The cesarean section that started at 11 noon was so fast that it was over before the clock hand passed 12.
Too many things were crammed into the less than an hour-long operation, which left many people feeling extremely fulfilled and unfinished. As a result, tickets for all the surgeries in the afternoon and even in the evening were sold out, and all the venues were full. .
It's a pity that although they are called "surgeries", they make people feel sleepy and do not have the charm of cesarean section at all.
After all, it is difficult for a surgeon to take into account the three major aspects of surgical operation, on-the-spot decision-making and vivid explanation in front of everyone, and ultimately ensure the successful completion of the operation. Moreover, the rarity of surgery is also an objective criterion, and others are incomparable.
Kawei fully demonstrated his talents on the stage, solidifying his reputation as a "genius" and completely shutting up those who doubted him.
Looking at the history of Austrian celebrities, the last young man with such talent was probably the classical composer Mozart who composed music at the age of 5, toured at the age of 6, composed his first symphony at the age of 8, and became a court musician at the age of 16.
"Kavi~"
"Kavi~~"
"Kavi~~~"
The operation was over, and the stadium filled with warm cheers again. People shouted his name and witnessed the birth of a medical milestone.
Here are not only the friends, teachers, colleagues, and opponents who are familiar with Kawei, but also many nobles who always watch the excitement, wealthy businessmen seeking excitement, reporters from various newspapers, and someone standing in the corner silently watching the whole process. Young surgeon.
He was wearing a decent dark green long coat with a bow tie at the collar. He held a top hat in his hand and trembled slightly: "I must be dreaming... He actually did it! Placenta previa His cesarean section was able to be completed so beautifully, and the mother and child were safe... Is he really only 17 years old? So powerful!!!"
Damirgang repeatedly recalled his work in recent years, and finally found a satisfactory amputation machine. He really couldn't bear to compare it with Kavi's operation just now.
He couldn't help but pour a sip of wine into his mouth: "How long do I have to practice to have such skills..."
Damirgaon knew very well that doctors in small clinics must have the courage to accept being ordinary. Small clinics can also treat illnesses and save lives. The doctors in small clinics are also doctors. Thinking about unrealistic things will only make your mood worse.
But he was full of curiosity and yearning for surgical technology, and this ambivalence could not be wiped away with a few simple hints.
As long as he still has ambition, the picture of completing a cesarean section and receiving applause from the audience will always appear in front of his eyes. But as long as he continues to stay in the small clinic, this picture will always be the private collection of others and will never belong to him.
He was passionate about surgery, and when he first saw the newspaper report, he wanted to come and see this caesarean section that attracted the entire Viennese surgical community.
Money became the only reason that prevented him from entering the theater.
Tickets for the last row were sold to 700 kronor last night, and the first row seats were sold for an astonishing 1,800 kroner, which was even higher than the VIP tickets sold at the opening. With Damirgaon's net worth, he definitely couldn't afford it, so enthusiasm was enthusiasm, and a small doctor in a clinic couldn't afford the ticket price at all.
Until someone slipped a letter into the crack of his clinic door. 【1】
"I know that your colleagues have many questions in their minds." Seeing that the audience was about to leave the stage and pour into the operating area, Kawei quickly suggested, "If you want to ask questions, go to the small garden outside the theater and give some to Ms. Brenda and her children. Surgery is very physically demanding in terms of time and space.”
After all, Damirgang also graduated with a master's degree from the School of Medicine at the University of Vienna. After watching such an operation, it was impossible not to have doubts in his mind.
But he still left silently, left the operating theater without looking back, found a carriage and went straight home.
This is not an escape, because instead of crowding around here asking trivial questions, it is better to close the clinic early, collect all the necessary things, and report to the Municipal General Hospital as soon as possible.
When the time comes, you can ask whatever you want and learn as much as you want.
...
Also choosing to leave was Greg, who came here with Varela.
Unlike Varela, he came to the theater this time not only to see the development in the field of surgery, but also to put aside his professional perspective to see whether Kawei could break through his own limits.
At the same age of 17, Kawei seemed to have reached the top of the surgical world, and he had just entered the Vienna Daily News as an intern reporter. It seems that he is competing with his seniors, and there is a possibility of winning at any time, but Greg is very clear. In the hands of the editor, he is just a pawn to check and balance Varela.
The emergency coverage of the last cesarean section did not bring any substantial reward to Greg.
Wages have not increased, jobs have not decreased, and status is still at the bottom.
The surgical section of the daily newspaper is not large. It has always been Varela's one-person column over the years. It seems that the wave behind him has knocked the wave before him on the beach. In fact, it is an egg beating a stone. Will he be able to complete the internship and become a full-time job in the end? All are problems.
Greg, like Damirgaon, was standing in the corner. Although the ticket price could be reimbursed by the newspaper, he still chose the cheapest seat with great self-knowledge.
Wearing a black formal suit and a soft hat on his head, he held a telescope in one hand and a pen in the other, hoping to capture the details of Kawei's surgery in simple words.
It's just that his surgical knowledge is really weak, and Kawei's hand speed is so fast that he can't even see the process clearly, so how can he understand, record, or even ask constructive questions.
In the end, his manuscript was just a superficial news report, which could not be compared with Varela's professionalism [2]. But Greg didn't feel that his trip was in vain, and the 500+ kroner ticket money was well spent.
Some things are the same, and Carvey's success also gave Greg some confidence.
The surgery column was simply not the place he should be. Staying here was just a waste of time. He was already prepared to be transferred from his post. If the editor refused, he would have no choice but to find another newspaper.
"Coachman, go to the Daily newspaper office."
...
Just before Greg and Damirgon left, a young man had already chosen to leave.
He has always been sitting on the right side of the second row of the auditorium. On his left are Ignatz and Waterman, and on his right are Lockard and Orgi, who has just recovered. Hills came here to understand the mystery in Xinxin and see if Kawei had the ability to perform a cesarean section.
Although in Orji's belly, he already understood Kawei's technical ability, hemostasis of intra-abdominal bleeding and cesarean section for placenta previa were still 1 or 2 steps more difficult.
Facts have proved that Kawei's cesarean section has long been beyond the scope of normal people's understanding. Even a surgeon like him with certain surgical experience has difficulty keeping up. There are no more than five people in the room who can truly understand the whole process. .
That's why he left.
Because Hills knew there was no point in pushing his way into the crowd to ask questions.
If you have this time, you might as well go home and take out the abdominal anatomy book and read it carefully. After two days, you can take Lockard with you to dissect several cadavers, and then follow what you just wrote down and think about the details of the operation. Review. 【3】
They say that being a surgical assistant is a quick way to learn surgery, but Hills doesn't think so.
His surgical philosophy has changed since the day he left the Municipal General Hospital. Now it feels very good to perform the surgery in person, and there is no need to let himself go back to the frustrating assistant stage.
This direct, hands-on approach to learning now suits Hills better than an assistant who loses a lot of hands-on opportunities.
"Doctor Hills." The coachman recognized him, smiled, opened the door and put him into the carriage, and then asked, "Are you going back to the hospital or going home?"
Hills paid the fare directly: "Let's go to the University of Vienna Medical School first."
"okay."
...
Since there are people who see the gap and leave early, there will be people who squeeze through the crowd and come to Kawei early.
Massimov is very similar to Hills, and may have different understandings of surgery, but he also has unspeakable hostility towards Carvey: "I still have to congratulate you first: the operation was beautifully done. If you hadn't published an article I can help you with my experience.”
"Thank you, teacher, for your kindness. I can write it myself." Kawei smiled and rejected Massimov again, "And some places require detailed explanation and I need to make my own annotations."
"So that's the case......"
Massimov also laughed and got to the point of the question: "Let's talk about the final blood transfusion. That bottle of medicine is definitely an epoch-making invention. And the subsequent blood transfusions are also pioneering achievements that can be recorded in history, so blood is cloth Renda’s own, why should it be filtered with gauze???”
"Because the blood has already coagulated, direct injection into the blood vessel will cause blockage."
"Clogged blood vessels?"
"But didn't you also tie the uterine artery later?" Suddenly a voice came from behind Massimov. He had a cigarette in his mouth and exhaled a lot of smoke. "Since even the uterine artery can be tied, , what’s the problem if you throw in a little blood clot?”
This is a knowledge structure about myocardial infarction and cerebral infarction. It is obviously inappropriate to talk about it temporarily in a small garden.
"These are two completely different concepts." Kawei said carelessly, "Of course there is no problem with uterine artery ligation, because there is collateral circulation to help. But blood has its own purity, and unclean blood cannot be reinfused. Yes, the consequences will be very dangerous.”
At this point, he couldn't help but pause: "Mr. Varela, you have been watching surgical theaters all year round, don't you know that there is miasma in the air? How can blood contaminated by miasma be transfused back to the patient? Isn't that right? Are you just looking down on human life?"
Varela was scolded: "Dr. Kavey, you know I don't mean any harm."
Kawei nodded repeatedly: "I know, because I don't have it either."
"Okay, okay, I have written it down. Autologous transfusion after surgical bleeding needs to be filtered..." Massimov did not waste his paper and pen, and quickly asked another question, "I see You hesitated for a while before making the uterine incision, were you frightened by the mass of uterus in front of you?"
"Because placenta accreta is an accident, in the face of such an implantation, the incision must be bypassed."
"So the uterine body was bypassed."
"right."
Massimov roughly understood what Kawei meant. Although he did not understand the real thinking game involved, he at least remembered the technical operations and reasons for the blood transfusion based on this causal relationship. But Varela didn't understand yet, nor did he want to understand. What he wanted to ask was something different from common surgeries.
"Can Dr. Carvey tell me why a transverse incision was used at that time?"
"The implantation site is in the lower segment of the uterus, wouldn't the longitudinal incision reach it?" Kawei's rhetorical question choked the question back.
Varela nodded and continued: "I still want to ask about the powder in the vial. Since I took out the oxytocin last time, the medicine this time is also very powerful. It can actually make the blood lose its coagulation function... ..."
"What do you want to ask?"
"Have you ever considered disclosing the formula of the drug?"
"Although the material is only citric acid, there are no plans to announce the formula for the time being." Kawei glanced at a few unfamiliar faces around the crowd and said with a smile, "But I can't hold it in my hands forever. If I didn't If you guessed wrong, there are already many bosses who want to cooperate."
"I think it's better to make it public." Varela seemed to have an idea of his own.
"It's my freedom whether to make it public or not."
"But as a doctor, you should..."
Kawei couldn't stand this guy's pointing: "I don't need a non-medical professional to teach me to be a doctor. Age is not a reason for ignorance, but stupidity must be. Without the support of a complete set of blood transfusion technology , blindly disclosing the citric acid preparation protocol will result in a large number of failed blood transfusions."
Varela no longer argued as hard as before, and could only say helplessly: "I just stated my views objectively."
"I know you are objective, but you should also know that your so-called objectivity is very annoying." Kawei ignored him and said, "Next."
...
The operation ended at 12 o'clock, but Kawei did not return to the hospital until 2 o'clock. He had something to eat and then ran to the maternity ward to check Brenda's surgical incision and the discharge of lochia from the uterus.
Of course, while checking her body, he also wanted to ask this brave mother a question.
Kawe pulled up a chair and sat beside the hospital bed, calling everyone around him away, leaving only him and Brenda alone around the small hospital bed: "The operation is over, I have seen the child, there is no big problem. If nothing else happens, you will be discharged from the hospital in five days."
"Thank you doctor." Brenda lost too much blood and was a little weak, but her face was full of joy.
"I think I am a pretty good doctor, and I should be worthy of your trust." Kawei looked at her, but there was no good expression on his face, "So you must answer my next question well."
Brenda was a little surprised, but nodded after hesitation.
Kawei sighed and asked, "This shouldn't be your first pregnancy, right?"
