Strictly speaking, the researchers in Kawei's laboratory are all dabblers. Compared to Pasteur's laboratory, which also studies microorganisms, the few young people here are not even qualified talents, and are only at the assistant level at best.
Savarin was a little older and originally worked as a clinical handyman. His school studies gave him certain experimental skills, but he was not proficient in them. Koch had just graduated with a Ph.D., and his skills were good but not yet perfect. The same was true for the newly hired assistant Auerbach.
This is especially true for Mattick, who just entered the school to learn the basics.
But in less than half a year, they were able to handle the microscopic examination of urine sediment, and most of the credit goes to Kawei. Since the establishment of the laboratory, in addition to part of the funds provided by the school, he has been investing money in it, including many sophisticated instruments, medicines and various experimental materials.
The rapid advancement in their capabilities was fueled by intensive experiments and expensive experimental equipment.
Of course, their current strength is also due to their own efforts.
But the door of modern medicine in the 19th century has just been opened to everyone. New phenomena and new knowledge are everywhere inside the door, and people standing at the door are talented and hard-working people. If you want to grow faster than others, you can't do it without financial support.
The best example is Koch.
Historically, Koch was born into a working-class family. For the four years after graduating in 1966, he was just an ordinary assistant physician. The Franco-Prussian War broke out in 1970. After the war, he returned to the countryside and became a general surgeon.
At that time, he had no money and no laboratory. The only equipment he had was a microscope given to him by his wife, and he did not have the modern experimental techniques and methods provided by Kawei. It would be six years later, in 1876, when he would slowly work out the results in the basement.
As for others, they may have wasted their good time for various reasons, and in the end they failed to leave their names in the history of medicine.
This urine microscopy examined not only Edem's urine, but also these young people's ability to use and observe microscopes. The results were very good. They could clearly distinguish various types of cells, which basically met Kawei's requirements.
After handling the next work in the laboratory, Kawei took the cystoscope from the Municipal General Hospital and went to Laszlo's equipment factory in the evening.
Since he was able to perform surgeries on his own, this place has become a place he often visits, and it is also the main source of the medical equipment in his hands.
This is a factory that makes large-scale industrial machinery parts. It is an important part of Laszlo's business map. Half of the mechanical parts in Vienna are related to him, and the scale continues to expand.
Carvey only wanted surgical instruments suitable for the operation and had no interest in whether he was holding a monopoly. The only pity is that the workmanship of the medical equipment is still a bit poor and cannot be compared with modern professional manufacturers. However, there is really no better factory than here in Vienna. The price is reasonable and the most important thing is that it can work according to the patent.
The equipment business is far less easy to do than medicines. Surgical equipment is still difficult to sell despite adequate advertising. The most successful one is the thermometer, followed by the sphygmomanometer.
However, Kawei did not have high requirements for money. The war made the pharmaceutical factory's income more than enough, which was enough to cover his daily work and research expenses.
The purpose of returning to the equipment factory this time was the same as the previous times, hoping that they would improve this antique that was invented in 1821. 【1】
To this end, Kawei also specially drew a sketch to enhance the light source, improve its old problem of insufficient light source, and truly achieve the purpose of observing the bladder. 【2】
The equipment factory is located in the southeast of Vienna. It is dark around 10 o'clock in the evening, but the lights are still bright here. On weekdays, workers need to work until 11 o'clock in the evening. Now during the war, almost all factories are working overtime to supply ordnance for the frontline war.
"Doctor Kawei." The doorman took off his hat and bowed slightly to Kawei, "It's really hard to work so late at night."
"Is there anyone else in the design studio?"
"Yes, Mr. Forester hasn't left yet."
"Okay, I'll go find him, thank you."
"You're welcome..." The guard took the key and opened the iron door.
After these few months of contact, he has become very familiar with several designers here. Coupled with his relationship with Laszlo and his title of baron, the factory area feels like his own home. Kawei's carriage entered the factory through the gate and stopped at the door of the design room. After entering, he went straight to the office.
"Mr. Forrest, I'm here again. Today's work is not troublesome, just follow the diagram..."
Kawei knocked on the door twice, opened the door and walked in. Forrest was indeed in the room, but he was not alone in the room: "Doctor Carvey, the front line is fighting so fiercely, why are you back?"
"Oh, Archduke Brecht has something to do with me." Kawei answered his question, but looked at the young man standing next to him, "If I remember correctly, this should be Felix."
"Dr. Kawei, nice to meet you." Felix smiled and walked up to shake hands with him. "The last time I saw you was on the operating table in the square."
"Now you are also in charge of the equipment factory?"
"Yes, my father has other work to do." Felix explained, "I have been given the steel and equipment manufacturing here in Vienna, so the pressure is very high."
"No way, you will have to take over the pharmaceutical factory in the future." Kawei said casually, already showing his respect for him, "I am only looking for Forrest for some private matters. If it is inconvenient, I will come back tomorrow. Bar."
"No, no, no!" Felix was very aware of Kawei's current status and said quickly, "I'm basically done talking here, you guys can talk, I'll take the first step."
Kawi and Felix knew each other, but had never communicated formally. Today was also the first meeting between him and the future heir of the Laszlo family.
After just a few brief conversations, Kawei could clearly feel that the young man in front of him who was only two years older than him was very unusual. He does not care about politics like his father, nor does he pursue aristocratic temperament like his father. He seems to only have family industry in his eyes.
However, these are just speculations and a vague feeling. The official cooperation with Felix will probably have to wait for a long time.
Kawei has more important things to do now.
"This is a cystoscope in the warehouse of our hospital. Almost no one has used it..." Kawei carefully took out the old antique from the box. "I don't know what I got it for at the time. Anyway, the mirror The light supply inside is very poor, making it difficult to see clearly in most cases.”
Forester collaborated with Carvey on several occasions, and it was he who designed the hemostats and thermometers.
He had just finished the work at hand, and he happened to be able to change his mind with what Kawei gave him: "The lack of light source should be because the distance is too long. If the length can be reduced..."
"What I want to examine is the human body, Mr. Forrest." Carvey explained, "The distance must be that long, otherwise men who are most prone to urinary tract problems will not be able to do the examination, and the purpose of this thing's design will be lost. Most of it.”
"Oh, so that's it..." Forrest thought for a while and said, "Since there is no way to reduce the length of the instrument, then reduce the length of the light source instead."
"As expected of a top designer, it is exactly the same as my idea." Kawei took out his sketch and handed it over, "Place the light source in the center of the endoscope, and use alcohol and grease to increase the brightness of the light source. What do you think? ?”
Forrest nodded slightly, confirming Kawei's plan.
However, due to the characteristics of the designer's profession, he felt that it was necessary to add an opportunity for Party A to choose: "In fact, we now have a new understanding of light sources."
"What do you mean?" Kawei didn't understand.
"Compared to traditional flame light burning fuel and combustion accelerant, we have recently come up with the idea of using electric current to pass through a carrier to generate a light source." Forrest said, "If realized, it will greatly reduce the various components required for the light source. Trouble with work.”
Kawei nodded: Isn't this just an electric light?
"Is there any reliable solution?"
"Not yet." Forrest smiled and scratched his head, "There is still a small problem with the current control. As for the material, platinum wire can be used."
"You want to insert a platinum wire with current into the patient's bladder?" Kawei joked.
"this......"
Forrest originally didn't expect so much, and still retained the mentality of an equipment factory. But now after being reminded like this, I feel that there are a lot of problems that need to be solved. He said with a smile: "Before entering the bladder, you have to pass through the narrow urethra. After the platinum wire is powered on, it will also generate a lot of heat... Hahaha, it's really quite good. Outrageous.”
There is no alternating current, and there is no dry cell battery that can significantly reduce the space occupied by direct current. The emergence of batteries is far from that fast and easy. The light source of the endoscope is not that simple. It needs to be miniaturized and waterproofed, and the time may have to be postponed for a while.
Kawei sighed: "Just do what I drew, the hospital is in a hurry to use it."
"Okay, it's just a simple light source container. I'll ask the team in hand to work overtime and I can give it to you tomorrow," Forrest said.
Kawei looked at the lights still on outside the window and said: "It's so late and I'm still working. Forget it, I'll find time to do it tomorrow. Just give it to me the day after tomorrow."
"Aren't you in a hurry?"
Kawei smiled: "It's not a bad day."
...
Common tumors that cause asymptomatic hematuria are bladder cancer and kidney cancer.
The degree of malignancy of bladder cancer is not low. If it is a malignant tumor, without treatment intervention, it usually only takes about two to three years from the onset of symptoms to the end of life.
It sounds like Edem is still in the early stages, but there may have been occult blood in the urine that cannot be seen with the naked eye before the gross hematuria. Therefore, when gross hematuria often occurs, the tumor has developed to the middle stage.
The key problem is that bladder cancer is particularly prone to lymphatic metastasis.
It is not a breast, and the lymphatic system is located superficially under the skin. It is easy to judge by staining during surgery, and it is also easy to remove. Bladder cancer metastasizes through retroperitoneal lymph and blood vessels, making it very difficult to deal with.
Just like the previous Gaowan cancer, Kawei gave up on retroperitoneal lymph node dissection.
Once metastasized, bone, ascending kidney, lung, liver and brain are the more common sites. Not to mention now, even in modern times, tumor metastasis is very troublesome. Surgical resection is no longer the first choice. There is no other way except radiotherapy and chemotherapy.
The degree of malignancy of kidney cancer is not low, and the rate may be slightly slower than that of bladder cancer, but there are more choices for metastasis, and metastasis is possible in almost the whole body.
Therefore, it is still necessary to seize the time. After the diagnosis is made as soon as possible, as long as the physical condition allows, surgery should be performed as soon as possible.
】
For Kavi, surgery carries considerable risks, no matter what kind of tumor Erdem has. He is not a full-time urologist. There is no problem in cutting out the bladder or kidney. How much can be cut? What should be done with the surrounding tissue after the cut? What should be done to store urine after the bladder is cut?
These questions have been lingering in his mind since he saw the patient.
If it were other patients, even members of the royal family with a higher status, the operation could be postponed. After all, we are facing a major open surgery. Once something goes wrong, it will greatly affect the patient's subsequent quality of life.
But now Edem maintains relations between Vienna and General McMahon.
Curing Kawei will not only improve his status, but also allow France to enter the country as soon as possible and bring an end to this bad Austro-Prussian War. Maybe this full stop is not so perfect, but at least it is a full stop and not something else.
However, if governance fails, the chances of McMahon providing valuable advice to Nathan will be greatly reduced. The battle between Prussia and Austria is going head-to-head, and the offensive and defensive battle on the front line may need to last another month or two.
Headache......
At 11:30 p.m., Kawei finally returned to his residence.
After paying the fare, he slowly got out of the car, dragged himself tiredly upstairs and opened the door with the help of the surrounding lights. What struck my eyes was the long-lost room and a bad smell that had not been ventilated for a long time.
But this is the taste of home, a thousand times better than the smoke of war.
After he put down his suitcase, took off his coat, lit the candles at home, and was about to turn around to take a shower, he saw a letter on the ground at the door. The envelope contained only the name of the recipient, Kavi, and the name of a place that had always concerned him, "Olmitz."
"It's Hill's handwriting..."
After what happened in the small town of Otaka, Kawi became very sensitive. The moment he saw the letter, Kawei's heart felt as if it was being grabbed tightly by a big hand. He thought something serious had happened at the General Hospital, or maybe Yingenatz or someone else.
It won't be a good thing anyway.
But after opening the envelope, he discovered that it was just a report of Hills' work during this period. 【3】
After reading the letter, Kawei breathed a sigh of relief. He lay on the bed and rubbed his sore forehead and browbones, recalling the surgical procedure in his mind. But the fatigue still overwhelmed the work, and soon his eyelids drooped unconsciously: "Forget it, let's go to bed first, and wait until the sky is clear tomorrow to read a book before thinking about it..."
