Nineteenth Century Medical Guide

Chapter 42 41. The Hand of God

Naya's scream attracted everyone, and the physicians outside the door gathered in Laszlo's room again.

The daughter's eyes are sharp, and Kavi's extubation directly overturned all the previous efforts of Ignatz.My father had slept soundly just now, but now he was breathing so painfully, it was obviously caused by this person.

In addition, some blood that was accidentally splashed just landed on Naya's gauze skirt, which made her completely conclude that this was an outright murder.

Naya's scalp was numb, her usual dignity and elegance were all forgotten, and she didn't have time to worry about her beloved dress, so she hurriedly shouted for help to Fatolad and other doctors who came into the room behind her: "Doctor, look quickly! Doctor, this guy actually pulled out the catheter that was just put in!!!”

Everyone was shocked when they heard that, and the mentality that had just stabilized collapsed again.

Laszlo maintains many common interests of Austria and Hungary. The relationship between the two places is very delicate, and a slight discrepancy will push the good situation everywhere to the other extreme.Once something goes wrong, the two forces will start to entangle each other again, which is not good for anyone.

Of course, they didn't think too bad of Carvey, they just thought it was an idiot who messed up things when he accidentally checked the catheter.Now that Ignatz has passed out, no one can take over at all, and there are sudden complaints.

"Oh my god~~"

"Where did this troublemaker come from?"

"What now? Dr. Ignatz didn't wake up so soon!"

Everyone couldn't make up their minds, and finally Fatorade stood up.With his rich clinical work experience and his understanding of Ignatz, he always felt that there was something strange about it.

Ignaz knew the importance of Laszlo and the importance of this operation.With his level of understanding of people and the requirements he has for his subordinates, he would definitely not be a fool who doesn't know anything if he can become an assistant at this time. There must be a reason for doing things without authorization.

Fortunately, Laszlo is still alive, and Fatorade still has room for change.

He patted Naya on the shoulder, looked at Kawei and blamed him first: "Look at what you have done?"

Carvey did not respond to the objections.

He is using two small hooks to open the incision on Laszlo's neck, which not only re-tears the venous plexus that has just healed, but also makes Laszlo tremble with pain: "Mr. Ignatz's operation is not complete. , I lost consciousness before I fell, so the tube was inserted crookedly."

Fatorade didn't understand: "Crooked?"

"What I mean is that the teacher had a physical problem when he inserted this silver horn catheter, so he didn't insert it along the direction of the trachea, but directly pierced it obliquely to the back wall of the trachea. The mouth of the tube was blocked by the wall of the trachea , so Mr. Laszlo at that time still couldn't breathe normally."

In order to prove that he did not make a mistake, Carvey immediately explained: "So I temporarily removed the catheter, opened the trachea, and gave him a little air first."

Fatorade seemed to understand, and nodded slightly.

He is a layman when it comes to anatomy and surgery, and he doesn't do it if he can't do it, but he is definitely an expert when it comes to interrogation, especially when it is impossible to speak.Now the operation process is unknown, and Kavey's ability is unknown. The most important thing is the basic condition of the patient.

He leaned over to look at the poor Hungarian rich businessman, and asked, "Mr. Laszlo, how do you feel now?"

Laszlo's throat was blocked, his neck hurt, and he had just been cut to death again, but this time he only regained consciousness slightly.

His mind is in a mess now, he only feels that the voice in his ear is very vague, and he can't hear what Fatolad is saying at all.The only thing that can be really felt is air, fresh air.

The intense and orderly rise and fall of the chest, the powerful expansion and contraction of the breathing muscles, the natural changes in the intercostal space, and the blood rushing to the whole body gave him a refreshing feeling like rain after a long drought.

Maybe it was because he held it in for too long, and Laszlo had a dream in a trance.

He dreamed that he flew to heaven, and in the center of the immaculate white temple was the God who was regarded as the highest by the people.God smiled at Laszlo and didn't let him stay for long. He put his hand on his chest and gently threw him back to the world.

Laszlo couldn't see God's appearance clearly, and he didn't remember other features. He could only hear a welcome speech in his ear. The voice was so clear and wonderful, like the sound of heaven, that he could never forget it for a long time.

Although this encounter is not enough to be recorded in the Bible, it should be widely praised by the world, and it can definitely be called a miracle.

So in order to leave a memorial, before he left, he had the courage to grab the hand of God. It was this warm and powerful hand that allowed him to regain the power to breathe.
"Mr. Laszlo?" Seeing how excited he was, Fatorade continued to call, "Are you awake?"

"My lord, he still has some time before he wakes up."

Fatolad sighed, and finally reached out to feel Laszlo's pulse, and then turned to comfort Naya: "The heart rate is a bit too fast, but it is still strong, and the breathing is a bit laborious but much better than before. Don't worry, Naya Miss, your father is still alive."

Naya wiped her tears, and finally calmed down a bit: "But he pulled out the catheter, without Dr. Ignatz, how can it be put in?"

"I'll let it go."

Carvey remained calm, only feeling helpless about Laszlo's hand: "Can you pull his hand away first?"

Bergett helped at last, helping by going around the edge of the bed, freeing his hands.As a surgical colleague, although I have some prejudice against Kawei, everyone is now a grasshopper tied to a rope, and no one can escape if something goes wrong.

Kavi also knew this truth, so he didn't treat him as the heir to the viscount at all: "You pull the hook."

"I?"

"I only have two hands."

Under the gaze of everyone, Bergett had no choice but to gently pull the hook with his hand and continue to expose his vision.

Things have come to this point, Kavey simply does as the Romans do, and continues to explain the main reason for the previous operation problems in accordance with Ignatz's theater rhythm: "In fact, such mistakes are inevitable, and British and French people often encounter such mistakes. question."

"what is the problem?"

"The problem of damaging the posterior wall of the trachea." Carvey smiled and said helplessly, "Especially those French people who are flamboyant, they are too bold for surgical operations and have no awe, and died at their hands because of the damage to the posterior wall." There are countless tracheostomy patients on the Internet."

In Austria at the time, whenever people were targeting them, it was always a good choice to successfully turn to the French.

Kawei's set of Golden Cicada's shelling was mediocre, but somehow it had some effect.

Especially Fatorade, he is the oldest and has the most experience, and he has never had a good impression of the French.Stimulated by these words, he immediately put the problem on the road of medical treatment: "So why did it damage the back wall of the trachea? The trachea is not thin."

Kavi leaked some light for himself, carefully checked Laszlo's trachea, and found that there was no damage to the esophagus, so he was relieved: [1]

"Because in obstructive asphyxia, the patient will breathe desperately, and the inside of the trachea is negative pressure. Only the back wall of the trachea that fits the esophagus is mucosal tissue, and the rest are cartilage rings, so the trachea is no longer cylindrical. Rather, it is an inverted U-shape [2] in which the posterior wall protrudes forward."

The stakes were high, and Fatorade listened carefully.

He can understand the simple physical factors and anatomical terms in his ears, but when they are connected together and a picture of a bloody neck is added, the situation is completely different: "Well, that's how it is."

Carvey was a little surprised, looked up at him, and continued: "Because the front and rear walls of the trachea are very close, if the tip of the knife inserted suddenly at this time does not control the force, it will easily damage the back wall. It is the same with this catheter. The simple incision doesn't deliver a lot of air, Mr. Ignatz during insertion"

"So it was just an accident?"

Fatorade didn't want to hear any more: "I mean, the whole thing started with Dr. Ignatz being unwell, so he couldn't do this last step perfectly. You removed the catheter to help with the repositioning .”

Carvey nodded, realizing that he hadn't understood.Because the real focus of the whole thing is the degree of damage to the back wall of the trachea and whether the esophagus is ruptured. 【3】

But this does not affect the communication between the two.

"The situation was critical at the time, and Mr. Laszlo had lost consciousness due to suffocation. I'm really sorry that I couldn't explain this to Miss Naya."

Now that Laszlo is basically fine, Carvey returned to his original state and apologized to Naya.Regardless of whether his behavior is right or wrong, this is necessary, and he does not want to offend the daughter of a top rich man.

Fattolad also added in time: "Mr. Carvey is also out of helplessness. Even I have heard these surgical methods very hard. Explaining slowly to you at that time is killing your father."

Naya finally nodded: "How is he doing now?"

"The damage to the back wall of the trachea is not serious, and the esophagus is not damaged, just adjust the angle of the catheter." Carvey carefully stuffed the airway into Laszlo's trachea again, "then tie a strap to fix it, and everything is done .”

Ignatz woke up later than Laszlo.

When he lifted the blanket, left the comfortable mattress under him, and got up to stand in front of the wall clock by the wall, he realized that he had slept for a full three hours.Fatigue has not been completely relieved, and a small amount of residual alcohol is still running around in his head. Ignatz gently squeezed his forehead and walked out of the room.

"you're awake?"

Sitting outside the door was Alina, who waited outside for three hours in order not to disturb him: "How do you feel now? Are you still dizzy?"

"There is a little more, but it's all right." Ignatz stepped forward to lean on her side, expressing his thanks, but it was still his patient who asked, "How is Mr. Laszlo?"

"Very good." Elena said, "The butler took some quiet wine (laudanum) and fell asleep soon."

"Oh, I didn't expect such a good dance to end like this."

Ignatz recalled all the previous events and was still a little scared: "This can be regarded as the worst mucositis I have ever seen in my life. If I was slow, or I hesitated, or I didn't do well Incision, the consequences will be unimaginable. The whole thing will definitely cause a chain reaction, when the time comes."

"Okay, okay, it's over."

Alina's expression was a bit complicated, and she didn't know how to start this topic, so she had to change the subject as soon as possible: "You were tired all night, and you had such a major operation, you should rest for a while."

"No need." Ignatz shook his head, "Where are Fatolad and the others?"

"It's already gone, and I have to deal with those reporters who are like wild dogs and the Duke's questioning."

"By the way, which room is Mr. Laszlo in?" Ignatz suddenly glanced back and forth, "His house is too big, where am I?"

"You are in the guest room on the second floor, and Mr. Laszlo's bedroom is on the third floor." Alina still persuaded, "Let's forget it, he is still resting."

"Don't be kidding, he's Laszlo! I still have to rely on him to invest in research labs." Ignatz smiled, then changed his tone and said, "And I'm a surgeon, and I observe patients after surgery It was a matter of duty.”

"Why don't you have something to eat first? You drank a small glass of brandy without breakfast, so you don't faint again."

"I'm not a child, how could I faint again after sleeping for so long."

Ignatz didn't realize what happened before, but just took off his coat from behind the door and put it on his body, and then pulled his wife to go upstairs: "Go, go and see him, and go back to the hospital after a few greetings. I have surgery this afternoon."

Alina couldn't persuade her, so she had to follow her up to the third floor.

At this time, Laszlo was completely different from before, as if he had returned to his brilliant appearance at the dance.

This was largely due to the bottle of alcoholic drink sent by the butler, but more importantly, most of the redness and swelling on his face subsided, there was no more itching and tingling, and the shape of his face returned to normal.

This is what it looks like after the allergies subside in time, which is a good thing, but to Ignatz who just knocked on the door, it is a surprising thing.

Because the artificial airway he had just put into the trachea had been taken out, it was not him standing beside the bed holding a needle and thread, but his assistant, Kavi.What he had to do was to suture the cut on Laszlo's neck so that he could speak again. 【4】

Carvey knew it was embarrassing, but there was nothing he could do.

I wanted to end the stitching as soon as possible, so that Ignatz could not see it, but who would have thought that my teacher was so dedicated, and he didn't wander around when he just got up, so he turned around and came to Laszlo's room: "Teacher, Laszlo Mr. Luo is too impatient, and I must sew up his incision now."

Hearing this sentence, Ignatz acted very casually: "Well, it's okay, it's just suturing. It's also your blessing that Mr. Laszlo trusts you. Oh, by the way, you know how to suture after tracheostomy and extubation Is it?"

"Well, my father who worked in Lombardy said that the trachea doesn't matter, just suture the fascia and skin."

Ignatz nodded, happy to have such an excellent assistant: "Mr. Laszlo, how do you feel now?"

"Yeah, yum, yum!"

Laszlo was lying on the bed, making noises non-stop, and didn't feel anything strange about the needles and threads walking back and forth on his neck.After Kavey completely closed the incision, he suddenly sat up and squeezed Kavey's right hand, shouting: "Doctor Ignatz, your student is definitely the incarnation of God!"

Ignatz was dumbfounded. Although he was happy, he still couldn't laugh or cry: "Your vision is really unique."

"I really have to thank you very much, Dr. Ignatz." Laszlo said with a smile, "If you hadn't brought him to my side, if it hadn't been for the blessing of this 'hand of God', I must have died gone."

(End of this chapter)