Nineteenth Century Medical Guide

Chapter 194 191. The 1% in the hands of "God"
Edward did not devote a lot of space to the introduction of the surgeon like other surgical theater hosts.In his understanding, the position of the host is closer to that of the master, and this surgery that was publicly displayed to the public should be prepared for him.

But to many people in the arena, who is the host, who is the main surgeon, who is the main supporting role is not important, what really attracts them is the pursuit of power.

Of course, there are also many people who really came to the scene to see the operation.

Most of them are doctors, and there are also quite a few surgery enthusiasts, from local, foreign and foreign countries. They wanted to come to join in the fun two days ago.It includes not only surgeons, but also some internal medicine.

The circle of physicians is small, and they rely on the physician association to maintain their connection with each other, and most of them know each other.For the convenience of communication during the operation, they will change seats with other spectators, so a considerable area behind the fifth row shows the phenomenon of doctors getting together.

The doctors didn't care about the host and the chief surgeon like others, and they didn't care much about the life and death of the prisoner on the operating table. What they cared about was the operation method used by Carvey.

How to use an open abdominal surgery to stop the bleeding in the upper gastrointestinal tract is the key point.

"With my shallow surgical knowledge, it is really hard to imagine how to use surgery to solve the bleeding of the digestive tract." A British doctor said in broken French, "It will bleed when it enters the abdominal cavity. It is necessary to cut open the stomach and esophagus, and then use sutures to block the bleeding in the cavity. This, this is too difficult."

"It's not just difficult, it's impractical and reckless." Another French physician was very disdainful of the surgical technique. "If you vomit blood, you should use sugar lead. It can be used internally and externally to stop bleeding."【 1】

"Sugar lead is a good option, but it's limited for heavy bleeding."

"It doesn't work, I can only suggest to swallow another serving of ice cubes and turpentine." [2] "The Frenchman shrugged his shoulders and said helplessly, "If it still doesn't work, it can only mean that the patient is too sick , there is no cure, but no cure is not a reason to go crazy!"

"So this is a disguised death penalty that caters to some people's interests."

Facing the dialogue between the two, several other non-local doctors also felt that it made sense.In their view, invasive surgery is not suitable for bleeding from complex internal organs.

In fact, many local doctors also feel that something is wrong, but their understanding is more subjective.There is no doubt about Kavey's ability, and his surgical performance is also very exciting. At the beginning, the cesarean section was not favored by others, but in the absence of Ignatz, he won it with his own excellent skills.

After all, Kavey is one of his own family members, so he must do a favor if he is told, even if the favor is reserved, someone still needs to stand up and say a few words.

The first to raise objections was the more irritable Hills, who said that Carvey is fine, but only the Viennese can say: "It's not so much a disguised death penalty, it's better to fight at the last minute. If you lose, you won't lose. Big profits."

"If you lose, you will die. Is it worthwhile for the patient to die?"

"He's on death row."

"I heard that he lived a very miserable life. Those perverted murders only happened after he was greatly stimulated. If this is the case, whether the death penalty is actually still open to debate. It would be more humane and civilized to wait for him to die of illness. "

At this time, Ignatz, who was sitting on the other side, couldn't sit still. Alansha's death touched him greatly: "I hope that when your relatives and friends are cut into pieces for soup, you will also behave in a humane and civilized way." Some."

"."

Seeing that the situation was tense, everyone tried to smooth things over: "Everyone is a doctor, and there is no point in caring about anything else. It's better to take a good look at the operation. No matter what the original purpose is, or who made the suggestion first, let's make a decision." Bystanders will do."

"Yeah, after all, it's Carvey's surgery, whether it works or not, it's sure to be wonderful!"

Locard on the side said something fair: "When you come to Vienna, you must have heard about Caesarean section, it should be the lowest mortality rate of cesarean section in the world today, without strong abdominal surgery skills No way."

The cesarean section was a product of March, and Carvey's paper was concluded at the end of April.

In fact, the speed is already very fast, because it not only needs to describe the basic operation process, but also needs to stuff many special cases into it.The finalization of the draft is already a matter of this month. The next email delivery will take time, and the review of the manuscript will also take time. The specific publication will wait until June and July.

If it is the United Kingdom, there is a strait in the middle, and the publication time will have to be postponed.

The local medical newspapers and periodicals in Vienna have serialized a lot of surgical records, but this collection still needs some time to proofread before it can be published, and the specific time may take another half a month.

So the doctors who come here have only heard about Caesarean section from others in the Physician Association and the Academy of Surgery, and no one has seen the specific operation.After all, with Ignatz, Waterman, and Olgi now, Carvey doesn't touch cesarean much anymore.

"We've only heard about it, we haven't actually seen it."

"It doesn't matter if you don't see it. It's better to regard this operation as the ceiling of abdominal surgery. If even Carvey can't do it, no one can do it."

The controversy finally came to an end. Regardless of the nature of the operation, Carvey's skills were beyond doubt.This is not only reflected in the Caesarean section and those innovative operations, but also in the endless words between Massimov and Ignatz when they chatted: "To be honest, I wanted to do it last month." retired"

Leaving work prematurely is nothing more than losing enthusiasm for work. Half of the enthusiasm for surgery comes from the recovery of patients and the other half comes from the improvement of one's own skills. Both are indispensable.As surgeons grow older, their theoretical experience will continue to enrich, but their technical level and energy will regress. Asimov's situation is not uncommon.

We are all friends, but also competitors along the way. It is embarrassing for someone to quit suddenly.

"Huh? Are you going to retire?"

"No wonder you were so pessimistic at the meeting last time. It turned out that you wanted to let go."

"You're only in your 50s and you're ready to go back to your hometown for the elderly?"

"The strength has reached the limit, and there is no hope of breakthrough. It is understandable to choose to quit, but does your dean agree? Without you, St. Mary's Hospital would not have many surgical talents."

Massimov was a little embarrassed by the questions that hit his head and face, and quickly explained: "This happened last month, now. Now I want to work for a few more years, and then break through the bottleneck."

"It was so"

Several people around cast approving glances, and they have all felt this way more or less in the past two months or so.

Surgery, which seems to be about to develop to its limit, has been inexplicably torn apart from a corner of the new world, including cesarean section, dye tracing, ivory substitute, skin flap production, liver resection, spleen repair, and brain-abdominal drainage.
It seems that as long as the technique of the chief surgeon is in place and all links are considered thoroughly, many whimsical ideas can be turned into reality.

And now, the man who cut the corner of the new world is slowly walking onto the operating table in the center with his assistant.Followed by today's "patient" Fernan, leaning on a bottle holder, was helped into the scene by two policemen.

Edward and Fernand looked at each other, and quickly looked away: "Look at this Mr. Fernand Mondesev, he is the most vicious ogre in Vienna so far, he almost killed me Guy. Even God can't forgive his crimes and gifted him with ailments.

If it were someone else, I'm afraid I couldn't hold back my emotions long ago, and pulled out a sharp knife to pierce his heart, okay, I lost my composure."

Another short pause won him a wave of applause, Edward let out a long sigh, and continued: "I am a French nobleman, no matter what, you should not use violence against a dying person, it will damage the honor of the nobleman. I believe he will be punished by the law, but the hanging is too arbitrary and the beheading is not in order, because such a repeat offender does not have the right to a quick death."

At this point, Edward finally said Carvey's name: "In the end, Dr. Carvey reminded me that he could end his life with an operation that would fail 99% of the time. As for the 1%, he needs to find God Have a good discussion."

The long opening remarks were finally over, and Carvey also came to Edward according to the prior arrangement, wanting to take the megaphone: "Mr. Ambassador, leave it to me next."

Edward put the thing into his hand, but he didn't let go, but leaned forward slightly, and whispered: "Mr. Carvey is a smart man, I hope the operation can fail in half an hour, and it should fail beautifully. "

Carvey immediately understood what he meant: "Mr. Ambassador wants me to kill him on the operating table?"

Edward smiled: "You are indeed a smart person."

"Although this possibility is very slim, I still need to remind Mr. Ambassador." Carvey didn't expect him to do so, and quickly explained, "If the person is not dead after the operation, you can completely ask the executioner to end his life .”

"No, it doesn't reflect the will of God."

"It's your will."

Edward smiled again: "It is the common will of my Majesty the King and me."

Carvey glanced sideways at Franz who was chatting with Elizabeth not far away. There were thousands of people staring behind him, and there was no need to disturb the other party: "I still say the same thing, Mr. Ambassador, I am a doctor, and this is the surgery square .”

"I know, I understand." Edward patted him on the shoulder, "This is not a piece of cake for you, it's just a matter of moving your fingers."

Carvey took over the loudspeaker, feeling really complicated.

He didn't expect Edward to do this, and he held the uncertainty of less than 1% in his hands.What needs to be paid is just a little price for Kawei's violation of the professional bottom line.

For some reason, his mind flashed back to the dinner at the embassy a few days ago.

Carvey seemed to understand everything: "Sorry, Mr. Edward, I refuse."

Edward was about to turn around and return to his seat, but hearing this sentence, his body trembled slightly.He didn't make a sound, but slowly turned sideways and stared at Kavi in ​​front of him, hoping that he would tell the reason for doing so as soon as possible.

"Mr. Ambassador, please understand my situation." Carvey explained, "I am a doctor, not an executioner."

"What does it matter?"

"If you must force me to do this, then this operation can only be done." Carvey insisted, "Although the operation is very difficult, if it is only done in the direction of killing people, it does not matter who is on stage. How about this, Change another obedient doctor to perform this operation, like the medical consultant next to you, who should also be a surgeon."

Edward is not a fool, he understands the truth that everything is under control, and he must have thought about Carvey's method.

But when the surgeon next to him, who had worked on the operating table for more than 30 years, said that he didn't know how to perform this operation, he realized the power of Carvey.Under the pressure of thousands of pairs of eyes, the next unimaginable operation will be performed. In the future, the center of gravity of the world's surgery will be in Vienna.

If you can't get it, destroy it, this is the most reasonable saying.

It's a pity that the other party knows whose face is more important, using the sight of the audience as a weapon, and is more decisive than him.

Edward's face was a bit ugly, and he couldn't help complaining after going up the stairs and sitting back in his chair: "Why is this guy even more stubborn than my father at such a young age?"

"Mr. Ambassador, I said he would definitely refuse." Franz said with a smile.

"Forget it, let's watch the operation together." Edward unfastened the buttons in front of him, and looked at the surgical consultant beside him, "Especially you, show me carefully!"

Carvey finally stood on the operating table, surrounded by surgical sterilizers prepared by Damirgon, Herman and Bergett, and his old patient lying in front of him.

Around such an operating table that he thought was rigorous and professional, in addition to political and political interests, there were also many ordinary people mixed in, such as traders, prostitutes, hooligans, and thieves. They had no restraint or mercy, except In addition to cursing and making noise, more people still use this rare opportunity to busy themselves with their own livelihood.

Ordinary people, politicians, and capitalists together form this unprecedented picture scroll, which is even worse than the famous London Tyburn execution ground in England. 【3】

Before officially starting the operation, Carvey also needs to introduce the details of the patient to the audience.Even if many people don't care about this, as a doctor, you still have to do the details right.

"Please allow me to continue calling him a patient because he has had two of my surgeries in the past two months."

Carvey talked about Fernan's various illnesses, and summed it up in one sentence: Gao Pill cancer advanced systemic metastasis: "The reason why he vomits blood now is because the liver is invaded by the tumor and the blood flow is not smooth. It is like the traffic jams on the streets of Vienna all day long." Like a horse-drawn carriage, the blood vessels continue to twist and swell and float on the surface of the mucosa. The walls of the blood vessels are getting thinner and thinner, and only one light touch is needed.”

He brought a hanging bottle filled with salt water, with a hose underneath.Then use a scalpel to gently scratch the surface of the hose, and pull out a hole:
"The purpose of the operation is not to stop the bleeding, but to change the blood stasis in the blood vessels of the liver and improve the swelling and tortuosity of the blood vessels. The operation is very difficult and I am not sure, so Mr. Fernand should die here."

After that, Carvey handed over the loudspeaker: "Let's talk about your last words."

"Last Word?"

Fernan was lying on the table, ready to put on the ether anesthesia mask, and die quietly.I didn't expect that before enjoying death, I still need to go through such a link: "You have spoiled the good atmosphere."

"I heard that you have to say something before the execution." Carvey smiled, and put the horn into his arms: "Hurry up."

Fernan took a deep breath, and glanced sideways at the people who were waiting for him to die, not knowing what to say.After thinking for a long time, he finally thought of something, and said to the reporters who came forward to take wonderful photos:
"I didn't eat anything today because of the operation. Last night, I was given a low-end beef patty + potato set meal. It can't compare with the fresh and tender taste of human ribs. Now I'm so hungry that my eyes are dizzy, and I hope to catch up with the meat in hell." first dinner at dinner, so stop wasting time and get started."

(End of this chapter)