Nineteenth Century Medical Guide

Chapter 443: Dr. Landreth, this is not looking good

The treatment of fractures has a long history, dating back to hundreds of years BC, but the skill tree that can truly deal with open fractures had to wait until after World War I to be gradually filled out and revealed.

Because there is no risk of infection for closed fractures, the only things the doctor needs to consider are reduction and fixation.

When a patient has an open fracture, doctors have to deal with not only the fracture itself, but also wound contamination, blood loss, and blood supply disruption. Even if reduction, fixation, and wound suture are performed, these effects can turn into severe infection, shock, and extensive tissue necrosis that can accompany the entire postoperative recovery period.

So in the 19th century, the general treatment for open fractures was amputation.

Without anesthesia, this method may be dangerous. The patient may suffer from severe pain that affects the normal operation, or may cause neurogenic shock and eventually lead to death. But when anesthesia appears, amputation becomes much simpler. As long as the technique is not so bad, it is the safest and most efficient method.

"Wait? What else is there to wait for?"

Landreth was nervous, but he had to listen to Kawi's request. If there was a possibility of reconnecting it, it would be completely severed if the knife went down.
If the people who came were ordinary people, he could have just amputated them on his own initiative, but the two people with open fractures were not ordinary people.

One is the descendant of the first Governor of Algeria, Count Erlon, and the wife of General Jean-Baptiste Valente. The general was an important member of the Imperial Commission during the Paris World Expo and is now also the Minister of Fine Arts. His wife is naturally a noble lady that ordinary people cannot reach. She has close contacts with Melanie and Mathilde and has always been an important figure in the upper social circle.

Another was chocolate maker François de Vinc, who, although not a knight, had a seat in the Imperial Committee because of his large food processing industry and abundant funds. There were more than 50 exhibits related to him at the World Expo, and he was one of the important buyers of Ottoman government bonds.

But now, they are completely different from what they usually are.

"Landreth! You are Landreth, the youngest son of the Formont family? I tell you! You must, must save my arm!!! It is much more valuable than the broken ship owned by your father!"

The General's wife's pale golden sleeves were covered in gray dust and stained with black blood. Her right hand was completely deformed and she had no power at all. She could only turn sideways and use her left hand to tightly hold Landreth's bow tie, screaming:
"I'm not one of those garbage workers. I'm the wife of General Valente, the daughter of the old Duke! I heard from Dr. Kavi that he will have a way!!!"

Method? What can be done?
Landreth thought of the surgical atlas that Holmes had just mentioned.
If he really had the atlas that recorded spinal surgery, he might be able to think of some solutions. But now he had nothing in his hands and he really didn't know how to respond, because this was beyond his understanding.

To say the least, even if Kavi could save her hand, it would not be able to restore its original function. Rather than dragging a deformed arm and being laughed at, it would be better to amputate it openly and make herself look as brave and fearless as a veteran returning from the battlefield.

However, women's thinking can never be in line with this kind of man. Even if they really lose the function of their arms, it is still better than having no hands at all!!!
On the other hand, Devinke, who had assets worth tens of millions of francs and thousands of workers working hard for him, has now become a crying guy.

His left leg was hit by the flying wheel, the tibia was broken and passed out from the front, and the calf was bent to the side and back, and at first glance it looked like a freak with an extra knee. Kawi tore off the entire trouser leg during first aid and made a simple bandage, but the blood still oozed out from under the skin, along the edge of the operating table, and dripped onto the wooden floor.

As a man, Devin is much calmer than the general's wife Shelly.

At such a moment, being too noisy will only consume physical energy, and keeping silent and quietly waiting for the doctor to treat is the best thing to do. However, hidden under the calm appearance is an agitated brain, enjoying the future all the time.

What if Kawi cheated and didn't save my leg? Would I have to use crutches every day after the amputation? Would my wife dislike me? What if I couldn't control the people under me after I lost my leg? Would my property be secretly divided up by others?

Ah, those colleagues who are waiting behind me to eat the leftovers will definitely do this! Definitely! We must not let them succeed!
But what if I die? What if the big processing plant and retail channels are destroyed? What if my son is still too young and is bullied?

In just ten minutes, he imagined a tragedy in which a winner in life loses everything due to an accident and ends up becoming a loser at the bottom of society. He even thought of the writers of the lyrics and music.

Landreth had just finished comforting the general's wife when he suddenly felt a sinking sensation behind him, and the waist of his pants suddenly dropped 5 centimeters. Then Devinke cheered heartbreakingly: "Ah, it must be Verdi! Giuseppe Verdi! The first choice composer of tragedy!!!"

"Mr. Devinck"

"Then the screenwriter and lyricist are undisputed! It must be his old partner Francesco Maria Piave!!!"

"Hey, Mr. Devinke, wake up!"

"Only Piave, only Piave's words could fully express my pain under the influence of Verdi's outpouring of emotion"

"Mr. Devinke, we are in a hospital, not a theater. Dr. Kavi will treat you right away!"

Devinke seemed to be deaf to the shouts from the people around him. He just twisted his fat body and shouted at the flickering candlelight on the ceiling: "Ah~~~Dr. Kavi, I was wrong! I shouldn't have voted against you on the VIP invitation list. I was wrong!!! You must connect my leg! I don't want to be a cripple. I don't want to be laughed at secretly when I sign a contract with others on crutches!!!"

"Hurry up and give him an injection, and then inject some ya tablets! Don't worry about the amount, just inject it first!" Landreth held him down and asked someone to give him painkillers: "He looks a bit shocked, what are his vital signs?"

The nurse next to him shouted over Devinke's voice, "His blood pressure is a little low, 73/41, and his heart rate is quite fast."

"Where's the IV? Hurry up and bring me the IV and the needle!" Landreth pointed at the arm that kept pulling at his pants, "Someone tie up his hands and give him an IV!!! Damn, where's the Kawi? Where did he go?"

Compared with these two, the one who was most seriously injured became the background.

Fisher was a private carriage driver, in his thirties, wearing a very ordinary shirt and vest. When the assassination began, he immediately jumped out of the carriage and rushed into the crowd to pick up the owner of the carriage as soon as possible. As a result, a disaster happened. The explosion blew away a large piece of iron-covered wood and hit him directly on the forehead, followed by a sharp piece of wood that pierced his left eye.

He is conscious now. Although he fainted after being hit on the head, Fisher woke up after entering the hospital.

He could smell the strange smell in the hospital, hear the increasingly crazy shouting not far away, and clearly see the wood and the white ceiling in his field of vision, as well as his own fate.

Fisher had been dealing with carriages for more than a decade, and had seen many of his old friends fall off carriages and have their limbs amputated. Due to the severity of the injuries of the two, if they wanted to avoid amputation, they had to ask Dr. Kawi to do the surgery. Kawi was not a surgical machine from the future, so it was impossible for him to handle three people at the same time, so he had to do it one by one.

And he, an ordinary coachman who can be seen everywhere, even if he drives a carriage for the sister of Minister of Economy Danai Gabiadini, is just a coachman after all, how can he compare with the general's wife and the big boss of the chocolate factory? To be honest, being able to lie in the same public carriage and be sent to the same ward with these two is already a compliment to himself.

He slowly moved his hand upwards from his chin, from his nose to the wooden splinter on his eye, and then to his swollen forehead. He felt a headache, dizziness, and a little nausea, and his nose seemed to be dripping blood. He knew he was going to die. Anyone who was hit like that would not live long, not to mention that his eyes were injured. Even if he survived, it would be difficult for him to find such a good job again.
"Dr. Landreth, this is not good."

"Ah? Could you please speak more directly?"

"That guy is trying to pull the wood out!!!"

Landreth was going crazy. Looking at Holmes who was in charge of the driver, he quickly scolded, "What are you waiting for? Tie him up! Do you have to wait until he asks you for a glass of brandy to soak his eyeballs?

Why are Americans so gentlemanly now?! I remember they were very ruthless during the war. Oh, by the way, where is the Kawi? Can anyone tell me where this guy died? What's the point of leaving such a mess in my hands? ? ? "

Just as Landreth was being tortured to death by three seriously injured soldiers, Kavi was rushing to the hospital.

Originally, he should have been the one to get on the public carriage with the three seriously injured people, not Bertie and Viscount Lytton, but for the sake of the open fractures of the two and the life of the coachman, he had to go to the hotel and bring his two suitcases.

Ever since he cured Marshal Ludwig of severe disc herniation, he has been thinking about fracture treatment methods of this era. He once thought about trying to use modern internal fixation on those soldiers with severe trauma on the front line, but time was tight and the task was heavy, so he never found an opportunity.

After leaving the battlefield, the matter was put on hold.

It was not easy to find a patient with an open fracture in a 19th century metropolis without cars and heavy machinery. There was no qualified emergency system, so it was difficult to invite Kawi over as soon as possible while ensuring effective debridement time and stabilizing the patient's vital signs.

Today was an opportunity, and just when he wanted a carriage to hurry on, one "happened" to appear in front of him. Unfortunately, some "happened" were not good things.

"Dr. Kavi, what a coincidence!"

Kavi had met Casper several times. He always wore a fake smile when he spoke, so he was easy to recognize. But today was different. His smile disappeared. Thinking of Mick's death and why he was here, Kavi became cautious: "Why didn't you go to the train station?"

"I went there, and I came back again." Casper showed his arm and patted the carriage door. "I know you are in a hurry. Come on up. I just happen to be meeting His Majesty the Emperor, so I can give you a ride."

Kavi did not agree, but looked around, trying to find other ways: "I won't delay your work, I'll just find another carriage."

"Don't look for it anymore." Casper had the door of the carriage opened. "After hearing the news, all the horse-drawn carriages rushed to the train station to pick up passengers. This line of public carriages originally passed by the train station, but it was suspended this morning. What a coincidence. It was almost time to resume service, but you sent three carriages of injured people away from the scene, and diverted all the carriages that were originally supposed to pass by here."

"."

Kavi was a little depressed. He didn't expect things to turn out like this.

He really had no other choice. The two boxes in his hands were too heavy to carry, and the Palace Hospital was quite a distance away. After careful consideration, he had to accept the invitation and get on the car, but he immediately regretted it and didn't even have the chance to jump out of the car.

Looking at Ayesha who was tied up tightly, Kavi couldn't help but ask, "What do you mean?"

Casper didn't even want to answer any questions. He simply put forward his request: "Come back with me. I want to ask something."

"Mr. Casper, I'm really in a hurry." Kavi looked at the other man in black and Ayesha in front of him, pointed to the two suitcases at his feet, and said solemnly, "The injured are all big shots. One is General Valente's wife, and the other is a food tycoon. They are both waiting for me to treat them."

"You are the Count of Austria, oh no, now it should be called the Austro-Hungarian Empire. You are the Count of the Austro-Hungarian Empire, aren't you an important person?" Casper only looked at Ayesha who was tied up tightly beside him, "Just go to our place and have a good talk about the situation at that time. After all, you are closest to His Majesty Franz and should know best what happened at that time."

Kawi didn't know anything except the gunshots and explosions: "I can tell you now, at that time."

"Don't! Don't say that!!!" Casper raised his gun and shook it with the barrel of the gun instead of his head. "It doesn't count if you say it here because it's the wrong place. It doesn't count if it's just him and me listening because there aren't enough people."

Kavi knew the library too well. The people there were like mad dogs that would not let go. If I followed him now, I would probably have to sleep there tonight. "Then wait until my surgery is over before going there. The surgery is very important. It will be really troublesome if I go too late."

"Oh, things are already very troublesome."

Casper had expected this reaction from Kavi, and according to his original style, it was impossible for him to get out of the car. But today he changed his mind: "Okay, I'll let you go, and I'll send you to the Hospital Main."

"Really?"

"It's true. I never lie."

Casper put on that smiling face again and patted Ayesha’s face gently: “When you get off the car at the hospital, I will go to the Kararich Hotel to find where Count Morasso lives and look through their things.

I really want to know why our Austrian-Hungarian count would hire a Hungarian liberal killer to be a maid in his home. Of course, if you have evidence to prove the count, then I can save this step first. "

There’s another chapter at 1 o’clock