Nineteenth Century Medical Guide
Chapter 282 278. The Opening of the Surgery
This operation not only affected Carvey's surgical team, exhausted the reporters who were staring at the news of the operation, but also drove some people crazy.
News of the operation appeared on the pages of major newspapers on the second day of the consultation, and all citizens of Vienna only needed to pay a few heels to see these reports [1].The public will discuss the operation, but Carvey's operation has long been out of the scope of their viewing, and now it is only a discussion.
The real madness was hidden in those dark corners. After the report of the postponement of the operation on November 11 appeared, this madness gradually reached its peak.
Just like when the United Kingdom first introduced the "Anatomy Act", Austria's management of corpses is not strict.
The process of industrialization in the 19th century unfolded rapidly, and the dark corners of capitalism were full of ground-up scum, and doctors, medical school teachers and scientists could obtain voluntary or unclaimed corpses through legal and compliant means.
The claim procedure has gradually shifted from the individual application more than ten years ago to the affiliated unit, but the cumbersomeness of the procedure itself has not decreased.
The anatomy and research of the cadaver itself requires freshness, and there will be a lot of troubles in the preservation cost, process and transportation, which greatly increases the difficulty in the application of the cadaver.
Vienna is now in a period of high demand for corpses. When formal channels cannot meet the demand, the original illegal industrial chain will avoid the sun and sink underground to continue to shine for the great surgical cause.
Every day in Vienna, there are many people who are exhausted and starved to death, and they have found this job for those who can't go on happy but are still alive, stealing corpses.
If you can’t find a corpse in any corner, go to the cemetery to find it. During the day, they stay in the cemetery to see where the newly buried corpse is, and at night they sneak over to dig the corpse away.Some corpse-snatching teams colluded with the grave guards, and created an industrial chain of "grave guards staying at the grave - stealing corpses at night - selling on the black market the next day".
"The thing belongs to the museum, but it seems that Waterman and Meadows have reached an agreement with each other to display it in the School of Medicine and the School of Surgery for a period of time. After they finish their research, they will be handed over to the museum for collection."
Watman sighed: "I'm even more nervous when you say that."
"In your opinion, the strength of Dr. Carvey should have surpassed most of the doctors in Paris, right?"
As we all know, tumors have always been the enemy of human beings. We have been fighting against them for thousands of years, but the curative effect is often poor.Especially the tumors in the abdominal cavity, we can't see them, and in most cases, we can't touch them. It's too late when we realize that there is something wrong with our body. "
"Well, no problem."
Although it is named zombie cage, it is not to prevent corpses from running out, but to fear that someone will get in.After the corpse decomposes, the cage will be dismantled by the cemetery management office, installed on the next grave that needs to prevent corpse robbery, and reused.
"A few days ago, I sent someone to find the source of the corpse." After the dean heard that the operation was postponed, he knew that Kawei would definitely come to him. "According to their word of mouth, the first one should be sent tonight." Bo corpses, enough for you for two days."
The complexity of Carvey's operation, not to mention him, few people in the world can understand it.
There are no hosts from other theaters here, the host is Kawei himself, and there is no exciting introduction, after all, everyone here is familiar.Seeing that everyone on the field has arrived, Carvey announced that the operation has officially started.
"of course."
Wealthy families form a guard, while poorer families hire at least one grave watcher to stay in the cemetery for a few weeks.Cemeteries also sell a special type of cage, the Zombie Cage. 【2】
"Is this for us?"
Among the Viennese journalists, Varela was the only one who could see the way.But perhaps only he himself knows best that he is no longer the original Varela. In the past few months, he has already given up traditional western medicine and understanding surgery.
"You came to Vienna from Paris and called Dr. Kavey who was on the front line. Have you admitted that Austria's surgical capabilities have surpassed those of France?"
Carvey asked people to put you on the operating table, while the equipment nurse and three assistants were fiddling with the medicines that might be used in the operation, and they still needed to prepare enough equipment.Considering the long operation time, the instruments may need to be cleaned again, so the preparation time is much longer than before.
Compared with such passive defensive measures, there are "coffin torpedoes" that are more offensive. 【3】
"This"
This is undoubtedly a way to save money. After all, spending money to see an incomprehensible operation does not substantially help news reports.
No, I can't make it up, it is the result of further speculation based on the limited answer content.
At this time, the door to the lounge was pushed open, and a hospital bed with trundle was pushed in by two nurses, and it was Amor who was walking beside the bed.
They are cleverly placed under the lid of the coffin, and once someone tries to open the lid, the mechanism will be triggered to shoot small lead bullets.Although its power is not as powerful as the rifle bullets on the battlefield, its penetration is limited, but a single shot at close range is enough to kill.
"I feel pretty good. Fasting, water deprivation and enema make my whole body feel relaxed." Edm got out of the carriage, and under the protection of the guards, walked through the crowd of reporters and walked towards the gate of the Municipal General Hospital, "As for the others? , I just hope the operation goes well."
The notebook is of regular size, and inside it is the surgical atlas drawn by Carvey himself.At the beginning, it was a simple case introduction and diagnosis process, and then it described the operation method of today's surgery.After turning over the preface and a series of preparatory work, nearly 30 pages in the middle are composed of pictures, and each picture is accompanied by annotations and simple process instructions.
This business has existed for hundreds of years, and the reason why it has been banned repeatedly is not only the huge profits that can earn two months' wages for half an hour of digging, but also the weak punishment.As for why the punishment is neither painful nor itchy, there are various games and compromises involved.
For this reason, the Municipal General Hospital thoughtfully prepared a big gift for the audience - a notebook.
"Strong is indeed strong. Not only is the content of the atlas strong enough, I didn't expect that Kavey's sketching skills are also very good." Watman flipped through the operation steps in his hand and said, "But compared to these, I am still more worried about the operation after surgery. complications."
With the reputation brought by the auction of Fernand, Feridining's underground auction house seemed to be contracting the sale of corpses.Facts have also proved how efficient it is. The original order of 10 corpses was delivered in less than three days.
"I don't know much about medicine, so..."
"Fernan" Carvey recalled the open-air operation more than four months ago, "Was it finally sent to the history museum?"
Free gifts, excellent pictures, and concise explanations, this is probably the impression that everyone has on this atlas.And when it got into the hands of Waterman and Massimov, those impressions seemed trivial.
"I just took Giustina's advice and wanted to come here and try it out, who knows."
Since it is a black market, it is inconvenient for Carvey to ask further questions. In an era when things are difficult to have both, opening one eye and closing one eye can at least reduce some guilt.
But for Carvey, who is training crazily in his own hospital, the "groundless speculation" of media people can't get into his sight at all. What he wants is a corpse.The dean is well aware of the weight of this operation, even if Erdem's identity is put aside, the ticket revenue alone has already made a lot of money.
"That's right, Felidinin, who sold that ogre for a sky-high price, is simply a talent." The dean was moved by the other party's business acumen, "Who would have thought that Meadows, Waterman and the Museum of Natural History would I've grown crazy together, and the bids are so sharp. If I knew they would go shopping, I should have stepped in to raise the price, and feel the atmosphere!"
"Are you completely sure of Dr. Carvey's ability?"
On November 11, Edem finally ushered in the most important moment of his life.Of course, he himself still has reservations about this statement. The most important moment in his mind is undoubtedly the encounter that night more than 5 years ago.
The dean is not stupid. The economic benefits brought by Kawei have already surpassed the sum of the other surgeons in the hospital, and no matter how much money is spent, he can still make enough profits: "Originally, the hospital would prepare three corpses for you at any time. But you went to the front line, and the corpses were left alone and distributed to other people. Who knew that you would come back suddenly now, and I didn't even have time to prepare."
"But we want to see Mr. Edham."
"The atlas is very detailed. The operation is such a process. I can easily understand many of the pictures."
"No, how much does a corpse cost?"
In order to prevent the corpse from being stolen, the people also racked their brains.
After the joining of Mosier, Kavey has been very effective in training, and the level of Herman and Damirgang is just right for the work of the second and third assistants.
They are obviously not qualified to enter the embassy, otherwise they would not be so excited to see Edem today.Now that people have entered, it is impossible to ask questions again, and so many questions can only be made up.
"Or that black market?"
These merits are simply not enough to summarize this atlas.
Carvey bowed slightly and expressed his apology: "The operation is too complicated, and the status of the patient is extremely noble, so I have to prolong the practice time before I dare to perform this operation.
"He is a patient, and you have no right to disturb my patient. If you really want to interview him, then go to the French embassy for an interview after he is discharged from the hospital."
Karvey nodded, and finally heaved a sigh of relief when he heard that the source of the corpse had fallen behind: "I will pay for the corpse these days"
"I heard that you asked not to use anesthesia before?"
After seeing the news that Carvey is doing crazy surgery exercises, orders from the black market also come by appointment, and it is hard not to think of the relationship between the two. 【4】
"Ladies and gentlemen, first of all I need to say sorry to all of you for rescheduling the surgery."
"It's too strong. It turns out that after the resection, the bowel is folded to form a new bladder."
"It was originally decided not to use it, but the operation time was too long, and Dr. Carvey said it must be used."
At 1:30 p.m., the surgery theater of the Municipal General Hospital ushered in the first radical operation for bladder cancer.
"Then what do you think of the gap in medical level between Paris and Vienna?"
The reporters were like ants in an emergency, and slowly dispersed in the Municipal General Hospital.There are only a handful of newspaper offices that can spend 1000 crowns to buy tickets for their journalists. Most of them are not eligible to enter the theater, so they can only wander around and stand at the door waiting for the operation to end when the time is almost up.
The corpse snatchers who dig up the corpses of the people at the bottom are also at the bottom. They don't care about these, the most important thing is to survive.
"It should be in the Joseph Pavilion [5] now, and it should be put together with those wax figures. The operation was so successful, but in the end he died. It doesn't make sense to talk about it now." The dean chatted and remembered his previous experience , "I haven't been there for a long time, let's go and have a look when you have time."
"It should be delivered, it is written on the board at the door."
In the end, the dean who went out to greet him controlled the situation: "Mr. Edem needs to rest, you guys like to ask questions so much, why don't you ask Carvey after the operation is over."
After reading the introductory speech, Carvey continued: "Drugs cannot destroy tumors, only surgery can separate them from us. The operation to be performed today is a case of bladder tumor located in the abdominal cavity. You should have one at hand. This pamphlet has already briefly introduced the patient's condition."
"Okay, the operation time is a bit long today, so watch it."
"If you want to do this kind of operation, you always have to take risks. There is no way." Massimov closed his notebook, and the memory slowly emerged in front of his eyes, "But even if something goes wrong, it is after the operation, not the operation. During the operation. With Kawei's strength, there will not be any problems during the operation."
"According to the principle of tumor resection, Mr. Erdem's bladder needs to be removed during the operation, and then the intestinal tube is selected to replace it."
On November 11, the surgical theater of the Municipal General Hospital displayed the previous sign again.
There were more and more people around, and similar questions flooded in one after another. Edm could only squeeze forward while answering.If it weren't for the strong guards at the embassy around me, I'm afraid the journey into the theater would have been quite a hassle.
But it doesn't matter, the corpse snatcher who fell in front of his companion is also a qualified corpse, with mixed advantages and disadvantages.
Holding the normal saline bottle in his hand, he said lightly, "Mr. Kawei, the anesthesia is ready."
Carvey didn't have much interest in Fernan's death later, but being able to preserve this corpse and make a specimen can be regarded as a contribution to the development of surgery.
"Mr. Edham, how do you feel now?"
Seeing that Damirgang had made a sterilized drape, Kawei found a scalpel from the pile of prepared instruments: "The surgical procedure is too complicated, so let's hurry up. We will make a midline incision on the lower abdomen, and go through the umbilical cord on the right side, so that It is beneficial to free the ascending colon during operation.”
After saying that, the scalpel sliced open the skin of Edem's lower abdomen.
Skin, fat, muscle, after a simple ligation of the bleeding point, Carvey quickly reached the peritoneum. At this time, Mosier temporarily finished organizing the instruments and returned to the operating table.The two quickly cut the peritoneum, and the first thing to do was not to expose the bladder in a hurry, but to explore the location of the bladder tumor.
Only when the location and the relationship between the tumor and surrounding tissues are clarified, can Carvey clarify the treatment method.
He put down the scalpel and stuck his hand into Edem's abdominal cavity.
News of the operation appeared on the pages of major newspapers on the second day of the consultation, and all citizens of Vienna only needed to pay a few heels to see these reports [1].The public will discuss the operation, but Carvey's operation has long been out of the scope of their viewing, and now it is only a discussion.
The real madness was hidden in those dark corners. After the report of the postponement of the operation on November 11 appeared, this madness gradually reached its peak.
Just like when the United Kingdom first introduced the "Anatomy Act", Austria's management of corpses is not strict.
The process of industrialization in the 19th century unfolded rapidly, and the dark corners of capitalism were full of ground-up scum, and doctors, medical school teachers and scientists could obtain voluntary or unclaimed corpses through legal and compliant means.
The claim procedure has gradually shifted from the individual application more than ten years ago to the affiliated unit, but the cumbersomeness of the procedure itself has not decreased.
The anatomy and research of the cadaver itself requires freshness, and there will be a lot of troubles in the preservation cost, process and transportation, which greatly increases the difficulty in the application of the cadaver.
Vienna is now in a period of high demand for corpses. When formal channels cannot meet the demand, the original illegal industrial chain will avoid the sun and sink underground to continue to shine for the great surgical cause.
Every day in Vienna, there are many people who are exhausted and starved to death, and they have found this job for those who can't go on happy but are still alive, stealing corpses.
If you can’t find a corpse in any corner, go to the cemetery to find it. During the day, they stay in the cemetery to see where the newly buried corpse is, and at night they sneak over to dig the corpse away.Some corpse-snatching teams colluded with the grave guards, and created an industrial chain of "grave guards staying at the grave - stealing corpses at night - selling on the black market the next day".
"The thing belongs to the museum, but it seems that Waterman and Meadows have reached an agreement with each other to display it in the School of Medicine and the School of Surgery for a period of time. After they finish their research, they will be handed over to the museum for collection."
Watman sighed: "I'm even more nervous when you say that."
"In your opinion, the strength of Dr. Carvey should have surpassed most of the doctors in Paris, right?"
As we all know, tumors have always been the enemy of human beings. We have been fighting against them for thousands of years, but the curative effect is often poor.Especially the tumors in the abdominal cavity, we can't see them, and in most cases, we can't touch them. It's too late when we realize that there is something wrong with our body. "
"Well, no problem."
Although it is named zombie cage, it is not to prevent corpses from running out, but to fear that someone will get in.After the corpse decomposes, the cage will be dismantled by the cemetery management office, installed on the next grave that needs to prevent corpse robbery, and reused.
"A few days ago, I sent someone to find the source of the corpse." After the dean heard that the operation was postponed, he knew that Kawei would definitely come to him. "According to their word of mouth, the first one should be sent tonight." Bo corpses, enough for you for two days."
The complexity of Carvey's operation, not to mention him, few people in the world can understand it.
There are no hosts from other theaters here, the host is Kawei himself, and there is no exciting introduction, after all, everyone here is familiar.Seeing that everyone on the field has arrived, Carvey announced that the operation has officially started.
"of course."
Wealthy families form a guard, while poorer families hire at least one grave watcher to stay in the cemetery for a few weeks.Cemeteries also sell a special type of cage, the Zombie Cage. 【2】
"Is this for us?"
Among the Viennese journalists, Varela was the only one who could see the way.But perhaps only he himself knows best that he is no longer the original Varela. In the past few months, he has already given up traditional western medicine and understanding surgery.
"You came to Vienna from Paris and called Dr. Kavey who was on the front line. Have you admitted that Austria's surgical capabilities have surpassed those of France?"
Carvey asked people to put you on the operating table, while the equipment nurse and three assistants were fiddling with the medicines that might be used in the operation, and they still needed to prepare enough equipment.Considering the long operation time, the instruments may need to be cleaned again, so the preparation time is much longer than before.
Compared with such passive defensive measures, there are "coffin torpedoes" that are more offensive. 【3】
"This"
This is undoubtedly a way to save money. After all, spending money to see an incomprehensible operation does not substantially help news reports.
No, I can't make it up, it is the result of further speculation based on the limited answer content.
At this time, the door to the lounge was pushed open, and a hospital bed with trundle was pushed in by two nurses, and it was Amor who was walking beside the bed.
They are cleverly placed under the lid of the coffin, and once someone tries to open the lid, the mechanism will be triggered to shoot small lead bullets.Although its power is not as powerful as the rifle bullets on the battlefield, its penetration is limited, but a single shot at close range is enough to kill.
"I feel pretty good. Fasting, water deprivation and enema make my whole body feel relaxed." Edm got out of the carriage, and under the protection of the guards, walked through the crowd of reporters and walked towards the gate of the Municipal General Hospital, "As for the others? , I just hope the operation goes well."
The notebook is of regular size, and inside it is the surgical atlas drawn by Carvey himself.At the beginning, it was a simple case introduction and diagnosis process, and then it described the operation method of today's surgery.After turning over the preface and a series of preparatory work, nearly 30 pages in the middle are composed of pictures, and each picture is accompanied by annotations and simple process instructions.
This business has existed for hundreds of years, and the reason why it has been banned repeatedly is not only the huge profits that can earn two months' wages for half an hour of digging, but also the weak punishment.As for why the punishment is neither painful nor itchy, there are various games and compromises involved.
For this reason, the Municipal General Hospital thoughtfully prepared a big gift for the audience - a notebook.
"Strong is indeed strong. Not only is the content of the atlas strong enough, I didn't expect that Kavey's sketching skills are also very good." Watman flipped through the operation steps in his hand and said, "But compared to these, I am still more worried about the operation after surgery. complications."
With the reputation brought by the auction of Fernand, Feridining's underground auction house seemed to be contracting the sale of corpses.Facts have also proved how efficient it is. The original order of 10 corpses was delivered in less than three days.
"I don't know much about medicine, so..."
"Fernan" Carvey recalled the open-air operation more than four months ago, "Was it finally sent to the history museum?"
Free gifts, excellent pictures, and concise explanations, this is probably the impression that everyone has on this atlas.And when it got into the hands of Waterman and Massimov, those impressions seemed trivial.
"I just took Giustina's advice and wanted to come here and try it out, who knows."
Since it is a black market, it is inconvenient for Carvey to ask further questions. In an era when things are difficult to have both, opening one eye and closing one eye can at least reduce some guilt.
But for Carvey, who is training crazily in his own hospital, the "groundless speculation" of media people can't get into his sight at all. What he wants is a corpse.The dean is well aware of the weight of this operation, even if Erdem's identity is put aside, the ticket revenue alone has already made a lot of money.
"That's right, Felidinin, who sold that ogre for a sky-high price, is simply a talent." The dean was moved by the other party's business acumen, "Who would have thought that Meadows, Waterman and the Museum of Natural History would I've grown crazy together, and the bids are so sharp. If I knew they would go shopping, I should have stepped in to raise the price, and feel the atmosphere!"
"Are you completely sure of Dr. Carvey's ability?"
On November 11, Edem finally ushered in the most important moment of his life.Of course, he himself still has reservations about this statement. The most important moment in his mind is undoubtedly the encounter that night more than 5 years ago.
The dean is not stupid. The economic benefits brought by Kawei have already surpassed the sum of the other surgeons in the hospital, and no matter how much money is spent, he can still make enough profits: "Originally, the hospital would prepare three corpses for you at any time. But you went to the front line, and the corpses were left alone and distributed to other people. Who knew that you would come back suddenly now, and I didn't even have time to prepare."
"But we want to see Mr. Edham."
"The atlas is very detailed. The operation is such a process. I can easily understand many of the pictures."
"No, how much does a corpse cost?"
In order to prevent the corpse from being stolen, the people also racked their brains.
After the joining of Mosier, Kavey has been very effective in training, and the level of Herman and Damirgang is just right for the work of the second and third assistants.
They are obviously not qualified to enter the embassy, otherwise they would not be so excited to see Edem today.Now that people have entered, it is impossible to ask questions again, and so many questions can only be made up.
"Or that black market?"
These merits are simply not enough to summarize this atlas.
Carvey bowed slightly and expressed his apology: "The operation is too complicated, and the status of the patient is extremely noble, so I have to prolong the practice time before I dare to perform this operation.
"He is a patient, and you have no right to disturb my patient. If you really want to interview him, then go to the French embassy for an interview after he is discharged from the hospital."
Karvey nodded, and finally heaved a sigh of relief when he heard that the source of the corpse had fallen behind: "I will pay for the corpse these days"
"I heard that you asked not to use anesthesia before?"
After seeing the news that Carvey is doing crazy surgery exercises, orders from the black market also come by appointment, and it is hard not to think of the relationship between the two. 【4】
"Ladies and gentlemen, first of all I need to say sorry to all of you for rescheduling the surgery."
"It's too strong. It turns out that after the resection, the bowel is folded to form a new bladder."
"It was originally decided not to use it, but the operation time was too long, and Dr. Carvey said it must be used."
At 1:30 p.m., the surgery theater of the Municipal General Hospital ushered in the first radical operation for bladder cancer.
"Then what do you think of the gap in medical level between Paris and Vienna?"
The reporters were like ants in an emergency, and slowly dispersed in the Municipal General Hospital.There are only a handful of newspaper offices that can spend 1000 crowns to buy tickets for their journalists. Most of them are not eligible to enter the theater, so they can only wander around and stand at the door waiting for the operation to end when the time is almost up.
The corpse snatchers who dig up the corpses of the people at the bottom are also at the bottom. They don't care about these, the most important thing is to survive.
"It should be in the Joseph Pavilion [5] now, and it should be put together with those wax figures. The operation was so successful, but in the end he died. It doesn't make sense to talk about it now." The dean chatted and remembered his previous experience , "I haven't been there for a long time, let's go and have a look when you have time."
"It should be delivered, it is written on the board at the door."
In the end, the dean who went out to greet him controlled the situation: "Mr. Edem needs to rest, you guys like to ask questions so much, why don't you ask Carvey after the operation is over."
After reading the introductory speech, Carvey continued: "Drugs cannot destroy tumors, only surgery can separate them from us. The operation to be performed today is a case of bladder tumor located in the abdominal cavity. You should have one at hand. This pamphlet has already briefly introduced the patient's condition."
"Okay, the operation time is a bit long today, so watch it."
"If you want to do this kind of operation, you always have to take risks. There is no way." Massimov closed his notebook, and the memory slowly emerged in front of his eyes, "But even if something goes wrong, it is after the operation, not the operation. During the operation. With Kawei's strength, there will not be any problems during the operation."
"According to the principle of tumor resection, Mr. Erdem's bladder needs to be removed during the operation, and then the intestinal tube is selected to replace it."
On November 11, the surgical theater of the Municipal General Hospital displayed the previous sign again.
There were more and more people around, and similar questions flooded in one after another. Edm could only squeeze forward while answering.If it weren't for the strong guards at the embassy around me, I'm afraid the journey into the theater would have been quite a hassle.
But it doesn't matter, the corpse snatcher who fell in front of his companion is also a qualified corpse, with mixed advantages and disadvantages.
Holding the normal saline bottle in his hand, he said lightly, "Mr. Kawei, the anesthesia is ready."
Carvey didn't have much interest in Fernan's death later, but being able to preserve this corpse and make a specimen can be regarded as a contribution to the development of surgery.
"Mr. Edham, how do you feel now?"
Seeing that Damirgang had made a sterilized drape, Kawei found a scalpel from the pile of prepared instruments: "The surgical procedure is too complicated, so let's hurry up. We will make a midline incision on the lower abdomen, and go through the umbilical cord on the right side, so that It is beneficial to free the ascending colon during operation.”
After saying that, the scalpel sliced open the skin of Edem's lower abdomen.
Skin, fat, muscle, after a simple ligation of the bleeding point, Carvey quickly reached the peritoneum. At this time, Mosier temporarily finished organizing the instruments and returned to the operating table.The two quickly cut the peritoneum, and the first thing to do was not to expose the bladder in a hurry, but to explore the location of the bladder tumor.
Only when the location and the relationship between the tumor and surrounding tissues are clarified, can Carvey clarify the treatment method.
He put down the scalpel and stuck his hand into Edem's abdominal cavity.
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