to manage.

Now he can handle Class II and III wounds.

But still, it’s only proficient-level superficial debrident, unable to handle so high-risk areas or complicated wounds.

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

Really spends ’money’ like water!

He did not stop the crazy upgrading montum.

Gastroenterology entry-level 9.7/10.

This diagnostic skill is quite important. Patients visiting a small clinic typically have common minor ailnts 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.

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 imnse.

Seeing each dical skill rapidly improve fills him with an indescribable sense of fulfillnt.

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

Previously, when patients with stomach pain ca for a consultation, the approach was often just the three-fisted thods: advising regular als, prescribing common stomach dications 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 treatnt.

This sort of tarnishes the reputation.

Patients may remain silent, but internally they’ll definitely curse, "Damn, this clinic’s dical skills are trash. Gave so many dicines 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 ti when I had a stomach ache, treated there for seven or eight days without improvent, 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 dicine 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 dical skills in one go, he plans to observe and adapt as needed.

The greatest desire is to advance diagnostics and drug efficacy for Pulmonary dicine, 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 requirents.

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 sowhat 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 fundantal 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 ti to climb upward.

The first piece of pork quickly turns into a ss, 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 dicine 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 rely 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 resus 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 improvents, his incisions beco 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 dical skill on it.

Skin incision technique entry-level 0/10.

Learning another extrely important surgical skill fills him with great excitent. Life seems promising.

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