Chapter 318 The road to surgical correction is paved, saving the drowning person

There is more than one reason why the fingers are bent and cannot be straightened. Especially since this child is already five years old, the deformity of his hands has become very stubborn over the past five years.
The muscles are contracted, the skin is tight, and the blood vessels and nerves have long since adapted to the current flexed state.
The most core issue is naturally the patient's finger joints.
As we age, the pathological conditions of our bones and joints have not been corrected in a timely manner, and now they will only become more troublesome.
I never expected that the solution Director You gave was osteotomy.
Cutting off a section of the metacarpal bone of the finger to improve the problem of palm and finger flexion can only be thought of by someone with extremely rich practical experience.
About ten minutes later, Director You took a photo of the surgical schematic and sent it to me via WeChat.
After seeing it, Zhou Can couldn't help but applaud.
This bold method of destroying the original skeleton and reconstructing the metacarpal bone shape seemed to have opened a new window for him.
I have to admire Director You’s creative thinking.
The most difficult problem was solved. Zhou Can, who was also an impatient person , directly called Director Zhang at Xinxiang Maternity and Child Health Hospital.
"Director Zhang, I'm Zhou Can from Tuya Hospital. I'm sorry to bother you so late."
After the call was connected, Zhou Can introduced himself.
"Don't bother me, I'm not asleep anyway. I'm still looking up information."
Director Zhang was extremely polite to Zhou Can.
"Are you looking for information on corrective surgery for the deformed hands of that child?"
Zhou Can asked.
"Well! With your help, all other problems of this child's hands have been solved. Now there is only one problem left. I don't believe it and 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 capabilities, and there are even fewer senior doctors to consult. When encountering medical problems, you often need to study hard on your own. The most common way to solve the problem is to consult a large amount of information and historical medical success cases.
"I've found a solution to your joint problem!"
Zhou Can smiled and told Director Zhang the good news.
"Really? Tell me!"
Director Zhang was very excited after hearing this.
Zhou Can immediately explained the general idea of ​​the operation. However, he did not send the operation diagram drawn by Director You to the other party.
The two people belong to different hospitals, and this kind of difficult case treatment technology is generally not easily passed on to outsiders.
No matter how nice the hospitals say, they should cooperate, achieve mutual win-win and communicate with each other. The real core technology is what they make a living from, so how could they really spread it out?
If any young doctor really believes this , it only means that he is too young.
Zhou Can is very clear about these matters of principle.
Therefore, the most he could do was to teach Director Zhang some surgical ideas. Director Zhang had to figure out the details on his own.
After listening to Zhou Can's explanation, Director Zhang couldn't help but high-five and praised, "It turns out that this is a solution! This idea is so bold and brilliant. Although there are certain risks, as long as the osteotomy is performed well, it is possible to succeed."
After all, he is an experienced orthopedic surgeon and a director-level one at that. What Director Zhang lacks is only top-notch surgical thinking and methods.
After Zhou Can's advice, he suddenly understood.
"Dr. Zhou, thank you for helping me solve one of my biggest problems! Thank you so much! Now I can't wait to work out a specific plan for the surgery. I'll let you know when there's good news."
After saying that, Director Zhang hung up the phone.
For Director Zhang, tonight will definitely be a sleepless night.
The next day, Zhou Can just got up in the morning and subconsciously checked his phone.
A new message has been received.
It was sent by Director Zhang.
"Doctor Zhou, the surgical plan is ready! We will try to arrange surgery for the patient today, and we will ask you to co-host the operation then!"
This wording is very meaningful.
What he said was not to invite Zhou Can to participate in the operation, but to co-host the operation, which was to elevate Zhou Can to the same level as him.
"OK!"
Zhou Can was not polite either. Such a good opportunity to practice and learn should not be missed.
He replied with two words.
After getting up, I went out for a morning run and exercise as usual.
The famous Bijiang River is not far from the hotel. Thanks to the increasingly improved urban construction, the 30-kilometer scenic belt built along the river is an excellent place for morning jogging and fitness.
The fresh air with a hint of water smell is particularly 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 along the river bank. The rolling waves, the pavilions, stone railings, flowers and plants, and the lush trees on the river bank all brought him an excellent enjoyment.
"Look, there seems to be a person floating in the river!"
"Where is it?"
"There! Look, that black spot!"
The elderly people who were exercising by the river in the morning were the first to gather around, and then some young people also came to the river to watch.
In the blink of an eye, there were already twenty or thirty people gathered by the river.
Zhou Can followed everyone's gaze and looked towards Jiang Xin.
I saw a black object rolling up and down with the turbulent waves, and was floating rapidly downstream.
His eyesight has always been good. He squinted his eyes for more than ten seconds, and his pupils couldn't help but shrink.
It's really a person.
I don’t know whether he is dead or alive.
Judging from the situation, he will definitely not survive if he is not rescued.
But the man was relatively close to the center of the river, and it was a huge challenge to drag him ashore.
Even for someone who can swim a little, it is extremely difficult to cross the river.
Swimming to the center of the river and rescuing people to shore is much more difficult than crossing the river. What's more, you have to bring someone with you, which is even more dangerous.
Seeing the fierce river waves, no one dared to go down to rescue people.
Two strong old men took off their clothes, swam towards the center of the river for a distance, then quickly gave up and swam back to the shore.
Saving lives is certainly a virtue, but no one would be willing to risk their own life for it.
At this time, Zhou Can saw that the man in the river seemed to move his arms.
Because of this movement, the man sank directly.
He sighed inwardly as he watched, it was such a pity that a life was lost like that.
The river was so fast, and the person had sunk, so there was no point in rescuing him. He had just thought of saving the person, but he quickly gave it up.
The crowd watching also sighed and shook their heads.
He continued running forward.
He would glance at Jiang Xin from time to time.
"Oh my god...it's floating again! This guy is so lucky!"
Zhou Can found that the shadow was washed away more than 20 meters by the river in just a dozen seconds. This also shows that the river is very turbulent.
At the same time, he also discovered that the man was actually washed towards the shore by the river.
And judging from the situation, he should continue to move closer to the river.
"It's your good fortune that you met me today! I hope you can give me a chance to save me after you rescue me."
Zhou Can has been exercising for a long time and has been practicing fighting, swimming, etc. since he was a child.
He thought he was quite good at swimming.
Since this person is lucky and gives us a glimmer of hope, let's try to save him.
He quickly took off his coat, revealing a muscular body.
"Auntie, I'm going to save that person, please keep an eye on my clothes!" I wasn't afraid of losing my clothes, but I was afraid that my phone would be stolen.
It is much better to entrust it to this kind-looking old lady than to leave it on the ground.
Without waiting for the aunt's consent, Zhou Can accelerated and ran forward.
Running down the street in just a pair of shorts was quite shocking. He was in a hurry to save people and couldn't care less.
He accelerated and ran forward for fifty or sixty meters, then turned his head to look at the drowned person in the river and moved closer to the river bank. The person did not sink.
good.
He quickly climbed over the guardrail and jumped directly into the icy river.
The water near the shore doesn't look deep, but it is actually very deep.
If I jump down, my feet won’t be able to reach the bottom.
The drowning man was floating downstream at a very fast speed, and he had no time to think too much. He swam towards the center of the river in a hurry.
Intercepting the person who fell into the water was his only thought now.
It must be said that Zhou Can chose a very accurate position to enter the water. When he swam to the center of the river, the drowning person was soon washed down by the river. While swimming along the river to the center of the river, he stared at the drowning person who was getting closer and closer.
I could faintly hear shouts coming from the shore, but more often than not, there was the deafening sound of the river waves.
Zhou Can seized the opportunity, swam hard twice, and finally succeeded in grabbing the clothes of the person who fell into the water.
When rescuing someone from the water, never reach out to grab the person.
Because when a drowning person encounters rescue, he will rely on his survival instinct to grab any object he can. If the rescuer hugs the drowning person, the rescuer will cling to him like an octopus.
In this way, the rescuer will be hugged tightly and will sink into the water with the rescuer.
In the end, the person was not rescued and his life was lost.
The best way is to grab the clothes of the person who fell into the water from behind to prevent being hugged by the drowning person and drowning together.
After Zhou Can pulled the man back, he was able to see clearly this time.
This is a middle-aged man with a thick beard and a strong body. There are obvious long scars on his head and face.
It looks like a scar left by a sharp weapon such as a knife or an axe.
There are at least six or seven of them, of varying lengths.
What exactly does this person do?
"Brother, can you hear me?"
Zhou Can asked loudly.
"save……"
The man was not dead and his consciousness seemed to still be there.
He only uttered one word before falling into a coma.
This was actually beneficial to Zhou Can's rescue. He lifted the man's clothes, turned him face up, and used the force of the river water to bring him closer to the shore.
The old men on the shore still have a strong sense of justice.
After seeing that he successfully rescued the person, someone came to help him with a lifebuoy.
However, the two uncles who came to meet him had two pig-heads and chose to enter the water only about five or six meters ahead of Zhou Can. As soon as they entered the water, Zhou Can was washed over them by the river.
What a waste of a life buoy.
Finally, someone smart enough chose to run downstream and jump into the water more than 30 meters away from Zhou Can.
This time we finally got the response.
Zhou Can was really exhausted at this moment. He took the life buoy and put it on the drowning person first.
He felt much more relaxed after freeing his hands.
Together with the rescuers, we rescued the person to shore.
Everyone worked together to carry the drowning person to shore.
"I'm a doctor, please don't gather so close together, and try to keep the air circulating as much as possible."
Zhou Can directly stated his identity as a doctor.
We have gone to such great lengths to rescue people to shore, we must not let our efforts go to waste.
He quickly cleared the patient's nasal and oral cavity to keep the airway open.
Then have the patient lie supine with his head tilted back and his chin lifted.
After touching the patient, I found that his heartbeat was very weak and he had no breathing at all.
Regardless of physical fatigue, he rushed to perform cardiopulmonary resuscitation on the patient.
Many people think that after rescuing a drowning person to the shore, they should run with him/her on their back, or press on his/her stomach, pat his/her back, etc. to make him/her spit out the water he/she has drunk. In fact, this is not the correct way to rescue him/her.
People who drown never die from drinking too much water, but from suffocation.
Generally, it only takes two or three minutes for the brain to lose consciousness after drowning.
The lungs automatically stop breathing to protect themselves from the choking of water. After the person is rescued, the most important thing is to try to help the patient resume breathing. Artificial ventilation is the only first aid method.
The patient needs to be ventilated about 10 times a minute.
For specific ventilation methods, please refer to artificial respiration in cardiopulmonary resuscitation.
Human life was at stake, so Zhou Can didn't care about the nausea and focused on rescuing the patient.
For doctors, there are definitely certain psychological barriers when giving artificial respiration to patients.
Regardless of whether the person who needs rescue is a man or a woman, there will be psychological barriers.
Many keyboard warriors think that because she is a beauty, they rush to give artificial respiration, etc., which is purely imaginary. When it comes to saving people, they will find that it is far from what they imagined.
Many drowning victims even have mucus and vomit, which puts a great test on the psychological quality of the rescuers.
With Zhou Can's full rescue efforts, the patient's heartbeat and breathing gradually recovered.
He coughed violently and spat out several mouthfuls of the water he had drunk.
Those who have studied forensic medicine know that there is actually not much water in the lungs of people who have drowned.
Fluid accumulation in the lungs is never fatal.
"Wake up, wake up!"
The surrounding onlookers cheered and applauded warmly.
Zhou Can felt the patient's neck pulse again and found it was quite strong, so he was completely relieved.
He saved a life during his morning run today. He found that after becoming a doctor, saving lives seemed to have become a common occurrence.
He stood up and looked for the middle-aged woman who was looking after his clothes.
I looked around but couldn't find it.
"Oh my god! What a shame! He saved the man, but the clothes and cell phone were taken away by that old lady. The world is in chaos and people are no longer as they used to be. He tried his best to save the man, but that old lady did such a wicked thing. It's so abominable."
Zhou Can thought about it and realized that this was not the place to entrust the aunt to.
In order to save people, he drifted far downstream along the river.
Maybe the aunt is waiting for him at the old place upstream?
Not caring about being looked at like a monkey by everyone, Zhou Can walked upstream in just his shorts.
As soon as he walked out of the crowd, he saw a very elegant young woman in a full set of sportswear coming towards him holding his clothes.
"Excuse me, did you entrust your clothes and personal belongings to my mother to take care of while you were saving people?" The woman looked at his muscular body, feeling a little shy.
But it can also be seen that this woman is definitely not an ordinary person.
But she is an excellent woman who has been experienced and is full of confidence.
She may be a strong woman such as a company executive or entrepreneur.
The aura, confidence, and grace that she exuded naturally were obvious to anyone with a little experience.
"Yes, these clothes are mine."
Zhou Can reached out to take the clothes.
However, the woman took a step back and dodged it nimbly.
"Your cell phone is also with me. To prevent someone else from claiming it, please tell me your cell phone number!" She was not in a hurry to hand over the clothes, cell phone and other items to Zhou Can.
"I say...is this necessary? Who would come naked to claim these things?" Zhou Can was really speechless.
"Sorry! Even though there wasn't another naked man at the scene, I still have to make sure I don't give the things to the wrong person. That would discourage the heroes who saved people, don't you think?"
The woman was very polite and was not at all annoyed by his outburst.
Zhou Can had no choice but to give her his cell phone number.
She dialed the number with her own cell phone, and the phone in her arms rang as expected.
The woman immediately smiled and said, "I'm sorry, hero! I was worried that someone might have taken the things, so I checked the identity. Now the things have been returned to the original owner. Please check if anything is missing!"
She returned all the belongings to Zhou Can.
"Yes! Thank you!"
Zhou Can quickly put on his clothes and wiped his still dripping hair with a sweat towel.
"You're welcome. This is what we should do. My mother had to go home early because of something urgent. I apologize again for causing you some unnecessary trouble! Also, your act of saving people is great. Go home and change your clothes quickly to avoid catching a cold! It's best to take a bath. The river water is not very clean."
After she finished speaking, she laughed at herself.
"Oh, I forgot that you are a doctor!"
"Thank you and your mother for your honesty, kindness, and concern. Goodbye!"
Zhou Can waved and left.
This woman is actually of very high quality. She is steady and wise in her work.
He was indeed a little impulsive just now.
Fortunately, the other person didn't bother with him. Instead of being angry, he even told him to take a bath out of concern.
After returning to the hotel, Zhou Can took a hot shower and changed into clean clothes.
Because the rescue work took a lot of time, 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 quickly picked up his hastily packed luggage and walked quickly towards the bus parked outside.
In front of the bus, Director Tian, ​​Section Chief Tang and others from Xinxiang Maternity and Child Health Hospital all came over.
"Thank you for your hard work, experts and medical staff! Thank you very much for taking the time to come to our Xinxiang Women's and Children's Hospital for consultation and support. Our hospital has prepared a little gift for you, please don't despise it! You are welcome to support our Xinxiang Women's and Children's Hospital again next time."
As soon as Dean Tian finished speaking, Section Chief Tang and the Dean's Assistant had already started giving them red envelopes.
The red envelope has a name written on it, and the amount of money inside should be different for different people.
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