My medical skills add experience

Chapter 318 The road of surgical correction is paved, save the drowning

There is more than one reason for the fingers to buckle and not straighten.Especially since this child is already five years old, the deformity of his hands has become very stubborn for more than five years.

Muscle contractures, skin tension, blood vessels and nerves have long adapted to the current state of flexion.

The core problem is naturally the patient's finger joints.

As we grow older, the diseased state of the bones and joints has not been corrected in time, and now it will only become more difficult.

He never expected that Director You's solution would be bone cutting.

Amputating a section of the metacarpal bone of the finger to improve the problem of good palm and finger flexion can only be figured out with extremely rich actual combat experience.

About ten minutes later, Director You sent a photo of the schematic diagram of the operation via WeChat.

After Zhou Can saw it, he couldn't help but be overwhelmed.

This bold way of destroying the original bones and rebuilding the shape of the metacarpal bone made him seem to open a new window.

I have to admire Director You's open mind.

The most difficult problem was solved. Zhou Can was also impatient, so he called Director Zhang directly at Xinxiang Maternity and Children's Hospital.

"Director Zhang, I'm Zhou Can from Tuya Hospital. I'm sorry to disturb you so late."

After the call was connected, Zhou Can reported his family name.

"Don't bother, don't bother, I haven't slept anyway, and I'm still checking information."

Director Zhang was extremely polite to Zhou Can.

"Is it because of the deformity of the child's hands, corrective surgery to check the information?"

Zhou Can asked.

"Yeah! With your help, the child's two-hand corrective surgery has solved all other problems. Now there is only one problem left. I still don't believe it. I must find a solution."

Director Zhang's situation is actually a true portrayal of some hard-working and motivated doctors in most medium and small hospitals.

Small and medium-sized hospitals have relatively weak technical force, and there are very few superior doctors who can consult.When encountering medical problems, you often need to study hard by yourself.It is the most commonly used method to solve problems by consulting a large amount of information and historical medical success stories.

"The joint problem, I have found a solution here!"

Zhou Can told Director Zhang the good news with a smile.

"Really? Tell me!"

Director Zhang was very excited after hearing this.

Zhou Can immediately outlined the idea of ​​the operation.However, he did not send the operation diagram drawn by Director You to the other party.

The two hospitals belonged to different hospitals, and such difficult case treatment techniques are generally not easily spread to the outside world.

Between the hospitals, no matter how good the words are, they need cooperation, win-win results, and mutual communication. The real core technology is the guy who eats, how can it really be spread out casually?
If any young doctor really believes this set of rhetoric, it can only show that he is still too young.

Zhou Can is very clear about these principled matters.

Therefore, the most he can do is to teach Director Zhang the idea of ​​surgery. Specifically, Director Zhang can only understand and think about it by himself.

After listening to Zhou Can's explanation, Director Zhang couldn't help clapping his hands and praised, "So it can be solved like this! This idea is too bold and wonderful. Although there are certain risks, as long as the osteotomy is performed well, it is really possible to succeed."

Anyway, he is also an old orthopedic surgeon, and he is at the director level. What Director Zhang lacks is only top-notch surgical thinking and methods.

When Zhou Can made such a quick call, he suddenly understood.

"Dr. Zhou, thank you for helping me solve one of the biggest problems! Thank you so much! Now I can't wait to make a specific plan for the operation. When I have good news, I will let you know."

After speaking, Director Zhang hung up the phone.

For Director Zhang, tonight must be a sleepless night.

……

The next day, Zhou Can just woke up in the morning and subconsciously checked his phone.

A new message has been received.

It was sent by Director Zhang.

"Doctor Zhou, the operation plan is ready! Try to arrange the operation for the patient today, and then I will invite you to co-host it!"

This word is very weighty.

What he was talking about was not inviting Zhou Can to participate in the operation, but to co-host the operation, which was to raise Zhou Can to the same level as him.

"Ok!"

Zhou Can is also welcome, such a good opportunity to exercise and study should not be missed.

He replied two words.

After getting up, I went out for a morning run to exercise as usual.

Not far from the hotel is the famous Bijiang River. Thanks to the increasingly perfect urban construction, the [-]-kilometer scenic belt built by the river is an excellent place for morning jogging and fitness.

The fresh air with a little fishy smell makes people smell very comfortable.

At the same time, it also has the effect of atomization inhalation, which will not make the respiratory tract feel dry.

Zhou Can ran forward along the bank of the river. The rolling waves of the river, 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 is it?"

"There! Here, that black spot!"

The elders and aunts who were exercising by the river in the morning were the first to gather around, and then some young people also walked to the river to watch.

In the blink of an eye, no. 30 people had already surrounded the riverside.

Zhou Can followed the focus of everyone's eyes and looked at Jiang Xin.

I saw a black object rolling up and down with the turbulent river waves, and was rapidly going downstream with the waves.

His eyesight has always been good, squinting for more than ten seconds, his pupils shrunk involuntarily.

Really alone.

I don't know whether it is dead or alive.

Judging by the situation, if he is not rescued, he will definitely not survive.

It's just that the man was relatively close to the center of the river, and it was a very big test to drag him ashore.

Even for those who know how to swim, 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, if you have to bring someone with you, it is even more dangerous.

Seeing the ferocity of Jiang Tao, no one dared to go down to save others.

Two strong men took off their clothes and swam towards the center of the river for a certain distance, then gave up quickly and swam back to the shore again.

Saving people is certainly a virtue, but no one would be willing to risk their own life.

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 such a pity that a life was lost like this.

In such a rushing river, people sank, and it was no longer worth saving.He just had the idea of ​​saving people, but quickly dismissed it.

The onlookers also sighed and shook their heads.

He continued to run forward.

His eyes glanced at Jiang Xin from time to time.

"My god... it's floating again! This man's life is really great!"

Zhou Can found that the black shadow was washed away by the river for more than 20 meters in just ten seconds.It can also be seen that the river is very turbulent.

At the same time, he also found that the man was washed a little towards the bank by the river.

And depending on the situation, he should continue to approach the river.

"Meeting me today is considered your good luck! I hope you can save me a chance to save you."

Zhou Can has been exercising for a long time, and he himself has practiced boxing and swimming since he was a child.

His water quality is not bad.

Since this human life is fatal, and people see a glimmer of hope, they should take action to save him.

I saw him quickly take off his coat, revealing his muscular body.

"Auntie, I'm going down to save that man, please 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 by others.

It's better to entrust it to this kind-looking aunt than to put it on the ground.

Without waiting for the aunt to agree, Zhou Can directly accelerated and ran forward.

Running down the street in just a pair of underpants is quite shocking.In a hurry to save people, he couldn't care less.

Accelerating forward and running five to sixty meters away, he turned his head to look at the drowning man in the river, and moved a lot closer to the river bank.Man did not sink.

Not bad.

He seized the time to climb over the guardrail, and jumped directly into the icy river.

The water on the shore does not look deep, but it is actually very deep.

Jump down, and your feet can't reach the bottom at all.

The person who fell into the water was floating downstream at an extremely fast speed, and he didn't have time to think too much.Hastily swam towards Jiangxin.

Intercepting the man who fell into the water was his only thought now.

It has to be said that Zhou Can chose a very precise place to enter the water. When he swam towards the center of the river, the person who fell into the water was quickly washed down by the river.While swimming along the river to the center of the river, he stared at the drowning man who was getting closer.

In his ears, he could faintly hear shouts from the shore, and more importantly, the deafening sound of Jiang Tao.

Zhou Can saw the opportunity, swam desperately twice, and finally managed to grab the clothes of the drowning man.

When rescuing people in the water, do not reach out to hug the drowning person.

Because when a drowning person encounters rescue, he will grasp all objects that can be grasped by the instinct of survival.If the rescuer hugs the drowning person, the other person will entangle him like an octopus.

In this way, after being hugged tightly, the rescuer will also sink into the water together.

In the end, the person was not rescued, and his life was taken.

The best way is to grab the clothes of the drowning person from behind to prevent being hugged by the drowning person and drowning together.

After Zhou Can pulled him back, he saw clearly this time.

This is a middle-aged man with a thick short beard on his face, and his body is quite strong.Obvious strip-shaped scars can be seen on the head and face.

It looks like a scar left by a sharp weapon such as a knife and axe.

There are at least six or seven of them, varying in length.

What exactly does this person do?

"Brother, can you hear me?"

Zhou Can asked loudly.

"save……"

The man is not dead, and his consciousness still seems to exist.

After only uttering one word, he passed out completely.

This was beneficial to Zhou Can's rescue. He lifted the other person's clothes, turned the person's face upwards, and led the person to use the force of the river to keep approaching the shore.

The gentlemen on the shore still have a sense of justice.

After seeing that he had successfully rescued the person, someone with a lifebuoy started to meet him.

It's just that the first two men who responded had two pig heads, and the chosen launching position was only five or six meters ahead of Zhou Can.As soon as they entered the water, Zhou Can was rushed past them by the river.

A life buoy wasted for nothing.

Finally, there was a clever one who chose to go downstream and dive into the water more than 30 meters away from Zhou Can.

This time it was finally accepted.

Zhou Can was really a little nervous at the moment. He took the life buoy and put it on the drowning person first.

After freeing his hand, he was much more relaxed.

Together with the responders, they rescued the person ashore.

Everyone hurriedly carried the drowning man ashore.

"I'm a doctor, everyone, don't get so close together, let the air circulate as much as possible."

Zhou Can directly stated his identity as a doctor.

It took such a lot of effort to rescue people ashore, but we must not fall by the wayside.

He quickly cleaned the patient's nasal cavity and mouth to keep the airway open.

The patient is then placed in a supine position with the head raised and the chin raised.

After touching it, the patient's heartbeat was very weak and he was not breathing at all.

Regardless of the fatigue of the body, seize the time to give the patient cardiopulmonary resuscitation.

Many people think that after the drowning person is rescued from the shore, they run with their backs on their backs, or press the stomach, pat the back, etc. to make the drowning person spit out the water they drank. In fact, this is not the correct way to rescue.

Drowning never dies from drinking too much water, but from suffocation.

Generally, it only takes two to three minutes after drowning to lose consciousness.

Because of the choking of water, the lungs self-protect and stop breathing automatically.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 1 times in 10 minute.

For specific ventilation methods, refer to artificial respiration in cardiopulmonary resuscitation.

Human life is at stake, and Zhou Can doesn't care about his nausea, he just does his best to save patients.

For doctors, there must be certain psychological barriers when giving artificial respiration to patients.

Regardless of whether the person who needs to be rescued is a man or a woman, there will be psychological barriers.

Many keyboard warriors think they are beautiful women, so they rush to do artificial respiration, which is purely imaginary.When it comes time to save people, you will find that it is far from what you thought.

There are even many drowning people who will have mucus and vomit, which quite tests the psychological quality of rescuers.

With Zhou Can's full rescue, the patient gradually recovered his heartbeat and breathing.

He coughed violently and spewed out a few mouthfuls of the water he drank.

Those who have studied forensic medicine know that the lungs of drowned people do not actually have much water.

Fluid in the lungs is never a fatal cause.

"Wake up, wake up!"

The surrounding crowd cheered and applauded enthusiastically.

Zhou Can felt the patient's neck pulse again, it was already quite strong, and he was completely relieved.

He saved a life by running this morning. He found that after he became a doctor, saving lives seemed to be a common occurrence.

He stood up and looked for the aunt who helped him take care of his clothes.

I looked around and didn't see it.

"Holding the grass! It's a fucking dog. After saving the person, the clothes and mobile phone were taken away by that aunt. The world is full of troubles, and people's hearts are not old. He tried his best to save people, but that aunt did such a wicked thing. It's really disgusting."

Zhou Can thought about it, the place to entrust the aunt is not here.

In order to save others, he drifted a long way down the river.

Maybe Big Mom is waiting for him at the old place upstream?

Regardless of being treated like a monkey by everyone, Zhou Can walked upstream wearing a pair of underpants.

As soon as he walked out of the crowd, he saw a very temperamental young woman in a full set of sportswear holding his clothes and greeted him.

"Excuse me, did you entrust my mother with your clothes and personal belongings when you rescued someone?" The woman looked at his muscular body, somewhat shy.

But it can also be seen that this woman is by no means an ordinary person.

She is an excellent woman full of experience and confidence.

It may be a strong woman such as a company executive or entrepreneur.

With that kind of aura that comes out naturally, as well as her self-confidence, as well as her generosity, anyone with a little experience can see that she is extraordinary.

"Yes, these clothes are mine."

Zhou Can reached for the clothes.

But the woman took a step back and dodged deftly.

"Your mobile phone is also here. In order to prevent it from being claimed by others, please report your mobile phone number!" She was not in a hurry to hand over clothes, mobile phones and other items to Zhou Can.

"I said...is it necessary? Who would claim these things naked?" Zhou Can was really speechless.

"Sorry! Although I didn't find the second naked man at the scene, I still have to prevent giving things to the wrong person. At that time, the heart of the rescue hero will be chilled, don't you think so?"

The woman was very polite and was not at all offended by 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 in her arms rang.

The woman suddenly smiled, "Hero, I'm sorry! Just now I was worried that the things would be stolen, so I checked my identity. Now that the things are returned to their original owners, you can check if there is anything missing!"

She returned all the items to Zhou Can.

"No less! Thank you!"

Zhou Can put his clothes on quickly, and wiped his dripping hair with a sweat towel.

"You're welcome, this is what we should do. My mother came home early because of some urgent business, and I have caused you some unnecessary trouble. I apologize again! Also, your behavior of saving people is very good, hurry back Change your clothes at home, don’t catch a cold! You’d better take a bath, the river water is not very clean.”

After she finished speaking, she immediately laughed at herself.

"Oh, I forgot, you are a doctor yourself!"

"Thank you and your mother for your honesty, kindness, and your concern. Goodbye!"

Zhou Can waved his hand and left casually.

The quality of this woman is actually very high, and she is prudent and wise in doing things.

He was really rushed just now.

Fortunately, he was not as knowledgeable as him, so instead of getting angry, he even told him to take a bath with concern.

Back at the hotel, Zhou Can took a hot bath and changed into clean clothes without mentioning it.

Due to the delay in rescuing people, it was almost nine o'clock in the morning.

"Xiao Zhou, I'm waiting for you! Hurry up!"

Director Zhang Bihua urged him.

"Leave immediately!"

Zhou Can hurriedly saluted what he had packed in a hurry, and walked quickly to the bus parked outside.

In front of the bus, Dean Tian and Section Chief Tang from Xinxiang Maternity and Children's Hospital all came over.

"Experts and medical staff have worked hard! Thank you very much for taking the time to visit our Xinxiang Maternity and Children's Hospital and support our hospital. Our hospital has prepared a little kindness for everyone, please don't dislike it! You are welcome to come and support us next time. Women's and Children's Hospital."

As soon as Tian Yuan finished speaking, Section Chief Tang and the assistant dean had already started giving 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 this chapter)