A well-known surgical columnist like Varela will not go astray like his two lame counterparts last night.
On weekdays, he only needs to stay in the theater to watch some interesting operations, make some notes, and finally judge the hero based on the success or failure of the operation. Due to work reasons, his only goal was surgery, and interviewing doctors after the surgery was just a means of reporting on the surgery.
But today was different. Varela entered the hospital for the first time and interviewed Kawi for the first time.
Things need to go back to when I left the theater last night.
At that time, Varela thought that the operation was on the verge of failure. Yingenatz, who was supposed to be the surgeon, never showed up, so failure was inevitable. When he thought about the situation in which Austrian surgery had fallen, he lost his enthusiasm for work, and even the last bit of his spirit was almost worn away.
But no matter how tired your heart is, you still have to work, and no matter how little enthusiasm you have, you still have to squeeze out some enthusiasm.
Anyway, this is not the first time that a cesarean section has failed. There are as many manuscript templates as you need to record the failure. Just change the time and the name of the surgeon and just copy it. Only this time, he needed to stuff some private goods in to detail how ignorant Yingenatz was who was slacking off, and how childish Kavi was when he kicked himself out of the theater.
In the 19th century, when there were only print media, reporters often used their pens as knives to kill people in a matter of seconds, leaving no trace behind.
But Varela ignored Kavi's ability to turn the tide, which was already reflected in Laszlo's Qi Qie. However, Varela did not choose to report it in person at that time and handed the matter over to a new little reporter. reporter.
It was 8 pm when I returned to the newspaper office, and it was less than 9 pm after I handed in the manuscript. I returned home half an hour later.
After a drowsy night's sleep, Varela woke up the next day as usual, biting into toast and grabbing milk, ready to have breakfast before going to work. Just sitting by the window and just swallowing two mouthfuls of food, I heard some strange sounds in my ears.
"Daily Daily, the latest daily front page headlines. Municipal General Hospital successfully challenged a cesarean section, and newly-minted surgeon Kavi Hines became famous in one fell swoop!"
"Come on, buy one, it's only 5 helles."
"Young surgeon challenges unprecedented cesarean section operation and becomes famous in one fell swoop! Come and buy it, today's headlines!!!"
"Give me one~"
"okay......"
Varela thought at first that he was too hopeful that the operation would be successful and that he was hallucinating something. The surgery reached that point and the bleeding was uncontrollable. How could he be saved? The key was the youngest and most inexperienced Kawhi Hines.
And what he wrote the night before was not this, but [If the cesarean section fails again, we will always fail]. 【1】
Varela was very strange, so after confirming that he was not dreaming, he went downstairs and bought the latest daily newspaper for the first time to verify that he was not crazy.
Sure enough, the title was changed, full of the exaggeration that troubled him most: [Kavi Hines turns the tide, Austrian surgery catches up] [2]
"What kind of garbage is raising its head?!"
Varela frowned, getting angrier and angrier: "The content written in it is not very good. It looks like it has not been professionally trained. The text is crude and has no sense of victory! And there is a huge front page written by him. It has to be like an obituary column. If it were me, I would have written down the entire operation process..."
After scolding him, he soon saw the last signature of the news - Greg, the newcomer who was sent to interview Laszlo.
Varela was not a fool, and he guessed that something was wrong with him after just a moment's thought.
Daily newspapers need to go through many steps from typesetting to printing and then to retail. It must have been after I left that the newspaper office discovered that the results of the surgery were completely different from the treatment methods just mentioned. And this newcomer made up for it like every opportunity he had.
It is common for news to replace the page, so the editor will not be too demanding on the content, so there is such a second-rate report that does not meet the quality of the news itself.
But Varela has no time to care about this. What he needs to consider now is his own situation.
Describing a hugely successful operation as a failure and attaching such critical words was enough for the editor to banish him.
He put on his coat and kept thinking "what should I do" in his mind, but what he really reflected back after thinking about it was the details of the cesarean section. For these details, Varela had to repeatedly ask why.
Was the cesarean section really successful? Why is it successful?
The situation at that time would definitely cause massive bleeding. This was the experience gained from dozens of hundreds of failed operations, and it was unrealistic to save the uterus. Kawei only had gauze strips and crow's beak forceps at hand, and he was sure of this, so how did he stop the bleeding?
Use a soldering iron and magic?
The uterine incision was made so big by Hills. Even if the bleeding could be completely stopped, how did he finish the suturing?
Suturing the uterus is not suturing the intestines. The muscular layer is so thick, won’t ordinary sutures break?
What should I do if bleeding occurs again during suturing?
Many cesarean sections are performed at the last minute in order to forcibly sew up the uterus before heavy bleeding, and to speed up the operation. Not only is the suturing done badly, but the bleeding also fails to stop. The sutured uterus was oozing blood right there. The doctors and nurses around the operating table could only watch the mother bleed to death without doing anything.
But why was Kawei successful?
I can't understand...I really can't understand! ! !
"Can't figure it out?"
The moment he met Varela in the newspaper office, the editor who had stayed up all night couldn't help but got angry: "If you don't understand, go home and think about it! Starting today, you will temporarily put down the column work of the surgical theater, and Greg will take over the responsibility." "
Varela knew that he had made a mistake first, but he was really in trouble and couldn't say anything: "Hey, boss, it's not like that..."
The editor didn't want to talk nonsense with him: "You want to go back to work? No problem. Put down your superior status, go to the Municipal General Hospital, and interview this rising star."
"You mean Kavi?"
"certainly!"
"Don't go!"
"Why not go?" The editor was puzzled. "He is a man who has completed a cesarean section. He is only 17 years old. He is an absolute surgical genius. His achievements will definitely be higher than Ingnatz! There was a scene in Paris back then. After a successful cesarean section, you hold your nose and go to interview the old Frenchman, but Kawei is a serious Austrian!"
Varela remained silent, and the newcomer Greg quietly gave the reason: "Mr. Varela was kicked out by Dr. Carvey last night. Otherwise, how could he miss this operation?"
"you shut up!"
"Oh, so that's it." The editor leaned back slightly, thoughtfully, "Then it's even more important to interview him, because in the future, his number of surgeries will never be lower than that of Yingenatz, let me repair the relationship! "
Varela still felt something was wrong and looked back at Greg: "Is it really Kawei's cesarean section yesterday?"
"According to the exact words of the two guys from the Times and the Free Press, yes." Greg spread his hands, looked at the editor with a smile and said, "I didn't follow him in either. The tickets are too expensive."
"Yes, ticket money!" The editor responded immediately, "You have been kicked out, and you still come to me to reimburse the tickets?"
"Okay, okay, why don't I go find him? I still have to rely on the newspaper for the tickets. How can I afford such an expensive surgery?" Varela was unwilling to pay for it himself, so he quickly gave in, but before leaving, he still Not forgetting to poke the editor's sore feet, "You said you were going to screw up Yingenatz, why don't you do it now?"
"It's not just that we write what the public wants to see. Why should I say such a simple truth?"
...
"So, I just came here in a state of confusion."
Varela lost his aggressive look in the surgical theater and looked more like a greasy uncle with a cheap cigarette in his hand: "How does it feel to be the center of attention in the city overnight? Isn't it cool?"
Kawei shrugged: "It doesn't feel like anything (I've long been used to it)."
"That's good." Varela took out a small book and started today's interview, "Mr. Carvey, please be sure to tell me every detail of the operation after I left. What exactly allowed you to complete the entire operation?" Surgery, this is especially important to me.”
"Why does it sound like I'm asking you for an interview?" Kawei sighed, "I think it's better to forget about the interview."
"Oh, wait!" Varela grabbed his arm, stamped out the cigarette butt, and said helplessly, "Okay, okay, Varela, I beg you, the great and young Dr. Carvey, I would be grateful if you could provide me with as many details as possible about the operation.”
Seeing him like this, Kawei couldn't help laughing, and then told all the details.
The details of cesarean section are many and complicated. There are several incisions to enter the abdominal cavity, and the anatomical structures that need to be avoided are different for each one. Kawei talked about the choices of several incisions. Of course, he left all the basic details of these surgeries to Yingenatz.
"The incision is the focus of the teacher's research before the operation, which involves the subsequent surgical process. Because Nola's contractions had lasted for more than 2 hours, Hills and I decided to use longitudinal incision."
Varela nodded repeatedly: "What about stopping the bleeding during the operation?"
"Don't be impatient..."
Kawei doesn't like to skip the process. In his opinion, every treatment has its own reason. Looking only at the key parts will make the operation incomplete.
After the incision, the subcutaneous tissue is separated. When entering the abdominal cavity layer by layer, care is required rather than speed, because there is no bleeding at this time, so you can take your time. The fetus and placenta removal during the operation were the same, but he emphasized the finger touch during uterine cavity cleaning.
As for the final technique of suturing the uterus, it is a matter of opinion. Considering the limitations of the times and the sutures are not strong enough, Kawei only mentioned the one he used last night.
Varela didn't say much throughout the whole process, focusing entirely on his notes.
After he finished writing it all, he was surprised by Kawei's generosity.
You must know that many surgeons cherish the techniques they have created and regard them as their absolute property. Unless they have been loyal apprentices for several years, they will not impart much experience and techniques at all, and they must rely entirely on themselves to see and understand.
What Kawei talked about were all the key points in the surgery, absolute practical information, far richer than on-the-spot explanations.
"I didn't expect you to tell me everything..."
Varela didn't know whether he was too confident or didn't know the cruelty of peer competition, but Kawei didn't react much to this: "Huh? I said it once after last night's surgery, it's nothing strange."
"You told everything in front of so many surgeons? Why are you so generous?"
"Generous?"
Kawei thought about it carefully and then reacted: "Oh, it doesn't matter, because even if everyone learns what I just said, there are still huge risks in cesarean section, because it is not a simple surgical operation."
Varela didn't expect that Kawei was hiding something among so many details, and quickly asked: "What do you mean?"
"Mr. Varela asked me just now why I can stop bleeding. My answer is that it is not difficult, as long as the uterus contracts on its own." Carvey tore off a piece of paper from his notebook and then made a squeezing motion. "There are abundant blood vessels in the uterus. As long as the uterus contracts, it can compress the lumen and stop bleeding."
"It's not difficult to understand. The question is how to make the uterus contract?"
"So what's really important is the special medicine used in the operation that can make the uterus contract." Seeing that he was still going to ask more questions, Kawei interrupted, "As for what kind of medicine it is, wait until I complete all the experimental applications. It will be announced after the patent is issued, but it’s not yet time.”
Varela finally found a surprising clue.
Who would have thought that using a potion during an intense surgical operation could have such a big impact: “Can I see the potion?”
"No more, all used up."
Seeing his disappointed look, Kawei laughed: "Don't be like this, Mr. Varela, there are more than just this cesarean section. There will be a second and third one in the future, although I can't guarantee every operation." Everything will go smoothly, but at least the risk of surgery can be reduced by more than half!”
"Previously, the mortality rate for cesarean section was over 95%. Can you achieve 50%?"
"It might be even lower if the mother doesn't have dangerous complications like placenta previa."
Varela couldn't believe his ears. In the surgical world, it was very stupid to say the success rate of his operation out of thin air. Because this requires a certain amount of sample accumulation, it is impossible to say how powerful you are just by having a successful operation.
But Kavi feels different.
His confidence is completely inconsistent with the age of 17, and the success rate mentioned in Varela's view is conservative.
Because judging from the details of the cesarean section just mentioned, as long as what Kawei said is done, the operation should be successful, but Kawei still very cautiously gave an operation failure rate that is acceptable to the public.
Not to mention confident, cautious, and skilled, he also showed composure on the operating table and could even control the field with his commentary...
For a time, Varela couldn't find any faults.
He had to regret last night's impulsiveness, but the die was done and he could only wait for the next cesarean section operation: "I would like to ask, when will Dr. Kawei's next operation be, I will definitely buy a ticket to watch it. "
"In three or four hours," Kawei said. "There is a patient with suspected appendicitis. Teacher Ingnatz and I will be on stage together. I remember that the notice for the surgery was sent out last night, and ticket sales started at four o'clock in the afternoon. If Mr. Varela rushes over now, he might still be able to buy tickets.”
