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Practicing Medical Skills in a Small Clinic-Chapter 247 - 149: These 300 Were Well Spent, Local Anesthesia with Epinephrine_2
Out of caution, he felt the bone again and conducted an examination.
The displaced bone had returned to its original position, and the fracture line had closed, almost undetectable.
A splint was applied to the patient, and after verifying correctness, this business can be considered done.
"How do you feel?"
The man impatiently asked his wife, his concerned voice and expression made the female patient feel appreciated.
"It was particularly painful when it was just repositioned, but now I feel much better. Before treatment, whenever I let my arm hang like this or like that, I would feel waves of pain."
"How about now?"
"Of course, it doesn’t hurt now!"
The woman said with a smile.
"It was so painful before the treatment, why didn’t you tell me sooner?"
Upon hearing that his wife endured pain for so many days, the man felt a bit distressed.
"I asked several people, and they all said treatment at a big hospital would cost two or three thousand. I thought our family didn’t... have money! I didn’t expect that here it only cost four hundred bucks to get treated. If I had come earlier, I’d definitely be almost fine by now."
She repeatedly examined her cured right hand, tried moving it, and showed a delighted expression on her face.
The worry between her brows had disappeared.
"Thinking about it, we were really lucky. I saw Sunshine Clinic hang up a new Bone Setting sign this morning. When I asked, I knew they could mostly treat it. Hehe, spending three hundred bucks was totally worth it. Doctor, we’re leaving!"
"Take care, you two! Remember not to use your right hand for lifting heavy objects, or doing any strenuous exercise, and come back for a review in about a month. Don’t worry, there’s no charge for the review. Once I confirm everything’s fine, I’ll help you remove the splint."
Li Jingsheng additionally explained some precautions.
Watching the couple happily leave, Li Jingsheng felt very glad himself.
Isn’t studying medicine meant to help relieve people’s ailments?
If it required two or three thousand bucks, the woman certainly wouldn’t go for treatment. Now, with just four hundred bucks, she’s been cured, making everyone happy.
Even though Li Jingsheng earned a little less, he was very willing.
When encountering patients in real hardship, he is willing to lend a hand, even if it doesn’t bring profit.
However, doing charity work—where neither this nor that makes money—would definitely be unfeasible.
Proper and reasonable charges, he established as a guideline since opening the clinic.
The woman with a highly swollen face had finished her call long ago.
She seemed hesitant about whether or not to receive treatment here.
Seeing that the female patient with wrist fractures and dislocations was quickly treated, her confidence in Sunshine Clinic immediately increased significantly.
"Dr. Li, my husband agreed to let me receive treatment here. Can it be done now?"
"Yes!"
Li Jingsheng answered simply and forcefully.
A doctor must have confidence.
"Although it’s just a minor surgery, since it’s on the head and face, let me talk to you about the surgical plan first. The first option is to cut from inside the mouth, separate the abscess for drainage, during which you won’t be able to eat. The advantage is that it won’t leave surgical scars on the face. The second option is to cut from this location on the face, also requiring separation of the abscess for drainage. You can eat normally, and post-operative recovery will be faster, though it will leave surgical scars on the face..."
"No need to consider, I choose the first option."
The woman answered very straightforwardly.
She didn’t even wait for Li Jingsheng to finish speaking before choosing the first option.
"Alright then, I’ll get you a surgical risk notification form, please sign it. Did you bring your ID card? Register with me."
Even if a clinic performs minor surgeries, as long as it’s not a black clinic, registration is definitely required.
In fact, the nature of a clinic is similar to a hospital’s outpatient department.
Any surgery carries risks, even first-degree ones require signing a risk notification form.
Once everything was arranged, the patient was taken to the treatment room.
Fortunately, Sunshine Clinic now has three people; he and Tang Ping performed the surgery, while Xiaogao handled medication sales, welcoming other customers and patients outside.
Currently, there were some people buying medication.
Intermittently, people left after purchasing while new customers came in.
These people could now be completely greeted by Xiaogao alone.
...
Inside the treatment room, Tang Ping had already laid out sheets and completed disinfection.
Though unable to achieve the sterile level of a laminar flow operating room, temporarily ensuring the surgical environment in the treatment room met general surgery standards was necessary for surgical safety.
Even in big hospitals, many outpatient operating rooms don’t meet sterile conditions.
Similar to Li Jingsheng’s treatment room, at most, they have slightly more complete equipment in various aspects.
For instance, if a patient’s heart stops suddenly, appropriate rescue can be performed immediately.
"I’ll prepare the local anesthesia!"
Li Jingsheng said to Tang Ping.
"Okay!"
She didn’t know what the boss had planned.
She only saw Li Jingsheng taking a syringeful of adrenaline to mix in a small amount with the local anesthetic.
Tang Ping’s eyes brightened slightly, but she also looked at the boss surprised.
"Your medication skill seems to have improved again!"
She was genuinely admiring Li Jingsheng at that moment.
"Mainly because I’m cutting inside her mouth; mixing in adrenaline can reduce bleeding."
Li Jingsheng’s pharmacological and pharmacokinetic level had enhanced to Minor Achievement level, a real high-attending level in medication skills.
He was indeed more impressive than before now.
In the clinic, whether prescribing medication for patients or administering surgical medication, he could now tailor medication precisely as he wished.
And there were multiple medication choices available.
In terms of combined medicine use, he had also recently entered the threshold of mastery, making flexible application possible.







