Nineteenth Century Medical Guide

Chapter 273 269. Microscopic examination (2)

Strictly speaking, the researchers in Carvey's laboratory are half-baked. Compared with Pasteur's laboratory, which also studies microbes, the few young people here are not even qualified talents, at best they are only assistants.

Savarin is a little older, and he originally worked as a clinical oddball. The school study gave him certain experimental techniques, but he was not proficient.Koch has just graduated with a Ph.D., and his skills are good but not perfect, and the same is true of the newly hired assistant Auerbach.

This is especially true for Mattick, who has just entered the school to learn the basics.

But in less than half a year, they were able to handle the microscopic examination of urine sediment, and more than half of the credit should be attributed to Carvey.From the establishment of the laboratory to the present, in addition to a part of the funds given by the school, he has been investing money in it, including many sophisticated equipment, medicines and various experimental materials.

Their ability to advance by leaps and bounds was fed by intensive experiments and expensive experimental equipment.

Of course, to have the current strength, there is no lack of their own efforts.

However, the door of modern medicine in the 19th century has just been pushed open by everyone. The door is full of new phenomena and new knowledge, and the people standing at the door are talented and hardworking people.If you want to grow faster than others, you can't do it without financial support.

The best example is Koch.

In history, Koch was born in a worker's family, and he was only a very ordinary assistant physician in the four years after graduation in 66. The Franco-Prussian War broke out in 4. After the war, he returned to the countryside and became a general surgeon.

"What do you mean?" Carvey didn't understand.

Carvey nodded: Isn't this just a light bulb?

Carvey knocked on the door twice, opened it and walked in.Forrest was indeed in the room, but he was not alone in the room: "Doctor Carvey, the battle at the front line was so intense, why did you come back?"

For Carvey, no matter what kind of tumor Erdem had, surgery involved considerable risk.He is not a full-time urologist, and there is no problem with cutting the bladder and kidney, but how much should be cut, what should be done with the surrounding tissues after the cut, and how should the urine be stored after the cut of the bladder?
These questions have been in his mind since he saw the patient.

"No, no, no!" Felix was very clear about Carvey's current status, and said quickly, "I'm basically done talking here, you guys talk, I'll take a step first."

The purpose of coming back to the equipment factory this time is the same as the previous few times, hoping that they can improve this old antique that was invented in 1821. 【1】

Carvey smiled: "It's not a bad day."

Common tumors that present with asymptomatic hematuria are bladder and kidney cancers.

After several months of contact, he has become very familiar with several designers here. With his relationship with Laszlo and the title of baron, the factory area is like his own home.Carvey's carriage crossed the gate and entered the factory area, stopped at the door of the design room, and went straight to the office after entering the door.

Just like the previous gao pill cancer, Carvey gave up the retroperitoneal lymph node dissection.

He just finished the work at hand, and he happened to be able to change his mind with what Kawei gave: "The lack of light source should be due to the long distance, if the length can be reduced."

"Doctor Carvey." The doorman took off his hat and bowed slightly to Carvey, "It's really hard to work so late."

"It's Hills' handwriting"

"Then is there any reliable solution?"

"This is a cystoscope in the warehouse of our hospital. Almost no one has ever used it." Carvey carefully took out the old antique from the box, "I don't know what it was for, anyway, the light source in the mirror is very Poor, can't see clearly in most cases."

For this reason, Carvey also specially drew a sketch to enhance the light source, improve its old problem of insufficient light source, and truly achieve the purpose of observing the bladder. 【2】

Once metastasized, bone, ascending kidney, lung, liver, and brain are the more common sites.Not to mention now, even in modern times, tumor metastasis is very troublesome. Surgical resection is no longer the first choice, and there is no other way except radiotherapy and chemotherapy.

"You're welcome." The guard took the key and opened the iron gate.

"As expected of a top designer, it's exactly the same as my idea." Carvey took out his own sketch and handed it over, "Put the light source in the center of the inner mirror, and use alcohol and grease to increase the brightness of the light source. How do you see it?" ?”

"Oh, Grand Duke Brecht has something to do with me." Carvey answered his question, but his eyes turned to the young man standing beside him, "If I remember correctly, this should be Felix."

But now, Erdem maintained the relationship between Vienna and General McMahon.

Forrest nodded slightly, affirming Carvey's plan.

This is a factory for large-scale industrial machinery parts. It is an important part of Laszlo's business territory. Half of the mechanical parts in Vienna are related to him, and the scale is still expanding.

The business of instruments is far less easy than that of medicines. Surgical instruments are not easy to sell after advertising enough. The most successful ones are thermometers, followed by sphygmomanometers.

"No way, you have to take over the pharmaceutical factory in the future." Carvey said casually, showing his respect for him, "It's just a private matter for me to find Forrest, if it's inconvenient, I'll come back tomorrow Bar."

After paying the fare, he got out of the car slowly, and with the help of the surrounding lights, he dragged his exhausted body upstairs and opened the door.What came into view was a long-lost room and a bad smell that hadn't been ventilated for a long time.

If it is another patient, even a member of the higher royal family, the operation can be postponed later.After all, what we are facing is a major laparotomy. Once something goes wrong, it will greatly affect the quality of life of the patient.

After just a few simple chats, Carvey could clearly feel that the young man in front of him who was only two years older than himself was very unusual.He doesn't care about politics like his father, nor does he pursue aristocratic temperament like his father. It seems that he only has family business in his eyes.

"Now you are also in charge of the equipment factory?"

"You want to insert a platinum wire with current into a patient's bladder?" Carvey quipped.

"Mr. Forrest, I'm here again. Today's work is not troublesome, just follow the picture"

The instrument factory is located in the southeast of Vienna. It was dark around 10 pm, but here was still brightly lit.On weekdays, workers need to work until 11 o'clock in the evening. Now during the war, almost all factories are working overtime for the supply of ordnance for the frontline war.

This urine microscopy examination not only examined Edm's urine, but also the skills of these young people in using and observing microscopes.The result was very good. They could distinguish all kinds of cells clearly, which basically met the requirements of Carvey.

However, due to the characteristics of the designer's profession, he felt that it was necessary to add an opportunity for Party A to choose: "In fact, we now have a new understanding of light sources."

Healing Kavi made a great contribution, not only can he improve his status, but it may also allow France to enter the field as soon as possible, bringing an end to this terrible Prussian-Austro-Prussian war.Perhaps the full stop is not so perfect, but at least it is a full stop, not anything else.

"Okay, I'll go find him, thank you."

Carvey only wanted surgical instruments suitable for the operation, and had no interest in whether he had a monopoly.The only pity is that the workmanship on medical equipment is still a bit poor, and there is no way to compare with modern professional manufacturers.However, there is really no better factory in Vienna than here. The price is reasonable, and the key is that it can work according to the patent.

Kavi and Felix knew each other, but they had never communicated formally. Today was also the first meeting between him and the future heir of the Laszlo family.

Therefore, it is necessary to hurry up in terms of time. After the diagnosis is made as soon as possible, as long as the physical condition permits, the operation should be performed as soon as possible.

Now there is no alternating current, and there is no dry battery that greatly reduces the space occupied by direct current. The appearance of batteries is far from being so fast and easy.The light source lamp of the endoscope is not that simple. It needs to be miniaturized and waterproofed. The time may have to be delayed for a while.

After he put down his suitcase, took off his coat, lit the candles at home, and was about to turn around to take a shower, he saw a letter on the ground at the door.The envelope only wrote the name of the recipient, Kavey, and a place name "Olmitz" that he has always missed.

At that time, he had no money and no laboratory. The only equipment he had was a microscope given to him by his wife, not to mention the modern experimental techniques and methods given by Carvey.It will be six years later, in 1876, when he slowly explores and researches in the basement.

It is not a mammary gland, and the lymphatic system is in the superficial subcutaneous position. It is easy to judge by staining during surgery, and it is also easy to remove.The metastases of bladder cancer go through the retroperitoneal lymph and blood supply, which is very difficult to deal with.

"Yeah, my father has other work to do." Felix explained, "The steel and equipment manufacturing here in Vienna is given to me, and the pressure is very high."

Forrest didn't think so much at first, and still kept the thinking of an equipment factory.But now after his reminder, he feels that there are a lot of problems that need to be solved, and said with a smile: "Before entering the bladder, it has to pass through the long and narrow urethra. After the electricity is turned on, the platinum wire will also generate a lot of heat, hahaha, it's really outrageous."

"Is there anyone else in the design studio?"

However, Carvey didn't demand much money. The war made the pharmaceutical company's income double, which was enough for his daily work and research expenses.

However, these are just speculations and an illusory feeling. I am afraid that the official cooperation with Felix will have to wait for a long time.

"Aren't you in a hurry?"

headache
At 11:[-] in the evening, Carvey finally returned to his residence.

As for the others, their good time may have been wasted for various reasons, and in the end they did not leave their names in medical history.

Carvey has more important things to do now.

"This"

The degree of malignancy of kidney cancer is not low, and the speed may be slightly slower than bladder cancer, but there are more options for metastasis, and almost the whole body may metastasize.

"Oh, so that's the case." Forrester thought for a while, and said, "Since there is no way to reduce the length of the equipment, let's reduce the length of the light source instead."

But this is the taste of home, a thousand times better than the smoke of the battlefield.

Forrest and Carvey collaborated several times, and it was he who wrote the hemostat and thermometer.

"Dr. Carvey, it's a pleasure to meet you." Felix walked up to him with a smile and shook hands with him. "The last time I saw you was on the operating table in the plaza."

"Compared to the traditional flame light that burns fuel and oxidizers, we have recently slowly come up with the idea of ​​using an electric current to pass through the carrier to generate a light source." Forrest said, "If realized, it will greatly reduce the variety of light sources required for the light source." Trouble work."

"Not yet." Forrest scratched his head with a smile, "There is still a small problem with the current control, but platinum wire can be used for the material."

Ever since he was able to perform surgery on his own, this place has become a place he frequents, and it is also the main source of these medical instruments in his hands.

However, if the cure fails, the chances of McMahon offering valuable advice to Nassan will be greatly reduced.The needle-tips between Pu and Ao are facing each other, and the offensive and defensive battles on the front line may take another month or two.

"Okay, it's just a simple light source container. I'll ask the team in my hand to work overtime, and I can give it to you tomorrow." Forrest said.

The degree of malignancy of bladder cancer is not low. If it is a malignant tumor, without treatment intervention, it usually takes about two or three years from the onset of symptoms to the end of life.

Carvey sighed: "Just do as I drew, the hospital is in a hurry to use it."

Carvey looked at the light that was still on outside the window, and said, "It's still working so late, forget it, take the time to do it tomorrow, and just give it to me the day after tomorrow."

After finishing the rest of the laboratory work, Carvey took the cystoscope in the Municipal General Hospital at night and went to Laszlo's instrument factory.

"What I want to examine is the human body, Mr. Forrest." Carvey explained, "The distance must be so long, otherwise the men who are most prone to urinary tract problems cannot be examined, and the meaning of this thing's design will be lost. Mostly."

"Yes, Mr. Forrester hasn't gone yet."

It sounds like Edm is early, but gross hematuria is likely preceded by occult blood in the urine that is invisible to the naked eye.Therefore, when gross hematuria often occurs, the tumor has already developed to the middle stage.

The key issue is that bladder cancer is particularly prone to lymphatic metastasis.

After the incident in the small town of Otaka, Kavi became very sensitive.The moment he saw the letter, Kavey's heart felt as uncomfortable as if he was tightly grasped by a big hand.He thought that something serious had happened to the General Hospital, or that something had happened to Ignatz or someone else.

In short, it will not be a good thing.

But after opening the envelope, he discovered that it was just a work report from Sears' work these days. 【3】

After reading the letter, Carvey breathed a sigh of relief, lying on the bed rubbing his sore forehead and browbones, recalling the surgical procedure in his mind.But exhaustion still overwhelmed the work, and soon the eyelids drooped unconsciously: "Forget it, let's go to sleep first, and think about it after reading a book when I am free tomorrow."

(End of this chapter)