Chapter 839 Maggots Squirming on the Wound



No matter which era or country, fairness will never be achieved.

Even if Lin Sanqi could travel through time, what could he change?

What does he want to change? A hat of historical nihilism is about to be thrown at him. Should he accept it or not?

Lin Sanqi was able to jump back and forth in the conservative 1960s because he could create benefits and value, provide materials that others could not, and do great things that ordinary people could not do.

Believe it or not, if one day he loses his ability to travel through time, has no special skills, and is no longer useful, he will be arrested immediately.

The charges were ready: “smuggler.”

Lin Sanqi sighed and decided not to be the "savior of mankind" anymore, and just be a smuggler between the two worlds.

Even if the time traveler becomes an emperor, a meteor shower will still kill you, and you have to give up your throne to the Son of the Plane. It is so unfair.

The only thing he could change right now was the little patient in front of him.

The patient's condition is still quite critical. Although it is just a small skin abrasion, the infection has caused delirium, fever, and suppuration. If not treated, shock will follow.

For rural areas in the 1960s, going into shock meant death.

Lin Sanqi took a look at the environment of the shabby thatched hut and the flies attracted by the stench from the wound.

Wait, flies?

Lin Sanqi took out a flashlight and gently lifted the little patient's leg. Sure enough, he saw tiny maggots wriggling on the inside.

Even though Lin Sanqi was a doctor, at this moment his stomach churned and he almost vomited.

"You, please carry the child outside. Don't keep him in this hot room. I'm going to get some work done. Wait for me."

Lin Sanqi quickly walked out of the house, took a few deep breaths of fresh air outside, and then he calmed down a little and hurried to the village chief's parked jeep.

When he came back, he was wearing a light blue isolation suit, with a mask, hat, and gloves all neatly on, and a first aid kit in his hand.

In fact, Lin Sanqi was dressed neatly and was sweating in this hot summer.

But he thought of the maggots and decided to take personal protective measures. He didn't want to grab a handful of maggots in his hands and see them squirming and twisting...

Ugh~~~

When they returned to the Yang family's dilapidated house, a simple bed was already placed in the middle of the yard, and the little patient was placed on it.

The yard, walls and trees were filled with local people.

There weren't many entertainment programs in the evening these days. Xiyang Village didn't have electricity, so there wasn't even a loudspeaker for broadcasting.

So whenever there is something happening in the village, everyone will come to watch, especially when a senior official from the capital is going to treat a rural child, which definitely has the potential for gossip.

Lin Sanqi stood in front of the patient, looking at the injured leg wrapped in Chinese herbal medicine, feeling helpless.

We cannot accuse rural people of not understanding aseptic techniques.

Evidence-based medicine has proven that applying unsterilized Chinese herbal medicines directly to wounds can cause or aggravate wound infection.

Let’s not discuss the question of whether Chinese herbal medicine is effective or not.

For example, many traumatic wounds are actually caused by anaerobic bacterial infections, such as Clostridium perfringens.

This bacterium can break down sugar in muscles and connective tissues, producing a large amount of gas, leading to severe emphysema of the tissues, which in turn affects blood supply and finally causes large-scale tissue necrosis.

As the name suggests, anaerobic bacteria can only survive in an environment without oxygen.

Nowadays, Chinese herbal medicines are crushed and wrapped on the wound. In addition, people are worried that the herbal medicine will not be effective, so they have to apply several layers, one after another.

This actually creates a sterile environment for the wound and blocks out the air.

Without oxygen, it becomes the favorite environment for anaerobic bacteria, and they reproduce more vigorously.

A major characteristic of anaerobic infection is foul wound odor.

This is a typical characteristic because anaerobic bacteria often produce a putrid odor, such as hydrogen sulfide and skatole.

Therefore, in clinical practice, if a traumatic wound emits an odor similar to "rotten meat" or "rotten eggs", one should be alert to anaerobic bacterial infection.

The child in front of me now has a foul odor coming from his left leg, so bad that he can't stay in the house. However, this does not conform to the characteristics of anaerobic bacteria infection, so the external application of Chinese herbal medicine actually has a good intention but a bad effect.

Of course this is the truth, but Lin Sanqi has no intention of blaming the parents.

Without antibiotics or medical treatment, was he going to just watch his son die? Of course, he had to find a way.

Therefore, using some traditional Chinese herbal medicine is not a solution.

Some rural areas even resort to feudal methods such as shaman dance, but what can they do?

Just like the Yang family also understood, penicillin was necessary to save the child, but the exorbitant price of 10 yuan per dose was beyond their ability to afford, so they must not be like Emperor Hui of Jin.

Seeing Lin Sanqi dressed neatly and ready to treat and save people, two female comrades from the archaeological team who had come to watch the fun took the initiative to stand up:

"Leader, we have learned some basic medical knowledge in the unit and can be your assistants. My name is Xiaohong."

"Leader, my name is Xiao Huang."

Lin Sanqi took a look, smiled and nodded:

“Oh, then I’m Xiaolu, and we can now temporarily set up a traffic light medical team, hehe.

So, I will clean the wound first, but as you can see, the patient's wound has become festered, and many of the places where the Chinese herbal medicines were applied have scabs, making the debridement work more difficult.

The key is that the disinfectant is very irritating, so Xiaohong will help me pass the disinfectant while I do the debridement. Xiaohuang, you can help pass the debridement tools, and we will complete the debridement as soon as possible."

The two female archaeologists nodded seriously after hearing this.

Everyone was ready. Lin Sanqi took out a few bottles of saline solution, opened the lids, and prepared to start work.

Xiaohong was more careful, so she asked:

"Leader, what are the steps for debridement? What should we both pay attention to?"

Lin Sanqi held the saline bottle in one hand and the tweezers and sterilized cotton balls in the other, then spoke:

"I need to clean the wound three times. First, I rinse it with saline to clean it thoroughly. Because I suspect it's an infection caused by anaerobic bacteria, I rinse it a second time with hydrogen peroxide. Finally, I use iodine for the third final disinfection."

Xiaohong asked curiously, "Boss, we all use alcohol for disinfection. Don't you use it?"

Lin Sanqi shook his head desperately:

"Absolutely not. It would be too painful. The child's entire left leg is infected. If we use alcohol, he will definitely not be able to handle it. He will definitely go into shock from the pain, which would be even more troublesome."

Xiao Huang quickly agreed:

"The leader is right. Although alcohol disinfection is effective, the pain is unbearable for most people. It's excruciating."

Xiaohong glanced at the row of disinfectants Lin Sanqi had placed on the table and asked,

"Then, leader, don't these disinfectants hurt?"

"It hurts!" Lin Sanqi replied honestly:

"Although it hurts, it's not as painful as alcohol. Besides, the iodine I use to disinfect my hands is more thorough and much more effective than alcohol."

Xiaohong and Xiaohuang were a little puzzled:

"Boss, when you say iodine, do you mean iodine wine? This disinfectant is still very painful."

If it were two young men chattering like curious babies and asking questions, Lin Sanqi would have lost his patience long ago.

But since there were two beautiful girls from the archaeological team in front of him, Commissioner Lin had more patience to explain to them:

“Although both iodine tincture and iodine are surface oxidants, there are still differences between them.

For example, iodine tincture is a solution of iodine mixed with water, polyol ether, etc., while iodine tincture is a solution of iodine mixed with alcohol, with an alcohol content of 40% to 50%.

Iodine tincture does not contain alcohol and is less irritating to tissues, so it can be used directly.

Iodine tincture contains a large amount of alcohol, which is very irritating to tissues. After use, it needs to be deiodinated with pure alcohol to avoid irritation to the skin.

There is another important difference. Iodine tincture is organic iodine, an organic compound of iodine, which is well soluble and less irritating. It can be used to disinfect skin, mucous membranes, and wounds.

Iodine tincture is inorganic iodine, which is an alcohol solution of iodine element. It is quite irritating and is only used for skin disinfection.

Therefore, iodine tincture was eliminated from clinical use abroad (actually several decades later), and instead iodine tincture, which is less irritating, was used and is widely used.

Xiaohong and Xiaohuang listened attentively, feeling that they had learned more useless knowledge, because there was no iodine tincture available for sale in China. (End of this chapter)

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