Chapter 318: The road to surgical correction is paved to save the drowning man
There is more than one reason why the fingers are flexed and cannot be straightened. In particular, this child is already five years old, and for more than five years, his hands have become very stubborn.
Muscle contractures, skin tightness, blood vessels and nerves have long since adapted to the current state of flexion.
The core problem is, of course, the patient's finger joints.
As we age, the condition of bone and joint lesions is not corrected in time, and now it will only become more difficult.
Unexpectedly, the solution given by Director You was an osteotomy.
Cutting off a section of the metacarpal bone of the finger to improve the problem of good palm and finger flexion can only be imagined by having extremely rich practical experience.
About ten minutes later, Director You took a photo of the surgical schematic diagram through WeChat and sent it over.
After Zhou Can saw it, he couldn't help but be amazed.
This bold way of destroying the original bones and reconstructing the metacarpal bone form made him feel as if he had opened a new window.
I have to admire Director You's brain-opening.
The most difficult problem was solved, Zhou Can was also an acute child, and he called Director Zhang of Xinxiang Women's and Children's Hospital directly.
"Director Zhang, I'm Zhou Can from Tuya Hospital, I'm sorry to disturb you so late."
After the phone was connected, Zhou Can reported to his home.
"Don't bother, don't bother, I haven't slept anyway, I'm still checking the information."
Director Zhang was extremely polite to Zhou Can.
"Is it for the child's deformity of hands, corrective surgery?"
Zhou Can asked.
"Uh-huh! With your help, all other problems have been solved. Now there is only one last problem, I don't believe it yet, and I must find a solution. ”
Director Zhang's situation is actually a true portrayal of most small and medium-sized hospitals, some hard-working and motivated doctors.
Because of the weak technical strength of small and medium-sized hospitals, there are even fewer senior doctors who can consult them. When encountering medical problems, you often need to study hard and study hard. Solving problems by consulting a large amount of information, as well as historical medical success stories, is the most common way to solve problems.
"I've found a solution to the joint problem here!"
Zhou Can smiled and told Director Zhang the good news.
"Really? Tell me about it! ”
After hearing this, Director Zhang was very excited.
Zhou Can immediately explained the idea of surgery. However, he didn't send the surgical diagram drawn by Director You to the other party.
The hospitals to which the two belong are different, and this kind of difficult case treatment technology is generally not easily disseminated.
Between hospitals, no matter how nice they say, they want to cooperate, they want to win-win, they want to communicate with each other, the real core technology, that is the guy who eats, how can it really be spread casually?
If any young doctor really believes in this set of arguments, it only means that he is still too young.
Zhou Can is very clear about these principled things.
Therefore, the most he can do is to teach Director Zhang the idea of surgery, and the specifics can only be understood and pondered by Director Zhang.
After listening to Zhou Can's explanation, Director Zhang couldn't help but high-five, "It turns out that it can be solved like this!" This idea is too bold and wonderful, and although there is a certain amount of risk, as long as the osteotomy is performed well, it is really possible to succeed. ”
After all, he is also an old orthopedic surgeon, and he is at the director level, and Director Zhang is only poor in top-notch surgical thinking and methods.
Zhou Can made such a gesture, and he suddenly opened his mouth.
"Dr. Zhou, thank you for helping me solve one of my biggest problems! Thank you so much! Now I can't wait to make a specific plan for the surgery, and I'll let you know when the time comes. ”
After speaking, Director Zhang hung up the phone.
For Director Zhang, tonight must be a sleepless night.
……
The next day, Zhou Can just got up in the morning and subconsciously checked his mobile phone.
A new message has been received.
It was sent by Director Zhang.
"Dr. Zhou, the surgical plan is complete! Strive to arrange surgery for the patient today, and ask you to co-host it at that time! ”
That's a lot of weight.
What he said was not to invite Zhou Can to participate in the operation, but to co-preside over the operation, which was to elevate Zhou Can to the same level as him.
"Okay!"
Zhou Can is also welcome, such a good opportunity to exercise and learn, not to be missed.
He replied with two words.
After waking up, go out for a morning run as usual.
Not far from the hotel is the famous Bijiang River, thanks to the increasing improvement of urban construction, the 30-kilometer scenery belt built by the river is an excellent place for morning jogging and fitness.
The fresh air with a bit of watery smell makes people smell very pleasant.
At the same time, it also has a nebulized inhalation effect, which will not make the respiratory tract feel dry.
Zhou Can ran forward along the riverbank, rolling river waves, as well as the pavilions, stone fences, flowers and plants, and lush landscape trees by the river, all brought him an excellent enjoyment.
"Look, there seems to be a person floating in the river!"
"Where?"
"There! Oh, that's the black dot! ”
The uncles and aunts who were exercising by the river in the morning were the first to surround them, and then some young people also walked to the riverside to watch.
In the blink of an eye, there were already twenty or thirty people surrounded by the river.
Zhou Can followed everyone's gaze and looked at Jiang Xin.
I saw a black object tumbling up and down with the turbulent river waves, and it was flowing quickly downstream with the waves.
His eyesight has always been good, and he squinted for more than ten seconds, and his pupils couldn't help shrinking.
It's really a person.
I don't know if it's dead or alive.
Looking at this situation, if you don't save it, you will definitely not survive.
It's just that the person is relatively close to the center of the river, and if he wants to drag the person ashore, this is a very big test.
Even if you know how to touch the water, it is extremely difficult to cross the river.
Swimming to the center of the river to rescue people back to shore is much more difficult than crossing the river. What's more, you have to bring someone, which is even more dangerous.
Looking at the ferocity, no one dared to go down to save people.
Two sturdy uncles took off their clothes, swam towards the heart of the river for some distance, and then quickly gave up and swam back to the shore.
Saving people is certainly a virtue, but no one wants to take their own lives.
At this time, Zhou Can saw that the man in the river seemed to move his arm.
Because of this movement, the person sank directly.
He sighed secretly when he saw it, it was a pity that a life was lost like this.
In such a rapid river, people have sunk, and there is no value in rescuing. As soon as he arose the idea of saving people, he quickly dispelled it.
The onlookers also sighed and shook their heads.
He continued to run forward.
His eyes glanced at Jiang Xin from time to time.
"Oh my God...... It's floating again! This man's life is great! ”
Zhou Can found that the black shadow was washed out by the river more than twenty meters away in just a dozen seconds. It can also be seen that the river is very turbulent.
At the same time, he also found that the man was washed away by the river.
And depending on the situation, he should continue to move closer to the river.
"Meeting me today is your creation! I hope that being rescued will give me a chance to be rescued. ”
Zhou Can has been exercising for a long time, and he has been practicing fighting and swimming since he was a child.
His wateriness is not bad for himself.
Since this person's life is so big that people see a glimmer of hope, let's save it.
I saw him quickly take off his coat, revealing a strong tendon meat.
"Auntie, I'll go down to save that person, please help me take care of my clothes!" I'm not afraid of losing my clothes. The key is that the mobile phone is afraid of being taken away.
It is much better to entrust this kind aunt than to put it on the ground.
didn't wait for the aunt to agree, Zhou Can directly accelerated and ran forward.
Just running down the street in just a pair of pants, it's quite shocking. is in a hurry to save people, and he can't care so much.
Speeding forward fifty or sixty meters away, he turned his head to look at the man in the water, and moved closer to the riverbank. Man did not sink.
Not bad.
He hurried over the guardrail and jumped directly into the icy river.
The water on the shore does not look deep, but is actually very deep.
Jumping down, you can't reach the bottom with your feet at all.
The man in the water was drifting downstream at a breakneck speed, and he didn't have time to think too much about it. Hurriedly swam towards Jiang Xin.
Intercepting the man in the water was his only thought right now.
I have to say that Zhou Can's choice of launching position was very accurate, and when he swam to the center of the river, the person who fell into the water was quickly washed down by the river. He swam along the river to the center of the river, staring at the people who were getting closer and closer.
In my ears, I faintly heard shouts coming from the shore, and more of it was the deafening sound of Jiang Tao.
Zhou Can saw the opportunity, swam desperately twice, and finally succeeded in grabbing the clothes of the person who fell into the water.
To save someone in the water, do not reach out to hold the person who has fallen into the water.
Because when a drowning person encounters rescue, he will rely on his survival instinct to grasp everything he can grasp. If the rescuer holds the drowning person, the other person will entangle him like an octopus.
In this way, the rescuer will sink into the water with him after being held tightly.
In the end, the person was not saved, and he was given a life.
The best thing to do is to grab the clothes of the person from behind to prevent them from drowning after being held by the drowning person.
After Zhou Can pulled the person back, this time he could see it clearly.
It was a middle-aged man with a face covered with a thick short beard, and his body was quite strong. Long strip-like scars can be seen on the head and face.
It looks like a scar from a sharp weapon such as a knife or axe.
There are at least six or seven of them, of varying lengths.
What the hell does this person do?
"Big brother, can you hear me?"
Zhou Can asked loudly.
"Save ......"
The man is not dead, and consciousness seems to be still there.
After saying only one word, he passed out completely.
This is beneficial to Zhou Can's rescue, he carried the other party's clothes, turned the person's face up, and led the person to get closer to the shore with the help of the power of the river flow.
The masters on the shore still have a very good sense of justice.
After seeing that he had successfully rescued people, someone with a lifebuoy began to meet him.
It's just that the first two uncles who answered had two pig heads, and the launching position he chose was only five or six meters in front of Zhou Can. As soon as they entered the water, Zhou Can had already been swept past them by the river.
A lifebuoy was wasted in vain.
Finally, there was a smart one who chose to run downstream and go into the water more than 30 meters away from Zhou Can.
This time, it's finally up to date.
Zhou Can really had some pan-strength at the moment, got the lifebuoy, and put it on the drowning man first.
With his hands free, he was much more relaxed.
Together with the responders, they rescued people ashore.
The crowd carried the drowning man ashore with all hands and feet.
"I'm a doctor, don't get so close, let the air circulate as much as possible."
Zhou Can directly identified himself as a doctor.
It took so much effort to get people ashore, but it must not fall short.
He quickly cleared the patient's nasal and oral cavity to keep the airway open.
The patient is then placed in a supine position with the head and chin raised.
When I touched it, the patient's heartbeat was very weak and he couldn't breathe at all.
Regardless of physical fatigue, seize the time to give the patient cardiopulmonary resuscitation.
Many people think that after the drowning victim is rescued from the shore, they run backwards, or press the stomach, pat the back, etc., so that the drowning person can spit out the water they have drunk, but this is not the correct way to rescue them.
Drowning people never die from drinking too much water, but by suffocation.
Generally, it only takes two or three minutes after drowning for the brain to lose consciousness.
Because of choking, the lungs protect themselves and stop breathing. After a person is rescued, the most important thing is to try to help the patient recover his breathing. Artificial ventilation is the only first aid.
The patient needs to be ventilated about 10 times a minute.
For specific ventilation methods, see Rescue Breaths for CPR.
Human life is at stake, and Zhou Can can't care about nausea, he only cares about saving patients with all his might.
For doctors, there must be a certain psychological barrier when giving artificial respiration to patients.
Regardless of whether the person who needs to be rescued is male or female, there will be psychological barriers.
Many keyboard warriors think it's a beauty, so they rush to do artificial respiration and the like, which is purely conjecture. When it comes time to save people, you will find that it is far from what you think.
There are even many drowning people who will have mucus and vomit, which is quite a test of the psychological quality of the rescuer.
With Zhou Can's full rescue, the patient's heartbeat and breathing gradually recovered.
Coughing violently and squirting out a few sips of the water he had drunk.
Those who have studied forensic medicine know that people who drown do not have much water in their lungs.
Fluid buildup in the lungs is never a fatal cause.
"Wake up, wake up!"
The crowd of onlookers around erupted in cheers and applause.
Zhou Can touched the pulse of the patient's neck again, it was already quite strong, and he was completely relieved.
This morning's run saved a life, and he found that after he became a doctor, saving lives seemed to become commonplace.
He stood up and searched for the aunt who had helped him take care of his clothes.
I looked around and didn't see it.
"Hold the grass! It's really a dog, rescued people, and the clothes and mobile phones were swept away by the aunt. The world is pouring out, people's hearts are not ancient, he tried his best to save people, but that aunt did such a lack of morality, it was really hateful. ”
Zhou Can thought about it, the place entrusted to the aunt was not here.
In order to save people, he drifted down the river for a long time.
Maybe the aunt is waiting for him at the old place upstream?
didn't care about being seen as a monkey by everyone, Zhou Can walked upstream in a pair of pants.
As soon as he walked out of the crowd, he saw a very temperamental young woman wearing a full set of sportswear and holding his clothes to greet him.
"Did you entrust my mother with your clothes and personal belongings when you were rescuing people?" The woman looked at the tendons and flesh of his body, a little shy.
However, it can also be seen that this woman is by no means an ordinary person.
It is an excellent woman who has been trained and is full of confidence.
It could be a strong woman such as a company executive or an entrepreneur.
The kind of momentum that naturally exudes, as well as self-confidence, as well as the down-to-earth generosity of the show, as long as you have a little experience, you can see that she is extraordinary.
"That's right, these clothes are mine."
Zhou Can reached out to get the clothes.
But the woman took a step back and deftly dodged it.
"Your mobile phone is also with me, in order to prevent someone from fraudulently claiming it, please report your mobile phone number!" She was not in a hurry to hand over her clothes, mobile phone and other items to Zhou Can.
I said...... Is this necessary? Who would claim these things naked? Zhou Can was really speechless.
"Sorry! Even though I didn't find a second naked man at the scene, I still had to make sure I gave something to the wrong person. When the time comes, it will also chill the hearts of the heroes who save people, do you say? ”
The woman was very polite and did not get angry at all about his anger.
Zhou Can had no choice but to report his mobile phone number to her.
She dialed with her mobile phone, and the mobile phone she was holding in her arms rang.
The woman suddenly smiled, "Hero, I'm sorry!" Just now, I was worried that someone would claim something, so I checked my identity. Now that the thing is back to its rightful owner, you check if there is anything missing! ”
She returned all her belongings to Zhou Can.
"No less! Thank you! ”
Zhou Can quickly put his clothes on his body and wiped his hair that was still dripping with a sweat towel.
"You're welcome, that's what we should do. My mom went home early because she was in a bit of a hurry, which added some unnecessary trouble to you, and I apologize again! Also, your act of saving people is very good, hurry up and go home and change your clothes, don't catch a cold! It's better to take a shower, the river water is not very clean. ”
After she finished speaking, she immediately laughed self-deprecatingly.
"Oops, I forgot, you're a doctor yourself!"
"Thank you and your mom for your integrity, kindness, and your concern, goodbye!"
Zhou Can waved his hand and left.
This woman's quality is actually very high, she is steady and very wise.
He did rush a little just now.
Fortunately, people didn't have the same knowledge as him, so instead of being angry, they also cared about telling him to take a bath.
Back at the hotel, Zhou Can took a hot shower and changed into clean clothes.
Due to the delay in rescuing people, it was close to 9 o'clock in the morning.
"Xiao Zhou, I'm waiting for you! Hurry up! ”
Director Zhang Bihua urged him.
"Let's go!"
Zhou Can hurriedly carried the salute he had hastily packed up, and walked quickly to the bus parked outside.
In front of the bus, President Tian and Section Chief Tang of Xinxiang Women's and Children's Hospital all came over.
"All the experts and medical staff have worked hard! Thank you very much for taking the time to visit our Xinxiang Women's and Children's Hospital and support our hospital. Our hospital has prepared a little heart for everyone, please don't dislike it! You are welcome to come back next time to support our Xinxiang Women's and Children's Hospital. ”
As soon as Tian Yuan's words fell, Section Chief Tang and the assistant dean had already begun to give them red envelopes.
The name is written on the red envelope, and the money in the red envelope should be different for different people.
(End of chapter)