Nineteenth Century Medical Guide

Chapter 74 71. The Lion Heart and Eagle Eyes Woman's Hand

Elena's letter written in Latin is full of disappointment with her husband, remorse for herself, and a trace of unbreakable love [1].Ignatz looked at it for a long time, and finally chose to put the letter away, and stuffed it directly into the desk drawer.

The content was basically in his expectation, because he was also disappointed and regretful, but nothing changed.

No one likes a husband fooling around outside, and most wives can only turn a blind eye and turn a blind eye, but Elena has the strength to resist, and the decision to leave home and separate is also reasonable.It didn't take a day or two for their marriage to crack. After reading the letter, Ignatz felt a lot more relaxed.

What really upset him was Nora's cesarean delivery.

So many failed cases, so long efforts, and so many corpses were used, all of which turned out to be the illusion of Kawei's success in the end.A feeling of oppression in the throat, wanting to yell twice but having nowhere to vent made him very uncomfortable.

He is a Baron, No.1 in Austrian surgery.

Do you want to blame Kawei for taking his position as the chief surgeon?
This was obviously an excuse for a loser, and it would do no one any good to speak out, including himself.

What's more, Kavey's ability is already strong. Ignatz has always claimed that they are mentors and apprentices, and he is still a witness to Kavey's surgery.After getting along for just half a month, he regarded Kawei more as his colleague than his assistant.

Because of his absence, the operation was delayed for 2 hours before it started, which was considered dereliction of duty.

And he was abruptly carried to the theater lounge, and was taken away from the position of chief surgeon after showing such a shameful side. No matter how you look at it, it was a helpless move by the three of them after weighing the pros and cons.

There was nothing wrong with the handling process, and there was no malice in the slightest. Kavi even tried to cover it up for himself, but Ignatz couldn't find a reason for his incompetence and rage.

If it is said that Kawei has taken the credit now, it is not just as simple as being ashamed, but it is really discrediting the title of baron of the empire on his head, which is a shameful act that is spurned by others.

Moreover, Kawei has just successfully completed a cesarean section, and his popularity is at its peak, and the surgery department of the Municipal General Hospital has become famous, so a gentleman like him should be happy.Even if you are not happy, you should give the necessary appreciation and affirmation as you did to Laszlo's anger.

If you don't blame Kavi or you can't blame Kavi, who else can you blame?

Blame Marcus for insisting on the surgery as soon as possible, to drive them off the shelf before he wakes up?
Definitely not right, obstetrics has the practice of obstetrics, broken water, abdominal pain, the fetus is still in a transverse position, are indications for immediate cesarean section, there is nothing to criticize.

Nora is the only one left. Can it be blamed that Nora didn't choose a good time and gave birth temporarily?
Ignatz smiled bitterly. In the end, the only one who could and must be blamed was himself.At the beginning, I decided that I would never have surgery after drinking, but now it seems that it is just a joke.

He looked at the "Cesarean Section Anatomy Atlas" that had been closed on the table, and turned to the page just now: "Is the operation a success?"

"It should be considered a success." Carvey tried to compress the content of the operation as much as possible, and distributed the success to everyone present, "Mr. Hills and Mr. Heman are very skilled, and Nora's physical foundation is also good. I can only say my luck." not bad."

Of course, Ignatz knew that these were humble polite remarks. Everyone knew how difficult a cesarean section was: "If I could get through by luck, I would have succeeded."

"In the end, I used that tube of reagents. Although it is still in the experimental stage, the effect is not bad." Carvey explained, "It can help the uterus contract and stop the bleeding quickly, otherwise the uterus can only be cut. If you choose If the uterus is lost, there will still be many variables in the operation, and the success rate will drop a lot.”

"The success rate of cesarean section by cutting off the uterus is only about 30%. The uterus-preserving cesarean section I want to do is a rare case in the world, and there is no one in Austria. .”

Frustrated, Ignaz sat back in his office chair, touched the beautifully printed anatomical diagrams in the Atlas, and sighed: "It's really a pity that I couldn't stand in front of the operating table with you to witness the history of Austrian surgery. gone."

Carvey wanted to comfort him, but found that he couldn't say anything: "Why don't you talk about the operation process, the first half was done by Mr. Sears, so..."

"This is not urgent, let's talk about it tomorrow." Ignatz suddenly interrupted him, "I want to ask something else than this."

"what?"

"How do you usually relieve stress?"

Ignatz first saw that Carvey was an inexperienced child with a foundation in surgery and claimed to be his student, so he admitted him to the hospital to help him.But it was later discovered that he had a solid surgical background and a particularly broad surgical vision, and he went to work only because he had never been to school.

Now it seems that the so-called experience and skills alone cannot summarize Carvey's surgical ability.

Ignaz is not afraid of how difficult the operation is. What he is afraid of is that he cannot bear the pressure and his concentration collapsed under the pressure, so there is Mariani and Aranza.He was very curious, under the eyes of the audience, was it the first time that Kavey took the position of chief surgeon, or was it a cesarean section that would explode at any time, how did he withstand the pressure?

In fact, the source of the pressure is uncertainty. It is because Ignatz is not sure that the operation will be successful, so there is pressure.

Innovation is synonymous with uncertainty. The more innovative you are, the less you know the outcome of the operation, the more uneasy you are, and the greater the pressure.

It's just that Carvey's words are more specific: "My father will let me sleep well the day before the operation. Before the operation, I like to hide and rehearse the whole process."

"Rehearse before the operation? There are uncertain factors everywhere in the operation. Wouldn't it make you more nervous?" Ignatz didn't understand, and took out the refreshing drink from the office from the cabinet. "I usually rely on coffee, especially It’s because before the operation, I can’t concentrate without a little energy.”

Coffee is normal, and it's refreshing to have a little when you don't have enough sleep. 【2】

"So, these are different from person to person." Carvey looked at the wine and the cocaine glass bottle he took out from the drawer, and persuaded, "Teacher, although the effect of cocaine is strong, it also has uncertainties. Disadvantage."【3】

"Have you? The effect of this wine is amazing!" Ignatz pushed the bottle forward: "Do you want some?"

Carvey doesn't want to touch this thing at all, and he is also aware of the status of opium (anti) tablets and coca wine in the minds of European people at this stage, so he can only explain:
"It's like a bottomless black vortex that pulls cocaine-infected people into it one by one. It's a beautiful process, but when you get to the center of the vortex, there's nothing in it but an endless void and the next vortex. "

Ignatz also felt vaguely suspicious of the powerful effects of coca wine, but when he thought of the various benefits it could bring, he couldn't help pouring it into his mouth.

"Did you know? The British always say that a master surgeon should have three major characteristics: the heart of a lion, the eyes of an eagle, and the hands of a woman." Ignatz said, "The British are always unreliable, but this time they are right. Coca can really make me grow a lion's heart, a pair of eagle's eyes, and a pair of dexterous women's hands." [4]

"But it disappeared quickly."

Ignatz looked at the medicine bottle, then at his hand, and had to admit: "...indeed."

"Because these are brought about by drugs, not our own."

Recalling the operation he missed, Ignatz reluctantly put the bottle back: "Let's review the cesarean section, how did you make the incision, is it the lower transection mentioned earlier? "

"No, because it was Mr. Hills who came on stage temporarily, so the longitudinal section that you set before was used, and the uterine body was also the longitudinal section chosen."

"In terms of longitudinal section." Ignatz turned over the "Atlas" at hand again, and asked, "According to this operation record, although it is easy to take the fetus, there will be a lot of bleeding in the uterus. It's also a big problem."

"The process in the middle is indeed a bit dangerous"

The two went through the whole process of the cesarean section. Ignatz seemed not to be influenced by the family, and concentrated on absorbing the key points of the operation that Carvey threw out one by one.From determining the incision, to how to enter the abdominal cavity, to choosing the incision of the uterine body and taking the fetus, how to deal with bleeding and placenta, Carvey said everything.

There is still a lot of chance added in it, which greatly weakens his ability.

Because of a major operation, Ignaz was tired all night. Tomorrow morning, Ignaz granted a half-day leave to rest at home. In the afternoon, he came to change the dressing for Count Moraso.

At 03:30 in the morning, Kavi had just returned to his home.

This is not No. 73 Basinger Street, but the new apartment that Laszlo bought for him.

Coincidentally, it happened to be the building that Andre lived in before his death, and was auctioned by Mikla after his death.After a long circle in the hands of others, it finally fell into the hands of his "former illegitimate son".

The location is on Whitegreen Street, next to Laszlo's manor, not far from the hospital, and the round trip by a taxi takes less than half an hour.The apartment is not too big, but it is quite good for Kavey, who has been living in a cramped low-rent house. The furniture and decoration are all in, and he can move in with his bags.

Most importantly, I finally have a place to take a shower.

Lying on the bed after taking a shower, Carvey could not fall asleep listening to the sound of the clock ticking by his ears.

More than eight hours ago, he completed his first surgery after crossing. There was nothing to be excited about, it was just a cesarean section.

If it is placed in a tertiary hospital in the 21st century, this is just a routine operation performed by the general obstetrics department.It only takes two assistants and 30 minutes to complete the work, and there is almost no trouble.

But the influence in the 19th century was quite far-reaching.

There are still more than [-] years before the birth of classical cesarean section. As long as there are a few more successful cesarean section operations and one more article published, Carvey will become the well-deserved founder of cesarean section.

It is impossible to say that there is no reaction in my heart, because this title sounds outrageous, and there will be more and more new titles on him in the future, it is difficult to think about it.

But embarrassment is embarrassment, and Carvey will never let go. He can only say sorry to those sages who have left their names in the history of surgery.Perhaps fighting against this kind of embarrassment is the "lion heart" he needs to hone at this stage. After all, ordinary surgical operations are not too challenging in Carvey's eyes.

Straightening his mind, he began to think about what he needed to do next.

First of all, it is the further promotion of disinfection techniques and oxytocin. Successful surgery can bring traffic. As long as the number of successful operations continues to accumulate, Kawei is still optimistic about this matter.

In addition, I will publish a few more articles in the future. After entering the university, I can use the brand-new microbial theory to overthrow the original thinking of not washing hands and disinfecting.As for oxytocin, it will be mentioned repeatedly in my field mouse experiment and in my experience of cesarean section in the future, and it is only a matter of time before the world accepts it.

The prospects in this area are promising, and it should not be difficult to cooperate with Laszlo.

What follows is an in-depth study of various surgical procedures.

Before he crossed over, he was only a surgeon specialized in emergency department. He was very good at hemostasis and temporary repairs. But when it came to the delicate surgery of each department, he had sneaked into the operating room to see it a few times at most, and had never really tried it.

This is the "Eagle Eye" he needs to achieve, not the accuracy of intraoperative observation, but the breadth of the surgical scope.

In the 19th century, there were no such detailed divisions. Surgeons could perform any operation as long as they had a scalpel.Orthopedics, urology, anorectal, gastrointestinal, hepatobiliary, ENT, ophthalmology, gynecology, plastic surgery, and even chest surgery, nerves, blood vessels, and microsurgery that may be touched in the future, he can and should try.

Finally, if a worker wants to do a good job, he must first sharpen his tools, and innovations in equipment also need to be planned slowly.

The instruments used in surgery are really poor now. The suture needles are too thick, the sutures are not firm, the gauze is too rough, the clamping force of the crow's beak forceps is too weak, and the syringe is only 1ml of uniform size.

There is no tincture of iodine and hydrogen peroxide specially used to disinfect wounds, no wide hooks, no qualified scissors, no breathing airbags for masks, no electrocardiograms, no sphygmomanometers, and even a blood transfusion.

Perhaps, the "woman's hand" that Carvey needs to pursue is here.Without these corresponding instruments, surgery cannot raise the ceiling.

In addition to these things related to his own surgical work, he also thought of other things, such as the establishment of the emergency system and the establishment of modern operating rooms.Of course, there are things like B-ultrasound and X-ray imaging, that’s all for later.
At 1:[-] p.m. the next day, Carvey got dressed, picked up his surgical kit, and went downstairs on time.

After changing the dressing for about a week, the earl's wound has improved significantly, and complete healing is just around the corner.And Carvey also became the earl's guest, and the earl's private carriage parked at the door is the best proof.

The coachman was standing at the door. Seeing Carvey going downstairs, he quickly took off his hat and saluted, and quickly opened the car door: "Mr. Carvey, you are really punctual."

"Serving the Earl, it should be."

"A distinguished guest came to the house today, and the Earl is accompanying her. Maybe you need to wait in the living room for a while."

"It's okay." Carvey nodded and asked curiously, "Mr. Hans is here to paint portraits again?"

"That's not true. Mr. Hans has been very busy with the park recently, so how could he come again." The coachman smiled and closed the door, "When I see the count, he will introduce you."

(End of this chapter)