The manor of Count Morasso's family is in the suburbs. Although it is not so glorious, it was purchased by the king himself after returning from the war.
Different from the atmosphere at Laszlo's dance two days ago, the atmosphere here was more peaceful and slightly depressing. Servants and butlers are very polite when dealing with guests, but their smiles are shallow and their voices, words and gestures in hospitality are very restrained.
As long as you pay a little attention, you can see something unusual in their words and deeds, as if something big is about to happen.
"Lord Baron, I'm so sorry." The butler bowed slightly and apologized, "Today is an important day for the master. Please wait in the living room for a while. I will see you before dinner."
A trace of gloom flashed across Ignatz's face, and he quickly asked: "Is he feeling unwell?"
"It's not bad. I had half a steak, a bowl of vegetable soup, and two bites of cake for lunch." The butler smiled, "Actually, I found someone to paint a portrait for him. He has been thinking about it for a long time. Today Finally I got the chance and invited Mr. Hans over."
"Oh, it's okay, I'll just sit here and wait."
The housekeeper welcomed him to the sofa, and then said to Berget behind him: "Master Berget, if you want to see me, I can do it for you..."
"No, I just need to accompany the teacher." Berget followed and walked over. "Anyway, Mr. Hans doesn't want anyone else to be around when he's painting. He'll kick him out if he does."
The butler nodded: "Excuse me, you three. The tea will be here soon, so I won't disturb you."
"Um, I'm sorry." Seeing that he was about to leave, Kawei said quickly, "Where is the kitchen?"
The butler didn't understand what he meant for a moment: "If this gentleman is hungry, we will bring you cakes later."
"Oh, no, I'm not hungry, you misunderstood." Kawei explained, "I just need to use the kitchen and laundry room to prepare some necessary things for the count's wounds."
"So that's it..."
The butler seemed to understand what he meant, but his feet did not move from their original place. He turned sideways and looked at Ignatz on the sofa. It wasn't until the baron nodded that he turned around and led Kawei the way: "Sir, please come this way."
...
The living room is much smaller than the one in Laszlo's house, and the furniture and decoration are not gorgeous. In fact, even if you hire the best architectural decorator in Austria and spend tens of thousands of crowns, it will be difficult to steal the attention of the guests in front of the two portraits on the wall.
One is of the late old king, the other is of Morasso in his youth.
The earl was wearing a uniform with a saber and three military medals on his chest. He was much more energetic than he was now lying in bed sick.
"It's been a long time since I had a sword duel with my uncle." Berget stood in front of the portrait, recalling the time he received swordsmanship instruction as a child. "I don't know if he can survive it..."
As a good friend, Ignatz has already made mental preparations: "Today we need to clean up the carrion outside, and then use Kawei's wine. If we still can't do it, there is nothing we can do."
"Teacher, is the half bottle of brandy in Kawei's hand really useful?"
"I don't know either."
Ignatz sighed, but quickly explained: "He only said that the nursing process was clearly written in the New England Journal. I don't think a dignified medical journal would make fun of the patient. After all, the medical treatment in the Crimean War The data is still very clear. The mortality rate of wounded soldiers in the British army dropped very significantly in the later stages of the war, and it was even reported in China."
"Cut off the carrion, debridement with alcohol, and then cover it with ointment and dressing..." Berget suddenly asked, "Everything is here, why is he going to the kitchen?"
"I heard that fabric bandages also need to be steamed and processed at high temperatures before they can be used."
"Steam? That's too much to ask for!"
Of course, Ignatz thought it was too much. He remembered that Kawei only mentioned oil and ointment at first, and then came up with high-concentration alcohol. Later, he discovered that not only the patient's skin, but also his own instruments had been cleaned by Kawei.
I thought this was complicated enough, but who knew that now even daily cleaned fabric bandages need to be processed at high temperatures.
Why do you need so many steps? Can these really relieve the wound ulcer?
Ignatz's doubts were quickly interrupted by Bergt. It was rare for him to spend time with the teacher. He wanted to ask about something about surgery. Ignatz was not in the mood, but he couldn't resist Berget's interest, so he could only review all the previous surgeries.
Half an hour later, Kawei entered the living room with a paper bag. Just as a sound came from upstairs, the three of them went upstairs accompanied by the housekeeper.
The last time Kawei saw this painter was at the entrance of Alphonse's restaurant. He had no chance to get to know him. The atmosphere of this meeting was too depressing, so he just nodded and ignored it.
"My lord, I wish you a speedy recovery."
Hans smiled and packed up his drawing board and brushes, put on his hat and clothes. Before leaving, he did not forget to whisper a few words to Berget: "There is a game tonight, do you want to go?"
"what match?"
Hans waved his fist slightly: "I have a ticket."
Although Berget faced the bloody operating table every day, he couldn't stand this kind of exercise. He always felt as if someone was tugging at him: "It's better not to go to that kind of place."
"What are you afraid of? I also called Sarson and Meren. It would be boring to miss you." Hans said, "Yesterday the opera failed to find inspiration, and the French food was ruined again. You have to agree to this matter no matter what. .”
Berget struggled for a while before nodding: "Okay."
"Then I'll wait for you downstairs."
While the two were still discussing at the door, Ignatz had already taken the first step to help remove the bandage on Morazo's groin.
It has been almost a week since the hernia surgery. If it was sutured normally, the wound should be almost healed. Considering that Ignatz opened it up in the end, if he took good care of it, there should be a layer of fresh granulation. The cloth strip was stained with a light red color mixed with tissue fluid.
But now what Kavi sees is yellowish brown.
Staphylococcus aureus?
It doesn't look like much.
Kawei stepped forward and took a sniff. He could smell the obvious smell of feces. It should be Escherichia coli, a frequent visitor to general surgery, which touched the wound during the anastomosis of the small intestine. 【1】
Anyway, no matter what kind of bacteria it is, brandy is used in the end. I just hope that the alcohol concentration is enough to sterilize it.
"How are you feeling today?" Ignatz's face was calm, and there was even a smile on his lips. "The housekeeper said you have a good appetite."
"It's not bad." Morazo looked at the wound and sighed, "It's just that this wound hurts a lot. Isn't the situation not good?"
"You are in such good health that there will be no problem." Ignatz threw all the bandages on the ground and took out the scissors and scalpel from the box: "But if you want to get better quickly, you still have to endure it. Just bear with it, you know.”
"Understand......"
Berget stepped forward and helped put on the blood-isolating towel, then picked up a corner of the quilt and handed it to his uncle. Morazo bit the quilt, pinched both sides of the pillow with both hands, took a deep breath, and shouted in a low voice: "Come on!"
Debridement, as the name suggests, is to make the wound clean.
First of all, the scab on some wounds must not be left behind, and secondly, there is yellowish-white rot around it. They are attached to the fresh granulation, and Ignatz sometimes needs to cut them off together if he wants to clean them.
This is a hard cut. 【2】
The whole process lasted 8 minutes. Even Morasso, who had been fighting on the battlefield for many years, could not bear the pain for a while. His back and hair were already soaked as soon as he started. However, as an imperial soldier, he would never cry out in pain. Even if he accidentally groaned, it would be a shame.
"Okay... okay?"
"Yes." Ignatz put away the knife and scissors and breathed a sigh of relief, "I'm fine here."
Morasso thought he was dizzy from pain and didn't hear clearly, so he asked again: "Huh? What...what do you mean?"
"After the debridement is completed, we have the next step." Ignatz let Kawei pass, "This...well, I'm afraid you don't know this guy. He was from the original surgery." assistant."
"Assistant? Isn't the assistant Dr. Hills?"
"Oh, this is a long story."
Ignatz glanced at Berget, who could only tell what his mother and he had done: "It's quite embarrassing anyway."
"Then what?" Morasso slowly came over.
"The next step is his job." Ignatz is still a layman in nursing, and he is in front of his old friend, so he really doesn't dare to do it himself. "He has some experience in wound care. There is a patient in the ward with a big leg." He healed all the boys with wounds."
Morazo just looked at Kavi and nodded, still not getting the answer he wanted: "So, what are you going to do to my wounds next?"
"With wine, Your Majesty."
Kawei smiled and took out the small half bottle of brandy: "I don't know what your taste is, so I can only make do with this cheap bottle today. If the effect is good, within one to two weeks, I will I’ll help you change into something better.”
"Buy me a drink?"
"No, buy it a drink."
Kawei uses a more rough debridement method, which is generally used to treat large-scale trauma, such as burns and degloving injuries. But compared to modern times, Ignatz's suitcase was still a lot shyer. There was no thing like a brush [3]. In the end, Kawei could only choose a coarse sponge that was usually used to absorb blood.
The three people around him, including Morasso himself, could not comment on the scene. They only remembered that the process was very fast and lasted about four minutes. 【4】
"That's almost it." Kawei looked at the base surface of the wound covered with bleeding points and said, "Next, we still need to use some clean cloths, such as the ones I just brought from the kitchen."
He opened the paper bag, took out a clean handkerchief with alcohol-moistened hands, folded it into a square, and carefully covered the wound: "Then there is the fixation of the cloth..."
Wound care is the basis of surgery. After the debridement, Ignaz and Morasso made a new appointment: "After this time, the next time will be the morning of the day after tomorrow."
"Okay, it's morning."
"As long as the wound is fine, I won't come." Ignatz said, "He found the things, and he learned the methods first. Experiments... he still has to do these things. Just finish it.”
Fortunately, with the YPian tincture, the pain did not subside quickly. Morazo did not hear clearly what he missed just now: "Let's go after dinner."
"No, I still have something to do." Ignatz declined, "There is still something to do in the hospital."
Seeing this, Kawei remembered what happened to Alina and said, "I'll go back with you. I'll be fine tonight."
"No, it's nothing serious."
Not a big deal?
Kawei was a little concerned and tentatively said: "Last time you said you needed helpers to dissect the corpse. I am completely qualified."
"Those two corpses have been almost used." Ignatz still insisted, "I will go back to the hospital to write down the records of today's surgery and wound care, and then go home. Are you still going to my house for dinner?"
Kavi mouthed "Oh, that's right...".
But the doubts in my heart deepened.
Is this really the case?
Berget on the other side had no intention of staying. Seeing that Kawei was still pestering the teacher, he immediately helped: "Mr. Hans is waiting for me downstairs. He and I are going to go out for dinner. How about you come too?"
"I?"
"Yes." Beget was in a good mood. "The working time has passed. Next is the time to relax and have fun. Don't keep thinking about surgery. Besides, young people have to be with young people, and teachers have to Going home."
Kawei was a little embarrassed.
It is no problem for him to establish a relationship with these nobles and celebrities. Relationship is an exchange of interests, as long as he gives the other party what he needs. But it really goes against his usual living habits to get involved with Berget.
"Forget it, I don't have that much money."
Kawei made an excuse and wanted to leave, but Beget quickly answered: "It's okay, I will bother you to come over and help. Treating guests to a meal is nothing, it's normal."
"But......"
"Stop it!"
Berget was much taller than Kawei. He hooked his shoulder, opened the door and walked out: "Mr. Hans! I found another friend for you!"
Hans was sitting downstairs drinking tea and reading the newspaper. Suddenly he heard a shout and looked up: "Mr. Kawei? By chance, I also want to talk to you about last night's duel."
"Duel? The duel is over, right?"
"It's over? But that's not what the newspaper says!" Hans stood up and handed over the newspaper at hand. "If Mr. Alphonse doesn't pursue it anymore, then the Vienna Evening News is lying!" [5]
Kawei looked at the few sentences placed in the corner of the front page and frowned: "They didn't lie."
"Mr. Carvey, is this letter really from you?"
"Alphonse was pressing hard at that time, and I couldn't help it."
"Can you persuade him?"
Kawei actually didn't want to dissuade him, because if there was a duel, there would be trauma. If he could move once like he did last night, he could move a second time, which would be his income. So when faced with this problem, he could only shrug his shoulders and spread his hands, saying, "He is just stubborn and cannot be persuaded."
"This is troublesome!"
"What's wrong?"
"Mr. Li Ben is missing."
Kawei didn't know the stakes involved: "Isn't it nice to be gone? It avoids a fearless fight."
"No, Kavi, you don't understand dueling." Berget suddenly interjected, "If the original duelist insists on not appearing, then his assistant should bear his honor and accept the duel."
