MTL - Since 1981 Health School-Chapter 21 stitching in front of everyone
Chapter 21 Stitching in front of everyone
The Eight Immortals Table in Chenjiatang House has become a temporary operating table.
Village Chief Zhang sat on it, stretching out his feet to expose the soles of his feet. A large group of villagers surrounded the door, and even the courtyard wall was full of people watching the excitement.
Chen Qi took out a debridement kit, a suture kit, and several large bottles of povidone-iodine from the "back room".
In 1981, China used alcohol, red syrup, and purple syrup for disinfection. If the conditions were better, hydrogen peroxide and iodine were added, but the disinfection effect was not as good as povidone iodine.
It is also in the countryside, and the people in the mountains have little knowledge, so Chen Qi dares to use it with confidence.
During the disinfection, the severe pain had already made Village Chief Zhang break out in a cold sweat, but he gritted his teeth and held on without shouting, obviously he still had a bit of backbone.
So Chen Qi decided to use local anesthesia.
He also does epidural anesthesia, which is more convenient for the operation and less painful for the patient, but the operation will be much more complicated in that case, and it is a bit difficult for him to do it alone.
"Mr. Zhang, I'm going to be anesthetized next, but your tendon is completely severed. I guess the anesthesia may not be able to numb the place. It will be very painful to sew up. You must endure it."
"Okay, Chen Zhongzhuan, you can sew it. I am not afraid of pain, but I am afraid of becoming crippled."
Chen Qi put on the gloves and said confidently: "With me here, it's hard for you to become a cripple."
A joke made the atmosphere in the room much easier.
After the anesthesia, Chen Qi washed it with normal saline, and carefully observed the wound. With his mind in mind, he asked:
"Mr. Zhang, there are two suture methods now. One is the weaving method. The effect of the weaving method is that the suture is denser and the strength of the tendon recovers better after suturing. The disadvantage is that the tenacity of the tendon will be damaged.
There is also a wraparound suture method. The advantage of the wraparound suture method is that the tendon’s toughness can be maintained, but it also has a disadvantage, that is, the strength of the Achilles tendon after suturing is weak. Now you choose, which one do you choose? "
As soon as Chen Qi's words came out, there was a lot of discussion at the scene. There were all kinds of choices. Some said that strength was more important, and some said that toughness was longer.
The wife of the village head was anxious: "Chen Zhongzhuan, there is no way to restore the strength and maintain the toughness?"
Chen Qi shook his head.
Mr. Zhang is quite decisive:
"Chen Zhongzhuan, I choose the weaving method. The people in the mountains must use their strength on their feet. If I can't even lift the burden of one or two hundred catties, I am not qualified to be the leader of this village. As for the future, in the future talk later."
People, they can't let go of fame and wealth until they die. At this time, they still want to keep the position of village chief, but their body has become the second place.
Chen Qi doesn't care anyway, he can do any kind of stitching, as long as he doesn't regret the choice he makes in the future.
So he sat on a low stool, picked up the surgical needle and thread, and started to work.
If this was in the hospital in the previous life, the people in the hospital's sense department would go crazy,
The environmental safety is unqualified, the aseptic disinfection is unqualified, there are many idle people in the house, and the doctor did not change the sterile surgical gown, all of which violate the scale of diagnosis and treatment.
Deduction of money, you can't be deducted to death, you barefoot doctor!
Although the medical conditions in 1981 were poor, the medical environment was really good.
These days, doctors can do whatever they want, and you can treat them as you want. If they are cured, they will send a pennant, and if they are cured, it is the fate of the patient.
So the doctors in the 1980s were really courageous. They dared to treat any patient when they came.
This has saved the lives of many patients and helped them preserve many functions.
It's not like later, like Chen Qi was in surgery in his previous life, some operations may cause death, but if he doesn't move, he will die. Because of the risks and the fear that family members will make trouble afterwards, doctors often choose conservative treatment.
Don't blame the doctor for being timid and worrying too much. This is a helpless move after paying tuition fees over and over again.
People in the mountains have seen people who sew clothes and shoes. This is the first time they have seen "sewing people", and the fire of gossip is blazing.
Those who can enter the operating room (in fact, they are the main room of the Chen family), are the high-level officials of Liandong and Xiaze villages, and the family members of the Zhang family.
Other idlers can only wait in the yard, listening to the live broadcast inside.
Everyone held their breath and watched as Chen Qi threaded a "half-moon-shaped" thin needle into the thread, and began to work on the soles of Village Chief Zhang's feet.
Many people think, oh, this is really similar to sewing clothes. One stitch at a time, one moment at a time, one moment at another time, the seamstress will be able to sew flowers.
Chen Qi anchored and sutured the tendon first, and then effectively bridged the tendon and bone.
The stitches are different from the stitches on the surface of the skin, and require certain surgical skills and proficiency, which are much more complicated than women's embroidery.
If this kind of operation is performed in the emergency department, an assistant is often needed to cooperate. Now that there is only Chen Qi alone, the speed of the operation will naturally slow down.
At this moment, a few white coats rushed in from outside the door. It turned out that villagers from Liandong Village went to the commune health center to ask for plaster. come.
In order to speed up, several people also rode several donkeys.
After Dean Ke entered the room, Chen Qi had just finished suturing the tendon.
Laymen watch the fun, and experts watch the doorway. Dean Ke and several doctors in the hospital were shocked when they saw such a complicated suture operation.
Can you still sew like this? Have fun?
For this kind of mountain village health center, the orthopedic technology is good, such as bone setting and bone setting, but all the techniques of traditional Chinese medicine are used.
Surgery is not enough, not even simple clearance and suture. If there is a trauma, at most it needs to be bandaged. Those Jiagouyan people were rejected by the commune health center before.
Chen Qi saw a few white coats entering the room, just glanced at them, and didn't say anything.
Dean Ke couldn't help it: "Comrade Chen, I'm Ke Weiliang, the director of Xingtang Health Center, you, do you have any specialties about your suture technique?"
Chen Qi was the head resident in his previous life. He often dealt with visiting doctors, accompanying doctors, and interns. He also had teaching tasks in the department, so he was no stranger to teaching work, so he replied casually.
"Oh, this is called weaving and suturing, and it is generally only for tendons, which is more complicated."
After finishing speaking, Chen Qi roughly talked about the indications, advantages and disadvantages of weaving and suture, surgical procedures, and precautions.
For the doctors in the hospital, they can understand what they are listening to, but their eyes can understand it, but their hands can’t.
But for the onlookers, the admiration for Chen Qi's rich knowledge and superb medical skills was like a surging river, and it was out of control.
(end of this chapter)
