David Nott y sus colegas salvaron la vida de un adolescente en la República Democrática del Congo.
Boy in Congo saved by mobile phone
A doctor has saved the life of a teenage boy in the Democratic Republic of Congo by amputating his shoulder. He'd never performed the operation before - so, using his mobile phone, he had to text a colleague in Britain asking for instructions.
Rob Norris reports:
Listen to the story
It's unclear how the sixteen year old boy lost his left arm - some reports say he was fishing with a harpoon when he was attacked by a hippopotamus, although it's also emerged that he'd been caught up in fighting between government and rebel forces in the east of Congo.
When a British doctor found him in hospital in the town of Rutshuru, the wound had become badly infected and gangrenous. The doctor, who works for the charity Medecins Sans Frontieres, knew that the boy would die within days if he didn't take action.
The only way to save him was to perform what's called a forequarter amputation - which means removing the collar bone and the shoulder blade. The doctor, David Nott, knew of only one surgeon in Britain who had the expertise to do it. So, as he explained to the BBC, he sent his colleague a text message:
Almost immediately he texted me back - the procedure, how to do it step by step. And obviously you have to think for twenty-four hours really whether this is the right thing or not, you know, a little boy in the middle of the Congo with one arm - because it's an enormous operation. In the UK, you'd need an intensive care unit and an HDU unit to do it, and so it was a huge undertaking.
It's all the more remarkable because the doctor was working in a very basic operating theatre, with just one pint of blood for transfusion.
Since he underwent the amputation in October, the boy has made an extraordinary recovery.
Rob Norris, BBC
Listen to the words
unidad de alta dependencia (HDU por sus siglas en inglés)
a huge undertaking
una tarea enorme
made an extraordinary recovery
se recuperó de forma inesperada