Nineteenth Century Medical Guide

Chapter 53 52. Soaked in wine, poke in ~ poke out ~
As long as there is Ignatz's operation, all seats will be guaranteed. In addition to the curiosity of most rich people, there will also be a group of medical students from the medical school next door to observe.

They usually stay in school to study physiology, pathology and anatomy, but the chances of actually doing it are very small.The corpses that can be used for dissection are extremely precious, far from being squandered. If you want to increase your knowledge of anatomy and surgery, the best way is to go to the theater to watch surgery.

Sometimes the school will organize a private room, but more often the students can only afford the entrance fee.

Ignatz is a professor of anatomy and surgery in the medical school. He is usually very busy, and it is not easy to take his class.So these students tried to buy a ticket to visit, anyway, the ticket price is not too expensive for them.

"Mr. Ignatz, this guy is too fat."

As a senior who has successfully completed all his studies with excellent grades, Bergett, the second assistant, is trying hard to open Alphonse's buttocks. Whether it is the smell from the tip of his nose or the weight on his hands, he can't stand it: "I think it's still Choose the lithotomy position [1], it is more convenient to expose the field of view.”

"Mr. Alphonse doesn't like the lithotomy position. He has a shadow on exposing his sexuality. Doctors need to consider patients in every way, including protecting privacy, so I allow him to use the side lying position only for women to accept this machine. Operation."

Bergett looked sad: You didn't seem to say that when you forced Laszlo's tracheotomy.

"Everyone, the use of the lateral position in hemorrhoid surgery is a test of the doctor's ability to operate. I will first separate the prolapsed hemorrhoids, and then"

Ignatz held the hemorrhoid clip in his hand, and although he was talking to the audience, his face was facing Carvey.

Since the morning, Ignatz has felt strange around him, the inpatient ward is strange, and the hand washing after the autopsy is also strange.Now that he returned to the theater again, he calmed down and carefully watched Carvey's preparations, and suddenly found that all these strange things were made by him.

The strange thing about the inpatient ward was that the windows were open for ventilation. Not only was there a fresh air mixed with ointment and a faint smell of wine in the ward, the floor also seemed much cleaner than before.Washing hands after an autopsy is completely against common sense, and I don't know where to get the lye soap.

But now there are even more strange things in the theater, the equipment box has the smell of essential oil of alkali soap, and now there is an extra cloth strip and long pliers in Carvey's hand.

Ignatz has never prepared for the operation. He explained the process, and when the numbness turned over, he would use the knife, cut and sew up the matter.But when he was talking about the operation, Carvey wrapped a cloth strip around the tip of the long forceps, wrapped a small ball, soaked it in brandy, and stuffed it straight into Alphonse's penis.

In~out~, full of wine, in~out~, full of wine, in~out.
The weird movements displayed in front of Ignatz and the audience, coupled with the particularly alluring smell of the high-concentration brandy after it diffused, made the scene extremely inconsistent.

The audience didn't dare to talk nonsense, they could only cover their mouths and discuss in a low voice.

And Ignatz, who was standing aside, was even more confused.

These are all things that Carvey discussed with him at lunch. At that time, he only said that he had this idea, hoping to use brandy before the operation to prevent the wound from festering after the operation.Ignatz was still immersed in the impact of the new technique, and felt that he was short-handed, so he hmmed twice and didn't refute.

What is he trying to do?

Did he think I agreed by default?
Do you really think that alcohol can isolate the poisonous miasma in the air?
Or are those precious corpses soaked in brandy and whiskey cleaner than the living?

Ignatz didn't like to change habits, and if someone else did it, they would probably have snapped at him.But now he likes the new technique created by Kawei very much. Once he accepts the deal and chooses to get something for nothing, it will become extremely difficult to give up at this time.

Forget it, don't bother to care about these.

"What my assistant is doing now is a kind of preparation before surgery." He let out a long breath, but instead helped to explain, "Recently, he has been conducting in-depth research on British surgical nursing, and found that they generally die after surgery. The rate is 5% lower than ours. After repeated discussions with me, we decided to make some changes.”

Before the words fell, there was the sound of pages being turned around the theater.

The operation experience and brand-new attempts of the chief professor of surgery in the School of Medicine are rare experiences, and students should naturally record them seriously.

".The main method is to use high-concentration spirits to clean and wipe the area about to undergo surgery repeatedly. Alphonse's surgery area is rigid, so the cleaning method is different from other flat skin."

Ignatz didn't even know what he was talking about, but now the students all picked up their pens and could only bite the bullet and continued: "Although the cunning British did not explain the specific reasons for doing so in their medical journals. , but since the data are good for patients, I think it's worth a try."

"Excuse me, teacher, what kind of wine is this?"

Ignatz coughed lightly: "Brandy, high-concentration brandy after two distillations."

"Can we use whiskey instead? Or the vodka that Russians drink?"

"There shouldn't be much difference, but distillation is needed." Ignatz didn't know the principle, and strictly followed the number of distillations that Kavey made randomly, emphasizing again, "Two distillations!"

Medical students are particularly sensitive to numbers, and the audience buried their heads: "Twice. Distilled. Distilled."

"Everyone, this is just a playful verification experiment. Of course, Mr. Alphonse's prior consent has been obtained."

Ignatz wanted to stop talking, but suddenly found the reporter Varela in the corner, and simply continued to edit:

"Oh, by the way, there is one more thing. My assistant and I have started to study cleft lip surgery, trying to find a new surgical method for Mrs. Gail's child before she fully recovers. We will carry out two things at the same time, once we have the results , we will announce it to the public as soon as possible.”

His tone was sonorous and powerful, and his expression was full of confidence, which immediately greeted bursts of applause.

"Start the operation!"

Hemorrhoids are a nasty thing, it will slowly torture the body and eat away at the patience of the person.Such a growth growing on the daily excretory passage will cause headaches whether to cut it or not, and this kind of headache was especially serious before the 19th century. 【2】

The conservative treatment of applying plaster has always been the mainstream to deal with hemorrhoids. Many civilians who have broken their jars will choose strong laxatives, thinking that they can get rid of this kind of thing by violent excretion.

Until now, surgery has anesthesia and reliable suturing and hemostasis techniques, and doctors have begun to be interested in this piece of "meat" again.

In fact, Kavey is also very interested.

Because Ignatz said before that he had studied the "external stripping and internal ligation" method generally advocated by the surgical community recently, Carvey thought it would be similar to the classic external stripping and internal ligation of hemorrhoids【3】.After all, the operation is not too difficult, no special equipment is needed, as long as the technique is in place, hemorrhoids can be cut well in the 19th century.

But Ignatz's operation was too rough, and the result disappointed Carvey.

The hemorrhoid clips used by this master surgeon can be used to block the blood flow of varicose veins, so that hemorrhoids can be cut off at one time.But before incision, there is no distal ligation and dissection.While it may seem refreshing to remove a large pile of hemorrhoids all at once, dealing with the remaining tissue is not so simple.

Weak sutures, bleeding, and broken threads are the norm.

The most troublesome thing was that Ignatz was quicker when separating the hemorrhoids, and almost cut the sphincter and the branch of the superior rectal artery with a few cuts.Fortunately, Kavey pulled it with his hands and crow's beak pliers in time, and barely avoided it.

It's okay to cut off the branch of the artery, just to bleed a little more. With the ligation skills of the two of them, it's not difficult to stop the bleeding.

But if the inner sphincter is cut, it can heal itself if it is light, but if it is heavy, Kavi intends to suture and repair it, but he doesn't have a slender needle and thread that can be used, and it is quite troublesome to find a reason.By then, the lovely Chef Alphonse will probably be incontinent for the rest of his life. 【4】

It would be fine if it were someone else, Ignatz cut it however he liked.

But after all, it was Alphonse who gave him a free rabbit head, and Carvey still didn't want to see the miserable appearance of his pants stained with shit in his later years.

"What's the matter with you?" Bergert, who had nothing to do while pulling his butt, could see that Carvey was exhausted.

"Oh, I'm just a little tired." Carvey wiped the sweat from his forehead.

"You're not physically strong. You've only had two surgeries." Bergert seized the rare opportunity, looked at Ignatz cautiously, and asked tentatively, "Do you want to change hands?"

To be honest, Carvey wants to change, but there is no way, Alphonse has too many hemorrhoids.I left the assistant's position, what if I cut off the sphincter.

"It's okay, I can still hold on."

".I think you should change it. Bergert hasn't been on the operating table for a long time." Ignatz, who had been insisting on Kavey as his assistant, suddenly said, "Hurry up and finish the operation, and then go to see the count together." .”

It turned out to be the case.

Facing Bergett's uncle and his difficult mother Elena, Ignaz can only compromise.It's been a few days since Bergett was left alone, so I have to give others some face anyway.

Carvey looked at the eyes cast by Ignatz, and remembered the deal he just made, which was all about benefits and sophistication.He quickly handed over the crow's beak pliers in his hand, and gave the seat to Bergert beside him: I'm sorry, Mr. Chef, and I wish you good luck.

Originally, it was a thankless job, since others were willing to do it, then I could just stay aside and rest.

Carvey walked to the sidelines, wiped his hands, and simply gave up all the space around the operation, giving Sarson and Melen a chance.

Hemorrhoids are small in size, so it is definitely better to be able to observe the operation process close by.The three of them were very happy, and they were finally on the operating table again. Even if it was just helping to expose their vision, it was better than doing nothing and watching from a distance.

However, the biggest headache in the audience became Ignatz.

He figured that his operation would be more difficult after Bergett came to power, so he specially asked him to watch the whole process from the side, and wait for the last hemorrhoid to be replaced.

But the reality is much crueler than imagined, and the crow-beak pliers, which were dexterous just now, instantly became headless flies.Not only can't predict Ignatz's steps, he can walk in front of him every step, and he often blocks his vision.

Vision is the key to a smooth operation, and it is also the key to the surgeon's concentration.

It won't be a big problem if you don't help, but blocking your view is a complete disturbance, and no matter how good-tempered the surgeon is, he can't bear this kind of surgical environment: "Pinch it there, press it inside, yes, pull it away! I Let you pull it away!! Pull it here!!!”

Bergett was in a panic, and the crowbeak forceps he controlled kept being chased away by Ignatz's scalpel.

Ignatz was even more embarrassed. Because of his impatience, he seemed to have broken a blood vessel.

"Teacher, here comes the sewing~"

At five o'clock in the afternoon, Ignatz, Carvey, and Bergett left the theater.

As the operation drew to a close, the quality dropped off a cliff.The stripping and cutting of the last hemorrhoid was done very reluctantly, and Ignatz could only prevaricate it with reasons such as "tissue adhesion", "hemorrhoid hypertrophy", "Alphonse is too obese".

Although the cause was that the crowbeak pliers in Bergett's hand got lost, the direct cause was that he himself could not control his temper.

When all the dust settled, the three people sitting in the carriage looked at the scenery from the same window, but their minds were thinking about three completely different things.

Ignatz needs to reflect, not only the innovative cleft lip repair surgery, but also the dependence on Kavey.

Since Kavey was replaced as an assistant, the operation has become smoother and faster, with almost no problems encountered in the middle.Is it because the technology has improved recently, or is it because of good luck as Laszlo said, or is it because Kawei is really a surgical genius?

Is it true that I have stayed in my comfort zone for too long?
Bergett has already finished his reflection and figured it out.

After this operation, he has seen his gap clearly and adjusted his position.Instead of forcing himself to compete with Kavey with an aristocratic aura, it is better to let go of the burden and communicate more about surgery and learn more techniques.

Perhaps going to see my uncle together would be an opportunity to get closer to each other, or should I have a good chat with him after dinner?
Carvey thinks more.

A series of changes to the ward, preoperative preparation, and postoperative care are taking effect, and Ignatz is subtly accepting these changes step by step.All I need to do is to wait for the data results slowly, scientific data will not lie.

Then there is the issue of housing.

After this transaction, Carvey further found that Ignatz would be an important sounding board.In the same sentence, coming out of oneself and coming out of his mouth are completely two effects, just like the crow's beak pliers before and after changing hands.

Coupled with his personal connections, it is definitely better to stay in the Municipal General Hospital with peace of mind than to go to other places.And he really doesn't like Mick's way of doing things, and he doesn't like to do any intelligence work secretly, he is not the material at all.

Kavi needs some leverage to secure himself out of Mick's grasp.

In fact, he already has a baron and a wealthy businessman by his side, and recently he has been on the headlines of the evening papers, and he has become a public figure.Killing a public figure inexplicably, presumably Mick also has to weigh his weight.

Of course, Carvey will not naively think that these are enough. The interpersonal relationship has just begun, and it is not hard enough, and there is still room for full expansion.As long as there are enough people standing behind him, Mick will be afraid of himself.

He looked at the 3/4 used bottle in his hand, and realized that Count Morrazo's rotten groin would be a good opportunity.

(End of this chapter)