Carvey didn't want to tamper with other people's reports.
Because every surgery they say has loopholes, and they are as leaky as a sieve. It's boring to use modern medical knowledge to compete with doctors who lived more than a hundred years ago, and a few mouthfuls of spittle will not have much impact on the overall environment.
In his eyes, this was a waste of emotion.
Everyone has their own "price", and Kawei is no exception. It's just that the price is a bit high and ordinary people can't afford it. But Waterman offered a very attractive price: a transfer student from the University of Vienna Medical School.
Waterman has been famous for a long time.
Unlike his son Ignatz, who is only famous domestically, he also has a good reputation internationally. At least his skilled nose plastic surgery and reshaping can show off his skills in front of surgeons in Britain and France, giving Austria a long face.
With such achievements, coupled with his status as the dean of the School of Surgery, the weight of his words must be heavier than that of Ignatz. So he was able to satisfy the admission application that Ignatz was unable to satisfy at the beginning, and he wrote a letter of recommendation in front of Kavi. 【1】
This is no ordinary letter of recommendation.
In order to allow Kawei to study in school, Waterman used extremely exaggerated expression techniques and wrote out Kawei's true strength in a strange way.
According to the old man, based on his relationship with the dean of the medical school, as long as the content of today's meeting is outstanding enough and this letter is included, it will not be difficult to study at the school.
Kawei always wanted to go to medical school so that he could enjoy the school's scientific research facilities and resources. Carvey was not so arrogant as to ignore Waterman's standing in medical education, and the letter of recommendation already demonstrated his sincerity.
The deal is done.
What Kawei had to do was move the time of disrupting the situation forward two hours. Originally he was just making trouble in his report, but now he could only say sorry to Dr. Hoch.
His questions were not probing like Varela's, but rather poking at the most painful place and then shutting up. Because there are big names in the industry, they can understand what Kawei means without any explanation. It is not good to explain too clearly, and it stifles the imagination.
Hodge's operation was indeed forced in, squeezing out a case of airway obstruction intubation that had a bumpy process.
Tracheotomy was already performed at the regular meeting, so intubation really seemed dispensable. But no matter how you make a horizontal comparison, airway intubation that overcomes all kinds of troubles and ultimately succeeds is definitely more important than Hu Lai surgery, which involves removing the skull after draining the pus.
Hodge's surgery was very lax, and the report was sparse and missed many important points, especially the cause of the patient's death.
Was the meninges damaged during the operation? 【2】
Was there further damage to brain tissue?
What is the amount of blood loss during surgery?
Was all the scalp defect cut off, or was it only trimmed to a certain extent?
Have all the infected skull fragments been removed?
If all these are done, even if the infection worsens, it can be delayed for several days. Why did the patient die on the second day after the operation?
There were so many questions, but if Hodge could answer the last one, he wouldn't be as embarrassed as he is now. In the end, he had no choice but to blame his ignorance on Kawei's identity: "A small surgical assistant? When will assistants be able to attend regular meetings?"
"With the invitation letter written by Dean Waterman himself, the assistant can't come?" Kawei said. "Besides, isn't the end of the surgery report a question and answer session, so I just asked a few questions casually, without any malice."
No harm intended...
Everyone knows that the warm-up report is just a formality, and no one will take it seriously. The question and answer session is even more dispensable. If you want to ask, you also want to ask about the operation methods of those advanced surgeries. Who would stare at a simple craniectomy and keep asking questions.
And these questions poked at his sore spots. They were clearly aimed at him, so how could they not be malicious.
"This letter must be a forgery!" Hodge was dazzled by anger and began to arbitrarily attack the standardization of Kawei's admission. "Everyone here is a member of the College of Surgery, and they all must have a degree certificate from the medical school. You have at least five years of experience as a surgeon, do you?"
"No." Kawei shook his head, "I never went to middle school, and I haven't done much as a surgeon..."
For such a blank and clean resume, there were boos around, but few laughed with Hodge, because most people knew that Carvey had the qualifications to stay here.
There was no point in Huo Qi's insistence. Everyone had been colleagues for many years, and some were old classmates, so he just tried to give him a way to get the matter over with as soon as possible.
"Doctor Hodge, forget it, let's go."
"Let's go quickly. Didn't you say you want to rush back to the hospital for amputation? Time is running out!"
"Yeah, if something happens, we'll argue later. Don't affect the subsequent reporting work."
Huo Qi suffered a secret loss, knowing that the young man in front of him would not be arrogant for no reason, but even if he had a bad feeling in his heart, he still did not want to leave. Because in his fixed thinking, daring to challenge him with such a poor medical education level is nothing more than the result of using the back door.
Since everyone has a relationship, there is no real difference.
But at least he is a working surgeon. Even if he is not as dazzling as others, he has been working in this position for more than ten years. How can he endure this humiliation?
correct!
How could an assistant think of so many surgery-related issues?
Someone must be helping him secretly!
who is it? Could it be Fermi?
No, no, no, probably not. He was not on the program entirely because the maxillofacial plastic surgery failed, and it had nothing to do with him.
"The Female CEO's Almighty Soldier"
Who could that be?
Suddenly, Hotch saw Ignatz sitting next to Kavi, and immediately thought of another possibility: Could it be that the dean and his son were messing with him?
He knew that Waterman and Ignatz had never liked him as a mediocre person with no enterprising spirit, but he was not completely useless to the academy. Because he could appear at the College of Surgery all year round and he liked the feeling of being on stage, his old father was willing to invest money for the college.
There is no need for Waterman to offend himself...
Hotch couldn't understand, and the anger that kept rushing to his forehead didn't give him time to understand: "You can bear it, but I can't bear it! It's just a matter of letting an assistant with no medical foundation enter the venue, and letting him make random accusations and give a speech Doctors, how unbecoming is this... You are talking, why aren't you talking?"
"Don't ask, because they know that I will also go on stage to give a report. In fact, as long as you care about the recent surgical operation, even if you just read the reports in the daily newspaper, you should know me." Kawei pointed at himself and said, "So I'm the same as you."
"You want to go on stage too?"
Hotch lost his confidence in an instant, and his mind was still thinking about the identity of his assistant: "Aren't you an assistant? Aren't you not able to be the surgeon?"
"Theoretically it's not possible, but..." Kawei said helplessly, "But by some mistake, I had a cesarean section and it was successful."
"..."
Hotch suddenly remembered that Ignatz was absent from the cesarean section a few days ago.
He didn't pay much attention to it at the time. He only knew that the operation was successful in the end and that the mother and son were safe. He didn't know who performed the surgery or how it was done, and he didn't want to care because his mind was not on the innovation of surgical technology.
He just wanted to stay in St. Mary's Hospital and perform the operations he had learned peacefully, and then earn a little fame in the surgical field from time to time.
Working day and night in surgeries, either doing dissections or on the way to dissections, isn’t it tiring to live?
In your spare time, you have to keep reading and learning new techniques. Isn't it good to enjoy your own privileged life?
"There were no problems during the operation. There were reporters from various newspapers and several colleagues in the audience. They can vouch for me."
While thinking about the operation, Hodge also wanted to defend himself: "From the incision to drain the pus to the subsequent bone removal, I operated according to the surgical specifications! You can say that my operation was not difficult, but you cannot say that I made a mistake. , I think I can give a speech here without making any mistakes.”
"So, you are still concerned about your own operations?"
“Of course the surgeon should care about what he does!”
"Then what's the point of caring about the operation?" Kawei asked, "Just to look good? Or to win applause from the surrounding audience? Or is it for an artistic expression?"
"..."
"It's not just for the patient's health!"
Kawei can accept the chaos of 19th century medical technology, and he can also accept the lack of medical knowledge, including a medical system that is not human. But he couldn't accept a doctor who didn't value his patient. Since he had an operation, he had to be responsible for the patient. Insufficient ability and lack of motivation are two completely different concepts:
"I guess Dr. Hodge saw that the patient was seriously insane, so he went free and performed the operation. There should be no major problems during the operation, but he didn't pay much attention to the patient's condition after the operation." [3 】
"..."
"The skull is missing and the patient is mentally disturbed. If absolute braking cannot be achieved, accidents may easily occur." Kawei patted his head with his hand, "Normal people can hardly bear the pain after surgery, let alone a mentally disturbed patient. .”
Hodge doesn't know anything about pre- and post-operative operations. He only knows to remove the skull and put a bandage on it. The rest is the nurse's job: "We must have applied the brakes, but he broke free..."
The situation was similar to what Kawei thought. On the night after the operation, the patient became more and more manic because of the pain. He pulled open the cloth bandage on his hand, tore off the bandage on his head, and smashed his own brain with his own hands.
As for why you get suppurative cranial osteitis, the cause is actually well understood.
Because Vienna Mental Hospital performed a cranial trepanation on him in the hope of relieving his mental disorder. It's a pity that the surgery was performed poorly, and the infection invaded the skull, and the final result became what it is now.
"Don't you think it's strange, Dr. Hodge? The patient's mental disorder has not improved after the cranial trepanation."
"I'm not a psychiatrist. I'm only responsible for treating the abscess on his scalp..."
I had just experienced the turmoil between Liszt and Nightingale in the morning, but I didn't expect to encounter twists and turns as soon as the afternoon started. The debate between the two lasted for more than ten minutes, and finally Hodge reluctantly left the venue with his surgical report.
There was no right or wrong in the debate, and Hodge just lost face and had no real impact on him.
However, for other surgeons who were about to go on stage to report on the operation, the content of the debate was exciting enough that it left a "deep" impression in their minds.
No one wanted to repeat the mistakes of Hodge under the attack of Kawei, and the atmosphere immediately filled the scene with an atmosphere of being facing a formidable enemy. The most unsettling thing was the third surgery report immediately after Hodge.
"Ahem~~"
When the host of the meeting saw Hodge go out, he immediately called the next doctor: "Dr. Moratz from Hartmann Hospital is going to bring us the ear tumor resection he completed on January 28 this year. "
There was some applause from the audience, but Morais did not stand up.
"Doctor Moraitz? Is Dr. Moraitz here?"
"exist......"
"Dr. Moratz, please come on stage as soon as possible." The host looked at the wall clock. "For some strange reasons, the time for the regular meeting is already late. We need to hurry up."
"...Uh, okay."
Morais was a little panicked. Not only did he trip over the distance between his seat and the podium, but he also dropped two pages of paper. Finally, the kind-hearted Kawei brought the paper to him: "Doctor, your paper."
Morais looked at Kawei, his hands were trembling, and his heart was frightened, but he had to say "thank you" politely.
However, things were not as bad as he thought.
Moratz was affected by the pressure and performed abnormally. There were many mistakes in the entire manuscript, but Kawei had no interest in the ear tumor removal surgery. Because this kind of resection is actually not difficult as long as the bleeding is controlled, and the patient recovers well after the operation, and there is no chance of questioning postoperative infection. 【4】
Next on the stage was Ignatz’s cystolithotripsy.
Because intravesical lithotripsy is already a relatively complete surgical method, the fourth position is not too low. The reason why I was selected was because I had urethral stricture during the operation, and I also encountered some difficulties with lithotripsy. It was a reminder to those doctors.
Kawei will definitely not embarrass Ignatz.
In fact, Ignatz's surgical procedures and attitude towards surgery were much better than others. If everyone were like Ignatz, the development of surgery would not be the tepid water it is now.
"Thank you Professor Ignatz for your wonderful lecture. The process of this lithotripsy was indeed full of twists and turns. But with the professor's superb technique, the final result was good. A circumcision was also performed. Now the patient is recovering very well." , it is an operation that can be called a 'success'."
The host held the program list in his hand and immediately turned to the next page: "The following is a case of eyelid surgery related to ptosis. Because the original surgeon was unable to attend the regular meeting, the hospital made temporary substitutions. Now let us invite Gray Here comes the new surgeon at the hospital, Mr. Hills."
