Nineteenth Century Medical Guide

Chapter 104 101. Mr. Li Ben, you must get better
There are very few patients who dare to lie on the operating table on weekdays, but the time of surgeons is still tight. They still need to practice their skills by dissecting corpses in their free time, and those who are obsessed with surgery like Watman and his son have even less time.

Since Ignatz started studying medicine, the communication between the two has changed from once every two or three days to once a week, that is, it is agreed to meet each other during Mass on Sunday.

When Ignatz graduated and entered the Municipal General Hospital and started working, once a week slowly turned into once a month.Up until now, their meetings have been fixed at once every three months, just like regular college meetings.

After getting the address, Carvey said thank you and quickly left the School of Surgery, leaving the father and son in the office.

"how are things?"

It was Watman who spoke first. Although he was immersed in writing his own things, he still had a place in his heart for his son: "Are you used to living in the hospital?"

Ignatz knew what he was going to ask, and intentionally or unintentionally reduced the number of words in the answer, appearing absent-minded: "It's okay."

"I heard that Elena has returned to her home."

".Um."

Watman stopped writing, looked up at his slightly depressed look, hesitated for a moment, but still wanted to ask about his son's marital status: "Elena will never do anything out of line, you don't need to ask, it must be you have a problem!"

"."

"What the hell happened?"

"It's nothing." Ignatz deliberately avoided.

"Is there a woman out there?"

Ignatz blinked, neither negating nor affirming: "Just leave it alone."

As the mainstay of surgery at the Municipal General Hospital, Ignatz also serves as the vice president here. With the title of the strongest surgeon on his body, he is under a lot of pressure.Watman is very clear about the feeling of wanting to cure diseases and save lives but fail: "You don't think she will go home after doing so much work."

"We all have jobs, and that's fine right now."

Watman sighed, dropped the quill in his hand, and basically guessed the truth: "There are so many advantages in me, why don't you learn something good?"

"Why didn't I learn well?" Ignatz replied, and suddenly frowned, "Wait! What is learning? I dare to believe that my current achievements are all learned from you?"

Watman didn't bother to quarrel with him, he just reached out to pick up the photo frame on the table, stared at the woman's photo inside and looked at it again: "What's the use of explaining and explaining, haven't you gone my old way?"

Ignatz sighed: "Let's change the subject."

"What else can we talk about? We're always talking about that young man who popped out of nowhere." Watman complained, and couldn't help asking, "Is he really only 17 years old?"

"His previous employment certificate had his date of birth written on it." Ignatz said, "Besides, no one would believe him if you said he was 30 with that face."

Even after seeing a real person, Watman still can't believe Carvey's age.

That is the Municipal General Hospital, which has signed a contract with the theater. Except for those nobles, almost every operation has to be performed in the theater.Faced with so many eyes, I have to explain a few words from time to time, which is much more tiring than surgery in a small room.

"Half a month ago, I also suspected it, and thought it was strange, but I can't help it." Ignatz spread his hands, "The facts are in front of us, so we can't help but believe it. God's gift, he was born to eat this bowl of rice."

At this time, Carvey has hurried back to the hospital.

Mick had said earlier that since he was given the certificate of title succession, he had to save Li Ben, so he had to check Li Ben's wounds at any time.

Back in the ward, Carvey took the medical records and the equipment box for debridement, and first approached Alphonse who was lying at the door: "Mr. Alphonse, how do you feel today?"

"You mean ass?"

"Correct."

"It's much better." Seeing that he still looked relaxed, Alphonse said hastily, "You care about me better than you care about that German."

Carvey held Li Ben's medical records in his hand: "I was just about to ask you, how is he doing today?"

"I'm not in a good spirit." Alphonse looked a little restless, "I just had some vegetable soup and bread for lunch, and didn't even drink much of the wine that was delivered."

"Fever is like this." Carvey looked at the temperature value in the record sheet and asked, "Is there anything else?"

"Shouldn't you ask the nurse?"

Carvey couldn't say enough about the work of the nurses: "I asked, but I didn't find anything, so I wanted to ask you to try, after all, you are your deadly enemy."

Alphonse shook his head helplessly: "He slept for a whole day, and he really has nothing to say."

"Okay, I know."

Seeing that Carvey was about to leave, Alphonse was a little worried: "I think he is going to die soon?"

"If the body temperature does not drop after another three or four days, the situation will become very troublesome." Carvey also agrees with his judgment, "However, the incision ulceration has always been like this, and a little bit of corrosion penetrates into the body, and the process is very painful."

Alphonse was terrified, and quickly pulled Kavell to his side: "My good brother, you must help him. If the other person is dead, who else should I ask for a duel?"

"If he died, wouldn't it just happen to prove your innocence." Carvey smiled, "It's the same in duels, and it's the same in life. The great God has his own arrangements."

"Can"

Of course Alphonse believed in God, but looking at Li Ben in the corner, he always had an unspeakable awkwardness: "No, I don't approve of this result! Doctor Carvey, I sincerely beg you here, please heal Good man, I need this duel to wash away the shame of that night."

"You are too persistent." Seeing that he was unmoved by his persuasion, Carvey took it as a favor: "Don't worry, he will be refreshed later."

"Really?"

"When did I lie to you?"

"Will he be cured?"

"It's not a big problem." Carvey glanced at Li Ben's hospital bed, and quickly patched this sentence cautiously, "Of course, the premise is that there are no accidents."

Carvey doesn't care about the unspeakable things between Mick and Li Ben, or the result of the duel between Alphonse and Li Ben, as long as people are alive and can talk.The requirements are not high, and the difficulty is not great, but it is a bit painful to deal with.

Li Ben was sleeping on the hospital bed in the corner, covered with a thin blanket.

Carvey took the box and walked to him quickly: "Mr. Li Ben, how are you doing today?"

Li Ben opened his eyes in a daze, and slowly turned over enduring the pain: "My head is dizzy, the wound hurts badly, and I don't have any appetite. Doctor."

"Well, what happened?"

"I feel weak all over, is it going to die soon?"

Carvey smiled, leaned over and said softly: "I have promised Mr. Mick that I will do my best to save you."

He was a little relieved when he heard Mick's name.

"Let me see the wound first."

Li Ben fixed his left hand and foot, twisted his body, barely half-sat on the edge of the bed.

Contrary to the situation on the day of the injury, the degree of infection in the neck was the least serious, followed by the arms, and the most serious in the legs.Half of the sutures on the incision on the left leg have collapsed, and the surrounding skin has a layer of yellowish white, and then there is redness and swelling caused by inflammation, a typical incision infection.

Considering that Li Ben's body temperature has been hovering around 100-102 degrees Fahrenheit (approximately equal to 38-39 degrees Celsius), after suffering for so many days, he can't delay any longer.

"The ulceration is a bit serious." Carvey put the equipment box on the bedside table, his face said everything, "Mr. Li Ben, you must receive debridement treatment. This is the most effective way to treat incision ulceration now, there is no one. "

Li Ben didn't know what debridement meant, so he could only nod in agreement: "Um, can it be cured?"

"Count Moraso's groin was healed in this way." Carvey smiled and relieved, "His wound was much more serious than yours, but it only took a week to heal after debridement."

"So miraculous?"

Perhaps because he missed his healthy body too much, Li Ben agreed to debridement just after listening to it: "Hurry up and get treated, I can't wait!"

Carvey called the two nurses outside the door, took out a few cloth strips from the box and handed them over: "Tie his right hand and right foot to the head and foot of the bed, and they must be tied tightly."

"understand!"

The nurse understood, but Li Ben, who was lying on the bed, didn't understand.

Seeing this posture, he was confused and wanted to refuse, but he didn't know how to refuse. After all, he was the one who said "can't wait" just now: "What are you doing?"

"Don't worry, this is just the preparatory work before debridement. Some limbs need to be fixed to prevent accidents."

There was still a smile on the corner of Kavey's mouth, and before Li Ben could recover, he tied his left hand and foot to the bed rail: "Please keep still, you can shout or curse , but anyway, you can do anything except move.”

"What do you mean?" Li Ben had a bad feeling.

"This is debridement."

Carvey produced a tan glass bottle with nothing but a blank label on it.He turned off the bottle cap and slowly poured the liquid into a small basin: "This is the disinfectant prepared by the dean of the School of Surgery himself. I asked him for it today. The disinfectant can effectively fight miasma and incision ulceration, and can help"

"wait a moment!"

"what happened?"

Li Ben interrupted his introduction at the right time, his eyes fixed on the yellow-green thing in the basin: "I want to ask, what is that thing?"

"Oh, a sponge."

"What are sponges for?"

"Well, debridement." Carvey sighed and made a movement of wiping the table, "I've said it three times."

"But why use a sponge?"

"That's right, I really didn't need a sponge at first." Carvey took out scissors, tweezers, crow's beak forceps, and a scalpel from the box, and threw them all into the carbolic acid disinfectant basin. The skin and flesh, and then perform a deep cleaning, so as to block the erosion of the miasma."

Li Ben couldn't believe his ears: "This is debridement?"

"Yes, clean the wound and debride the wound."

"Not taking medicine?"

"Hahaha, I'm a surgeon." Carvey patted his chest and smiled, "Surgical matters can't be solved by taking medicine."

"and many more!"

Seeing that Kawei wanted to get the scissors, Li Ben raised his voice: "I want ether, ether anesthesia!"

"But there is no ether in the ward." Carvey was a little embarrassed, "and repeated use of ether is dangerous and prone to accidents. There were two patients last week, and I remember that they died just after taking two puffs on stage."

"But."

"Don't worry, I'll be quick with my hands and feet, and it will be over soon."

Kavi didn't want to talk nonsense with him anymore, he opened the crow's beak pliers with his left hand and clamped the incision skin, and raised the scissors with his right hand to "click".Amidst Li Ben's screams, the nurse heard Kavey's request with difficulty, and handed over the hemostatic gauze
The wound on the left thigh is the most heavily infected, and it is also where Carvey needs to be treated first.

General anesthesia does have certain risks. The dose range of ether is inherently small. To ensure the safety of Li Ben, direct debridement is the best.In modern times, local anesthesia such as procaine would definitely be used for local debridement, but now the conditions are limited, and he can only be "wronged".

"Too, it hurts too much!!!" Li Ben gritted his teeth, his muscles tensed up, and his face was extremely painful, "Can you, can you hurry up? Ahhhhhh!!!"

"It's very soon."

Carvey is used to this kind of scene. As Ignatz said at the beginning, pain is a normal reaction of a person who is still alive: "If you know the pain, it means that there is still hope. Don't worry too much."

"This is me! Is this worried!???"

As Carvey said, Li Ben really changed his decadent state all day long, and his voice alone attracted many people from other wards to watch: "Okay! Are you all right?"

"It's over, it's over." Carvey trimmed the festering incision, and then pressed down with the blade of the scissors, "Very good, there is no pus cavity inside."

Li Ben gritted his teeth, and roared three times in his throat: "Okay! A! P!"

"Okay, okay, I'll clean it up for you right away!"

"What, what? You were just...???"

Carvey didn't reply, but asked the nurse to bring a whole bottle of concentrated brandy from the office: "This is the high-end brandy recommended by Mr. Mr. Alphonse's respect, Mr. Li Ben, you must be well."

Looking at the amber wine slowly poured out from the bottle, Li Ben felt that the wound on his leg was cold, followed by endless pain.

In order to absorb the limited brandy, the hundreds of millions of cells in the small incision are fighting frantically in the gap. Every collision of the sword directly stimulates his brain. It hurts too much, it hurts too much
"Okay, the rinsing is over, and the next step is the scrubbing stage."

Kawei took out a sponge soaked in carbolic acid, turned around and was about to start, when he suddenly found that Li Ben hadn't moved: "Mr. Li Ben, Li Ben?"

The two nurses were still young and had never experienced surgical operations without ether, so they couldn't help worrying: "Could it be him?"

Carvey threw the sponge back into the basin and patted his cheek with his hands. Seeing that there was still no response, he put his fingers on his carotid triangle, and then rolled his eyelids: "The pulse and breathing are all right." Okay, I just passed out from the pain. Leave him alone, let's continue."【1】

(End of this chapter)