I run a clinic in the United States

Chapter 18: Disconnection and Reconnection (Revised)

"Hurry up! Are you looking for death?!" The black burly man waved his black assault rifle with steel luster, and was about to smash it at Zhou Qiao.

After examining the bed, the injured woman snorted softly. She was very weak, and a hoarse voice sounded: "Black Scorpion, don't rush, let him take his time! The more you press, the slower!"

The strong black man snorted coldly and took a step back.

Zhou Qiao stepped forward immediately, and couldn't help but exchanged glances with the injured woman. The other person was still very beautiful, but the eyes were too sharp. Pull out his eyeballs!

The opponent was wearing a bulletproof vest, so the chest and abdomen were not injured. Zhou Qiao gently unwrapped the gauze wrapped around the opponent's palm. When the wound was exposed, he couldn't help but shrink his pupils!
"Good guy, the whole hand is about to break!" Zhou Qiao thought to himself. This injury is much more serious than that of Tang Yunxuan's cook!
Jack cloth was just a deep gash, and the woman in front of her had half of her palm almost cut off, only a thin layer of flesh connected!If it takes too long, it will be useless to continue!

For severed limbs, 6 to 8 hours is the golden period of rescue. Losing blood supply for a long time may cause necrosis or serious bacterial infection. This injury must be repaired while fresh and hot. The sooner the better !

Zhou Qiao tied a tourniquet on her right forearm, and then quickly checked the base of her left thigh, left calf and right calf, and found that they were all just gunshot wounds!

Especially the calf injury, the left calf was pierced by the bullet, and then shot into the flesh and blood of the right calf.

Although the gunshot wound was serious, it was nothing compared to the injury on the palm of his right hand!

As for the other seven or eight small scratches, they are even less worth mentioning!
The injury is so serious, but the other party is still awake and conscious.

I have to say she is a fierce girl!
The tourniquet is still applied first.

"Are you treating well?" The strong black man couldn't help but ask.

The black girl who was guarding the side, and the black-haired brown-eyed King Kong Barbie lying on the examination bed all looked over.

Three eyes stared at Zhou Qiao fiercely!It seems to be the kind of way to draw a gun and shoot if there is a disagreement!

Poor Zhou Qiao, who has always grown up in a peaceful domestic environment, never encountered such a scene before, and suddenly felt a little confused!
Seeing Zhou Qiao's foolishness, the black-haired, brown-eyed King Kong Barbie woman couldn't help but shook her head in disappointment. She said in her heart that my injury is so serious and this person is so young. Even if he is a doctor, his level is probably not very high.

Even if I managed to connect it, my right hand would probably be disabled.

It's better to find another place, just don't know if you can support it!

The pain was unbearable, she bit her lips that were pale due to excessive blood loss, thought for a moment, and then said to the strong black man: "Scorpion, take me to the University of California Medical Center."

Scorpion became anxious and shouted quickly: "Boss, you can't go! If you go, you will be arrested. Once you are sentenced, you will be put in jail. I don't know when I will be released!"

The black-haired and brown-eyed King Kong Barbie shook her head and said, "I'm not afraid!"

She secretly thought, I am different from you, but she hesitated to speak.

Scorpion said: "It's really not good!"

He glared at Zhou Qiao angrily again, and shouted, "Can you cure me? Say a word!"

Zhou Qiao was afraid that he would violently kill someone, so he quickly shouted: "It can be cured, it can be cured! Look at me!"

So he quickly started preparing.

At this moment, Elena and Ava ran down together.

Elena called, "Joe, we're here to help!"

Zhou Qiao suddenly frowned, winked and glared at them, but it didn't work.Besides, everyone has already come down!
Really speechless, let you hide, what are you doing running down?
These few people must be gangsters, but their lives are in danger at any time.

The strong black man, the curly-haired black girl, and the injured black-haired and brown-eyed King Kong Barbie couldn't help but light up when they saw the twin beautiful girls. They looked at Elena and Ava in a strange way, and then looked at Zhou. Joe.

The black-haired and brown-eyed King Kong Barbie looked a bit like an Italian. She sighed sadly in her heart and couldn't help cursing secretly: "Shit! She's injured like this, her life hangs by a thread, and she has to be force-fed a mouthful of dog food. !”

She was still quite curious about Zhou Qiao. Why did this oriental boy receive such treatment and be favored by such a beautiful, petite and sweet white twin girl? Why would he even run down to help him in a critical moment? !
In fact, Elena and Ava are also about 1.7 meters tall. Although they are thin, they are slender, not petite, but in front of this King Kong Barbie who is 1.8 meters tall, they are really small and exquisite.

Elena and Ava ignored the strange gazes of the three, and went straight to Zhou Qiao, looking for debridement and suture supplies with him, one on the left and one on the right.

Elena quietly glanced at Zhou Qiao and said softly: "We can't watch you carry it alone."

Ava also nodded emphatically, and said in a low voice: "It's a big deal if we die together!"

Zhou Qiao had no choice but to nod her head and said, "You guys help me prepare medicines, suture kits and instruments, prepare more hydrogen peroxide and complex iodine, and dilute 2% lidocaine to 1% for later use. I'm going to wash my hands."

He thought for a while and asked quietly: "Have you called the police?"

"No." Elena said in her heart, how dare she call the police?I was going to call the police, but when I saw Zhou Qiao being taken away, I gave up that stupid idea.

If the police were effective, San Francisco wouldn't be biubiubiu every night. Besides, Zhou Qiao had already fallen into their hands. If they called the police, it might have the opposite effect. Gangsters are cornered by the police, and it is common for gangsters to shoot and kill hostages!
Zhou Qiao nodded, he was also afraid of being torn apart.Now that the other party wants something from him, at least there is no need to worry about his safety for the time being.

Of course, if he refuses to treat him, it is estimated that the other party will immediately shoot a bunch of bullets.

He came to the side of the sink and began to wash his hands in seven steps. He couldn't help but glanced at the strong black man again, and said to himself, I can die directly, but you two are so beautiful, Elena and Ava, I'm afraid I can't escape that. The evil hands of black people may suffer some torture before death.

The only solution for now is to complete the treatment as soon as possible and send them away with the best medical skills. I hope that the sooner they can be sent away, the better.Hope tonight is safe and sound!
Zhou Qiao completed the disinfection steps, put on disposable sterile medical gloves, and then came to King Kong Barbie. At this time, Elena and Ava also prepared all the necessary items, including instruments and needles. Toothed forceps, toothless forceps, straight scissors, curved scissors, tissue forceps, cloth forceps, vascular forceps...

Suturing a severed hand is not a minor operation, especially when the injury is so serious, blood vessels and tendons are broken, and even the metacarpal bones are broken.

"You were beheaded by a dagger. After debridement, you will be given anesthesia. It will not be easy to re-infect. I hope you can bear it!" Zhou Qiao said, took the tweezers from Elena, and started to operate!

King Kong Barbie is really powerful, she didn't snort, just gritted her teeth tightly, but with the other hand, she almost scratched the mattress of the examination bed, and she knew that she was in great pain!

Zhou Qiao is a perfect debridement and suture technique. Once he puts himself into work, he forgets about his surroundings: two black men are staring at him with guns!
Soon, he completed the debridement and started injecting lidocaine and performing local anesthetic infiltration...

After the anesthesia takes effect, immediately start suturing with a needle in one hand and toothed tweezers in the other!
Elena and Ava cooperated on the sidelines.

During the previous debridement, Zhou Qiao had separated and counted the bones. The key to this operation, the main "project" was to remove the bones, 3 major blood vessels, 3 nerves (median nerve, radial nerve and ulnar nerve) and 15 nerves. The tendons are connected one by one.

In particular, the operating microscope at the Iris Clinic is broken and has not been repaired, and it is temporarily unaffordable.He can only operate with the naked eye!

However, this does not trouble him!

As early as the 60s of the last century, Shanghai Sixth People’s Hospital had performed disconnection procedures. At that time, the operation was very successful. After the connection, all the fingers of the patient survived, and the patient could continue to engage in fine labor after recovery. Moreover, it was also without surgery. Under the microscope, it can be called a Nobel Prize medical miracle.

This classic case, when studying in medical school, the teacher often brought it up!

Zhou Qiao didn't expect that she would also experience this kind of experience now.

Large blood vessels and tendons are easy to operate, but the anastomosis of small blood vessels and nerves is quite difficult without an operating microscope!

It is now customary in China to call the specialty of repairing amputated hands "microsurgery". As the name suggests, it is a surgical specialty that performs operations under microscope magnification.

However, who would have thought that the first successful "microsurgery" operation in China was completed under direct vision without a microscope?
These gangsters were just sick and sought medical treatment. When they saw the nearest clinic, they broke in and arrested the doctor first to save their lives. However, they never expected that Zhou Qiao could actually cure him!

As soon as the expert makes a move, he will know if there is any.

Even if the strong black men were laymen, they were shocked to see Zhou Qiao's focused expression and smooth stitching skills at this time!
They know that they have met a master!

"Perhaps, we don't necessarily need to change the doctor again." This idea suddenly popped up in the black man's mind, but immediately, he grabbed his gun tightly. If the doctor in front of him was a little slack, he would show him some color!
Even with Zhou Qiao's perfect level of debridement and suture, it still took a full two hours. The bones, blood vessels, tendons, and nerves were basically connected. As for the small blood vessels, he used thinner infusion tubes and The catheter for endotracheal intubation adopts the sleeve method.

Some of the sizes were not suitable, and Elena was specially asked to heat them, stretch them and make them fit.

It is also worth mentioning that the incision of the patient's severed hand is actually relatively neat, because it was cut with a sharp dagger, which is easier than the wound where the hand was severed and twisted.

This kind of surgery, for ordinary experts, even with the help of a surgical microscope, would take less than ten to eight hours, and maybe even longer. But Zhou Qiao's perfect debridement and suturing technique is really a bit unbelievable. Got it!
The sutures left only the epidermis.

Zhou Qiao was immersed in his profession and became a little forgetful. Suddenly he couldn't help but asked in a strange way: "Does the surface need ordinary sutures or seamless sutures? Ordinary sutures will leave ugly scars. If they are seamless, they will leave ugly scars." , it’s more expensive!”

(End of this chapter)