A doctor who travels through two eras

Fairness can never be achieved in any era or country.

Even if Lin Sanqi could time travel, what could he possibly change?
He wants to change something, and a label of historical nihilism is about to be thrown at him. Should he accept it or not?

Lin Sanqi was able to navigate the conservative 1960s with ease because he could create profits and value, provide resources that others could not, and do great things that ordinary people could not do.

Believe it or not, the day he loses his time-traveling ability, his special skills, and his usefulness, he'll be arrested immediately.

The charges were already prepared: "smuggler".

Lin Sanqi sighed and decided to give up being the "savior of humanity" and just be a smuggler between the two worlds.

Even if a time traveler becomes emperor, a meteor shower can still kill them, forcing them to abdicate in favor of the chosen one of the new world. That's just how unfair it is.

The only thing he could change right now was this young patient.

The patient's condition is still quite critical. Although it was just a small skin abrasion, it has now caused delirium, fever, and suppuration due to infection. If left untreated, it will go into shock.

In rural areas during the 1960s, entering shock meant death.

Lin Sanqi glanced at the environment of the dilapidated thatched hut and the flies attracted by the stench emanating from the wound.

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

Even though Lin Sanqi was a doctor, he couldn't help but feel a churning in his stomach and almost vomited.

"You, you carry the child outside. Don't stay in this stuffy room. I'll go prepare some things. Wait for me."

Lin Sanqi quickly walked out of the house, took a few deep breaths of fresh air to calm down, and hurriedly walked towards the jeep parked by the village chief.

When he returned, he was wearing a light blue isolation suit, and his mask, hat, and gloves were all on. He also had a first-aid kit in his hand.

In fact, Lin Sanqi was dressed neatly, but she was already covered in sweat in the hot summer.

But remembering the maggots, he decided to take proper personal protective measures, especially since he didn't want to be treated with a handful of maggots wriggling and twisting in his hand...

Ugh~~~
When they returned to the dilapidated house of the Yang family, a simple bed had been set up in the middle of the courtyard, and the young patient was placed on it.

The courtyard, the walls, and the trees were all crowded with local people.

In those days, there wasn't much entertainment in the evenings. Xiyang Village didn't have electricity, so there wasn't even a loudspeaker.

So whenever there's something exciting happening in the village, everyone comes to watch, especially when a high-ranking official from the capital is going to treat a rural child—that's definitely gossip potential.

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

It cannot be said that rural people do not understand aseptic techniques.

Evidence-based medicine has shown that applying crushed, unsterilized Chinese herbal medicine directly to a wound can cause or worsen wound infection.

Let's set aside the question of whether traditional Chinese medicine has any therapeutic effect; that's not something we'll discuss.

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

This bacterium can break down sugars in muscles and connective tissues, producing large amounts of gas, leading to severe tissue emphysema, which in turn affects blood supply and eventually causes large-scale tissue necrosis.

As you can tell from the name, anaerobic bacteria thrive best in environments without oxygen.

Now, Chinese herbs are crushed and applied to the wound. In addition, in case the herbs are not effective, several layers are applied, one after another.

This effectively creates a sterile environment for the wound, blocking air from entering.

Without oxygen, it becomes the anaerobic bacteria's favorite environment, causing them to multiply even more vigorously.

A key characteristic of anaerobic bacterial infections is a foul odor from the wound.

Anaerobic bacteria often produce putrid odors during metabolism, such as hydrogen sulfide and skatole, which are typical characteristics.

Therefore, in clinical practice, if an external wound emits an odor similar to "rotten flesh" or "rotten eggs," it is necessary to be alert to anaerobic bacterial infection.

The child's left leg is emitting a foul odor, so bad that it's unbearable to stay in the room. This doesn't fit the characteristics of an anaerobic bacterial infection, so applying traditional Chinese medicine externally has actually done more harm than good.

That's the logic, but Lin Sanqi didn't blame the parents. Without antibiotics or a doctor, were they just going to watch their son die? Of course they had to find a way.

So using some traditional Chinese herbal medicine is a last resort.

In some rural areas, people even resort to feudal methods like shamanistic rituals, but what else can they do?

Just like the Yang family, they knew that penicillin was necessary to save the child, but the exorbitant price of 10 yuan per vial was beyond their means. So, never become like Emperor Hui of Jin.

Seeing that Lin Sanqi was dressed neatly and ready to treat the sick, the two female members of the archaeological team who had come to watch the spectacle volunteered to step forward:

"Boss, we've learned some basic medical knowledge at work and can be your assistant. My name is Xiaohong."

"Boss, my name is Xiao Huang."

Lin Sanqi glanced at it, then smiled and nodded:
"Oh, then I'll be Little Green. We can now temporarily form a traffic light medical team, hehe."

So, I'll clean the wound in a bit, but as you can see, the patient's wound has become infected and many of the herbal patches have scabbed over, making the cleaning work quite difficult.

The key issue is that the disinfectant is very irritating, so Xiaohong, please pass me the disinfectant while I clean the wound. Xiaohuang, please help pass me these cleaning tools so we can finish cleaning as quickly as possible.

The two female archaeologists nodded seriously after listening.

Everyone was ready. Lin Sanqi took out several bottles of saline solution, opened the caps, and prepared to start.

Xiao Hong was quite observant, so she asked:
"Boss, what are the steps for wound cleaning? What should we both pay attention to?"

Lin Sanqi held a saline bottle in one hand and tweezers and a sterile cotton ball in the other before speaking:

"I need to clean the wound three times. First, I rinse it with saline solution to clean the wound 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 solution for a third and final disinfection."

Xiao Hong asked curiously, "Boss, we use alcohol for disinfection, don't you use it?"

Lin Sanqi shook his head desperately:

"Alcohol is absolutely out of the question, it's too painful. This child's entire left leg is infected. If we use alcohol, he definitely won't be able to handle it, and he'll almost certainly go into shock from the pain, which would be even more troublesome."

Xiao Huang quickly chimed in:
"The leader is right. Although alcohol disinfection is effective, the pain is unbearable for most people. It's excruciating."

Xiao Hong glanced at the row of disinfectant solutions Lin Sanqi had laid out on the table and asked in return:

"Boss, don't these disinfectant solutions hurt?"

"It hurts!" Lin Sanqi replied honestly.

"Although it hurts, it's not as hysterical as alcohol, and the iodine in my hand disinfects more thoroughly, making it far more effective than alcohol."

Both Xiaohong and Xiaohuang were puzzled:

"Boss, do you mean iodine solution when you say iodine tincture? This disinfectant still stings."

If it were two young men chattering away like curious children, asking questions incessantly, Lin Sanqi would have been impatient long ago.

But with two beautiful young women from the archaeological team in front of her, Commissioner Lin had more patience to explain to them:
"Although both povidone-iodine and iodine tincture are surface oxidizing agents, they are still different."

For example, povidone-iodine is a solution composed of iodine, water, and polyol ethers. Iodine tincture, on the other hand, is a solution of iodine and alcohol, with an alcohol content as high as 40% to 50%.

Iodine solution does not contain alcohol, has minimal irritation to tissues, and can be used directly.

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

Another important difference is that povidone-iodine is organic iodine, an organic compound of iodine. It has good solubility and low irritation. It can be used for disinfection of skin, mucous membranes, and wounds.

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

Therefore, iodine tincture was phased out in clinical practice abroad (actually decades later), and povidone-iodine, which is less irritating, was chosen and used very widely.

Xiao Hong and Xiao Huang listened attentively, feeling they had gained yet another piece of useless knowledge, since iodine solution wasn't available for sale in China. (End of Chapter)