There is a lot of soft tissue accumulated in the groin, which is also an important node for leg activities and can easily become a nutrient for bacteria. Even in modern times, hernia surgeries often encounter wound infections that are difficult to heal.
Morazo's groin was a large exposed wound, and his intestines were severed during the operation, so serious infection was inevitable. Careful debridement is required during treatment, and there are also certain requirements for subsequent disinfection.
Without alcohol, it would be difficult for Kawei to guarantee that the wound would heal.
But Laszlo's throat was less troublesome.
There was only a thin incision of about 2cm, and the suturing was done by Kawei himself, so the possibility of infection was much lower than that of Moraso. So Kawei did not rush to get alcohol yesterday, but chose to check the situation first today.
"Mr. Laszlo, the wound looks fine." Kawi took the clean gauze handed over by the housekeeper, folded it into a small square and pressed it on the wound. "I think the stitches will be removed in a few days."
"Really?"
Laszlo originally wanted to touch this place out of habit to see what it felt like, but suddenly he remembered Kavi's warning just now and stopped immediately: "Don't touch it without washing your hands. You must not touch it. If you touch it, you will be in trouble with Maura." Just like Lord Earl So."
"Habits like hand-washing have to be developed slowly, and it does feel a little awkward at first."
Kawei smiled and sorted out his things, and said to the housekeeper beside him: "The bandages should be washed, dried, and kept dry according to my request that day. Wait for them to be steamed before I come next time before they can be used."
"Okay, Mr. Carvey."
Laszlo was in a good mood. He stood up and looked in the mirror twice, and suddenly asked: "By the way, I heard that you went to see the count yesterday. How is his health now?"
"Count Morasso? The wound is quite serious and has suppurated." Kawei said, "The teacher and I did a thorough debridement and we'll see what happens tomorrow morning. If it can heal this time, it shouldn't be a big problem. .”
"Isn't it a big problem?" Laszlo buttoned up his shirt, "I heard from others that he is almost dying."
"It's probably because the rumors are untrue."
"Why do I feel that the newspaper reporter is making nonsense again? I was the same one that day. They are all people who are worried about the world being in chaos. I still hope that the earl can recover as soon as possible. The empire still needs him." Laszlo put on his coat and pulled up a chair. Come here, "Sit down, we have to have a nice chat."
Still chatting?
"Mr. Laszlo, I still have a lot of things to do in the hospital..."
Kavi wanted to leave, but Laszlo didn't give him a chance: "Just chat for a while, and after lunch, I'll ask the driver to take you back."
It was difficult to refuse the hospitality of others, so Kawei could only sit down.
"Listen to Naya, you rejected my invitation."
"It's true that I'm not good at studying, and I'm afraid I won't be able to do this job well when I come here." Kawei had already made preparations, and said modestly with a smile, "I still hope to learn more from Teacher Ignatz."
Laszlo did not expose him, but just sighed repeatedly: "I am now 38 years old. I want money and connections, so I want to live for two more years and contribute to the empire. Of course, I will not force others to do anything. , it’s really unreasonable to lock you in this manor.”
"Mr. Seraslo can be considerate."
"So I bought you an apartment in a residential area next to my manor." Laszlo smiled and took a key from the table. "The furniture is all there, and the decoration is not bad according to the housekeeper. If you are willing , you can live in it at any time.”
Kavi:? ? ?
"It's given to you. The title deed is right here."
With short hands, Kawei looked at the land deed and already guessed his request: "If something happens to Mr. Laszlo, do I have to report to you as soon as possible?"
"Huh? Aren't you unwilling?"
Kawei was stunned: "Is it another request?"
"Requests? Why do we have to make demands when delivering things?" Laszlo wanted to laugh, laughing at the shabbiness of Cavita, but considering that his throat was not good, he forced it back. "I don't force others to make things difficult, and I don't have any demands. I just listen. He said you had no place to live, so I bought it for you as a reward."
To be honest, Kawei really didn't expect to receive such a big gift.
It’s just a simple tracheotomy. A traditional tracheotomy in modern times only costs a few hundred yuan. If percutaneous tracheostomy is used [1], the price is only four digits, which is nothing more than the cost of the equipment, and the operation is not difficult.
Now the room will be delivered directly. Kawei has never seen this operation before.
"By the way, where is Mr. Ignatz?" He still maintained the modest attitude expected of an assistant, "In fact, he did more than half of the entire operation. If he hadn't fainted in the end, I wouldn't have had the chance."
"Don't worry, your teacher has one too. He was originally planning to give him an apartment, which would be closer to the hospital. But he seemed to like corpses more, so I helped him a little. Don't worry, it's just an apartment. As far as my life is concerned, it is nothing."
Laszlo gave him a few words and asked, "By the way, do you have any other requests?"
"How dare I ask for anything...it's just..."
"But what?"
Kawei suddenly thought of the oxytocin that he has been tinkering with these days. He always felt that he would definitely suffer a loss if he did it as a person who did not understand business. He might as well leave this kind of thing to a professional businessman.
However, the tradition of small workshops was still retained in the mid-19th century, and the fledgling industrial production did not cover the apothecary industry that had been practiced for thousands of years. The vast majority of medicines are still in the era of single-handed operation, and they have no idea about the sales and wholesale of medicines.
There are few decent pharmaceutical companies in the world, so Kawei had some bold ideas: "I heard that my husband often invests. I wonder if he is interested in investing in pharmaceutical companies."
Laszlo's business territory spanned Europe, but he had little involvement in "medicine".
"Pharmaceutical factory? Can such a factory make money?" After entering Laszlo's field, his attitude immediately changed. "A pharmaceutical factory is not a hospital. I can't invest with a charitable mood. Since I have invested money, There must be a profit.”
"Revenue depends solely on the efficacy of the drug." Kawei explained, "The efficacy depends on the results of drug experiments and the reaction of the medical community after the results are released. As long as the validity of the results is ensured, after obtaining the patent, it can provide benefits to pharmaceutical companies. Bring a steady stream of income.”
After hearing this, Laszlo nodded slightly and had a new orientation towards the young man in front of him.
Kawei may not only be a surgical assistant with outstanding talents, but also have some business minds. It's just that Laszlo is not very interested in medicine, and his reason is very simple: "Did you just talk about patents?"
"Yes, patent, as long as the new drug is patented..."
"Mr. Kawi." Laszlo interrupted him, "I'm not questioning your professional ability, it's just that the land you are standing on has not promulgated the Patent Law." [2]
Kawei really didn't think of this, because it is common knowledge in modern times: "No patent law?"
"I'm pretty sure no."
"In this case, once I publish the drug formula, all Austrians can make it themselves?"
"That's not the case." Laszlo said, "I remember that both Austria and Hungary have relevant patent systems. You can apply for a patent to protect your rights and interests, and it can be considered legally protected."
Kavi:? ? ?
He didn't understand what the other party meant by going around in such a big circle, so he could only continue with doubts: "As long as you have a new drug patent and the production and production line is in place, your income will never be less."
Laszlo did not answer, but spent the next half hour telling him a story from the United States on the other side of the ocean.
Twenty years ago, such a drug was discovered that could be used to treat patients. The discoverer, like Carvey, was an assistant in a surgical clinic.
In order to prove that the drug is practical, he went to Harvard Medical School to study medical skills and pharmacology with his tutor, and finally found the possibility of using the drug. In a subsequent live demonstration, the discoverers demonstrated the drug's actual effects to an audience, with great success.
Everyone believed in the efficacy of the drug, but many accidents occurred when applying for a patent. 【3】
"Do you know what these accidents are?" Laszlo asked tentatively.
"Is there anyone competing with him for patent ownership?"
"You are indeed smart. The first person to grab a patent was his mentor at Harvard Hospital." Laszlo took a sip of water and continued, "There is a first and there is a second. The second is when he discovered the drug. A doctor friend of mine.”
"...Is there a third one?"
"Yes, there is a third one. The third one came out of nowhere and said that he had discovered the medicine before. The four of them went to court."
Laszlo continued: "You should understand what I mean. I don't doubt your professional ability, because I don't understand it, but I doubt your ability to apply for a patent, because I understand this. You must know that this is the United States, the Patent Act It has been in use for more than half a century, and there is still no answer to the patent for this drug.”
kawi
Patents are a bit far away from ordinary doctors, and they don’t have much contact with them. But for surgeons like him who have been fighting on the front lines, surgery also has patents. Not just surgical methods, but many improved surgical instruments surrounding the new methods, which can be patented.
So Kawei knew exactly what was needed for drug patents.
The difference between him and the discoverer is that while others were still standing on the starting line, Kawei was already waiting at the finish line: "Mr. Laszlo, there is no need to worry, I can guarantee that the drug will be creative and practical." sex, and even guarantees its uniqueness.”
"Can you promise to be the only one?"
“What a pharmaceutical patent protects is uniqueness.”
Laszlo could tell that Kavi was not lying, but his rationality told him that there was no way a 17-year-old child could be proficient in both surgery and pharmaceutical preparation.
The key is that he is still a civilian who has not received much education at all.
"You have to know that before applying for a patent, you need to prepare a lot of materials, including drug preparation, experimental plans, experimental results and all data, and finally relevant paper materials." Laszlo asked, "Are you sure you can write it?"
"no problem."
"You know Latin?"
"meeting."
"Who taught you this?"
"My father."
"This is incredible..." Laszlo did not hide his surprise and sighed, "I used to know a Hungarian doctor because he was not proficient in Latin and did not know Austrian German, so I’ve never been able to express my opinion.”
"Like a surgeon who loses his scalpel."
Laszlo looked at Kavi with a serious expression: "He has a weird temper, but you and him should be good friends, because he often reminds me to wash my hands."
"Oh?" Kawei became interested, "What's his name? I may have heard of it."
"Semmelweis."[4]
Kawei had indeed heard of this name and was somewhat familiar with it, but he couldn't remember it for a while because he didn't have much interest in medical history: "Which hospital does he work in? If there is a chance in the future, I might be able to go Visit him."
"Centerokus Hospital, Hungary."
"Well, I'll note it down. If I have time..."
"This is now, if we say two years ago, he was working at the City General Hospital."
"Municipal...Vienna's municipal general hospital?"
"Yes." Laszlo nodded and finally added, "He is an obstetrician and gynecologist."
...
Kawei received the title deed and heard that the house still needed some transfer procedures and it would take two days before it could be handed over to him.
The pharmaceutical factory thing was just a whim suggestion. Kawei's confidence also brought some interest to Laszlo, but it was still a long way from being implemented. At least he needs to prepare the experimental data and related papers, and only after obtaining the drug patent can he proceed to the next step.
In the end, this is just a small business for Laszlo, but it is indeed a very important step for Kawi.
Kawei sat on the carriage back to the hospital, and all he could think about was Dr. Semmelweis.
It wasn't until Laszlo pointed out his specialty in obstetrics and gynecology that he remembered the doctor's deeds. When I was young and just studying surgery, my teacher mentioned it but didn't go into details. Now it seems that the mess in the obstetrics ward of the Municipal General Hospital only appeared after he left.
Perhaps Kawei comes from the 21st century and has a lot of understanding of the chaos of medicine in the 19th century, and is somewhat mentally prepared. He was not like Semmelweis, who opposed all doctors because of the washing of hands and denounced their behavior as equivalent to murder.
Because he knew that the doctors at that time were just killing people. If they penetrated, they would break their defenses. He would be outnumbered. In the end, he would be the one who broke the defenses.
What happened to Semmelweis is a perfect example. Even if he was right, no one accepted it. These doctors have long fallen into the sweet trap of saving all mankind, and their strong self-esteem allows them to ignore the mistakes under their noses.
The method to break the situation cannot rely on words, but must be based on experimental data.
"Mr. Carvey, the hospital will be here soon."
At this time, the carriage driver's voice came from outside the window. Kawei snorted, opened the window and looked outside. Under the scorching sun, there was a lot of traffic at the entrance of the Municipal General Hospital, and patients and their families could be seen coming in and out from time to time.
His eyes slowly focused on the entrance of the hospital. There were many people standing there, wearing dark green overalls, with several cages at their feet.
"The experimental materials have arrived."
