Nineteenth Century Medical Guide
Chapter 343
Chapter 343
Unlike the cesarean section before, it was only surgeons and obstetricians who paid attention to Carvey.Now, after golf ball fillers and perianal abscess surgery, his name is starting to spread across medical circles and is the talk of all Parisian doctors in their spare time.
Being able to achieve this step is not only due to the uniqueness of the surgical method, but more importantly, the excellent postoperative effect.
The hemoptysis patient never coughed up blood again, and even coughed less.The dozen or so incisions on the buttocks where the pus came out all grew well, and none of them festered.Including the previous cesarean section and craniotomy, Carvey is like taking an extremely hard sledgehammer, smashing the cognitive routines of the Paris medical community to pieces.
Whether it is a golf ball stuffed into the chest cavity, or hydrogen peroxide and a sponge, it is something that is unreasonable or even anti-textbook.
But medicine has always been result-oriented. No matter how strange the process is, as long as the result is good, it is necessary to try.
And when the Parisian surgeons headed by Sedijo used Carvey's surgical procedure to insert golf balls into the chest cavity of several tuberculosis and hemoptysis patients, the conclusions obtained further proved the greatness of this operation.
"I found 4 surgeons, and in the past few days, 7 patients with tuberculosis and hemoptysis have been given golf ball fillings. Among them, 4 of them's hemoptysis disappeared instantly, and 2 of them were relieved."
"Is there another one?"
"Maybe there is no cavity in the lungs, or it may be that the auscultation breath sounds are too vague to grasp the exact location of the lesion. In short, the operation has no effect."
"It's not bad." Huot, the president of the Surgical Association, had to admit the practicality of the operation after listening to Cedieu's briefing, "It seems that the theory should be to use the sphere to compress the lung tissue, and then compress the bleeding in the lesion. "
"Yes, he applied the classic theory of hemostasis to tuberculosis." Cedieu sighed, "We all know that compression can stop bleeding, but no one would risk putting a golf ball into the chest cavity. Rib periosteum, but also to pry open the rib gap, too bold."
"But the outcome of the surgery was a success."
"That's natural."
Holt flipped through a few pages and saw the sketch of the structure of Carvey's self-made vsd: "What about this patient?"
In terms of surgical procedures alone, the golf ball filling must be more bizarre, but Cedieu is more optimistic about vsd. In fact, all surgeons are more interested in the magical effect of this vsd: "This thing is simply a magic weapon for treating trauma!"
Just seeing his expression, Holt understood the gap between the two.
If golf ball filling prolongs the life of tuberculosis and hemoptysis patients, then the sponge negative pressure suction device is saving the lives of hundreds of millions of trauma patients.
"There is no sign of festering at the incision. Since last night, we can already see that new tissue has begun to grow. It's amazing! If there is no accident, no, there will be no accident this time. The incision will definitely be on both sides. Get well within a week."
Cedieu gave almost all the credit to vsd, but Huot was more calm: "This device is indeed magical, but a series of steps before using it may also be necessary."
"Maybe."
"It's not supposed to be, but affirmative." Holt put the briefing document on the table, stood up and came to Cedieu, "He needs to clean the operation repeatedly with water, brush, and blue potion before almost every operation. After half of the operation, he will also use the above-mentioned things to clean the abdominal cavity and the incision.”
"It's the same at the end of the surgery."
"Whether it's used to eliminate the so-called bacteria, isolate the miasma, or some other purpose, anyway, these steps are also one of the steps to produce the results of this operation." Holt suddenly asked, "We just want to Speaking of Paris, don't you think his success rate is a bit too high?"
This is more than a simple word "high" can describe.
Except for the patient with a sudden gastrointestinal rupture, all of Carvey's operations were successful, and most of the patients' incisions grew smoothly.
如果3中2是巴黎外科手术成功的常态几率,那5中4就能送上一句运气不错了,而卡维现在是11中10。唯一一次手术失败也并非技术原因,而是病人本身就已经不行了。
Both Huot and Cedieu were born in the early 19th century. After going through the middle period of surgery, they did not expect to see this scene before retiring.
"Like the dawn driving away the darkness"
"I have been trapped in a cramped hut for hundreds of years, and I have finally been liberated."
Holt raised his eyebrows slightly, and looked at his old friend: "The last time I saw you boasting so much was to our teacher, the emperor of the Parisian surgical field."
"You know, I'm just pretending, and his old man just likes it."
"what about now?"
"I am sincerely convinced." Cedieu said without thinking.
Carvey, who has achieved such an achievement and convinced Cedieu, who has the best technology in Paris, seems to have disappeared in the newspapers these days.In European cultural centers where news changes are particularly frequent, journalists can only find new hot spots if they want to maintain high sales.
In fact, it is not easy for Kawei to appear on the headlines of major newspapers for several days in a row.
Even if there is any achievement now, it is still a matter of the medical profession. In the eyes of ordinary people, Kawei is nothing more than two more surgeries.
But this is just a normal phenomenon floating on the surface, and there are often more or less abnormalities deep in this phenomenon.Safit, who was kicked away by the review newspaper before taking the risk to replace the manuscript, was one of them.
He violated the big taboo of the newspapers and media, and was almost banned. In the next six months, no newspaper dared to use him.
But people are people, work is work, and the boss can want his work even if he doesn't want people.As long as Safit writes hard enough and writes actively, those newspapers are still willing to pay, but the reward is much less than that of ordinary reporters.
It's not that he didn't think about giving up. The pier has been short of people recently, and Anwen's income as a porter is fairly stable.
It's a pity that he can't do it with self-esteem, and the 12-hour workload at the dock is not something he can bear. After three days of work, he returned to his old profession.
The scene of being reprimanded by Carvey in person is still vivid in my mind. Based on the principle of getting up from where I fell, Safit once again targeted Carvey.However, he doesn't know much about surgery, and he is not qualified to enter the surgery theater of the Main Palace Hospital. He can only find some unpopular angles based on the news he has seen and heard recently.
For example, why have so many doctors come to visit the pier recently?
And only those two or three companies were asked, and most of them sold seafood. After repeated confirmation, they found out that they were all for Greek sponges shipped from the Aegean Sea.But he didn't know the specific function of the sponge, and he didn't have the money to gather information, so he could only write nonsense for money.
It doesn't matter to the tabloids, as long as the content is attractive enough, it can sell money, it doesn't matter if it is right or wrong, let's get the sales up first.
This kind of unfounded speculation is definitely against the professionalism of journalists, but in order to maintain the family's income, he can only bite the bullet and write.A manuscript is 5 francs, which is much cheaper than before, but after getting rid of the shackles of "facts", the output has increased a lot.
In the two days after returning home from the pier alone, he had to write five manuscripts eloquently.
From the perspective of income, he really managed to win by output, which also eased his confusion a little bit, and gave birth to a naive idea that "this job can support the whole family".As a result, on the third day, he received a new quotation for the manuscript. Because of the fierce competition, the price of an article of 5 francs became 4 francs, and he liked to write or not.
Safit had no choice but to bite the bullet and continue writing.
However, on the fifth day, due to the decline in the quality of the manuscript, the price also fell, from 4 francs to 3 francs.
This price is almost cut in half. Although the volume can support the income, good ideas require brains to think about.After so many days of writing, all that could be written was finished early. Without the support of hot news, Safit stayed at home for several hours and couldn't come up with a complete article.
Coupled with the anxiety caused by living conditions and falling selling prices, it further ate away his inspiration.
It wasn't until the seventh day that the tabloid that received the manuscript knew that there was no room for price reduction, so it said goodbye to him completely.Safit wrote 15 manuscripts this week, with a total income of 60 francs, which is about the same as the salary in a newspaper office, but there is no such thing as stability.
He had just climbed out of the abyss, only to fall back with a plop after only a few days of climbing. The pressure of losing his job made him breathless.
If he hadn't met the German with the broken leg again in the tavern, he didn't know how to get through it.
"Out of work?"
"Um"
"We are really brothers and sisters, and I don't have a job." Li Ben gulped down half a glass of whiskey, trembling freely, "But as long as a man can live well with his wife, he can still be happy."
"Hehe. You always say this kind of thing." Safit didn't have much money in his pocket, so he could only order a glass of cheap wine to put on a show. "How can I support my wife without a job?"
"If you don't have a job, you can find it yourself." Li Ben shook his glass and poured the remaining whiskey into his glass. "If you really feel that you can't get along, you can come to me and I will help you find a way."
"Porters? Lumberjacks? Painters?"
"Of course not!" Li Ben withdrew his head slightly, helped him straighten his greasy shirt collar, and said with a smile, "The kind of work that only the bottom of the society would do is not suitable for us. We have to live decently. You have to earn money."
Safit seemed to be listening to a joke: "You can really tell a joke."
"Put on the most decent clothes tonight, and follow me to meet someone." Li Ben's mind quickly discovered the value of Safit's existence, "If you want to make money, don't ask why, and don't ask where you are going, just follow I'll just go."
". How much money can you make?"
"At least your previous two years' income."
Holt and Sediyo have a plan to develop Kavey's technology, Safit and Li Ben have a plan to turn around and make a lot of money, and Kavey, who has successfully implemented golf padding and self-made VSD, also has his own plan.
The first is the next two surgeries.
One is Laura's cervix reconstruction, an operation that completely shuts up voices that hardly ever question her nowadays.At the same time, many women with breast cancer who have had their breasts removed can see hope, and more musculocutaneous flaps can be used for plastic surgery.
The other one is Bizet's throat cancer.
Carvey's previous laryngoscopy revealed a foreign object in his throat, but three pathological biopsies at Carvey's urging found no tumor cells.
Carvey has modern surgical thinking, and it is definitely not a good thing to have a mass and foreign body in such a key position.But as long as you are a person, you will have a fear of surgery. As the gold standard for tumor diagnosis, if no tumor cells are found in pathology, you cannot make a diagnosis. This has become an important and only reason why Bizet did not have surgery.
The historical Bizet could live for another 9 years. Apart from other possible diseases, his throat swelling is very consistent with the characteristics of lesions caused by cigarettes and HPV infection.
Early cutting is good, the longer it is delayed, the more dangerous it is. When it really becomes cancerous in the future, Kavey has no good way to eradicate it.He instilled a lot of medical knowledge into this musical genius, trying in vain to persuade the other party to agree to the operation according to his own considerations.
However, Carvey underestimated Bizet's determination to evade medical treatment.
Artists are often very stubborn, especially if he has not yet created a decent work, he will definitely consider the consequences of a failed operation.Farewell to this world is secondary, the most important thing is that I failed to leave a work that can prove myself.
Carvey is willing to respect Bizet's decision, the operation can be postponed, anyway, he has other things to do.
Gustav took care of the auctioned works of art and sent them to Zurich, Switzerland two days ago.There, Gusta will book an insurance warehouse for Kavi and open an account in his own bank.
At the same time, he visited the Paris Institute of Chemistry again, bought enough hydrogen peroxide and alcohol, and sent a telegram to Vienna to send more medicines to Paris as soon as possible to prepare for the next operation.
But these are secondary in Carvey's view. What is really meaningful is the big man he is going to meet today.
"Is Mr. Pasteur here?" Carvey introduced to the housekeeper, "My name is Carvey, an Austrian surgeon, and I want to meet the professor."
"Doctor Carvey." The housekeeper bowed slightly and asked, "Excuse me, do you have an appointment?"
"Sorry, no."
"I'm really sorry, Mr. Pasteur works in the underground laboratory. Without his permission, no one can go in and disturb him." The housekeeper tactfully issued a eviction order, "You can go to the Institute of Chemistry tomorrow, maybe he will go there to give a report .”
Carvey came all the way from there, and Pasteur obviously had no interest in him as a surgeon.
"I'm sorry for disturbing his work, I hope I can give this experiment report to him." After speaking, he took out a thick stack of documents from his bag, which were densely filled with data and words, "See These experimental data, I think he will definitely meet me."
(End of this chapter)
Unlike the cesarean section before, it was only surgeons and obstetricians who paid attention to Carvey.Now, after golf ball fillers and perianal abscess surgery, his name is starting to spread across medical circles and is the talk of all Parisian doctors in their spare time.
Being able to achieve this step is not only due to the uniqueness of the surgical method, but more importantly, the excellent postoperative effect.
The hemoptysis patient never coughed up blood again, and even coughed less.The dozen or so incisions on the buttocks where the pus came out all grew well, and none of them festered.Including the previous cesarean section and craniotomy, Carvey is like taking an extremely hard sledgehammer, smashing the cognitive routines of the Paris medical community to pieces.
Whether it is a golf ball stuffed into the chest cavity, or hydrogen peroxide and a sponge, it is something that is unreasonable or even anti-textbook.
But medicine has always been result-oriented. No matter how strange the process is, as long as the result is good, it is necessary to try.
And when the Parisian surgeons headed by Sedijo used Carvey's surgical procedure to insert golf balls into the chest cavity of several tuberculosis and hemoptysis patients, the conclusions obtained further proved the greatness of this operation.
"I found 4 surgeons, and in the past few days, 7 patients with tuberculosis and hemoptysis have been given golf ball fillings. Among them, 4 of them's hemoptysis disappeared instantly, and 2 of them were relieved."
"Is there another one?"
"Maybe there is no cavity in the lungs, or it may be that the auscultation breath sounds are too vague to grasp the exact location of the lesion. In short, the operation has no effect."
"It's not bad." Huot, the president of the Surgical Association, had to admit the practicality of the operation after listening to Cedieu's briefing, "It seems that the theory should be to use the sphere to compress the lung tissue, and then compress the bleeding in the lesion. "
"Yes, he applied the classic theory of hemostasis to tuberculosis." Cedieu sighed, "We all know that compression can stop bleeding, but no one would risk putting a golf ball into the chest cavity. Rib periosteum, but also to pry open the rib gap, too bold."
"But the outcome of the surgery was a success."
"That's natural."
Holt flipped through a few pages and saw the sketch of the structure of Carvey's self-made vsd: "What about this patient?"
In terms of surgical procedures alone, the golf ball filling must be more bizarre, but Cedieu is more optimistic about vsd. In fact, all surgeons are more interested in the magical effect of this vsd: "This thing is simply a magic weapon for treating trauma!"
Just seeing his expression, Holt understood the gap between the two.
If golf ball filling prolongs the life of tuberculosis and hemoptysis patients, then the sponge negative pressure suction device is saving the lives of hundreds of millions of trauma patients.
"There is no sign of festering at the incision. Since last night, we can already see that new tissue has begun to grow. It's amazing! If there is no accident, no, there will be no accident this time. The incision will definitely be on both sides. Get well within a week."
Cedieu gave almost all the credit to vsd, but Huot was more calm: "This device is indeed magical, but a series of steps before using it may also be necessary."
"Maybe."
"It's not supposed to be, but affirmative." Holt put the briefing document on the table, stood up and came to Cedieu, "He needs to clean the operation repeatedly with water, brush, and blue potion before almost every operation. After half of the operation, he will also use the above-mentioned things to clean the abdominal cavity and the incision.”
"It's the same at the end of the surgery."
"Whether it's used to eliminate the so-called bacteria, isolate the miasma, or some other purpose, anyway, these steps are also one of the steps to produce the results of this operation." Holt suddenly asked, "We just want to Speaking of Paris, don't you think his success rate is a bit too high?"
This is more than a simple word "high" can describe.
Except for the patient with a sudden gastrointestinal rupture, all of Carvey's operations were successful, and most of the patients' incisions grew smoothly.
如果3中2是巴黎外科手术成功的常态几率,那5中4就能送上一句运气不错了,而卡维现在是11中10。唯一一次手术失败也并非技术原因,而是病人本身就已经不行了。
Both Huot and Cedieu were born in the early 19th century. After going through the middle period of surgery, they did not expect to see this scene before retiring.
"Like the dawn driving away the darkness"
"I have been trapped in a cramped hut for hundreds of years, and I have finally been liberated."
Holt raised his eyebrows slightly, and looked at his old friend: "The last time I saw you boasting so much was to our teacher, the emperor of the Parisian surgical field."
"You know, I'm just pretending, and his old man just likes it."
"what about now?"
"I am sincerely convinced." Cedieu said without thinking.
Carvey, who has achieved such an achievement and convinced Cedieu, who has the best technology in Paris, seems to have disappeared in the newspapers these days.In European cultural centers where news changes are particularly frequent, journalists can only find new hot spots if they want to maintain high sales.
In fact, it is not easy for Kawei to appear on the headlines of major newspapers for several days in a row.
Even if there is any achievement now, it is still a matter of the medical profession. In the eyes of ordinary people, Kawei is nothing more than two more surgeries.
But this is just a normal phenomenon floating on the surface, and there are often more or less abnormalities deep in this phenomenon.Safit, who was kicked away by the review newspaper before taking the risk to replace the manuscript, was one of them.
He violated the big taboo of the newspapers and media, and was almost banned. In the next six months, no newspaper dared to use him.
But people are people, work is work, and the boss can want his work even if he doesn't want people.As long as Safit writes hard enough and writes actively, those newspapers are still willing to pay, but the reward is much less than that of ordinary reporters.
It's not that he didn't think about giving up. The pier has been short of people recently, and Anwen's income as a porter is fairly stable.
It's a pity that he can't do it with self-esteem, and the 12-hour workload at the dock is not something he can bear. After three days of work, he returned to his old profession.
The scene of being reprimanded by Carvey in person is still vivid in my mind. Based on the principle of getting up from where I fell, Safit once again targeted Carvey.However, he doesn't know much about surgery, and he is not qualified to enter the surgery theater of the Main Palace Hospital. He can only find some unpopular angles based on the news he has seen and heard recently.
For example, why have so many doctors come to visit the pier recently?
And only those two or three companies were asked, and most of them sold seafood. After repeated confirmation, they found out that they were all for Greek sponges shipped from the Aegean Sea.But he didn't know the specific function of the sponge, and he didn't have the money to gather information, so he could only write nonsense for money.
It doesn't matter to the tabloids, as long as the content is attractive enough, it can sell money, it doesn't matter if it is right or wrong, let's get the sales up first.
This kind of unfounded speculation is definitely against the professionalism of journalists, but in order to maintain the family's income, he can only bite the bullet and write.A manuscript is 5 francs, which is much cheaper than before, but after getting rid of the shackles of "facts", the output has increased a lot.
In the two days after returning home from the pier alone, he had to write five manuscripts eloquently.
From the perspective of income, he really managed to win by output, which also eased his confusion a little bit, and gave birth to a naive idea that "this job can support the whole family".As a result, on the third day, he received a new quotation for the manuscript. Because of the fierce competition, the price of an article of 5 francs became 4 francs, and he liked to write or not.
Safit had no choice but to bite the bullet and continue writing.
However, on the fifth day, due to the decline in the quality of the manuscript, the price also fell, from 4 francs to 3 francs.
This price is almost cut in half. Although the volume can support the income, good ideas require brains to think about.After so many days of writing, all that could be written was finished early. Without the support of hot news, Safit stayed at home for several hours and couldn't come up with a complete article.
Coupled with the anxiety caused by living conditions and falling selling prices, it further ate away his inspiration.
It wasn't until the seventh day that the tabloid that received the manuscript knew that there was no room for price reduction, so it said goodbye to him completely.Safit wrote 15 manuscripts this week, with a total income of 60 francs, which is about the same as the salary in a newspaper office, but there is no such thing as stability.
He had just climbed out of the abyss, only to fall back with a plop after only a few days of climbing. The pressure of losing his job made him breathless.
If he hadn't met the German with the broken leg again in the tavern, he didn't know how to get through it.
"Out of work?"
"Um"
"We are really brothers and sisters, and I don't have a job." Li Ben gulped down half a glass of whiskey, trembling freely, "But as long as a man can live well with his wife, he can still be happy."
"Hehe. You always say this kind of thing." Safit didn't have much money in his pocket, so he could only order a glass of cheap wine to put on a show. "How can I support my wife without a job?"
"If you don't have a job, you can find it yourself." Li Ben shook his glass and poured the remaining whiskey into his glass. "If you really feel that you can't get along, you can come to me and I will help you find a way."
"Porters? Lumberjacks? Painters?"
"Of course not!" Li Ben withdrew his head slightly, helped him straighten his greasy shirt collar, and said with a smile, "The kind of work that only the bottom of the society would do is not suitable for us. We have to live decently. You have to earn money."
Safit seemed to be listening to a joke: "You can really tell a joke."
"Put on the most decent clothes tonight, and follow me to meet someone." Li Ben's mind quickly discovered the value of Safit's existence, "If you want to make money, don't ask why, and don't ask where you are going, just follow I'll just go."
". How much money can you make?"
"At least your previous two years' income."
Holt and Sediyo have a plan to develop Kavey's technology, Safit and Li Ben have a plan to turn around and make a lot of money, and Kavey, who has successfully implemented golf padding and self-made VSD, also has his own plan.
The first is the next two surgeries.
One is Laura's cervix reconstruction, an operation that completely shuts up voices that hardly ever question her nowadays.At the same time, many women with breast cancer who have had their breasts removed can see hope, and more musculocutaneous flaps can be used for plastic surgery.
The other one is Bizet's throat cancer.
Carvey's previous laryngoscopy revealed a foreign object in his throat, but three pathological biopsies at Carvey's urging found no tumor cells.
Carvey has modern surgical thinking, and it is definitely not a good thing to have a mass and foreign body in such a key position.But as long as you are a person, you will have a fear of surgery. As the gold standard for tumor diagnosis, if no tumor cells are found in pathology, you cannot make a diagnosis. This has become an important and only reason why Bizet did not have surgery.
The historical Bizet could live for another 9 years. Apart from other possible diseases, his throat swelling is very consistent with the characteristics of lesions caused by cigarettes and HPV infection.
Early cutting is good, the longer it is delayed, the more dangerous it is. When it really becomes cancerous in the future, Kavey has no good way to eradicate it.He instilled a lot of medical knowledge into this musical genius, trying in vain to persuade the other party to agree to the operation according to his own considerations.
However, Carvey underestimated Bizet's determination to evade medical treatment.
Artists are often very stubborn, especially if he has not yet created a decent work, he will definitely consider the consequences of a failed operation.Farewell to this world is secondary, the most important thing is that I failed to leave a work that can prove myself.
Carvey is willing to respect Bizet's decision, the operation can be postponed, anyway, he has other things to do.
Gustav took care of the auctioned works of art and sent them to Zurich, Switzerland two days ago.There, Gusta will book an insurance warehouse for Kavi and open an account in his own bank.
At the same time, he visited the Paris Institute of Chemistry again, bought enough hydrogen peroxide and alcohol, and sent a telegram to Vienna to send more medicines to Paris as soon as possible to prepare for the next operation.
But these are secondary in Carvey's view. What is really meaningful is the big man he is going to meet today.
"Is Mr. Pasteur here?" Carvey introduced to the housekeeper, "My name is Carvey, an Austrian surgeon, and I want to meet the professor."
"Doctor Carvey." The housekeeper bowed slightly and asked, "Excuse me, do you have an appointment?"
"Sorry, no."
"I'm really sorry, Mr. Pasteur works in the underground laboratory. Without his permission, no one can go in and disturb him." The housekeeper tactfully issued a eviction order, "You can go to the Institute of Chemistry tomorrow, maybe he will go there to give a report .”
Carvey came all the way from there, and Pasteur obviously had no interest in him as a surgeon.
"I'm sorry for disturbing his work, I hope I can give this experiment report to him." After speaking, he took out a thick stack of documents from his bag, which were densely filled with data and words, "See These experimental data, I think he will definitely meet me."
(End of this chapter)
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