The theater staff also worked hard for this emergency temporary operation.
They mobilized the surgical venue of Glaze Hospital in the evening, cleaned the scene in advance, and added twice the number of candles to the interior of the theater. The place was brightly lit, and the smell of burning wax and oil overshadowed the smell of blood.
In addition to the venue, they also had to deal with awkward timing.
Tickets started selling at around 5 o'clock, and the start and duration of the operation were uncertain. In order to grab tickets and watch the entire operation in full, audience members need to give up their dinner time and enter the venue first.
There were some dried fruit snacks and drinks in the audience lounge of the theater, but the amounts were very small, and they were only enough to satisfy the craving but not full.
It is obviously very inhumane to let them go hungry and watch a mother being disemboweled. If there is any inhumanity, it means there is room for improvement.
After a brief thought, the theater temporarily opened the sales channel, allowing street food stalls to sell their products inside the venue. Of course, there is an admission fee to get started, and there are a bunch of troublesome rules that need to be followed.
Suddenly, the audience's hands were filled with all kinds of food, including small sausages, barbecue slices, bacon, cheese bread cubes, and the original grapes, figs, plums, pears, and cherries on the dinner plate. You could even see some. Many British people eat mussels and conch, Italians eat pizza, and French people eat oysters and squid...
The theater turns into a buffet in seconds.
Before the operation officially started, the place was already filled with the noisy sounds of wine bottles, glasses, fruit forks and plates clinking against each other. 【1】
The theater was packed with seats and the audience was full of enthusiasm. Especially when the so-called "nation's top" surgical team entered the theater, the high mood of wanting to watch the surgical performance immediately reached its peak.
"Yingnatz! Yingnatz!"
"Caesarean section! Cesarean section!"
"Let's get started, I can't wait..."
Carvey walked last, with two nurses and a theater employee.
Now he is still an assistant, even if Yingenatz is absent, as long as Hills and Herman do not take a position, he can only be an assistant. Because a young man who has only been in the industry for more than half a month cannot be the chief surgeon without the approval of his master and the hospital.
Anyway, for him, he has become accustomed to being an assistant these days, just picking off the tricks as he sees them.
No matter what went wrong with the surgery later, and no matter whether Hills and Herman were willing or able to take over, there was one thing he needed to do before the operation: disinfection.
There are four very personalized washbasins, into which two parts of water, one part of bleaching liquid and one part of soap are poured.
"Wash your hands first, it's Teacher Yingenatz's rule."
Carvey told a lie that anyone could expose, but it gave the extremely nervous Hills and Herman a buffer time. The time squeezed out by repeatedly washing hands can allow their brains to relax and sort out the next surgical procedures.
Unfortunately, this time did not last long, and people soon discovered that something was not quite right.
The first thing that was muted in the audience was Yingenatz’s fans. There was no Yingenatz in the small group of three people who entered the venue. After waiting for a long time, no one showed up. The embarrassing situation of four missing and one missing greatly weakened them. sense of anticipation.
People were surprised, why didn't the surgeon come?
"Where's Ingnatz?"
"Where is the surgeon who performed the surgery?"
"Don't just wash your hands and say something. It's too boring."
The first among the three people to bear the brunt is Hills. He is regarded as the appointed assistant. Since Yingenatz is away, he will naturally take charge. The pressure will naturally be put on him: "Doctor Hills, where is Dr. Yingenatz?" Already?"
The accusation was replaced by a pointed question, and Hills had to answer: "Teacher Ingnatz has something to do. The operation is urgent. We will do it first for the time being."
"Cesarean section is a major surgery, can you do it?"
"Then what if you can't come back?"
"Yeah, what if Yingenatz can't come back? Can you complete the operation?"
"It's not like your Municipal General Hospital is the only one who can perform cesarean section. We spent a lot of money to see Ingnatz perform the surgery, not you!"
"Now we don't even have a chief surgeon, how can we still see it?"
Not having a surgeon will not only affect the operation, but also bring about a serious problem that only existed in the 19th century, that is, there is no explanation.
No one introduced the patient, no one explained the progress of the disease, and no one explained the purpose of the operation. Although the audience doesn't care about these things, not listening and not speaking are two different concepts. Without the prelude, people will always feel that something is missing.
It just doesn't taste right.
The audience who had been feasting just now put down their knives and forks one by one. They were silent for a moment, hoping that Hills could give them a reasonable reason to continue watching. After all, I have watched surgeries in the surgical theater for so many years, and I have never seen anything messy. The absence of the surgeon for the time being will not make them leave the meeting angrily.
However, Hills froze in front of the sink and said nothing.
A guy who wanted to reach the top of surgery had no desire to express himself in the face of such an opportunity, which surprised Kawei. What surprised him even more was that even Heman, who was standing aside, didn't say a word. The two of them just washed their hands silently and watched the audience get up and walk out the door one by one.
Yingnaz's absence plays into Kawei's plan, but the audience cannot be absent. Without the audience, how can this operation be performed...
Kawei suddenly found that he seemed to have integrated into the vicious circle of the development of surgical abnormalities in the 19th century, and regarded surgery as a performance of personal skills.
To be honest, although it is inhumane to the patient and destroys privacy, it is quite touching from the perspective of the surgeon.
Thinking back on it, such a strange surgical theater has its own reasons for existing. In the absence of large-scale international medical conferences, it just fills the gap caused by the imperfect medical system and gives surgeons an opportunity to stand out.
If you want to stand out, you have to win the hearts of the audience, and even Kawi, who has mastered skills after more than 100 years of experience, is no exception.
"Everyone, please stay!"
The first thing he has to do is retain people. Whether it's pie-in-the-sky or bragging, retaining talents will lead to follow-up, and those who can't retain will get nothing.
So after attracting everyone's attention, Kawei stood in the center of the venue and decided to brag. He first boasted about the surgery and then said: "If you choose to leave now, you will lose more than just the one or two hundred kronor in ticket money. And a perfect victory that only the patient spectators could witness.”
Money is not important to these viewers, what is important is to see a wonderful operation.
Even if they knew that Kawei was probably bragging, they still chose to be tolerant and stay in their seats to see the situation first. But doubts still exist, especially from the daily reporter who caught wind of the incident, Varela.
"How perfect is it? I don't think even Yingenatz himself can boast of such a beautiful mouth."
Kawi raised his fingers in front of his lips and warned: "If Mr. Varela has any objections, we can wait until after the operation to discuss it. Now is our time."
"..."
Temporarily giving up the audience's idea of leaving, Kawei prepared to divert their attention from the surgeon first and stabilize a wave of people's hearts: "Let us first invite the mother-in-law, Ms. Nora, to enter."
Hearing that there was finally a reaction in the theater, the host outside the door quickly coordinated with the transport workers, and under the protection of two midwives and Marcus, pushed the pregnant Nora through the door.
Marcus is in his forties and has been working for nearly 20 years. This is the fourth time he has the honor to step into the surgical theater. The first three times were all for cesarean section, but he had never seen such an exaggerated number of spectators. The hot scenes of the operation left a very deep impression on him.
He looked at Kawei standing on the court, and then looked at the looks from around him, and thought he couldn't do this.
It is obviously extremely inappropriate for a well-born gentleman to show off his knowledge like a theater actor.
But Marcus still gave Kawei rare encouragement.
"The fetal heart rate is now between 130-140, and Nola's heart rate has been very stable, around 85..." He patted Kawei on the shoulder, stepped forward and said, "I won't stay here. , there are midwives to help you, come on!"
Kawei nodded, sent Marcus away, and asked the nurse holding the air bag to connect Nora to the new anesthesia equipment [2].
Then he used alcohol to disinfect Nola's belly while introducing the whole story of the operation: "Today something happened suddenly, Ms. Nola suddenly went into labor. At 4:48 pm, maybe you are still admiring the afternoon operation, but I As an assistant, look after patients in hospital wards.
Just at this moment...
Pa~
Nola's belly burst, and all the amniotic fluid filling her enlarged uterus flowed out. The entire obstetrics department of the Municipal General Hospital was in chaos. "
Kawei was talking about the story before the operation, and his hands were not idle. He placed alcohol, gauze, bandages, and Ingnatz's cesarean section equipment box in the preparation area:
"Nora is only 19 years old. This is her first pregnancy and she is already 9 and a half months old. According to obstetric practice, no surgery is necessary unless necessary. However, Nora has a slim body, a narrow pelvis, and the conditions of the birth canal are not suitable for vaginal delivery. Teacher Yingenatz said The cesarean section operation had been scheduled as early as a month ago, and the time was scheduled for next week.
But God is not as good as man. Once the amniotic fluid breaks, we are forced to take measures. "
First to catch the eye, and then to introduce the audience's emotions. Now that their emotions have returned to the previous situation, it's time to explain the operation:
"Teachers Ingnatz, Hills, and Hermann have been preparing for this operation for two full weeks, and have fully studied the successful cases of cesarean section in Britain, France, and Germany. We already have the necessary skills for a successful operation. The cutting and suturing speed of the equipment is gradually approaching the accuracy required for successful surgery.
"Eternal God Emperor"
We are both confident that we can complete this surgery. "
The content of his speech was very dull, basically the same as what Ingnatz usually said, but the audience could still see Kawei's confidence in the surgery from his tone and eyes.
Just like Ingnatz himself standing there.
This confidence also misled the nurses, making them think that Kawei would be the surgeon today: "Mr. Kawei, the patient has been anesthetized successfully."
Kawei nodded and sent Hills and Herman to the operating table. After the nurse placed the required equipment properly, he whispered to the two of them: "The situation has stabilized, what should we do next?"
This is undoubtedly giving Hills and Herman a choice. If it is too late to give up the opportunity now.
As soon as the two nodded, Kawi would take over.
But after the opening speech just now, Hills regained some confidence, and still reached out for the scalpel: "Follow my rhythm, I will do it, and you will explain. Herman, I will leave it to you to stop the bleeding. "
Hills usually performs amputation, epidermal tumor incision, lithotomy and lithotripsy. Sometimes he will take orders to perform bloodletting for the upper class because there are no patients.
He lacks the self-confidence to be the surgeon and lacks the ability to control the field during major surgeries, so Yingenatz has been unwilling to give him the opportunity to be the surgeon.
This just shows that Hills' surgical skills are not weak.
But unfortunately, what he faced was a cesarean section, surgery was surgery, and obstetrics was obstetrics. Obstetrics can become an independent department, and cesarean section can become a secondary obstetric surgery. It naturally has its own methods, which cannot be dealt with by a novice surgeon who has just studied for a few years.
"Everyone, please note that Mr. Hills is judging the orientation of the fetal head in Nola's body. This is very critical." Kawei half-explained and half-taught, "The incision for cesarean section needs to be aligned with the position of the fetal head. In this case, just do it After the uterine incision is made, the midwife can directly help remove the fetus."
Hills: Fetal head? ? ?
He held the scalpel, but before he started, he was actually just measuring with his fingers, looking for the location of the incision that he and Ingenac had decided together.
But listening to what Kawei said, it seemed to make sense.
But where is the fetal head?
"When it comes to this, everyone will definitely be confused. The baby is in the belly and we can't see it with our eyes. How can we judge the position of the fetal head?"
Kawei smiled, looked at the position of Hills' palm, and continued: "What Teacher Hills is touching with her palm is the child's butt, and it feels very soft. And the child's head is on the other side, because there is a skull The reason is that the texture is hard..."
Hills followed his instructions and moved his palm to the other side, indeed finding the harder fetal head.
The next step is to choose the entry point.
"Generally, considering the location of the placenta in the uterus, the incision will be moved as far down as possible, and it is best to make the incision in the lower segment of the uterus." Kawei interrupted Hills' train of thought again.
Of course, Hills knew that lowering the incision would avoid the placenta and reduce the amount of bleeding during the operation, but moving the incision too far would block the doctor's view, which would be detrimental to hemostasis and removal of the fetus.
But the right to speak is now in Kawei's hands. The words have been spoken. For the sake of theatrical effect, he cannot refute.
"Teacher Hills's scalpel fell on Nora's navel and made a pararectus abdominis incision [3]. The length is about 10cm." Carvey helped handed over three crow's-beak forceps and two balls of gauze. In the past, "we had to remove the fetus very quickly because that allowed us to concentrate on stopping the bleeding."
