Perhaps other doctors will choose to give up when encountering such resistance, especially after experiencing all aspects of constraints and education in the modern medical system. Self-preservation seems to have become a basic passive skill that all doctors should possess.
Although Kawei has achieved a good status, he is still very small in the military and political whirlpool.
Lamin not only had the title of deputy marshal, but also had the connections of Archduke Brecht. This kind of relationship is accumulated by generations of noble families. It cannot be a one-to-one single line, but a dense network of relationships that connects a large number of dignitaries.
From a rational point of view, it is definitely more comfortable to get closer to Lamin than to go against him. There is no need for any surgeon to put his military and political resources on the gambling table for a civilian soldier and face a gamble where he loses more than he wins.
At least you have to remain neutral.
But Kawei's nature made it impossible for him to give up on this patient. In his mind, since he had already done the examination, he was his patient. It is impossible to ignore your own patients, and it doesn't matter even if you get caught up in something that others are extremely interested in.
Only his medical skills and the sense of accomplishment after completing the operation are the driving force of his life.
This puts Kawei in a strange position in the minds of others. Ordinary people think he is weird, people like Lamin think he is stupid, and fellow surgeon Donilson thinks he is very stubborn.
"Are you willing to go against Deputy Marshal Laming just to trouble you with the diagnosis and treatment of an ordinary soldier?"
In fact, Donilson was not too specific about Kawei. He had the self-esteem of a surgeon, and he would definitely feel unhappy if someone took away his patients or suppressed him with his medical skills. But more importantly, he needs to carry out Lamin's orders.
As long as Lamin nodded, he would let go without hesitation.
Unfortunately, Kawei's operation took a sharp turn, and Donilson was unable to stop it. Even after that, he stopped talking nonsense with him and left the matter to his guard captain: "Go and ask Deputy Marshal Laming if he can pick an outstanding soldier from his army to supplement my guard. Number of people.”
The captain blinked, looked up at the strange expression on Donilson's face, and asked in a low voice: "What if the deputy marshal refuses?"
Kawei cleared his throat and patted his shoulder: "Think about how your escort was formed, and then think about the orders you received and who gave them...Understand me Do you mean it?"
"Yes! Your Majesty Lieutenant General!
! "
The captain quickly raised the brim of his hat, turned around and left the operating room. Kawei also quickly chose to leave: "I won't disturb Dr. Donilson's operation. I'll take my leave."
The escort was ordered by Franz himself, and the only requirement was to protect Kavi's safety. This allowed Carvey to quickly complete the corner overtake, kicking Donilson out of the center of the entire incident.
If it was an ordinary operation, Donilson would be fine with it, and just ignore it.
But now Kawei proposed a brand new concept in front of him: cholecystitis, and also gave the cause and treatment. Before he could even use the patient's right to heal as a bargaining chip, Kavi was gone.
Donilson was struggling internally.
He knew how powerful Kawei was. No surgeon would brazenly insist that he was better than him after seeing Kawei's skills. So this gave Donilson a very strange mentality. He didn't want to be humbled, but he also wanted to learn some new ideas.
The bone saw blade got stuck in the bone for a full 15 seconds, and he chose to pause the operation.
"Dr. Carvey!"
"Huh?" Kawei was surprised when he saw Donilson running out of the operating room. "Is there anything else?"
"I would like to ask you about your understanding of the so-called cholecystitis. Why did that patient have cholecystitis?" Donelson asked, "The gallbladder is rarely mentioned in textbooks, and the understanding of its anatomy is also very limited, so... .”
Kawei stopped him: "Aren't you undergoing amputation surgery?"
"...Well, when I saw you were leaving, I wanted to come out and ask." Donilson didn't pay much attention to this point and just continued, "Can gallbladder stones really cause inflammation? Could it be the gallbladder itself? Are there other lesions that cause inflammation? Or are there other reasons?"
"No matter what the cause is, if cholecystitis develops to this extent, it must be removed." Kawei said it very concisely and vaguely, because he didn't know what was going on in his stomach and could not easily draw conclusions.
"Is your choice to remove the gallbladder too arbitrary?" Although Donilson's personality is at odds with Kawei, he still has his own understanding of surgery. "Will directly removing the gallbladder affect the patient's daily life? There are also gallbladder and The anatomical structures between the liver are too complicated, including blood vessels, bile ducts, and messy connective tissues. It is very difficult to free these structures..."
Carvey agrees with his views.
In the late 19th century, in the days when cholecystectomy was available, there was debate over whether to remove the gallbladder in acute cholecystitis. Even in modern surgery, with the blessing of technology, this is also a focus of debate in hepatobiliary surgery. 【1】
But the man standing before him was no ordinary old-time surgeon.
"These things have nothing to do with you." Kawei said calmly, without any intention of slapping him in the face, "I am not targeting your attitude just now, but I really want to tell you a fact, a principle that surgeons should keep in mind. "
"Principle? What principle?"
"Don't get off the operating table until the operation is completed!" Kawei looked him up and down and warned, "Although I appreciate your ability to abide by the disinfection concept I proposed, after leaving the clean area in the center of the operating table, your gloves and leather skirt are now , the masks are all dirty, you have to change them all when you go back.”
Donilson was not familiar with the concept of sterility, so he simply followed the procedure. Now that my attention was wandering, I finally realized: "Well, I really need to change."
"A mature surgeon will not leave the patient alone on the operating table." Kavi sighed, "If you are so concerned about the treatment of cholecystitis, you can choose to come to see me in Vienna in the future. Graz is not far from the capital. Far."
...
The solution Carvey came up with was very effective.
As far as Lamin was concerned, as long as he was left alone and not a single soldier was mentioned, it didn't matter even if ten people were taken away from him. The key factor that really affected this operation was not him, but how to get from the barracks to the center of Gablenz.
"The cavalry must be ready for battle at any time, and there is no way to give up the horses."
This was the answer given by Laming. It was not that he was making things difficult for Kavi, but that the fighting situation on the Western Front was much crueler than he thought: "Where is your carriage? Did you come here on foot?"
"The patient needs to lie down, and our carriage cannot hold so many people," Kawei said. "If the deputy marshal really cares about the horses, I can ask the convoy members to send the horses back when we get to the city center."
Laming sighed: "Okay, let the cavalry team give you two horses. Please return them as soon as possible!"
"knew."
After all, everyone is working for the empire, so there will definitely be conflicts in personality and selfish motives, but as long as they don't go too far, Gekawi can still tolerate it. Therefore, in the subsequent "snitching" session, Kawei still downplayed Lamin's domineering behavior and did not tell the truth. 【2】
But the journey from the barracks to the city center was not peaceful, and we even encountered robbing bandits. Fortunately, we had guards to protect us and we were safe.
When Kawei and others came to Gablenz, they realized that this kind of robbing bandits were completely forced out by the war.
This place has experienced several rounds of Prussian attacks, and a large number of craters can be seen on the streets. Although not as destructive as modern war weapons, it is still enough to cause civilians to lose their homes. The Austrian garrison also directly disrupted his life, civilian houses were requisitioned, and everything had to serve the war.
The carriage took Kawei directly to this so-called "central hospital", which was actually similar to the temporary first aid center in the barracks.
The only difference is probably the accommodation conditions, but in fact the difference is not big. Dirty private houses are no better than outdoor tents, and sometimes the indoors become dirtier due to ventilation restrictions.
But compared to Lamin's Sixth Army, the troops here are much more obedient.
The reason lies in the status of the commander-in-chief. Laming is the deputy marshal, so he naturally has the capital to ignore Kavi. A considerable part of the Austro-Saharan coalition in the city center is the army of the Kingdom of Saxony, which itself is not strong in combat power. The remaining Austrian troops have been disorganized early, and there are no senior officers in charge.
In principle, they were also under Lamin's command. The reason why they were placed in the city center was entirely because Lamin saw that Prussia was about to attack the city, and he used them to block the knife.
Unlike going to the barracks rescue center, Kawei got off the carriage and went directly to the operating room. Because Yingenatz, the senior surgeon-in-chief, was there, no one would block his way. In fact, just as he expected, Ingnatz completely took over the operating room here.
"Teacher Ingenac, how is the situation?"
"You're here..." Yingnaz knew it was Kawei from the voice, and still stared at the small intestine in his hand, "The situation is not good, there are too many wounded soldiers."
Kawei looked around and saw that the room that originally only had one operating table was crammed into three, saving space and sterilization costs. This was considered the biggest change since Ingnatz came here.
But as long as doctors can go to the operating table, they are basically there, and there is already a long queue of people preparing to undergo surgery outside the room.
"Is there still an operating table?"
"No more." Yinggnaz shook his head and suddenly looked back at him, "Do you want to use it?"
"Yes, there is a soldier with cholecystitis who needs immediate surgery." Kawei said, "The surgery is not difficult. Give me an hour and I can do it."
Ingnatz's mind was confused. Not only was the abdominal firearm injury in front of him giving him a headache, but it was also full of questions about the cholecystitis that Kawei mentioned. It's so strange that a word that I have never heard of can tell the time of the operation...
But now he doesn't have the energy to care about this: "Wait a minute, maybe you can find someone else to fill an empty seat for you. Lucius, how long do you have here?"
"I just opened his thighs, it will take a while."
"Where's Bhutto?"
"Give me another half hour."
"Rick, go to the operating room next door and ask..."
"Forget it!" Kawei didn't let his assistant leave the operating table. He didn't want to jump in line temporarily. "I'm going to find a bed."
"It's too crowded here."
"There is open space outside the room, you can use it." Kawei said, "Salt water and carbolic acid are enough. Give me some."
...
The air is filled with all kinds of dust and bacteria, and outdoor surgery carries considerable risks. But just like Fernand's surgery, Carvey now has a reason to choose outdoor surgery. The only difference is probably the number of spectators.
This operation will surely become a great operation that no one will watch.
The process from preparation to execution of the surgery is extremely difficult, but as long as the people around you are willing to cooperate, it doesn't matter if the conditions are more difficult. In just ten minutes, soldiers used tables and door panels to set up a temporary operating table at the door of the operating room.
The required carbolic acid and brine were also sent.
The patient was lifted up to the door panel with a team of people. The lines on the surface must have made him uncomfortable to sleep, but fortunately, the following anesthesia time would make him forget about the physical pain and sleep peacefully.
"What's your name?" Kawei washed his hands and then put on a pair of gloves.
The soldier was shaking in pain, but he still answered: "Rogaro Scott, Lieutenant General His Excellency."
"I have no other intention, I just want to know the patient's name." Kawei asked Amor to put on an ether mask: "It should be less painful when you wake up."
"Thanks......"
Watching him slowly enter the anesthesia stage, Kawei took the scalpel handed by the nurse.
Before cutting Rogaro's abdominal skin with a knife, he still wanted to solemnly remind his assistants: "Because the environment is relatively harsh, in order to prevent serious infection, I will end the operation as soon as possible. This is insignificant to me, but to you The requirements are very high. Please try to concentrate and don’t waste time.”
Everyone: "Yes."
"We first make an incision in the right upper quadrant and enter the abdominal cavity..."
Kawei's scalpel cut along the right side of the costal margin, and the first cholecystectomy in history officially began outside the operating room.
