Nineteenth Century Medical Guide

Chapter 93 90. What is the most important thing?
Carvey didn't want to mess with others' presentations.

Because every operation they said has loopholes, and it leaks like a sieve.It's boring to use modern medical knowledge to compete with doctors from more than 100 years ago, and the few mouthfuls of saliva spewed out by mouth guns don't have much impact on the general environment.

In his eyes, this is a waste of emotion.

Everyone has their own "price", and Kavi is no exception, it's just that the price is a little higher, and ordinary people can't afford it.But Watman offered a very attractive price: a transfer student from the Medical School of the University of Vienna.

Waterman has been famous for a long time.

Unlike his son Ignaz, who is only famous in China, he also has a good reputation internationally. At least his skilled nose plastic surgery and reshaping can show his skills in front of British and French surgeons, giving Austria a long face.

With such achievements, coupled with the status of the dean of the School of Surgery, the weight of speaking must be heavier than Ignatz.So Ignatz was unable to meet the application for admission, he was able to meet it, and he wrote the recommendation letter in front of Carvey. 【1】

This is no ordinary letter of recommendation.

In order to allow Carvey to study in school, Watman used an extremely exaggerated expression technique, writing out Carvey's true strength by accident.

According to the old man, based on his relationship with the dean of the medical school, as long as the content of today's meeting is good enough, plus this letter, it is not difficult to enroll in the school.

Carvey has always wanted to go to medical school, so that he can enjoy the school's scientific research facilities and resources.Carvey was not arrogant enough to disregard Watman's place in medical education, and the letter of recommendation showed his sincerity.

The deal is done.

What Carvey has to do is to move the spoiler time forward by two hours. Originally, he was only making trouble in his own report, but now he can only say sorry to Dr. Hodge.

His question was not as inquisitive as Varela's, but he secretly poked at the most painful place, and shut up after the piercing.Because the field is full of big shots in the circle, they can understand Kavey's meaning without explaining at all. It is not good to speak too clearly, and it kills the imagination.

Hodge's operation was indeed forced in, squeezing out a case of intubation with airway obstruction that had a rough process.

A tracheostomy had already been performed at the regular meeting, and intubation really seemed dispensable.But no matter how you do the horizontal comparison, overcoming all kinds of troubles and eventually successful airway intubation is definitely more important than Hu Lai surgery where the skull is cut off after pus drainage.

Hodge's operation was not rigorous, and the report was sparse and missed a lot of important points, especially the cause of death of the patient was not mentioned.

Did you injure the meninges during the operation? 【2】

Was there any further damage to the brain tissue?
How much is the blood loss during the surgery?
Is the scalp defect completely cut off, or only a certain amount of trimming?

Were all the infected skull fragments really removed?

If all these are done well, even if the infection gets worse, it can be delayed for a few days. Why did the patient die the next day after the operation?
There were so many questions, but if Hodge could answer the last one, it wouldn't be as embarrassing as it is now.In the end, he had no choice but to blame his ignorance on Carvey's identity: "A little surgical assistant? When will the assistant come to the regular meeting?"

"There is an invitation letter written by Dean Watman himself, so the assistant can't come?" Carvey said, "Besides, isn't the end of the surgery report a question-and-answer session? I just asked a few words casually, without any malice."

No malice.
Everyone knows that the warm-up report is just a formality, and no one will take it seriously.The question-and-answer session is even more dispensable. To ask questions is to ask about the operation methods of those advanced surgeries. Who would stare at a simple craniotomy and keep asking questions.

And these questions all poked at his sore spots, they were clearly staring at him, so how could he be harmless.

"This letter must be a forgery!" Dazed by anger, Hodge began to wantonly attack the normativeness of Carvey's admission, "Everyone here is a member of the College of Surgery, and they all have to have a degree certificate from a medical school. Do you have at least five years of experience as a surgeon?"

"No." Carvey shook his head, "I haven't studied in middle school, and I haven't been a surgeon before."

There was booing around such a blank and clean résumé, but few laughed along with Hodge, because most people knew that Carvey had the right to be here.

It was meaningless for Hodge to go down hard. We were all colleagues for many years, and some were old classmates, so we tried to make a step up and let the matter pass as soon as possible.

"Doctor Hodge, forget it, let's go."

"Let's go, didn't you say that you want to rush back to the hospital for amputation, time is running out!"

"Yeah, let's quarrel after something happens, don't affect the report work later."

Huo Qi suffered a dark loss, knowing that the young man in front of him would not be arrogant for no reason, but even if he had a bad premonition in his heart, he still refused to leave.Because in his fixed thinking, dare to challenge himself with such a poor medical education level is nothing more than the result of going through the back door.

Since everyone is following the relationship, there is no difference in essence.

But at least I am a working surgeon. Even if I am not as dazzling as others, I have been working in this position for more than ten years. How can I bear this kind of humiliation.

correct!

How can an assistant think of so many surgery-related questions?
Someone must be secretly helping him!
who is it?Could it be Fermi?

No, no, no, probably not. He didn't appear on the program list because the maxillofacial plastic surgery failed, and it had nothing to do with him.

Who would that be?

Suddenly, Hodge saw Ignatz sitting next to Carvey, and immediately thought of another possibility: Could it be that the dean and his son are messing with him?
He knew that Watman and Ignatz had always disliked the unprogressive lay-flat guy like him, but he was not completely useless to the academy.Because he can show his face in the surgical academy all the year round, and Hodge likes the feeling of being on stage, his old father is willing to invest money for the academy.

Watman has no need to offend himself.
Hodge couldn't figure it out, and the anger that kept rushing to his forehead didn't have time for him to figure it out: "You can bear it, but I can't bear it! Let an assistant without any medical background enter the venue, and let him make random accusations on the stage to give a speech Doctor, what's the point of this, you are talking, why don't you talk?"

"Don't ask, because they know that I will also be on stage to give a report. In fact, as long as you care about the recent surgical operation, even if you only read the reports in the daily newspaper, you should know me." Carvey pointed to himself and said, "So I am the same as you."

"Are you going on stage too?"

Hodge lost all confidence in an instant, and his mind was still spinning on his identity as an assistant: "Aren't you an assistant, aren't you incapable of performing the surgery?"

"Theoretically not, but" Carvey said helplessly, "but by accident, I had a cesarean section, and it was successful."

"."

Hodge suddenly remembered that Ignatz was absent from the cesarean section a few days ago.

At that time, he didn't care about it, he only knew that the operation was successful in the end, and the mother and child were safe.He didn't know who performed the operation and how it was performed, and he didn't want to care about it, because he didn't care about the innovation of surgical technology at all.

All he wanted was to settle down in St. Mary's Hospital and perform the operations he had learned, and earn a little fame in the surgical world from time to time.

Day and night plunged into the pile of operations, either in dissection, or on the way of dissection, isn't life tiring?

In my spare time, I have to keep reading and learning new techniques. Isn’t it good to enjoy my good life?
"There was nothing wrong with the operation. There were reporters from various newspapers and several colleagues in the audience. They can testify for me."

While recalling the operation, Hodge also wanted to defend himself: "From the incision and drainage to the subsequent bone extraction, I followed the surgical specifications! You can say that my operation was not difficult, but you can't say that I made mistakes , I think I can speak here if I don’t make mistakes.”

"So, what you care about is still your own operation?"

"Of course a surgeon cares about his operation!"

"Then what's the point of caring about the operation?" Carvey asked, "Is it just for the sake of looking good? Or is it to win the applause of the surrounding audience? Or is it for an artistic expression?"

"."

"It's not for the patient's health!"

Carvey can accept the chaotic medical technology of the 19th century, as well as the lack of medical knowledge, including the medical system of inappropriate people.But he couldn't accept that a doctor didn't pay attention to his patient, since he had an operation, he had to be responsible for the patient.Insufficient ability and inattentiveness are two completely different concepts:
"I guess Dr. Hodge saw that the patient was seriously insane, so he let go of his hands and feet and performed this operation. There should be no major problems during the operation, but he just didn't care about the patient's post-operation situation."【3 】

"."

"The skull is missing, and the patient is mentally disturbed. If you can't achieve absolute braking, accidents are prone to happen." Carvey patted his head with his hands, "Normal people can hardly bear the postoperative pain, let alone a patient with a mental disorder .”

Hodge doesn't know anything about preoperative and postoperative procedures. He only knows how to remove the skull and put on a bandage. The rest is the nurse's work: "We must have braked, but he broke free."

The situation was similar to what Carvey thought. On the night after the operation, the patient became more and more manic because of the pain.He forcefully pulled off the bandage on his hand, tore off the bandage on his head, and smashed his own brain with his own hands.

As for why suppurative cranial osteitis occurs, the etiology is actually well understood.

Because the Vienna Psychiatric Hospital performed a trepanation for him, hoping to alleviate his insanity.It's a pity that the operation was very rough, the infection invaded the skull, and the final result became what it is now.

"Doesn't Dr. Hodge think it's strange? The mental disorder of the patient who has undergone a trepanation still hasn't improved."

"I'm not a psychiatrist, I'm just dealing with the abscess on his scalp"

In the morning, I just experienced the turmoil between Liszt and Nightingale, but I didn't expect to encounter twists and turns at the beginning of the afternoon.The debate between the two lasted for more than ten minutes. In the end, Hodge reluctantly left the venue with his surgery report.

There is no right or wrong in the debate, and Hodge just lost face and did not have a substantial impact on him.

However, for other surgeons who were about to take the stage to report on the operation, the content of the debate was exciting enough to leave a "deep" impression in their minds.

No one wanted to repeat Hodge's mistakes under Kavi's feathered arrows, and the scene immediately filled with an atmosphere of facing an enemy.The most disturbing thing was the third surgery report immediately after Hodge.

"Cough cough~~"

Seeing that Hodge had gone out, the meeting host immediately called the next doctor: "Dr. Moritz from Hartmann Hospital will bring us the ear tumor resection he completed on January 1 this year. "

There was some applause from the audience, but Moritz didn't stand up.

"Dr. Moritz? Is Dr. Moritz there?"

"exist"

"Doctor Moritz, please come to the stage as soon as possible." The host looked at the wall clock, "For some strange reasons, the regular meeting is already late, and we need to hurry up."

".Um, good."

Moritz was a little flustered. Not only did he trip over the distance from his seat to the podium, he also dropped two pages of paper.In the end, the kind Kavey delivered the paper to him: "Doctor, your paper."

Moritz looked at Carvey, his hands trembling, and he felt apprehensive, but he had to politely say "thank you".

However, things were not as bad as he thought.

Affected by the pressure, Moritz performed abnormally and made many mistakes after reading the entire manuscript, but Carvey was not interested in this ear tumor resection.Because this kind of resection is not difficult as long as the bleeding is well controlled, and the patient recovered well after the operation, and there is no chance of questioning the postoperative infection. 【4】

Immediately following on stage was Ignatz's bladder lithotripsy.

Because intravesical lithotripsy is already a relatively complete surgical method, the fourth place is not too low.The reason for being selected is that there was urethral stricture during the operation, and some difficulties were encountered with crushing stones, which can be regarded as a reminder to those doctors.

Carvey will certainly not embarrass Ignatz.

In fact, Ignatz's operation and attitude towards surgery are much better than others.If everyone was like Ignatz, then the development of surgery would not be like the current pot of lukewarm water.

"Thank you Professor Ignatz for the wonderful speech. The process of this lithotripsy was indeed full of twists and turns. But with the professor's superb technique, the final result was still good. A circumcision was also performed. Now the patient is recovering very well. , was a 'successful' operation."

The host held the program list in his hand, and immediately turned to the next page: "The following is a case of eyelid surgery related to drooping eyelids. Because the original chief surgeon was unable to attend the regular meeting due to something, the hospital made temporary adjustments. Now let's invite Gray Here comes the new surgeon at the Hospital, Mr. Sears."

(End of this chapter)