The operating theater of the Municipal General Hospital was the original hospital warehouse. Because Laszlo gave money for the expansion of the hospital, the warehouse was moved to the new building.
According to the previous plan, this place should be completely demolished, and then a fountain should be built, which together with the surrounding gardens and greenery would help hospitalized patients recuperate.
But whoever can make money will have a greater say within a certain allowable range. The more mature and relatively safe cesarean section can bring a lot of income to the hospital, so the director followed Kawei’s wishes and put it here. It was renovated into a surgical theater.
As for the fountain, as long as you spend more time laying out the water channels, you can actually build it anywhere.
The warehouse's footprint is not large, and the theater is definitely not as spacious as the one in the Lakeside Theater.
The auditorium still maintains the semicircular design, but the number of floors has been reduced from 6 to 4, and the seats have also been reduced by 1/3. In comparison, the surgical area has also become much smaller. The surgeon can reach the baffle in front of the auditorium by taking two steps back.
It seems that as the number of spectators that can be accommodated decreases, doctors and hospitals will make less money, but this bold design greatly shortens the distance between the operating table and the operating table.
As the only surgical theater that allows the general public to visit, the Municipal General Hospital is definitely more eye-catching. After all, the distance between the VIP seats at the four corners of the operating table and the patient's incision is as close as the assistants passing the instruments.
This compact design creates an immersive and exciting experience that the Lakeside Theater cannot provide.
Reducing the area of the surgical theater is not entirely for the sake of appearance, but more for squeezing out other rooms in the limited space.
Compared with the Lakeside Theater, the rooms around the surgical theater of the Municipal General Hospital have also undergone considerable adjustments. The separate preoperative preparation room was divided into three by Kawei.
One is still the preoperative preparation room, and it is also the storage room for surgical instruments. This place only belongs to doctors and nurses, and the pre-operative rest attribute is removed. The things prepared are also for the operation itself, such as gauze, alcohol, carbolic acid, cleaning of surgical instruments and high-temperature steam sterilization, etc.
The second is the patient's anesthesia room, which incorporates anesthesia into the preoperative preparation stage and also greatly reduces the patient's nervousness in public.
The third is the postoperative observation ward. What the patient sees before anesthesia is the anesthesia room. What the patient sees after waking up from anesthesia is the observation ward, completely out of sight of the audience. From a professional perspective, the hours after surgery are the most dangerous period, and the observation ward allows doctors and nurses to better observe changes in the condition.
The surgical theater is a legacy of history, and it is not easy to reform it.
Kawei can only increase the professionalism, complexity, and strict disinfection measures of the operation from all aspects, and then put the operation on the right track step by step
"Today is Dr. Kavi's surgery. Please be sure to wear a mask." The ticket inspector is an intern doctor who has just come to the hospital for internship. At the same time, there is a classmate selling masks. "If you don't have a mask, you can buy it here for 5 kronor." One."
"I have a mask."
"Let me see...Oh, sir, the thickness of your mask is not acceptable. It must be as thick as ours."
Looking at the Kawi-style masks sewn with more than ten layers of gauze stacked in front of them, the audience felt confused: "I have worn one like yours, and I was almost out of breath after an operation." [1]
"I'm so sorry, this is Dr. Carvey's rule."
No way, the uniqueness and professionalism of the surgery made Kawei's surgery the most popular entertainment product in Vienna. Even with strict rules such as "strictly wearing masks" and "spraying the whole body with alcohol for disinfection", tickets are still selling like hotcakes.
"Then let's have one."
"5 crowns, sir." The intern doctor took away the coins and handed the masks to the audience. "If you come to watch the surgery frequently, you can choose to buy a monthly membership of 500 crowns or an annual membership of 3800 crowns. We can provide dedicated mask storage and disinfection services, as well as the right to purchase 5 VIP tickets per month or 80 per year."
"Is there such a good thing?"
"Members can go to the dean to purchase, but before entering, I hope you can give up the food in your hands. Because of the wearing of masks, food has no meaning of existence, and strictly speaking, the food itself is also the source of surgery. An important factor in post-ulceration.”
It is almost impossible for VIP tickets for Kawei surgery to exist for more than an hour. Whenever a notice about Kawei surgery is hung at the door of the Municipal General Hospital, it will be sold out in 10 minutes at the fastest and half an hour at the slowest.
Compared with a month ago, the structure of the audience buying tickets now has changed a lot.
A large number of them are surgical colleagues from the same city, and surgical tycoons such as Waterman, Orji, Corigo, and Massimov are all regular visitors here. Because they are friends with many doctors at the Municipal General Hospital, it is much more convenient to get tickets internally.
Today, the four of them wore thick masks and reserved four-corner VIP seats, hoping to observe the operation up close.
In fact, in Kawei's eyes, this operation is not difficult.
Resection of gallbladder cancer has been performed since ancient times. Although many cases involve resection of the "root" with rough techniques, there are also many cases in which only the gallbladder is removed [2]. With the knowledge of anatomy in the 19th century, it was not too difficult to remove the pill.
What the four of them really valued more was the removal of breast hyperplasia through small incisions.
It is not difficult to simply remove the non-breast cancer male breast. As long as the arc-shaped incision on the side is large enough, even Herman can easily remove it. But as the surgical field that has positioned plastic surgery as an important branch, it has never thought that mastectomy can also be done with small incisions.
How small is the incision?
Will it leave any special scars?
Is it possible to cover up the scar location after the incision is sutured?
These are the details of the surgery they need to know.
Because of the importance of the details of these surgeries, they had to buy VIP tickets, so the four of them have been monthly members here from the beginning: "3,800 kronor a year is too harsh. I have to pay almost 1/5 of my income. I really have to pay." Sorry."
"Yeah, that doesn't include the ticket price." Corigo glanced at Waterman standing aside, "Probably only the dean with a net worth can afford such a thing."
"We can get ordinary seats at any time, but VIP seats can only be obtained by the priority given by members. I really hope that he will become a permanent member." Waterman looked at the empty operating table and laughed at them for not being able to see through. For less than 4,000 crowns, this close distance is almost the same as being your own assistant, and you can make a lot of money.”
"Make a lot of money? But he didn't give us a chance to practice."
"You still want to practice? The requirements are too high." Waterman began to calculate an account for them and asked, "How much does a corpse cost?"
"50 crowns?"
"Can you get more benefit from dissecting ten cadavers a month than one operation here?"
Corrige thought about it in his mind, but it was really hard to come to a conclusion. However, Olgi on the side was very pertinent: "Definitely not. The surgical ideas are very important. Many times we still need to communicate with each other. Is there any way to figure it out by yourself?" Sometimes it will have the opposite effect.”
Waterman said casually: "500 a month. This month you saw a cesarean section and thought you made a profit. But next month he will perform a small incision mastectomy on you. Do you want to renew?"
Corigo's main specialty is plastic surgery. The size of the surgical incision directly determines the effect of plastic surgery. Of course, such surgery cannot be missed: "It will definitely have to be continued."
"It's only been two months and we've already spent 1,000 crowns." Waterman seemed to have seen through Kawei's charging method. "What about next month? Will you renew?"
"this......"
"This is just a difference in cost. The price of 3,800 kronor is equal to 7 and a half months, but it has 16 months of priority." Waterman became more and more excited as he spoke, "Isn't this still profitable?"
Corigo admitted that this is indeed very profitable, but this kind of profit has a prerequisite, that is, Kawei can come up with a new surgical technique every month.
"I have confidence in him." Waterman rearranged the position of his mask and covered his mouth and nose again. "The only troublesome thing is this mask, which has a strange smell mixed with alcohol and carbolic acid."
These words touched the other three people very much.
Orji had already benefited from Kawei's cesarean section and abdominal surgery. Corrigo also knew very well that Kawei's plastic surgery ideas were ahead of them. Although Massimov didn't like Kawei's character, he also knew that he The excellence of the surgery.
Now that Waterman has pointed it out, it seems that it is stupid to only buy a monthly membership.
"Where are Billroth and Edinson?" Massimov was a little concerned about where the two vice presidents of the Academy of Accidental Sciences were. "Don't they want to see this operation?"
"Edinson has been pulled to be the chief of military surgeons, and I'm afraid he won't be available for the next six months." Waterman said, "Bill Rotter, he only cares about abdominal surgery. If it is an appendectomy or hernia repair, he will Maybe he would have been there a long time ago.”
There are many vice-presidents in the College of Surgery. Ignatz is one and Edinson is one.
The former himself was extremely powerful, and he was Waterman's son, so no one had any objections. Edinson satisfied many people because of his prominent family background, strong surgical ability and relatively smooth handling style.
Who is Bill Rotter?
Why did a professor of surgery at the University of Zurich suddenly become the vice-president of the Vienna Academy of Surgery? Is he stronger than the three here?
This was the sentiment of Corigo, Orji and Maximov, but they were too embarrassed to say it in front of Waterman. They are not young anymore, and the position of deputy dean can effectively guarantee a source of income after retirement, so they still hope to compete for it as long as their skills are in place.
"I'm very interested in Dr. Billroth's surgical ability." Suddenly Massimov asked, "I wonder when his surgery will enter the theater?"
After all, he was the one he hired himself, and Waterman would definitely protect his shortcomings: "He has recently been studying methods of stomach and esophageal resection to treat gastric and esophageal cancer. At the same time, he is also actively seeking ways to combat miasma, hoping to refute Li Si Disinfection perspective proposed by Te and Carvey.”
"So there is no surgery."
"...You could say the same thing."
Massimov sighed: "Dean, I'm not just gossiping, some decisions are still too hasty."
Waterman had no choice: "I guarantee with my personality that there is absolutely no problem with his abilities."
"It's no use just talking about this kind of thing, you have to do it!" Corigo also got angry, "If you don't do anything, if the three of us don't say anything, others will say it. By then, the entire surgical college will be in chaos, and the Department of Internal Medicine will be in trouble. How bad it would be for those hypocrites to know."
Orji was much more tactful and helped to smooth things over, but there was also his own dissatisfaction in his words: "I know the dean must have his own concerns, but the position of vice dean is to reward surgeons for their hard work. Now instead, it is Isn’t it inconsistent with the original setting to make people become lazy?”
Waterman let out a long sigh. He could only speak again and was defeated by the three people's encirclement and suppression: "Okay, okay, I'll let him have an operation as soon as possible. The time and place will be announced in advance."
...
At this time, in the anesthesia room next to the operating theater, Fernand was already lying on the gurney with peace of mind.
In order to hide his identity, he equipped himself with a blindfold and a face mask, and with the medical cover during the operation, no one could tell who he was. What Fernan is most concerned about now is the effect of the surgery: "Can pill removal prolong life?"
"If there are no other lesions, and if the operation goes well, there should be no problem." Kawei did not dare to speak too fully, "But you also need to know that there are many uncertainties in medicine. What I can guarantee is that it is better than others. Got better."
"As long as your words are enough." Fernand took a few deep breaths and put on a black goggles and mask, "Let's get started."
In addition to Heman and Damirgaon, today's surgical assistants also have two new faces.
One was Koch, who had just come from university. He was interested in the preoperative disinfection method that Kawei and Lister had jointly perfected. The other one is Amor, who has just arrived at the Municipal General Hospital. He wants to learn the technique of ether anesthesia.
"The first thing you need to know is that you need to fast before surgery." Carvey said, "Simple fasting will not have any adverse effects on the patient, but it can greatly reduce vomiting after anesthesia. Aspiration.”
"I already know this."
"The second is the dosage of ether." Kawei looked at Fernan who was inhaling the ether gas and began to make some judgments based on neurological reactions. "There is no need to strictly stipulate the dosage. The purity of the ether purchased is a mystery, and there is no mathematical calculation. It has great clinical significance. What really needs to be mastered is to judge the dosage of ether based on the patient’s response.”
Under the influence of ether, Fernan's consciousness gradually disappeared, but his breathing was still unstable and his nerve reflexes were in a state of hyperactivity.
"The pain can cause him to have reflexes such as frowning, which means he is in the hyperactive stage and cannot operate." Kawei said, "We still need to wait."
"When?"
Kawei opened Fernan's eyelids and looked at his pupils with the candle in his hand: "When he lost his pain reflex, his breathing and heart rate returned to the original calm level. At the same time, the pupils of both eyes shrank, and he did not respond to the light. This means that the anesthesia is complete and the ether vapor can be cut off."
Before she finished speaking, the familiar nurse had already taken off her mask.
"I see."
"But sometimes this boundary is blurry, and it takes a lot of clinical experience to accurately find this dividing line." Kawei looked back at Koch, who was about to push the flatbed truck out the door, and said, "Don't worry, let's start with the box. Get a razor."
"Razor? What do you need a razor for?"
Cavella took off Fernand's pants: "You have to shave your hair before the operation."
