I opened a clinic in the Abyss World

Before I knew it, it was already dawn outside.

Charlotte put away her textbook, reviewed her notes again, and stood up confidently.

After a quick wash, I went to the kitchen to cook porridge.

"Master, you're up so early." Kasha came into the kitchen and looked at Charlotte standing by the pot with some surprise.

"Get up early and make breakfast for everyone. My students will be here soon too." Charlotte nodded with a smile.

Today I'm making seafood porridge. Last time we went to the night market, Vivian and the others bought a bunch of decorations, as well as some dried scallops, dried abalone, and dried shrimp. They soaked them last night, and this morning they used them to make a pot of seafood porridge. It couldn't be more delicious.

Kasha approached and watched Charlotte process the soaked dried seafood. She smiled and said, "These little guys are hardly eaten by any sea creatures in the ocean, but people living on land seem to like them quite a bit, and they sell for a pretty high price."

"That's right. With more delicious food available, these little things are hardly surprising," Charlotte laughed. The principle of scarcity makes things valuable also applies to the sea.

"If I could go back to the sea, I could catch lots of shrimp to sell, and I should be able to make a lot of money," Kasha said with some anticipation.

"Don't the sea creatures trade with the land-dwelling races?" Charlotte asked curiously.

Compared to fishermen who can only fish from boats, the marine life living in the deep sea has a huge advantage in catching all kinds of seafood.

Kasha nodded and said, "I don't know about the other sea creatures and tribes, but my mother warned me from a young age not to have contact with the land races, and even more so, not to make any trade. There are also rules within the tribe; once someone is found to be trading with land races, they will be tried and investigated. The management is very strict."

Charlotte seemed thoughtful. It seemed that the merfolk tribe to which Kasha belonged did not have a high degree of goodwill towards the land-dwelling races of the Aesop continent, but she wondered if this was a common situation.

The witch knows more about the sea creatures; I can ask her for advice next time we chat.

Speaking of which, he was still considering whether to share the news about nettles and the experiment of demonizing the entire city with the witch.

He had previously consulted the witch about Kai'Sa and the Cursed Mist, and she was still observing the Cursed Mist underwater, and was the first to warn of its movement toward the city.

  

After a moment's thought, he abandoned the idea of ​​revealing more information to the witch at this time.

The Night Watchers and the Hermits already know about this, and from their level and perspective, they may have more to consider when deciding whether to reveal the news to other members of the Red Moon group.

If he were to spread the news indiscriminately, it might actually cause them trouble.

The porridge was almost cooked, and Vivian and Martha got up as well. Kasha went downstairs to open the door and welcomed Ino and the others who were waiting at the door.

Kerry went to Ivan early in the morning and delivered four sets of uniforms that had been made overnight.

The white lab coats weren't finished yet, but the inner garments were made: matching blue V-neck long shirts paired with loose blue trousers.

For this season, indoor clothing is sufficient.

Charlotte looked at the four people who had been handed out uniforms and said excitedly, "Have breakfast before you change. Don't get them dirty."

"Understood." The four of them obediently put their clothes aside and sat down to eat breakfast.

Seafood porridge is a delicious and refreshing breakfast, which is perfect for relieving the greasiness left in your stomach from eating roasted whole lamb last night.

"Teacher, there are already patients lining up outside. Are we going to start learning how to treat patients today?" Myron picked up his bowl, looked at Charlotte, and said with a hint of excitement in his expression.

Two long queues had already formed at the entrance, a scene he had never witnessed even when he worked at his previous clinic.

Lina and the other two were also looking at Charlotte.

Charlotte said, "We've had quite a few patients these past two days. We'll open for business after breakfast. This morning, we'll mainly show you what skills a doctor needs at the Abyss Medical Center, and see if you can adapt to the job."

Lina and the others nodded, their eyes filled with undisguised anticipation.

After breakfast, the four of them went into their room one after another to change into blue uniforms, and their demeanor changed instantly, giving them a somewhat doctor-like appearance.

Ivan's tailoring skills were truly remarkable; although he finished the work in one night, all four outfits were perfectly tailored.

Charlotte nodded in satisfaction at the four of them, then said to Vivian, "Vivian, please give them another deep clean of their hands and clothes."

"Huh?" The four looked at Charlotte with some confusion. They had just changed into new clothes, eaten, and washed their hands. Why did the teacher make them clean themselves again?

Charlotte explained, "Currently, 80% of the patients received by Abyss Medical Center require surgery. During the surgery, we must ensure that the operating room and surgical personnel are as clean and sterile as possible. This can minimize the chance of wound infection for patients, thereby increasing the success rate of the surgery and resulting in a better prognosis for patients."

The four people looked at each other in bewilderment.

"Teacher, what is infection?" Myron asked, as he, too, couldn't understand Charlotte's words, even though he was a medical school graduate.

"Wound infection manifests as common symptoms such as redness, swelling, suppuration, and ulceration of the wound, and in severe cases, it can lead to the patient's death. The cause of wound infection is not some unnatural phenomenon, but rather bacteria that are invisible to the naked eye," Charlotte continued to explain. "You can think of bacteria as a real, harmful substance that is invisible to the naked eye. Although we cannot see it, we can eliminate it by using cleaning agents and surgical techniques, thereby preventing the patient from becoming infected during surgery and improving their survival rate."

The crowd seemed to understand something. Although they didn't fully comprehend what was said, they grasped the importance of cleaning their hands and keeping them clean, as this was a crucial step that could directly improve the patient's survival rate.

Vivian used her cleansing spell to sweep over everyone's clothes and hands, removing dust and bacteria, but the clothes remained completely dry.

Charlotte, already dressed in a white coat, led the way downstairs.

Vivian followed closely behind, clearly demonstrating her status as an associate chief physician.

Kasha smiled and told Lina and the others to go first, while Martha, after having breakfast, yawned and went back to catch up on her sleep.

"Remember, once you're in the operating room, don't make any noise, and don't talk about or comment on the patients. Respect the patients, and you will earn their respect. I hope you will remember this," Charlotte said solemnly as she stopped in front of the operating room, turned to the four students, and looked at them.

"Understood." The four nodded solemnly.

Charlotte stepped forward and opened the door to the clinic.

First in line was a pale-faced, burly orc man, lying on a makeshift stretcher woven from vines. His leather armor on his back was torn, revealing a horrific half-meter-long wound. Blood stained his clothes, and some green herbs were stuffed into the deep wound, indicating that he had received emergency hemostasis treatment in the wilderness.

"Take him straight to the operating room. What grabbed him?" Charlotte said to her companion who brought him, after only one glance, and began to inquire about the extent of his injuries.

"This morning, the fog was too thick, and I wasn't prepared. I was attacked by a level three wolf. We rushed you here. He lost a lot of blood. We got some herbs, but we're afraid they won't be enough. Please stitch him up." The orc said, his eyes full of worry, as he carefully carried the stretcher.

"No...it's alright, I've taken him to Dr. Charlotte, he won't die." The orc lying on the stretcher was quite magnanimous, managing a weak smile.

"You came back last time to have your arms and legs stitched up, right?" Charlotte remembered him too.

This was a regular customer named Basil. What impressed him was that this guy had also been seriously injured last time, with a deep wound that exposed the bone. However, when it came to cleaning and suturing, he refused any anesthesia and gritted his teeth, enduring it without uttering a sound.

"Hehe, you still remember me." Basil smiled upon hearing this, and tried to turn around, but pulled at the wound on his back, making him wince in pain.

Charlotte laughed and said, "Alright, lie down properly. Your wound is quite large."

Lina and the others quickly stepped aside so that the two orcs could carry Basil into the operating room, remove him from the stretcher, and lay him flat on the operating table.

The bloody wound on his back, though stuffed with herbs, was still horrifying, as if it were about to tear his entire back apart.

Myron looked a little nervous. Even in his previous clinic, this patient would be considered seriously injured and would require immediate treatment from a healing mage. He wondered how his teacher planned to treat him.

Looking at the bloody wound, Ino's face gradually turned pale, and she hid behind Lina.

"Are you alright?" Lina noticed her unusual behavior and asked softly.

"No...it's nothing." Ino shook her head, biting her lip lightly.

Lina squeezed her hand; it was icy cold. A hint of worry appeared in her eyes, and she could only step forward slightly to block her view.

After letting the two orcs carrying the stretcher come out, Charlotte walked into the operating room and said to Lina and the others standing at the door, "Come in, everyone. This is the first debridement and suturing surgery you'll be observing."

Lina and the others quickly went into the operating room and closed the door.

"Huh? Why are there so many doctors today?" Basil asked, somewhat surprised, as he looked at the four young elves who had entered.

"My new student will also be a doctor at the clinic in the future," Charlotte explained with a smile, turning on the operating light, adjusting the position, taking a pair of scissors, and starting to cut the torn leather armor.

"Oh, hello everyone, future doctor." Basil greeted everyone in a friendly manner.

Everyone nodded in response.

With the leather armor cut off, the wounds on the orc's back were fully exposed. The middle wound was half a meter long, and the deepest part was where the bone could be seen. There were two smaller wounds on the side, each more than ten centimeters long, and they were slightly shallower.

The wound was smeared with green medicine, and some medicine residue was stuffed into the deepest part. It was swollen with blood, but it had a hemostatic effect, and there were no obvious bleeding points anymore.

However, the herbs were not cleaned properly, and some dirt and sand were mixed in, which would stick to the wound and make it look quite troublesome.

"What kind of herbal medicine did you put on your wound? Why didn't you buy two first aid kits to keep on hand? You've made it like this, and all that cleaning will have to be washed away. You've suffered so much." Charlotte couldn't help but complain.

"They dug up some artemisia by the roadside, smashed it with a stone, and applied it to the wound. If it weren't for this stuff, I might have bled to death." Basil smiled. "It's not that I didn't want to buy a first aid kit. You weren't here the other day, and I couldn't buy a medium-level first aid kit, so I said I'd wait a couple of days. I didn't expect to be so unlucky today. I got up early and ran into this thing as soon as I entered the wilderness."

Well, after going around in circles, she's now blaming herself. Charlotte was somewhat speechless, but she made a mental note of the medicinal herb, "Artemisia argyi".

Although the method of use was a bit rough, the hemostatic effect of this artemisia was indeed quite good. With such a long wound, if the bleeding hadn't been stopped in time, Basil would not have survived to come to the clinic.

"Before cleaning, the wound needs to be fully exposed to avoid contaminating it during the cleaning process. Then, clean the area around the wound first." Charlotte took a bottle of prepared saline solution and began rinsing her back.

After cleaning her back, Charlotte took a pair of tweezers and held saline solution in one hand. While cleaning the wound, she said, "Next, we will begin cleaning the wound. The purpose of cleaning is to remove blood clots and foreign objects from the wound, prevent infection, and make the wound ready for suturing."

For wounds like these that have been present for a short time, if the wound is cleaned thoroughly and the cut is relatively clean, suturing can be performed directly after cleaning.

First, use tweezers to remove large pieces of herbal residue, sand, and dirt. Then, carefully rinse the wound with saline solution to wash away all debris, including blood clots.

Basil winced in pain, his clenched fists bulging with veins, but he remained silent.

Amir frowned and unconsciously clenched his fists, showing great empathy.

Myron looked surprised. He hadn't expected Charlotte's method of cleaning the wound to be so simple and crude: squeezing saline solution into the wound with a bottle to flush out all the debris and clean it thoroughly.

Lina watched intently, her expression the most composed, carefully observing Charlotte's every move.

Ino hid behind Lina, only peeking out half her head. Looking at Basil's ferocious face and the increasingly horrific wounds caused by the salt water, her face grew paler and paler.

"Check carefully again to make sure there's no debris in the wound. Then, use the cleaning solution to thoroughly rinse the wound to completely eliminate any potential contamination and bacteria." Charlotte washed her hands, took out three bottles of cleaning solution, and cleaned the wound again.

"The wound cleaning is complete. The wound is very clean, and there is no tissue loss. It is relatively smooth, so next we need to suture the wound." Charlotte took out a suture needle and showed it to them.

The suture needle, bent into a semi-circle, also drew surprised glances from Lina and the others.

"Medical suture needles are different from the suture needles you usually see. They are classified according to their uses, such as round needles, angled needles, spatula needles, and straight needles. This one is a round needle, which is very useful when suturing wounds." Charlotte disinfected the suture needle with a cleaning agent and began to suture the wound, saying, "Suturing such serious wounds requires layer by layer, suturing the muscle, fat, and skin one layer at a time. You can't just suture the skin directly and consider the surgery complete."

Charlotte's suturing skills were very proficient, and in no time, all three wounds were stitched up.

The wound, which originally looked quite horrific, was stitched back together, and the stitched wound looked quite neat and not unsightly.

Charlotte took out a bottle of hemostatic medicine, applied it to the stitches of the wound, and then capped the bottle.

"Alright, this is a very simple debridement and suturing procedure," Charlotte said, looking at the four students.

"Doctor, I feel great. Although I didn't take any anesthetic, the pain is within a tolerable range." Basil gave a thumbs up. He knew that he had completely escaped death.

Lena seemed thoughtful. Her teacher had successfully treated the patient's serious injuries, but his procedure didn't seem difficult to her. The absolute high standards of cleaning and disinfection, the accurate use of medications, and the skillful suturing techniques were all it took to complete the surgery. Although it was only her first surgical observation, she felt quite confident that she could learn to perform surgery herself.

"This is amazing." Myron and Amir looked shocked, half admiring Charlotte's unique treatment method and half surprised by the final effect.

The entire process involved no magic; only seemingly simple physical procedures, combined with the use of medicine, were sufficient to treat the patient.

Charlotte calls this amazing process—surgery.

They had been worried about how they, with no magical talent whatsoever, could become doctors, but now their teacher had proven to them that surgery and medicine could heal and save lives without magic.

Afterwards, Myron's expression became somewhat excited, which meant that as long as he worked hard enough, he would really be able to heal and save lives in the near future!

After more than two decades of effort that had yielded no hope, this time, a glimmer of hope finally appeared before his eyes.

Charlotte was quite satisfied with the students' reactions, but when her gaze fell on Ino, who was standing by the door, away from the operating table, she showed some concern. Ino's face was a little pale, and although she was trying to restrain herself, some fear could be clearly seen in her eyes.

Oh no, is this girl afraid of seeing blood? If she can't overcome that fear, she can't be a doctor.

After all, Basil's injuries were relatively pleasant to look at among the patients he treated, since there hadn't been any cases of opponents having their legs broken or large areas of their bodies being gnawed by monsters.

Turning her gaze away, Charlotte had Amilo open the operating room door, and said to Basil, "Three bottles of intermediate-grade cleaning potion, one bottle of intermediate-grade hemostatic potion, and the cost of suturing the three wounds is 600 copper coins, for a total of 1400 copper coins. Take the remaining half bottle of hemostatic potion back with you. Go back and rest for three days until the wounds are completely healed before getting out of bed and moving around. Only go into the wilderness when you're sure the wounds won't reopen."

"Give me three more sets of intermediate-grade hemostatic agents, and we'll settle the cost together," Basil said, lying face down as he was put back on the stretcher with the help of his two companions.

"Okay, that'll be 2600 copper coins in total." Charlotte nodded, greeted Kasha, and told him to go to the counter to pay.

"Teacher, your fees are so cheap," Myron whispered as Basil was carried out.

Lina and Amir looked at Charlotte with the same puzzled expression.