Nineteenth Century Medical Guide

Chapter 15 15. Assistant is not so easy to be
Ethyl ether is a general anesthetic, which mainly achieves the purpose of making the patient lose consciousness and make the whole body painless by inhibiting the central nervous system.Now most of the ether in Earl's body has been consumed, and although his body is still in the analgesic period, there will still be some pulling sensation from the skin hook.

His mind was messed up, and he had retrograde amnesia [1], which is common after anesthesia. He didn't know where he was, and he forgot that he was undergoing surgery.

Maybe it was this inexplicable pulling feeling that aroused his interest. The slap he raised his hand was impartial, and it just hit his wound, and he was hit hard along with the newly sewn intestines.

"What is this? What...on...body?"

Moraso spoke incoherently, and his eyelids were still under the influence of the remaining potency of ether, and they seemed to be sticking together. The side effects after anesthesia such as nausea and nausea aggravated his nervousness. The body of the python is smooth and slimy.

The field experience in the early years of service made those lingering muscle memories go ahead of the brain.Although Ignatz has repeatedly persuaded him to remain as calm as possible while he is undergoing surgery, Morazzo is so focused on pulling the snake that he can't hear anything【2】.

"Fuck! It's a snake! If you dare to bite me, go to hell, disgusting poisonous snake!!!"

Ignatz realized that something was wrong, and immediately shouted: "Hold him quickly, don't let him move!"

However, it was already too late. As soon as he finished speaking, Moraso's two fingers had deeply clasped the only remaining gap in the anastomosis. In the blink of an eye, the small intestine that had just been sewn was broken into two pieces again.

All of a sudden, there was an exclamation on the stage, and the scene was chaotic.

Ignatz is used to the battles of surgeries, and to him, the ones he performed without screams accounted for a minority.When anesthesia first became popular, he was very uncomfortable and had to keep thinking about the patient's condition.

According to his words, although the screams caused by the pain are inhumane, at least it can let him know that the patient is still alive. The current operation is not like an operation, but more like dissecting a corpse.

But all these are two completely opposite extremes for Bergett. It is obviously beyond the standard to encounter such a big scene in the first operation.

"Why are you still standing there?"

Ignatz yelled at Bergett, and immediately used all his strength to pin down Moraso's hands and feet. After digging out the severed intestine from his fingers, he continued with grace. He explained to the audience in the arena:

"The count really did not lose the courage to kill the enemy back then. In his sleep, he thought his intestines belonged to an Italian [3]. It is really admirable."

Timely control of the field got the desired effect, but Bergett, who was just in his early 20s, was still in shock, and did not respond to the turbulent Morazo.

"What the hell are you doing?" Ignatz yelled again, "Take your uncle's hand and get the intestines back!"

"Huh? Sorry"

Bergett finally regained consciousness, there was a sound in his dazed head, and he quickly followed his example and held down Morazo's other hand and foot.

"Ah, don't be polite to me now that you've been caught! Nasty Corsican Bassets, Spaghetti Ghosts, French Stinky Frogs [4], come at me, and watch me put you all down. Come on , Come on, if you don’t have the ability, go back to you **** (afterwards, there are some vulgar words, which are hard to hear)”

At this point, the Earl was finally completely pressed on the operating table, but the matter was far from over.

Bergett only cared about restraining his hands and feet, and didn't hold the intestinal tube that was supposed to be fixed outside his body.Although Morazo couldn't move his hands and feet, his waist was still strong.Under the violent struggle, another section of intestinal tube that had just been pulled out of the body was brought back to the abdominal cavity at some point.

The angle of the incision for inguinal hernia surgery is very biased and the length is very limited, so it is impossible to see the situation in the stomach clearly.If it weren't for the suture left on the intestine, it could only be found by disemboweling it [5].

Ignatz pressed Ignatz's right hand with one hand, and pinched a section of intestine with the other, unable to free himself at all.But Bergett still didn't realize the importance of slipping down the intestines, he just pressed down on Morazo's body and remained unmoved, while the other two assistants who had just graduated in the distance didn't know what to do now as assistants. .

Just as he was watching the sutures getting into his abdominal cavity little by little, a black figure suddenly jumped out from beside him and stepped forward to help hold down the end of the thread.

Ignatz breathed a sigh of relief. Instead of reprimanding Bergert, he needs to explain the current situation to the audience as soon as possible:
"My assistant, Carvey, successfully held the suture on the other end of the intestinal tube. If it is retracted into the abdominal cavity with the mesentery, the consequences will be quite serious. Now give me the suture, and hold the earl's right hand .”

After the smooth handover, the ether that entered the earl's body through the inhalation device worked again, and the situation finally stabilized.

Seeing this, Kawei immediately stopped and prepared to return to the preparation area.

But things are always changing, and Ignatz, who was having a headache about the assistant candidate, stopped him: "Prevent the Earl from waking up again, press it for a while."

Everyone has fallen asleep, still press? ? ?

Carvey knew what kind of medicine he was selling in his gourd, and he just wanted to use himself to replace Bergett and drive him off the operating table.Even if Carvey is just an inexperienced assistant, since Bergett is inexperienced anyway, using him can still play a role in disgusting Elena.

But Carvey didn't want to do that.

The help just now was completely based on the instinct of a senior emergency surgeon, and it also fits the position of his assistant.

If the 11th bed is a rare opportunity for trial and error, the patient is poor, and the family members have given up. If he succeeds, he will make a steady profit, and if he fails, it’s okay. At the same time, Ignatz is willing to help him.

That Moraso is a hot potato, not only has a prominent status, but he also snatched the seat of the Viscount's son.If this operation is done well, it belongs to Ignatz. If it goes wrong, maybe he will be unlucky with him. The risk is too great.

Moreover, it is not easy to sew intestines in this era, and now they are violently torn off, and the difficulty of suturing has risen to a higher level.

He didn't want to clean up this mess.

But there is no way, Kavi has a pretty good relationship with Ignatz now, and he shouldn't sing against him face to face, and refute his face, so he can only stay where he is.Now I just hope that the future Lord Viscount can withstand the pressure and insist on standing on the stage to help block the thunder.

Young man, you must hold on.
Ignatz didn't know whether to laugh or cry now. If Hills was standing opposite him just now, at least his intestines would not be broken.Fortunately, the result didn't turn out to be the worst, and he suppressed his retaliation against the Viscountess: "Madam really has foresight, and the success of the operation has a lot to do with the assistant."

Elena was very angry when she heard this, but there was nothing she could do about it.

Bergett's stunned reaction was noticed by everyone. If it was someone else, he would have been kicked off the operating table to reflect.It's a pity that he is the son of the Viscount. Even if he made such a mistake, Ignaz still couldn't be too direct: "Bergett, can you still complete the operation with me?"

(Kavi stood aside silently cheering him up: Come on, I am optimistic about you)
Of course this young man hopes to stay on stage, but his meager clinical and surgical experience repeatedly persuades him:
Go down quickly, a doctor who is still an intern shouldn't be here.Everyone is the same, it's nothing to be ashamed of.Besides, the person lying on the bed is your own uncle, so you really can't make any more mistakes!

Bergett looked at his mother, then at the quiet uncle, and wanted to persist: "I think I can."

(Kavi nodded: Not bad, the young man has a promising future.)
Ignatz didn't seem to buy it, and continued to ask: "Now the intestine that was just stitched is broken again, are you sure you can help me cut off the damaged part, sew the intestine again, and successfully complete the operation of this inguinal hernia Is it? An assistant’s mistake will also cause the operation to fail, are you sure you won’t make the same mistake as before?”

(Kavi: Hey, it's almost done, don't hurt his confidence)
Bergert hesitated.

He has the courage to continue to stand on the stage, but he does not have the confidence to insist on not making mistakes again.

Seeing him like this, Ignatz knew that he was not confident, but still did not issue an order to evict the guest. Instead, he gave a suggestion in a more tactful way: "If you feel tired, you can take a rest by the side and wait for someone who needs you." Now, you can go on stage again, how about it?"

"I"

(Kavi sighed badly: hold on, you are the child of the Viscount, don't be fooled by him)

Bergert hesitated for a moment, then nodded, "I'm really tired."

(Kavi: Don't)

"Well."

A gratified smile appeared on the corner of Ignatz's mouth. There was no farewell or introduction. He immediately moved Kavell, who wanted to stay out of the matter, to the assistant's position, and didn't even think about asking him what he thought.

Karvey glanced under the stage, and Elena, who was sitting in the special seat, was full of anger, wishing to swallow him in one gulp: "Professor Ignatz, don't you want to introduce this one?"

"He's my assistant."

"You also graduated from the University of Vienna Medical School?"

"Yes."

Ignatz didn't want to tell the truth at all, because once Kavi's identity was revealed, the woman would continue to make things difficult for him on the grounds of unequal status.

"teacher"

"Don't be nervous, just follow me."

Kavey showed embarrassment and wanted to refuse, but Ignatz didn't give him a reason to speak: "Concentrate on this, this is Earl Moraso, a popular man on both sides of the military and government, you don't want him to die in your own hands in?"

The words were finished by him, and all the reasons were blocked by this sentence, so Carvey could only go on stage.

Holding the needle and thread with his bare hands, and holding his intestines with his bare hands are feelings he has never experienced before, and it takes time to adapt.But in any case, Carvey is still a surgeon with decades of experience, far surpassing everyone in this era.

He didn't know how that Dr. Cooper performed the hernia repair back then. He only knew that what Ignatz was doing now was obviously wrong.

Judging from the disconnected suture, both the suturing method of the intestine and the location of the hernia gap to be sutured are all wrong.According to this method, Carvey can assert that the earl will die of peritonitis caused by intestinal fistula within half a month.

What he needs to do now is to unknowingly help Ignatz complete the operation smoothly without showing too much of his ability.

He just wants to be a talented assistant and grow up slowly while avoiding the sight of others.Rather than a striking monster who ends up being stabbed in the back by someone with a heart.

"It's not easy being an assistant."

(End of this chapter)