In the 19th century, what could be called medical conferences were generally various lectures and seminars organized by major associations. There are no credits for continuing education, and there are no hard and fast rules. The notice is sent to the hospital where the doctor is working by letter. Unless you need to speak on stage, you can basically participate as you please. 【1】
They are broadly divided into three broad categories, the internal medicine meetings of the Royal College of Physicians, the surgical meetings of the College of Surgeons, and the pharmaceutical meetings of the Society of Pharmacists.
These conferences basically operate on a city-by-city basis, and most are as small as a college classroom. Most of the participating doctors are from the same city, and occasionally doctors from outside the country come to learn from the experience. However, exchanges between different cities in the country are still rare, let alone cross-border exchanges.
The inefficiency of communication capabilities has brought about a very serious information gap, coupled with some ignorance, stubbornness and low practice. Although the development of new surgical technologies has hit the highway, its diffusion is still limited.
The so-called surgery in the 17th and 18th centuries was still a mess of surgeons and barbers, and it was limited to three-minute amputation and epidermal incision to remove pus.
There were no academic conferences in the strict sense at that time, because technology only looked at hand speed and courage to stop bleeding, and there really wasn't much to exchange.
It was not until the beginning of the 19th century that Ignatz's grandfather founded the College of Surgery, which greatly improved Austrian surgery to a higher level.
Meetings held every three months are mainly used to determine new surgical trends and review and organize some important surgical procedures. The purpose of the conference is to promote surgical techniques to other doctors, which can be regarded as a catalyst for the development of surgery.
But the academy also has its limitations. Those who can enter the medical association are all big figures in the field, and the academy of surgery is no exception.
The minimum academic requirement is a master's degree, and it is strictly limited to top European universities. Those who meet the academic requirements are eligible to use five years of independent surgeon work experience as a stepping stone. If they meet someone who can recommend them for help, their resume will be sent to the new member review meeting of the College of Surgery.
The meeting is open to the public, and there is no hard and fast rule that non-college members cannot participate, because this has long been the consensus of everyone.
They firmly believe that people who cannot obtain membership will not understand the content of the meeting at all, and will not only waste time but also easily occupy other people's seats. In order to make surgery more scientific and standardized, it is imperative to get rid of those barbers who are still holding on to their hot irons, which is as reasonable as denying women entry.
Kawei is definitely not a member of the College of Surgery. Regardless of the school he graduated from or his seniority, there is a big difference. It is a huge gap that ordinary people will not be able to catch up with in their lifetime.
He has never cared about this kind of academic conference, and he doesn't even know about the existence of the College of Surgery. Anyway, there will be one sooner or later in the future, so there is no point in forcing it for a while.
But in this case, an invitation letter written by the current president Waterman was delivered to the door of the Municipal General Hospital.
The whole letter is filled with an old dean's appreciation for the rising newcomers, and he has drawn a clear line between himself and the conservatives who insist on identity first. He hopes that Kawei can be a scholar who is eager for talents. Attend this meeting. 【2】
With Waterman's prestige, any young doctor would choose to accept this letter immediately when he sees it, and there will be no second option.
But Kavi still hesitated.
He has attended many meetings. Even in the 21st century, people still value status and titles. It’s not that these are bad, after all, they are things that everyone has fought for through strength and cherished them very much. But the more you cherish it, the more you value it, whether it’s your own or someone else’s.
Kavi was not very interested in this meeting. He was in the largest hospital in Austria, and there was no need to understand the contemporary medical level before his eyes.
And now that I have no education or experience, in the eyes of others, I am just a nouveau riche who "accidentally succeeded", a typical person who is not worthy of the position. Under such circumstances, even if you are not attacked when reporting on your work on the podium, it will not be able to play a role in spreading surgical technology and your own value.
Rather than doing this, it would be better to stay in the hospital and take more care of poor Mr. Li Ben.
However, it is easy to fall into pits when moving forward, and even more troublesome when retreating. It would be unwise for a "celebrity" like Carvey, who was already in the newspapers, to refuse an invitation from the College of Surgeons.
The major media outlets were already preparing to take action on the regular meeting, so they would inevitably add fuel to the fire with such explosive news. At that time, [Kawei categorically rejected the invitation from the College of Surgery because of his talent and arrogance] will be vividly displayed on the paper, and any refutation and explanation will become the condiments for the hot opinion.
Kawei is not Alphonse, and there is no way he can duel with those reporters with a rapier. All he can do is avoid these pitfalls as much as possible.
The old dean humbled himself and made the invitation in person. If he didn't go, it would be his own problem, so he still had to go to the regular meeting, but he had to do some preliminary preparations before going.
According to Ignatz, if Waterman really invited Kavi, he should have prepared a temporary pass in the envelope, and then inserted a 50-kronor note as the appearance fee and transportation fee for speaking on stage.
This was a rule set by his grandfather. When the hospital was first established, he invited several barbers to give speeches and gave them these things. It's just that the barbers' skills were crude and difficult to use, so they were quickly sealed into the long river of history.
But there was nothing in the letter that Kavi received.
Money didn't matter, for Kavi, 50 crowns was not a big sum. But the pass is very important. Without the temporary pass of the college, you can't even enter the gate. So Carvey sent Waterman another reply. The invitation letter received on the morning of the 12th and the reply on the afternoon of the 12th should be sent to Waterman's desk early the next morning. 【3】
Unlike the "hard words" with a hint of compulsion, Carvey's letter is tainted with a hint of irony and superficial humility. But until today, when the meeting began, Waterman still had not given a reply.
Kawei really didn't like being pointed out, and wanted to cancel the meeting, but Ignatz still gave a compromise plan, allowing Kawei to enter the venue as his student. With a handwritten letter from the dean and the affirmation from the vice-dean, it will certainly not be difficult to enter the venue.
"Teacher, you know what I want is not a pass to enter or leave the venue at all."
Sitting in the second row of the conference hall, Kawei smiled bitterly and said to Ignatz: "All I want is your father's attitude. Now it seems that his attitude, or the entire surgical college's attitude towards me is very vague. .”
His words were very tactful, and Ignatz also knew that he was reluctant to do this, so he could only persuade him: "They didn't stop you when you came in. It's actually not bad."
Kawei smiled and shook his head, pointing behind him with his finger: "From such a distance, I can hear the word 'barber'. This is the Royal College of Surgeons, and I am afraid that only the 'barber' can successfully enter. Let me be the only one."
Ignatz sighed: "I thought you didn't care much about this kind of thing."
"When my father could still pick up a scalpel, I really didn't care. But so many years have passed and the world has changed."
Kawei looked back at the busy conference hall. The surgeons who entered one after another were all wearing expensive shirts, jackets, and high hats. They all behaved with the elegance of a gentleman: "There are a few familiar faces. , I saw it during the operation.”
"This is normal. We will get to know more and more people in the future." Ignatz suddenly asked, "By the way, there is something I have always wanted to ask you. When did your father pass away?"
"Oh, there was a traffic accident in Lombardy more than two years ago." Carvey said helplessly. "The tragedy of becoming the best surgeon in the area is that when you have an accident, you will never get the best medical treatment in the area. Serve."
Ignatz seemed to feel deeply: "If he were alive, I would like to talk to him."
"well......"
Today's surgery is still in chaos. No matter what organs are involved, any surgeon can operate as long as he is confident. Therefore, all kinds of operations can be gathered in a regular surgical meeting, which is an eye-opener for Kawei who comes from the 21st century.
In the previous scene, they were still talking about the new equipment for lithotripsy, in the latter scene, they were already talking about radical treatment of breast cancer, and then they jumped into the big hole in the abdominal cavity again and talked about hernias. Among these various surgeries, the only one that can be truly distinguished independently is plastic surgery, which Kawi has never tried much.
Skin tumors, subcutaneous hemangiomas, rhinoplasty, ear plastic surgery, and even maxillary and mandibular bone and joint correction surgeries are the key items introduced at regular meetings.
The Department of Plastic Surgery was established by Dean Waterman and enjoys a high reputation in the surgical academy. It can be said to be the signature of Austrian surgery.
This is why Varela criticized Ignatz for not daring to innovate after the cleft lip surgery, but Ignatz was willing to lower his face and accept a new surgical method for cleft lip repair.
No matter how you look at it, plastic surgery represents the pinnacle of Austrian surgery in this era.
Kawei didn't understand it at the time, but now combined with Waterman's invitation letter and this series of operations, he seems to understand it somewhat.
There are many organs in abdominal surgery, the operation time is long, suturing is difficult, and infection is very easy during the operation, so the success rate of the operation is very low. From the end of the 18th century to the present, the intraoperative mortality rate of abdominal surgery has been very low, but the success rate has remained around 40%, making it difficult to break through.
This makes some surgeons unable to see the path ahead, confused, and thinking that the abdominal cavity will always be a restricted area for surgery.
Waterman is one of them.
The College of Surgery is a national Royal Research College and receives state funds. If it wants to continue to exist, as the president, it must make some achievements. At that time, he chose plastic surgery as a breakthrough, which was the product of compromise after years of failed abdominal surgeries.
After so many years, abdominal surgery has stagnated, but plastic surgery has become a symbol of Austrian surgery.
But Waterman knew very well that no matter how beautiful she looked, she couldn't solve the disease inside her abdominal cavity.
The most common inguinal hernia, appendix and cesarean section can stump a large number of Austria's top surgeons. They don't even have the courage to try it. They watch the patients suffer from the pain every day until they die.
He knew that surgical transformation was imminent, but he did not want to tip the balance by himself, because if he failed, he would be a sinner in the history of the college.
Just when he was hesitating, Kawei jumped out.
Inguinal hernia repair, appendectomy, and cesarean section, known as the three major abdominal problems in the surgical academy, were solved one after another within half a month. Especially cesarean section, a life-saving operation that had no chance of being conservative, was successfully performed by a child who was not yet an adult.
Waterman couldn't break the situation himself, and he was afraid of offending vested interest groups and affecting himself, so he had no choice but to throw Kawei into it to attract a wave of attention.
"Does he really want me to break the situation? He thinks too highly of me."
"I don't know. Anyway, I'm sure he doesn't have any ill intentions... and of course he doesn't have much good intentions." Ignatz did not dare to be too biased towards his father. "He really hopes that the academy can produce one more child." Branch of Abdominal Surgery.”
Typical wall view.
Kawei hates this kind of acting and standing at the same time. If this is really the purpose, he might as well be a shit stick. It’s definitely impossible to break the situation anyway. Kawei has no interest in being someone else’s pawn, but there’s definitely no problem in disrupting the situation.
Of course, these words can only be kept in the heart. After all, the other party is Ignatz's father, so he should be treated with some respect: "So that's it, I understand..."
"You haven't seen the way he looked when he listened to me describing the cesarean section process that day. If he knew that the girl killed two people one against two on the second day after the operation, he would probably be more surprised."
Ignatz suddenly saw Hills, who had just entered the venue not far away, looking somewhat lonely: "It would be great if Hills had not left. He also participated in the cesarean section, and he was nominally a helper to you. You were supposed to be on stage together.”
"He's going to Graz Hospital now?"
"I heard it is." Ignatz sighed, "Hermann failed to keep him."
Carvey was also disappointed with Hills' departure, but this disappointment only lasted less than half a day before disappearing. To him, Hills was just like the doctor who was about to graduate from the training program back then. He didn't even count as further training. He just left and had nothing to miss.
"It doesn't matter, the new students in the medical school will be here soon." Kawei said with a smile, "Just pick more good ones then."
Ignatz felt that Kawei underestimated the difficulty of medical education, so he quickly explained: "Hiles is one of the rarest talents. Talents are hard to understand. You don't understand how I feel now."
The way Kawei looked at him, he couldn't help but complain in his heart: I didn't see you so sad when I separated from Alina...
"I will choose the people then, and then let the teacher check them after the selection." Kawei suddenly remembered how he was when he was a teacher. "By the way, have you sent the list?"
"I heard that it will be placed on my desk today." Ignatz thought of Alina and quickly changed the subject, "Tomorrow is the count's wedding. As his personal doctor, don't be late. , are the clothes ready?"
"Well, I tried it yesterday afternoon and it was very good."
"Where's the hat, pocket watch and cane?"
"It's all ready too."
Kawei has always had only one requirement for his appearance, which is to be clean. There's no point in getting these useless things. And he always thought it was just a wedding. Seeing Ignatz so nervous, he felt strange: "Actually, spending this money to buy clothes would be better spent on a new set of surgical instruments."
"Are you still going to wear this shabby coat to the count's wedding?"
Kawei looked at his shabby appearance and felt something was wrong: "I do need to buy new clothes, but there is no need to spend 400 kronor."
"Who told me that the people who come here are extraordinary? The money is already very cheap."
"Unusual?"
Kawei has a keen surgical sense, but when it comes to daily chores, he becomes particularly dull. To this day, he still thinks that the "his own people" the housekeeper mentioned back then are really just some relatives and friends.
"They are indeed some relatives and friends, about twenty or thirty." Ignatz said with a smile, "It doesn't matter about the others. The key is that the Earl's cousin will come."
"Who is his cousin?"
"Well? Didn't I tell you?" Ignatz glanced at Kavi and said the name, "Franz Joseph, our king."
Bookmark
