When the Doctor Uses A Hack

Chapter 172: Chapter 173: Repentance is the Most Useless Apology (Vote for Monthly Tickets-)

Generally speaking, for foreign body airway obstruction, the most commonly used method is the Heimlich maneuver.

The principle is to use an impact on the abdominal area, beneath the diaphragm’s soft tissues. The sudden impact creates an upward pressure, compressing the lower part of the lungs to drive the remaining air to form a flow. This impactful and directional airflow can dislodge the object blocking the throat and save the person’s life.

However, the Heimlich maneuver also has a high risk of complications and is not very effective.

The little girl’s father was clearly not proficient in this operation.

By the time she was brought to the hospital, the little girl had already lost consciousness; at such a critical juncture, the Heimlich maneuver is not the most effective measure.

In the hospital, the choice of bronchoscopy and tracheotomy is much more appropriate than the Heimlich maneuver.

If Chen Cang were outside, in the courtyard facing such a patient, he would definitely use the Heimlich maneuver for emergency aid.

But if the patient’s breath and heartbeat stopped, at this time, one should not hit the patient’s back but should contact the hospital promptly.

The endoscopy room’s treatment room facility at the Second Provincial Hospital is highly equipped. Although it cannot be compared with the operating room, it is sufficient for conducting a tracheotomy.

However, since it is a surgery, no matter the size, one must sign a bunch of paperwork with family members including informed consent forms and surgery consent forms. Although the situation is urgent, Chen Cang must also attend to these matters.

Don’t think these things are dispensable. Since it’s called surgery, it means there is a certain level of risk and limitations; nothing is absolutely foolproof.

Chen Cang exited the door of the endoscopy room and saw a man and a woman arguing!

To be precise, a woman dressed in what seemed like a bank professional suit stood there, with tears streaming down her face, pointing at a man sitting on a chair.

“Xu Liang, what can you, a grown man, do? You can’t even watch your child, spending all your time playing those damn games! You want to play, yeah? Why aren’t you playing now? I’m telling you, if anything happens to the child, we are getting a divorce!”

Xu Liang buried his head between his legs, his hands clutching the back of his head, letting the woman curse him out without saying a word.

This really was his fault!

If something really happened to the child, he would never forgive himself for the rest of his life.

His mind kept replaying her sweet smile, and to Xu Liang, it felt as if knives were slicing cuts into his heart!

Does it hurt?

The heartaches like it’s being carved with knives!

Xu Liang would even use his own life in exchange for his child’s life.

She was only three years old!

Cute, sensible, always smiling.

Just these last few days, he finally taught her the phonetic alphabet. Sweetie was so happy, seemingly filled with endless enthusiasm for those letters, reading aloud over and over again, writing from memory time and again.

Every time Xu Liang thought of this, he couldn’t wait to throw away his phone!

If he hadn’t played games, if he had stayed with the child to finish her homework, helped her read out the phonetic letters, watched her grow up…

How wonderful that would have been!

With these thoughts, tears dropped from Xu Liang’s eyes onto the ground.

It’s not about being wronged!

It’s about remorse!

It’s about helplessness!

Life is only once, no one pays for your mistakes, Xu Liang’s hands dug into his hair, his scalp, even… into his flesh!

But this pain is nothing.

Nothing is as important as little Sweetie’s life at this moment.

Thinking back on every little moment of life, remembering his adorable daughter sitting on top of his head, plucking at his hair while teasing, ‘Daddy’s hair is so oily, Daddy doesn’t wash his hair’, Xu Liang could no longer hold back and burst into loud sobs.

He was terrified!

He was scared to death!

He was full of regret, an agony beyond words!

His wife’s scolding, venting, and anger were somehow a relief to him.

Scold me!

I was wrong!

I truly repent…

My wife’s anger and irritation, instead, provided me with a slight relief from my sense of guilt.

“Xu Liang, you owe me, you owe my daughter…” The woman cried messily, her professional suit smeared with snot and tears, but none of that mattered, what could be more important than one’s child?

The other patients around them also sighed!

No one blamed or complained.

Too many stories unfold every day in the hospital, there’s joy, anger, consideration, sadness, fear, there’s separation and reunion, there’s…

Everyone just looked at the woman with sympathy.

What else could they do?

Seeing this, Chen Cang approached, “That, family member of the patient.”

As Xu Liang saw Chen Cang, he quickly stood up, “Doctor, Doctor! How’s my daughter?”

The woman also quieted down suddenly, her eyes brimming with tears, “Doctor… Doctor, how’s Sweetie?”

Chen Cang looked at Xu Liang, whose face was still streaked with tears, “Don’t be so nervous, the child is not in immediate danger for her life, but we can’t remove the bronchoscope forceps, surgery is needed to open up the trachea and remove the foreign object, I need your signature.”

On hearing there was no immediate danger to life, Xu Liang and the woman both breathed a sigh of relief!

After all, when the child was brought in, her breathing was so faint it nearly vanished…

Xu Liang quickly nodded, “I’ll sign! I’ll sign whatever! Doctor… you must save the child, no matter how much it costs, whatever it takes, okay?”

Chen Cang nodded seriously, “Yes, I’ll do my best.”

After Chen Cang had the nurses explain the paperwork to the family and had them sign it, he returned to the operating room to prepare the various instruments needed for the surgery, along with the requisite drugs.

Chen Cang began to explain and arrange the work to come, everything proceeding in an orderly, calm fashion.

Chen Cang’s mature performance relieved Xiao He of the nerves he had earlier.

But it also sparked his curiosity: this young man really had the poise and demeanor of an emergency physician, as if everything was well in hand.

How was it that he wasn’t very familiar with such an outstanding young man?

After all, the endoscopy room often faced many critical situations, and it was rare to see this young man come to help.

Could he be new here?

The nurse walked in, holding the signed documents, and said to Chen Cang,

“Dr. Chen, he’s signed everything.”

Chen Cang nodded and glanced at Xiao He, “Let’s start! Director, could you help me position the child’s head.”

Xiao He nodded, understanding Chen Cang’s intention. Although it wasn’t thoracic surgery, positioning the head to center the trachea was basic medical knowledge.

Chen Cang began the routine procedure of disinfection and draping.

All of a sudden, Chen Cang realized, if a soldier takes pride in their blanket-folding skills, then we surgeons definitely have a smooth and sharp talent for laying sheets!

At the very least, it’s at a perfect level!

“1% lidocaine + 1 drop of adrenaline!”

The nurse nodded, these had already been prepared in advance.

This type of anesthesia was a local infiltration anesthesia, and Chen Cang began to slowly inject it from the subcartilaginous area to the suprasternal notch.

The reason Chen Cang hadn’t called Liu Jian was precisely due to this: if the patient was still bouncing around during a tracheostomy, a professional anesthetist would be required for intravenous medication.

This local anesthesia wasn’t much different from treating a small wound..

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