Although Kawei had a lot of titles before he traveled through time, he was just an ordinary uncle in the eyes of outsiders, and he was also an ordinary young man after traveling here. Regardless of whether he has money or not, he has always enjoyed a regular, monotonous and boring life, and has no intention of changing it. He will continue to do so as long as there are no sudden changes.
Only in this way can he devote all his physical and mental energy to his work without reservation...
Of course, this also brought about a small problem, because he also brought with him the almost crazy ideas, pursuits and a little bit of mental mysophobia in his mind.
For Kawei, who is obsessed with medicine, there are only two types of patients, his own and those who are not his.
Of course it doesn't matter to him if he is not his own patient. There are tens of millions of patients in the world. God cannot save everyone even if he comes, not to mention that the old man God has not come and will not come. But once it's in his own hands, it's different. The health, life and death of these patients are directly linked to his ability to work.
Failure is not allowed, let alone death!
If he happens to encounter it, Kawei will lock himself in the office and dig out all the diagnosis and treatment records until he finds a way to break the situation, except of course for those who are unable to recover.
Laszlo was not his patient a minute ago, but Ignatz's. Before taking action, he would consider the gains and losses, the benefits, and how to end the situation after failure. But now Ignatz suddenly fainted. As the first assistant in the tracheotomy surgery just now, in Kawei's established thinking, he has become Laszlo's doctor...
He has to be at least half a doctor.
At this time, gains and losses in terms of money and status become insignificant.
Laszlo's hypoxia came quietly this time, far less violently than before.
There was no restlessness or struggle. Even to him, this chaotic and floating feeling seemed particularly subtle.
It is indeed a bit uncomfortable. There is still resistance when breathing, but the resistance does not appear to be so complete. It can still allow some air to flow into the lungs, but it is just a bit laborious...
Inhale...exhale...
The wound still hurts a little, but it's bearable...
Breathe...breathe...
Very laborious...
Laszlo thought he was just tired, so he closed his eyes cooperatively, preparing to give a big gift to the surgeon who insisted on operating on him when he woke up.
Just when everyone's attention turned away from Laszlo and turned to Ignatz, the God of Death, which had been lingering in the sky for a long time, finally gently swung its scythe. The only one who saw the sickle's trajectory clearly and blocked it immediately was Kawei.
Kawei put his hand on the opening of the newly inserted catheter. The airflow caused by breathing was very weak, and the rise and fall of the chest that should have basically disappeared. Laszlo's hypoxia did not improve at all, his lips were obviously cyanotic, and his newly awakened consciousness was gone.
The unexpected situation did not allow for overthinking, but Kawei still had to figure out a reason first.
Why do I still suffer from hypoxia even after tracheal intubation?
Allergies will only cause tissue edema, the most typical of which is edema of the skin, mucous membranes and larynx [1]. The main components of the trachea are cartilage and muscle. The trachea should not be swollen anywhere. Moreover, Laszlo's trachea was right in front of him, and the tube did alleviate some of the hypoxia when it was first inserted.
But now I'm short of oxygen again, and it's only less than half a minute!
is blood?
Maybe the bleeding from the previous wound had refluxed into the trachea, and now after a few minutes, it has begun to solidify. However, the anterior jugular venous plexus was injured during the stoma, and there was not much bleeding. Even if there was reflux, it was not much, and it would not completely block the trachea.
Could it be the massive bleeding just now?
Kawei knew very well that he stopped the bleeding very quickly, and the blood vessels sprayed outwards without stopping at the wound. There will definitely be regurgitation of blood, but Laszlo is also choking and coughing, so logically there shouldn't be any problems after he's been swollen.
What else could there be? Food scraps from a party?
However, the debris usually only blocks the subdivided bronchi and will rarely block the entire large airway. Laszlo is not a newborn child. Moreover, the person has been fine before and there is no possibility of sudden obstruction.
If you think further, you have to ask about underlying diseases and the like, which is obviously meaningless here.
Kawei took a deep breath, gathered his thoughts and re-examined the entire tracheostomy process.
Although there is some problem with Ignatz's blade, it is only a minor problem. For a first-time user, he has already done a good job. Although there was a lot of bleeding throughout the process, it was all under control.
What exactly is the problem...
In the entire room, except for Kawi who was still thinking about Laszlo's trachea, almost everyone gathered around Ignatz.
Physicians are all talking about "barber", and they still have a little respect for Ignatz in their hearts. Just the fact that they had just completed the tracheotomy under pressure already speaks for itself. At this moment, Ignaz no longer represents a single surgery, but the face of all Austrian doctors.
Especially the doctors from the Municipal General Hospital immediately stepped forward and helped him out of the room. Ignatz is the hospital's signature person, and his profession is a bit humble, but his earning power is not small at all.
Alina has been standing guard at the door. She just heard the sound in the house and thought there was something wrong with the operation. Now when I looked again, it turned out that it was my husband who had fainted: "What happened to him? What happened?"
"I must be too tired after a long night of hard work." Fatorad turned around and looked around and found the housekeeper, "Are there any dried peach slices in the house?"
"Yes, Mr. Earl."
"Boil a cup of cognac and a tablespoon of sugar, then pour it into a wine glass with three slices of ice-cold dried peaches [2]. Give each of them a cup, which is very useful for restoring physical strength." Fatorad finished. As for the recipe, don’t forget to add, “If the dried peaches are not chilled, remember to put an ice cube in to prevent burning your mouth.”
"Okay, Mr. Earl, I've written it down."
Several physicians praised this classic prescription. Two of them helped send Ignatz to the bedroom next door to rest, while the others stood beside Fatolad and fast-forwarded to the part about merit and reward. .
"Count, Ignatz wins again this time."
"There's nothing we can do about it." Posa was quite calm and didn't take the credit seriously. "Actually, it just happened to fall within the scope of surgery."
"But he took away all the credit for our previous three hours!"
Fatorad felt helpless, but he still spoke decently: "He has won for more than ten years, not less than this time. Everyone, the most important thing is to save the face of our Austrian doctors. Mr. Laszlo is too disrespectful to the empire." It’s too important.”
"really......"
"I'm afraid that the news of Mr. Laszlo's sudden unwellness has reached the ears of the newspaper reporters. A lot of people have gathered at the door."
"You go deal with these reporters, and I have to make a report to the Duke."
Fatorad sighed and continued: "Remember not to exaggerate Mr. Laszlo's condition, especially the news that he was suffocating, otherwise the headline of the evening newspaper in the afternoon will be "The new president of the Credit Bank suddenly fell seriously ill just after arriving in Vienna. "Titles like this, this is what the Duke least wants to see."
"knew."
"Everyone~" After the butler finished giving orders for the dry peach wine, he returned to the physician and said with a smile, "You must be tired after a busy night. If you don't mind, feel free to have some breakfast. We have prepared Schlierbach cheese. Ham sandwich and Sacher chocolate cake.”
"Then, why don't you eat first?"
"By the way, where is Miss Naya?"
"The one who was here just now...should be accompanying Mr. Laszlo."
Just when everyone thought of Naya, Naya's voice came out immediately, but the young lady lost control of her emotions again: "What on earth are you doing??!"
...
In fact, Naya didn't leave the room at all, and turned around and walked back after Ignatz was helped out. As the only family member beside her father, Laszlo's health is closely related to her. But there was actually someone who returned to the bedside earlier than her, and that was Berget.
Berget was a student of Ignatz, so he had to be by his side when the teacher fell to the ground. But when he was about to step forward to help, he looked back at the patient mysteriously. This glance not only saw Laszlo, but also saw Kawi nailed to the bedside like a piece of wood.
What is he doing?
Why didn't he react to the teacher's fainting?
And the operation has been completed, why is he still looking at the patient?
He didn't pay much attention to it at first, but the ligation technique Kawei just showed surprised Berget so much that it became an important weight in his choice. Moreover, Ignatz has colleagues around him and his wife when he goes out, so there is not much point in going there by himself.
After weighing the pros and cons, curiosity on the other side took over and brought him back to the bedside.
"Teacher Ignatz fainted, why are you still..."
"The operation was unsuccessful."
Kawei said it very softly, but the weight of these words was extremely heavy. Berget was shocked after hearing this. Like him, he did a little inspection and immediately realized something was wrong.
He had no clinical experience, and the anatomy knowledge in his mind was a mess. I have been coming to the Municipal General Hospital for many days, and the only things I have learned are two things, "hold the patient down" and "call your teacher".
Berget reacted quickly. He turned around and was about to go out, but was immediately stopped by Kawei: "What are you going to do?"
He pointed to the door: "Of course I'm going to call the teacher..."
"Are you stupid? Teacher Ignatz has already fainted. Do you think he will wake up just because you yelled twice? Then pick up the surgical instruments and immediately revive this rich Hungarian man who is about to suffocate to death?"
"What should we do?"
"We'll figure it out ourselves."
Berget was confused: "Are you kidding me? How do we deal with patients who can't be handled by this new type of surgery? It's difficult for the top surgeons in France to guarantee the success of the operation. God knows if there was something wrong with the operation just now. !”
Kawei shook his head, completely treating him as his little brother: "The operation itself is fine."
"Then what's the problem?"
"I'm still looking..."
The low-pitched conversation between the two attracted the attention of Naya, who had just returned to the room: "Father, oh poor father, I didn't expect that you would encounter such a change when you first came to Vienna."
Her face was half pain and half joy. She looked at the bloody Laszlo and kept stroking his wet hair: "It seems you are really too tired."
Berget was so nervous that he didn't even dare to look at his former dance partner, and he didn't know how to explain the matter to this wayward wealthy daughter.
Ignatz fainted from exhaustion after failed surgery?
Such words will definitely damage Ignatz's status in the surgical community.
However, Kawei spoke: "Your father is very weak and needs to rest now."
The implication is obvious. Naya's stay here will only affect Laszlo's rest. It is a very tactful order to expel "guests". But Naya ignored the poor boy: "No, my father needs me to be around. If he wakes up and sees that I am not here, he will definitely be angry. If it doesn't work, I will just stop talking."
She is indeed a troublesome woman!
Kawei secretly complained and looked at Bergt.
Berget was not stupid, and quickly realized that he was the only one qualified to talk to this eldest lady, and Kawei was not qualified: "Miss Naya, he is right, your father is very weak now and needs someone as possible as possible. Quiet environment."
"I said I won't speak!" Naya turned from defensive to offensive, "On your side, the operation has been completed, why are you still in the room?"
"We are doctors and need to monitor Mr. Laszlo's condition at all times."
"Hasn't breathing resumed? What else needs to be observed?"
"this......"
Berget was no match for Naya, and he was rebuffed in just a few words. And Kawei on the opposite side had no intention of helping him at all, because he suddenly understood one thing, which was why Laszlo suffocated for the second time.
"It turns out the problem lies here!"
He always attributed the problem to the patient's body, but ignored the external causes during the operation.
The problem wasn't Laszlo's windpipe, blood, or anything else, but the artificial airway that had just been placed in the incision.
There was certainly no problem with the airway tube, a valuable item Ignatz had imported from France. Not only is it made of sterling silver, but the shape and style are also copied from the catheters of French surgeons.
There is no problem with the person and the catheter, but the problem lies in the interface.
The location of the interface must be wrong.
It stands to reason that with Kawi's identity, he would not be qualified to touch Laszlo if Ignatz is not around. But there was no time to explain now. Kawei did not say hello to Naya, but just reached out and took the artificial airway that had just been put on the incision.
"What are you doing?"
"Saving your father." Kawei still said his purpose in a calm tone.
Naya originally wanted to give Kawi the most basic respect. After all, he had participated in the entire operation just now. Even as a civilian, he had a share of credit. But it wasn't until Kawei removed the artificial airway that she realized that she was wrong. This was not a doctor at all, but a devil!
"What the hell are you doing??!"
As the artificial airway was removed, Laszlo suddenly coughed twice on the bed, his chest was also bullied, and then he gasped for air.
Kawei breathed a sigh of relief and said with a smile: "Mr. Laszlo, welcome back."
