As long as Ignatz appears in the surgery, the seats are guaranteed to be packed. In addition to the curiosity of a large number of wealthy people, there are also groups of medical students from the medical school next door who come to observe.
They usually stay in school to learn physiology, pathology and anatomy, but have very little opportunity to actually practice. Cadavers that can be used for dissection are extremely precious and are far from being squandered. If you want to increase your knowledge of anatomy and surgery, the best way is to go to the theater to watch the operation.
Sometimes the school organizes a private tour, but more often the students have to pay for the tickets themselves.
Ignatz is a professor of anatomy and surgery at the medical school. He is usually very busy, so it is not easy to attend his class. So these students tried to buy tickets to visit, and the tickets were not expensive for them anyway.
"Teacher Ignatz, this guy is too fat."
As a senior who successfully completed all his studies with excellent grades, Berget, the second assistant, was trying hard to spread Alphonse's buttocks. Both the smell at the tip of his nose and the weight on his hands made him unbearable: "I think it's still... Choose the lithotomy position [1], it is more convenient to expose the field of vision."
"Mr. Alphonse doesn't like the lithotomy position. He has a qualm about exposing his vagina. Doctors need to consider the patient at all times, including protecting privacy, so I allowed him to use the lateral decubitus position that is only used for women to receive this surgery." Operation."
Berget looked sad: That's not what you said when you forcibly cut Laszlo's trachea.
"Everyone, hemorrhoid surgery using the lateral position is a test of the doctor's ability. I will first separate the prolapsed hemorrhoids, and then..."
Ignatz held a hemorrhoid clip in his hand. Although he was talking to the audience, his face was facing Kawi.
Since the morning, Ignatz felt that there was something strange around him, the hospital ward was strange, and the washing of his hands after an autopsy was also strange. Now I returned to the theater and calmed down to take a closer look at Kawei's preparations. I suddenly found that all these weird things were made by him.
The reason for the inpatient ward was that the windows were open for ventilation. Not only was there a breath of fresh air mixed with the scent of ointment and a light wine in the ward, but the floor also seemed much cleaner than before. It's completely counterintuitive to wash your hands after an autopsy, and I don't know where the alkaline soap came from.
And now there are even more strange places in the theater. The instrument box has the smell of flower essential oil of alkali soap, and now there is a cloth strip and long pliers in Kawei's hand.
Ignatz never made any preparations for surgery. He explained the process, and when the patient became numb, he would apply the knife, cut and sew it up. But while Kawei was talking about the operation, he wrapped a strip of cloth around the tip of a long forceps, wrapped a small ball, soaked it in brandy, and stuffed it directly into Alphonse's vagina.
In~out~, soaked with wine, in~out~, filled with wine, in~out...
The strange actions displayed in front of Ignatz and the entire audience, coupled with the particularly alluring smell of high-concentration brandy, made the scene extremely inconsistent.
The audience did not dare to talk nonsense and could only cover their mouths and discuss in a low voice.
And Ignatz, who was standing aside, was even more confused.
These were all things that Kawei discussed with him during lunch. At that time, he only said that he had this idea and hoped to use brandy before surgery to prevent postoperative wound ulceration. Ignatz was still immersed in the impact of the new technique, and felt that the opponent was short-handed, so he just hummed twice without refuting.
What does he want to do?
Did he think I agreed by default?
Do you really think alcohol can cut off the poisonous miasma in the air?
Or are those precious corpses soaked in brandy and whiskey cleaner than the living?
Ignatz didn't like to change his habits and would have scolded others if he did. But now he really likes the new technique created by Kawei. Once he accepts the deal and chooses to get something for nothing, it will be extremely difficult to give up at this time.
Forget it, I'm too lazy to care about this.
"What my assistant is doing now is preparation work before surgery." He breathed a sigh of relief and helped to explain, "Recently, he has been conducting in-depth research on surgical care in the UK and found that they overall died after surgery. The rate is 5% lower than ours. After repeated discussions with me, we decided to make some changes..."
Before he finished speaking, the sound of turning pages could be heard around the theater.
The surgical experience and new attempts of the chief professor of surgery at the medical school are rare experiences, and students should naturally take note of them carefully.
"...The main method is to use high-concentration spirits to clean and wipe the area about to be operated on repeatedly. Alphonse's operation area is a rigid door, so the cleaning method is different from other flat skin."
Ignatz didn’t even know what he was talking about, but now the students had picked up their pens and could only bite the bullet and continue: "Although the cunning British did not explain the specific reasons for doing this in their medical journals , but since the data are good for patients, I think it’s worth a try.”
"Excuse me, teacher, what kind of wine is this?"
Ignatz coughed slightly: "Brandy, a high-concentration brandy that has been distilled twice."
"Can we use whiskey instead? Or the vodka that Russians drink?"
"The difference shouldn't be big, but it needs distillation." Ignatz didn't know the principle, so he strictly followed the number of distillations Kawei randomly made, and emphasized again, "Two distillations!"
Medical students are particularly sensitive to numbers, and everyone in the audience buried their heads: "Two times... steamed... distilled..."
"Everyone, this is just a playful verification experiment. Of course, it has the prior consent of Mr. Alphonse."
Ignatz wanted to stop talking, but suddenly spotted reporter Varela in the corner and simply continued:
"Oh, by the way, one more thing. My assistant and I have started researching cleft lip surgery, trying to find a new surgical method for Mrs. Gale's child before she fully recovers. We will do both things simultaneously, once the results are available , we will announce it as soon as possible."
His tone was sonorous and powerful, his expression full of confidence, and he was immediately greeted with bursts of applause.
"Start the operation!"
Hemorrhoids are a nasty thing that slowly tortures your body and eats away at your patience. Such a growth that grows on the daily excretion channel will cause headaches whether it is cut or not, and this headache was especially serious before the 19th century. 【2】
The conservative treatment of hemorrhoids by applying plasters has always been the mainstream treatment. Many ordinary people who have broken the pot will also choose powerful laxatives, thinking that they can get rid of these things through violent excretion.
Until now, with the advent of anesthesia and relatively reliable suturing and hemostasis technology in surgery, doctors have begun to become interested in this piece of "meat" again.
In fact, Kawei was also quite interested.
Because Ignatz said before that he had studied the "external peeling and internal ligation" method that has been widely advocated in the surgical community recently, Kawei thought it would be similar to the classic hemorrhoid peeling and internal ligation [3]. After all, the operation is not difficult. No special equipment is needed, and hemorrhoids can be cut in the 19th century as long as the techniques are in place.
But Ignatz's operation was too rough, and the result made Kawei very disappointed.
The hemorrhoid clip used by this surgical master can be used to block the blood flow of the varicose veins, making it easier to cut off the hemorrhoids in one go. But before cutting, there was no distal ligation or dissection. Although it looks refreshing to cut off a large hemorrhoid mass at one time, it is not so simple to deal with the remaining tissue.
Insecure sutures, bleeding, and broken threads are common occurrences.
The most troublesome thing was that when Ignatz was separating the hemorrhoids, he was too quick and almost cut the sphincter and the branches of the superior rectal artery with several knives. Fortunately, Kawei was nearby and used his hands and crow's beak pliers to pull it in time, and then managed to avoid it.
Cutting off the arterial branches was easy to say, it just caused more blood. With their ligation skills, it was not difficult to stop the bleeding.
But if the inner sphincter is cut, it can heal itself if it is minor. If it is serious... Kawei is determined to do suture repair, but he does not have a delicate needle and thread in his hand, and it is quite difficult to find an excuse. trouble. By then, the lovely Chef Alphonse will probably spend the rest of his life incontinent. 【4】
If it had been anyone else, Ignatz would have cut it as he pleased.
But after all, it was Alphons who gave him free rabbit heads, and Kawei still didn't want to see him miserable with his pants stained with shit in his later years.
"What's wrong with you?" Bergt, who was licking his butt and having nothing to do, could see Kawei's exhaustion.
"Oh, I'm just a little tired." Kawei wiped the sweat from his forehead.
"You're not strong enough. You've only had two surgeries and this is it." Berget seized a rare opportunity, looked at Ignatz cautiously, and asked tentatively, "Do you want to change your hand?"
To be honest, Kawei wanted to change, but there was no way, Alphonse had too many hemorrhoids. I left my assistant position, what if I cut my sphincter.
"It's okay, I can still hold on."
"...I think you should change it. Berget hasn't been on the operating table for a long time." Suddenly, Ignatz, who had always insisted on letting Kavi be his assistant, said, "Hurry up and finish the operation. Then let’s go see the Count together.”
So that's it.
Facing Berget's uncle and his difficult mother Elena, Ignatz could only compromise. After being indifferent to Berget for several days, he had to give others some face.
Kawei looked at Ignatz's eyes and thought of the deal he had just made. It was all about interests and worldliness. He quickly handed over the crow's beak pliers in his hand and gave his seat to Berget beside him: I'm sorry, Mr. Chef, I wish you good luck.
It is a thankless job in the first place. Since others are willing to do it, then I should just stay aside and rest.
Kavey walked to the sidelines, wiped his hands, and simply gave up all the space around the operation, giving Sarson and Mellen a chance.
Hemorrhoids are inherently small, so it is definitely better to be able to see the surgical process up close. The three of them were very happy to finally get back on the operating table. Even if they just helped to expose their vision, it was better than doing nothing and standing in the distance and watching.
However, the biggest headache in the audience turned out to be Ignatz.
He calculated that his operation would be more difficult after Berget came on stage, so he specially asked him to watch the whole process clearly, and only let him be replaced when there was only the last hemorrhoid left.
But the reality was much crueler than imagined. The crow's beak pliers, which were so dexterous just now, instantly became a headless fly. Not only was he unable to predict Ignatz's steps, but he always walked in front of him, and he often blocked his vision.
The field of vision is the key to a smooth operation, and it is also the key to the surgeon's concentration.
There won't be much of a problem if you don't help, but blocking the field of view is completely disruptive. No matter how good-tempered the surgeon is, he can't stand this kind of surgical environment: "Clamp there, go further in, yes, pull away! I Let you pull away!! Pull here!!!"
Berget was in a very embarrassed state. The crow's beak forceps he controlled were constantly being driven away by Ignatz's scalpel.
Ignatz was even more embarrassed. He seemed to have broken a blood vessel because of his impatience.
"Teacher, here comes the needle and thread~"
...
At five o'clock in the afternoon, Ignatz, Kavi and Berget left the theater.
Towards the end of the surgery, the quality dropped off a cliff. The peeling and cutting of the last hemorrhoid mass was done very reluctantly, and Ignatz could only excuse it with reasons such as "tissue adhesion," "hemorrhoids are thick," and "Alphonse is too fat."
Although the cause was that the crow's beak pliers in Bergt's hand got lost, the direct cause was his own failure to control his temper.
When everything was settled, the three people who got on the carriage looked at the scenery from the same window, but they were thinking about three completely different things.
Ignatz needs to reflect, not just on his innovative cleft lip repair surgery, but also on his reliance on Carvey.
Since replacing Kawei as his assistant, the operation has become smoother and faster, with almost no problems. Is it because the technology has improved recently, or is it because of good luck as Laszlo said, or is it because Kawi is really a surgical genius?
Have you really stayed in your comfort zone for too long?
Berget had already finished reflecting and figured it out.
After this operation, he has clearly seen his gap and corrected his position. Instead of forcing yourself to compete with Kawei with the aura of nobility, it is better to put down the burden and communicate more about surgeries and learn more techniques.
Maybe visiting your uncle together would be an opportunity to get closer between the two of you. How about having a good chat with him after dinner?
Kawei had more to think about.
A series of changes he has made to the ward, preoperative preparation, and postoperative care are taking effect, and Ignatz is accepting these changes step by step. All you need to do is wait for the data results slowly. Scientific data will not lie.
The second is the housing issue.
After this transaction, Kawei further discovered that Ignatz would be an important mouthpiece. In the same sentence, coming out from oneself and coming out from his mouth have completely two effects, just like the crow's beak pliers before and after the change of ownership.
Coupled with his personal connections, it would definitely be better to stay at the Municipal General Hospital with peace of mind than to go elsewhere. And he really doesn't like Mick's way of doing things, let alone doing secret intelligence work. He is not this material at all.
Kavi needs some leverage to keep himself out of Mick's control.
In fact, he already has a baron and a wealthy businessman by his side. Recently, he has been on the headlines of the evening newspaper and has become a public figure. To kill a public figure inexplicably, Mick must have weighed his weight.
Of course, Kawei would not be naive enough to think that these are enough. The interpersonal relationship has just begun and is not hard enough yet. There is still room for full expansion. As long as there are enough people standing behind him, Mick will be afraid of him.
He looked at the 3/4-empty bottle of wine in his hand and realized that Count Mora Lock's rotten groin would be a good opportunity.
