Ignatz used a traditional light guide instrument (Lichtleiter) [1].
It is much more complicated than simple rhinoscopes and otoscopes [2]. It penetrates into a relatively long, narrow and hidden position in the body, and the distance is deeper. It can be regarded as the originator of all endoscopes today.
What was a very high-end thing in the 19th century [3] was just a toy in Kawei's eyes. It was more useful than a simple anal dilator, but its usage was very complicated. The most important issue is the light source, which requires built-in candles or small kerosene lamps to provide light, and the light is guided into the cavity through the refraction of mirrors.
The second is the material. The metal piece is too hard. In order to see clearly, the cavity needs to be enlarged as much as possible, which makes the patient very painful.
"Mr. Alphonse, please be patient." Ignatz opened the dilator's regulating valve to the maximum and looked at the bleeding hemorrhoids without any worry. "The examination is already very painful. Think about it ten years ago. In the days before ether, this examination was like being bitten by a leech."
"Are you kidding, leeches don't bite your butt!" This was the first time Alphonse used this method, and he really couldn't stand it. "This... um... can it be faster?"
"No, the height of the candle is not adjusted properly, so I can't see clearly." Ignatz still wanted to use a kerosene lamp, but there was no matching lamp in the whole instrument, and the specifications in the ward were too large. "Wait until I find a long one." A little candle."
"....?.."
"Unscrew the top cover and put the longer candle in." Ignatz habitually explained his operation steps, "Then cover the top cover, stick it in again, hold it open, and lock the valve switch. .”
"Hiss... um... Why do you surgeons have such strong hands? Wow~ Baron, please be gentle!!"
"The sword wound did not penetrate the anal canal." Ignatz withdrew the anal dilator and finally made a diagnosis, "But your hemorrhoids need to be treated well."
"Does surgery have to be done?"
"Well, surgery is necessary." Ignatz explained. "I will use a modified hemorrhoidal stripping and excision to remove all these bulges. By then, you will feel refreshed and there will be no more swelling and pain. and symptoms of recurrent bleeding, bowel movements will be very smooth.”
Alphonse comes from France, where surgery is at its peak, and anesthesia is available, so he doesn't have much resistance to surgical treatment. The only thing he is worried about now is the duel with the dwarf Li Benma, and the reports of last night in today's Vienna Daily and the Daily Morning News.
"Kavi, have you bought the newspaper?"
Kawei yawned and took out the newspaper he just bought from behind: "Look, it's all written in the content..." This rare street duel came to an end soon. It's a pity that The honor of the upright Chef Alphonse is still not respected by the other party, and it is not over yet...'."
"Well, what then? That's all?"
"Well..." Kawei flipped it up and down, shook his head, "No more."
"Where is the letter I gave them? Are you sure it was really delivered?" [4]
"I arrived at the newspaper office after 2 o'clock in the morning and personally delivered your handwritten letter to the reporters, and reiterated your position and decision." Kawei recalled, "The editor is not here, so he probably hasn't read it yet. .”
The report on Alphonse was quite lengthy. Although it did not appear on the front page, it also appeared on the back page. By the way, the menu he tried out last night was also brought out.
However, the reporter who wrote this report did not grasp the real focus, and spent a lot of ink describing the verbal battle between the two. When it came to a duel, they went through the motions hastily, and the final result was nothing.
Neither his letter nor his subsequent plans to continue the duel were included in the report.
"What kind of people does the daily newspaper support? Can they write articles?" Alphonse was furious. "When they wrote like this, wasn't it just two boring men who didn't like each other and had a fight? It doesn’t reflect the central idea of why I want to duel at all.”
Suddenly, Ignatz, who was arranging the equipment at the side, interrupted: "Mr. Alphonse, now is not the era where things can be solved with a wave of a sword."
"But the law cannot punish slanderers. The duel at least gave me a chance to fight back."
"That's the truth, but there are risks in dueling."
Ignatz didn’t have as many concerns as Kawei, and he spoke bluntly: “Now our average life expectancy has increased from 37 years ago to 42 years ago. Our understanding of the human body in the past ten years has been better than that in the previous three hundred years. You have to learn more. Medicine is protecting everyone’s lives. It would be a waste to use it casually for duels.”
Alphonse glanced at the newspaper and sighed: "What a bad luck!"
Ignatz patted him on the shoulder and comforted him: "Don't think so much, just relax and recuperate during the surgery. I will send someone to notify the restaurant."
...
After coordination, Alphonse's surgery was scheduled for the afternoon.
This morning was a patient with a cleft lip. The repair surgery itself was not difficult, but the difficulty was that he was born in the 19th century. Although there is a relatively mature surgical method for cleft lip repair surgery in this era, the understanding of skin and lip repair is not enough. The lack of disinfection also makes the wound healing difficult, and the plastic surgery effect is not good.
But fortunately, Ignatz is very confident in his skills, and after Laszlo's tracheotomy yesterday morning, he has full trust in Kavi, and he feels similar to Herman now.
"I left in a hurry yesterday and didn't have time to thank you."
"Thank me?"
"At least you saved the reputation of me and the hospital. You can't imagine what Austria will look like after Mr. Laszlo's death." Ignaz was able to face this setback calmly, and the topic returned to the professional field. , "By the way, I didn't have time to ask you at Mr. Laszlo's house that day."
"Teacher, please speak."
Ignatz put on his favorite red and black dress, stood in front of the mirror and asked: "After I fainted, how did you find that Laszlo was still suffocating?"
"The chest is not rising, and then there is no air flow at the catheter port." Kawei suddenly felt that this answer was not appropriate, so he simply added, "My father has taught me since I was a child that I must check the patient's condition after surgery. , you can’t just finish it and walk away.”
"That's right..." Ignatz slowly buttoned himself up and pointed out his shortcomings, "If I hadn't been drinking, I would never have made such a mistake. If I told him, I would definitely be laughed at. Big teeth.”
"Teacher, you are worrying too much. This is a very difficult operation in Europe." Kawei didn't dare to admit how successful he was, let alone mention it. He could only let the topic revolve around him, "Are you drinking? Even if you stay up late, you still dare to do this kind of surgery, which has slapped many people in the face. If anyone still dares to laugh at you, I'm afraid they are either stupid or stupid..."
Ignatz nodded, but what he looked at was the daily newspaper on the table, which was dated yesterday.
"...As for the things in newspapers, just read them for fun." Kawei followed his gaze and moved the topic to the media, "They just want to increase sales, Mr. Alphonse's The same is true for the duel, I guess they will write the following process as a novel."
"Forget it, don't think about it, bring me my hat." Ignatz took care of his clothes, took the hat from Kawei, and suddenly asked, "By the way, are you in Lombard?" Have you ever seen cleft lip surgery when you were in the first year?"
Kawei is an emergency physician and cannot perform plastic surgery, but he has seen it.
Because emergency maxillofacial trauma is not uncommon, once the critical period is over, plastic surgery will come into play. A person like him who almost sleeps in the operating room will visit the house when he is bored when he has free time. Naturally, he will not let go of plastic surgery.
However, modern surgery is a different concept from the past. Ignatz did not draw a picture of cleft lip repair in that atlas of anatomy and surgery.
Since he didn't see the repair artwork or the equipment used, Kawei didn't dare to say anything: "I haven't seen it very often."
"Oh? Your father doesn't do this kind of surgery?"
"Well, I've basically never seen him do it. Maybe I think it's unnecessary." Kawei sighed, "After all, a simple cleft lip won't kill anyone, but the wounds after surgery may be."
"There is some truth to this, but I personally don't agree with it. Face is a person's appearance. If you can't show others the most perfect posture while alive, it's better to die."
Ignatz straightened his bow tie, then gently smoothed the small pleats on his dress: "Are you interested in taking a look? I'd like to show you how cleft lip repair is done in Austria. Many of my surgeries have been recorded in The surgical textbook of Vienna University is quite authoritative.”
Kawei was already curious, and even if he said so, there was no way he could refuse.
Unexpectedly, as soon as she nodded, Alina knocked on the office door.
The same place, the same three people, made Ignatz think of the quarrel between the couple the morning before yesterday. Later, through the dance and Laszlo's throat, the two resolved their conflicts last night.
"I'm going to the theater. If anything happens, wait until I get back."
Alina suddenly walked up to Kawei: "It's up to you, I'm looking for Kawei."
"Why are you looking for him?"
"I am the director of the human resources department, so I naturally have things to do when looking for employees."
"Herman is in class. Hills has his own amputation surgery in the morning. He has to go to the theater to help me." Ignatz didn't want to let him go. "We will look for you when the operation is over. Don't worry, it won't happen. It’s too late, I’ll definitely arrive before lunch.”
"No." Alina shook her head, "Actually, the dean is looking for him, I just sent a message."
Ignatz felt strange: "The dean is looking for him? What are you doing?"
"how could I know."
"No!" Ignatz insisted, "Without Herman and Hills, I only have Kavi as my assistant. If you take him away now, you may not let me carry those three students to the surgery." Taiwan? When the time comes, will I have my cleft lip stitched, or will I commit murder?"
After hearing this ridiculous statement, Alina didn't have the same attack as last time.
She lifted up her skirt, walked slowly to her husband, helped him straighten his cuffs and hat, then stepped forward and warned in a very low voice:
"I don't want to quarrel with you because Kawi is in the office. Don't think that Laszlo is the only one giving money to the whole hospital, and you can yell at other investors just because you save him. My father, Viscount Clichy They have invested money in the hospital, you can’t say that about me, and you can’t say that about his son!”
Ignatz knew that he had accidentally stepped on another thunder, so he could only shut up.
It's true that he has a venomous tongue again. Berget also helped a lot yesterday, so it's inappropriate to say that. And he didn't want the newly repaired relationship between husband and wife to fall apart after only two days, so he could only clear his throat and said to Kawei: "Forget it, just go with her."
"Um."
"If it's past 9 o'clock and I haven't let you go, then you don't have to come." Ignatz knew the time of his operation very well, picked up the surgical tool box and came to Kawei, "Remember to cry when you see the director, After all, they are people who have helped with two major surgeries, and they are all respectable people. It is too stingy to pay them only 7 crowns a month."
After saying that, he opened the door and left the office.
Although Ignatz was at a disadvantage during the whole process and had a hard time going home for the past two days, the suggestion about a salary increase when he finally left made some sense.
Carvey is no longer an ordinary assistant. Putting aside the influence of Morazo and Laszlo, just being on the headlines of the evening newspaper has already raised his worth. After all, surgery in this era still has half of the attributes of an entertainer. If you want to sell tickets well, technology is very important, and traffic is also very important.
"Don't worry, the monthly salary has been adjusted. It will be set at 30 crowns a month, the same as Berget and others. And this is just the basic income. If you can go to the theater for surgery, you can also get 1% of the ticket price."
Alina took Kavi on the way to the dean's office: "Don't think it's less, your teacher only gets 10%, the hospital can get 30%, because the hospital usually spends money on Ignatz Quite a few.”
"What about the rest?"
“The rest belongs to the theater.”
Kawei nodded while doing some math in his mind.
Based on Morasso's surgery, 50 people could enter the theater, and the ticket price for one surgery would be 5,000 kronor. The 1% commission means that as long as he participates in one operation, he will receive 50 crowns.
Of course, with higher incomes, taxes will also rise, but at least I am much more comfortable than before.
Kawei didn't show too many expressions, and was more thinking about the next experimental plan. After all, the amount of money is directly linked to the content of the experiment.
But Alina beside her was thinking about another question: "Where do you live now?"
"Still the same, living in Basinger Street."
"Didn't you say you were going to quit the rent and move to the hospital? Why are you still living there?"
"Oh, there was a small change in the middle. I'm afraid we can't move." Kawei couldn't explain clearly, but just replied casually, "Anyway, now that the income is guaranteed, there is no problem in going back and forth by carriage."
"So that's it." Suddenly Alina stopped and asked, "Do you want to make more money?"
