Nineteenth Century Medical Guide

Chapter 463 459. Danai's entanglement

Hote de Valmont was one of the few members of the Valmont family who did not participate in politics.

Ever since the old president Xuan Cheng prepared to retire several years ago and went on a trip without looking back, he, as the vice president, has been equivalent to the acting president.

The daily routine is "get up in the morning, put on the black uniform, go to the association in the morning to file the excellent surgical reports and arrange lecture time. Take a nap at noon, read medical news in the afternoon, receive some visiting surgeons, and then participate in some entertainment activities after get off work in the evening.

He felt very comfortable with a job without any political interests, but his life also became very rigid.

After leaving the clinic, he rejected several government jobs in succession. He almost isolated himself from the Valmont family and became a marginal person with little sense of existence.

When he was young, he thought this kind of life away from intrigues was very peaceful and exactly what he wanted. But as he got older, his life, which was about to end, made him feel that he had no desire for the rest of his life, like a stagnant pool of water. Even family gatherings, which were supposed to strengthen family ties and connections, became unnecessary.

Sometimes, Holt would take out the colorful surgical suits he wore when he participated in surgeries and admire them carefully. He imagined himself putting on the surgical suits that cost him thousands of francs and returning to the long-missed operating theater, performing one complex operation after another under the spotlight of everyone and the bright candlelight.
It wasn't until the winter of 1866, when Cavey arrived in Paris with a cesarean section that was far beyond modern understanding, that his fantasy was completely shattered.

In fact, everyone knew that this unfounded fantasy had no chance of becoming a reality from the beginning. Having been away from the clinic for so long, Holt could no longer perform surgery. But at the moment when his dream was shattered, he still felt bad.

When Kavi first came, Hott still had the arrogance of a surgeon and did not agree with a young man standing over him and acting recklessly.

Later he slowly realized that he was wrong. Kavi should be a surprise, or shock, sent by God to him and the entire Paris surgical community.

Having been the acting president of the association for too long, Hott had met too many surgeons. It could be said that 80% of surgeons in France had at least met him once. And Kavi was the most arrogant and presumptuous one he had ever seen, even Dupont Itran was not as good as him.

This temperament is not expressed on the face, but is protected by complex aristocratic etiquette and gentle tone, locked deep in the heart. Only in certain circumstances will it be hidden in a few occasional glances and subconscious movements.

Hott was very sure that in Kavi's mind, these so-called top surgeons were not even qualified to be his assistants.

Therefore, Kawi is also the most polite and restrained person he has ever met. It is not easy to hide one's personality as much as possible and not be discovered by outsiders.

No one knows where this kid came from. Maybe he is the son of a rural surgeon in Lombardy, as he said. God gave him talent, and his father gave him an environment where he could immerse himself since childhood, and then this monster was born.

Watching him grow from a young political tool in the hands of a diplomat to a surgeon that even Emperor Nasan trusted. In order to treat Nasan's urinary tract stones, he recommended several famous surgeons, but they were all rejected by Nasan. Even Sediyo was among them, which shows how important Kavi is now.

After more than half a year, Holt has already understood the role he should play now. He only needs to stay quietly as a bystander, meet Kavi's various requirements, and help him set up the operating stage.

That's what craniotomy is like today.

After the explosion simulation was finished in the morning, he hurried back to the association to handle some work, and then wanted to go home to change into a clean set of clothes. When he opened the cupboard, Holt saw the dress hanging in the middle again.

The bright red color of the collar needs to be well maintained, and it should not be exposed to the sun or rubbed hard. The indigo on the outside cannot be stained by any stains, and if it is, it will cost a lot of money to clean it. The gold buttons on the cuffs are specially customized, engraved with the coat of arms of the surgical association and the initials of your name, and you must treat them with care. If you want to get them back, it will be very troublesome.
He took off his dress uniform, folded it carefully and tucked it into a corner, then took out his usual black uniform from the hook.

It only costs 12 francs, and it is made of ordinary woolen cloth. It is not afraid of blood stains, sunlight, or fading. Even if it gets wet in the rain, it can be restored to its original state by just ironing it.
“This one still suits me.”

By the time he got home, changed his clothes, and rushed to the hospital, it was already three in the afternoon. It was normal for Holt to miss the start of Kawi's surgery, and he had long been relieved. After all, the trivial matters of the surgical association were his main business.

However, what he didn't expect was that Danai from the Ministry of Economic Affairs was also there, but he looked a little embarrassed.

Just when Holt wanted to ask why this important government official was here, he remembered the patient for today's operation. But what he couldn't understand was that Danai's pants and clothes were wet, like a child who accidentally fell into a fountain pool.

"Mr. Darnay, what's wrong with you?"

"What's wrong???"

Seeing that it was Holt, Danai finally found someone to complain to, and poured out all the frustration in his heart: "Look at those young surgeons you have who come to study abroad. Do they think Paris is their own backyard? They don't even have the most basic etiquette when they see me!"

"International students? What's wrong with international students?" Holt felt strange and thought that the other party had recognized the wrong person. "This is the operating theater of the Palace Hospital. Why are international students here?"

“Maybe I didn’t have the qualifications before, but if I have someone to back me up.”

Darnay didn't want to say who it was, and continued, "That American who spoke French with a New York accent, knocked me to the ground, and even cut my palm with glass, and he said I stopped him, saying I was... Forget it! Anyway, your association should help them change their bad habits. This is Paris! How can they be so fearless?"

"Mr. Danai must have made a mistake." Holt hadn't learned much about surgery in these years, but he had learned a lot about passing the buck. "International students are under the jurisdiction of the Ministry of Education. What does it have to do with me?"

"Ah? Ministry of Education?"

Danai would not have gone to the Ministry of Education to argue just because he had fallen. He was only holding onto Holt because they had just happened to meet and he wanted to save face in front of outsiders: "You still want to shirk responsibility? I've already asked him, he's now a surgeon at the Main Palace Hospital and has nothing to do with the Ministry of Education!!!"

"Really? I don't know." Hott's position as the president of the association was just a sinecure, and to put it bluntly, it had little to do with medical and internal affairs, and certainly couldn't be compared with Darnay's Minister of Economy. But after his name was "Valmont", and whether in terms of bloodline, origin, or the political network among his descendants, they were much better than Darnay, the only child born in a small Italian castle.

If it was the old Holt, he would have given in at this point. They were just some foreign students, so it was better to have less trouble than more. He would apologize and it should be over. He didn't want to trouble his family because of this. Once he got entangled, more and more troubles would be waiting for him.

But now Danai is not only offending his own surgical association, but also Kavey. He can completely change his response method: "Mr. Danai, there may be some misunderstanding here."

"There's no misunderstanding! I just asked how long the operation would take, and that guy didn't give me a good look!"

Danai originally wanted to find someone to vent his anger on and then go home, but he didn't expect that Holt would not give in at all. The gazes of the bystanders behind him were like steel knives stabbing into his body. He was really embarrassed: "What is my identity? What is his identity? What is your identity???"

"Mr. Danai, you may not have seen the work of a surgeon. Surgery is done in a hurry. Sometimes Dr. Kavi needs to replenish some instruments or medicines temporarily, so he will ask the interns to get them. So."

"What? Once it comes to surgery, we can't delay even half a minute? Can we ignore the most basic etiquette requirements?" I don't know if he was really angry or confused by the collision, Danai's words became more and more serious, "Those medical students who come to study abroad come to Paris to study, not to act wild here!!!"

Things were getting more and more serious, and Dana on the side became anxious.

She held the fan tightly, lifted her long skirt, walked quickly to him, and pulled Danai to his side: "What do you mean? You just told me that today is a big deal and I have to endure and restrain myself. Why is everything different when it comes to you?"

"Sister, I was humiliated in public! Not only me, but also the Gabiadini family emblem!!!" Danai lifted his sleeves, revealing his injured right palm and the blue castle covered with mud. "This concerns the dignity of the entire family. If it were in the past, I would have fought that guy with swords!"

"But that's Dr. Carvey's man. Even if we leave Fisher aside, you're affecting Carvey's surgery!" Dana pulled him hard and whispered in a low voice, "It's just a sleeve. Just go home and wash it."

6◇9◇Book◇Bar

Darnay was like a derailed train. He thought about braking, at least it was still in time. But the winding tracks were right in front of him. He always thought that he only needed to shovel a few piles of coal to get the engine pushing the car back on the track. As long as he got back on the track, everything would be fine.

"I want his apology! A formal apology published in Le Figaro!!!"

The name of this "he" is not clear. It could be an American student, it could be Holt, or of course it could be Kavey. It is intriguing to know who he is referring to. But no matter who it is, as long as he apologizes formally, or just promises to apologize, he can save face.

Unfortunately, the foreign student and Kavi were both in the theater, and Hott, contrary to his usual behavior, did not take his request seriously: "Mr. Danai, the reason why I still call you sir is because I still respect you and your title. So I advise you not to go against Kavi."

Danai only thought that Holt was a guy who was kicked out of the family and had no status at all. Now he found that something seemed to be wrong.

"Dr. Kavi? I'm not targeting Dr. Kavi. I'm just stating a point that's crystal clear."

"Your point of view is useless!" Holt was too lazy to persuade him anymore. "Think about your own situation. Pay more attention to the World Expo and think about how your first two economic ministers were fired."

The surgical theater was not affected by Danai's anger. Instead, Kavi's words just now pushed the operation, which was entering the second half, to a new climax.

Ever since it was discovered that methylene blue entering the subarachnoid space would cause Fisher to go into shock, Cavey knew that methylene blue could no longer be used, and the original plan 2 became plan 3.

At that time, everyone thought that this was just a useless empty talk. In their eyes, methylene blue had completed its mission and all that was left was to repair it. But what they didn't know was that repairing a cerebrospinal fluid leak was a high-precision job and it couldn't be repaired by simply covering it with a piece of oil paper or applying a few layers of glue.

This is related to the chance of postoperative recurrence, and it is necessary to directly observe the location and size of the gap and perform precise filling. After filling, it is not over casually, and repeated inspections are required to confirm that there will be no leakage before the skull can be closed.

"The purpose of the dye is to allow people to observe the gap during surgery." Kavi asked Holmes to continue using the carbon stove to keep the fish glue warm, and then asked Payon to get the tracheotomy kit. "Now that the dye can't be used, we need to use another phenomenon that can be directly observed by the naked eye to show the location of the gap."

After that, he crumpled the wet gauze into a ball, clamped it with a long pair of forceps, and stuffed it into one of the nostrils.

"What I'm doing now is to completely block Mr. Fisher's airway and make him breathe through his mouth instead." While packing, Kawi asked the nurse to observe the rise and fall of his chest and whether there was air flowing around his mouth. "Monitor his vital signs and tell me immediately if there is any problem."

Everyone realized why Kavey went to get the tracheotomy bag. He was afraid that Fisher's breathing would not be able to be smoothly diverted from the nasal cavity to the oral cavity. If he encountered this, he could directly open his airway and ensure smooth breathing.

But they still didn't know what exactly Kawi was going to do.

What kind of operation is worth the risk of doing a tracheotomy? What kind of operation can replace dye to visually show the location of the leak?

Just when everyone was feeling strange and no matter how much they discussed, they could not come to a conclusion, Kavi asked the nurse to bring over the warm saline solution that she had just brought: "What temperature does the thermometer show?"

"30℃."

"about there."

Kavi picked up the brain pressure plate again, carefully inserted it into the base of the skull, and gently pressed it in front of himself: "I now need to fill the cranial cavity with saline solution, and then use a rubber tube to inflate Fisher's nasal cavity.

The nasal cavity that blocks the respiratory tract and opening is a closed space. Once the internal air pressure increases, air will enter the cranial cavity through the cerebrospinal fluid leak, and then produce a series of small bubbles in the cranial cavity filled with saline. Where the small bubbles appear is the location of the leak. "