Nineteenth Century Medical Guide

Chapter 163 160. The Opening of the Surgery

On May 5th, as usual, another surgery was held in the surgery theater of the School of Surgery.

The complexity of the operation is not top-notch. From the perspective of the surgical area alone, this may only be regarded as a large epidermal tumor resection.However, due to the particularity of the surgical object and the superb skills of the chief surgeon and assistants, more than 200 viewing seats in the theater were packed.

In fact, the surgery theater of the School of Surgery is often full on weekdays, and it was King Franz who really made this surgery a hit.

Early in the morning, many guards came to the campus of the School of Surgery, and the chief guard of the palace took over the security work in the campus.

At 10 o'clock in the morning, the gate of the School of Surgery was closed, and only certain personnel could only come in and out.At the same time, the theater where the operation is performed implements the strictest review system. Anyone who enters the theater must not only hold a ticket, but also show a certificate of membership of the Academy of Surgery or a certificate of surgical practice.

Most of the spectators have the badges given by the academy. If there is no physical evidence, there can be witnesses. Anyway, they have to prove that they are real medical practitioners.

At 12:[-] noon, the Royal Horse Caravan entered the School of Surgery. Apart from the regular palace guards, there were also many big figures who had nothing to do with medicine in the entourage.French Ambassador to Austria Édouard Deroune de Lehuis, Austrian Imperial Chancellor Count Richard Belcredy, and Imperial Foreign Minister Viscount Karl Ludwig von Bruck.

In addition, Giustina also invited Hans Shriati, the most outstanding portrait painter in Vienna, and hoped that he could record the soul of the entire operation on paper with the most concise strokes.

Although Franz had been telling everyone not to be restrained, in the face of the mighty uniformed guards entering the theater, the surgeons, let alone making noise, even whispered conversations became a major matter that needed to be treated with caution.

But in fact, the four big shots had no interest in the doctors present.

What they really care about is the upcoming war. Surgery is a recreational tool, and it also maintains the relationship between the two countries.Although this relationship is very loose and delicate, it shows that Fao is actively seeking to communicate with each other.

"Mr. Edward, this is the highest-standard surgical performance this year." Foreign Minister Karl said with a smile, "It is also the most standard and professional surgical theater in Vienna."

"I didn't expect Dean Waterman to preside over the operation of the countess." Edward sighed, "I thought the operation would be performed in the embassy, ​​but I didn't expect it to be moved here."

"That's what the Countess meant."

"Ok, I know"

Although Edward is good at diplomatic rhetoric and is happy to see the peaceful and beautiful relationship between the people of Fao and Austria, he always feels weird when he thinks about the content of the operation he is about to watch: "I have to say that the Countess's behavior has always been full of romance. spirit of doctrine."

"I sincerely hope that the Countess can get rid of her illness."

Compared to Minister Karl who sang a red face, Prime Minister Richard played a black face: "Don't worry, Austrian surgery is no worse than France, and Baron Waterman is also a well-known figure in the European surgical field."

"I have great confidence in Dean Waterman." Edward said upon seeing this, "Besides, I have Dr. Carvey Hines as an assistant, so I am very relieved."

"Oh? Mr. Edward also knows Carvey?" This time it was Franz who spoke.

Edward smiled and replied: "News about him are often published in newspapers. Even if you haven't been to the scene, you can recognize his ability through those words. This is also an important reason why I am willing to come here. If possible, I will I’d love to see Dr. Carvey perform a cesarean.”

"In my impression, there have been several successful cesarean sections."

Edward was a little dumbfounded: "It's not that I don't want to watch it, it's really hard to buy tickets. You don't usually watch surgeries, maybe you don't know, but for Dr. Carvey's surgeries, the tickets can always be fired at sky-high prices. And among my entourage It’s a pity that there are no doctors who can understand surgery.”

As long as one party has a need, there are conditions for conversation. Even if this need is not important, it is enough to be an introduction to the topic.

"With Dr. Edinson today, the explanation is not a problem."

Franz moved out another vacant seat and invited Edinson in.Edward was also polite, and immediately asked a very pointed question: "Dr. Edinson, although the Vienna Daily News has been publishing the news of the cesarean section, I still doubt its accuracy."

"Huh? Accuracy?"

"Isn't that what the media is all about?"

Only then did Edinson react: "The reports on the surgery are relatively accurate. After all, there is nothing wrong with mistakes, omissions and partiality in the public performance of the surgery theater, but it is impossible to falsify the patient's life and death."

Edward was a little surprised.

He believed that Carvey's strength could happen to complete a cesarean section, but it would be a bit magical to say that the next few were also smooth.So he always thought that the Vienna Daily was deliberately portraying him as a surgical genius in order to increase newspaper sales.

In fact, the Vienna Daily News did see a nearly 30 percent increase in sales last month.

"I remember he had eight caesarean sections"

"No, it's Jiutai."

"Jiutai?" Edward sighed: "All the patients in Jiutai survived?"

"Both mother and child are safe." Edinson said flatly, "and neither had a hysterectomy."

"This is unbelievable. If it is true, Dr. Carvey has made history!" Edward looked excitedly at the operating bed in the operating area, "The survival rate of cesarean section in France is less than 30%. The highly skilled surgeons were too aggressive."

It was just a few simple conversations, and the four people present thought of four completely different aspects.

Edinson thought only of the surgical aspect.

For Carvey, he both respects and envies him. The latter may account for more, but his family background will never allow him to lie: "Dr. Carvey's cesarean section technology is indeed better than all contemporary surgeons."

Foreign Minister Karl thinks more about the quid pro quo between countries: "Dr. Carvey is still young, and if he has the opportunity, he can go to France for a surgical tour."

Prime Minister Richard, who sang bad faces on the side, saw the increasingly unbalanced France under liberalism and romanticism: "Your country's surgeons really need to take care of them. I heard that some surgeons have already abandoned them. The mission of saving lives and healing the wounded has turned surgery into an entertainment industry.”

What Franz, who was silent, saw was the root of a country: population.

France has been a populous country in Europe since the beginning of the 19th century, but its population growth is extremely weak. 【1】

Compared with the population growth of Austria, France can only be described as a turtle speed. From 1818, the population of the two countries was basically the same at about 2900 million. After 50 years, Austria has now exceeded a full 300 million.

In the eyes of outsiders, France won the Franco-Austrian War and seemed to have regained the initiative in Europe, but in fact Franz, who has always been concerned about internal affairs, is well aware of the importance of population growth rate.As long as he is given a few more years, the national strength will surely return to the level before the French-Austrian war.

However, the growth rate of this national power is not large. In fact, the population growth of Prussia next door is even faster.From the perspective of population growth alone, the original anti-French alliance seems to be turning into an anti-Prussian alliance.

"Safe cesarean delivery does have a strong social dimension."

Franz was naturally full of praise for Carvey: "As long as this operation can be promoted, I am confident that the number of births in Austria can be doubled."

Edward felt that Austrian Emperor was joking, but in all fairness, the 100% successful cesarean section did bring him a great sense of security.From the perspective of women, this feeling may become more profound.

Soon, a rough outline of the plan was formed in his mind: "After today's operation is successful, I hope to see Dr. Carvey's cesarean section again."

"No problem, we will make arrangements in time."

At 12:50, Justina was sitting in a wheelchair wearing a white hospital gown, and was pushed into the venue by two nurses.

As for the operation, she seemed to have long since dismissed it. This morning, she specially put on heavy makeup and sprayed on her favorite perfume.If Waterman hadn't repeatedly emphasized that surgical patients should only wear hospital gowns, she would definitely have worn the gowns she wore to meet Franz and Elizabeth that day.

Looking at her husband silently encouraging her, Justina walked slowly onto the operating table.

Surgery is about to begin.
According to the usual practice, 90% of noble patients will set the operating room in their bedroom or study, and the assistants involved in the operation will be strictly selected.Especially for operations in private locations, I am afraid there will be special requirements for the gender of the assistant.

It is nothing more than spending more money, a few hundred crowns is nothing to them.

But Giustina did the opposite, which was surprising.

Carvey wondered why a countess, the daughter of a prominent general, offered to have her operation put on the theater for people to watch, especially if it was a very private and even embarrassing mastectomy.

And her husband Kamiyi actually agreed with this approach, and logically asked Watman to get the nearest VIP seat.

Although the surgery theater of the School of Surgery is only open to medical professionals and a very small number of specific personnel, Watman is the chief surgeon, and Kavey is there to help, and the operation is still resection of breast cancer that cannot be cured. There is a vacancy.

In fact, those who dare to perform surgery in the School of Surgery are doctors with outstanding capabilities. Their operations always attract young doctors and other colleagues. Coupled with the cheap price, it is difficult to have an empty market.

Is it so exciting to be looked at by more than 200 pairs of eyes?
Is this the romance of the French?
so weird
"The countess must have her own considerations. Her surgery is no longer just her own surgery."

Watman on the side picked up the surgical process diagram that he had studied with Carvey these days, and confirmed several important details: "Choose a fusiform incision, remove the central nipple and surrounding skin, remove the diseased breast tissue and muscles, Then explore the axillary lymph nodes. Are you sure you want to cut the skin and check the lymph nodes?"

"Of course," said Carvey, "it never hurts to see."

Now that tumors are still caused by changes in body fluids, it is still difficult for Watman to understand the purpose of Kavey's lymphatic exploration.Because he still couldn't fully believe in Carvey's cytological explanation of the tumor, he unconsciously skipped the thinking process of "tumor-tumor cells-tumor cell detachment-metastasis pathway" in his mind.

"As I said before, the tumor will have lymph node metastasis, and a doctor in Germany has observed this."【2】

"That report is still somewhat one-sided." Watman shook his head. "It is really hard to convince everyone that lymph node swelling is classified as tumor metastasis based on simple observation."

"So I did an experiment. I had made a suspension of the gao pellet tumor tissue that I had taken from the patient, and injected them into the voles." Carvey used the most basic xenogeneic tumor transplantation method, "If the voles grow tumors under the skin, that should prove my point."

Watman had heard about this experiment before, and he could only sigh that he was too old to keep up with the thinking of young people: "It proves that tumors are produced after cell alienation?"

"Yes, as long as you enter the cellular level, you can overthrow the original humoral theory."

Overthrow and overthrow
In just over two months, Waterman has watched him disprove many conclusions.

He changed the method of cesarean section by himself and improved the success rate of cesarean section in Vienna; he successfully set the tone of appendicitis and changed the way to find the appendix; he changed the coping strategy for hemorrhage and greatly reduced hemorrhage The difficulty of treating patients.

Is it finally time to turn to the tumor theory based on the four liquids theory?

Strange to say, Watman believed in Carvey more than the serious report published in a medical journal by the Germans.Although he doesn't have any evidence now, the experiment has just started, and he looks more like an ignorant young man who is talking nonsense.

Every word that could be said convinced Watman that this was the truth.

"Dean, Mr. Kawei, it's almost time." Damirgang was fortunate to be the second assistant today, "The patient has already been on the operating table, and the audience is also here."

"Then let's go." Watman asked the assistant on the side to fetch his surgical instrument box, looked at Carvey who was fiddling with his instruments, and asked, "I'm curious, with so many lymph nodes in the body, why do you only focus on Armpit?"

Focusing on the underarms has nothing to do with Carvey. It is the result of many years of modern medicine and repeated summarization of experience.

"Other places also need to be observed, but lymph node observation is an invasive operation, and it is quite difficult to choose." Carvey dug out today's real "protagonist" from the box, "so in order to judge whether there is lymph node metastasis, I Will use it in surgery."

"It?" Watman looked at the blue vial in Carvey's hand, "What is it for?"

(End of this chapter)