At ten o'clock in the evening, the lights are still bright in the physician's office at St. Mary's Hospital.
Several young physicians had finished their work day and left to go home, but Ed Nelson, the chief of internal medicine, remained at the hospital. According to the previous agreement, he still needs to meet someone here.
"Miss Trout, you are late."
Ed Nelson sat in his seat, looking a little angry, but he still sent the freshly brewed hot milk tea to the other party's hand: "If I hadn't made an appointment with you, I would have been enjoying the delicious meal carefully prepared by my wife at home. ”
"You are too outspoken. Just call me Jenny."
She tried to control her breathing through her mouth, hoping to look more ladylike. But the lungs were not obedient and still caused some ups and downs in the body. This should be the incidental item left behind when she rushed upstairs just now, which made her feel quite embarrassed: "I'm really late, I'm really sorry. I walked too fast just now, and my head is still dizzy."
Ed Nelson sighed: "Is it hysteria again?"
"Maybe." Jenny's face turned red and she asked with a smile, "The pelvic massage last time was good, if that's okay." [1]
"My skills are limited and I am not good at this British-style treatment method." Ed Nelson refused, "This matter must be left to Dr. Ambrose, who has just returned from studying in the UK. His technology is first-rate. "
"All right."
Jenny drank most of the cup of milk tea in one breath, finally recovered and started to get to the point. However, what she didn't expect was that the topic had ended before it even started, or it could be said that it was forcibly ended: "What did you say?"
"I said that tomorrow's plan has changed. Mrs. Sandini may not be able to go to the nursing home." Ed Nelson paused and added room for maneuver to this sentence, "But it's not necessarily, it depends on the situation."
Jenny was confused by him: "What does this mean? We agreed to go tomorrow, why did it change again?"
"Don't get excited." Ed Nelson looked at the Bible at hand with a rather indifferent expression, "It's just that some new changes occurred during the treatment process. I temporarily changed the patient's treatment plan, and I also had to temporarily change her treatment plan. Tomorrow’s trip.”
Jenny felt aggrieved. She had been busy for so long just to be able to cooperate with the patient's treatment tomorrow and make her sanatorium's brand name famous. Now he suddenly said that he wanted to change the treatment plan, which is equivalent to erasing all the efforts of the previous few days: "I specially improved the original electric bathtub, everything is for tomorrow, you say now"
"I said, it's just a temporary change. If the new treatment method is ineffective, it will naturally be sent to you."
Ed Nelson didn't like her impulsive character, and his tone suddenly cooled down: "Don't take yourself so seriously just because you are a sanatorium. I am the doctor who leads the treatment direction, not you, a businesswoman."
Jenny was said to have no temper.
Although he had made a name for himself in Vienna's medical community with his emerging electrotherapy skills. But at best, he is the innermost businessman of the other party, and he is still a businesswoman. There is no room for bargaining with Ed Nelson.
Of course, since Ed Nelson is willing to put aside the gender discussion and cooperate with her, he must have his own purpose.
Now I gave him a slap in the face, which was regarded as a lesson, and then came the candy stuffing part: "Did you just say that you improved the electric bathtub?" [2]
"I took into account Mrs. Santini's family situation, so I made a simplified version for the poor to make it more suitable for the poor." Jenny took out a folded engineering drawing from the small bag, "This is it." [3]
Ed Nelson looked at the drawings and nodded repeatedly: "It looks good. How much does this cost?"
"It cost me 3,500 kronor from the drawing to the completion of the machine." Jenny complained, "The entire sanatorium alone cost me 30,000 kronor for these machines, not including the laying of wires and motors. If I open the business, I won't make any money."
"I'm asking how much each machine costs." Ed Nelson has no interest in costs.
"The water and electric bathtub is 650 crowns per time." Jenny pointed to the drawing and said, "This simplified version is 400 crowns, half price for opening, and 200 crowns per time."
Ed Nelson nodded: "It's really not cheap."
"This is the most fashionable treatment method in the world. Currently, only the United States and the United Kingdom have electrotherapy sanatoriums of this scale. Although there are similar ones in France, the competition in electrotherapy in Paris is too fierce and it is difficult to expand."
Jenny is very confident about her career in Vienna: "If you can help spread the word, this sanatorium will definitely be able to cure many people's strange diseases."
Ed Nelson looked at the drawings and just nodded without answering.
Jenny thought she hadn't explained the benefits of electrotherapy yet, so she reiterated: "Electric energy is life, Dr. Ed Nelson. In electric current, people can defeat kidney disease, stomach disease, liver disease, intestinal disease, especially indigestion!"
"Um"
"If possible, I really want to go back to the days when electric shocks were used on corpses." Jenny really loves electric shocks and carries newspaper clippings with her at all times [4]. "Although it was finally confirmed that electric shocks cannot bring the corpse back to life, it can The life energy contained therein is beyond reproach.”
"really."
Jenny is not the kind of small businessman who grabs a lot of people on the street. She can come into contact with Ed Nelson, so she naturally has a set of survival rules. Seeing the cold attitude of the other party, she knew that she needed to pay more costs.
She thought of her black suitcase, put it on her lap, opened it, and took out a full-metal "belt" from it: "This is a new product invented by our company. As long as careful preparations are made, it can be used." It can provide you with a weak continuous current for the next 8-12 hours." [5]
Even though he knew that this metal could not be gold, its golden-like luster immediately caught Ed Nelson's eye: "It's so magical?"
Jenny smiled and gave him the belt, and helped him wrap it around his waist: "Such a dazzling golden spiral pattern waist chain exudes unparalleled light like a saint. Please believe me, no woman can escape its attraction. "
"Not bad, it's really good." Ed Nelson was very satisfied with this. "You said all women will be attracted by it?"
Jenny smiled and replied: "Of course."
Ed Nelson nodded and suddenly put his hand through her lower back and hugged her tightly: "What about you?"
"I"
While Ed Nelson was working hard for the development of medical devices around the world, the discussion in the surgical ward had entered a heated stage.
In fact, the purpose of Kawei's surgery was very simple. He did not seek to relieve the pain, because the tumor had metastasized to such an extent that there was no possibility of cure. He just wanted to help Mrs. Santini relieve or completely eliminate the pain.
At least the headache should be suppressed immediately.
"Mr. Santini, the headache comes from the squeezing of other brain tissues after the tumor metastasizes into the skull." Carvey explained to her husband, "It's like a bladder stone. There is an extra stone out of thin air, which always makes people feel uncomfortable." The pain is unbearable.”
"So that's it." Santini didn't seem to realize the seriousness of the problem. "Then can this thing be removed through surgery? I mean, it's like removing bladder stones."
While talking, he also imitated those surgeons and made a gesture like using a clamp to remove a stone.
"I'm afraid it won't work." Kawei was not prepared to beat around the bush with him. "The head is not like a bladder. It is not filled with useless urine, but various brain tissues. They are very easy to bleed and are also very vulnerable to injury. Of course, the most important thing is The problem isn't the risk of surgery, it's that we don't know where the metastatic tumor is."
The head is not like the belly. As long as a long enough incision is made, the location of the lesion can always be found inside. The head is covered with bones, so even drilling a small hole, let alone a long incision, requires a lot of surgical complications.
Based on the symptoms themselves, Kawei could guess pretty well.
The location of pain suggests the left side of the brain, epilepsy suggests a brain meningioma, and hearing loss suggests the location is in the auditory center of the temporal lobe. The three "tips" all take the maximum possibility, but when combined together, the odds are greatly reduced.
Moreover, brain metastases are not primary, and no one knows whether they are one, two, or several metastases. In the absence of imaging positioning and diagnostic tools, Kawei had no confidence in gambling, and the surgery itself had no meaning in gambling.
"Are we just going to leave it like this?"
"If you really find the tumor, you can cut it out, but if you can't find it, don't look for it." Kawei said, "Because even if you find the tumor and cut it out, the final result will not be much different. On the contrary, it will increase the risk of surgery.”
"What does this mean?"
Massimov sat aside and explained: "It means that the operation is very likely to fail, she is very likely not to survive, and will die directly on the operating table."
"how so???"
"I'll ask you." Massimov also became irritable when he thought that the patient had no hope of cure. "You should have been mentally prepared when you gave up the operation and went home. Death will not joke with you. "
After learning that they were suffering from breast cancer, the couple made preparations, and it was their mutual decision to give up surgery.
I thought I could survive it for two or three years. I thought headaches and breast cancer were two completely different diseases, but who knew that tumors could metastasize. I couldn't survive just one year later. This severe pain has already made Mrs. Santini lose her rationality. As long as it can relieve the headache, she is willing to try any treatment.
"We've discussed it with Dr. Ed Nelson to try it once, and if the surgery doesn't work, then we can go to a nursing home tomorrow and get electrotherapy."
"Okay, let's follow your plan."
St. Mary's Hospital has its own surgical theater, but surgeries at ten o'clock in the evening are rare. In addition, the surgery is a temporary addition, so the venue is empty without any audience.
This quiet environment is strange to other surgeons, but it has been a long time coming for Kawei. And the most important point is that without the noisy audience, there are no sources of bacterial infection. As long as the operating theater is thoroughly disinfected several times, it can be one step closer to a "sterile" environment.
"You shouldn't have sprayed out two whole bottles of carbolic acid and alcohol, right?" Massimov frowned, resisting the irritation of the pen tip, and said, "Is it necessary to do it so thoroughly?"
"Of course."
Kawei wrapped a bandage that had been sterilized by steam on his hand, picked up a pair of surgical forceps from the side of the stage and threw it on the ground: "I remember I warned you before entering the theater, there are no ones that have been dipped in carbolic acid or put in a steamer. Nothing is allowed on stage!"
"These are just pliers for holding cotton balls and gauze."
"That's not possible either." Kawei asked, "Who said in the first place that as long as I do the surgery, I will make all the surgical rules?"
Massimov felt uncomfortable when he saw his doctoral student being scolded by a young man who was several years younger, but there was nothing he could do about it. Because this is what he said, and since he said it, he must abide by it: "Okay, okay, there's nothing to argue about. Let's go and disinfect!"
"It's not that I deliberately made things difficult for them." Kawei sighed, "It's just that your surgical instruments are too dirty."
"It doesn't matter, it's up to you."
Massimov felt uncomfortable after a good breast cancer surgery turned into a skull drilling. Because in his understanding, breast cancer must be removed as soon as possible, and there are other better ways to treat headaches.
But Carvey's concept far exceeded his expectations.
[All operations on the tumor were abandoned and we concentrated solely on Mrs. Santini's headache. ]
This sentence has been lingering in Massimov's mind from the beginning, lingering: "Give me a razor, I have to shave her hair first."
"Prepare the metal tubes and rubber tubes I asked for before. The longer the better." Kawei and two other assistants began to prepare surgical instruments, "Hand drill, scalpel, forceps, hemostats, gauze, scissors, needles , please give me two more pressure plates and three hooks."
"Plate? Retractor?"
“Why do we need pressure plates and hooks???”
"Dr. Kawei, this is an intracranial surgery. It is surrounded by bones. There is no need to use these."
In their opinion, it is just a hole in the head and there is no chance to use the pressure plate.
But Kawei's surgery was not as simple as they imagined. There is a reason for the pressure plate: "Drilling is only the first step. The purpose of the operation cannot be achieved by drilling holes in the skull alone. Next, I have to make incisions." Her abdomen, that’s why she needed a pressure plate.”
"Open the abdominal cavity???"
"Yes." Kawei picked up a rubber tube and said, "I will use it to connect the cranial cavity and abdominal cavity to divert the high pressure in the skull."
[Let’s wait until midnight for this chapter]
