Nineteenth Century Medical Guide

Chapter 168 165. Postoperative Aftershock (1)

For Justina, the operation was over.

But to the other doctors in the audience, that end represented only that part of his technique, and the rest was far from over.

As long as the surgery can stop the recurrence of the tumor, the stamina brought by subsequent study, practice and imitation is very strong.Even if the operation is not successful, the rules of lymphatic metastasis and lymphatic staining and tracing used by Carvey are enough to bring tumor surgery to a whole new stage.

And for others who were excluded from the surgical academy in the first place, surgery was as if it hadn't even started.This is especially true for those journalist friends whose main job is to report on surgery.

Justine and Camille are well-known figures in French astronomy.

The latter is the earl and the president of the Astronomical Association, and he already has his own traffic.The former became famous in the Franco-Austrian War, the eldest daughter of the French Field Marshal and Duke McMahon.

Such a big shot came to Austria, the former enemy country, for breast cancer surgery, and he didn't reveal any rumors before.Two days before the operation, various gossips began to spread, until this morning when the Royal Guard entered the School of Surgery, the topic was directly filled.

Now that the surgery has come to an end, whether it is the result of the surgery or the relationship between France and Austria, any sign of trouble can become a top-notch headline.

The three major newspapers, mainly Vienna Daily, Times, and Free Press, as well as other marginal weekly magazines, magazines, and even many miscellaneous newspapers around Vienna, have sent their own reporters.

They clustered across the street, some with cameras in their hands, anxiously awaiting the final results.

At three o'clock in the afternoon, the royal carriage slowly left the gate of the Academy of Surgery under the protection of the guards.The reporters spotted Edinson, who was seeing off the convoy, and rushed forward, wanting to know first-hand information.

"How is the operation going, Dr. Addinson?"

Eddinson was sulked by Carvey's excellent performance, and felt very unhappy: "I don't know."

"Did the operation fail?"

"After the chief surgeon, Dr. Waterman, comes out, you can ask him yourself."

Eddinson turned around and walked into the academy with a look of no comment.He did not respond to any questions raised later about the "French-Austrian relationship" and "the contents of the four people's conversations".

In fact, there is nothing wrong with it. After all, he did not perform the operation, and the final interviewees still have to fall on Watman and Kavey.As for the content of the diplomatic conversation between the two countries, he, the chief of the military medical department, has no right to speak.

But the surgery-related topic has been held back for a whole day, and the first shot failed to fire, and everyone must be depressed.

"Everyone has withdrawn, let's go in!"

"Yes, this concerns the relationship between the two countries, and we have the right to interview."

The guard booth didn't give a chance at all, and shook his head no matter who asked: "I don't care about interviewing you outside the door, but you can't do it inside the door. This is the School of Surgery, not your newspaper. Even Dr. Kavey relied on Yi Only Professor Gnatz's relationship and the dean's letter of introduction can enter the door!"

Such a high standard discouraged these reporters, and they could only vent their dissatisfaction with their mouths.

"I'm not allowed to enter, and I'm not allowed to ask, what should I do?"

"It's really hard for us to run the news."

"It's just answering a few questions. After the vice president became the chief of the military medical department, his temper became more and more serious."

"Who made his father powerful, alas."

"I think we can only wait until Dean Waterman comes out."

"There is also that Kavi, I heard that he has to go back to the Municipal General Hospital every day, and he will definitely come out as soon as possible. Besides, the theater inside is so big, there must be a lot of audiences, I don't believe those surgeons who have seen the operation I can live in the academy forever!"

"You guys are going in the wrong direction. Surgery is one thing, diplomacy is another. No matter how you look at it, the relationship between the two countries is more important."

"Are you stupid? As long as the operation can succeed, how can diplomacy not succeed?"

"Are you stupid, comparing surgery with diplomacy? Do you really think that the relationship between Fa and Austria can be improved by performing a single operation? Can you stop being so naive?"

"You're only childish and stupid"

Sometimes mutual understanding, and sometimes quarrels due to interview pressure and competition, have repeatedly flooded the crowd since the beginning of the morning.At this time, the strength of the big newspapers was reflected. As the top reporter of the daily, Varela had unparalleled connections.

He didn't stay at the main entrance of the college from the beginning, but went to the cafe by the back door on the other side early to guard.

Before the royal carriage left the main gate, the guards around the back gate were withdrawn early.Varela straightened his black dress and the brim of his hat, took the opportunity to step forward, easily stuffed a 5-kroner bill into the doorman's window, and walked in.

He has been in the surgical theater all the year round, as long as the surgeons who can enter the academy have had contact with him, he is also familiar with the interior of the academy, and he found the theater where the surgery was performed with just half a cigarette.

Coincidentally, at the entrance of the theater, he ran into Edinson who had just turned back from the main entrance.

"Doctor Addinson, what's going on in there?"

"The surgery was a success."

Eddinson looked down on him from the bottom of his heart, but due to the relationship between the two and the consideration of the daily news and publicity, he still had to give some face: "Go in and ask yourself, I have other things."

"Deputy Dean, don't rush to leave." Varela lit another cigarette and kept the man behind, "Of course I know the operation was successful, but Watman and Kid Kavina took action. It's hard to imagine the scene of the operation failing. .”

"Then what do you want to ask?"

"What was said between the king and the French ambassador?"

Eddinson didn't want to say it in his heart, but he was very honest: "There will be some medical exchanges between Fao and Austria. Regarding the possible local wars that may come later, the two emperors will actively maintain contact."

"that's it?"

"Gone."

It's official, but it's enough.

Edinson couldn't stand his aggressive look: "Can I go?"

Vale took a sharp puff, nodded, and then exhaled the smoke into the air, saying, "Please let me know if Dr. Edinson will have surgery later, and I will give you a good place in the newspaper, just like before."

"Let's talk about it at that time." Edinson turned back and walked directly to his office.

"Even if there is no surgery, there is a military medical office, I can do it"

"Understood!" Edinson didn't seem to want to continue the conversation, waving his hands as he walked, "Go in and interview your headline news, goodbye!"

Varela looked at his back and snorted twice, looked back at the theater, threw away more than half of the cigarettes he had smoked, and murmured to himself: "Who should we interview first? Carvey? Or Waterman? Or go directly to the ward to find the countess? The count is also very topical."

The Academy of Surgery is Austria's highest academic institution and research institution for the study of anatomy and surgery. Compared with the School of Medicine, it is more professional and closer to the clinic.Although the ward here is not big, the patients are all carefully selected by the doctors, and they are all the most complicated ones.

Regardless of her identity or her disease, Justina was able to get the platform of the School of Surgery, and she was transferred to the ward by the nurses after the operation.

Preoperative disinfection and postoperative care are the most serious missing parts of surgery.

While doctors like Carvey, Lister, and Pasteur touted the technique, well-known doctors like Ignatz and Olgi have begun experimenting with preoperative sterilization.But now, whether it is Austria or other parts of the world, the acceptance of the concept of disinfection is not high.

For post-operative care, the correction of this concept will only be more difficult.

Fortunately, Waterman trusts Kavey enough and is willing to let go. At least Justina's postoperative care is solely in charge of Kavey.

In order to allow the Countess to enjoy the care of the 21st century, Carvey also spent a lot of thought.

"The heart rate is good and stable." Carvey listened to the heartbeat with a stethoscope, and then said to the nurse beside him, "Let her lie on her back for six hours, until 9 o'clock in the evening, you use quilts and pillows to raise her upper body , which is conducive to the drainage in the direction of the armpit.”

"it is good."

Carvey immersed himself in writing the postoperative records: "You usually pay more attention to the color and volume of the drainage fluid, especially the volume. In the next week, the drainage volume should gradually decrease. If there is a significant increase or remains the same, we will We need to pay attention to the condition of the countess' incision."

The negative pressure drainage uses an improved flat rubber tube with holes around it, and the most critical source of negative pressure is the fixed syringe holder.

Different from the small syringe used in the previous cesarean section, this time, Laszlo’s factory was entrusted to directly expand and improve it. The negative pressure is enough to maintain the fit of the skin flap to the chest wall.

The next step is the application of methylene blue, because the incision can be healed within a week if the recovery is smooth, so there is no need to use its long-term analgesic effect.

Here Kavi still uses its antibacterial effect, 0.2% concentration intravenous infusion + 50mg orally three times a day, coupled with strict preoperative and postoperative disinfection and a spacious and ventilated ward environment, at least it can ensure that the Countess does not have incision ulceration.

"Doctor Carvey." Justina slowly opened her eyes, "Is the operation complete?"

"Well, at least there is no problem at this stage, and the operation was successful."

Giustina felt that she had a dream, and thought that she didn't have much sensation in her swollen breasts, so she couldn't help raising her head to look at her body.Now the exposed adhesive tape can still be seen there, and the outer layer is also covered with bandages. The original raised part has disappeared, replaced by a flat land where the abdomen can be seen at a glance.

She has been mentally prepared since before she got sick, but seeing the reality like this, she still can't express the feeling in her heart: "When can the remodeling surgery be done?"

Kavi can clearly feel Justina's anxiety, and she has emphasized it several times before, but she still asks: "Countess, I know you are very anxious. But this is related to the success rate of the remodeling operation. It depends on your postoperative recovery, there are strict requirements, and it will take at least two months."

"Oh well." Justina sighed, "Then when can I move?"

"Don't move around. If everything goes well, you will be able to start arm function training in five days and the stitches will be removed in a week." Carvey said to Justina, who has just been shaped, "I will come to the ward to see you every day. Take a good rest now."

"it is good."

Justina turned her head slowly, there were only two nurses beside the bed besides Kawei and Damirgang: "Where's Kamiyi?"

"Mr. Earl?" Carvey shook his head. "It disappeared after the operation. I think I should go to Dean Waterman."

"Oh"

Carvey's guess is correct, Kamiy is indeed with Watman, but the person he is looking for is not Watman, but Ignatz who is concentrating on doing the pathological biopsy: "Excuse me, the pathological examination has the results Is it?"

"I'm looking at it." Ignatz looked at the mirror and slowly adjusted his sight distance upwards.

"I heard that the tumor is very large?"

"It's really big."

"I didn't expect that the surgery still needs microscope examination, really"

Ignatz doesn't care whether he is a count or something else, this is Vienna, or the Academy of Surgery, in the final analysis, it is the surgeon who decides: "Mr. Count, what exactly do you want to ask?"

"Oh, there's nothing to ask." Kamiyi smiled, and looked around subconsciously, "Actually, I really want to ask now, where did the tumor that was cut just now go?"

It was a good question, because Ignatz knew exactly where it was going first, then where it was going, and where it was going at the end, so he couldn't say anything, "I don't know."

"But I watched it being quietly carried upstairs."

"Really?" Ignatz continued to play dumb.

"Professor Ignatz! I really want that tumor that was removed."

"Corps or body parts must never be sold or sold!"

Seeing that the other party answered so simply, no one was willing to help, whether it was assistants like Bergett and Koch, or other doctors like Watman.Seeing this, Kamiyi had no choice but to quietly explain his purpose.

"I'm not for sale, I'm just for private collection!"

"collect?"

"Ahem, cough, what did you just say?"

"Why are you collecting it?"

Everyone was very puzzled, ordinary people are so afraid of tumors, why are there still people willing to collect it.

Kamiyi sighed, and could only tell the truth: "I recently wrote a collection of poems related to astronomy, with a hand-drawn drawing of stars on the cover. It has not been officially published yet, so Justina and I Discuss about using the skin she cut off to make a book cover for one of them, as a collection of our love."

"."

"I'm telling the truth!" Kamiy explained, "Her body fits perfectly with the position of the star. Don't you think this is a very romantic thing?"

(End of this chapter)