Nineteenth Century Medical Guide

Chapter 78 75. Running Away——LoveMIkeG Han Zong Jiachang of the First League (35)

This is the first time Varela failed to get a ticket for surgery.

Just as he left the hospital in a hurry and rushed to the entrance of the theater at the risk of being almost knocked over by a carriage, someone had already hung a "sold out" sign in front of the window of the ticket booth.

"Don't look, it's sold out." The conductor smiled and poured a sip of brandy into his mouth, "Ignatz did not come for the cesarean section last night, and Kawi, who had a successful cesarean section today, and Ignaz Gnatz came to the same stage, and it was still a wonderful appendicitis. Tsk tsk, it took less than 5 minutes for the tickets to disappear."

"How much is a ticket?"

"Regular ticket? 50."

"Why is 50 when will it fall back to the normal price?"

"Don't worry, with today's popularity, as long as this appendicitis operation continues to be successful, it might rise to 70 next time."

Seeing the conductor happily counting the money for the boss, Varela was unable to complain: "Is there really no ticket?"

"No, wait for the next one. Anyway, the Municipal General Hospital will definitely perform cesarean section, but it will take some time." The conductor closed the window and walked out through the small door, "If Mr. Reporter is very interested in surgery , you can find those who haven’t entered the market to pay a high price and buy it again.”

buy again?

Ordinary tickets of 50 crowns, and at least 70 crowns to buy.This is still a conservative estimate. Judging from such popularity, it may not be too much to double.

"Don't be kidding me, I have to post the price difference myself."

Although Varela said so, the reality is actually more cruel.

Now without the privilege of a columnist, the editor will not reimburse the ticket for the operation, and he has to pay for it himself.According to his pitiful salary of more than 200 crowns per month, how could he throw half a month's salary in for an operation, and he would not be able to live.

"I saw your little colleague just now. He bought a 70-kroner note. Why don't you discuss it with him?"

Varela sighed: "Forget it."

"Then if that's the case," the conductor took another sip and said with a smile, "Actually, it's okay to miss a game, anyway, you missed it last night. You reported to the agency that you didn't see it. A group of people left after the operation Still following Dr. Carvey, that scene meant that we almost went to the Municipal General Hospital together."

Varela knew that he was scolding himself, and he could imagine the excitement last night, but now he could only bear it in order to go in: "Mr. Damon, I want to discuss something with you."

"Huh? What's the matter?"

There was an early notice for this operation to warm up, and it clearly stated the ticket sales time and operation time, which must be much more reliable than last night's temporary cesarean section.

The surgery was scheduled for 7:[-] p.m. In order to create momentum, the theater also deliberately vacated the theater used for the cesarean section last night, and opened the door to allow entry from the ticket sales at [-]:[-] p.m.

The retail business last night made it clear to the hospital staff that food is essential.Of course, letting those hawkers in is far less comfortable than being a middleman, so there are several more snacks in the lounge today.

At 6:[-] p.m., the smell of blood disappeared in the theater that had been emptied for a day, and instead there was the smell of various foods.

The audience chatted about the cesarean section last night. After complaining about the petty reports of several newspapers, their attention also fell on today's appendicitis operation.

Needless to say, the difficulty of the operation, the abdominal cavity has always been a restricted area for surgery.The anatomical structure of that area is complex, the wound is prone to fester, difficult to suture and difficult to heal.

The success rate of appendicitis surgery in Austria has been hovering around 50%. Even with the introduction of anesthesia to reduce the operation speed, the success rate has not improved, on the contrary, there is a faint downward trend.

Compared with the fast in and fast out of cesarean section, which is thrilling and exciting, appendicitis surgery is a mess, tepid and time consuming.

Ignatz is the time record holder for appendicitis resection. The average operation time was controlled at about 50 minutes, and the fastest time was only 34 minutes. Unfortunately, the patient died on the eighth day after the operation due to uncontrollable high fever. .

The point of view of surgery is clear.

Take a look at the wonderful performance of Kawei, who shocked everyone last night;
Second, let's see what kind of sparks Kavi and Ignatz can collide, and whether they can break through the operation record time;

Three to see how Ignatz explained last night's absence, and how he commented on last night's cesarean section.

At 6:40, Carvey and Hills were in place.

After last night's operation, Hills still felt awkward, but appendicitis is a major operation, and Ignatz was the one who performed it, so he must bite the bullet and participate.Moreover, in the list of operations announced to the outside world, he is still the first assistant, and Kawei is still the assistant, at least he can face it.

At 6:45, Father Schmidt, who was sleeping peacefully, was pushed into the operating room accompanied by his adopted son and Hermann.

The effect of ether was very strong, and under the guidance of nurses and Hermann, Schmidt did his best to finally let his adoptive father fall asleep.

Although there were some twists and turns in the process, Schmidt began to retch non-stop after smelling the ether, and foamy liquid gushed out of his mouth.But fortunately, Carvey prepared an anesthesia response plan in advance, and the nurse turned his head in time to prevent aspiration, and the anesthesia was successful. 【1】

At 6:50, the chief surgeon Ignatz was in place.

He reexamined the area around Schmidt's pain, selected the appropriate location for the incision, and briefed the three assistants on the procedure.

At 7 o'clock, the host and two staff members entered the venue on time.

"Ladies and gentlemen, the aftermath of last night's cesarean section is still lingering here, and I can still hear your warm applause for Mr. Carvey's superb technique."

The host was dressed more and more gorgeously, wearing a red and black gown dress, with a scalpel in hand: "This is the scalpel used by Mr. Carvey for the cesarean section yesterday. Today, the tip of this knife will also successfully cut another The appendix in a patient. Let us have the original owner of the scalpel and today's chief surgeon—Professor Ignaz von Kern."

Ignatz enters first.

He knew that what he had to face today was not just an appendectomy, but also a flood of questions.So when he first arrived, he preemptively explained the reason why he couldn't participate in the operation last night: "I was drunk last night."

There were some boos in the audience.

"Don't get me wrong, I just went to drink with the count." Ignatz had already thought up an excuse, "Everyone knows that I have made a rule that I will never go to the operating table after drinking, because it is not good for the patient. Responsible. So when I knew that Ms. Nora needed emergency surgery last night, I decided to hand over the operation to Dr. Carvey."

There were some discordant voices on the field: "You can understand if you don't go on stage, but you can go to the scene to guide."

"Yeah, we are worried."

"I was very drunk at the time, and the guidance was just adding to the chaos." Ignatz knew that the more he said, the more outrageous he was, so he quickly passed the "plot" on his side. "From the results, Dr. Carvey lived up to expectations. It is really gratifying to have a cesarean section.”

After finishing speaking, the host took over the words very cleverly: "Next, we will invite the first assistant for today's operation, the young surgical genius whom Vienna was crazy about last night——Karvey Friedrich Hay Doctor Ince."

The audience applauded thunderously, but Ignatz, who was standing aside, slowly typed a "?" on his forehead.

Carvey's entry was not fast, and there was a short pause in the middle.The reason is that the order of appearance has changed.According to the previous practice, the introduction after the chief surgeon was all a formality, Hills and Herman would be mentioned by name, and Kawei basically used "assistant" to mention it.

But now that Kawi has suddenly emerged, if he is deliberately promoted to the first aid position, there will be two dazzling stars on the field, which is enough to support the scene.At this time, the second and third assistants have become dispensable tool people, and the worst case is that their names will be canceled.

Undoubtedly, the host earned enough gimmicks by doing so, which heated up the atmosphere of the scene, but it also deeply hurt Sears.

He was already mentally prepared to be robbed of the first assistant by Kawei, but when he heard that the first assistant's name had been replaced, Hills still couldn't face the fact calmly, and resolutely chose to leave.

He didn't complain, let alone quarrel, he was just inferior to others.He just couldn't bear the theater's private arrangement and the denial of himself by the noisy audience.

Ignatz also couldn't agree with the host to tamper with the order. It is true that the surgical theater judges heroes by success or failure, but the success of a cesarean section does not fully represent anything. Sears also has Sears' strengths.Moreover, he handed in the list himself, and the rise of Kavey has affected his authority.

Seeing Karvey shaking his head slightly at himself, Ignatz realized the seriousness of the problem.

Hills had thought about jumping away before, and the prices offered by other hospitals could also satisfy him.In the end, it was the quality of the hospital's patients and the promotion position that Ignatz had guaranteed to keep the person.After the cesarean section and the trouble now, it seems that I can't keep it.

In fact, Carvey didn't want to let people go. It took time to train surgeons, and multiple people could share more pressure.In the future, there will be more and more general operations in surgery, and such a backbone is needed to help.

But the host's words have already been spoken, and there is no turning back.

Now that he is suddenly caught up to the position of the first assistant, and kicked Sears away for the second time, Carvey feels that he still needs to restrain his edge: "Welcome Mr. Ignatz to bring you a wonderful appendectomy, and at the same time The second assistant, Mr. Herman, is also welcome."

Someone in the audience asked, "Where's Sears?"

"Mr. Hills has a patient who needs to be dealt with temporarily." Carvey explained, "Sometimes our surgery is like this, maybe when we encounter some difficult things, someone needs to deal with them as soon as possible."

"Sills has surgery now?"

"It's just that someone sent two trauma patients, and only two teachers can handle them, so just"

Carvey took Herman, who had just entered the scene, to the preparation room, and at the same time looked at Ignatz, and successfully brought the topic back to the hands of the surgeon and the patient: "Now I invite today's patient, the priest of St. Mary's Church Your Excellency, Yannick Musa Schmidt."

The door opened, and two staff members pushed Schmidt, who had already completed anesthesia, in.

"Father Schmidt suffered from appendicitis, and the pain has lasted for three days. But he still prayed with all his heart, hoping to get the Lord's salvation and forgiveness. Of course, as far as my personal experience is concerned, it is better to find It's easier for me to solve this trouble."

Ignatz began to state his medical history, but Carvey, who was carrying the washbasin to prepare hand sanitizer, looked at a familiar staff member on the side: "Mr. Varela?"

"Shh" Varela didn't expect that he would recognize her even if she covered her mouth, "keep down."

"How did you get in?"

"It's not because your tickets are too expensive."

"The top reporter of the dignified daily, the gold medal writer of the surgery column, can't afford the ticket for the surgery theater?" Carvey mocked him secretly, prepared the disinfection supplies, and disinfected and washed hands with Herman.

It was the first time for Varela to observe the work in the surgical area up close, and his eyes were full of freshness: "Don't you find it troublesome? What is the use of washing your hands back and forth?"

"Of course it is useful. There is not a single case of postoperative wound ulceration in the operating ward." Carvey looked at the priest on the operating table and said with a smile, "And I can't do without washing my hands today. Putting his hands in his stomach and turning his intestines will definitely affect St Mary's Cathedral's donation to the hospital."

Herman on the side couldn't explain why. For him, Kavi's disinfection mode has gradually become a habit: "First scrub with soap, rinse with warm water, and then wipe the skin with alcohol three times?"

"Yes, the soap should be cleaned, and the alcohol is applied to the entire abdomen." Carvey found out the Maxwell point, marked out the disinfection area, and then made a gesture of applying it slowly from the inside to the outside, "Alcohol three times, range It needs to be smaller every time. The last time is at the location of the priest’s abdominal pain, just make a small circle.”【2】

Herman nodded.

This is the rule set by the cesarean section before. Because of Ignatz's affirmation, Herman has been doing it very seriously, and the disinfection method has become more standardized every time.

Varela watched the well-organized preoperative preparations, knowing that he was just a bystander, so he stopped talking.Being able to see the operation for free is already a big deal, and he doesn't want to be kicked out by Kawei again.

"For the past three days, the priest has been experiencing obvious right lower quadrant tenderness and rebound pain, which cannot be relieved over time, and his body temperature is high. According to the description in "Intestinal Surgical Science", this is a typical symptom of appendicitis." Ignatz He continued, “Appendectomy requires cutting into the abdominal cavity to cut off the inflamed and swollen appendix, and finally suturing the broken part.

One of the difficulties is that it is sometimes very difficult to find the appendix. Perhaps due to physical reasons, the position of the appendix in some people is very strange and it is difficult to find it.

The second difficulty is that incision ulceration often occurs after appendectomy, and the occurrence rate of ulceration is as high as 90%.This is why the mortality rate after appendectomy is so high. "

Ignatz's control of the field is very good, using data and surgical points to easily pass the boring time of preoperative disinfection.

"Teacher, the disinfection is over, and the operation is ready."

　Today and tomorrow I will take my daughter for one shift, and the day after tomorrow will continue with double shifts.I will start working next week, and the double change will start to follow the fate

　　
　
(End of this chapter)