Ignatz just wanted to go back to the ward to see his patient again before going to the theater, to see the location of the operation, and to confirm some details of the operation. Unexpectedly, he happened to see a farce as soon as he entered the door.
He had previously dragged Kawei into the hospital to be his surgical assistant, mainly because the child had rich knowledge of anatomy and was a talent that could be developed. It would be a pity to just chop down trees or go to the Academy of Fine Arts to get involved.
Secondly...
Ignatz is still a little cautious.
He is a typical gifted person in the field of surgical teaching. He has always believed that no matter whether he is from a college or from clinical practice, he must have surgical talent to be qualified to enter this field. His two good seedlings, Hills and Herman, both graduated from medical school. They gradually accumulated surgical experience with him and have already achieved some success.
The road to college is finally clear.
Therefore, Ignatz also needs a talented wild man to take another path for him to prove his point of view.
He has tried many apprentices, but in the end they all lacked enthusiasm and lacked calmness, and they often got into a panic when encountering trouble. Moreover, these apprentices have low educational level and low literacy rate, and none of them understand Latin.
Even if they have mastered some surgical techniques, their ability to read journal articles will still be limited. Others who build cars behind closed doors can still look at the drawings and pick up the wisdom of their predecessors, but these apprentices can't even understand the drawings, how can they succeed.
In the end, Ignatz had no choice but to settle for the next best thing and start with art students who had learned some anatomy knowledge.
Art students have no theoretical knowledge of medicine and no practical experience. They are also apprentices with three no's. But no matter what, when receiving surgical training, it is better than illiterate civilians who can't even understand writing.
Of course, in this city full of art, the status of a painter graduated from the Ecole Supérieure des Beaux-Arts will never be lower than that of a surgeon. Moreover, painters all create independently, but surgeons have to start as apprentices. Which one is higher and which one is lower will be known after a little consideration.
Just when Ignatz was searching to no avail and had agreed with Alina's decision to give up the apprenticeship, he suddenly met Kavi.
He has a foundation in anatomy and is very interested in surgery. The most important thing is that he was born with a big heart. It's a bit dreamy to think about being able to chat and laugh with a top surgeon like yourself while walking in a top restaurant filled with nobles and celebrities.
This is something a surgeon must have, and it is also one of the "gifts" Ignatz keeps talking about.
Of course, in addition to his pursuit of teaching, Kawei is also one of the candidates used by Ignatz to check and balance the aristocratic students of the academic school. What he needs to play is a fish bone stuck in the throat. Although it will be pulled out sooner or later, it is disgusting enough.
So at first, he only hoped that Kawei could gain a foothold in the hospital, but this idea was shattered.
The debate in front of us can be regarded as a debate, because judging from the situation on the scene, it looks more like a one-sided crushing. Kawei standing aside seemed calm, but with one against three, every word he spoke could hit the opponent's pain points. The gap was so huge that even Ignatz could hardly stand to listen.
"This is an operation ordered by the teacher. How can we stop it at any time?"
"I didn't say to stop, I just need to discuss it with the teacher before the operation."
"With your level, what qualifications do you have to discuss with the teacher?"
"You mean that no matter what happens in the future, I don't need to consult the teacher?"
"...No, that's not what I meant."
"Then it's negotiable."
"We mean you can't deny the teacher's point of view!"
"Yes, and don't think about the identity of Teacher Ignatz. Who do you think you are?"
"I said it was a discussion. Do you understand the discussion? It's not to the level of denial, it's just a reasonable doubt about the result."
"It's okay to question!"
"Yes, no!"
"Can't question it? Surgery doesn't count as medicine?"
"Of course forget it!"
Kawei frowned, and his gentle tone and deep voice only made his tone more serious: "So in your eyes, does medicine follow the line of religious authority? Have you removed medicine from science?"
"You...I, I didn't mean that, of course not!"
"Then medicine still belongs to the category of science."
"of course."
"What is the most basic spirit of science?"
"Spirit? What spirit?"
The three of them looked at each other and didn't know what Kawei was asking.
"Science is rational and requires a rational spirit of seeking truth from facts and pioneering innovation."
Kawei talked about a general concept, and then quickly turned to his own topic: "First of all, the first is the spirit of criticism and skepticism. Copernicus, Bruno, Kepler, and Galileo all held high the banner of questioning and continued to delve into it. Make your own footprints on the path of science.”
An unskilled apprentice actually gave examples of the founders of scientific development. After hearing this, the three of them were as if they had eaten flies and were unable to refute.
However, Carvey did not mean to stop talking, and even brought out Descartes, the ancestor of modern philosophy and science: "Rene Descartes, the modern philosopher, even put forward the idea of 'universal doubt'. In his book "The Philosophical Meditations [1] gives a lot of space to prove..."
"Okay, okay, what are you doing? No more work?!"
Ignatz stood up at the right time and smoothed over the seemingly chaotic argument.
Now that Kawei has the upper hand, he must "suppress" with a few words: "You are just an apprentice who has not officially joined the job, and they are half of your seniors. How can you talk to the seniors? You just know how to show off your knowledge... ....Don’t you think they didn’t learn this in college?”
This is not a form of suppression, it is clearly adding fuel to the fire, and the faces of the three of them are turning green.
"You are yelling in the ward early in the morning. This is not a vegetable market. You are doctors! Not those liars who say they can cure all diseases and sell those colorful omnipotent ointments in their hands."
Seeing both sides stop talking, Ignatz sighed and asked, "So what happened?"
It turns out that he still underestimated Kavi's pulling ability. An amputation that could be solved in a few minutes was actually raised to a philosophical level by him, and he tried to use Descartes' famous scene in the book to help him further consolidate his advantage.
Too cruel...
Ignatz appreciated this very much and did not have any negative emotions because of Kavi's doubts.
Everyone works for patients. It is their common responsibility to solve illnesses, prevent patients from dying, and reduce patient mortality. But there was one more thing Carvey needed to do before refuting his amputation decision: "You said no amputation?"
"Because the family insists, I think his leg may be treated conservatively."
"What's the reason?"
"The deformation of the tibia is limited, there is no dislocation, the main blood vessels are not ruptured, and the functions of the distal limbs are also good [2]." Carvey simply stated these reasons, "The only thing that needs to be resolved now is this wound. As long as it is done properly Once the fracture is fixed, the function of his leg will be restored once the wound heals.”
Ignatz was very satisfied with these views and looked back at the three young people: "What do you think? Does it make sense?"
All three of them are outstanding graduates of the school, and amputation is a required course in the branch of surgery, so they know the indications very well. The child's left calf in bed 11 can indeed be cut or not, it all depends on the surgeon's decision.
"That makes sense, but the chance of gangrene in such a wound is over 85%."
"85% is still conservative. In my opinion, the toxic components in the air have become higher in recent years. Even ordinary suture wounds can become gangrene, let alone something like this. I think the probability is 100%, and it is best to have surgery now." Choose, it will be too late if you delay it any longer.”
Ignatz nodded and posed the question to Kavi again: "So, how do you solve the wound problem?"
Kawei knew that the current theory of "infection" was a fantasy. No one would believe that his living environment was filled with dense microorganisms. So he chose to use a statement that was more in line with the theory at the time: "Since there are toxic components in the air, we just need to isolate the air."
"How to isolate him? Are his legs covered with glass?"
"Why don't you bring the cover used for bloodletting therapy? I remember it is in the warehouse of the internal medicine ward. Say hello to Dr. Lund and maybe I can borrow it for a while."
"Let's forget about that thing. It's okay to cover it for a day or two. It will take at least two weeks for his wound to completely heal. It will definitely not work if it is covered for a long time."
"It seems to make sense, but who knows..."
Kawei knew that this would definitely not work, as the wound had been exposed to the air all night. If we use the extremely airtight glass cover now, although it can isolate bacteria floating in the air, the sweat produced by the skin will accumulate in the surroundings. The humid environment and various nutrients in the sweat will cause anaerobic bacteria to breed. of paradise.
But if you don’t use a glass cover, what can you use?
There isn't even a decent piece of gauze in the hospital now, just strips of linen.
"By the way, is there any lint in the hospital?" There is no way to get stuck. Since there is no finished product in hand, let's start with its raw materials, "It's the kind made by cotton textile factories."
"American cotton? There are only cotton cloths in the hospital, which are usually used when wiping items. The rest are sheets and other cloths."
"It's okay to have cotton cloth." Kawei breathed a sigh of relief. Cotton cloth can at least ensure moisture absorption and moisture dissipation. Next, we need to use some isolation methods. "Teacher, what kind of oil was used in the French food we ate last night?" ?”
"Are you talking about fried cod? Or the pan-fried halibut you brought back?"
"No, no, no, it's a salad. In addition to seasoning, that beef salad also has oil in it. Does the teacher know what kind of oil it is?"
As soon as Ignatz heard his description, he recalled the characteristic greasiness of French cuisine at the court. But he only stayed at the tasting stage of the dishes and never cooked them himself: "I don't know either. You have to go to the restaurant and ask the chef."
Kawei looked up at the wall clock on the wall and counted the time: "Mr. Ignatz, the original plan was to follow you into the theater for surgery, but now it seems that we have to postpone it for a while."
"You don't really want to go to the restaurant, do you?"
"Because one minute late adds an extra layer of risk to that leg."
Although Ignatz has been maintaining Kawei, his maintenance is not cheap and cannot be static. At least when it comes to surgery or not, he, a famous surgeon, still prefers surgery.
However, he still saw persistence in Kawei's eyes, so he leaned over and asked the little boy and his mother: "Are you sure you want to keep this leg, or even lose your life because of this decision?"
"We're sure."
Ignatz nodded: "In that case, okay, I have no reason to reject the decision of the patient and family. But Kawei, you have to remember that there is a very important abdominal surgery at 2 o'clock in the afternoon, very important! I hope Don’t miss it.”
