[After checking some information, there was a change at the end of the previous chapter]
Austria, Prussia, and France, the grievances and grievances between the three great empires on the European continent are like a miniature version of Wei, Shu, and Wu. If you fight one, you have to worry about the other. It is inappropriate for whoever strikes first.
Austria wants to swallow Prussia again, and Prussia wants to resist or even counterattack Austria. The emperors of both countries were not fools. They both knew that France was an important bargaining chip in the war, and both hoped to stabilize and even get help from France.
While France is sitting on the mountain watching the fight between tigers, it also sincerely hopes that they can both suffer losses and that they can take a share of the pie.
Kawei doesn’t like history, but it’s not that he doesn’t understand the methods of national games and the complexity of history.
At first, he might be fooled by Waterman's rhetoric and feel that this is a major matter related to the survival of the country. But after calming down for a while on the carriage, he slowly realized that the situation was far from as simple as Waterman made it sound.
On one side is the physical safety of a certain aristocratic woman, and on the other side is the national interest of France. Whether the two can be equated, and whether France can change its established strategy for a breast cancer operation, is actually not something Waterman or Franz can decide.
But no matter how things develop, at least Franz, Waterman and themselves have the same goal at this time, which is to do this breast cancer resection that is difficult to avoid.
As long as this is clear, Kawei will have no other concerns...
After the carriage left the Municipal General Hospital, it did not enter the crowded Ring Road, but chose the alley on the outside. The wheels quickly rolled over the muddy road, and after passing through several blocks, they finally arrived in front of the palace.
The Austrian Empire of the Habsburg Dynasty had two royal palaces. The one located in the center of Vienna was the Winter Palace - the Hofburg Palace [1]. Covering an area of more than 200,000 square meters, with 18 buildings and nearly 3,000 rooms, it has the reputation of being a city within a city.
Kawei had passed by here often before, but this was the first time he stood at such a close distance.
And this time it seems that it can only stop there.
For the traditional and conservative Habsburg dynasty, the palace was a symbol of hierarchical status, and those who entered and exited the palace must be of noble blood within five generations. The assassination attempt 13 years ago also proved that the existence of this regulation can effectively protect the safety of royal members and is very important. 【2】
The baronetship inherited by Kawei was originally bought, and it was only the second generation, so it was obviously inappropriate.
Waterman knew that he was not sure about breast cancer surgery, so he insisted repeatedly in the hope of being accommodating, but what awaited him was the King's objection: "His Majesty the King said, you can go in now, Countess Giustina is already waiting. You have all afternoon, but Dr. Carvey has to sit at the doorman's desk for a while."
"But he is needed for surgery." Waterman wanted to struggle again.
"This is His Majesty the King's decision." The captain of the guard shook his head slightly, "If Dean Waterman has any objections, you can first go to the king to discuss it in detail. I am just passing the message on your behalf."
Waterman looked at Kavi next to him, then at the guard blocking him, and could only sigh: "Okay then."
After passing through the gate of the Hofburg Palace, Waterman got on the carriage in the inner courtyard and went all the way to the garden where the king, his wife and Giustina were.
The car stopped on the side of the road, and Waterman walked quickly to the three of them under the leadership of the captain of the guard. He was full of complaints, but the moment he saw Franz, all the complaints were swallowed back: "I'm really sorry, I'm late. I'm late."
"Doctor Waterman, you are finally here." Justina took a sip of milk tea and was in a bad mood, "I thought the dean had forgotten me."
"Today, I have a colleague who performs breast surgery. I'm going to learn from my experience." Waterman got Franz's consent and sat next to Justina. "Because after the operation, I went to see the patient's condition after he woke up. Plus the road was too congested, so it was delayed a bit.”
After saying that, he looked at Franz and asked for a privileged pass on behalf of Kawi, but Justina did not give him this chance: "Dr. Waterman, if you are not sure about the operation, I can choose to go to England for treatment. Or Prussia, my husband is in Berlin now and may have found a good surgeon."
This is a strong statement, but it is also consistent with Justina's identity and the subtle relationship between the three countries today. After all, Waterman was just a fringe baron far away from politics, and his profession was not medicine but surgery. Even if he has the title of dean, it is a false position and of little use to those who are in the center of power.
For Franz, the appearance of "Prussia" was already a warning.
"Countess, although Prussia's surgery is pretty good, there are no doctors who are good at plastic surgery." Franz suppressed his anger and said, "I'm sure Dr. Waterman is absolutely capable of performing this surgery well."
It was quite outrageous to make a promise on behalf of the chief surgeon. Waterman felt unhappy, but Franz seemed to have tied the future of the empire to his own hands. Now this operation is no longer a simple operation, but some kind of medical task that must be completed.
"I'm very confident about the surgery, but the key is the recurrence rate after surgery."
Without misinterpreting the king's meaning, Waterman gave an appropriate explanation in time: "I have been considering changing the surgical strategy, hoping to remove all the tumors at once."
"Can it really be done?" Justina was dubious. "My grandmother died of a recurrence of the disease after undergoing surgery."
"The doctor I went to see today has a way to control the recurrence rate." Waterman looked back at Franz, and the meaning was already quite obvious, "But we are in a hurry. How much can be controlled exactly, and how to perform the operation still need to be He will explain it himself.”
"You mean Kavi?"
"Yes, what Kavi had today was a mastectomy."
"Alas...another unfortunate woman." Justina was a little surprised, covering her mouth and sighing softly, "Why are women so miserable, having to keep giving birth to children and enduring the uterus?" Prolapse and breast tumor invasion?”
These words struck the ears of the two men like a harmless complaint. The one who truly understood the helplessness was Queen Elizabeth Yin: "Count Cammy Yin wants to have children again?"
"Even if he really wants it, I have to be able to give birth." Justina pressed her hand on her chest. "My grandmother started giving birth when she was 17, almost every two years, until she was about the same age as me. It starts to get sick with age. She hasn't enjoyed any happiness since she got married, except for children, just children."
"Yes, the world is so unfair." Elizabeth Yin couldn't help but roll her eyes at Franz, "But at least Count Camyin treats you well."
Speaking of her husband, Justina smiled slightly: "That's true, he is my idol. If it weren't for my illness, we would sit in the garden every night and look at the sky and count the stars."
"well......"
Seeing the two ladies sighing, Franz coughed lightly, then patted the shoulder of the chief guard: "I think Justina's condition is more important, so let's make an exception and let Dr. Kawei come in."
"But His Majesty the King..."
"I have made up my mind." Franz said, "He is also a hereditary baron that I personally conferred, so he will be fine."
"yes."
...
Kavi was still sitting in the reception room.
From the doorman, he learned that the palace would hardly let people like him in. Even if it was an important festival for the whole people to celebrate, the most he could do was enter the Heroes' Square in front to see the king and queen, and he could not go to the inner courtyard at all.
So from the beginning, they were trying to persuade Kavi to leave.
After hearing this, Kawei just smiled and nodded in agreement, but his body did not move. Anyway, he was happy and free, and he could use this time to sort out the things he had to do recently.
The first is Fernand. As an old patient of Kawi, his safety is more important than anything else.
The vaginal incision among the three surgical incisions is very difficult to deal with, and the postoperative infection needs to be paid close attention to. Of course, the metastasis and recurrence of cancer also require continued attention, and the liver that has shown signs of sclerosis must not be left behind.
If possible, Kawei still hopes to try his best to save him.
Secondly, there is surgery, both related to the approaching war.
The old Marshal Ludwig had two herniated discs in his waist, which was troublesome enough. Unexpectedly, Waterman also forced a breast cancer into his body. Both surgeries are high-risk and high-yield, and Carvey needs to go all out.
Judging from the time, Ludwig's intervertebral disc has been affected for several years, but it can be postponed for a while.
On the contrary, the countess, who had just arrived in Vienna, was seriously ill and could no longer delay.
Breast cancer is detected and treated early. In the era without imaging examinations, the earlier the disease is treated, the better the effect of surgery will be. If all goes well, a classic radical mastectomy will prevent recurrence.
But the trouble is when patients want reconstruction.
Breast glands are not bones. It is easy to cut them off, but it is definitely much more difficult to refill them. It was difficult for Carvey to come up with reconstructive surgery in the 19th century when there were no suitable alternatives. The most critical thing in the entire remodeling is not the internal filling material, but also the cut off head.
How to reshape this Rutou thing? ? ?
Too difficult for existing materials.
What if we don’t reshape Rutou?
No, no!
Rutou is the soul. Without Rutou, it is better not to reshape it.
Kawei had a headache. Plastic surgery required not only techniques and techniques on the operating table, but also the ability to splice the three-dimensional geometry of the human body, as well as the ability to apply materials. He lacks training in this area and is far from the level that a qualified plastic surgeon should have.
But fortunately, the operation cannot be completed in one go. A second operation will definitely be needed to reshape it, and Kawei still has time. If the patient really wants to rely on his noble status to instruct the doctor to act recklessly and refuses to listen, then he will have no choice but to give up the operation.
The third thing is the bottle of dye.
If he guessed correctly, the blue dye should be methylene blue, which can treat nitrite poisoning and inhibit bacterial growth. It is a perfect medicine.
But this discovery is different from oxytocin and anticoagulants. Kawei is not completely sure and needs further experimental confirmation. If it is confirmed that it is indeed methylene blue and it really has antibacterial effects, it will be great news for the war trauma surgery that will be faced next.
The next thing to do is to obtain the patent for methylene blue and try to produce it to supplement the needs of the army.
"After Fernando surgery, intervertebral discs, breast cancer, methylene blue..." Kawei drank the hot coffee handed to him by the doorman and muttered to himself, "Antibacteria are not enough. Severe trauma is not enough." He couldn't be sent to the rear hospital. Even if he did make it to the hospital, he would still die without an autologous blood transfusion in advance."
Blood transfusion!
There is no way to ask the upper class to donate blood in the surgical theater, but it is different in the military camp. Everyone is a comrade, and blood is completely acceptable. What Kawei had to do was "find" a method to determine blood type, and then apply this method to the military camp.
"Not enough, antibiotics and blood transfusions alone are not enough!"
The more Kawei thought about it, the more he thought about it. In the two months after time travel, what really made him find it difficult were the various rescue drugs commonly used in modern medical treatment. If these rescue drugs could be made, no, even if only simple epinephrine could be made, then many complex surgeries could be performed, and he would be able to wake up laughing even from his dreams.
Kawei shook his head, took another sip of coffee, and laughed at himself for being so arrogant.
Drug synthesis requires very strong chemical application capabilities and the time cost of active trial and error, which are all a luxury for him. Sodium citrate depends on reading information, oxytocin relies on the Chinese medicine books that I accidentally read at the beginning, and adrenaline depends on what?
Is it relying on black technology?
He was just reborn. It was already quite good to be able to carry the memories of his previous life and skillfully control this body.
Is it the same as making sodium citrate, relying on turning over books?
In fact, when he was flipping through books before, he had already noticed that there was nothing similar to adrenaline in the books of the 19th century, at least there was definitely no record of this in the ones he had flipped through.
Just kidding, how could there be anything similar to adrenaline in this world...
......etc......
Really not?
Sometimes inspiration comes by accident. After thinking about it repeatedly, a strange idea suddenly appeared in Kawei's mind.
The method is strange, but after thinking about it carefully, I feel that it is reasonable: "My mind is getting more and more ridiculous, and I can even think of this method. But... who put oxytocin in front of me?" Well, if this really works, it won’t take much time to prove it.”
Methylene blue needs to be tested for its ability to inhibit bacteria and neutralize nitrite, and then to determine the purity and dosage of the dye. The experiment requires a lot of manpower.
Koch was already interested in chemistry, Savarin had a grudge against dissecting small animals, and Mattick was still too young, so he had to rely on himself to prepare adrenaline...
"Dr. Kavi, is Dr. Kavi here?"
Suddenly there was a knock on the door, and soon the words of the captain of the guard reached Kawei's ears: "I'm here."
The guard opened the door, and the captain of the guard came in with two followers: "Doctor Kawei, His Majesty the King has invited you."
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157. Two surgeries, dyes and life-saving drugs read for free.
