For Kawei, who had met King Franz several times, the banquet in front of him should not be an unbearable event. But the difference is that at first the focus was on other people, and he was happy to be quiet, but this time it fell on himself.
The compliments have been heard since the pre-dinner soup was served. For so many years of working, Kawei has heard too many. Except for the different languages and some changes in wording, the general meaning is the same.
It's just hard work, young and promising, talented people, etc. He has long been tired of it.
Perhaps when he first started practicing medicine, it could be a motivation to continue studying and working. However, as time went by, the status of this kind of templated praise in Kawei's heart became lower and lower, and finally he was completely thrown out of his tolerable state. outside the scope.
At this stage of his ability, his own evaluation is the authority, so his own approval is more important, which is commonly known as self-pleasure.
In the eyes of people in 1866, radical mastectomy was a new treatment method that had not yet been proven. Everything was a trial, and the success of the operation itself was already remarkable. But in Kawei's eyes, radical surgery has long been eliminated by modern medical treatment (the reasons for the elimination are mentioned earlier), and success is no longer the criterion for measuring true success.
Without reasonable radiotherapy and chemotherapy, radical surgery may take a long time.
The operation seemed rushed from confirmation to implementation. The results were good, but Kawei was not satisfied. There are still areas worth adjusting in the surgical details, and there is room for improvement in many operations.
"Second course, appetizer, royal pheasant meat roll and fresh deep-sea oysters."
The servants took away the soup plates one by one and served appetizers instead. Alphonse, who was standing at the table, was very excited: "The thickest chicken breast slices were chosen for low-temperature cooking, with pea puree and mushroom pellets inside. And the oysters Not to mention, it was just shipped from the train today, so it’s guaranteed to be fresh.”
"Mr. Alphonse's craftsmanship is still so amazing." Edward cut a large piece of chicken and put it in his mouth, praising, "It makes me feel like I am in the Palace of Versailles in the 17th century."
"Thank you for the compliment......"
Kawei lowered his head and cut the chicken. While they were discussing the food, he was thinking about some details of the operation.
No matter how you look at it, the radical surgery just completed is inconsistent with the minimally invasive concept of the 21st century. The incision is too large. Especially when the upper edge comes to the front of the armpit, where a large amount of venous return occurs in the upper limb, incision here may cause edema of the upper limb.
Is it possible to make the incision smaller, for example, only make a transverse incision, avoiding the front of the armpit?
It seems that it will affect the field of view when treating the armpits, but in fact, after removing the breast glands, the space becomes wider, so it should not be too troublesome.
Speaking of incision selection, in fact, when the suturing was done at the end of the operation, Kawei also saw some small flaws in the incision alignment. After all, he was not an expert in breast surgery. It was his first time doing this kind of surgery, and he was not very skilled at preserving the space under the skin after removing the breast.
Incision design requires the accumulation of a lot of clinical experience, and there is no shortcut...
"Dr. Carvey, is French food to your liking?"
"Well, it's very delicious. I haven't tasted Mr. Alphonse's cooking for a long time." Kawei cut out a large piece of oyster meat with a table knife, mixed it with olive oil and red wine vinegar, and quickly put it into his mouth, chewing randomly. After swallowing it, "It tastes crisp and really delicious."
"It turns out that Dr. Carvey has been to the Roche Shuate restaurant before."
Kawei looked at Alphonse: "It can be considered a kind of fate, the kind on the operating table."
The experience of abnormal pain after surgery made Alphonse tense up: "Dr. Kawei's skills are indeed superb."
Kawei took a sip of wine and said with a smile: "Mr. Alphonse, please pay attention to your health. If you find that it has relapsed in the future, please come and see me. You can't delay."
"Recurrence? No, no, no, no, no, no, no, no, no, no, the surgery is too painful." Alphonse waved his hands repeatedly, "At that time, it felt like being forcefully opened by a dozen knives."
After hearing this, everyone was in an uproar: "Is it that serious?"
"Didn't you drink ya tablet tincture? I heard it can relieve pain."
"It's useless! I feel that the pain after surgery has exceeded the scope of the medicine." Alfons described his experience vividly, "It only took two hours for the sweat on his body to soak into a hospital gown. "
"terrible."
"Actually, it's because the location of the surgery is quite special, but now I have a new drug that can ensure that I won't feel any pain within half a month after the surgery." Kawei mentioned methylene blue, "especially for Alphonse's disease. Very applicable.”
Half a month is exactly the recovery period after hemorrhoid surgery.
The patient's pain will be extremely severe and almost unbearable within 24 hours after the operation. Modern analgesic pumps can provide a lot of relief. During the long recovery period that followed, due to the complex intra-anal environment, each dressing change had to be thoroughly disinfected, coupled with the rough gauze, the sour and refreshing feeling could be remembered for a lifetime.
However, in fact, in the 19th century, when there were no local anesthetics, any movement that affected the sphincter would cause unbearable and intense pain.
Defecation, wiping, daily walking, even coughing and sneezing can make people shiver in pain. This kind of pain is not linearly related to time. Five or six days after the operation, part of the scars at the anal canal incision will fall off, and defecation can bring people back to the tragic 24 hours after the operation.
Alphonse still shook his head: "It's better to say goodbye. I don't want to lie in bed for more than half a month."
"Oh? I didn't expect that Mr. Alphonse is also a patient of Dr. Carvey. I wonder where the surgical incision is? Can you show us?"
Edward didn't know the location of the previous surgery, so he casually said something that made Alphonse feel embarrassed. But after he had asked the question, there were so many pairs of eyes on the table looking at him, and he would definitely not be able to hide away: "The location is a bit... Oh, it's rare for you all to have a meal together, so I won't affect you. I’ve got an appetite.”
Xiaoshuting app
After that, he quickly left the restaurant.
"this......"
"Mr. Ambassador, he performed hemorrhoid surgery."
Kavi wiped his mouth with a napkin and told the truth calmly. Everyone looked at each other in astonishment, and after a moment of hesitation, they finally couldn't help but burst into laughter...
The dinner was a traditional French meal. The intervals between dishes were 15 minutes, and the total time was basically about three hours. This not only gives the diners enough time to mingle, but also gives the kitchen time to fully prepare.
"For the third course, I chose a combination of eel and salmon, charcoal grilled eel and wild salmon baked in golden sauce, paired with seasonal vegetables."
When Alphonse brought out these two bowls of fish dishes, several people were still holding back their laughter: "I'm really sorry, we shouldn't laugh at a patient like this... But, I just can't help it! "
"Okay, everyone, let's eat it while it's hot." Alphonse briefly introduced how to prepare the fish, "I need to spend more time on the main course, about 18 minutes apart. Please wait a moment."
"It doesn't matter, just follow your own pace." Edward sent him off, and then asked the servant beside him, "Where is the evening paper?"
"Just in the living room."
"Go get them all, I want to take a good look at them."
"yes."
Since it was a celebration banquet to celebrate the success of Dr. Kawei's surgery, how could it not be without newspapers to add to the fun? Unfortunately, the operation ended too late, and the interview was greatly delayed for security reasons. The newspapers were mostly filled with expectations for the operation.
"A lot of space was spent on Justina." Edward looked at the daily newspaper and shook his head. "There is no description of the surgeon who really needs attention." [1]
"Maybe it's to introduce the importance of patients."
"The Countess is the daughter of Marshal MacMahon, but what does it matter?" Edward complained for Carvey, "If we really want to introduce her, we can write a separate article in another page, why bother to usurp the spotlight here. "
Although the words were well said, Kawei understood very well why Varela wrote this.
The reason is simple, because he has already become a regular in the headlines of daily newspapers, just like Yingenatz. People who often read surgery reports are familiar with Kavey. Reports on Kavey’s current situation are far less eye-catching than reports on the French countess.
This is also an important foreshadowing for detonating the results of the surgery. No matter whether the results of the surgery are good or bad, as long as Justina does enough foreshadowing, tomorrow's newspaper sales will not be bad.
Kawei did not point out this reason, because he believed that the people in front of him who could climb to such a position in the political whirlpool would not have thought of this: "It's just newspapers making nonsense."
However, Edward and others seemed to be unsatisfied. After putting down the daily newspaper, they immediately looked at the Times and the Free Press sent by the clerk: "Don't worry, there is something even more outrageous. The Times wrote 'breast cancer removal' as 'breast removal', The names of the two surgeons were not even mentioned from beginning to end!” [2]
"The Free Press is even more exaggerated, actually refuting the legitimacy of breast cancer removal???"[3]
The conversation at the dinner table was lively, but Kawei was not interested.
Different circles naturally have different perspectives on things and different opinions. Even if the reports appear to be amateurish, it doesn't matter. After all, doctors are not very professional. And this is a very common trivial matter in the 21st century. As long as you have been in the clinic for a few years, you will be relieved.
What Carvey really wanted to do was review the surgery.
He looked at the fish bones on the plate and thought of the cutting position chosen when the muscle was removed at the end of the operation.
When the pectoralis major and pectoralis minor muscles were removed during surgery, the cutting point was too far from the tendon roots of the tendons. Although it has little impact on the outcome of the surgery, it can still cause unnecessary bleeding to the patient. Would it be better if the cutting point was closer to the tendon?
There are also many venous branches under the pectoralis minor muscle. Is the separation insufficient?
If it is done again, will the degree of separation accidentally injure the underlying veins and cause bleeding?
Also, although the surgical field did not change much when I just thought of changing the incision position, I have forgotten that there was no shadowless lamp in the 19th century. The light from the candlestick cannot shine deep into the incision, so to expose the armpit, you still have to make a pre-axillary incision...
Kawei thinks a lot. He will carefully analyze whatever comes across his basic thoughts, and then move on to the next one.
At this time, Edward suddenly said: "Although saying this will attract a lot of criticism, as a Frenchman who works in Vienna all year round, I still want to express my dissatisfaction. Vienna is indeed a great enough city to be called It’s an art capital on par with Paris. But it does a poor job of supporting surgical technology.”
"Yes, if it were in Paris, France, if it was a surgical master like Alfred Virpeau." The secretary stood up in time and added details to his boss, "The newspapers in Paris will never To be so careless about the contents of his surgery.”
Edward gently threw the free press in his hand on the table: "It's so irritating! It's no longer the Middle Ages, and surgery is also part of art."
"really."
"The ambassador is right."
"If a surgical genius like Dr. Carvey had emerged from a French medical school, I'm afraid the major newspapers in Paris would have started reporting on it."
Edward started bragging mode. Anyway, Kawei had never been to Paris, so it didn’t matter what he said: “Every operation of his will be recorded in detail, and every action will be described by the artist on the cleanest drawing paper, the surgery page of the newspaper. A space is reserved each day to display the results of his surgeries…”
The words became more and more mysterious. In his mouth, Paris seemed to be the surgical center of the world. Everyone in France seemed to care about surgery.
The others stopped their knives and forks to listen to his performance, but Edinson, who had been silent all this time, suddenly spoke: "Ambassador Edward must have fallen in love with Dr. Carvey."
"Falling in?" Edward smiled, "Although Dr. Carvey is indeed good-looking, it's a pity that I like women." [4]
"I mean, Kawei's talent." Edinson somewhat understood the other party's intention and couldn't help but remind him, "Mr. Ambassador, Dr. Kawei is affiliated with the Imperial Army Medical Department and is an honorable surgeon. if......"
Diplomacy cannot tolerate such a straightforward conversation. Karl, who was sitting nearby and was good at talking to each other, interrupted him directly: "Yes, Dr. Kawei has extremely high surgical talent. Being able to enter the military medical department is definitely a testament to his skills. Recognition.”
"Oh? Really?" Edward was a little disappointed, "I personally think that such a capable doctor should stay in the anatomy room to study more new techniques."
"I have a title, and His Majesty Franz personally recruited me." Kawei was also helpless, "It is related to the safety of the empire, and we should do what we can."
The sudden seriousness of the chat topic caught many people off guard. Fortunately, the sound of the dining cart wheels and Alphonse's voice came from the distance: "For the fourth main course, I specially prepared two more dishes, including baked hare cubs and pan-fried pan-fried rabbits." Lamb chops, Rouen blood duck and Portuguese-style roasted stuffed chicken, I hope you will have a great time at the embassy.” [5]
