Kami Yin's request was strange, but understandable.
Under normal circumstances, doctors assume that the cut tissue is discarded by the patient, so the cut breast and muscle will be sent to the laboratory upstairs to be soaked in carbolic acid and preserved as a display specimen.
The first tissue specimen removed during radical surgery for breast cancer belonged to a French countess, which is exciting to think about.
But when Kami Yin asked to take it back for personal use, no one present could refuse. After all, it was something that was cut off from his wife, and there was no pre-operative signature to authorize the hospital to process it. In addition, the other party was a French nobleman, and they had already spoken, so they must return it.
As for whether it will actually be made into a book cover in the end, it is no longer the point. Waterman can only hand over this "priceless" specimen material.
"The countess's breast and muscle tissue are stored in the laboratory upstairs." Berget is the youngest local doctor here, so he naturally takes on the responsibility of leading the way. "Count Carmelin, please follow me."
Kami Yin was originally not too sure about this matter, but when he saw that none of the doctors refused, he breathed a sigh of relief: "By the way, I don't know much about making leather. Can you teach me?"
"Actually, it's just like ordinary tanning. You can ask the tanners for advice."
"Oh, thank you."
After sending Kami Yin away, the tumor biopsy is still in full swing. Whether it is for Waterman or Yingenatz, this operation is far from over.
Judging from the shape of the cut tumor, the boundary was unclear, no obvious capsule was found, and it showed obvious infiltrative growth. The discovery of tumors has been accompanied throughout the history of human development. Even without a pathological examination, everyone present knew that it must be a tumor after seeing this shape.
But microscopic examination is still necessary.
It was not to confirm the diagnosis of the tumor, but to clarify the relationship between the tumor and the lymph nodes that Kawei mentioned before, and also to clarify whether there was a tumor in the removed armpit tissue.
"The examination will take some time." Ingnatz looked at the tissue that had just been immersed in xylene clearing agent and said, "You have a two-hour operation, so you should sit down for a while."
"I'm fine."
Yingenaci then looked at his father: "I think you couldn't hold it any longer just now."
"What's wrong? It's only around three o'clock now. I feel pretty good." Waterman leaned against the desk and didn't look tired at all. "It won't be a problem even if I have to undergo two more surgeries."
"All right."
Yingnaz took advantage of the break in making the slice specimens and picked up the sentinel lymph node tissue slices just now, put them in the microscope and looked at them: "The stain given by Kawei is quite easy to use, no worse than Yin Hong."
Waterman looked back out the window. There were crowds of people at the gate in the distance. The first batch of doctors leaving the surgical college ran into reporters who had been waiting for a long time: "A surgery has attracted so many people, I'm afraid the pre-heated article can On the headlines of tonight's evening paper..."
At this time, a voice came from outside the door: "Who made the object, technology and completion of the entire operation far higher than usual."
"Varela? Why are you here?" Waterman looked back at his "old friend" and said before he could ask, "The operation was successful. We are 70% sure to contain the recurrence of the countess's tumor. If not In the event of an accident, you can reshape it a second time in three months. Well, you can go back to writing."
Varela:? ? ?
"Huh?" Seeing that he was surprised, Waterman was also surprised, "Aren't you here for an interview?"
"Of course I'm here for an interview."
"So I said everything I could."
Varela glanced at Yingenatz, who had become a pathological examiner, pulled up a chair and sat down, then took out his notes and said: "There is no need to ask these questions. I know that the operation will definitely be successful."
"Then what are you asking?"
"I heard that the surgery used a completely new method?"
"Radical mastectomy, the pectoralis major and minor muscles were removed."
Varela was stunned and immediately frowned.
He did not expect that the conservative Austrian surgeon would be so radical this time, and his mind was instantly filled with all kinds of questions: "Do you think the tumor will invade the muscle?"
After working in the surgical field for so many years, Waterman has long been familiar with his questioning method. This is obviously a trap, and then step by step to find out the loopholes in the surgeon's operation. Unlike his own son, he has always been tough on such aggressive questions: "Of course."
Varela scrawled a few words on the paper and continued to ask: "Without the pectoralis major and pectoralis minor muscles, what will happen to the upper arm function?"
"It won't have much impact, and the Countess doesn't need to work."
"But those are two big muscles after all. Isn't it too..."
"Don't be hasty!" Waterman suppressed his words, "This is the College of Surgery, not your lakeside theater. Don't ask unnecessary questions."
Varela nodded: "Okay, let me change the question."
"Speaking."
"I heard that the armpit tissue was also removed during the surgery?"
"Because we judged from the staining trace that the countess's tumor has metastasized."
"Dye tracer?"
"It is a new technology for pathological biopsy during surgery to check whether there is tumor infiltration."
The pen in Varela's hand rarely stopped, and he needed to collect his thoughts, because now he was like a middle school student with good grades who suddenly came into contact with university knowledge, facing a gap in academic qualifications and learning.
Pathological sections can still be understood, but what is a stainable tracer?
Because he did not watch the operation on site, it was difficult for him to understand the specific function of this technology: "Dean, can you introduce this new technology to me?"
His tone and title became much more solemn, but Waterman didn't follow his lead: "I'm sorry, I don't know much about this aspect. This is a method that Dr. Kawei came up with after research. If you really If you want to know, you can go to him."
"But you are right there."
"I only focus on surgery, and I have to learn this new technology in such a short time."
The reason why Yingnaz has reached the top of Austria's surgical field is simply due to his proficient skills. But this does not mean that Waterman is at a disadvantage. In the eyes of people who really care about surgery, the status of the dean of the College of Surgery is much more important than that of Yingenatz's deputy dean.
Ridiculing Waterman for not being interested in new technologies?
But what he was doing was a brand-new surgical technique, and the other party was already an old man in his sixties, so it was inappropriate to be too harsh.
Is it possible that Watermann is the only one who ridiculed the Austrian surgeon?
That's even more impossible, because the youngest surgeon, Kavi, is on the operating table. There was a cesarean section before, a radical mastectomy for breast cancer after, and a bunch of messy abdominal surgeries in between. Add in this dye tracer that has no purpose, and it is a joke to say that there is no one in the Department of Surgery.
Today's surgeries have gradually abandoned timekeeping, as well as the patient's screams and the lively discussions in the audience. If it was Kawei's surgery, the audience would even have to wear those ridiculous masks. The surgery would take longer and longer, the process would become more and more boring, and the report would lose its original sales.
In fact, since cesarean section, the reported surgeries have become more and more professional and increasingly divorced from the public's taste for excitement.
As a senior surgical reporter, Varela can only rely on some complaints to attract attention like his editor in order to maintain sales. But now he quickly scanned the two options, and neither seemed to work. This surgery may have been done too perfectly, and he couldn't find an angle worth complaining about.
"Then can I see the surgical incision?"
Waterman marked a rough area on his chest: "From the front of the armpit to the inside of the rib arch, roughly like this."
"Such a big gap?" Varela asked immediately, lacking local anatomy knowledge of the shoulder and chest. "The surgical trauma is so large, there must be a lot of bleeding during the operation."
"No major blood vessels were damaged, and the bleeding did not exceed 100ml."
"Don't be ridiculous, Dean, since the operation was successful, what else can you hide about such a small matter..."
"You can't help but know that the suturing skills of the two young doctors Kavi and Damilgang, even if they are not perfect, are at least among the top five in Austria." Waterman said with a cold face: "It's at stake for France. Do you think I’m joking about the countess’ safety?”
Varela lost his voice and could only deflect the conflict: "I was not allowed to enter the surgical theater this time. I lack material for reporting."
"I've said it before."
"That's not enough. I paid for the front page of the daily newspaper..."
"Come on, Varela." Waterman was not in the mood to chat with him anymore. "Because of your years of reporting on surgical operations, I always thought that the surgical academy was open to you. This was done out of consideration for the development of surgery. We are not a tool for newspapers to make money.”
As a reporter who specializes in covering surgery, Varela can really feel that surgery is undergoing tremendous changes.
This change does not seem to be as sensational as the introduction of ether into the surgical process many years ago. Preoperative disinfection, intraoperative bleeding control, greatly extended operating time, increasingly complex surgical procedures, and the emergence of various new surgical techniques... ....
Each step was small, but each step encroached on Varela's working space.
Originally, he could understand the operation process by looking at the anatomy book, and he had the illusion that I could do it. However, the operation gradually became more and more difficult, and he could only barely understand the surgeon's explanation.
But since Kawei had a cesarean section, Varela found that the surgery had completely taken a step forward and had changed. What’s even more frightening is that this change began to slowly bring other surgeons along.
The number of surgical steps began to increase significantly, and the passion in the eyes of an outsider turned into a painful wait. Even sitting in the first row of the audience could not eliminate this feeling. Instead, there was only a deep sense of powerlessness.
He couldn't see the operation clearly and couldn't remember the whole process.
Nowadays, the treatment method of breast cancer has changed from simple resection to radical resection. Although it is just a simple change of wording, he can't even imagine the course of the incision after suturing.
"I am a surgical commentator after all, (you must give me some minimum respect)."
This half-sentence may be Varela's final stubbornness. Unfortunately, Waterman, who has been dealing with surgery all his life, sees further than him. At the end of his sight, there was no place for laymen in the revolutionized surgery, and Kawei's radical breast cancer surgery might be the starting point of this revolution.
"What commentator? You're just a reporter."
A simple sentence burst the final bubble: "The reporter only needs to make the answer public. If it is a mature surgical technique, you can really make a few comments based on your experience. But now it is a consensus between doctors and patients." As an outsider with no medical experience, you are not qualified to comment on the innovative surgery."
"Am I not qualified?" Varela's voice was trembling.
At this time, Yingnaz, who was safely examining the biopsy specimens, suddenly interrupted: "Don't say you are not qualified, even I am not qualified. The reason is simple, because I don't know how."
"Wouldn't it mean that we are not qualified...Has surgery actually developed to the point where it is divorced from the public?"
"At least it's capped out of the general population."
Waterman stepped forward and patted his old friend on the shoulder, took half a cigarette from his hand and took two puffs: "As a columnist for the largest-selling newspaper in the empire, there is nothing wrong with reporting on surgeries. There are many minor surgeries for you to choose from. But when it comes to surgeries that can really change the landscape and development direction of surgery, I suggest you avoid professional content and write more about other aspects."
"Other aspects? What aspects?"
"Like a romantic love story between an earl and a countess."
...
At this time, with the help of Berget's superb cutting skills, Kamyin successfully obtained Justina's skin.
"I got it." The count opened the linen bag excitedly, revealing the jar inside, which contained a whole piece of skin with the head attached. "Next, I'll let the tannery master trim it. OK, finally sewn on the cover of my poetry book.”
"Is it the most beautiful star in your heart?"
"Yes of course!"
Justina had a terrible headache and her stomach was churning. If she hadn't eaten all day, she would be lying in her own vomit. But after seeing this scene, after seeing her beloved man custom-made a human skin book for her, she still showed a happy smile.
"Thank you, Kami Yin."
"This is my love, the love that belongs only to you."
Justina couldn't lift her arm, so she could only tap his palm with her fingers: "Go get a pen and paper."
"Do you want to write a poem?"
"No, I feel so weak that I can hardly speak. I am not in the mood to write poetry."
"Then what are you..."
"My father just sent me a telegram yesterday. I can see his concern, so while I reply to the telegram telling him that everything is safe, I also need to write a reply letter."[1]
Justina licked her chapped lips and continued: "The operation was successful, at least it seems to be successful now. Considering the subsequent reconstruction surgery, I must also fulfill the promise I made with the Austrian Emperor and write to my father. This letter." [2]
Kami Yin felt very distressed and held her hand tightly: "Just rest for two more days, your body is too weak."
"It's okay, dictating doesn't take much effort."
