Chapter 496: Evil Mother-in-law, Level 6 Grasping Technique
With his diagnostic experience, he could almost tell at a glance that the baby had a foreign object stuck in his throat.
The breathing was very scary, with a loud pulling sound.
The chest cavity collapsed directly.
"Doctor Zhou, this child has a peanut stuck in his airway. The family has tried to get the foreign object out by patting the child's back and feeding him water, but to no avail. I just performed the Heimlich maneuver on the child, but it didn't work. Do you have any good ideas?"
Director Zhuang briefly explained the situation to Zhou Can.
When a child has a foreign object stuck in the throat, many elderly people like to use the wrong methods of patting the back or feeding water.
Little do people know that foreign objects stuck in the throat are often stuck in the airway.
The structure of the human pharynx is very special. Normally, food enters the stomach from the esophagus, and the gas during breathing is discharged or inhaled from the trachea.
The esophagus has good tension and can basically pass any food that the pharynx can pass through.
The chance of choking is relatively small.
The structure of the trachea is very special. It is composed of fifteen to twenty C-shaped cricoid cartilages , as well as connective tissue and smooth muscle between the rings. There is almost no tension.
When food enters the trachea, it usually triggers the body's instinctive self-protection - coughing.
Cough out the foreign body in the trachea directly.
However, if the object stuck in the trachea is relatively large and stuck tightly, it is difficult to use the impact force of the lung gas to expel it. This is very dangerous.
If it is not removed in time, the patient will suffocate and die in a very short time.
Giving water when a foreign object is stuck in the throat is not only useless, but may also make the suffocation worse.
If water enters the trachea, it will not only cause the stuck foreign object to swell, but also make the foreign object stuck tighter.
And it is possible to block the only ventilation gap.
In that case, not only will the patient not be saved, but he will die faster.
The child was breathing with his mouth open, which gave Zhou Can a good opportunity to observe the child's throat.
I used a flashlight to look around, but didn't see any foreign objects.
This means that the foreign object is stuck very deeply.
Pediatricians usually keep a small flashlight in their drawer when they are seeing patients. This is convenient for checking the throat, mouth and nose of infants and young children, and can also test the pupil's reaction to light if necessary.
"Have you checked it out?"
"I did a chest CT scan and the situation is quite serious."
Director Zhuang gave the film to Zhou Can for review.
"Not only is the peanut stuck deep, but it has been stuck there for so long that it must have started to swell and become slippery. The only way is to quickly perform a laryngoscopy to remove the foreign body. But if I may be frank, it is very difficult to remove this peanut."
After looking at the situation, Zhou Can shook his head repeatedly.
Normally, we can find a way to remove foreign objects stuck in the throat. But this time, the difficulty is too great, and the child is so young that we cannot afford the risk!
When Director Zhuang heard what Zhou Can said, he immediately said to the family, "Why don't you take the child to the Provincial Children's Hospital! They have more experience in removing peanuts stuck in the trachea."
Who says older experts are honest?
When faced with a patient who might get into trouble, even Director Zhuang couldn't help but push the patient outside.
People are egoists.
There are altruistic behaviors, but they often prioritize protecting one’s own interests.
Doctors are human beings too, no exception.
The child's grandmother was still there scolding her daughter- , scolding her for not taking care of the children carefully and only playing with her cell phone.
The child's mother was so anxious that she burst into tears.
She became even more frightened when she heard both doctors say it was difficult to treat.
While she was discussing with her husband whether to take the child to the Provincial Children's Hospital for treatment, the child suddenly had convulsions in his limbs, his eyes rolled up, and a strange "ho ho" sound came from his throat.
When Zhou Can and Director Zhuang saw this situation, they immediately became anxious.
The nurse next to him was so frightened that her face turned pale and she looked at the child anxiously.
"Doctor, please save my son, please!"
The child's mother was immediately panicked. As mother and child are connected by heart, she could feel that her son's life was being taken away bit by bit.
He knelt on the ground immediately and begged Director Zhuang and Zhou Can to save him.
The child's father also repeatedly sought help from two doctors.
When illness and death come, ordinary people have no way to deal with it. The only person they can count on is the doctor.
"Director Zhuang, how about we send the child to the endoscopy room immediately and perform a laryngoscopy to remove the foreign body?"
Zhou Can was still able to remain calm at this moment.
The more urgent the situation, the calmer you should stay.
"good!"
Director Zhuang did not hesitate. When the patient was facing the critical moment of life and death, Director Zhuang, like all medical staff, was only thinking about saving lives.
"There are risks in performing a laryngoscopic surgery to remove foreign bodies. You have seen the child's condition. We doctors can only do our best to save him and dare not give any guarantees. If you are willing, please sign the consent form immediately and pay the advance fee. We will arrange treatment for the child right away."
Zhou Can said to the family members.
Director Zhuang is already contacting the endoscopy room.
"We agree, we agree! I just ask you to save my son quickly!"
The baby's mother cried and nodded.
"Agree? What qualifications do you have to agree? The doctor also said that the risk is very high. What if the baby is gone?"
The baby's grandmother is absolutely every daughter-in-law's nightmare.
Domineering, arrogant and unreasonable.
"Mom, Xiaobao is in this state now. It will be too late if you don't agree. Even if you want to scold me, wait until the child is rescued, okay?"
"You are a jinx, a vicious woman. You can't even take care of a child. My son is unlucky to marry you..."
When the old lady scolds her daughter-in-law, she is even more majestic than the old Buddha.
"If the child's safety cannot be guaranteed, I don't agree to any surgery. Don't you have any older doctors in your hospital?"
The old lady was full of distrust towards Zhou Can.
Director Zhuang invited Zhou Can to come for consultation, which made the old lady instinctively regard Director Zhuang as an "expert" and a quack.
"Old man, the child's face has turned purple. If we delay for another three minutes, it will probably be unnecessary to save him. Our doctors are trying every possible way to save him. If your family members don't trust the doctors and are unwilling to cooperate, then we really can't do anything."
Even though Zhou Can disliked the old lady, he had to treat her politely.
He really didn't dare to scold the family members.
"You, you...are you threatening our family? I will file a complaint against you immediately, believe it or not? My cousin's husband is an official, I can get you fired with just one phone call!"
The old lady was like a provoked hornet.
Pointing at Zhou Can, he started cursing.
The patient's father remained silent throughout the whole period, and seemed to have special respect for his mother, as well as a hint of fear.
"Xiaobao, Xiaobao..."
The baby's mother suddenly cried heart-wrenchingly.
Zhou Can found that the child's hands and feet were stretched out forcefully, which was a sign of impending death.
Death from suffocation is far more painful than you might imagine.
The baby's face and skin all over his body had turned purple.
A clear sign of severe hypoxia.
The nurse has filled out the consent form and handed it to Zhou Can.
"The consent form is here. The only advice I can give you is to sign it and pay the fee as soon as possible. Every second of delay increases the risk of the patient's death many times over."
Zhou Can met this vicious old lady and was so tortured that he lost all his temper.
"I'm the child's mother, can I sign?"
"Of course, parents are the primary guardians of their children and have the power to make this decision."
Zhou Can nodded.
The baby's mother signed it quickly, wiped away her tears, and handed the consent form to the nurse.
"Doctors, nurses, I'm counting on you. Please don't worry and give me the first aid. If my son is in trouble, I will take the full responsibility and will not blame you."
The baby's mother seemed like a different person.
She no longer just cried and begged for mercy, said nice things to her mother-in-law, and was submissive, but became decisive and domineering.
I even felt her heroic spirit of being ready to die in order to save her son.
Women are weak by nature, but they become strong when they become mothers.
When her son's life was in great danger, the mother-in-law was still making trouble. At this critical moment, she exploded.
If you can't bear it anymore, then there is no need to bear it anymore.
Zhou Can immediately ran to the endoscopy room with his son, along with the nurse, and Director Zhuang followed.
"You can't take my grandson away. No one can take him away without my permission!"
The old lady jumped up and down angrily, blocking the door.
"You are a jinx, a vicious woman. You are not qualified to make decisions for my grandson..." The old lady cursed her daughter-in-law madly again.
The seemingly thin daughter-in-law ran over, grabbed the old lady's hair and dragged her to the side.
"Doctor, please save my son. If this old man dares to stop you from saving him today, I will sacrifice my own life for yours."
Zhou Can felt really relieved after listening to his daughter-in-law's words.
This poor woman should have exploded and stood up long ago.
…
In the endoscopy room, while installing a vital sign monitoring probe on the baby, Zhou Can quickly performed laryngoscopy on the patient to remove foreign objects.
Director Zhuang watched from the side and helped him.
It's more about helping with some coordination.
For example, contact the endoscopy room in advance and make preparations quickly.
Zhou Can began to concentrate on inserting the laryngoscope deeper into the patient's mouth.
"What's your blood oxygen level now?"
“76!”
"Enlarge the nasal cannula and blow in oxygen."
Zhou Can was giving instructions while performing laryngoscopy on the baby.
This ability to command the overall situation was developed in cardiothoracic surgery.
When doing some major cardiothoracic surgery, the scenes were much more dramatic than they are now.
It requires coordination of all aspects and various rescue, surgery, medication, blood transfusion, etc.
“I saw a foreign object stuck in the trachea!”
Zhou Can knew very well that every second counted and he only had one or two minutes at most to save people.
"Can you take it out?"
"I'll try my best! Report the blood oxygen level!"
“74!”
The blood oxygen level dropped by another two points.
Normally, when the blood oxygen index is lower than 95%, the body will show obvious hypoxia reaction.
He knew very well that there was not much time left for rescue.
The first attempt to pull the foreign body out through the endoscope catheter failed.
Tried again the second time and failed again.
Sweat broke out on Zhou Can's forehead, and he didn't dare ask the nurse to wipe it off, because time now was the baby's life.
"Okay, clamp it!"
After several consecutive failures, I finally found a suitable clamping point and successfully clamped the peanuts.
[Gripping skill experience +1, completing a high-difficulty grip will earn you +1000 experience points.]
Even though he received such a generous reward, he dared not be distracted.
Didn't even pay attention.
I tried hard to hold my breath, and even my heartbeat seemed to stop for a moment.
Pull it out carefully.
“Bang!”
A small piece was broken off.
Just pick out this small piece of peanut meat.
The rescue process is always so thrilling and various accidents are very easy to happen.
"What's your blood oxygen level?"
“68!”
Zhou Can took a deep breath. In his heart and in his eyes, the only thing was the peanut stuck in his trachea.
Try to grab that peanut clip again.
This time, he had more choices when choosing the part to be clamped, because some of the peanuts were pulled out.
When he picked it up, the only thing in his eyes was the peanut.
Because the peanuts broke when he pulled them out after clamping them last time. This time, he wanted to choose a better clamping point.
[First Aid Experience Points +1, +1...]
【Benevolence experience +1.】
The experience value of special medical skills is quietly increasing.
Zhou Can ignored all this, only had peanuts in his eyes, thinking only of finding the most suitable clamping point.
When the baby's blood oxygen level dropped to 52, his brain became deathly silent.
Director Zhuang and others beside him watched him hesitate to take the clamp, and the baby's blood oxygen level kept dropping. They stamped their feet anxiously, but no one dared to urge him.
Because everyone understood that Zhou Can was trying his best to rescue him.
Using a laryngoscope to grasp such difficult peanuts presents many difficulties in itself.
They believed that Zhou Can wanted to save the child more than anyone else.
Sweat continued to pour out from his forehead.
Finally, when the baby's blood oxygen level dropped below 50, Zhou Can successfully found a clamping point under this extremely terrifying life-and-death pressure.
As if it was a natural thing, he controlled the endoscope clamp to that point.
[Grasping skill experience +1, bonus experience +10000. ]
[Congratulations on your grasping skill being promoted to level 6. Your current experience value is 1/100000. ]
This medical skill is usually practiced at home, and only 0.1 experience points are added each time, and at most 0.2 each time. In surgery, grasping is rarely used.
So its upgrade is slow.
I didn't expect that giving a peanut to the baby would give me such a generous experience reward.
Directly push the grasping technique to level six.
Now was not the time to be happy, Zhou Can didn't even notice anything. At most, he felt that holding the peanut seemed a little easier.
The clamping method of the pliers mouth is heavy at the bottom and light at the top.
Then carefully pull it out.
It really was pulled out millimeter by millimeter.
“It’s coming out! It’s coming out!”
When Director Zhuang saw the peanuts being pulled out of the baby's throat, he couldn't help but cheer with joy. The same was true for others.
"Help me, take this peanut out of your mouth!"
Zhou Can said to the nurse.
The nurse who was helping was in her early thirties. Her technique was very steady, and she remained extremely calm while standing by to assist.
She picked the peanuts out of the baby's mouth and put them on the plate.
"Blood oxygen is rising, 52, 54..."
Zhou Can breathed a sigh of relief, but he didn't dare to be careless. Instead, he manipulated the laryngoscope again and inserted it into the baby's trachea to check if there were any peanut fragments or other foreign objects.
After examination, a small piece of peanut fragment was found in the left bronchus.
But if it stays inside and the baby cannot expel it, it can easily cause bronchitis or even neonatal pneumonia.
He tried to pick up the piece of peanut crumbs.
Every time I clamp it , it fits the spot perfectly, not too light or too heavy, just right.
[Grasping skill experience +1.]
"marvelous!"
Zhou Can felt that his grasping skills had improved significantly, and he was a little surprised, because he was only focused on saving people just now, and didn't realize that his grasping skills had been promoted to level six.
"Okay, there is no foreign object in the baby's trachea. What is the blood oxygen level now?"
"87."
"Wait a little longer. It's safe only when it recovers above 95. Reduce the oxygen."
Zhou Can has extensive experience in handling this matter.
After the foreign body is removed, concentrated oxygen can no longer be used. The human body is very easy to become dependent, and the best way to recover is to let the patient breathe independently.
