Nineteenth Century Medical Guide

Chapter 294 290. The reason behind it

The director of surgery at the Main Palace Hospital was Dupont Itran, who was a very famous field doctor during Napoleon's period. After the war, he was conferred the title of baron by Napoleon himself.He was undoubtedly a giant in the French medical field at that time, and the king of surgery at the Palace Hospital.

Now the giant's student Cedieu has inherited the mantle and has become a new generation of emperors.

He and Itran are two completely opposite people, not as stubborn as the teacher, nor as domineering, but they also have the French talent for acting.The operating table is Cedieu's stage and performance venue, and his job is to use extremely professional rhetoric and slightly violent surgical techniques to show the alternative art hidden behind the blood.

He admits that the tumor resection is not perfect, but compared with other surgeons, it is already very powerful, fully worthy of his status.

With this layer of foreshadowing, Cedieu was more confident about the arrival of Kavey.

In his eyes, what Carvey should do should not be a tour demonstration of surgery, but a demonstration of self-ability based on learning, in order to get the appreciation of others, not teaching.Paris, which has been at the pinnacle of surgery in the world all year round, has medical students from other countries visiting and studying every day, and there is no need for doctors from other countries to teach.

"I'm really sorry, Dr. Carvey, I'm not in charge of obstetrics." Cedieu smiled and picked up the suture needle and thread, and performed the so-called gastrojejunostomy. "The director of the obstetrics department is not willing to let the pregnant women in the ward take risks."

"Indeed, I think so too."

Carvey agreed with him unexpectedly, and his reasons were also unexpected: "Cesarean section is inherently fraught with danger, not to mention that my surgical team is still in Vienna and it may take a few days to arrive in Paris. And I carry The dosage of the medicine is also limited, and it may not be enough in case of postpartum hemorrhage."

Cedieu heard the overtones, and stopped the surgical knot in his hand: "Dr. Carvey thinks that the doctors in Paris are not as good as those in Vienna?"

"No, no, Professor Cedieu misunderstood. From the perspective of the overall medical level, the surgery of Paris Hospital is indeed a higher level than that of Vienna." Carvey told the truth, "I'm just talking about my own surgical team, yes exception."

This kind of yin and yang, which deliberately maintains an objective attitude, will make people feel like they can't distinguish between the real and the fake. Cedieu sounds very uncomfortable: "Does Dr. Kawei's skills have to be brought into full play by the same group of assistants?" Is it?"

"That's not so."

Now that the words are out of the way, considering that I have to stay in Paris for a month, Carvey is not polite. It is not good to be too reserved: "It will be fine if Professor Cedieu comes to be an assistant. After all, I In Vienna, Dean Waterman and Mr. Ignatz are often used to help."

As soon as this remark came out, there was an uproar at the scene, and everyone's eyes were focused on this young doctor who was under 20 years old.

"Isn't Watman the dean of the Austrian Academy of Surgery?"

"Yes, Ignatz is his son."

"The father and son of the surgeon will help him?"

"No way"

The words are very arrogant, which makes people feel very uncomfortable, but the impact brought by the arrogance is also strong enough, so that quite a few people who originally doubted Kavey became skeptical.This is Paris, and the words are so unrealistic, and finally the news was sent back to Vienna, and the unlucky one who died was himself.

So there must be a reason why Kawei dared to talk to Cedieu like this.

Is the cesarean section announced to the outside world true?
Can it really reduce the death rate of cesarean section significantly?
Cedieu was not angry, but expressed affirmation of Kawei's expression.But what should be questioned still has to be questioned. What the officials of the Ministry of Foreign Affairs did not explain clearly, he had to figure it out from Kawei.

The old professor pinched the suture thread again, quickly tied a knot, and asked Albaran, who was too scared to speak, to cut off the excess gut thread: "Not bad, the young man is very aggressive, but I have a few questions I want to consult Dr. Carvey."

"Professor, please."

"Are you a graduate of the Medical Faculty of the University of Vienna?"

"Yes." Carvey thought about the graduation certificate that was still in the drawer of Meadows's office, and suddenly lost his confidence, "It should be regarded as a fresh graduate."

"PhD?"

"No, just undergraduate."

A few traces of laughter could not help but burst out from around, the sound was very small, but it was magnified several times by the silent operation theater.

Cedieu didn't show any face either, and said while suturing the other side: "Can this education really help you learn anatomy well? The anatomy courses at the University of Paris Medical School run from undergraduate to master. If you are a doctor specializing in surgery, you need to re-do it during your doctorate." Learn anatomy."

"Your concerns are indeed warranted. According to the current development speed of surgery, I'm afraid I have to continue to practice anatomy after entering the profession."

"So your degree."

"Education is a standard to measure the overall strength of a doctor, but it is not the only one. It is not necessary to study anatomy in the hospital." Carvey continued to explain, "In other words, if only the surgical experience is concerned, I should be better than half of the doctors on site. Be rich."

There are many medical students in the venue, as well as interns and assistants who have just graduated. In fact, only about 2/3 of them can really perform surgery on their own.

He is richer than half of the doctors, and has at least six or seven years of experience.

Only then did Cedieu know about Kavey's strong capital, and his tone changed from being joking to a lot more serious: "At what age did Dr. Kavey start getting involved in surgery?"

"Became my father's assistant since I was six years old."

"Oh? Your father is.?"

"Just an ordinary Italian surgeon who is good at amputation, lithotomy, various maxillofacial orthopedics and hernia repairs. He has also learned a little tracheotomy, blood transfusion, medicine dispensing, and the composition and construction of surgical instruments."

The content has become magical since the amputation, and just picking out one is enough to gain a firm foothold in a large-scale hospital.

Cedieu has also seen folk masters, whether it is true or not, now he has basically figured out the bottom line of Kawei.He is a young genius who has made great achievements after he became a regular. No wonder Vienna is regarded as a treasure.

In this way, it is understandable that the gang of stupid people who know nothing about medicine in the Ministry of Foreign Affairs are led by the nose.

"Has Dr. Carvey been to the ward?"

"Thanks to Dr. Albaran for accompanying him all the way from the train station, I have been there just now." Carvey praised, "The medical level of the Main Palace Hospital is indeed very high, and it is worth learning from in terms of management."

"Is it just management?" Cedieu thought that Kawei was still supporting himself, so he didn't care too much, and asked, "Albaran, have you shown the four medical records compiled before to Dr. Kawei?"

Albaran was quite frightened by the conversation just now, and he only focused on pulling the hook, unable to react in time.

"Doctor Albaran!" Cedieu tapped his retractor lightly with tissue forceps, "Are you still there?"

"Uh, I'm here, I'm here!"

"What are you thinking?" Guyon was doing pathology slides in the preparation area, cursed and then repeated for the professor, "I ask you, Dr. Carvey, if you have read those four medical records!"

"I read it. Well, I just read a copy of bed 97." Albaran replied, "Before the other patients had time to read it, I was called over."

"Okay." Cedieu asked, "I heard that Dr. Carvey will perform appendectomy, and the 97-bed patient will be yours. We can also see the top level of surgery in Vienna."

Ka Wei had just seen bed 97, and it was impossible to judge whether it was appendicitis based on abdominal pain alone, let alone a girl, and gynecological problems had to be ruled out first.

This situation is embarrassing, and conclusive evidence is needed to deny the other party's diagnosis.The boundary of the patient's abdominal pain range is very vague, and there are at least a dozen differential diagnoses. Without the help of imaging and laboratory tests, it is really impossible to make a judgment.

"The operation on bed 97 is not in a hurry." Carvey decided to change the subject, "The professor asked me so many questions, and I also want to ask the professor a question."

"Oh?" Cedieu stopped again and looked up in his direction, obviously interested, "What's the question?"

"About the current operation."

"Gastric resection?" Sadie had a vague premonition, but after thinking about it, no one should be able to perform this kind of operation now, so he let it go, "Ask, what do you want to ask?"

"I'm just curious about one thing." Carvey asked, "Is there really such a large amount of bleeding during gastrectomy?"

"This"

"If there is, where is the bleeding during the operation just now?"

"."

"If the location is found, can it be avoided during surgery?"

"."

The three questions hit the nail on the head, tantamount to exposing Cedieu's scars.The surrounding audience could clearly feel Kavey's "hostility", but they couldn't resist the temptation of these three questions. They wanted to speak to stop it, and wanted Cedie to give an answer as soon as possible.

All in all it's embarrassing.

"Dr. Carvey, we agreed to ask only one question, so that's three questions!!!"

"But they're a question that can be seen in tandem, and that's why there's a lot of bleeding."

Carvey knew the difficulty of the problem.

It is difficult to answer this question if the chief surgeon does not carefully explore the abdominal cavity during the operation, and does not have a certain degree of mastery and confidence in the steps and techniques of his own free tissue.It's normal for Cedieu to not be able to answer. What he wanted was not to embarrass the old professor, but to let him remember one thing.

When the operation fails, the first thing to do is not to enjoy the comfort of others, but to find the cause of the problem as soon as possible.

Cedieu also seemed to understand the true meaning of these questions, raised his head to look at the students and colleagues in the audience, and gently put down the suture needles: "That's a good question, I now know why His Majesty the Emperor is on the side of the Ministry of Foreign Affairs , want you to come to Paris."

Seeing his expression, Carvey sighed: "I believe that Professor Cedieu will be able to overcome this difficulty and complete the gastrectomy. If anyone needs help, I am willing to help."

The operating theater here began to find the real cause of death for the dead Mr. Boris.

On the other side, Edward, who sent Carvey to Paris, finally met the French Emperor Napoleon III. It was the last emperor of France, known as the nouveau riche, who agreed to Carvey's trip to Paris.

"Your Majesty, I'm back."

Nasan was sitting on the sofa looking at a document. Seeing that it was Edward, he quickly let him take a seat: "The doctor Carvey you mentioned in your letter has also arrived in Paris?"

"Yes, it has arrived." Edward repeatedly simulated the interrogation scene along the way, looking for possible problems, and at the same time he had to find answers for himself, "He has already gone to the main palace hospital, and there should be a surgery demonstration event in the near future gone."

There was no expression on Nasan's face, he just asked, "What do you think of his surgical skills?"

"It's amazing." Edward couldn't help citing several examples, "Marshal Ludwig of Austria suffered from waist and leg pain for several years, and even struggled to ride a horse. It took less than four years after his operation. After a month, he was able to walk normally.

Justine, daughter of Marshal McMahon, Countess of our great France.Her breast cancer has been sentenced to death by many people, but in the hands of Dr. Carvey, not only the tumor was removed, but the reconstructed breast is not much different from the normal one.

And old Mr Edham."

"Yes, Edem, how is Edem doing now?" Nasan put down the documents in his hand, "Did his operation succeed?"

"Success." Edward said, "We left after watching Mr. Erdem open his eyes, and received a telegram from Vienna in Zurich that Mr. Erdem is in good health."

Nasan's face became very strange, not happy or surprised, but a fear of facing the unknown: "It really succeeded?"

"Dr. Carvey said that if there is no bad news within a week, the operation should be successful." Edward didn't seem to care too much about the change in the emperor's face, and he was still talking to himself, "But I can see that he treats me very much." Have confidence."

Nassan hesitated for a moment, then picked up the document at hand again: "What disease does Mr. Erdem suffer from? Stone?"

"It's not a stone, it's a tumor."

"Tumor? What tumor?"

Just as Nasan asked, he shook his head and interrupted himself: "Forget it, I don't understand these things, since Dr. Carvey has arrived in Paris, let him work hard, and I wish Mr. Edem can Get through it well."

"Please rest assured, Your Majesty, I will arrange everything."

"En." Nasan took a bottle of Anshen wine from the table, poured two gulps into his mouth, and then handed over the document he just read, "Let's take a look, the latest battle report between Pu and Austria."

"Battle report? Finally started fighting again?"

Edward is in a good mood. For him, the more this war is fought, the better it will be for him and France.However, this is not the case. This battle report is more like a summary of a war, because the Prussian-Austro-Prussian War, which lasted for more than a month, ended in such a muddle.

"How did the peace talks start?"

"No, it's not the start of the peace talks, but the conclusion of the peace talks." Nazsan's face became more and more ugly, "The result of the peace talks is that Austria admits defeat in the war, but that's all."

(End of this chapter)