Nineteenth Century Medical Guide

Chapter 129 126. Ordinary people under the attack of "dimensionality reduction"

The cesarean section, which started at 11:12 noon, was so fast that the clock's hour hand passed [-] before it was declared over.

The less than one-hour operation process was filled with too many things, which made many people feel extremely fulfilled and unfinished, so that the tickets for the operations in the afternoon and even in the evening were all sold out, and the venues were full. .

It's a pity that although they are all called "surgeries", they are drowsy and do not have the charm of the cesarean section at all.

After all, it is very difficult for the chief surgeon to take into account the three major aspects of surgical operation, on-the-spot decision-making and vivid explanation under the watchful eyes of everyone, and finally guarantee the successful completion of the operation.Moreover, the rarity of surgery is also an objective criterion, and other people's are incomparable.

Carvey fully demonstrated his talent on stage, confirmed his reputation as a "genius", and completely shut up those who questioned him.

Throughout the history of Austrian celebrities, the last young man with such talent is probably the classical composer Mozart who composed at the age of 5, toured at the age of 6, created his first symphony at the age of 8, and became a court musician at the age of 16.

"Kavi~"

"Kavi~~"

"Kavi~~~"

The operation was over, and there were warm cheers again in the arena.People shouted his name one after another, witnessing the birth of a medical milestone.

There are not only friends, teachers, colleagues, and opponents who are familiar with Kawei, but also many nobles who have always watched the excitement, wealthy businessmen who seek excitement, reporters from various newspapers, and a certain person standing in the corner watching the whole process silently. Young surgeon.

He was wearing a fairly decent dark green long coat with a bow tie at the neckline, holding his top hat and trembling slightly: "I must be dreaming, he actually did it! How can a cesarean section with placenta previa be successful?" It’s so beautifully done, or is the mother and child safe and he’s really only 17 years old? It’s too strong!!!”

Damirgang repeatedly recalled his work in recent years, and finally found a satisfactory amputation operation. He really couldn't bear to compare it with Kawei's operation just now.

He couldn't help but took a sip of wine in his mouth: "How long will I have to practice to have such a technique."

Damirgang knows very well that a doctor in a small clinic must have the courage to be mediocre.Small clinics can also cure diseases and save lives, and the doctors in small clinics are also doctors. Thinking about unrealistic things will only make your mood worse.

But he is full of curiosity and longing for surgical techniques, and this ambivalence cannot be wiped away with a few simple hints.

As long as he still has ambition, the picture of completing the cesarean section and receiving applause from the audience will always appear in front of his eyes.But as long as he continues to nest in the small clinic, this picture will always be someone else's private collection, and will never belong to him.

He is passionate about surgery, and when he first saw the newspaper report, he wanted to see this cesarean section, which attracted the entire Vienna surgical community.

Money became the only thing preventing him from entering the theater.

The ticket price for the last row was raised to 700 crowns last night, and the price for the first row of seats was astonishingly 1800 crowns, which was even higher than the price of the VIP tickets sold at the opening.With Damirgang's net worth, he definitely can't afford it, so the enthusiasm belongs to the enthusiasm, and a small doctor in the clinic can't afford the entrance fee at all.

Until a letter was stuffed under the door of his clinic. 【1】

"I know that my colleagues have a lot of questions in their hearts." Seeing that the audience was about to step off the stage and rush into the operating area, Carvey quickly suggested, "Go to the small garden outside the theater for questions, and give some to Ms. Brenda and her children." In terms of time and space, the operation is very labor-intensive."

After all, Damirgang is also a master's degree graduated from the University of Vienna School of Medicine. After watching such an operation, it is impossible to have no doubts in his heart.

But he still left silently, left the surgery theater without looking back, found a carriage and went home directly.

It's not evasive, because it's better to close the clinic early, pack up all the things you need, and report to the Municipal General Hospital as soon as possible, instead of being crowded here and asking trivial questions.

At that time, you can ask whatever you want, and you can learn as much as you want.

Also choosing to leave is Greg, who came here with Varela.

Unlike Varela, what he came to the theater this time was not only to watch the development of the surgical field, but also wanted to put aside his professional vision to see if Kavey could break through his limits.

At the same 17-year-old, Carvey seems to have reached the apex of the surgical world, and he has just entered the Vienna Daily News as a trainee reporter.It seems that he is competing with his predecessors and may win the upper position at any time, but Greg is sober, he is just a chess piece to check and balance Varela in the hands of the editor.

The emergency report of the last caesarean section did not bring Greg any substantial rewards.

Wages have not risen, jobs have not been reduced, and status is still at the bottom.

The surgical page of the daily newspaper is not big, and it has been Varela’s one-person column all these years. It seems that the back wave shoots the front wave on the beach by himself, but it is actually an egg hitting a rock. Will he be able to complete the internship and become a regular in the end? All problems.

Greg, like Damirgon, stood in the corner. Although the entrance fee could be reimbursed by the newspaper, he still chose the cheapest seat with great self-knowledge.

Wearing a black formal suit, wearing a soft hat on his head, holding a telescope in one hand, and a pen in the other, hoping to capture the details of Carvey's operation with simple words.

It's just that his surgical knowledge is really weak, and Carvey's hands are so fast that he can't even see the process clearly, so how can he understand, record, or even raise constructive questions.

In the end, his manuscript is just a superficial news report, which cannot be compared with Varela's professionalism [2].But Greg didn't feel that he had made the trip in vain, and the ticket price of 500+ crowns was well spent.

Some things are connected, and Carvey's success has also brought some confidence to Greg.

The surgery column is not the place for him to stay at all, staying here is just a waste of time.He is ready to be transferred from his post. If the editor does not agree, he will have to change to another newspaper.

"Coachman, go to the office of the Daily News."

Just before Greg and Damirgon left, there was actually a young man who chose to leave.

He has always sat in the right seat of the second row of the auditorium, with Ignatz and Waterman on the left, Locard and Olgi, who has just recovered, on the right.Hills came here to understand the mystery in his heart and see if Kavey has the ability to perform a cesarean section.

Although in Olgi's stomach, he already understood Kavey's technical ability, but hemostasis in the abdominal cavity is hemostasis, and cesarean section with placenta previa is still one or two steps more difficult.

Facts have proved that Carvey's cesarean section has already exceeded the scope of normal people's understanding. Even a surgeon like him with certain surgical experience can hardly keep up with the rhythm. There are no more than five people in the field who can really understand the whole process .

That's why he left.

Because Sears knew that it was pointless to squeeze into the crowd to ask questions.

If you have this time, why not go home and take out the abdominal anatomy book and read it again. After two days, you will take Locard to finish dissecting a few corpses, and then follow the content you just wrote down to think about the details of the operation. Replay. 【3】

It is said that being a surgical assistant is a shortcut to learning surgery, but Hills doesn't think so.

His surgical philosophy has changed since the day he left the Municipal General Hospital. Now it feels very good to perform the surgery himself, and there is no need for him to return to the aggrieved assistant stage.

Compared with the assistant who lost a lot of mobile phone opportunities, this direct learning method is more suitable for Sears.

"Doctor Hills." The coachman knew him, smiled and opened the door to send him into the car, and then asked, "Are you going back to the hospital or home?"

Hills paid for the car directly: "Go to Vienna University School of Medicine first."

"okay."

Since there are people who see the gap and leave early, there will be people who squeeze through the crowd and come to Kavey early.

Massimov and Hills are very similar, and may have a different understanding of surgery, but he also has unspeakable hostility towards Carvey: "I still have to congratulate you first: the operation is beautiful, if you have not published an article I can help you with experience."

"Thank you teacher for your kindness. I can write it myself." Carvey smiled and rejected Massimov again. "And there are some places that need to be explained in detail, and I need to make annotations myself."

"So that's the case."

Massimov also laughed and got into the topic of the question: "Talk about the last blood transfusion. That bottle of medicine is definitely an epoch-making invention. And the next blood transfusion is also a pioneering work that can be recorded in history, so the blood is cloth. Renda's own, why filter through gauze???"

"Because the blood has already coagulated, direct infusion into the blood vessel will cause blockage."

"A clogged blood vessel?"

"But didn't you also tie the uterine artery afterwards?" Suddenly a voice came from behind Massimov, with a cigarette in his mouth, exhaling a lot of smoke, and said, "Since even the uterine artery can be ligated , What's the problem with throwing a little blood clot?"

This is a knowledge structure about myocardial infarction and cerebral infarction, and it is obviously inappropriate to say it temporarily in a small garden.

"These are two completely different concepts." Carvey played a sloppy eye, "Uterine artery ligation is of course no problem, because there is collateral circulation to help. But blood has its purity, and unclean blood cannot be reinfused Yes, the consequences can be very dangerous."

Speaking of this, he couldn't help but pause: "Mr. Varela, you have been watching surgical theaters all year round, and you don't know that there is miasma in the air. How can the blood polluted by miasma be reinfused back to the patient? This is not the case. Is it just disregarding human life?"

Varela was stunned: "Dr. Carvey, you know I have no malicious intentions."

Carvey nodded again and again: "I know, because I don't have one either."

"Okay, okay, I've made a note. Autologous reinfusion after surgery needs to be filtered." Massimov didn't waste his paper and pen, and quickly asked another question, "I see you are doing a hysterectomy. I hesitated for a while before, could it be that I was frightened by the womb in front of me?"

"Because placenta accreta was an accident, the incision had to be detoured in the face of such an accreta."

"So you didn't choose the lower uterine segment entry point that was advocated before, and you still bypassed the uterine body."

"Correct."

"What about the placenta? Doesn't the placenta need to be wound? It's too dangerous to cut directly on the placenta."

"After all, I don't know much about cesarean section, and the speed is still too slow. If it is faster, the amount of bleeding will be much less."

"Don't know much?"

"Let's change the question."

Massimov roughly understood what Carvey meant. Although he didn't understand the real thinking game, he at least remembered the technical operation and reason for the blood transfusion by relying on this causal relationship.But Varela didn't understand it yet, and he didn't want to understand it. What he wanted to ask was something different from common operations.

"Can Dr. Carvey tell you why the transverse incision was chosen?"

"The implantation site is in the lower segment of the uterus. Isn't the longitudinal incision just enough?" Carvey's rhetorical question choked the question back.

Varela nodded, and continued: "I also want to ask about the medicine powder in that vial. Since the oxytocin was taken out last time, the medicine this time is also very powerful. It can actually make the blood lose its coagulation function."

"What do you want to ask?"

"Have you considered disclosing the formula of the drug?"

"Although the material is only citric acid, there is no plan to announce the formula for the time being." Carvey glanced at the strange faces around the crowd and said with a smile, "But I can't keep it in my hands forever, if I don't If you guess wrong, there are already many bosses who want to cooperate."

"I think it's better to make it public." Varela seemed to have his own ideas.

"It's my freedom to be public or not."

"But as a doctor, you should"

Carvey couldn't stand this guy's pointing: "I don't need a non-medical professional to teach me to be a doctor. Age is not an excuse for ignorance, but stupidity must be. Without the support of a complete set of blood transfusion techniques , Blindly disclose the preparation scheme of citric acid, resulting in a large number of cases of blood transfusion failure.”

Carvey is no longer the former Carvey, and Varela is no longer arguing with reason like the previous few times. He can only express helplessly: "I just stated my point of view objectively."

"I know you are objective, but you should also know that your so-called objectivity is annoying." Carvey ignored him, "Next."

The operation ended at 12 o'clock, and Carvey didn't leave the theater until 2 o'clock and returned to the hospital.He ate something casually, then went to the maternity ward to check on Brenda's incision and lochia discharge.

Of course, while checking his body, he also wanted to ask this brave mother a question.

Kavila took a chair and sat by the hospital bed, and called away his family members, leaving only him and Brenda around the small hospital bed: "The operation is over, I have seen the child, there is no major problem. If not If there is an accident, you will be discharged from the hospital in five days."

"Thank you doctor." Brenda lost a lot of blood and was a little weak, but her face was full of joy.

"I think I'm a pretty good doctor, and I should be worthy of your trust." Carvey looked at her, but his face didn't leave a good expression, "So you must answer me well for my next question."

Brenda was a little surprised, but nodded after hesitation.

Carvey sighed and asked, "Isn't this your first pregnancy?"

(End of this chapter)