Naya's scream attracted everyone, and the physicians outside the door gathered in Laszlo's room.
The daughter's eyes were sharp, and Kawei's extubation directly overturned all Ignatz's previous efforts. His father was sleeping well just now, but now he was breathing so painfully. It was obviously this person who was causing trouble.
In addition, some of the blood that was accidentally splashed happened to fall on Naya's gauze skirt, which made her completely conclude that this was an out-and-out murder.
Naya's scalp was numb when she saw it. Her usual dignity and elegance were all forgotten. She didn't have time to worry about her beloved skirt. She quickly shouted for help to Fatolad and other doctors who came into the room behind her: "Doctor, look quickly. Doctor, this guy pulled out the catheter he just put in!!!"
Everyone was shocked when they heard this, and the mentality that they had just stabilized collapsed again.
Laszlo maintains many common interests between Austria and Hungary. The relationship between the two places is very delicate. A slight discrepancy will push the good situation to the other extreme. Once something goes wrong, the two forces will start to entangle each other again, which is not good for anyone.
Of course, they didn't think too bad of Kawei, they just thought it was a fool who messed up the matter when he accidentally checked the catheter.
Now that Ignatz had fainted, no one could take over, and complaints suddenly started to spread.
"Oh, my God~~"
"Where did this troublemaker come from?"
"What now? Dr. Ignatz won't wake up that quickly!"
Everyone couldn't make up their mind, but in the end it was Fatolad who stood up.
With his rich clinical work experience and understanding of Ignatz, he always felt that there was something fishy in it.
Ignaz knew the importance of Laszlo and the importance of this operation. With his level of understanding of people and his requirements for his subordinates, he would definitely be an ignorant fool who could become an assistant at this time. There must be a reason for taking action without permission.
Fortunately, Laszlo is still alive, and Fatolad still has room for improvement.
He patted Naya's shoulder lightly, stepped forward to look at Kawi and scolded him: "Look what you have done?"
Carvey had no reaction to the objections.
He was using two small retractors to open the incision on Laszlo's neck, which not only re-teared the newly healed venous plexus, but also made Laszlo tremble in pain: "Teacher Ignatz's operation is not completed. , he lost consciousness before he fell, so the tube was inserted crookedly."
Fatorad didn't understand: "Crooked?"
"What I mean is that the teacher already had physical problems when inserting the silver horn catheter, so he did not insert it along the direction of the trachea, but directly inserted it diagonally into the back wall of the trachea. The mouth of the tube was blocked in the tracheal wall. , so Mr. Laszlo was still unable to breathe normally at that time.”
In order to prove that he had not made a mistake, Kawei immediately explained: "So I temporarily removed the tube, opened the trachea, and gave him some air first."
Fatorad seemed to understand and nodded slightly.
When it comes to anatomy and surgery, he is a layman, and he won't do it if he can. But when it comes to consultation, especially for those who cannot speak, he is definitely an expert. Now the surgical procedure is unknown, Kawei's ability is unknown, and the most important thing is the patient's basic condition.
He leaned over to look at the poor Hungarian wealthy businessman and asked: "Mr. Laszlo, how do you feel now?"
Laszlo's throat was blocked and his neck hurt. He had just been injured half to death by tracheotomy again, but this time he only regained some consciousness.
His mind was in chaos now, and the voice in his ears was vague, and he couldn't hear what Fetorad was saying at all. The only thing I can really feel now is air, fresh air.
The intense and orderly rise and fall of the chest, the powerful expansion and contraction of the respiratory muscles, the natural changes in the intercostal space, and the blood rushing to the whole body gave him a sense of relief, like the rain coming after a long drought.
Perhaps because he had held it in for too long, Laszlo had a dream in a trance.
He dreamed that he flew to heaven, and in the center of the pure white temple was the God who was regarded as the highest by the people. God smiled at Laszlo and did not let him stay long. He raised his hand and put it on his chest, and then gently threw him back to the world.
Laszlo couldn't see God's face clearly, and couldn't remember other features. He could only hear a welcome word in his ears. The voice was so clear and wonderful, like the sound of nature, that he could not forget it for a long time.
Although this encounter is not enough to be recorded in the Bible, it should be widely praised by the world. It can definitely be called a miracle.
So in order to leave a souvenir, he had the courage to grab God's hand before leaving. It was this warm and powerful hand that allowed him to regain the power to breathe...
"Mr. Laszlo?" Fatorade saw how excited he was and continued to call, "Are you awake?"
"My Lord Earl, he still has some time left before he wakes up."
Fatolad sighed and finally reached out to feel Laszlo's pulse, then turned back to comfort Naya: "The heart rate is a little fast, but still strong, and the breathing is a little labored but much better than before. Don't worry, Naya Miss, your father is still alive."
Naya wiped her tears and finally calmed down a little: "But he pulled out the catheter. Without Dr. Ignatz, how could he put it back in?"
"I'll let it go."
Kawei still remained calm, only feeling helpless towards Laszlo's hand: "Can you pull his hand away first?"
Berget finally did something, and walked around the edge of the bed to help, freeing his hands. As a fellow surgeon, although I have some prejudice against Kawei, now everyone is like a grasshopper tied to a rope, and no one can escape if something goes wrong.
Kawei also knew this truth, so he didn't treat him as the heir to the viscount at all: "You pull the hook."
"I?"
"I only have two hands."
Under the attention of everyone, Bergt had no choice but to gently pull the hook with his hand and continue to expose his vision.
Things have reached this point. Kawei simply followed the Romans and continued to explain the main reasons for the problems in the previous operation according to Ignatz's theater rhythm: "In fact, this kind of mistake is inevitable. The British and French people often encounter this kind of mistake." question."
"what is the problem?"
"The problem of damaging the posterior wall of the trachea." Kawei smiled and said helplessly, "Especially those French people with flamboyant personalities, who are too bold and have no awe in surgical operations, and died by their hands because of the damage to the posterior wall. There are countless tracheostomy patients on the hospital.”
In Austria at the time, whenever someone was targeted, it was always a good choice to successfully turn the French on.
Kawei's set of Golden Cicada Escape was average, but at least it had some effect.
Especially Fatorade, who is the oldest and has the most experience, and has never had a good impression of the French. Stimulated by these words, the problem immediately shifted to medical treatment: "So why is the posterior wall of the trachea damaged? The trachea is not thin."
Kavi let himself in some light, carefully checked Laszlo's trachea, and found that there was no damage to the esophagus, and then he breathed a sigh of relief: [1]
"Because the patient will try his best to breathe during obstructive asphyxia, the inside of the trachea is negative pressure. Only the back wall of the entire trachea that is close to the esophagus is made of mucosal tissue, and the rest is a cartilage ring, so the trachea is no longer cylindrical. It is an inverted U-shape with the lordosis of the posterior wall [2].”
The stakes were high, and Fatorad listened carefully.
He could understand the simple physical factors and anatomical terms in his ears, but when combined with the image of a bloody neck, the situation was completely different: "Well, that's it."
Kawei was a little surprised, looked up at him, and continued: "Because the front and back walls of the trachea are very close, if the force of the suddenly inserted knife tip is not controlled well, it will easily damage the back wall. The same is true with this catheter. A simple incision cannot deliver a large amount of air, and during insertion Mr. Ignatz..."
"So it was just an accident?"
Fatorad didn't want to hear any more: "I mean, the whole thing started because Dr. Ignatz was unwell, so he couldn't complete the last step perfectly. You pulled out the catheter in order to help adjust the position. .”
Kavi nodded, realizing that he really didn't understand. Because the real focus of the whole thing is the degree of damage to the posterior wall of the trachea and whether the esophagus has been ruptured. 【3】
But this does not affect the communication between the two.
"The situation was critical at the time. Mr. Laszlo had lost consciousness due to suffocation. I'm really sorry that I couldn't explain this to Miss Naya."
Now that Laszlo is basically fine, Kawi returns to his original self and apologizes to Naya. Regardless of whether his actions were right or wrong, this was necessary. He didn't want to offend the daughter of a top rich man.
Fatorad also added in time: "Mr. Kawi was also helpless. Even I was very hard to listen to these surgical methods. To explain it to you slowly at that time would be to harm your father."
Naya finally nodded: "How is he now?"
"The damage to the back wall of the trachea is not serious, and the esophagus is not damaged. We just need to adjust the angle of the tube..." Kawi carefully put the tube into Laszlo's trachea again, "and then tied it The straps are secured and you’re done.”
...
Ignatz woke up later than Laszlo.
When he lifted off the blanket, got off the comfortable mattress beneath him, stood up and stood in front of the wall clock on the wall, he realized that he had slept for three full hours. The fatigue had not subsided, and the remaining alcohol was still running around in his head. Ignatz gently pinched his forehead and walked out of the door.
"Are you awake?" Sitting outside the door was Alina. In order not to disturb Ignatz's rest, she waited outside for three hours. "How do you feel? Are you still dizzy?"
"There is one more thing, but it's okay." Ignatz just leaned next to her and asked the patient, "How is Mr. Laszlo?"
"It was pretty good," Elena said. "The housekeeper got some laudanum and fell asleep quickly."
"Oh, I didn't expect that a good dance would end like this."
Ignatz was still a little scared when he recalled what happened before: "If I had moved slower, or if I had been hesitant, or if I had failed to make a good incision, the consequences would have been disastrous. The whole thing would have definitely caused a chain reaction. ..."
"Okay, okay, it's all over."
Alina's expression was a little complicated, and she didn't know how to start this, so she had to change the topic and asked: "You have been tired all night and had such a major operation. Do you want to rest for a while?"
"No need." Ignatz shook his head, "Where are Fatolad and the others?"
"I have left. I have to deal with the questions from those dog-like reporters and the Duke."
"By the way, which room is Mr. Laszlo in?" Ignatz suddenly looked back and forth at the corridor, "Their house is really too big, where am I?"
"You are in the guest room on the second floor, and Mr. Laszlo's bedroom is on the third floor." Alina still advised, "Let me forget it, he is still resting."
"I am a surgeon, and it is my job to observe the patient's condition after surgery."
"Then why don't you eat something first? You didn't even eat breakfast, so you just drank a small glass of dry peach brandy. Don't faint again."
"Don't be ridiculous, how could you faint again after sleeping for so long?" Ignatz took his coat from behind the door and put it on himself, pulling his wife to go upstairs, "Let's go see him, and then we'll finish it Go back to the hospital, I have another surgery in the afternoon."
Alina really couldn't persuade him, so she had to follow him to the third floor.
At this time, Laszlo was completely different from before, as if he had returned to the way he was at the ball. Most of the redness and swelling on my face has subsided, there is no itching or stinging sensation, and my face shape has returned to normal.
This is what it looks like when allergies subside in time, which is a good thing. But for Ignatz, who had just knocked on the door, it was a surprising thing.
Because the artificial airway he had just put into Laszlo's trachea had been taken out, and the person standing beside the bed holding a needle and thread was not him, but his assistant Kawei. What he had to do was to sew up the incision on Laszlo's neck so that he could regain the ability to speak.
Kawei knew this was embarrassing, but there was nothing he could do about it.
I wanted to end it as soon as possible and keep Ignatz out of sight, but I didn't expect that my teacher was so dedicated and didn't wander around just after getting up. He came so quickly: "Teacher, Mr. Laszlo is too impatient. You must ask me now." Just stitch up his incision."
Listening to these words, Ignatz behaved very freely: "Well, it's okay. You are lucky that Mr. Laszlo trusts you. By the way, do you know how to suture after tracheostomy and extubation?"
"Well, my father who was working in Lombardy said that all the skin needs to be sutured."
Ignatz nodded, happy to have such an excellent assistant: "Mr. Laszlo, how do you feel now?"
"Uh-huh, uh-huh, uh-huh!"
Laszlo lay on the bed and kept making humming sounds. After Kavey completely closed the incision, he suddenly pinched Kavey's right hand: "Doctor Ignatz, your student is absolutely God's." Incarnate!"
Although Ignatz was very happy, he still couldn't laugh or cry: "Mr. Laszlo, you have such a unique vision."
"I really want to thank you, Doctor Ignatz." Laszlo said, "If you hadn't brought him to me, if it hadn't been for this 'Hand of God', I would have died long ago. "
