The pharmaceutical factory co-founded by Kavi, Laszlo and Chino was opened on the outskirts of Vienna. Its main production projects were oxytocin and sodium citrate used in surgery. Recently, the preparation of hydrogen peroxide has also been put on the agenda. The verification experiment will definitely be successful, and the finished product will be produced next month.
Because the construction time is tight and the construction period is short, the factory has just opened and the retail channels have not yet been fully developed. Laszlo is now focusing more on wholesale.
Most of the people who come to the pharmaceutical factory to place orders are famous surgeons in Vienna or buyers from their hospitals. Because of the special nature of the drug and the patent held by Kawei, anyone who wants to have a cesarean section or some surgery with a large amount of blood loss needs to come here to purchase the goods.
However, the radiation for purely medical purposes is still too small, and Kawei's reputation is far from nationally known. The real sales volume is still with the military.
The autologous blood transfusion pioneered by Kawei can greatly save the lives of trauma victims. Its use rate is limited in the quiet and peaceful art city, but it can save many lives if it is placed in a hospital on the front line. Oxytocin contains vasopressin, which also has a considerable effect on the wounded who have lost excessive blood.
Since Kawei's suggestion, the Military Administration and the Military Surgeon General have been considering the need to acquire sufficient quantities of medicines for the upcoming war.
Franz naturally knew about this and had heard about the pharmaceutical factory that Kawei mentioned: "Is he from your pharmaceutical factory?"
"No, I mean he should have bought medicine." Kawei explained, "The operation of bloodletting itself is very simple, just cut a large blood vessel, such as the femoral artery or carotid artery, and he will die in a short time. But it takes It’s not that easy to drain all the blood out of a person’s body.”
Musil, who was standing aside, suddenly realized: "You mean to buy sodium citrate?"
"Yes, he needs to use a lot of anticoagulants." Kawei said, "My pharmaceutical factory is the only one in Vienna that can produce that much sodium citrate."
Werther quickly stepped forward and asked, "Where is the pharmaceutical factory?"
"Along the Danube River, take the southeast avenue and you will pass a small town." Kawei has only been there twice and is not familiar with the specific location. He only gave a rough route, "When you get there, you can see the road signage.”
Werther wrote down these keywords: "I'll have to check something when I get there."
Kawei understands what he means: "We are a formal enterprise and will definitely cooperate with the investigation. And when purchasing medicines, you need to register your name and hospital address. What you are afraid of is that someone will mess up and they will provide it to you."
After hearing this, Werther was like a hunting dog that smelled the scent. He pulled Delio and left the bedroom.
Franz saw that the matter was over and he had nothing to help, so he stood up and said, "I still have something to do, so I chose to leave. When the old marshal wakes up, let him have a good rest. We will have the first combat meeting in a week." , we can’t do it without him.”
The butler nodded repeatedly and led the king out.
"Then I'm leaving too."
Musil has basically completed his mission here, and now he is waiting to see if the two police chiefs can bring back new clues. So seeing that the king had left, he had no intention of staying: "Kavi, let's go, let the marshal rest."
Kawei changed seats and sat next to Ludwig's bed: "The breathing and heart rate are indeed stable, but the old marshal is the commander-in-chief of the entire army, so I still don't feel reassured."
"That's right. You are a military doctor after all, and you do have to be responsible for the old man." Musil touched his stomach and remembered the sumptuous lunch that the manor was preparing for everyone. "I'm a little hungry. I'll go to the kitchen to see what's there. Delicious. By the way, do you want me to bring you some?"
"No, I'm not hungry."
"Oh well."
In just ten minutes, Kawei and Ludwig were the only two people left in the bedroom.
The old man was still lying quietly on the bed, the sunlight shining on his face through the glass window.
Kawei did his best and checked his pulse and breathing again, and then moved his hands downward to hold the middle joints of Ludwig's middle fingers. With the wrist joint slightly dorsiflexed, use your thumb to quickly scrape the nail of the patient's middle finger. 【1】
After finishing, she moved her hands up to touch his face, first touched his eyelashes lightly, then opened both eyelids to look at his pupils, and finally pressed deeply on his eye sockets. 【2】
A set of examinations allowed Kawei to basically grasp Ludwig's physical condition: "Marshal, wake up, everyone is gone."
"..."
"There's no point in pretending to be asleep like this."
"..."
Kawei felt that for this reason, the other party should show off their cards. Hoffman's sign was negative, the eyelash reflex was present, the pupils were fine, but the orbital depressor reflex was absent. It was basically concluded that the old marshal was not comatose at all.
But Ludwig was indeed a general who had experienced large and small wars, and he could endure it. He lay motionless on the bed in the face of the pressure in his eyes, without any reaction.
Since he was determined to persist, Kawei had no choice but to spoil his elegance and said: "I am not interested in your lord marshal's family affairs or certain choices. The only thing I am interested in is your waist and legs. They look painful." Very powerful.”
"..."
"The orbital reflex doesn't work for you, but the pain in your waist and legs is not that unbearable." Kawei stood up and came to the end of the bed, holding his ankle with one hand and putting the other hand on the knee joint to keep the leg extended. Straighten it, and then slowly lift it up. "If it hurts, it means there is indeed a big problem with your marshal's waist." [3]
"..."
Ludwig still didn't respond, but Kavi could still see some subtle tremors, indicating that the old marshal's sciatica was very serious: "It seems that there is no response, so it seems that we need to do an enhanced experiment."
"..."
If the normal straight leg raise test is painful, the enhanced test can cause severe pain in the hamstrings.
Kawei doesn't have the guts to really try, so he can only live with his words. If the other party continues to endure it, there is really no other way: "I will slowly put the leg back to a less painful position, and then quickly Lifting the height, if there is a real problem, it shouldn't hurt. But if there is a problem, it will..."
As he spoke, his hands really relaxed and he slowly lowered his raised right leg.
But under the processing of language, this kind of relaxation becomes the prelude to intense stimulation, like a slowly climbing roller coaster that will cross the peak at any time and release.
Finally, the old marshal came to react.
He quickly took his right leg away and sat up slowly while holding on to the mattress with a grin on his face. Looking at his cheeks now, in addition to the traces left by time and war, a lot of sweat has already oozed out.
"Your Excellency Marshal, you are awake."
"You're too cruel, kid."
"I'm just confirming your physical condition." Kawei explained with a smile, "These are just medical examinations, it should be nothing serious."
"It's not serious?" Ludwig slowly moved his legs and got off the ground. "It's okay to press my eyes. I can bear it, but if you insist on lifting my legs, is it too much?"
"I can't help it." Kawei continued, "Judging from the reaction of the Marshal, it must be very painful, right?"
"Of course it hurts..."
Ludwig did not continue to talk about the pain in his waist and legs. In his eyes, it seemed like a maggot attached to the bone and there was no way to treat it. What he is more concerned about now is his son: "There's really no way to tell whose piece of meat it belongs to?"
Kawei was a little surprised, because he always thought this was a play directed and acted by the old man to find the corpses of local people: "Isn't this a play that the old man asked someone to send home?"
"Of course not!" Ludwig was also surprised, "Why do you think so?"
"I thought you didn't want to take on this important responsibility, so..."
Kawei didn't finish what he said, but Ludwig was a bit angry: "What do you mean? Fighting for the empire is my job, and it's your job too. But sometimes, as you get older, you will It’s beyond my capabilities. Now that this has happened again, how can I be in the mood to go to the front line?”
"When you say you are unable to do your best, you mean the pain in your waist and legs, right?"
"It's been an old problem for more than 10 years. I was already on the verge of retirement. I didn't expect to be promoted at all." Ludwig shook his head. He didn't know what kind of skills this young man had, and how he felt his sore spot. , "How do you know I have waist and leg pain?"
Kawei recalled the first time he met him: "I still remember when I went to report to the Military Affairs Office, I met you. At that time, you couldn't walk, even after walking for a short distance. You needed to Others will help you and you will need to rest for a while before you can return to normal."
"You looked carefully enough."
Ludwig looked at him, moved his body to get the cane beside the bed, and then stood up with difficulty: "When you lifted me just now, I couldn't even get up. How can I get up if I can't even command myself with this kind of body?" Commanding hundreds of thousands of people to fight on the battlefield?"
Kawei is not like Franz who talks about empty things like the imperial spirit. As a doctor, you must first consider your patients.
The old marshal has no way to travel far now, and it would be too cruel to force him to the front line. And even if you really go to the front line, the severe pain caused by the long journey will affect your final judgment of the battle situation.
In fact, even now, the work of the commander of the entire army is extremely complicated, and Ludwig is simply unable to do it in his current state.
"Didn't the marshal go find out what the problem was?"
"Check? They are all old wounds. Who should I look for?" Ludwig opened the clothes on his back, revealing several scars. "The top one is from the Galician Rebellion in 46 years, and the middle one is from the Ku 49 Years." The Battle of Altatoni..."
Having said this, he pulled down his pants again, revealing the scars on his legs:
"This strip is from the Battle of Vincennes. There is also a bullet hole on the shoulder from the Battle of Novara. The most serious strip is the one on the lower back. In April 1949, I followed Julius as the Chief of Staff of the Second Army. General, participated in the suppression of the Hungarian uprising. The enemy's knife split my bones. If it hadn't been for two old comrades who desperately saved me, I wouldn't be alive now."
Having said all that, Ludwig just wanted to prove that the current illnesses were all due to battle injuries, and there was no need for examination and treatment at all.
But from Kawei's point of view, this looks more like a lumbar disc herniation: "I personally think that the pain in your waist and legs, your Excellency the Marshal, is only due to spinal problems and has nothing to do with old skin injuries."
"It doesn't matter?"
"You have a strong body, so many flesh and skin wounds have healed early, and even infections are rare." Kawei explained, "Some battle injuries are treated too hastily, which will leave sequelae of old injuries. But even if it is true It’s a sequelae, and it shouldn’t be such a severe pain.”
"Isn't it caused by an old injury?" Kawei was so young that Ludwig could only believe it with suspicion.
"The probability is over 90%."
"What's the reason?"
"There is a nucleus pulposus between the upper and lower layers of the spine. If the nucleus pulposus loses its elasticity and the surrounding annulus fibrosus ruptures, it will protrude backward under the action of external forces, thereby compressing..."
Kawei looked at the confused old marshal, knowing that the anatomy was too difficult for him, so he could only use the Austrian national treasure snack as an analogy [4]: "It's like the Sacher sandwich cake. If the outer chocolate icing shell breaks Just press it lightly and the chocolate filling inside will flow out."
"I see."
"Now that the chocolate flowing out has irritated your waist, you need to do surgery to take it out." Kawei said, "Of course, the surgery is difficult and has its risks. If there is a problem, it can range from suppuration to infection. , in the worst case, the lower body may be paralyzed, and you may even lose your life. So you need to get your..."
Before he finished speaking, the old marshal interrupted him and asked, "You mean surgery?"
"right."
"I heard that the recovery period after surgery takes a long time?"
"It does take time." Kawei made a rough calculation. "If the opening is not good, it will take about 4-6 months after the operation to return to daily work."
"So long?" Although Ludwig said a question that was inconsistent with his own judgment, a smile appeared on his face. It seemed that the result was better, "What is the success rate of the operation?"
Seeing his interest, Kawei said: "If everything goes well, I am 80% sure. The remaining 20% are accidents. Such accidents are complications of surgery. To be honest, I There’s no way to control it.”
The pain has been tormenting the old man, seriously affecting his daily life and work. To live to this age, let alone 80%, he would dare to try even if the success rate is only half.
Ludwig nodded repeatedly, first expressing his appreciation for Kawei's courage to suggest surgery to him. Then the conversation changed and the subject of discussion was brought back to himself: "If the operation is really successful, can the symptoms be relieved?"
"There will be some postoperative discomfort, but the previous symptoms will definitely be relieved. How much relief will depend on the severity."
Kawei spoke very objectively, but this objectivity far exceeded Ludwig's goal, and he soon came to his decision: "As long as it can be alleviated..."
