I opened a clinic in the Abyss World

In their minds, clinics often charged tens of thousands of copper coins.

Given that Basil's injuries were life-threatening, it would be reasonable for Charlotte to charge 10,000 copper coins for healing him, right?

Charlotte only charges 1400 copper coins!

After deducting the cost of the medicine, Charlotte didn't earn much.

Compared to their fellow doctors at other clinics, there are far too few of them.

Ino was the most surprised, because her father had been bitten by a monster while hunting.

Despite several treatments at the clinic in the Elf Forest, they were still left with disabilities, and the exorbitant medical expenses of over 400,000 copper coins left them with a huge debt.

She had previously wondered how much Charlotte would charge for this treatment.

Charlotte's fees were far too low, much lower than she had expected.

Charlotte looked at everyone and calmly said, "That's right, this is the biggest difference between our Abyss Medical Clinic and other medical clinics on the Aesop Continent. We use surgery to provide treatment to more patients at relatively low prices. Of course, this isn't charity; we can still make a profit, just not as exorbitantly as they do."

Before I teach you how to become doctors, I want you to know that I set the prices for my clinic in this way, both in the Abyss and in the Elf City, to serve a wider range of patients and provide them with affordable medical care.

Therefore, following me, you are destined not to become extremely wealthy, but whether in the Abyss or the Elven City, I can guarantee you a life of comfort and abundance. If you feel this is far from your expectations and want to quit, you can tell me now.

The four of them were stunned.

To be honest, this was quite different from what they had expected before coming to the Abyss.

The preconceived notions they had about doctors were too strong: their high status and generous pay. When Charlotte offered them a job, they couldn't help but have fantasies.

Now, Charlotte has shattered that illusion with her own hands.

They were shown different Abyss Clinics, doctors who treated patients surgically, and medical fees that were shockingly low.

"I won't quit. I believe this is the dream clinic I've always been pursuing. I studied in medical school for twelve years, and every classmate knew that they would become rich, receive generous compensation, and enjoy a high status after graduation."

After graduation, I worked in the clinic's warehouse for five years. I saw them enjoy all of this with a clear conscience because patients had no choice but to pay exorbitant medical fees in exchange for the doctors' merciful treatments to sustain their lives.

Impoverished patients, even those on the verge of death, are turned away from the clinic. Even if the doctors inside could save their lives with a single treatment, they are met with indifference. This is because the patients lying outside cannot afford the ten thousand copper coins required for medical treatment.

1400 copper coins is the amount of medical expenses that many of the lower-class residents of the Elven race can scrape together, and if it can save a life, they are absolutely willing to pay it. But a clinic that starts at 10,000 copper coins will completely extinguish their hope.

"I want to learn from you and become a doctor capable of performing surgeries independently, bringing affordable but high-quality healthcare to the lower classes of Elf City." Myron stepped forward, looking at Charlotte with unwavering determination.

"I also want to continue learning from you. I used to live a muddled life, not knowing what dreams and responsibilities were. I wove cages every day just to make a living. But now I want to become a doctor. Even if I can't become rich and powerful, it doesn't matter. At least I know why I live." Amilo smiled shyly, but his clear eyes shone with determination.

Lina looked at Charlotte and said calmly, "Teacher, I'm not leaving either. I prefer wielding a scalpel to wielding a knife. You and the Holy Maiden have been kind to me, pulling me out of the fish stall. I hope that when I return to the Elf City, I will be able to treat the people in my hometown and neighborhood. This price is what they can afford. The Elf City has been lacking a clinic like this for a long time."

Charlotte looked at everyone with satisfaction, then turned her gaze to Ino.

Ino's face was still somewhat pale. Looking at Charlotte, her voice trembled slightly as she said, "You know, I'm the one who should stay. Even for my father's sake, I should become a doctor who doesn't live for money. I... I will try my best."

Charlotte smiled and nodded, looking at the four of them, and said, "The surgery fee for this operation is 600 copper coins. After you graduate and return to the Elf City, you will receive half of the surgery fee as commission. After using the medicine, you will receive 10% of the total cost, which is 380 copper coins. And you can probably perform ten such surgeries a day, or even more."

  

"That could be 100,000 copper coins a month..." Amiro's pupils dilated, and he subconsciously swallowed.

That's an enormous sum of money!

Even if there aren't as many doctors as those who use healing spells to treat patients, they are definitely among the highest-income groups in the Elf City.

This is more than just having enough to eat and wear and living a comfortable life! The teacher is still being conservative.

"Relatively low fees, but a wider patient base, which has accumulated into substantial returns." Myron pondered, this approach being the exact opposite of other clinics.

The doctors in those clinics only see one or two patients a day, yet they can earn tens of thousands of copper coins in medical fees, and they don't care about such a small amount of money at all.

Upon hearing this, Lina's gaze became even more resolute. She knew what she needed and was willing to put in ten times the effort to achieve it.

Ino's expression became even more conflicted. Her teacher was right. If she became a doctor, she might have earned back all her debts by the time she returned to the Elf Forest. But... could she really become a doctor? She was starting to lose confidence.

Charlotte looked at the four of them and said in a deep voice, "The reason why High Priest Benjamin sent me all the way to the Elf Forest to recruit students is to ensure that the Elf City also has a clinic where even the lowest-ranking commoners can receive treatment. Even in the Elf Forest, where the proportion of doctors is relatively high, many elves still cannot receive timely medical care due to the high cost of medical treatment."

And you will be the chief surgeons at the new medical clinic in the future Elf City. If you have already made up your minds to follow me and become doctors, then please pay close attention and learn from me how to become qualified surgeons.

"Understood." Everyone's expressions tightened, and they answered in unison.

The operating room was quickly cleaned, and the next person to enter was an elderly deer-tribe beastman leaning on a wooden cane. Half of his antlers were broken off, and his face was covered with deep and shallow wrinkles that showed his vicissitudes. He was thin and bony, and there was hardly any flesh on his body.

What was alarming was that a rusty, giant animal trap was dangling from his left leg. He dragged himself in step by step, leaning on a wooden stick, with blood dripping all over the ground.

"Did you step on the clamp?" Charlotte quickly stepped forward and helped him lie down on the operating table.

"Bad luck. I'd barely entered the wilderness when I stepped into their trap." The old orc chuckled self-deprecatingly, then looked at Charlotte and said, "Doctor, could you take a look? Is the old deer's leg still usable? If not, we'll have to amputate it."

Charlotte helped him roll up his blood-stained pants. The trap was as big as a washbasin and was probably used to catch large magical beasts. It had a huge bite force, and the old deer's leg was caught in it and was a bloody mess. There wasn't much meat on it to begin with, and it was mostly broken because the bones were holding on.

"So many people come and go in the wilderness every day, who is so rude as to set up such a trap?" Charlotte couldn't help but say angrily. If an adventurer like Old Deer stepped on it, his leg would be ruined. If he happened to encounter a magical beast, he would be done for.

"There's no other way. Winter is just around the corner, and everyone wants to get more food." Old Deer was in a good mood, but his pale face and sweaty brows showed that he wasn't as relaxed as he appeared.

"Let me remove the trap for you first." Charlotte reached out to pry open the animal trap.

"No, please don't! This clamp is very strong. You mustn't hurt yourself. There are dozens of people outside waiting for you to save their lives," Old Deer said anxiously, trying to stop him.

Lina and the others watched this scene nervously, half worried about the old deer's injuries and half concerned about Charlotte getting hurt, since the animal trap did look rather frightening.

Charlotte grabbed the trap, gently pried it open, and only after confirming that it was completely separated from the old deer's flesh did she slowly move it away and place it on the ground to the side.

This scene stunned the four students and the old deer who was struggling to sit up.

Charlotte broke open such a huge bear trap with her bare hands with ease. What kind of superhuman strength does she possess?

After the trap was removed, the old deer's lower leg was visibly twisted at the site of the injury, the bone was completely broken, and the skin and flesh were also severely damaged.

Charlotte ignored the stares of the crowd, cleaned her hands, and began to clean the old deer's wounds.

His finger, adorned with an X-ray ring, slid over the three wounds, and clear images appeared in his mind. The bones were broken so badly that surgery was necessary to reattach them.

Charlotte looked at the old deer and said, "Your bones are very brittle, completely broken. I'll clean the wound first, then perform the fracture resetting surgery. Would you like to drink a bottle of anesthetic?"

"There's no need for that. Old Deer only has this much money in his pocket. You can decide how to treat him, but don't overdo it." Old Deer's hand trembled as he pulled out a handful of money from his pocket, including seven or eight silver coins and a dozen or so copper coins.

The four students all looked at Charlotte. Old Deer's injuries were even more serious than those of the patient with a torn back. The wound needed to be treated and stitched up, and more importantly, the bone was broken and needed to be set.

Then seven or eight hundred copper coins are definitely not enough. Will the teacher refuse him?

"If we don't use anesthesia, it should be fine. You can keep the money for now and settle the bill after the surgery," Charlotte said without looking up. After cleaning the skin around the wound with saline solution, she began to clean the wound.

Charlotte's biggest worry about the rusty animal trap is tetanus infection, and he's still unsure whether the cleaning agent will completely eliminate it.

In addition, the old deer is ultimately too old; its bones are brittle and its vitality is not strong enough. Even if its bones are set, the recovery time will probably be quite long.

Upon hearing this, Old Deer lay back down, letting Charlotte wash his wounds without uttering a sound, his expression remaining perfectly calm.

"These are typical symptoms of a fractured tibia, with significant displacement. External fixation is not an option; surgical reduction and fixation are necessary." Charlotte put down the basic cleaning solution in her hand and emphasized, "Of course, the prerequisite for surgery is still complete debridement to avoid wound infection during the procedure."

"I know this surgery." Myron's eyes lit up, but he swallowed the rest of his words. When Charlotte recruited him, she performed a bone reattachment surgery on the black dog at his stall.

The old deer patient's condition is similar to that of the black dog. Could it be that the teacher is treating him in the same way?

"The debridement is now complete. We need to cut open the skin and muscles to fully expose the broken bone ends before we can proceed to the next step." Charlotte picked up the scalpel, glanced at the pale-faced old deer, sighed inwardly, put down the scalpel, took a bottle of anesthetic and handed it to him. "Drink this. I can't perform surgery on you in this condition, and you won't make it off the operating table anyway."

"This potion..." Old Deer took it tremblingly, his face showing hesitation.

"It's alright, I have enough money." Charlotte nodded with a smile.

Old Deer then tilted his head back and drank the medicine. His expression immediately relaxed, and the pain began to subside rapidly. Soon after, he peacefully closed his eyes and fell asleep.

"This is an anesthetic. After the patient takes it, they will quickly fall into a coma and their sense of pain will be numb. In most surgeries, patients need to take anesthesia in advance to reduce their pain during the operation and prevent them from struggling and moving around due to unbearable pain, which could lead to surgical failure," Charlotte explained to the four students.

"What a miraculous potion!" Amiro exclaimed, looking at the old deer who had been unconscious but now appeared relaxed.

Ino stared intently at the vial in Charlotte's hand. She hadn't realized that medicine could have such an effect, relieving patients' suffering.

"Teacher, this potion must be expensive, right?" Lina asked softly.

"800 copper coins a bottle," Charlotte said with a smile, placing the empty bottle aside.

"What about his money...?"

Everyone looked at Charlotte in confusion. Old Deer only had seven or eight hundred copper coins on him, which wasn't enough for one dose of anesthetic. Wasn't the teacher paying out of his own pocket to perform the surgery?

"As a doctor, you sometimes have to have a bit of humanity. The patient is already lying here; you can't just throw him out because he's short a few hundred copper coins, can you?" Charlotte picked up her scalpel and looked at everyone solemnly, saying, "Of course, I'm not teaching you to do charity without any limits. We run a clinic, not a charity. The amount he can pay won't make me lose money; it just means I won't make a profit."

Everyone nodded in agreement.

"The patient is successfully anesthetized. Now we need to make an incision at this location, cut through the skin and muscle tissue, separate them to both sides, and expose the fracture ends." Charlotte used a scalpel to cut open the old deer's lower leg and showed the students the broken bone. "Look, this is where the fracture is. It's broken, but luckily it's not shattered. We just need to reposition it."

Lina had already moved closer to the operating table and was watching intently.

Myron and Amir listened intently, though their expressions were slightly uneasy.

Ino moved further and further away from the operating table, almost to the door of the operating room, her expression conflicted, yet she dared not go forward.

"In cases of complete fractures, in order to improve the patient's healing speed, we need to fix the broken bone, and we use bone fragments made from bovine bone powder."

"This is specially made bone meal. Once mixed with the right mold, it solidifies immediately and can be used after a little polishing. It's very hard and can handle this kind of fracture perfectly. It's very convenient and quick." Charlotte took out a large jar of bone meal and began to teach the students how to choose the right mold and how to mix the bone meal.

"Teacher, if we use this to fix the bone, will we need to have surgery to remove it later?" Lina asked.

Charlotte shook her head: "No need. The bone fragments will dissolve during the bone healing process, promoting bone regrowth while avoiding the damage of a second surgery to remove the bone fragments."

"This is so useful!" Lina couldn't help but exclaim.

The bone powder was mixed fresh and used immediately. Charlotte had Myron assist her in slowly adjusting and repositioning the broken bone, then attaching the smoothed bone plate, and finally fixing the bone to the bone plate with the sutures that came with the suture needle.

"Now that the bone has been repositioned and successfully fixed, and we've confirmed that nothing else is left in the wound, we'll begin suturing the muscle and skin layer by layer. Suturing requires patience and certain skills; this fundamental skill is very important, and you'll need to spend more time learning and practicing it," Charlotte explained the suturing techniques to them as she sutured.

Charlotte then took out a bottle of red medicine and explained, "This is a hemostatic agent. After the stitches are completed, applying a little to the wound can accelerate the healing of the skin surface, thereby minimizing the risk of infection."

He poured out a small amount of the hemostatic agent and used it, then put the remaining half-full bottle back on the tray.

Before the old deer woke up, Charlotte looked at the students and said, "This bone reattachment surgery is now complete. You could say that for us surgeons, performing surgery relies half on solid basic surgical techniques and half on accurate medication administration. They complement each other and are indispensable in order to maximize the success rate of the surgery and the patient's postoperative survival rate."

"Understood." The students nodded in unison.

These two surgeries have shown them the importance of medication in surgical procedures.

Charlotte glanced at Ino, who was standing away from the operating table and near the operating room door, and sighed inwardly, wondering if she could overcome her fear.

Back when he was studying veterinary medicine, he saw female classmates who would scream at the sight of a white mouse at first, but later grew into ruthless people who could calmly eat their lunchboxes while holding a frog in their hands.

Of course, if she really can't overcome it, then she should become a full-time pharmacist.

Perhaps she has a natural talent for that?

Currently, the clinic is not only short of doctors, but also of excellent pharmacists. The pharmacy counter is always out of stock, and it also has to supply Linda's Pharmacy and Harry's Grocery Store, and has also received a huge order from Jenny.