From small clinic to medical empire

Chapter 6 Generous Rewards

The operation is still going on.

"Contra-angle mobile phone, lengthen the needle!" Zhang Zifan said to Shi Xiaoya without raising his head while separating the valve.

Compared with Liu Jianming, Shi Xiaoya's four-hand operation skill is D-. After experiencing the initial unfamiliarity, she immediately cooperated with Zhang Zifan and handed over the equipment he wanted in time.

In many people's minds, wisdom teeth extraction seems to be associated with hammers and hammers. In fact, this is a technology that has long been eliminated.

Leaving aside how many unnecessary injuries and brain concussions would be caused by using chisels and chisels, just talking about the current situation, chisels and chisels are useless at all.

According to CT, the buried impacted teeth are located at the level of the outer oblique line of the mandibular angle, and the position is extremely deep. If the bone chisel is used to hammer violently, the little girl's mandible must be broken before the teeth are exposed.

Therefore, Zhang Zifan chose the method of directional bone removal to expose the affected teeth.

Theoretically, using an ultrasonic bone knife can further reduce the damage of bone removal, but an ordinary ultrasonic bone knife costs 10,000+ yuan. Obviously, Zhang Zifan's cheap uncle is not willing to buy it.

However, a similar effect can also be achieved with a ball bur.

The ball-shaped bur is installed on the contra-angle handpiece, and the speed of up to 40 times per minute makes it easy to cut through the dense cortical bone, but too high speed will also bring high temperature, which may burn healthy bone cells.

Therefore, it is necessary to do a good job of water spray cooling and control the operation time, which puts forward higher requirements for the surgeon.

With the blessing of A-technology, Zhang Zifan's bone removal speed is extremely fast, and the positioning is quite accurate. After only grinding the alveolar bone the size of the fingernail, the crown of the impacted tooth is accurately exposed.

Whether it is accurate or not is the difference between slaughter and surgery. Teacher Qing's famous saying is actually very essence.

【Ding!You've spotted an elite monster: an impactor with a personality. 】

Probably the system also felt a little sorry for making Zhang Zifan, a rookie, such a difficult operation to start with. When Zhang Zifan looked at the crown of the impacted tooth, such a prompt appeared.

"I didn't expect such a setting to exist. I wonder if killing monsters will drop treasure?"

Speaking of which, this long and deeply buried impacted tooth is indeed very individual, but as a doctor, Zhang Zifan must obliterate its individuality!

At this time, the crown has been exposed, and half of the operation is completed, but the biggest risk of the operation is in the second half. According to the CT, this tooth has three roots, which cross the ascending inferior alveolar canal. Inadvertently, the inferior alveolar canal will be damaged.

The inferior alveolar nerve is the nerve that was anesthetized before. If it is damaged or even plowed off, it will cause temporary or permanent complete paralysis of the skin on one side of the lip, tongue, and mandible of the patient, and the consequences will be very serious.

But no matter what, Zhang Zifan has no way out at this time, he must get rid of this "elite monster" safely!

……

Looking at the 60-degree inverted crown and the bottomless root, Liu Jianming couldn't help swallowing. Sure enough, seeing it on CT is one thing, but seeing it on the operating table is another.

The original clear image is covered by other teeth, blood, saliva, granulation tissue, etc., and the patient's mouth is getting smaller and smaller. Outline the teeth and bone boundaries.

But at this time Zhang Zifan moved again, and he began to cut the crown with a split car.

"Director Zhang, don't you want to expand the bone window?" Liu Jianming's hands were already trembling, "Isn't the vision too poor for such a small opening?"

"Let's try it first, try to keep as much autogenous bone as possible for the patient, and reduce bleeding."

Even with the surgical skills of A- now, Zhang Zifan still feels the pressure at this point, but any attempt to reduce the damage to the patient is worthwhile. Zhang Zifan still maintains a narrow bone window and cuts the crown of the tooth open.

Because of the angle and relative size, it is completely impossible to remove the entire impacted tooth from the bone window, so it must be cut into several small pieces.

Time passed by, and about 15 minutes later, the crown was finally completely shattered and separated piece by piece. Now, the only obstacle in front of Zhang Zifan is the three-prong tooth root that is entangled with the neural tube and is intertwined with love and hate. up.

The root of the tooth is also not pulled out with forceps, but with a particularly slender apex, which is pushed out with the force of a wedge.

This step is the most difficult part of the whole operation, but Wanjun is only tied in an instant.

Zhang Zifan held his breath. At this moment, he seemed to be an expert in bomb disposal.

In the end, the root of the tooth, like a walnut kernel shrunk in a walnut shell, was protruded out along the only gap in an unbiased manner.

There was no deviation in this process, otherwise the root of the tooth would be broken in the deep part of the jawbone, or the inferior alveolar nerve would be crushed and injured. Fortunately, none of this happened.

When the long tooth root appeared beyond the bone surface, Zhang Zifan finally got his wish and heard a new notification sound:
【Ding!Eliminate elite monsters: an impacted tooth with personality, and your oral surgery skills improved. 】

【Ding!Obtained items: Self-aiming bur (blue). 】

Before he had time to check the specific rewards, Zhang Zifan hurriedly performed further debridement on the wound, removing the inflammatory granulation tissue and infected bone, and then filled the bone window with artificial collagen fluffy to assist bone formation, and finally put the The peeled mucosal flap was sutured in place, leaving only a small opening for drainage.

【Ding!Congratulations, you have completed the novice task, and you have gained +10 loyalty for all employees, +10 hospital construction points, and +50 experience. 】

Zhang Zifan knew that the entire operation was not completed until this time, but he never expected that the first one who breathed a sigh of relief was not himself, the chief surgeon, but Liu Jianming, who was his assistant.

"Brother Zhang, amazing!"

He gave a thumbs up and gave out admiration sincerely.

【Ding!Since you showed your superb skills in front of employee Liu Jianming, his loyalty has increased! 】

[Ding, because you showed your superb skills in front of employee Shi Xiaoya, her loyalty has increased! 】

……

Shi Xiaoya turned off the dazzling shadowless lamp, lifted the towel, and patted the patient who was already a little numb: "Miss Xiaonan, the operation is completed and it went well, you should get up first."

Xiao Nan woke up like a dream, and slowly opened her eyes.

Due to the gauze stuffed in her mouth, she couldn't speak, but she looked at Zhang Zifan with an inexplicable meaning, including gratitude, admiration, and perhaps some girlish feelings.

"I'll take a break first, Jianming, take the patient out for a while, apply ice packs and add external prescriptions for conventional oral medicines, write the case, and I will sign in 15 minutes."

Facing Zhang Zifan's assignment, Liu Jianming didn't complain, and quickly helped the little girl with limp feet out of the operating room. Her mother was already waiting outside very anxiously.

Shi Xiaoya was busy sorting out the remaining items in the operating room, and then disinfected them again. Zhang Zifan entered the changing room through the doctor's passage, took out his mobile phone from the cabinet, and sat on the bench.

The operation time of nearly an hour is not too long, but Zhang Zifan still felt the fatigue caused by the sudden relaxation after the high concentration.

Watching the time on the phone pass by every minute and every second, finally, the one-hour skill UP package is up.

Opening the personal panel, Zhang Zifan looked at his data.

[Name: Zhang Zifan]

【Administrative Level: Clinic Director】

[Professional level:
Stomatology (unlocked): attending physician lv2, 202/1000]

【Hospital Construction Points: 10】

[Special Skill: Concentration Aura LV1]

【professional skills:
Patient Communication: B
Oral Surgery: B+
Oral Restoration: C
Dental Medicine: C+
Orthodontics: D-
Image reading: B-]

Zhang Zifan found that compared with the last time he checked, the experience value had risen from 120 to 202, an increase of 82 points.

After completing the novice task, the experience rewarded by the system is only 50, but it has actually increased by 82. This shows that in the process of self-breakthrough, in fact, his own ability is also increasing. The extra 32 experience points, Probably the result of self-growth.

In addition, the level of oral surgery skills has also increased from B- to B+. This is the benefit of killing elite monsters. After jumping a small rank, Zhang Zifan feels that he should have realized a lot during the difficult operation.

No wonder the feeling of loss is not obvious when losing the blessing of A-, B+ is already one step away from A-.

Then, Zhang Zifan clicked on the avatars of Liu Jianming and Shi Xiaoya in the employee list.

【Oral - Liu Jianming】

[Young doctors lack professional training and are often complained by patients. 】

【…】

【…】

[Loyalty: 60%, although there is no passion, there is nothing to complain about. 】

【professional skills:
Patient Communication: F+
Oral Surgery: H+
Prosthodontics: E-
Dental Medicine: C+
Orthodontics: F-
Image reading: D-]

·
【Oral - Shi Xiaoya】

[A nurse who just finished her internship. 】

【…】

【…】

[Loyalty: 45%, if it is unavoidable, breaking up is the best result. 】

【professional skills:
Patient Communication: B-
Injection: F-
Disinfection and sterilization: E
Routine first aid treatment: H-
Four-hand operation: D-]

Looking at the data of the two, Zhang Zifan found that their loyalty had increased significantly, and Liu Jianming even reached 60% in one fell swoop.

Zhang Zifan estimated that this was because Liu Jianming, who had more professional knowledge, could better understand the difficulty and excitement of the operation just now than Shi Xiaoya, so it caused a greater shock.

In addition, Liu Jianming's surgical skills were directly upgraded from H to H+, which also shows that he also benefited a lot from this operation, and it is reasonable to be very convinced by Zhang Zifan.

As for Tang Renbin's data, Zhang Zifan also clicked on it, and his loyalty has dropped to 0 points. However, it may not be a good thing to put this kind of old fritters in the clinic, and Zhang Zifan does not intend to restore his loyalty.

Next, Zhang Zifan looked at his parcel rack again, and a strange bur glowing with blue light was lying there quietly...

(End of this chapter)