Krafft's Anomaly Notes

Chapter 33 No way

Kraft adjusted his state. No matter when the patient can panic or the family can panic, he must not panic.There is no superior doctor here to give him the bottom line.

"The current situation is that we may need some special treatment options." He replied to Gris in as calm a tone as possible, "but it will take a little time for me to give a specific answer."

"Before that, I want to ask, has she eaten or drank anything since last night?"

Gris recalled and replied: "No, she hasn't eaten anything since last night, only drank a little water."

"Okay, absolutely don't feed her now. If she's thirsty, she can sip some water in her mouth, but she can't drink it." After explaining, Kraft turned and walked towards the door, "I need a little time."

Kraft opened the door, but the students were still outside the door, and Lucius stood at the door with a blanket in his arms.

"Thank you, Lucius, give the blanket to Gris, and come next door... well, everyone. Also, can anyone call the other lecturers?"

To a certain extent, at least one sentence of the priest is completely correct, "then we can only look at God's will".

Kraft is clear in his heart that there are nothing more than two situations under this condition.

Or just look at it, as time goes on, the incarcerated intestine will not recover by itself, and the blood vessels cannot supply blood to the blocked intestine, and the situation gradually deteriorates.

Intestines lacking blood supply are completely necrotic after a day or two, and finally the patient dies in pain.In this era, there is no autopsy or other means to confirm the cause of death. No one knows that such a simple structure leads to a terrible death.

Then this terrible secret will be kept until unknown how many years later, with the support of modern science, surgery really rises, and this current terminal illness will become a "minor problem".

Or Kraft has to figure out a way now, in this hellish era of amputations without anesthesia, and come up with a feasible surgical plan within a limited time.

He had to practice the plan he had come up with in a short period of time, perform an operation that he basically didn't see when he was in school, restore the section of intestine to its original position, and pray that there would be no postoperative infection or something.

A postoperative infection really broke out. With Liz's physical condition and the level of internal medicine here, Kraft didn't dare to think about it.

If it was an internship outside the children, whoever proposed such a thing that could make the director so angry that he surfed the electrocardiogram, the director would definitely take him away with a knife before he left.

One will definitely die, and the other will die with a high probability. It seems that there is nothing to choose. It is up to Liz and Gris to choose. Kraft can only find the best plan for them now.

A painted board was set up in the next classroom, and after everyone arrived, Kraft drew a sketch of the current situation, hoping to see if others could give some help that met the current conditions.

"I'm sure you all listened very carefully in my "Anatomy of the Human Body" class, so I don't have to waste time explaining where this is.

Now we need to make a small incision in the abdomen, put this invaginated intestine back in place, and finally sew the incision closed.

Sound easy?Frankly speaking, in medical school, we don't have to be too taboo. Probably many people have seen anatomy, or even done it themselves, but it is not alive.

But this time is different, gentlemen, this time is totally different. "

Kraft tapped on the painted board. This action was obviously unnecessary. Everyone's attention was here, including the few lecturers who had just entered from the back row.

"Do you have any special needs?" one of the lecturers asked.He would sometimes patronize Kraft's class, listen quietly and then leave quietly, Kraft was somewhat impressed by his curly hair.

"I need to be as clean as possible, with linen, silk thread, iron needles, knives, and people involved." It was difficult for Kraft to explain his concept of sterility to them, so he could only express it this way, "Probably put everything in boiling water." It'll be better after a while."

This is the only way he can think of so far. There is no formaldehyde or high-pressure steam here, and high-concentration alcohol still needs to be distilled.

The guy sitting next to the curly-haired lecturer makes a point: "We have a lot of lime, I've never seen it go bad if you sprinkle it, at least you can wash your hands with lime water."

He pointed to the small lime block in Kraft's hand to write on the blackboard.It was dark under the lamp, and I used it to write all day long, but I didn't think about it. Kraft originally thought about whether there was distilled spirits that could be sterilized, but there is no such thing now.

It is impossible to be sterile, try to be as clean as possible.Kraft sweated for the patient's postoperative, and continued to the next topic.

"Forgive me for my lack of understanding in this area. I would like to ask if there is a method that can temporarily deprive the patient of sensation, one that does not affect the patient even if he cuts the flesh."

"Can't we just tie up the patient and end it as soon as possible?" Lucius asked.This is how all amputations are done at the moment - if that's really surgery at all.

"No, it's impossible to solve the problem like amputation." Kraft vetoed his plan, "At least I can't do it."

Laparotomy is not so simple in many cases.The actual situation of the abdominal cavity is very different from the clear color pictures in the anatomy book. The boundaries of various structures are not as obvious as imagined. Vision becomes a mess.

When you open a small opening in the belly, it is obviously not as simple as extensive amputation to define your position in the surgical field without clear landmark structures.

The patient was just a three-year-old girl, neither Guan Yu nor Rambo. The abdominal cavity had to be incised and rummaged without anesthesia, and then sutured.It is unimaginable what will happen during this time.

"There are indeed some things that can make people lose consciousness, but..." A student flipped through the book and stopped in the middle of speaking. He felt that the drugs recorded basically did not meet the requirements.

Some of them fell asleep directly, while others only had a slight paralyzing effect, making them unsuitable for a time-consuming operation.

This is also the fundamental reason why there are no complicated surgeries in this era, and even infection and blood loss have to be backed up.Without anesthesia, the patient would not survive such an operation.

"Lecturer Kraft, I have to say that this is just a proposal based on "Human Structure."

The speaker was Romolo, a lecturer in pharmacology at the college. The reason why Kraft remembered his name was that they had a table fight during lunch one day. The two chatted about drugs, but they didn't get together because of different ideas. .

Kraft opposed the theory of four liquids, while Romolo was a loyal supporter of the traditional theory of four liquids, and was willing to use this framework to explain the relationship between the four elements and medicinal effects.

"Unless the white or red fluid dries up, there is no way to make a living person absolutely unresponsive to pain." Romolo is the person in the academy who is most familiar with all medicines except Professor Kalman, and he is the only one present Qualified to draw conclusions on this.

"However, a large loss of red and white fluid will soon lead to death, so I think this is unrealistic. It is a plan that only considers the structure. But there is no other way but to tie the patient up and try."

He said he would try, but there was no hope in his tone.He shook his head and sat back in his chair, finishing his speech.

"Since Lecturer Romolo said so, it seems that we can only hope that it will be fast enough." Kraft put down the lime block, and took a last look at his sketch, "Let's go to class, today has been delayed enough .”

The students got up to leave, and the curly-haired lecturer came down from the back row, took out a small box from the black robe and handed it to Kraft, "Let's get to know each other formally, my name is Liston, please allow me to express my admiration."

"Why do you say that?" Kraft didn't take the box. Judging by the exquisiteness of the box, it can't contain any cheap things.

Liszt smiled and said: "Probably because of admiration for the pioneers. I secretly listened to a few classes, and I was impressed by my understanding of human body structure, but I applied what I learned from the dead to the living. It's not easy."

"I can't believe no one has tried it before."

"But their goal is not clear, and they don't know what disease they are going to face before they open the abdominal cavity." He looked at Kraft with piercing eyes, as if he was looking at some treasure, "It's different, you didn't see it. When you know what you want to do.”

"So I think it is necessary to join the history for the first time, and this knife is regarded as my meeting gift. This is a knife I designed and customized for dissection, and I haven't used it yet."

Liston held the box and waited for Kraft's answer.

"Of course, I can't do this alone." Kraft took the box with a polite smile on his face. An assistant with a good understanding of anatomy was just what he needed.

The smile was fleeting, and the worry in his heart about the next operation made it impossible for him to maintain this expression.

Liston sensed Kraft's mood, and left first, giving Kraft the space to think quietly, "Then I'll go to the observation classroom to clean the stone platform first, and only that side is suitable."

"Thanks, remember to use lime. We'll come when we get the other stuff ready." Kraft held the box absently, not even noticing that Lucius in the first row didn't leave either.

Lucius has been sitting quietly, looking like he is sorting out his notes.When Liston went out, only Kraft and himself were left in the classroom, so he stood up and walked to Kraft, and handed him the speech record he had just memorized.

"Thank you so much, Lucius, I really don't know what to say."

Kraft took the note and glanced at it. Although he didn't need this kind of thing, he was very moved by Lucius' care.It's really not in vain to worry about this kid for so many days.

It is estimated that Lucius will have to trouble Lucius for another day, and prepare for this ill-fated operation with himself and Liston.

Lucius didn't answer Kraft's words.He remained uncharacteristically silent for a while, glanced at the door of the classroom, and after confirming that there were only two people here, he uttered a word without beginning or end.

"Actually, there is no way."

(End of this chapter)