Nineteenth Century Medical Guide

Chapter 102. 99. "Pressing the Table"

The piece of paper that Carvey was holding in his hand was something that Mick had worked hard to get for him.

The chapters on the paper must be true. Mick has this ability, as can be seen from the fact that he can easily kill Andre.But the content written must be false. Andre has been single all his life and has no children at all.

The baron inherited by this middle-aged man with a figure similar to that of Alphonse is just an empty shell, a title bought by grandpa with money.By the time his generation's business failed, the money had been almost spent, and he had no real power in his hands.

There were only two paths before young Andrei.

One is to go to the southern border of the empire to be a small local official relying on the lost contacts in ZF and the baron title in his hand.What I do is that the income of the national public office is fixed, as long as there are no mistakes, life will be very stable.

But that dilapidated place is already very poor, and there are a lot of dirty things. If I really want to take office, I am afraid that I will go to the end in a straight line for the rest of my life without any waves.

And the other is to join the army, make contributions, and make this dust named Edmund in the noble class great again.

Anyway, his pockets were empty, and Andre liked music, but he didn't want to be inseparable from Vienna, so he chose the latter without hesitation.

After staying in the army for five full years, Andre really worked hard on the battlefield, but he also won some achievements.These achievements have won him many rewards, and the luxury apartment that Carvey now lives in is one of them.

But he still regrets it.

Because in the past five years, not only did Andre get several scars, one of the bullets also destroyed his reproductive function, and the Edmund family would be gone before it had time to be great.

Nowadays, the aristocratic blood comes second, and what really matters is power and money. Andre has nothing but a few properties in his hands.Such a marginalized baron, after being decadent for several years, lived by collecting some land rent, and he was happy at first.

I never thought that I would meet Kavey, and I became a little bit greedy, so I just
Carvey was not interested in some of the red tape in the noble inheritance, and he didn't know much about it. Anyway, Mick told himself that this piece of paper could be used, so he took it out.With the importance of Li Ben, it is impossible for Mick to fool himself. It is definitely useful. As for the gang of stubborn old people in the audience, it is beyond Kawei's control.

Considering that there was no way to verify the authenticity in the 19th century, an official seal and signature on it should be enough.

From the shocked eyes of most people, including Ignatz and Hills, Kavi knew that he could continue to fool around:
"Although I haven't really inherited it yet, and this is just a proof of identity, at least my father's house has been successfully transferred to my name with the help of Mr. Laszlo, and Mr. Ignatz should already know this. "

Of course Ignatz knew about the house, and always thought that Laszlo gave it to him, but he didn't expect that there was such a "story" behind it.

Hills had also heard of houses, and he had no interest in such external objects, but the identity certificate did hit his self-esteem heavily: "This piece of paper, isn't this piece of paper fake?"

"Fake?" Carvey shook the paper in his hand, "Is the seal of the double-headed eagle fake?"

Hills didn't expect things to develop to this point. He originally thought that Carvey was just a mud-legged boy who was born as a commoner barber, but now he turned into a baron.He ran up to the podium angrily, carefully looked at the content of the proof, and couldn't tell the truth from the fake.

"Doctor Hills, are you finished?"

"I just think"

"Think Zhang is fake?"

"No, this chapter should be true."

"So there's something wrong with the paper?"

Hills gently rubbed the paper in his hand. Although it looked a little wrinkled, the feel of the paper and the printing of the heraldry were fine: "The paper too."

"That means the signature next to it is fake."

Looking at the name of [Franz Joseph], who had seen the king's signature and handwriting by chance several times, how could he dare to say the word "fake".

Facing the reality, Hills only felt his head buzzing, and the series of questions and denials just now were crushed by Kawei with such a note.Now, no matter the surgical skills are inferior, even the hardest status of myself may be inferior.

By the second half of the 19th century, buying knighthoods had become commonplace, and the aristocrats were getting more and more hydrated.Carvey is also an illegitimate child and the most useless baron, so he is naturally clear.But with the official seal, the baron is still a baron after all, and for conservative Austrian commoners, this piece of paper is a dragon's gate.

How many people in the audience hope to rely on their high education and medical skills to earn some noble status in the last few years of their work.

But the reality is cruel. Taking the technological route is not as easy as the literary route, and it is even more incomparable to a guy who has a good father and stepped on shit.
Hills is the son of the owner of a mining company, and the family's property certainly cannot afford the title, so he wants to fight for it with hard work.I never thought that after so many years of hard work, I finally set foot on the starting line. As soon as I lifted my legs and started, a man named Kawei flew past me and quickly stood on the finish line.

He walked off the stage slowly, packed his things under the buzz of everyone, and left the venue silently.

The departure of a small person will not affect the overall situation, and even Ignatz, who has been promoting him, doesn't care too much.Ever since Sears gave up appendix surgery, Ignatz had driven him out of the division in his heart.

After all, I already have a talented student like Kavey by my side, and Herman is obedient enough without so many edges and corners.

Seeing Hills leave, Kavey felt a little lonely. Judging from his ability, he must be stronger than Herman.A surgical team of four is the standard configuration, which can guarantee enough manpower for complex operations, and for ordinary operations, as long as one or two interns are added, a team can be split into two for use.

Now four people have become three people, and this flexibility is no longer there.

So he has been trying to poach Damirgang since just now.

Although Carvey can't see his upper limit, but the lower limit is definitely higher than Hills and Herman, and it is perfect to be used as an assistant.Of course, Damirgang also has his own persistence. It takes time to poach people, and there is no way to do it overnight.

Now Carvey still has to focus on his speech report.

Now that he had presented his identity, he didn't want to talk about it: "I also made my identity clear. In the end, I just wanted to prove that preoperative disinfection and postoperative care have a great correlation with the survival rate of patients after surgery." .

Look at your terrible patient mortality, look at the Municipal General Hospital.In the past half a month, our hospital has admitted 53 patients in the surgery department, but only 17 had incision infections after surgery, and only 10 died, which is less than 20%.

Anyway, I have said everything that can be said, the data is here, whether you believe it or not, it doesn't matter. "

After speaking, he walked straight off the podium.

Carvey recognized the resistance to medical development, and it would be very painful to spread medical technology freely in Austria based on his current status and ability.

Compared with Britain and France, they are much freer. Everyone is looking for innovations, and everyone is trying to change the status quo.In the present, when there is no medical statistics at all, it only takes a small sample of success to convince many people to try.

This attempt increases the sample size in a disguised form, and finally forms a large sample data, and draws conclusions by means of a positive cycle.

As long as Carvey gives the correct answer, the result must be successful.

In conservative Austria, the royal family is conservative, the nobles are conservative, and even most scientists are conservative.They interrupt the cycle at the beginning, and of course nothing will come of it in the end.

Carvey sat quietly in his seat, looking at Ignatz on the stage, but he was thinking about his own business: Do you want to leave Austria?
Not urgent.

After thinking for a moment, he still lost the idea.

Now I have Ignaz, Laszlo, and Moraso by my side, I am in the largest medical center in Europe, and I will soon enter the oldest university in Europe to study, so there is no need to waste these accumulated resources.

Moreover, Britain and France are foreign countries after all, and life in this country must be easier and more comfortable than that in foreign countries, and they will not be discriminated against.

As for disseminating medical technology and showing one's own strength, for Kavey who knows English, there is actually another way.

Ignatz's appendix operation process is nothing much to talk about, it is nothing more than three steps: cut the stomach, find the appendix and cut it off, and close the stomach.

For appendix surgery, success has always been a matter of probability that cannot be changed by manpower, and even Ignatz thinks so: "This operation can be successful, in addition to Father Schmidt being devout enough, I have to thank Ka Wei, he has been persuading me repeatedly, asking me to search carefully, and finally achieved this operation.”

The focus of the question is on the after surgery.

"I heard there are roundworms in the appendix?"

"It is indeed a very thick roundworm, and there is also cancer at the end, which proves that Father Schmidt's body fluids are very disordered." Ignatz said, "Because the incision is too long, the recovery time of the priest will be slightly longer. When he recovers, I'll have Dr Fatolad come over and give him a good look."

"With such a long appendix, the incision is also very long, right?"

"Seventeen centimeters," said Ignatz.

"What? So long?"

"This is bigger than the incision of a cesarean section, is it alright, Father?"

"Kavi's post-operative care is very good, and the incision is well-grown, and there is no sign of festering."

Ignatz also seemed to understand why his father arranged the operation list in this way. Starting from rhinoplasty + mandibular resection, the surgical incisions were longer than one.But the facts have proved that as long as the disinfection to isolate the miasma is done properly, the incision can grow well.

In fact, in the eyes of Ignatz, Liszt and Carvey's method is very strange, turning the originally clean surgical operation into a housework for the maid to dust.

But as a teacher and a direct beneficiary of Kawei's new technique, Ignatz couldn't help but help out with marketing:
"Everyone, if the title of Baron Kavi's newly obtained is unbelievable, the baron above me should have no objections. I have to say a few words for him here, not out of the relationship between master and apprentice, but simply surgeon status.

I implore you to try Mr. Lister's carbolic acid, or strong alcohol.Do simple air spraying and skin wiping before the operation, and change to a clean gauze bandage according to the amount of incision oozing after the operation. Within three months, you can see the changes.

If you don't want to do it yourself, you can ask an assistant to help you. After all, the surgeon's medical skills are still reflected in the hand speed and mortality rate! "

Just when everyone thought that Ignatz was waving the flag for his students, they didn't expect that the last sentence he said with a smile was the real killing move.

Who is the fastest surgeon in Austria?
Of course he Ignatz!

The holder of multiple surgical speed records is not just talk.

Who has the lowest death rate?
It's still Ignatz!
Looking at the whole of Europe, there are not many surgeons who can stabilize the mortality rate at around 40%.

"Old Kern! Don't be too complacent! Don't forget, your student has already performed two major operations, and the mortality rate is 0!"

I don’t know who yelled at an inappropriate time, and woke up Ignatz’s sleeping dream: “Isn’t it normal for students to surpass teachers? Besides, it’s just two operations. I’ve also learned his disinfection method now. It's not certain who will win. On the contrary, shouldn't it be you who need to worry?"

"???"

"The death rate in your hands is already high enough. If you still hold on, don't blame others when the data is ugly!"

Carvey's disinfection theory and the baron's proof have already been bombarded, and now Ignatz has mercilessly ridiculed their surgical ability. The cooperation between the master and apprentice who are not on the same channel is a coincidence The army of many people.

As for how many people are willing to try, only God knows.

"The table pressing operation at the end of the regular meeting was Dr. Kawei Kawei who reported the cesarean section just now."

The impact of the baron certificate in the host's mind did not subside immediately, and there was an inevitable pause for half a beat during the introduction.He took a deep breath, adjusted his mood in time, and said, "This is a real on-the-spot rescue machine, which is more efficient than a field hospital. It is also a very rare case in the history of urban medical care."

Before he finished speaking, Carvey went straight up: "Doctor Turks, don't waste time introducing, let me say it myself."

In his eyes, Li Ben didn't have many details about the emergency hemostasis operation, because the theory is to ligate blood vessels, suture muscles and epidermis, everyone understands it, and what is really useful is all on-the-spot experience.

He didn't know how to say this thing, and after what happened just now, he didn't even think about saying it properly.

"The wounded man is called Li Ben. As I said just now, after molesting that girl, he was stabbed four times and lost a lot of blood. When I entered the room, I found that he had cuts on his left leg, left forearm, and left neck. Given the criticality, I prioritized the neck incision, then the leg, and finally the arm.

I did a unified suture for the blood vessels, then the muscles, and finally the skin"

Kavey paused, looked at the two blank sheets of paper he had brought to the podium, and shook his head: "...I'm done talking, just ask if you have any questions."

(End of this chapter)