[Let’s not talk about last night. I slept until nine o’clock in the afternoon and felt alive again]
Kawei's rough debridement method made Li Ben feel lifeless and fainted twice. By the time it ended, it was already eight o'clock in the evening. At this time, Kawei placed the prepared crow tincture beside his bed: "Drink some, you can have a good sleep."
Li Ben was soaked all over, and his sticky hair was still covered with beads of sweat. He looked at the brown vial and was so angry that he wanted to tremble, but the debridement just now had consumed a lot of his energy, and now he couldn't even tremble: "You, you did it on purpose..."
"Mr. Li Ben, don't be ridiculous, you should believe in my most basic professional ethics as a doctor. I have always followed Mr. Mick's request, and everything I do is to let you live a good life. I considered repeated use before Because of the dangers of laudanum, I can only aggrieve Mr. Li Ben."
Kawei loosened his belt and took another large glass of warm water from the nurse: "Drink this glass of water as well. If your stomach hurts, drink more." [1]
"this......"
"Don't ask why, it's good for you anyway." Kawei wrote a few words in his medical record, "If you don't drink, you will still be the one who suffers."
Li Ben didn't dare to refute, so he could only endure the pain and took the crow tincture handed over by Kawei, and quickly drank two sips.
Debridement is only the first step. Whether the infection can be contained depends not only on Li Ben's physical fitness, but also on the subsequent development.
Kawei didn't have any tests in hand. Everything could only be based on symptoms. The main thing was to monitor the body temperature and check the healing status of the incision. If debridement is ineffective and infection continues to spread in the wound, more extreme measures can only be taken.
"These two days are the key. You have a good rest and don't move around. I will see you again the day after tomorrow. If you feel any other discomfort, please inform the nurse as soon as possible."
The liquid in the small bottle immediately took effect. The figure of Kawei when he helped to suture and stop the bleeding reappeared in front of Li Ben's eyes. After listening to these words, he couldn't help but feel a little sense of security: "If I feel uncomfortable, nurse I will find it and tell you as soon as possible, right?"
"That's not the case." Kawei shook his head. "They are just recording your symptoms. If you die then, I will have an explanation for Mr. Mick."
"..."
"So you still have to take care of yourself."
"I see."
After Kawei finished speaking, he spoke with the nurse and then quickly left the ward.
...
I spent a whole day at the School of Surgery, but did very little. Apart from two reports and a lunch, Kawei did nothing. He didn't feel very tired at the end of the day.
It has been more than 20 days since he traveled here. On his way home, he couldn't help but summarize his recent gains and set the tone for future development.
First of all, there is surgical support. The extreme lack of equipment and drugs is the biggest obstacle to successful surgery.
What is most needed for mass production as soon as possible is oxytocin. Faced with so many women who need cesarean section, this is a life-saving drug. As for the research and development of other drugs, it is not easy to handle. Kawei doesn't know much about pharmaceuticals. He can only do research slowly after entering university and finding experts in biology, chemistry, and physiology.
But the equipment was different. It was something he used every day to eat, and it could definitely be improved.
Today's surgical instruments are not unified. Each doctor has his own set of instruments that he is used to, which is very personalized. Kawei doesn't have his own surgical instrument box yet. The set in his hand was discarded by Ignatz, so the scalpels are in good condition.
The crow's beak forceps are the most frequently used in surgeries. The set of forceps given by Ignatz has been used for many years. The bite force is weak and the teeth have been ground flat. It is imminent to replace them.
Moreover, a single crow's beak forceps is difficult to cope with complex and changeable surgeries. Kawei must prepare more "special" crow's beak forceps according to their functions.
For example, ordinary hemostatic forceps to deal with tissue bleeding; [2]
Mosquito vascular forceps to clamp tiny blood vessels;
Tissue forceps for grasping blood vessels;
cocoa forceps for clamping muscles and ligaments;
Right angle forceps for deep tissue.
In addition, suture needles also need to be improved.
Nowadays, the suture needles have a very small curvature, and Kawi needs some larger curvature suture needles to perform some more delicate suture operations. For example, the most widely used are 1/2 arc and 3/8 arc. 【3】
As for traditional corner needles and counter-angle needles, the craftsmanship requirements are too high, and the needle point body can only be used at will, [4]
If there is enough technical support, the sutures need to be upgraded. Nowadays, simple catgut is simply not enough. If it is loosened, it will slip and the knot will slip. If it is tightened, it will be easy to break. It is normal for a surgery to break three or two threads, but it would be very damaging if every knot is broken.
Whether it was medicine or equipment, money was needed, so Kawi could only talk to Laszlo slowly. He is involved in many industries and has more say in production and sales.
Apart from this, all that was left for Carvey to do was the paperwork.
First of all, he has to prepare some articles as soon as possible. The structure does not need to be too complicated, just the level of an ordinary review, otherwise it will appear particularly abrupt. Because in this era, as long as it was novel enough or could prove certain theories, even correspondence records of less than 200 words could be published in BMJ. 【5】
There is really no need for Kawei to be too ostentatious. He only needs to write down the operation record and polish it a little before he wakes up.
As for the journals he publishes in, he will not hang himself from a tree. He is good at many languages and has many choices.
Although he had some conflicts with the old guys at the regular meeting and made a lot of angry remarks to Waterman, after calming down, Kawei still felt that the target should be in Austria first.
The current "Vienna Medical Journal" has been serialized for more than a hundred years. Thanks to the popularity of German, its influence is stronger than that of the British BMJ and La. This is his main battlefield.
Of course, it’s definitely not possible to stick to the stubborn local land. Kawei needs to blossom more and submit more manuscripts.
In the future, English will be the only one, and among the four major journals in the medical field, JAMA is still missing. In addition to the mandatory BMJ and LA, Kawei also set his sights on the other side of the Atlantic in the United States. At this time, the "Boston Journal of Medicine and Surgery" was quietly growing, so it was naturally indispensable. 【6】
After covering English, Kawei hopes to gain more visibility in German-speaking areas.
Germany's "Leopoldina Neue Acta" and "Berlin Medical Acta" are both very powerful. The former was founded in Leipzig in the 17th century and is considered a very old journal, while the latter is the predecessor of the "Berlin Medical Journal" and is also very famous.
In addition to these, Carvey also wants to send one or two articles in Latin to Italy and France to test the water...
Thinking of the time when he had a headache when writing papers, he couldn't help but lament that this era is so easy.
Publishing an article is a long-term work, and you can just calm down and take your time, because for Kawei, every major surgery that follows will become a first-class article in a journal, sooner or later.
But the exchange with Dr. List was different. After all, carbolic acid is poisonous. Switching to a safer disinfectant and promoting it as soon as possible can set a benchmark for messy surgical disinfection.
"Dr. Carvey, your apartment has arrived."
Kawei heard the driver's call, opened the door and got out of the car. After paying the fare, he carried his suitcase all the way upstairs, ready to take a good bath, and then finish writing this letter with peace of mind.
Unexpectedly, as soon as I went upstairs, I saw a stranger at the door, carrying a suitcase and wearing a set of black clothes. The person who came was not Mick, but he was more difficult than Mick. As soon as he saw Kawei, he smiled and took off his hat to greet him: "Doctor Kawei, you are back."
Seeing him say his name, Kawei was still worried. His mind was filled with images of Mick instigating his men to cause destruction: "Who are you?"
"I am the manager of the 'Payun' drug store on the corner. I am here to talk to you about something important."
It turned out to be a medicine seller...
Kawei had often dealt with them before traveling through time. They had different faces, body shapes, nationalities, ages, and genders. There were all kinds of people, but the one thing that never changed was the smell of copper.
Kawei admitted that medical treatment cannot be separated from money, and free medical treatment is a joke in utopia.
There are so many interests involved in modern medicine that even if they were cut off, it would be a disconnect, but things were much simpler in the 19th century. The store manager's visit was to sell a new drug, and in order to meet sales expectations, he needed a little help from Kawei personally.
"Dr. Kawei, you are now a rising star in Vienna's surgical community. Your name is already well-known to every household. I think you can definitely use this name to earn more profits."
The store manager stood by the door and watched as Kawei took out the key, unlocked the door, opened the door, entered and closed it again without any ambiguity.
The more he looked, the more strange he felt. Finally, he realized at the last moment that something was wrong. He suddenly stretched out his right foot and stuck it on the door frame to block the door: "Dr. Kawei, you only need to sign a short-term contract and you can sit in the office." Count the money."
"I'm not interested in money." Kawei lowered his head and glanced at his leather shoes. "Please move your leather shoes away. This door is quite expensive."
This was the first time the store manager encountered such a setback. He never thought that he could not even get in: "My medicine really has a very special effect!"
"Oh? Investigation into the effects of medicine?"
"have."
"How many people are there?"
"12 people."
"Come back to me when you add 0 later."
"I just want to find a spokesperson."
"That's why I need the efficacy data." Kawei looked back at the clock on the wall, "If you really want to find me, you can go directly to my hospital with the efficacy data after using the drug to talk. Now I need to rest. "
Perhaps because the two have different definitions of "endorsement", the store manager always felt that he needed to give this ignorant young man a few words of good advice:
"I suggest you talk to Dr. Posa at the Hartmann Hospital and find out how he does endorsements. This young physician can make thousands of kronor every month from these advertising endorsements, more than It’s much more comfortable to do the surgery in front of people when you’re exhausted.”
"Then there's nothing to talk about."
"Dr. Kavey..."
Kawei was too lazy to talk nonsense, picked up the cane placed on the wall, and hit the store manager's feet with the tip: "If you don't leave, I will change the kitchen knife."
It wasn't until the final eviction order was issued that Kawei found peace.
After a simple bath, he took out the envelope and put it on the letter paper, made himself a cup of coffee, sat quietly at the table and started writing a letter. But today was destined to be uneventful. Kawei had just started writing [7] when there was a knock on the door:
Dong Dong Dong~
"Who is it?"
A woman's voice came from outside the house: "Are we looking for maids here?"
Kawei frowned: "No, not here, you found the wrong one."
"Huh? Isn't this Dr. Carvey's home?"
Kawei doesn't like strangers touching his things, so he definitely won't hire a maid. There must be other reasons why someone came to the door now. Seeing that he couldn't explain it, he had to get up and open the door.
Standing in front of him was a beautiful young girl, about 20 years old, with a long brown ponytail. She was even a little embarrassed when she saw the younger Kawi: "I am indeed number 16 here. But I’ve never hired a maid, so there must be something wrong somewhere, you’d better look elsewhere.”
"But... someone paid me to come here." The girl took a 20-kronor note from her pocket, "He has already paid me."
"Who paid?"
"He is an Earl who seems to be particularly generous."
"Count Morasso?"
The girl nodded quickly after hearing the name.
Kawei smiled bitterly and gave the girl a good suggestion: "Congratulations, you can stay at home for a month and have a good rest. Since it is the money given by the count, just accept it properly."
"Do you really don't have to work anymore?"
"Need not."
Kavi stepped back inside and slammed the door.
The interruption in writing a letter made him feel a little uncomfortable. After adjusting for a while, after drinking all the coffee, Kawei finally found the feeling he had just now. 【8】
However......
Dong Dong Dong~
Kawei was agitated, but based on the cultivation that a gentleman should have, he still calmed down: "Who is it?"
"it's me!"
Carvey was disgusted by this ambiguous answer.
I?
Who am I? ? ?
He obviously lost his patience this time. He lost his quill and got up to open the door. However, it was Berget and the others who appeared in front of him: "Huh? Why is it you?"
"The school anniversary is finally over. The following dance is too boring. We discussed it for a long time and decided to go out with you." Although Berget said this, he quickly saw Kawei's embarrassment, "You Are you going to sleep?"
Kawei borrowed the donkey from Poxia: "Yeah, I've been tired for a day, and I have to rush to your uncle's place early tomorrow morning. I need a good rest."
"So that's it, then go to sleep..."
After sending the three people away, Kawei picked up the pen again. After struggling for a long time, he finally finished the rest:
[...Unfortunately, although carbolic acid is suitable for disinfection, it has a disadvantage: it is toxic to the human body.
This is not a strong poison, and a single use will not have much impact on the patient. But for surgeons, it gets mixed into the air and becomes a chronic poison that invades the doctor's body from surgery to surgery.
This kind of chronic poisoning can have very serious consequences, and I hope to find an alternative that is more suitable for disinfection.
Just a few days ago, I discovered two compounds in a chemical factory. Disinfection and toxicity experiments will take some time, and I will notify you as soon as a detailed report is available. Of course, if Dr. List makes new discoveries, he hopes to inform me as soon as possible so that we can learn from each other.
Your forever student: Kavi Hines]
