Practicing Medical Skills in a Small Clinic

Although it didn’t work out in the end, I still want to thank Old Yu for his help.

"Such a trivial matter, no need to thank! It’s just that the person’s fate was sealed; we even made preparations to save him, yet he insisted on being transferred to another hospital."

Old Yu’s tone was casual and indifferent.

Not caring about the help he had provided.

"Wow, I didn’t realize you two were quite familiar! Has the anesthesia kicked in?"

Director Zhang was the chief surgeon, managing the whole operation.

Old Yu checked the monitoring instruments, then examined the patient’s condition, even flipping the patient’s eyelids to check the pupils.

"You can start working now."

With the anesthesiologist’s permission, the medical staff immediately began their tasks.

You could tell this was a highly skilled team with excellent coordination.

Even their positions were silently arranged.

"The patient underwent a comprehensive preoperative examination, and my assessment of his surgical tolerance is favorable. The surgery plan has been reviewed by Dr. Li. Young man, do you have the confidence to come and open his chest?"

Director Zhang’s words startled all the medical staff present.

"Director, are you seriously considering letting him take charge?"

Only the first assistant dared to express some dissent.

Other doctors were worried but dared not easily oppose Director Zhang’s decision.

In the operating room, when the chief surgeon gets angry, even the bold circulating nurse must behave cautiously.

"If it’s not real, would it be a joke?"

Director Zhang glanced at the first assistant.

The first assistant, over forty, was instantly intimidated by this powerful gaze.

"Director Zhang, I think this is a bit risky! He’s still so young and just a newly promoted orthopedic attending physician; it’s hard to say whether he has enough surgical experience. The risk of opening the chest is very high by itself, we should be more cautious for safety’s sake."

The circulating nurse voiced her concerns.

As her duty, any issue that might impact surgical safety must be raised.

Possibly worried that her words would not carry enough weight, given that Director Zhang is not only the academic leader in cardiothoracic surgery but also the department head, with dual positions pressuring like a mountain.

"Dr. Yu, you are the safety leader here. You can’t agree to this!"

Doctors and nurses who manage to survive and do well in the hospital have exceptionally strong communication skills and emotional intelligence.

She also pulled Dr. Yu into the conversation.

Placing the safety responsibility onto Dr. Yu.

If Old Yu could persuade Director Zhang, it would immediately stop this reckless behavior.

Unexpectedly, Old Yu didn’t even lift his head, saying "As long as Li Jingsheng dares to agree, it means he’s confident. You and I don’t need to worry unnecessarily; just focus on your respective duties."

The circulating nurse was instantly overwhelmed.

Trying to pull an ally to speak up, but instead, it backfired.

"Thanks to Director Zhang for giving me this training opportunity. Although opening the chest carries certain risks, simply opening the chest cavity, I believe I can manage. If there’s any inappropriate operation, all the mentors can stop or correct me promptly."

Li Jingsheng had a hard time joining such an important surgery; if there’s a chance, he absolutely needs to grasp it.

Risk?

If it’s just technical risk, it barely exists for him.

Only one or two people present might reach the refined level of incision technique.

There might even be none.

"Did you hear that? He said he could manage. We need to give young people more opportunities; that’s how we ensure the future."

Director Zhang immediately made the decision.

"Xiaoli, don’t just stand there, surgery is a race against time. Hurry up! I believe you won’t mess it up!"

Li Jingsheng no longer hesitated; he performed hand hygiene, put on gloves, wore a sterile gown, and stood on the stage.

And stood at the chief surgeon’s position.

"But this, this is too risky!"

Both the circulating nurse and the first assistant were filled with worry.

If anything goes wrong, more than just Director Zhang will be accountable.

"What are you worried about? Really think Old Zhang is muddled? Li Jingsheng’s incision skills displayed in the competition have been privately praised by the judges. Just rest assured!"

Old Yu saw the circulating nurse was as anxious as an ant on a hot pan, a look of imminent disaster, and felt some pity.

Immediately spoke out the truth.

Not everyone can receive such acclaim from the judges.

"We really didn’t know this! Let’s just watch for now!" The circulating nurse’s expression softened considerably.

There is information they couldn’t access, so naturally they didn’t know Li Jingsheng’s level.

"Let’s use the traditional scalpel!"

Li Jingsheng still preferred cold weapons.

However, when cutting the epidermis, no doctor would use an electric knife. Because it causes cauterization and hemostasis, essentially at the cost of burning small blood vessels.

This is detrimental to wound healing.

It might even cause tissue necrosis.

Li Jingsheng’s intention was actually to hint to the instrument nurse to use the scalpel throughout as much as possible.

Because it was also their first collaboration.

The incision line was already marked.

A dotted line, on the posterior lateral right chest.

As surgical experience becomes richer, techniques more refined and diversified, flexible, the large opening and cutting methods are no longer popular.

Arbitrarily sawing open the sternum, breaking ribs or making a forty-plus centimeter incision on the leg, these outdated surgical methods have long been replaced by more advanced procedures.

The purpose of surgery is not to obtain the largest surgical field, nor to make a grand show, but to remove the lesion and solve the problem.