Nineteenth Century Medical Guide

Chapter 455 451. Landreth's Problem

It had been a month since the opening ceremony of the World Expo, and it happened to be a Sunday with clear and sunny weather. In short, June 6 was a good day for most people, and the Tuileries Palace was no exception.

As it was the last Sunday in June, Na San wanted to seize this opportunity to deepen communication with several foreign royal family members who came to attend the World Expo, so he held a breakfast meeting in the palace. Because the living habits of the monarchs and crown princes of each country are different, not many people are willing to attend the appointment early in the morning.

For example, Sultan Aziz would sleep until nine o'clock, Alexander II never ate breakfast, Prince William of the Netherlands agreed to an appointment last night but overslept, and the Duke of Aosta of Italy even got the date wrong, etc.
The German Emperor's eldest son, Friedrich, originally did not want to attend. His ostensible reason was that he was unwell, but everyone knew that he was unhappy about being captured by the Austrian army last year and did not want to sit at the same table with the Austrian Emperor.

It was just that his son William the Younger was very interested in the dinner, and he was not as concerned about his disabled left hand as the adults were, so Friedrich attended it anyway.

Fortunately, Franz, who always rose early, and his son Rudolf attended the dinner, along with the British Crown Prince of Wales and Alexander II's younger brother, Grand Duke Vladimir.

Taking into account the different schedules and eating habits of these people, starting from 7 a.m., the banquet hall's tables were filled with a variety of meals suitable for the morning. The entire banquet did not pay much attention to royal etiquette, and everything seemed a bit casual.

Several emperors and crown princes had a rare gathering before returning to their respective countries. There was no politics or intrigue between countries. Even the descendants of the crown princes of Prussia and Austria, Rudolf and William the Younger, who had just ended the war, discussed the art of Paris and the great steam engine at the dinner table.

After breakfast, several Catholics went to St. Augustine's Cathedral to worship, Prussian father and son went back to read, and Bertie and Vladimir invited each other to go hunting in the suburbs.
Everyone thought it would be a relaxing breakfast, the perfect start to the whole day on the 29th. But after the omelette, fried flounder, beef fillet and cold poultry salad, someone served them an unforgettable dessert.

"What is this sound?"

9-year-old Rudolph looked out the window and then at his father. Seeing that he was still calm, he went to his new friend, little William, who was still eating meat and bread. "The sound was very soft, but there was indeed a strange sound just now. Did you hear it?"

Little William was about the same age as him, and his answer was quite straightforward: "No."

At first Rudolf thought it was his illusion, but when the second and third explosions came, he was convinced that he was not mistaken and suspected that Paris was under attack by the enemy.

The sound was indeed very quiet, so quiet that it could be easily covered up by someone talking. And no one wanted to recall the explosion at the train station ten days ago in front of Franco and Emperor Nasan. So after Rudolf said there was an explosion, many people kept translating the general meaning of the phrase "children's words are innocent" with some clichés.

Friedrich even praised him for having a pair of ears that rivaled anyone else's and that he would be the first person to hear artillery fire on the battlefield in the future.

"You shouldn't jump to conclusions so hastily. You need to use doubts, assumptions, and experiments to prove your point, just like other scientists." Franz resolved the awkward situation in a way he thought was calm. "Besides, you just met Director Henry last week. He would be angry if he heard you say that."

Rudolf was very embarrassed, but fortunately Henry, the person involved, immediately took over the embarrassment and even asked Leboeuf, Nathan's former military adjutant, to help.

"I see." Na San acted calmer than Franz. "That's Dr. Kavi doing an experiment. There's nothing to worry about."

"experiment?"

"It's just an experiment to prepare for the surgery this afternoon. There's nothing to make a fuss about." Na San took a sip of soup and continued, "Once nothing happens, no one will care anymore."

Casper stood in the open space outside the old factory building, using his standard black hat to block the smoke and dust that was blown onto his face. He couldn't help but curse in his heart: Crazy.

In fact, as long as you calmly consider the whole of Paris, it is not difficult to find that there are only a few people who can really restrict Cavi's activities.

The whole thing must have been tacitly approved by Franz, otherwise there would not be full cooperation from Casper. If Franz was found, he would definitely not miss the third one. After all, this is Paris, otherwise the security team under Leboeuf would not have been ordered to infiltrate Casper's explosives handling team.

Also appearing in the south of the city were several reporters from Le Figaro and two French chemists marked by Mick.

Needless to say, Franz has been indulging this genius since he met Kawi, and Na San's thoughts are easy to understand.

After this operation, the simulated explosion will be published in the newspapers, becoming an amazing feat that a genius must go through in his pursuit of the limits of medicine. In the future, historians will occasionally take it out and chew on it. While marveling at Cave's high-level medical ability, they will also envy the freedom, tolerance and innovation of Paris, France in the 19th century.

After helping Kavi simulate the explosion, French chemists were able to analyze the scene a second time to further study the chemical composition of this stable explosion.

There is really no need to oppose something that kills three birds with one stone.

It always makes people feel uncomfortable when a person makes such a big noise just to complete an operation. Especially for a guy like Casper who deals with people all day long, he would think there is something wrong with Kawi.

He even felt that Kavey and Mick were actually the same kind of people, and the difference between the two might be their self-awareness. If Mick had communicated with Franz in advance, things wouldn't have turned out like this.

Since the letter was handed over to Franz, Mick was posthumously awarded the rank of major general and will be buried in the Imperial Cemetery with a group of heroes after returning home. Gasper became a colonel, with a monthly net income of 2400 kronor alone, and many important roles under him were promoted to varying degrees.

Everything seemed to be going well, but in fact, their "real power", especially the power to protect Franz, had been quietly taken away.

In its place was a guard team that had recently expanded rapidly from 20 to 270 people, 100 of whom were personal soldiers drawn from Maximilian's garrison, and the other 150 were elites from the Vienna Palace Guard.

The apparent commander was still Casper, but he was a part-time commander. His work focus was in the original library, and the real executive power was in the hands of Franz's military adjutant, Klerville.

As for the legacy that Mick left to Casper, the Paradise Library, which had been serving the empire since its establishment in 1801, was changed back to its original plain name, the "Royal Central Military Intelligence Archives". Its duties also changed from security as the main focus to intelligence as the secondary focus, to a single intelligence agency under the General Staff and the Ministry of Foreign Affairs.

In a sense, Mick's letter did not bring Franz tears, but instead aroused the feudal monarch's fear.

The original armed fight was changed to a cultural fight. Now they no longer need to wear black clothes and carry hot weapons. Changing to a civilian appearance and only keeping a dagger for self-defense is more in line with the current positioning of the organization.

This seemingly smooth transition is actually not that peaceful behind the scenes.

The reason was probably related to Mick's second letter and a research report on the explosion in the dye factory. Casper didn't know what was written in it, but he knew that after submitting the letter, he got a substantial promotion instead of a glass of wine and a simple verbal praise.

Originally, he was just like Mick, and he was determined to develop the archives. After Mick's death, he also wanted to inherit his will and solve the remaining problems in Hungary. When things developed to this point, Casper felt uncomfortable and helpless.

But he is not Mick after all. He is not obsessed with Austria to the point of losing his mind. He follows Mick just to make a living.

Now I am definitely able to make a living, and I am doing pretty well. As long as I try to consider things from a different perspective, lower my posture and expectations, and try to reduce some of the burdens on my shoulders, life will still be pretty good.

Who doesn't want to live a peaceful life?

After three explosions, the three carriages that Hott brought were all scrapped, the entire factory building was in ruins, and even the broken wall that had lasted for many years collapsed in half. Casper lit a cigarette, dusted off the dust on his hat, squinted his eyes and put it on his gray hair: "The job is done, call it a day!"

On the other side, Landreth seemed unhappy about Kavi's private decision to perform the surgery, but he secretly spent several hours reading anatomy books.

He didn't hear any explosions at all. All he could see was the brain and skull structure in the book and the ticking second hand. Less than six hours before Kavey's scheduled surgery, Landreth still didn't understand how Kavey was going to solve Fisher's rhinorrhoea.

He had read the medical records and knew that the patient's nose and eye sockets were leaking cerebrospinal fluid. He also knew what cerebrospinal fluid was, where it came from and where it went. He also knew that such leakage was definitely wrong, but he just didn't know how to repair it.

Even if he knew how to fix it, he wouldn't know where to fix it.
This is bone, a whole skull!

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The eye socket is easy to deal with. At worst, you can cut the whole thing open and slowly find the gap to repair it. The nose is different. The gap that causes rhinorrhoea must be close to the skull base of the nasal cavity and oral cavity! There are too many places on the entire skull base that can connect with the nose.

As far as he knows now, the possible places that may cause rhinorrhoea include the ethmoid sinus, frontal sinus, foramen ovale and Eustachian tube, and these are all suspected points!

[Skull base - horizontal top view from top to bottom]
He also thought about repairing it through the nasal cavity, but unfortunately, due to the light source, he couldn't see it at all. Cutting open the nose first is a good idea, but the only place he can explore is below the frontal sinus. Or simply enlarging the incision can help find the frontal sinus, but what about other places?

[Viewed from the side with the mouth and nose in the middle, the brain is above the red line, and should be eaten together with the top view]
Should I cut open the entire nose and mouth along the inferior turbinate?

How is this different from a medieval epee swordsman chopping off his enemy's head? Obviously, this is impossible, so the only way to approach the surgery is to use the skull.

Landreth looked at the autopsy picture on the table and could not help but walk to the autopsy table. On the table was a corpse that had been dead for several days. There were spots of mold on the body and some insects could be seen. It was obvious that it had been moved in for some time.

The skull of the corpse was pried open, and the brain stuffed inside looked intact, but if you walked closer and took a closer look, you could find that it was damaged in many places, and some places were even crushed into a paste.

This is obviously caused by the operation.

The base of the skull is so large that if you want to find a breach, you have to turn over the brain. This is not the intestines in the abdominal cavity, so it is no problem to fiddle with it. As long as you use a little force, it will become what it is now. Landreth has tried his best to make his fingers gentle, but he still failed to protect the brain.

If finding a breach in the skull base requires destroying the brain in exchange, it would be better not to have surgery, at least you can live a few more days. After all, craniotomy itself carries considerable risks.

"Damn, why did Paris' bodies suddenly disappear?!" Landreth threw the metal plate aside and cursed in a low voice, "If I had a few more, I would definitely be able to find a surgical approach before he comes back!"

At this moment, a familiar voice came from outside the door: "Why do I hear you complaining as soon as I come back?"

Landreth was still angry, angry about the decline of the corpse industry in Paris, and angry that he was not strong enough to keep up with Kavey's thinking, and he didn't think about who it was. But as time went by, he suddenly remembered someone's reply.

Because the other party didn't mention the surgical atlas at all, he put the letter in the drawer after reading it. Anyway, the fracture surgery was already done, so he didn't think much about it.

Who would have thought that there was a cerebrospinal fluid rhinorrhoea repair waiting behind?
But no matter what, this happened too fast!

He immediately hurriedly packed his things, but the other party was already in front of him. He opened the door and walked directly in, as if he was walking into his own backyard:
"Ah, this familiar smell, I miss it so much. The smell of the Municipal General Hospital is different from that of my hometown after all. I feel relieved to see you working so hard. It was absolutely right to recommend you to Holt to be the director. I knew you were someone who needed pressure. Eh? Are you studying your brain?"

"Uh, yes, I've been bored and doing some research lately."

Landreth had his back to him, his hands constantly tidying up his workbench, his mind in a mess. But he clearly realized that his main conflict had now shifted from Kavey to the former director: "You didn't even inform me before you came, I thought it would be a few days later."

"Hmm? Didn't I mention the train schedule?"

Landreth didn't want to waste time talking to him about the surgery, nor did he mention the topic of surgical atlas that Cediyo had been avoiding: "Why are you still carrying your luggage? Aren't you going home?"

"Oh, I saw the explosion site as soon as I got off the train, and I came here on a whim."

"Well, let's go home first. I'll go with you to the World Expo this afternoon." Landreth took off his gloves and closed his anatomy book and notes. "Several venues are very good, and there are also specimens from the surgery that Kavi performed at that time."

"I've already seen that one." Sediyo straightened up and glanced at Landreth. "But you can go to other venues. After all, it's a global event. I heard it's going pretty well this year."

Landreth felt relieved: "Go back and rest for a while, I'll take you for a walk in the afternoon, let's start with..."

"Don't worry." Sediyo said with a smile, "Before that, I want to see the sign of the operating theater first."

The second chapter will be updated at midnight, read it tomorrow