Elena's letter, written in Latin, is full of disappointment in her husband, regret for herself, and a trace of unbreakable love [1]. Ingnatz read it for a long time, and finally chose to put the letter away and stuff it directly into the drawer of his desk.
The content was basically what he expected, because he was disappointed and regretful, but he couldn't change anything.
No one likes their husbands fooling around outside, and most wives can only turn a blind eye, but Alina has the strength to resist, and her decision to leave home and separate is reasonable. It didn't take a day or two for the marriage between the two to break down. After reading the letter, Yingnaz felt much more relaxed.
What really upset him was Nora's cesarean section.
After so many failures, hard work for so long, and so many corpses used, in the end it all became a dream of Kawei’s success. The suffocation in his throat that made him want to yell but had nowhere to vent made him very uncomfortable.
He was a baron and the first surgeon in Austria.
Are you going to blame Kawei for taking away his position as chief surgeon?
This is obviously a loser's excuse. Telling it will not benefit anyone, including himself.
What's more, Kawei's ability is already strong. Yingenatz has always claimed that the relationship between them is master and apprentice, and he has been a witness to several surgeries. After getting along with him for just half a month, he regarded Kawei more as his colleague than his assistant.
Due to his absence, the operation was delayed for two hours, which was already considered a dereliction of duty.
And he was forcibly carried to the theater lounge, and was only taken away from the position of surgeon after showing such a shameful side. No matter how you look at it, this is a helpless move by Hills, Carvey and Herman.
There was no fault in the whole process, and there was no malice at all. Kawei even tried to cover it up for himself, but Yingnaz couldn't find any reason for his incompetence and rage.
If you now brazenly say that Kavi took the credit, it will not only be embarrassing, but also really smearing the title of Imperial Baron on your head, which is a shameful act that is despised by others.
Moreover, Kawei had just had a successful cesarean section and was very popular. The Department of Surgery at the Municipal General Hospital was famous. He, a gentleman, should be happy. Even if you are unhappy, you should give the necessary appreciation and affirmation just like you did to Laszlo when he was angry.
If you don’t blame Kawei or you can’t blame him, then who else can you blame?
Blame Marcus for insisting that the operation must be done now, before he wakes up?
It's definitely not right. Obstetrics has its own practices. Water rupture, abdominal pain, and the fetus is still in a transverse position are all indications for an immediate cesarean section. There is nothing to criticize.
The only one left was Nora. Could it be that Nora didn’t choose the right time and gave birth temporarily?
Ingnatz smiled bitterly. In the end, the only person he could and must blame was himself. I had decided never to have surgery after drinking, but now it seemed like a casual joke.
He looked at the "Anatomy Atlas of Cesarean Section" that was closed on the table, and turned to the previous page again: "Was the operation successful?"
"It should be considered a success." Kawei tried his best to compress the contents of the operation and distributed the success to everyone present. "Teacher Hills and Teacher Herman are both very skilled. Nora's physical condition is also good. I can only say that I am lucky. not bad."
Of course Yingnaz knew that these were polite words. Everyone knows how difficult it is to have a cesarean section: "If I could get through it by luck, I would have succeeded long ago."
"In the end, I used that tube of reagent that is still in the experimental stage." Kawei explained. "It can help the uterus contract and stop bleeding quickly. Otherwise, the only choice is to remove the uterus. If you choose to remove the uterus, the operation will still be necessary. There are a lot of variables and the success rate goes way down.”
"I Have a Picture Book of Ghosts and Gods"
"The success rate of a cesarean section that directly removes the uterus is only about 30%. The uterus-preserving cesarean section I want to do is a rare case in the world, and there is none in Austria. .”
The frustrated Ingenac sat back in his office chair, touched the beautifully printed anatomy diagrams in the "Atlas", and sighed: "It is really a pity that I can't stand in front of the operating table with you to witness the history of Austrian surgery. ”
Kawei wanted to comfort him, but found that he couldn't say anything: "Why don't you talk about the operation process? The first half was done by Mr. Hills, so..."
"It's not urgent, let's talk about it tomorrow." Yingenaci suddenly interrupted him, "I want to ask something else more than this."
"What?"
"How do you usually relieve stress?"
At first glance, Ingnatz saw Kawei as a child who was inexperienced in the world. He had a foundation in surgery and claimed to be his student, so he admitted him to the hospital to help him. But later it was discovered that he had profound surgical skills and a particularly broad surgical vision, just because he had never gone to school.
Now it seems that the so-called experience and skills alone cannot summarize Kawei's surgical ability.
Ingnatz was not afraid of how difficult the operation would be. What he was afraid of was that he could not bear the pressure and that his concentration collapsed under the pressure, so he had Mariani and Arantha. He was curious about how Kawei withstood the pressure when he took the position of surgeon for the first time under the gaze of the audience.
In fact, the source of stress is uncertainty. It is because Yingenatz is not sure that the operation will be successful, so he feels stressed.
And innovation is synonymous with uncertainty. The more innovative you are, the less you know the results of the surgery, the more uneasy you feel, and the greater the pressure.
But Kawei's words were more specific: "My father will let me have a good sleep the day before the operation. Before the operation, I like to hide and rehearse the whole process."
"There are uncertainties everywhere during the operation. Wouldn't it make you more nervous this way..." Yingnaz didn't understand and took out another refreshing drink stored in the office from the cabinet. "I usually rely on coffee. Especially before surgery, I can’t concentrate unless I take some time.”
Coffee is normal. It’s very refreshing to have some when you don’t have enough sleep. 【2】
"So, these all vary from person to person." Kawei looked at the wine and cocaine bottles he took out from the drawer, and advised, "Teacher, although the effect of cocaine is strong, it also has uncertain effects. Disadvantages.”[3]
"Really? The effect of this wine is amazing!" Ingnatz pushed the bottle forward: "Would you like some?"
Kawei didn’t want to touch this thing at all, and he also knew the status of clavium tincture and coca wine in the minds of European people at this stage, so he could only explain:
“It is like a bottomless black vortex, which will pull people who are contaminated with cocaine one by one. The process is wonderful, but when you really reach the center of the vortex, there is nothing inside, only endless emptiness and the next vortex. "
Yingenatz was also vaguely suspicious of the powerful effectiveness of coca wine, but when he thought of the various benefits it could bring, he couldn't help but put it in his mouth.
"Did you know? The British always say that a master surgeon should have three characteristics: a lion's heart, an eagle's eyes, and a woman's hands." Yingenatz said, "The British have always been unreliable, but they were right this time. Coca wine can really make me grow a lion's heart, a pair of eagle eyes and a pair of dexterous women's hands." [4]
"But it disappeared quickly."
Ingnatz looked at the medicine bottle, then at his hands, and had to admit: "...Indeed."
"Because these are brought about by drugs, not our own."
Recalling the surgery he missed, Yingenatz reluctantly put the bottle back: "Let's review the cesarean section. How did you make the incision? Was it the transverse incision of the lower segment mentioned before? "
"No, because it was Teacher Hills who came on stage temporarily, the longitudinal incision you ordered before was used. The uterine body was also selected for longitudinal incision."
"If it's a longitudinal incision..." Yinggnaz opened the "Atlas" at hand again and asked, "According to this operation record, although it is easy to remove the fetus, there will be a lot of bleeding in the uterus. , the suturing of the uterine body is also a big problem.”
"The process in the middle is indeed a bit dangerous..."
The two went through the entire cesarean section operation process. Ingnatz seemed not to be affected by his family, and he concentrated on absorbing the key points of the operation thrown out by Kawei one by one. From determining the incision, to how to enter the abdominal cavity, to choosing the incision of the uterine body and removing the fetus, and how to deal with bleeding and placenta, Kawei talked about it all.
There was still a lot of contingency added to it, which greatly weakened his ability.
Because he had undergone a major operation and was tired all night long, Yingnaz needed a half-day off tomorrow morning so that he could rest at home. In the afternoon, he would come to change Count Morasso's dressing.
At three-thirty in the morning, Kawei had just returned to his home.
This is not No. 73 Basinger Street, but the new apartment Laszlo bought for him.
Coincidentally, it happened to be the building where Andre lived before his death and was auctioned off by Mikla after his death. After a long circuit in the hands of others, it finally ended up in the hands of his "former illegitimate son".
The location is on White Green Street, next to Laszlo's large manor, not far from the hospital, and the round trip by taxi only takes less than half an hour. The apartment is not big, but for Kawei who has been living in a cramped low-rent house, it is quite good. The furniture and decoration are all there, and you can move in with your bags.
The most important thing is that I finally have a place to take a bath.
After taking a shower, Kawei lay on the bed, listening to the sound of the hands of the clock hanging in his ears without feeling sleepy.
More than eight hours ago, he completed his first surgery after traveling through time. There was nothing exciting about it, it was just a cesarean section.
If placed in a tertiary hospital in the 21st century, this would be just a daily operation performed by an ordinary obstetrics department. It only takes two assistants and 30 minutes to complete the task, with laughter and laughter throughout the process and almost no trouble.
But its influence in the 19th century was quite profound.
There are still about twenty years left before the birth of classical cesarean section. As long as he performs a few more successful cesarean operations and publishes another article, Carvey will become the well-deserved founder of cesarean section.
It's impossible to say that he doesn't feel a little worried, because this title sounds outrageous, and more and more new titles will be placed on his head in the future. It's hard not to think about it.
But the embarrassment was embarrassing, and Kawei would never let it go. He could only say sorry to those sages who left their names in the history of surgery. Perhaps this is the "lion heart" that he needs to hone. After all, ordinary surgeries are not too challenging in Kawei's eyes.
Correcting his mentality, he began to think about what he needed to do next.
First of all, there is the further promotion of disinfection techniques and oxytocin. Successful surgeries can drive traffic. As long as the numbers of success continue to accumulate, Kawei is still optimistic about this matter.
In addition, I will publish a few more articles, and after entering university, I can use the new microbial theory to overturn the original idea of not washing hands or disinfecting. As for oxytocin, it will be mentioned repeatedly in my field mouse experiments and in my experience of using it for cesarean sections in the future. It is only a matter of time before the world accepts it.
The prospects in this area are promising, and cooperation with Laszlo should not be difficult.
Next is an in-depth study of various surgical procedures.
Before he traveled through time, he was just a surgeon specializing in emergency medicine. He was very good at stopping bleeding and making temporary repairs, but he was actually not proficient in the delicate surgeries in various departments. At most, I sneaked into the operating room and watched it a few times, but I never really got started.
This is the "eagle eye" he needs to achieve, not the accuracy of intraoperative observation, but the breadth of the scope of surgery.
In the 19th century, there were no such detailed divisions. Surgeons could perform any operation as long as they held a scalpel. He can and should try orthopedics, urology, anorectal, gastrointestinal, liver and gallbladder, ear, nose and throat, ophthalmology, gynecology, plastic surgery, and even external thoracic, nerve, blood vessel, and microsurgery that may be touched in the future.
Finally, if a worker wants to do his job well, he must first sharpen his tools, and innovations in tools also need to be planned slowly.
The instruments used in surgery today are really poor. The suture needles are too thick, the sutures are not strong, the gauze is too rough, the crow's beak forceps are too weak, and the syringes only have a uniform specification of 1ml.
There was no iodine tincture or hydrogen peroxide specifically designed to disinfect wounds, no wide retractors, no qualified scissors, no mask breathing bags, no electrocardiogram, no sphygmomanometer, and even a blood transfusion was impossible.
Perhaps, the "woman's hand" that Kawei needs to pursue is here. Without these corresponding instruments, surgical procedures cannot increase the upper limit.
In addition to these things related to his surgical work, he also thought of other things, such as the establishment of the emergency system and the establishment of modern operating rooms. Of course, there are also things like B-ultrasound, X-ray imaging, etc., but that’s a story for another day...
...
At 1 o'clock in the afternoon the next day, Kawei was fully dressed, picked up his surgical box, and went downstairs on time.
After about a week of dressing changes, the count's wound improved significantly, and complete healing was just around the corner. And Kawei also became the count's guest. The best proof was the count's private carriage parked at the door.
The coachman stood at the door. When he saw Kawei coming downstairs, he quickly took off his hat and saluted, and quickly opened the door: "Mr. Kawei, you are so punctual."
"Serving the Earl, that's what you should do."
"There is a distinguished guest in the house today, and the count is accompanying her. You may need to wait in the living room for a while."
"It's okay." Kawei nodded and asked curiously, "Did Mr. Hans come to draw the portrait again?"
"That's not true. Mr. Hans has been very busy with the park recently. How could he come again." The coachman smiled and closed the door. "When you meet the count, he will introduce you to you."
