Nineteenth Century Medical Guide

Chapter 160 157. Two operations, dye and life-saving medicine

[Checked some information, there is a change at the end of the last chapter]

Austria, Prussia, France, the grievances and entanglements between the three major empires in the European continent are like a miniature version of Wei, Shu and Wu. When fighting one, you have to worry about the other. It is not appropriate for anyone to start first.

Austria wants to swallow Prussia again, and Prussia wants to resist and even counterattack Austria.The emperors of the two countries are not fools. They both know that France is an important bargaining chip in the war, and they both hope to stabilize and even get help from France.

While France sits on the mountain and watches the tigers fight, it also sincerely hopes that they can lose both and that they can get a share of it.

Carvey doesn't like history, but it's not that he doesn't understand the means of national games and the complexity of history.

At first, he might be fooled by Watman's rhetoric, thinking that this is a matter of national survival.But after calming down for a while in the carriage, he could slowly realize that the situation was far from being as simple as Watman said.

On one side is the physical safety of a certain noble woman, and on the other side is the national interest of France.Whether the two can be equated, and whether France can change its established strategy for a breast cancer operation is actually not up to Watman or Franz.

But no matter how things develop, at least at this time Franz, Watman and their own goals are the same, that is, to do a good job of this difficult-to-avoid mastectomy.

As long as this point is clarified, Carvey will not have other concerns.
After the carriage left the Municipal General Hospital, it did not enter the crowded Ring Road, but chose the alley outside.The wheels ran over the muddy road quickly, and after passing through several blocks, they finally came to the gate of the palace.

The Austrian Empire of the Habsburg dynasty had two imperial palaces, and the Winter Palace, the Hofburg Palace, is located in the center of Vienna.Covering an area of ​​more than 1 square meters, with 20 buildings and nearly 18 rooms, it has the reputation of a city within a city.

Carvey had passed by here often before, but this was the first time he stood at such a close distance.

And this time it seems that it can only stop there.

For the traditional and conservative Habsburg dynasty, the palace is a symbol of rank and status, and those who enter and leave the palace must be of noble blood within five generations. The assassination case 13 years ago also proved that the existence of this regulation can effectively protect the safety of the royal family members, which is very important. 【2】

The baronship that Carvey inherited was originally bought, and it was only the second generation, which was obviously inappropriate.

Watman knew that he was not sure enough about breast cancer surgery, so he repeatedly insisted that he could be accommodated, but what he waited for was the king's objection: "Your Majesty the King said, you can go in now, Countess Justina has already waited." You're all afternoon, but Dr. Carvey has to sit at the doorman's reception for a while."

"But surgery requires him." Watman wanted to struggle again.

"This is His Majesty's decision." The chief guard shook his head lightly. "If Dean Watman has any opinions, he can go to the king to discuss it in detail. I'm just passing on the message."

Watman looked at Kavey next to him, and then at the guards in front of him, and could only sigh: "Okay then."

Passing through the gate of the Hofburg Imperial Palace, Wattmann boarded the carriage in the inner courtyard and came all the way to the garden where the king, couple and Justina were.

The car stopped on the side of the road, and Watman walked quickly to the three of them under the leadership of the chief guard.He was full of complaints, but the moment he saw Franz, all the complaints were swallowed back in his stomach: "I'm really sorry, it's too late."

"Dr. Waterman, you are finally here." Justina took a sip of milk tea and was in a bad mood. "I thought the dean had forgotten about me."

"I have a breast surgery done by my colleagues today, so I will learn from my experience." Watman got Franz's consent and sat beside Justina, "Because after the operation, I went to see the condition of the eye patient after waking up. In addition, the road is too congested, so it took a while."

After finishing speaking, he turned to Franz to ask for a privilege pass on behalf of Kawi, but Giustina didn't give him this opportunity: "Dr. Waterman, if you are not sure about the operation, I can choose to go to the UK for treatment. Or Prussia, my husband is in Berlin now, and he may have found a good surgeon."

This is a heavy statement, but it is also in line with Justina's identity and the delicate relationship between the three countries today.After all, Watman is just a marginal baron far away from politics, and his practice is not internal medicine but surgery.Even with the title of dean, it is useless to those who walk in the center of power.

For Franz, the appearance of "Prussia" was already a warning.

"Countess, although the surgery in Prussia is good, there are no doctors who are good at plastic surgery." Franz suppressed his anger and said, "I'm sure that Dr. Waterman is absolutely capable of doing this surgery well."

It is quite outrageous to make a promise on behalf of the chief surgeon. Watman is unhappy, but Franz seems to have tied the future of the empire to his own hands.Now this operation is no longer a simple operation, but some kind of political task that must be completed.

"I am very sure about the surgery, but the key is the recurrence rate after surgery."

On the premise of not misinterpreting the meaning of the king, Watman gave an appropriate explanation in time: "I have been considering changing the surgical strategy, hoping to remove all the tumors at once."

"Can it really be done?" Justina was dubious. "My grandmother died of a relapse after undergoing surgery."

"The doctor I went to see today has a way to control the recurrence rate." Watman looked back at Franz, and the meaning was quite obvious, "But we left in a hurry. He will explain it himself."

"You mean Kavi?"

"Yes, what Carvey had today was a mastectomy."

"Oh, another unfortunate woman." Justina was a little surprised, covered her mouth and sighed softly, "Why are women so miserable, not only have to keep giving birth, but also suffer from uterine prolapse and breast tumors? Violation?"

These words fell into the ears of the two men like a non-painful complaint, and it was Queen Elizabeth who could really understand the helplessness: "Earl Camille wants a child again?"

"Even if he really wants to, I have to give birth." Justina put her hand on her chest, "My grandmother started having a baby at the age of 17, almost every two years, until she was about the same size as me. It starts with age. She hasn't had any fun since she got married, except kids being kids."

"Yeah, the world is so unfair." Elizabeth couldn't help but give Franz a white look, "But at least Earl Camille treated you pretty well."

Speaking of her husband, Justina smiled slightly: "That's true, he is my idol. If it weren't for my illness, we would sit in the garden every night and look at the sky and count the stars."

"Ugh"

Watching the two ladies sigh and sigh, Franz coughed lightly, and then patted the shoulder of the chief guard beside him: "I think Justina's condition is more important, so let's make an exception and let Dr. Carvey come in once."

"But His Majesty the King."

"I've made up my mind." Franz said, "He is also a hereditary baron I personally conferred, so nothing will happen."

"Yes."

Carvey was still sitting in the reception room.

From the guards, he learned that the palace would hardly allow people like him to enter. Even if it was an important festival of carnival for the whole people, at most he could only enter the Heroes Square in front of him to meet the king and queen, and he could not go to the inner courtyard at all.

So from the very beginning, they were trying to persuade Kavey to leave.

Karvey just smiled and nodded in agreement, but his body didn't take any action. Anyway, he was happy to be free, and he just took this time to sort out the things he had to do recently.

First of all, it was Fernan. As Kawei's old patient, his safety was more important than anything else.

The epigenital incision among the three surgical incisions is very difficult to handle, and close attention should be paid to postoperative infection.Of course, the metastasis and recurrence of gao pill cancer also need continuous attention, and the liver that has shown signs of sclerosis cannot be left behind.

If possible, Carvey still hopes to try his best to save him.

The second is surgery, all related to the approaching war.

Old Marshal Ludwig had two herniated discs in his waist, which was troublesome enough, but Wattman also forced a breast cancer.Both operations are high-risk and high-reward, and Carvey needs to go all out.

In terms of time, Ludwig's intervertebral disc has been ill for several years, but it can be delayed.

On the contrary, the countess, who had just arrived in Vienna, was in an urgent condition and could not delay any longer.

Early detection and early treatment of breast cancer, in the era of no imaging examination, the earlier the doctor, the better the effect of surgery.If all goes well, only a classic radical mastectomy is needed to prevent recurrence.

But the trouble is that the patient wants to do remodeling.

The mammary gland is not a bone. It is easy to cut it off, but it is definitely much more difficult to fill it up.In the 19th century, when there were no suitable alternatives, it was difficult for Carvey to think of a way to reshape surgery.The most critical thing in the whole remodeling is not the internal filling material, but also the cut off head.

How should this Rutou thing be reshaped? ? ?

Too difficult for existing materials.

What if you don't reshape your head?

No, no!

Your head is the soul, without your head it is better not to reshape.

Carvey was a bit of a headache. The plastic surgery was not only about the techniques and techniques on the operating table, but also the stitching ability of the three-dimensional geometry of the human body and the ability to apply materials.He lacks exercise in this area, far from reaching the level that a qualified plastic surgeon should have.

But fortunately, the operation cannot be completed at one time. In order to reshape, a second operation is definitely needed. Carvey still has time.If the patient really wants to rely on his noble status to guide the doctor to mess around and refuses to listen to persuasion, then he can only give up the operation.

The third thing is the bottle of dye.

If he guessed correctly, the blue dye should be methylene blue, which is a perfect medicine that can treat nitrite poisoning and inhibit the growth of bacteria.

But this discovery is different from oxytocin and anticoagulants. Carvey is not completely sure, and further experiments are needed to confirm it.If it is confirmed that it is indeed methylene blue and that it really has antibacterial effects, it will be great news for the war trauma surgery that will be faced next.

The next thing to do is to win the patent of methylene blue, and try to produce as much as possible to meet the needs of the army.

"Fernan's surgery, intervertebral disc, breast cancer, methylene blue." Carvey drank the hot coffee handed to him by the guard, and said to himself, "Only antibacterial is not enough, serious trauma can't be sent to the rear hospital at all." .Even if you really insist on reaching the hospital, you will still die if you don’t have an autologous blood transfusion in advance.”

Blood transfusion!

In the theater of surgery, there is no way to ask high-class people to donate blood, but it is different in the military camp. Everyone is a comrade-in-arms, so blood is completely feasible.What Carvey has to do is to "find" a method to determine the blood type, and then apply this method to the military camp.

"Not enough, antibiotics and blood transfusions alone are not enough!"

The more Carvey thought about it, in the two months after time travel, what really made him difficult was the various emergency medicines commonly used in modern medicine.If these rescue drugs can be made, no, even if only simple adrenaline is made, then many complicated operations can be performed on stage, and he can wake up with a smile even from a dream.

Carvey shook his head, took another sip of his coffee, and laughed at himself for being too arrogant.

Drug synthesis requires a very strong chemical application ability, as well as the time cost of active trial and error, which is a luxury for him.Sodium citrate depends on reading materials, and oxytocin depends on the Chinese medicine books that I accidentally read at the beginning. What does adrenaline rely on?
Is it by black technology?

I was just reborn, and being able to carry the memories of the previous life and manipulate this body proficiently is already quite good.

Is it the same as making sodium citrate, relying on flipping books?
In fact, in the process of flipping through the books before, I have noticed that there is no such thing as adrenaline in the books of the 19th century, at least there must be no records of this in the ones he flipped through.

Just kidding, how can there be anything like adrenaline in this world
and many more
Really not?
Sometimes the inspiration comes by accident, and after thinking over and over again, a strange idea suddenly appeared in Carvey's mind.

The method is very strange, but after careful consideration, I feel that it is reasonable: "My brain is getting more and more ridiculous, and I can even think of this method. But who let oxytocin be the first, if it really works It doesn’t take too much time to prove it.”

Methylene blue needs to detect the ability to inhibit bacteria and neutralize nitrite, and then determine the purity and dosage of the dye. The experiment requires a lot of manpower.

Koch was originally interested in chemistry, Savarin was hesitant to dissect small animals, and Mattick was too young, so he could only rely on himself to prepare adrenaline.
"Dr. Carvey, is Dr. Carvey there?"

Suddenly there was a knock on the door, and the words of the chief guard soon reached Kawei's ears: "I am here."

The doorman opened the door, and the chief guard came in with two entourages: "Doctor Kawei, His Majesty the King is here to invite you."

(End of this chapter)