Nineteenth Century Medical Guide

Chapter 89 86. I am not good at breaking the situation
In the 19th century, what could be called medical conferences were generally various lectures and seminars led by major associations.There are no credits for continuing education, and there are no hard and fast rules. The notification is sent to the hospital where the doctor works by letter. Unless you need to speak on stage, you can basically participate at will. 【1】

They are broadly grouped into three main groups, the Internal Medicine Conferences of the Royal College of Physicians, the Surgery Conferences of the College of Surgeons, and the Pharmacy Conferences of the Society of Pharmacists.

These conferences operate largely on a city-by-city basis, and most are as small as a college classroom.Most of the participating doctors are from the same city, and occasionally there are doctors from other places who come to learn from the experience, but there are still few exchanges between different cities in China, let alone cross-border exchanges.

The inefficiency of communication ability has brought about a very serious information gap. Coupled with some ignorance, stubbornness and low practice, although the development of new surgical technologies has hit the highway, its diffusion is still limited.

The so-called surgery in the 17th and 18th centuries was still a mess of surgeons and barbers, and it stayed at the level of 3-minute amputation and epidermis cutting swelling and removing pus.

At that time, there were no academic conferences in the strict sense, because technology only depends on the speed and courage of hemostasis, and there is really not much communication.

Until the beginning of the 19th century, Ignaz's grandfather founded the Academy of Surgery, which raised Austrian surgery to a new level.

The three-monthly meeting is mainly used to judge the new trend of surgery, and to review and sort out some important surgical procedures.The purpose of the meeting is to promote surgical techniques to other doctors, which can be regarded as a catalyst for the development of surgery.

But the academy also has its limitations. Those who can enter the Medical Association are all big names in the field, and the Academy of Surgery is no exception.

The minimum educational requirement must also be a master's degree, and it is strictly limited to top European universities.Those who meet the academic requirements are eligible to take five years of independent surgeon work experience as a stepping stone. If they meet someone who can recommend them for help, their resumes will be sent to the new member review meeting of the School of Surgery.

The meeting is open, and there is no rigid rule that non-academic members cannot participate, because this has long been the consensus of everyone.

They firmly believe that those who do not get membership can't understand the content of the meeting at all, and it is not only a waste of time but also easy to squeeze other people's seats.For the scientific and standardization of surgery, getting rid of those hairdressers who are still clinging to the hot iron is a top priority, just as reasonable as denying women access.

Carvey is definitely not a member of the Academy of Surgery. Regardless of the graduate school or seniority, there is a big gap, which is a huge gap that ordinary people can't catch up in their lifetime.

He has never paid attention to this kind of academic conference, and he doesn't even know the existence of the School of Surgery. Anyway, there will be one sooner or later in the future, and it is meaningless to force it for a while.

But in this case, an invitation letter written by the current dean Watman was sent to the gate of the Municipal General Hospital.

The whole letter is full of an old dean's appreciation for rising stars, and he has clearly drawn the relationship between himself and the conservatives who insist on status first. With the image of a scholar who is eager for talents, he hopes that Carvey can to this meeting. 【2】

With Watman's prestige, presumably any young doctor will choose to accept this letter immediately when he sees it, and there will be no second option.

But Carvey still hesitated.

He has attended many conferences. Even in the 21st century, people still value status and titles.It's not that these are bad, after all, they are all things that everyone has won by relying on their strength, and they are very cherished.But the more you cherish it, the more you value it, whether it's your own or someone else's.

Carvey didn't have much interest in this meeting. He was in the largest hospital in Austria, and the level of contemporary medical care was right in front of him, so there was no need to further understand it.

And now that he has no education and no experience, in the eyes of others, he is just a "accidentally successful" nouveau riche, which is typical and uncoordinated.In this case, even if the report work on the podium is not attacked, it is difficult to play the role of spreading surgical technology and self-worth.

Rather than doing this, it would be better to stay in the hospital and take more care of that poor Mr. Li Ben.

However, it is easy to fall into the pit when moving forward, and it is even more troublesome to retreat.It would be extremely unwise for a newspaper "celebrity" like Carvey to refuse an invitation to the School of Surgery.

Originally, the major media were already eager to make a move about the regular meeting, so they would definitely add fuel to the news.At that time [Karvey is proud of his talents and flatly rejects the invitation to the School of Surgery] will be on the paper, and any rebuttals and explanations will become condiments to stir up this point of view.

Carvey is not Alphonse, and it is impossible to fight those reporters with a rapier. All he can do is to avoid these pits as much as possible.

The old dean lowered his figure and personally proposed the invitation. It was his own problem not to go, so he still had to go to the regular meeting, but he had to do some preparatory work before going.

According to Ignatz, if Watman really invites Kavey, he should prepare a temporary pass in the envelope, and then have to stuff a 50 kroner as the appearance fee and bus fare for the speech.

This is the rule set by his grandfather. At the beginning of the establishment of the academy, several barbers were invited to give speeches on stage, and these things were given.It's just that the barbers' skills were poor and embarrassing to use, so they were quickly sealed into the long river of history.

However, the letter Carvey received contained nothing.

Money doesn't matter, 50 crowns isn't a lot of money for Kavi.The pass is very important, without the temporary pass of the college, you can't even enter the gate.So Carvey sent another letter back to Watman. The invitation letter received on the morning of the 12th, and the reply letter on the afternoon of the 12th should be sent to Watman's desk early the next morning. 【3】

Unlike the "worshipful words" with a little bit of coercion, Carvey's letter is a superficial humility tainted with a little bit of irony.But until today, when the meeting opened, Waterman still hadn't responded.

Carvey really didn't like being pointed at by others, and wanted to dismiss the meeting, but Ignatz still gave a compromise plan, allowing Carvey to enter the venue as his student.With the dean's personal letter and the vice-president's affirmation, it is definitely not difficult to enter the venue.

"Teacher, you know that what I want is not a pass to enter and exit the venue."

Carvey sat in the second row of the conference hall, smiled wryly and said to Ignatz: "All I want is your father's attitude. Now it seems that his attitude, or the attitude of the entire surgical academy towards me is very vague. .”

His words were very tactful, and Ignatz also knew that this was done reluctantly, so he could only persuade: "They didn't stop you when you walked in, it's actually okay."

Carvey shook his head with a smile, and pointed behind him with his fingers: "I can hear the word 'barber' from such a distance. This is the Royal College of Surgeons, and the only 'barber' who can enter the door is probably I'll be alone."

Ignatz sighed: "I thought you didn't care too much about this kind of stuff."

"When my father was still able to pick up a scalpel, I really didn't care. But all these years have passed, and the world has changed."

Carvey looked back at the busy conference hall. The surgeons entering the venue one after another were all wearing expensive shirts and jackets, and wearing high hats. Their gestures and gestures had the elegance of a gentleman: "There are a few familiar faces , I saw it during the surgery."

"This is normal. I will meet more and more people in the future." Ignatz suddenly asked, "By the way, there is something I have always wanted to ask you. When did your father die?"

"Oh, there was a traffic accident in Lombardy more than two years ago." Carvey said helplessly, "The tragedy of being the best local surgeon is that you will never get the best local medical care when you have an accident." Serve."

Ignatz seemed to be deeply moved: "If he is still alive, I would like to talk to him."

"Ugh"

Today's surgery is still in chaos. No matter what organs are involved, any surgeon can operate as long as he is sure.Therefore, in a regular surgical meeting, all kinds of operations can be gathered, which is an eye-opener for Kavey from the 21st century.

The previous session was still talking about the new equipment for crushing stones, and the latter session had already talked about the radical cure of breast cancer, and then jumped into the big pit of the abdominal cavity again and talked about hernias.Among these various operations, the only one that can really be distinguished independently is plastic surgery, which Carvey has never tried much.

Skin tumors, subcutaneous hemangiomas, nose reshaping, ear plastic surgery, and even upper and lower jaw bone and joint correction surgery are all key presentation items at the regular meeting.

Plastic surgery was established by Dean Watman, and enjoys a high reputation in the School of Surgery, which can be said to be the signature of Austrian surgery.

This is why Varela criticized Ignatz for not being innovative after the cleft lip surgery, and Ignatz was willing to put down his face to accept the new surgery for cleft lip repair.

No matter how you look at it, plastic surgery represents the pinnacle of Austrian surgery in this era.

Carvey didn't understand it at the time, but now combined with Watman's invitation letter and this series of operations, he seems to understand it.

There are many organs in abdominal surgery, the operation time is long, suturing is difficult, and infection is very easy during the operation, so the success rate of the operation is very low.From the end of the eighteenth century to the present, the intraoperative mortality rate of abdominal surgery is very low, but the success rate has been maintained at about 40%, which is difficult to break through.

This makes some surgeons unable to see the path under their feet, feel confused, and think that the abdominal cavity will always be a restricted area for surgery.

Waterman is one of them.

The Academy of Surgery is a national Royal Academy of Research, and it receives state funding. If it wants to continue to exist, as the dean, it must make some achievements.When he chose plastic surgery as a breakthrough, it was a product of compromise after years of failed abdominal surgery.

Over the years, abdominal surgery has stagnated, but plastic surgery has become a hallmark of Austrian surgery.

But Watman knows that no matter how beautiful the appearance is, it can't solve the disease in the abdominal cavity.

The most common inguinal hernia, appendix and cesarean section can stump a large number of top Austrian surgeons. They don't even have the courage to try it. They just watch the patients endure the pain every day until death.

He knew that the transformation of surgery was imminent, but he didn't want to break the balance by himself, because if he failed, he would be a sinner in the history of the college.

Just when he hesitated repeatedly, Carvey jumped out.

Inguinal hernia repair, appendectomy, and cesarean section, known as the three abdominal problems of the Academy of Surgery, were repeatedly solved within half a month.Especially the cesarean section, which was a life-saving operation that had no chance of being conservative, was successfully resolved by a child who was not yet an adult.

Watman couldn't break the situation himself, and he was afraid of offending vested interest groups and affecting himself, so he had to throw Kawei in to attract a wave of attention.

"Does he really want me to break the game? He thinks highly of me."

"I don't know, anyway, I'm sure he has no malice, and of course he doesn't have much good intentions." Ignatz didn't dare to be too partial to his father. "He really hopes that the college can branch out into a branch of abdominal surgery."

Typical wall view.

Carvey hates this way of standing up and down. If this is the purpose, he might as well be a shit-stirring stick.Anyway, breaking the game is definitely impossible. Kawei is not interested in being someone else's pawn, but it is definitely okay to disrupt the game.

Of course, these words can only be kept in my heart. After all, the other party is Ignatz's father, so I should show some respect: "So that's the case, I understand."

"You haven't seen him that day when I told about the caesarean section process. If you let him know that the girl killed someone with one enemy two on the second day after the operation, I'm afraid he will be more surprised."

Ignatz suddenly saw Hills who had just entered the field not far away, and his expression was somewhat lonely: "It would be great if Hills didn't leave, he also participated in the cesarean section, and he is also your help in name, You were supposed to be on stage together."

"He's at Graze Hospital now?"

"I heard it is." Ignatz sighed, "Herman failed to keep him."

Carvey was also disappointed with Sears' departure, but this disappointment lasted less than half a day before disappearing.For him, Hills was similar to the regular training doctor who was about to graduate from the regular training back then. He didn't even count as advanced training, so he left as soon as he left, with nothing to miss.

"It's okay, the freshmen from the medical school will come soon." Carvey said with a smile, "Just pick more good seedlings by then."

Ignatz felt that Carvey underestimated the difficulty of medical education, and quickly explained: "Sills is one of the best talents in a hundred. It is rare for a talent to understand. You don't understand my current mood at all."

Looking at his appearance, Carvey couldn't help complaining in his heart: I didn't see you so sad when I was separated from Alina.
"When the time comes, I'll pick people. After the selection, I'll let the teacher check it out." Carvey suddenly remembered how he was when he was a teacher. "By the way, the list has been sent?"

"I heard it will be on my desk today." Ignatz thought of Elena, and quickly changed the topic, "Tomorrow is the earl's wedding, as his personal doctor, don't be late , Are the clothes ready?"

"Well, I tried it yesterday afternoon, and it's pretty good."

"Where's the hat, pocket watch, and walking stick?"

"It's all ready too."

Carvey has always had only one requirement for his appearance, cleanliness.There's no point in making useless things like this.And he always thought it was just a wedding, and it was strange to see Ignatz so nervous: "Actually, spending this money on clothes is better than buying a whole new set of surgical instruments."

"Are you going to wear this shabby coat to the count's wedding?"

Kavi looked at the shabby look on his body and thought it was wrong: "It is true that I need to buy new clothes, but there is no need to spend 400 crowns."

"Who made it so unusual for the people who came here? This amount of money is already very cheap."

"Unusual?"

Carvey's sense of surgery is very keen, but when it comes to daily chores, he becomes extremely dull.Up to now, he still thinks that what the housekeeper called "our own people" were really just some relatives and friends.

"It's true that they are relatives and friends, about twenty or thirty." Ignatz said with a smile, "I don't care about the others, the count's nephew will come."

"Who is his cousin?"

"Huh? Didn't I tell you?" Ignaz glanced at Kavi and said the name, "Frantz Joseph, our king."

(End of this chapter)