Early the next morning, Carvey got up and wrote back a letter to Hills. 【1】
First, he affirmed his work, and then briefly talked about his situation, skipping the things on the Western Front. The second step is to pay attention to some matters that must be paid attention to, such as whether a rehabilitation center has been set up in the safe area after Olmitz, and whether an evacuation route has been selected once the fortress is lost.
Finally, there is the issue of infectious diseases. With a large number of casualties, bacteria breed, and we must always be careful about the emergence of plague in the fortress.
After writing the letter, he did not choose to read the book. Instead, he put on formal clothes and politeness and went to the Hofburg. He entered the palace again as a lieutenant general and met Franz.
The war was originally serious, with desperate fighting on the front lines and the headquarters in the rear never having a good rest. Kawei should not have gone to see him casually. But considering that Edem is related to the entire war situation, the situation is not optimistic, and the operation is difficult, so Franz must be informed in advance.
Kawei walked into his office under the leadership of the captain of the guard, stood upright, and took off his hat: "His Majesty the King."
"You're back." Franz's face didn't look very good, but he still managed a smile after seeing Kavi, "Have you met Mr. Edem?"
"Well, I already met him when I arrived in Vienna yesterday afternoon."
"Come on, sit down, you're welcome." Franz stood up, sat on the sofa with Kawei, and then said to the captain of the guard, "Go and make a cup of coffee for Dr. Kawei. No milk or sugar."
"yes."
Seeing the captain of the guard leaving the office, Franz asked: "I have read the letter you sent...Oh, I didn't expect it to end like this."
"The changes in the war on the Western Front were too fast. We were unable to react in time. By the time we retreated, we were already entangled." Kawei briefly talked about the small town of Otaka that he had just passed, but still gave the escort a very positive attitude. Evaluation, "Aleister and his team members are the best and most outstanding soldiers in the empire. They never thought of surrender until their death."
"It is indeed the pride of the empire. I will erect a monument for them." Franz sighed, looking a little tired, "Forget it, let's not talk about these sad things for now, let's talk about the old French painter. .”
"This is exactly why I came to visit," Kawei said. "Judging from the consultation and subsequent laboratory tests, he should have a urinary tract tumor. It is most likely bladder cancer, and of course there is also the possibility of kidney cancer. "
"Tumor..."
This is the only disease that Franz understands, because tumors represent pain and death, and there is no need to explain too much. Of course, this is also the disease he least wants to face: "Are you sure?"
Kawei nodded: "I'm sure."
"Can these two tumors be treated with surgery?" Franz still had hope, "Just like the surgery done on Giustina?"
"The operation can definitely be done, but the process is very complicated." Kawei said. "After all, it is an internal organ, not a subcutaneous tissue. The damage will be very large, and the operation time is likely to take more than 3 hours. He is already over 60 years old, can he There is a question mark even when I get off the operating table, and getting off the operating table is just the most trivial trouble in the whole operation."
"In terms of the length of the operation, Marshal Ludwig also made it through. It seems that his symptoms are more serious."
"This is different. The old marshal is a bone, and he is an important organ in the abdominal cavity. It is completely different."
Kawei shook his head, "In terms of difficulty, this operation is similar to the one in the square. But after all, Fernan is young enough and has a good physical condition. But even so, I still think it's a miracle that he survived."
Franz felt that the chips he was holding in his hands suddenly turned into a bomb that could explode at any time, and he was full of complaints: "He just had some blood in his urine. The doctor usually does bloodletting, how come he suddenly... .....”
Kawei could hear his doubts. This was not distrust, it was just that considering the identity of the patient, as the king of a country, he could not make an easy decision.
He understood this feeling very well. Rather than embarrass Franz, he might as well take the initiative to express his thoughts: "I am very confident in my diagnosis, but Mr. Edem's situation is special, and it is impossible to just give him a diagnosis and treatment plan." Listen to me alone. If Your Majesty feels it is necessary, you can summon other doctors for consultation."
This is not Kawei evading responsibility, it is just a necessary measure to avoid risks.
At this time, the captain of the guard knocked on the door and entered the office with coffee, which happened to give Franz a time to think: "Actually, France has already done this. Everyone talked about it, and no substantive results were obtained. . Otherwise Edem would not have listened to Justina and rushed to Vienna in such a hurry."
Kawei picked up the coffee cup, took a few sips, and said with a smile: "If we come up with a treatment plan, doesn't it mean that Austrian doctors are better than them?"
France is a long-established power, and it is also an old enemy of Austria. Franz is happy to see that it can suppress the opponent in the medical field: "What you said is true, but you can guarantee that our consultation will definitely produce an order." Is it a convincing conclusion?"
"I'll convince them."
...
In fact, long before Kawei came to Vienna, Edward, the ambassador to Austria, had already found several doctors to help make a diagnosis. Except for Massimov and Mosier, the other three are internal medicine, two of them from the Municipal General Hospital and one from St. Mary's Hospital.
The result was the same as the General Clinic in Paris. Everyone had their own opinions and no one could convince anyone.
However, the two surgeons mostly tended to damage the kidneys, ureters and bladder, and the most likely cause was bleeding caused by friction between stones. However, physicians all felt that stones were too absurd, and the diagnosis was more biased toward nephritis.
In their eyes, "bleeding" itself is a state that requires dialectical consideration.
From the perspective of internal medicine at that time, the amount of bleeding could be ignored as long as it did not affect urinary function. It could be relieved by taking medicine, and there was no need for surgery at all.
So this time, Cavett deliberately expanded the scope of the consultation. Doctors from all hospitals in Vienna can participate in this consultation as long as they are willing. The time is 1 pm on October 27th, and the location is in the surgical theater of the School of Surgery.
From after leaving the Hofburg Palace at 10 a.m. on the 26th to 10 a.m. on the 27th, Kawei locked himself in the room. He needs to repeatedly read various anatomy books at hand to have a more intuitive understanding of the upcoming surgery.
He only slept for three hours during this period and was very tired, but he still gained something.
Whether it is a kidney tumor or a bladder tumor, in order to achieve better surgical results, the scope of resection will definitely be expanded. Simply cutting off one kidney or cutting off the bladder alone may cause tumor recurrence.
Among them, the bladder is the most troublesome.
The bladder is a sac-like organ that stores urine, and its position is like a spittoon in the corner. Everyone feels that the spittoon is dirty, but once the spittoon is gone, the physiological functions that originally seemed to be natural will disappear.
Therefore, how to reconstruct the urinary tract after bladder removal is the key.
To put it bluntly, Franz only needed Kavi to keep Edem for three months. After France agrees to enter, the old man's life and death will have nothing to do with this war. But Kawei's requirements are definitely different from ordinary people. Now that he has taken over, he must do his best.
For bladder cancer, according to Edem's physical condition and requirements, Kawei made three urinary tract reconstruction plans in advance to prepare for emergencies.
For kidney cancer, it depends on the degree of tumor invasion. If the degree of invasion is not high, kidney-sparing surgery can be performed. Once the tumor enters the mid-stage, there is no need to save it. Radical resection is the safest way.
Without imaging support, tumor surgery can only be done step by step.
"That's pretty much it."
Kawei closed his notebook and prepared to leave for Laszlo's equipment factory to pick up goods. After the new cystoscope is received, he will go to the College of Surgery to perform a cystoscopy on Edem.
But just as he was about to get up, put on his clothes and prepare to leave, there was a knock on the door: "Is Dr. Kavey here?"
"exist."
Kawei straightened his clothes, turned around and opened the door: "Mr. Felix, why are you here?"
"I'm free today, so I can give you the endoscope I ordered the night before. It's quite heavy." Felix handed over the long wooden box in his hand, "Then I stopped by to chat with you."
Kawei knows that it is difficult for medical devices to develop and grow without capital, but at the same time, if they are too closely entangled with capital, the consequences will only be more serious.
Felix is likely to be Laszlo's successor. He doesn't want the young man to have too much contact, as it could easily lead to problems over time. But the other party was indeed enthusiastic enough. Not only did he deliver the endoscope to him, but he also followed Kawei into the room familiarly.
"I paid the deposit of 100 kronor last night." Kavi picked up the wallet on the table, "The balance is 150 kronor, here it is."
"I'm not here to ask for money." Felix pushed back his right hand holding the money, "I'm here to discuss cooperation."
"Cooperation? The contract with the pharmaceutical company has been signed long ago. There is nothing else that needs to be changed. Is there something wrong with those drugs?"
"No, Dr. Kawei misunderstood. The pharmaceutical factory is not under my control." Felix took out a pen and paper from his pocket and placed it on the coffee table. "I am talking about my own equipment factory."
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Equipment factories originally process mechanical parts and are not as targeted as pharmaceutical factories. Surgical instruments are not as popular as medicines, and some of them don't have many finished products at all. In Austria, where industrial development is extremely conservative, this equipment factory has slowly slipped into a business quagmire.
It has to be said that such an ordinary equipment factory is not special in Austria.
Transform it into a specialized medical device factory, invest a few more dollars, and as long as you slowly wait for the surgical trend, making money will not be a problem.
Unfortunately, Laszlo was not optimistic at the time, so the cooperation has been on hold. Kawei had always obtained his surgical instruments in the same way as the night before, and he had always kept the drawings and patents in his own hands.
So when Felix proposed cooperation, Kawei was very surprised. He didn't expect that this young man valued medical equipment so much. He could already see the proportion of medical equipment in the future market less than half a year after taking over.
But then I thought about it, it was not because of the outbreak of the Austro-Prussian War that the quartermaster purchased a large amount of medical supplies as required, which allowed this equipment factory to turn a profit.
"Cooperate with me? My equipment business is not easy to do." Kawei feinted and continued to pack his suitcase. "Otherwise, you should wait until I finish my work for a while."
Felix had no time to wait any longer.
Even if the equipment factory completes this military order, the profit for the whole year will still be very low. For Laszlo, if he did not make a lot of money, it would be a loss. Once this wave of war dividends ended, the equipment factory would lose its meaning of existence.
"Father said that if we can't find a solution this year, the factory will probably go bankrupt next year." Felix didn't want this, so he found another way to discuss with Kawei, "I will open another factory under the name of this factory." A branch that specializes in surgical instruments, what do you think?”
This can be regarded as the prototype of a medical device company. Test the waters first. If it doesn't work, then withdraw, the investment loss will not be too great. But after these words entered Kawei's ears, he always felt that there would be something uncomfortable next.
"I feel very good."
"When the time comes, you will be the chief development designer and do more advertising. Our medical equipment will definitely be able to..."
I thought it would take a while, but Felix didn't prepare much at all. He just said a few words and started to draw the pie. Kawei was fully aware of his intentions and quickly waved his hand and said: "Mr. Laszlo should know my original intention of doing medicine and equipment. I am not doing it to make money."
"Ok, I know."
“So all my products are patented for only one year.”
Looking at Kawei's raised index finger, Felix finally realized: "Father never told me about this."
"Now I tell you the same thing." Kawei stood up with a smile, "So the so-called medical device division does not actually need to exist, and I will not run to be a designer. If you really want to cooperate , it can be exactly the same as a pharmaceutical factory, I provide the drawings and you provide the labor, and the income is split in half.”
Felix, who wanted to cut through the mess quickly, thought that Kawei was young and could quickly reach a consensus with him.
But his sharp knife cut through the cotton: "Only one year? I think 5-10 years is more appropriate. As a reward for Dr. Kawei's talent, it is very reasonable."
Kawei felt so embarrassed that he almost had cancer. He quickly waved his hand and explained: "No, no, no, you misunderstood. This one-year patent period is not prepared for myself. If I opened the factory by myself, I would have most of the There is no need for patents.”
Felix:? ? ?
"To put it bluntly, this is for you and your father." Kawei relied on what he just said, modified it slightly and handed it back to him, "This one-year patent period can ensure that your father's patent is the only one in the world. The factory can produce my products, which is a kind of reward for Mr. Laszlo’s payment, which is very reasonable.”