I run a clinic in the United States

Chapter 12 Perfect debridement and suturing

Thousands of miles away from home, as long as you are Chinese, you are a fellow countryman!
"I'll go down and have a look, you guys stay up there." Zhou Qiao said.

Seeing the worried faces of the two Caucasian twin sisters, Zhou Qiao couldn't help laughing and said, "It's okay, they should be Chinese from Chinatown."

The other party knocked on the door in a hurry. Zhou Qiao quickly took three steps and two steps at a time to reach the first floor and opened the door!
There were five people outside, three Chinese and two foreigners. The injured one was a relatively strong black man with abnormally developed muscles like a curly-haired baboon.

The right hand was wrapped in a towel, and the whole towel was bright red, full of blood!

"Brother Jianjun, what's the matter?" Zhou Qiao knew one of them, a Chinese with a Chinese face, and asked quickly.

The other person is in his 40s, a veteran, and has been in the United States for seven or eight years. His name is Zhang Jianjun, and he is the lobby manager of the Chinese restaurant "Tang Yunxuan" in Chinatown.The boss there is related to him.

At that time, Zhou Qiao's aunt was having a funeral, and Zhang Jianjun came over to help along with Tang Yunxuan's boss, President Zhang of the Wushu Association, and several other Chinese people.

The thank you banquet after the funeral was completed was also held at Tang Yunxuan. The injured black man seemed to be a cook there.I usually do chores such as chopping vegetables, washing dishes, and carrying heavy objects.

President Zhang and the others were very enthusiastic and helped with the management. Zhou Qiao was very grateful.

However, at the banquet, he vaguely heard someone mention that President Zhang and others were related to Chinese gangs such as the Hongmen and the Huaqing Gang, so he rarely walked around with them.

After all, Zhou Qiao has lived in China's peaceful and prosperous times all year round. He is a serious medical student. Although he yearns for gangster affairs, he actually keeps a distance.

He is a medical student, and he is close to others. When the time comes, there will be enemies looking for revenge or something, and he will not know if he is hacked to death!
Mainly because I'm timid.When you see gangsters on the streets in China, you only dare to call 110, but don’t dare to step forward and act bravely!

From another level, it is a frail scholar with weak physical strength!
Because he was not physically strong, he did not have the courage to go up and fight with others.

"Xiao Zhou, do you know how to suture? Jack Bu accidentally injured his hand while cutting vegetables. The wound is huge and needs emergency treatment!" Zhang Jianjun said.

Jacob is the black man.

Hearing that the injury was caused by cutting vegetables, and not by gang fights, Zhou Qiao immediately felt relieved, and hurriedly invited the group into the clinic.

When he came to the processing room, Zhou Qiao asked the tall black man to sit down, and kept the rest of them a little far away so as not to hinder his work.

Then, Zhou Qiao gently unwrapped the towel wrapped around the black man's hand.

The blood was flowing and dripping, and it hadn't stopped yet. It was probably an artery that had been injured. The black man grimaced in pain.

In the palm of the human hand, there are radial artery and ulnar artery, which converge at the shallow arch of the palm.

Most likely, it also hurt a lot of nerves.

This injury cannot be simply sutured with skin and muscles.

Vascular suturing and nerve grafting are required.

Zhou Qiao raised his head and glanced at this man, thinking that he was indeed a good man. He was injured so seriously and lost so much blood, but he could still bear it!
If this were the case for an ordinary person, he would have gone into shock long ago!

"Jo, let me help you!"

After all, Elena and Ava were worried about Zhou Qiao being alone, so they jointly pushed through the crowd and walked in.

"En." Zhou Qiao nodded and told Elena, "0.9 sodium chloride mixed with complex iodine, and 2% lidocaine 5mL!"

After thinking for a while, he said again: "10mL!"

The main thing is that this black man is too big, he is estimated to weigh 300 pounds, and he is as strong as a cow!
Elena's hands and feet were quick and she immediately handed what Zhou Qiao needed to his hand. Even the anesthetic had been inhaled into the needle. She turned the needle toward herself and handed the end of the needle to Zhou Qiao.

However, Elena gave Zhou Qiao a worried look.

Ava was also helping. The two looked at each other, feeling quite uneasy.

Mainly, Zhou Qiao looked nervous and looked like a newbie!
It is completely different from the smooth flow of water and light lifting when performing appendectomy before!

Appendiceal surgery also involves suturing, but it is relatively simple. It mainly involves suturing the peritoneum, subcutaneous fat and epidermis.At that time, Zhou Qiao used the continuous suture method.

However, appendicitis surgery is a relatively low-level surgery. Although it will break through the peritoneum, there are no major blood vessels around the appendix. At most, the capillaries are cut off, and only effective ligation is needed to stop the bleeding.

Doing appendix surgery and injuring the aorta is called medical malpractice!An experienced doctor would not make this mistake!

Therefore, although he has a master's degree in appendectomy, his skill focuses on the appendix itself, how to find it, how to identify it, how to remove it, how to prevent and treat subsequent complications... He doesn't know much about suturing!
Simply put, the suturing method used during appendix surgery is not suitable for suturing the huge wounds on the palms of black brothers!
"Qiao, he can't do it, right?" Elena and Ava both had this idea.

Zhou Qiao was indeed a little nervous. He was a medical student who had just graduated and had no formal training. This was the first time he had seen such a serious injury!The only thing I am good at is appendectomy, which is not needed at this time!
There was a deep and long cut running through the black man's palm from left to right, which was shocking. Even Zhou Qiao's hand trembled slightly when he was injecting lidocaine.

Usually, lidocaine leaves the factory at a concentration of 2%, and clinically, it can be formulated into solutions of different concentrations for application according to the patient's condition.

比如根据神经阻滞的不同，配制成0.5%、0.8%、1%、1.5%、2%不等。

The higher the concentration, the longer and deeper the blocking time, the higher the intensity of the action, and the greater the impact on the circulatory system.

If the concentration is low, the blocking time will be shorter and the onset of effect will be slower.The elderly and children should use a lower concentration, while young adults should use a higher concentration.

Conventional packaging is available in 5ml, 10ml, and 20ml. The maximum dose used by each patient at one time does not exceed 500mg.

However, to be on the safe side, the safe standard for adults is generally 300mg.

Zhou Qiao didn't dare to hit him too much, as he would get into trouble if he hit him too much, but he never dared to hit him less!

If you beat him too little, it won’t be effective against this black man!
The other party is not Guan Erye, who can endure the calmness of the clouds.Before it even started, the other party screamed in pain and almost jumped up!
What Zhou Qiao learned in school was mostly theoretical knowledge. At the beginning, he wanted to rely on his own strength, at least that was what he thought when doing debridement. However, when injecting local infiltrating anesthetic, Extremely nervous.

Because, Zhou Qiao suddenly remembered that there were so many nerves in this palm. If one accidentally injured the nerves, what should he do?
Maybe there will be bugs in other people’s hand functions in the future?
This is a medical malpractice!

Zhou Qiao pushed very slowly, her hands were still trembling slightly, not only Elena and Ava noticed it, but also Tang Yunxuan's people standing behind and watching.

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(End of this chapter)