On May 5, as usual, another surgery was performed in the surgical theater of the School of Surgery.
The complexity of the operation is not top-notch. From the perspective of the surgical area alone, this may only be regarded as a large epidermal tumor removal. However, due to the special nature of the surgical object and the superb skills of the surgeon and assistant, more than 200 viewing seats in the theater were fully occupied.
In fact, the surgical theater of the School of Surgery is often full on weekdays. It was King Franz who really made this surgery a hit.
Early in the morning, many guards came to the campus of the College of Surgery, and the chief guard of the Royal Palace took over the security work in the campus.
At 10 a.m., the door to the School of Surgery was sealed, except for specific personnel. At the same time, the theater where the surgery is located implements the strictest censorship system. In addition to tickets, anyone who enters the theater needs to present a certificate of membership in the College of Surgery or a certificate of surgical practice.
The vast majority of the audience have badges given by the academy. If there is no physical evidence, there can be witnesses. Anyway, they have to prove that they are real medical practitioners.
At 12 noon, the royal carriage entered the College of Surgery. In addition to the regular palace guards, there were many important people who had nothing to do with medicine. Edouard Drouin-Delehuis, French Ambassador to Austria, Count Richard Belcredi, Prime Minister of the Austrian Empire, and Viscount Carl Ludwig von Bruck, Imperial Foreign Minister.
In addition, Giustina also invited Hans Schriati, the best portrait painter in Vienna, hoping that he could use the most concise brushwork to record the soul of the entire operation on the paper.
Although Franz had been telling everyone not to be restrained, facing the vast number of uniformed guards entering the theater, the surgeons stopped making noise and even talking in low voices became a matter that needed to be treated with caution.
But in fact, the four big shots had no interest in the doctors present.
What they really care about is the upcoming war. Surgery is a recreational tool and also maintains the relationship between the two countries. Although this relationship is loose and subtle, it shows that France and Austria are actively seeking dialogue and exchanges.
"Mr. Edward, this is the highest-level surgical performance this year." Foreign Secretary Karl said with a smile, "The performance is also the most standard and professional surgical theater in Vienna."
"I didn't expect Dean Waterman to preside over the Countess' surgery." Edward sighed. "I thought the surgery would be performed at the embassy, but I didn't expect it to be moved here."
"That's what the Countess meant."
"Ok, I know"
Although Edward is good at diplomacy and is happy to see the peaceful and beautiful relations between the people of France and Austria, he always feels strange when thinking about the content of the operation he is about to watch: "I have to say that the countess's behavior has always been full of romance. The atmosphere of doctrine.”
"I sincerely wish the countess a recovery from her illness."
Compared to Minister Karl, who plays the red face, Prime Minister Richard plays the dark face: "Don't worry, Austria's surgery is no worse than France's, and Baron Waterman is also a well-known figure in the European surgical community."
"I have great confidence in Dean Waterman." Edward said upon seeing this, "Besides, I have Dr. Carvey Hines as my assistant, so I feel reassured."
"Oh? Mr. Edward also knows Kavi?" This time it was Franz who spoke.
Edward smiled and replied: "News about him are often published in newspapers. Even if you have never been to the scene, you can recognize his abilities through those words. This is also an important reason why I am willing to come here. If possible, I I would rather see Dr. Carvey’s cesarean section with my own eyes.”
"I have the impression that there have been several successful cesarean sections."
Edward was a bit dumbfounded: "It's not that I don't want to see it, it's just that it's too difficult to buy tickets. Maybe you don't know if you don't watch surgeries, but for Dr. Kawei's surgeries, the tickets are always sold at sky-high prices. And among my entourage, It’s a pity that there are no doctors who can understand surgery.”
As long as one party has a need, there will be conditions for conversation. Even if this need is not important, it is enough to become an introduction to the topic.
"With Dr. Edinson today, commentary is not a problem."
Franz moved out to another empty seat and invited Edinson in. Edward was not polite and asked a very pointed question: "Dr. Edinson, although the Vienna Daily News has been publishing news about cesarean sections, I still doubt its accuracy."
"Huh? Accuracy?"
“Isn’t this what the media is all about?”
Only then did Edinson react: "The report on the surgery is relatively accurate. After all, the surgery is a public performance in the theater. Errors, omissions and favoritism are understandable, but the life and death of the patient cannot be falsified."
Edward was a little surprised.
He believed that Kawei was capable of completing one cesarean section by chance, but it would be a bit magical to say that the subsequent ones would go equally well. So he always thought that the Vienna Daily News was deliberately portraying him as a surgical genius in order to increase newspaper sales.
In fact, sales of the Vienna Daily News did increase by nearly 30% last month.
"I remember he had eight cesareans"
"No, it's Jiutai."
"Nine surgeries?" Edward sighed: "All the patients in the nine surgeries survived?"
"Both mother and child are safe," Edinson said flatly, "and neither had a hysterectomy."
"This is unbelievable. If it is true, then Dr. Carvey has created history!" Edward looked at the operating bed in the operating area excitedly. "The survival rate of cesarean section in France is less than 30%. Those who claim to have The highly skilled surgeons were too aggressive.”
Just a few simple conversations, the four people here thought of four completely different aspects.
All Edinson had in mind was the surgical aspect.
He respects and is jealous of Kawei, perhaps more of the latter, but his family background will never allow him to lie: "Dr. Kawei's cesarean section technology indeed surpasses all contemporary surgeons."
Foreign Secretary Karl thought more about the exchange conditions between countries: "Dr. Kavey is still young. If there is a chance, he can go to France to perform surgical tours."
Prime Minister Richard, who was playing a bad role on the side, saw France becoming increasingly unbalanced under liberalism and romanticism: "Your country's surgeons really need to take care of themselves. I heard that some surgeons have already abandoned them." The mission of saving lives and healing the wounded has turned surgery into an entertainment industry."
Franz, who remained silent, saw the foundation of a country: population.
France has been the most populous country in Europe since the early 19th century, but its population growth has been extremely weak. 【1】
Compared with Austria's population growth, France can only be described as slow. In 1818, the population of the two countries was basically the same at about 29 million. After 50 years, Austria has now exceeded a full 3 million.
In the eyes of outsiders, France had won the Franco-Austrian War and seemed to have regained the initiative in Europe. However, in fact, Franz, who had always been concerned about internal affairs, knew very well the importance of population growth rate. As long as he is given a few more years, the national strength will surely return to the level before the Franco-Austrian War.
However, this increase in national power was not large. In fact, the population of Prussia next door grew even more rapidly. Judging from the aspect of population growth alone, it seems that the original anti-French alliance will become an anti-Prussian alliance.
"Safe caesarean section does have strong social implications."
Franz was naturally full of praise for Kavi: "As long as this surgery can be promoted, I am confident that the number of births in Austria can be doubled."
Edward felt that the Austrian emperor was joking, but to be fair, the 100% successful cesarean section did bring him a lot of security. If you look at it from a woman's perspective, this feeling may become even more profound.
Soon, a rough outline of the plan formed in his mind: "After today's successful operation, I hope to see Dr. Carvey's cesarean section again."
"No problem, we will make arrangements on time."
At 12:50, Justina was sitting in a wheelchair wearing a white hospital gown and was pushed into the venue by two nurses.
She seems to have looked away from the surgery, and this morning she even put on heavy makeup and sprayed on her favorite perfume. If Waterman hadn't repeatedly emphasized that surgical patients should only wear hospital gowns, she would have definitely put on the gown she wore that day when she met Franz and Elisabeth.
Looking at her husband who was silently encouraging her, Justina slowly walked onto the operating table.
The operation is about to begin.
As a rule, 90% of aristocratic patients will set the operating room in their bedroom or study, and the assistants involved in the operation will be carefully selected. Especially for surgeries in private locations, there may be special requirements for the gender of the assistant.
It's nothing more than spending more money. A few hundred crowns is nothing to them.
But Justina did the opposite, which was surprising.
Kawei didn't know why a famous general's daughter and countess would take the initiative to send her operation to the theater for people to watch, especially since this operation was an extremely private and even extremely embarrassing breast cancer removal.
And her husband Kamiyi actually agreed with this approach, and naturally asked Waterman for the nearest VIP seat.
Although the surgical theater of the College of Surgery is only open to medical professionals and a very small number of specific personnel, Waterman was the surgeon, and Kawei was there to assist. The surgery still performed a breast cancer resection that was ineffective at relapse. There would never be any surgery in the theater. A vacancy appears.
In fact, those who dare to perform operations in the surgical college are doctors with outstanding abilities. Their surgeries always attract young doctors and other colleagues. Coupled with the cheap prices, it is difficult to have empty seats.
Is it so exciting to be looked at by more than 200 pairs of eyes?
Is this the French romance?
So weird
"The Countess must have her own considerations. Her surgery is no longer just her own surgery."
Waterman on the side picked up the diagram of the surgical process that he and Kawei had been studying these days, and confirmed several important details: "Choose a fusiform incision, remove the central nipple and surrounding skin, and remove the diseased breast tissue and muscles. Then explore the lymph nodes under the armpit. Are you sure you want to incise the skin to check the lymph nodes?"
"Of course," said Kavi, "it never hurts to see."
At this time, when the cause of tumors still remains in changes in body fluids, it is difficult for Waterman to understand the purpose of Kawei's exploration of lymph. Because he still couldn't completely believe Kawei's cytological explanation of tumors, he unconsciously skipped the thought process of "tumor-tumor cells-tumor cell shedding and metastasis-metastasis pathway" in his mind.
"I said before that tumors can metastasize to lymph nodes, and a German doctor has observed this." [2]
"That report is still a bit one-sided." Waterman shook his head. "It is difficult to convince everyone that lymph node swelling is classified as tumor metastasis based on simple observation alone."
"So I did an experiment. I made a suspension of the tumor tissue taken from the patient and injected it into the subcutaneous tissue of the vole." Kawei used the most basic xenogeneic tumor transplantation method, "If a vole develops a tumor under its skin, that should prove my point."
Waterman had heard about this experiment before, and could only sigh that he was too old to keep up with the thinking of young people: "Does it prove that tumors are caused by cell differentiation?"
"Yes, as long as you enter the cellular level, you can overturn the original body fluid theory."
Overthrow again and again
In just over two months, Waterman has watched him overturn many conclusions.
By one person, he changed the method of cesarean section surgery and improved the success rate of cesarean section in Vienna; he successfully set the tone for appendicitis and changed the method of searching for the appendix; he changed the response strategy to heavy bleeding and greatly reduced the number of heavy bleeding. Difficulty in treating patients.
Is it finally the turn of the tumor theory based on the Four Liquids Theory?
Strangely enough, Waterman believed in Kavi more than the serious German report published in a medical journal. Although he has no evidence now and the experiment has just begun, he is more like an ignorant young man who talks nonsense.
Every word he said convinced Waterman that this was the truth.
"Dean, Teacher Kawei, it's almost time." Damirgang was lucky enough to be today's second assistant. "The patient has already been on the operating table, and the audience has all arrived."
"Then let's go." Waterman asked the assistant on the side to get his surgical instrument box, looked at Kawei who was playing with his instruments, and asked, "I'm curious, there are so many lymph nodes in the body, why do you only focus on Armpit?"
Focusing on the armpits actually has nothing to do with Kawei. It is the result of years of development of modern medicine and repeated summarization of experience.
"Other places also need to be observed, but lymph node observation is an invasive operation, and the selection is quite difficult." Kawei dug out today's real "protagonist" from the box, "So in order to judge whether the lymph nodes have metastasized, I Will use it in surgery.”
"It?" Waterman looked at the blue vial in Kawei's hand, "What is it used for?"
(End of chapter)
