Nineteenth Century Medical Guide

Chapter 472 468. Anatomy Record (1)

Even during the World Expo, the magnificent construction of the capital of the Second French Empire, led by Haussmann, continued.

At night, the place is brightly lit. The newly opened concert hall will perform music by Gounod and Offenbach, the ball will see wonderful cancan dancing, and countless restaurants have opened all-night business mode to cope with the huge number of tourists.

During the day, noble men and women wearing tall hats and sun hats that highlight their temperament would stroll in the parks and the shade of trees along the Seine, enjoying the dappled sunlight.

The art gallery is filled with works of classical academic and realist schools such as Ingres, Corot and Theodore Rousseau, while outside the gallery are private exhibitions of up-and-coming artists who were rejected and reopened. The latest and most fashionable products are displayed on the counters of various stores and department stores, full of temptation.
But in the late 19th century when industrialization was gradually gaining momentum, these people and things that could be described as "noble", "artistic" and "elegant" were eclipsed by a large trailer pulled by four horses.

The refrigeration equipment placed at the rear of the trailer is the result of more than 30 years of wisdom of refrigeration engineering designers and has been successfully developed in Australia. Although it is not as large as the refrigeration machines in the Darling Harbor frozen meat processing plant in Australia, and has not been sent to the World Expo exhibition hall, the strange and complex pipelines, pressure valves and two exaggerated containers are enough to shock ordinary people.

Originally, such medium and large machines would be disassembled into parts and shipped to the destination in batches after being packed. Some large parts would be covered with black cloth. But the situation is different today. The refrigeration equipment of this era is originally niche. Although the principle is not difficult, there are still too few people who understand disassembly and assembly. If there is a problem in the middle link, it will delay Kawi's time.

However, such high demands actually have little to do with Kawi himself.

If possible, he would like to wait for another half a year or even a year to perfect the experiment and obtain more satisfactory results. Unfortunately, Bertha's body could go wrong at any time. This operation was just like Fisher's. Whether to do it or not was a gamble with death.

But even if it was a gamble of his life, Kavi hoped that he would be the one with a higher chance.

The most urgent task now is to find a suitable blood vessel and complete the operation as soon as possible. Use this trained "bomb" to replace the one in Bertha's body, so that the explosion will come as late as possible, or even prevent it from exploding for a lifetime.

Neither Kavey, Laszlo, nor the media who wanted to use Kavey's grand surgery to build momentum wanted the surgery to go wrong.

When a difficult task is important enough to many people, its difficulty is not difficult. Moreover, transporting such a machine in front of everyone can attract many passers-by, show Laszlo's financial strength, expand Kavi's influence, and further enhance the leadership of the Divine Palace Hospital, as well as the tolerance and city image of Paris.

In order to install the refrigeration machine, the Zhugong Hospital vacated the garden lawn in advance and dug out several flatbed carts. The moving work was completed with the help of seven or eight strong men.

Kavi's carriage was actually behind the refrigeration machine, and while everyone's attention was drawn to the machine, he hurried into the hospital.

Transplanted blood vessels need to be taken from recently deceased bodies to ensure their cell activity and reduce the chances of necrosis and infection.

Kawi's requirements for the corpse were very strict, all for the sake of this small section of blood vessels. Death within 8 hours, age no older than 40, no history of smoking, not too obese, and no symptoms of poisoning. This was just the initial screening, and further screening would be done after the autopsy.

In addition to the corpse, other requirements were also high. After the refrigerator was put on the road from Budapest, the train stations along the way sent telegrams to report their location once a day. After entering the French border, the frequency increased to two or even three times a day. All personnel involved in the autopsy were on standby, and the work of selecting Holt's corpse had to start immediately.

From selecting and picking corpses to transporting and storing corpses, each step has its own requirements and cannot be sloppy.

Five bodies were dissected this morning, all of which were carefully selected by Holt after he received the news that the refrigeration machine would arrive at the station last night. If nothing unexpected happens, there will be a steady stream of bodies sent to the Hospital Main this afternoon and throughout tomorrow, and the total number is estimated to be no less than 5.

Of course, patients who died in the Main Palace Hospital are also an important source, but it all depends on luck, and whether the family members can agree is also an important issue.

Including today, there are only two days left until the surgery. Kavi needs to allocate his energy well and time is very tight.

After entering the hospital, he went to the ward first, briefly checked on Fisher and Devinke, and then prepared to change his clothes and go to the autopsy room. The bodies were delivered early in the morning. In order to reduce the number of steps to retrieve the bodies, and because there was not much space to store the bodies in the autopsy room of the Palace Hospital, these bodies were not soaked in carbolic acid, so they needed to hurry up.

However, just as he was leaving the ward, he was stopped by a young man in a black suit and white gloves outside the door: "Dr. Kavi!"

Kavi looked him up and down: "You are..."

"Nice to meet you, Dr. Kavi. I am Amadeo Ferdinando Maria, a friend of the Prince of Wales." Amadeo seemed to have returned to normal. He spoke slowly and orderly, without any nervousness or stuttering.

He shook hands with Kavi confidently, and then continued to introduce himself: "My father gave me the title of Duke, and many people call me the Duke of Aosta. I saw you last time when I went to Princess Mathilde's salon. Maybe you don't remember that you are Bertie's friend, and that means you are my friend. Just call me Amadeo."

Paris is a mecca of pleasure, and the World Expo has raised the concentration of royal families in Paris to a higher level, with one popping up every now and then.

Although Carvey had a good relationship with Bertie, it was just a good one. It was more of a doctor-patient family relationship, not so intimate as to call each other by name. Moreover, he had no interest in social circles. He asked, "Did the Duke come to the hospital because he was sick? Or did he come to see me for something?"

"Forehead"

Amadeo wanted to tell him everything about his situation, and at this point he didn't want to hide it. But even a fool could see that Kavi was in a hurry, and he shouldn't waste his time with such a private matter.

Amadeo was born into a royal family
Once he got stuck on a problem, Amadeo would become very anxious and make some strange decisions, just like when he was taken by Prince Napoleon to a famous dance hall in Pigalle Square and watched a dozen girls circling around him.

He took off his white gloves with all his strength and clenched them tightly in his hands, trying to keep himself calm: "I am indeed here to see a doctor. I just got a prescription from Dr. August."

"Oh, like this."

Kavi was about to leave, but the Duke stopped him. "I just happened to hear a doctor say that you were going to do an autopsy. I really like watching autopsy performances. Can you let me into the autopsy room?" "I'm afraid not. This is an important preoperative autopsy and is not open to the public." Kavi just wanted to get away as soon as possible. "This is the autopsy room of the Hospital Main Palace. I'm not a doctor at the Hospital Main Palace. The dean and the chief surgeon have the final say on matters like this."

Amadeo was anxious. He stood up straight and straightened the tie around his neck. "I can pay. How about 200 francs? That's the price of the ticket to the public anatomy exhibition I attended in Italy."

Anatomy performances were not uncommon, and until the end of the 19th century they were still one of the more exciting entertainment activities, and an important way for many young doctors to make extra money. However, at Kavi's level, dissection was a more private part of his work, and selling tickets was not suitable for his status.

But it is undeniable that this is a good business.

The autopsy room of the Hôtel-Dieu was already considered the best in Europe, only slightly inferior to a few medical schools, and even the Municipal General Hospital could not compare. But the space was still too small for Kavi, not only for the corpse, but also for him, the chief surgeon, and other assistants. If a few more doctors came, the empty space would be completely filled, leaving no place to turn around comfortably.

Previously, Landreth was asked to ask the dean to spend money on the expansion, but he refused because he thought it was troublesome. After all, the Main Palace Hospital was not his place, and Kavi didn't want to waste money here.

But now is not the time to think about these things: "Mr. Duke, there is no need for money. If it were any other day, I would definitely let you in. It's just an ordinary autopsy. But today is different. There will be many doctors present, and the venue is already small enough."

Amadeo didn't force it. He looked at Kavi walking away, put on his white gloves again, and left the hospital.

He didn't mean to blame Kawi, he just blamed himself for repeatedly dwelling on this matter. It was obviously a matter that could be easily resolved, and it wouldn't take Kawi much time to explain the whole story directly. Even if he wanted to see Kawi's skills, there was no need to go around in circles and watch the anatomy.
Amadeo was not too depressed, he had become like this since he went to Place Pigalle when he was sixteen and was put on the headlines of newspapers by several reporters. He was always hesitant and complicated things, and then he got into a dead end and had to give up in the end.

He tried to change it several times, but it was useless. Now he is used to it. There are complicated ways to deal with complicated problems.

"carriage!"

6◇9◇Book◇Bar

The driver was very observant and recognized the man immediately. It seemed that he had driven him many times before. "Mr. Duke, why are you looking for a woman so early in the morning?"

"No, not there," Amadeo said, opening the door. "We're going to Princess Mathilde's estate."

Many people came to the anatomy room early in the morning, including several doctors from general surgery and urology departments, and of course Holmes and Janeway, who were half interns and half workers.

Several people from the Department of Internal Medicine also came, mainly because they were not very constrained and were interested in the anatomy itself. However, they did not dare to stay here for long, but just came to ask about the situation and see how Kawi used the machine on the grass. After asking, they went back to work and asked for an autopsy report after the results came out.

Dissection was a daily routine for surgeons in the 19th century, and even Cavey would often work in the dissection room in order to keep his touch or verify an idea.

Compared to surgery, which requires dealing with a large number of spectators and students, dissection has almost no such process. There was no politeness, and no opening remarks. As soon as he entered the room, he took over the basic information of the five bodies in the morning from Peon: "Just follow the numbers and start directly."

The first was a male corpse, who looked to be in his 30s, with pathological autopsy number 7-19-1.

Payon, Albaran, and Holmes dressed neatly, lifted the body onto the dissection table, and measured its height with a tape measure: "The body is 170cm tall, and its weight was just measured at 71.3kg. It was well-developed and well-nourished. The cause of death is unknown."

Unlike modern dissections, dissections in the 19th century were like opening a blind box, and there was no way to know the cause of death behind the body. So for Betha's sake, the first thing Kawi had to do was still to remove the blood vessels, but then he had to rule out some factors that were not good for the blood vessels. It would be even better if he could find out the cause of death.

These days, Landreth has mastered the various steps and details of large vessel transplant surgery at the Paris Medical School, so it was he who held the scalpel today, not Kavi.

Cavi is more responsible for the aftermath and determining the cause of death, and of course he is also responsible for the preservation and preparation of blood vessels.

Landreth's hand speed was even faster than before, and he cut open the abdominal cavity of the corpse. However, in order to simulate the operation two days later, he did not cut off the internal organs as he usually did during the dissection, but only made a simple observation: "The liver, kidneys and spleen are all fine, and the pancreas and gallbladder autolyzed after death."

As Kavi asked everyone to gather around him, he also took a look.

To determine the cause of death, one must be rigorous enough, and the organs must be removed one by one, and then a detailed appearance assessment must be made, and finally a pathological determination must be made. However, there is not enough time and manpower now, and the requirements for the cause of death are not as high as those of the judicial institutions. As long as it does not affect the blood vessels, it will be fine: "It seems that it is not a problem with the internal organs."

Landreth exposed the large blood vessels, threw the other problems to Kawi, and continued to deal with the blood vessels himself.

"The body is intact, with no obvious wounds or fractures." Kavi took a quick look at the body, first the eyes and nose, then opened the mouth and found the problem. "The oral mucosa is pale in color and a little swollen. Give me the scalpel."

Seeing him pick up the scalpel, the doctors in the dissection room naturally split into two groups. One group was more concerned with cutting the blood vessels, while the other group was more interested in Kawi's dissection operation.

The blade in Kawi's hand cut open the nose, and after expanding it under the light, it can be found that the mucosa is severely congested and the color is dark red. Then cut down to the throat, it can be found that the mucosa in the larynx is severely edematous and the color is lighter than the oral mucosa.

"There's edema."

Everyone does autopsies frequently, so it's easy to find similarities and differences with other corpses. Especially for this kind of fresh corpse looted from all over Paris, the degree of decay is very low, and most of its appearance before death is preserved.

"There is a rash on the chest, but no wounds." Kavi kept searching for the body's limbs beside Landreth, but still found nothing. "It seems that we have to wait until Dr. Landreth finishes harvesting blood vessels before we can make a judgment."

(End of this chapter)