Nineteenth Century Medical Guide

Chapter 281 277. Difficult Preparations

Edham's request determined the type of surgery, but it also forced Carvey to change the timing of the surgery.

The main reason lies in the uncertainty of the tumor location and the extent of invasion, which led to the need for Kavey to prepare several surgical procedures to deal with various situations, so as to meet the requirements of "normal people" as Edm said.

The more preparations, the more time and corpses he needs.

Carvey originally had a certain understanding of intestinal tube reconstruction, and had also done it first-hand. After all, there are patients with severe trauma that need reconstruction from time to time in emergency surgery.What he lacks now is practical experience in surgery for specific tumor diseases. He could have observed the surgery team in his own hospital, but now he can only rely on himself.

After these few days of practice, Kawei's proficiency is improving.The reason why there is still no real sense of success is the ability of the entire team.

Carvey's surgical skills have been tempered for nearly 40 years. As long as there are more corpses and time, he is confident that he will succeed in this operation.But the problem is that level [-] surgery is far from being enough for him to be a good surgeon. Teamwork and the personal ability of his assistants are also the key to the success of the surgery.

In the past few days of his practice, as assistants, it is impossible to be idle, and they must accompany him to the end, otherwise the position of assistant that he has finally obtained will be given away.

You must know that Carvey is no longer the little assistant who just came to the stage to do the cesarean section. With his current ability, as long as he speaks, a bunch of people will immediately come to be his assistants.However, including Herman, each assistant position has a lack of ability.

The previous operations were either simple in operation or simple in process, and the only complicated operations were only two cases.

Compared with modern people, as a romantic Frenchman in the 19th century, Erdem has a natural advantage.

"Huh? Are you going to help Dr. Carvey?"

Faced with the rejection of the two, Kawei had no choice but to use his original young team these days.

The alcohol that entered the body early in the morning, coupled with Kawei's "unreasonable troublemaking" made Mosier very angry.

"Surgical techniques are all interoperable, not to mention that the bladder is next to the prostate, the teacher can do it"

"That's not true." Mosier put down his glass and told the truth, "I was a little skeptical at first, after all, you are so young, but after so many operations, I can only admire now. The rejection is also sincere, I really feel I can't be an assistant in this operation."

The preparations before the operation were in full swing, not only surgeons like Carvey and Mosier, but also many insiders and outsiders worked hard for this.

Although Mossier said he was not famous, he was only modest. It is not an exaggeration to call him a pioneer of prostate surgery.Almost all patients with prostate problems in Paris have seen him. This is not a famous surgeon, so there is no famous surgeon.

Mossier frowned: "I'm just self-aware. I know I'm not capable enough to force myself to take the stage. That's irresponsible to the patient."

Massimov was fine, but it was Watman who was really afraid to avoid it.Not only has he experienced Ludwig's spinal surgery, he has also had Justina's breast cancer, and he knows the horror of Kavey's surgery rhythm.

"Oh, that's lying on the success book of prostate surgery for too long, and I don't want to take any more risks."

This is true, and it happened to hit Kawei's weakness. He really couldn't find anyone else.

"Isn't it just a help, isn't it just a small bladder, it's no big deal!" Mocier looked at Edward and Edm behind him, and said, "As long as the two agree, I can go on stage now!"

Secondly, he is very concerned about the cleanliness of the intestinal tract. The enema once a day is part of his daily life. Although the twice a day requested by Carvey is more frequent, it is within the acceptable range.

And there is only one person who has not accepted the invitation: "Dr. Mosier, I invite you to be a member of my surgical team."

Seeing that he couldn't do it softly, Carvey had to be tough: "This is Mr. Edham's operation, and Dr. Mosier is not willing to do it? Does it mean that it is embarrassing to be the first assistant?"

Apparently, Mosier was completely stuck and couldn't get out, so he could only ask Karvey who was on the side to try a few words: "Dr. Karvey, won't the temporary replacement of team members affect the cooperation of the operation?"

The postponement of the operation means that Edem's recovery time will be delayed, so the trip to Paris must also be postponed.It would be fine if it was only a day or two, but Carvey pushed it back for five full days, directly postponing the trip to after November 11th.

"self-abasement?"

"The gap between prostate surgery and bladder surgery is still too big, as long as I can see the operation process clearly on the stage." Mosier put down the newspaper in his hand, and poured the newly filled red wine into his stomach again, "Vienna So many surgeons, why come to me?"

"Very brave!!!"

He slammed the table, pointed at Carvey and said, "What are you talking about? How can the French be cowards?"

The current rejection is more helpless.

First of all, Edm, as a patient, the necessary preoperative preparation can reduce the difficulty and risk of surgery, and also greatly improve the frequent complications after surgery.

Considering Erdem's postoperative recovery, it may be mid-to-late November when Kavey really arrives in Paris.

He has also received bloodletting treatment many times in the past three years, and he has no resistance to drawing blood for blood type matching.

But these so-called dignity are worthless in the face of studying and seeking knowledge. Various new surgical methods have already forced them to put down their bodies and become Carvey's assistants.

But Edward was different. He didn't disagree, but he didn't know whether to agree or not.

First of all, he was not under the pressure of the operation, and he was very happy to be able to perform the operation without pain.This is an unprecedented brand-new operation. Regardless of whether it is successful or not, Edem will definitely leave his name in the world. He only feels excited now.

But now.
Ignatz, Hills, Bill Roth, and Olgi were all on the front line, and Waterman and Massimov politely declined after the consultation.

"Where's Dr. Carvey?"

"That surgery"

When Erdem chose the third operation option, his mood was fine.But when Carvey said he was delaying the surgery, his problems came.

"At least five days later." The administrator said with a sigh, "It's all gone, and you can enter the venue with a ticket in five days."

"Yeah, it's also a good challenge for me." Once convinced, Mossier was able to spout out a bunch of reasons, "In the end, you have to actually perform the operation before you know how to do it. "

The only shortcoming lies in the preoperative examination and intraoperative supportive treatment.

This is not because Carvey is disgusting them, but because the longer the operation time, the lower the chance of the patient's successful operation, and the higher the chance of postoperative complications, the more dangerous the patient is.

They are already used to leading the rhythm by themselves, and they are also used to simple surgeries.Now let them change the rhythm and keep up with Kavey's footsteps. Any disconnection between the hands and the brain will slow down the progress of the entire operation. This is how mistakes slowly appear in the middle of a busy schedule.

Of course, another reason is that Kavey's social circle is not large, and few of the remaining people are familiar with Kavey, and most of them are young people like Herman and Damirgang.

Fernan is a dying person, and Carvey just wants to complete the operation, so he doesn't have high requirements for details.As for Ludwig in another case, the assistants were those director-level doctors. After a few days of cooperative practice, there would be no problem in terms of strength.

Carvey's brief departure made them lose a lot of material. Now that they have performed such an operation just after returning to China, it is hard for people not to care.Varela and Greg of the daily newspapers all threw themselves into this operation, and the Free Press, Times, and Imperial Patriotic all wandered outside the Municipal General Hospital.

The main reason was the Prussian-Austrian War. A large number of surgeons were sent to the front line. The second reason was the conflict with Edinson. There were still many people in the School of Surgery who wanted to see his jokes.

"But as a first aid, as long as you obey the orders of the chief surgeon, you can be a first aid with qualified technical ability. My assistants are only disliked by me because of their lack of solid foundation." Kawei can only resort to aggressive methods. Don't you have the courage to help?"

"Are you kidding me? I turned down my job to come to see the surgery. How can I change the time if I change the time?" The people who came were all celebrities, and some people were obviously not convinced, "***, refund the ticket!"

"He's not here." The gatekeeper changed the sign at the gate, "The time has been changed."

But who would have known that Mossier's attitude changed so quickly that everything changed after he was distracted for a short while.

Before the two Frenchmen could react, Carvey stood up and couldn't help applauding the impassioned speech: "Then the matter is settled, I think Ambassador Edward and Mr. Edem will not object. "

"Changed the time? When did it change?"

The next ones working hard are those professional surgical reporters.

However, the former Urology No.1 chose to refuse like everyone else.

Edward showed a smile on his face and nodded slightly, but he was secretly crying in his heart.

Ludwig's spinal surgery had been done daringly before, and it would definitely be frightening for them to do it again.

"No, Dr. Mosier's ability is definitely stronger than my assistants, and the advantages to the operation are definitely greater than the disadvantages." Carvey put the red wine aside, got up and tidied his clothes, and did not give Edward any chance at all, " Dr. Mosier, I'll go back and rest for a while, and I'll see you at the Municipal General Hospital at three o'clock in the afternoon."

"Why is the teacher so inferior?"

Three days had passed, and the entrance to the surgery theater of the Municipal General Hospital was full of people, but what they were waiting for was not Kawei, but an amputation machine that was meaningless to watch.

Half a year ago, it would have been common for them to refuse to be assistants, because these established surgeons disdain to be assistants.Even the younger Hills has the dignity of being the chief surgeon and does not allow others to easily take his place.

Carvey could probably guess why they refused, not because they were not interested in this type of surgery, but because of something simpler and more straightforward.

"Mr. Ambassador, you don't understand. Surgery is not an opera." Mosier continued, "What's more, Dr. Carvey's trip to Paris is just around the corner. As a representative of the Parisian surgeons, I will complete this complicated operation with him. It can also be a warm-up for this road show."

They are energetic and willing to be helpers, but they do not have the ability to be a helper.

"Me? I'm just a doctor who performs prostate surgery, and I can't do this." Mosier politely refused, but more of this rejection was the inferiority complex that only specialized in one operation, "I don't have Dr. Carvey. Talent, you can’t learn much in a short time.”

"no problem!"

[Dr. Kavey, I am still focusing on Persian diplomacy. I am usually just a teacher who teaches Persian. The medical aspect is completely a name given to me by Dean Watman. ]
These are his original words, even if Kawei tried to persuade him again and again, it would not help.

Edward was caught off guard, and now he can only persuade: "I think I can see wider from a high place."

Mosier smiled: "Although I am not well-known in Paris, I have a lot of patients. There are too many people with prostate problems. I can make a lot of money from these patients. What do I have to feel inferior about?"

Both of them are old and are about to retire. It would be easy to just stand for four hours, but the problem is that what they have to face is Kawei's tempestuous operation rhythm and the huge pressure imposed on them.

His refusal seriously slowed down practice efficiency. Herman and Damirgon are capable, but they are not geniuses like Ignatz. Their ability comes from repeated practice and practice.What is lacking most now is practice and practice, and Kavey must be replaced.

These two surgeries almost cost him his life, and it took him a long time to get over it. However, the surgery in front of him takes nearly 4 hours, so he is really unlucky to endure it.

The anesthetist is still Amor, and the instrument nurse also has his own candidates, because there is no other alternative to them.In terms of assistants, Carvey dismissed the inexperienced Bergert at the beginning and invited Jacob to participate in the operation the next afternoon.

too late!
But the problem is that Carvey's request is not too much. His starting point is for the sake of Edem's health, and Edward cannot expressly object.And Mosier also refused very thoroughly, so he had been thinking about how to help Mosier persuade Kavey to complete the operation earlier.

Of course Edm would not object.

"Yes, refund!"

Some people started to follow suit, but the administrator unhurriedly returned to his ticket booth, sat down, and asked slowly, "Are you sure you want to refund the ticket?"

"of course."

"The Municipal General Hospital is open for business. Of course, you can refund the ticket before the operation starts. It's all voluntary, but I still want to remind you." The administrator picked up the newspaper on the side and read it, "This is Dr. Kawei's operation. , major surgery, if you return it, you will have no chance to buy it again.”

(End of this chapter)