275. Will the scalpel tell you before the operation that this leg cannot be amputated?

Style: Romance Author: West windWords: 4285Update Time: 24/01/12 01:27:24
On the surface, Erdem is just a painter, and in the artistic Vienna, he is just an ordinary Frenchman.

But because of the interpersonal relationships behind him and the anxiety of the Austro-Prussian War, within two days of getting off the train, several major media outlets extended their tentacles to the French Embassy, ​​and some less reliable news began to spread.

Some said they came to visit relatives, some said they came to convey the will of the Three Emperors, and some said they came to talk about mediation, alliances, threats...

It wasn't until Edward finally came off the stage to explain the whole story that things were directed to the right place.

It can be said that Edem attracted enough attention from the beginning. Only two days after retreating, Kawei quietly returned to Vienna from the front line. It was difficult not to attract attention. On the day after the consultation, many newspapers in Vienna published the latest news about Mr. Edem.

This time it was about the changes in the structure of the three countries of France, Austro-Prussia, and it was also a major event that Franz had been thinking about. In addition, Edward was also very cooperative, so in addition to learning from each other's reporting content, the reporters also strived to be true, at least not just Talking nonsense based on personal opinions. 【1】

The big name "Kavi" in the press release quickly played a role in promoting the surgery, and for a while, you could hear some talk about surgery on the streets.

Also arranged after the consultation were various seminars organized by the College of Surgery. The topics were undoubtedly Kawei's diagnosis process for hematuria and the upcoming bladder cancer resection.

The skills of cystoscopy are not difficult to master.

Those who can be invited to the consultation are all veterans who are extremely familiar with the urethra. The urethra is their surgical approach. After entering, they know where to change the angle, where to move gently, and where to use force.

As for injuries, although Mosier said a lot, when it comes to clinical practice, to them it is just urethra injury, which is nothing compared to the treatment of bladder stones in daily life. Moreover, as Kawei said before, urethral injuries can heal on their own as long as they are not serious.

What really concerned them was the previous urine sediment microscopy.

This concern was not due to the impact of Kawei's innovation, but because they often used microscopes and had done pathological examinations of cadaver tumors, but they had never thought of linking pathological examinations with tumor diagnosis.

"How did you diagnose tumors in the past?"

In front of Waterman, there were still a few familiar faces from yesterday's consultation. The number of people had been strictly streamlined, and those who remained had director-level capabilities: "Forget it, let me talk first. I have cut osteosarcoma and epidermal tumors. , I always look at it twice, touch it twice at most, and ask a few questions based on the patient’s dictation, and then I can make a decision.”

"Me too," Mosier said.

"It should be the same for everyone. There are so many types of tumors that can grow anywhere in the body. Diagnosis depends entirely on experience." Massimov explained.

"Experience can also lead to overturning." Waterman sighed and looked at Jacob aside, "What do you think?"

"The development of medicine in the 19th century was changing rapidly. Who would have thought that a microscope could be used to diagnose tumors..." Jacob spread his hands to express helplessness, but at the same time, there was a rare expression of excitement on his face, "At least But judging from yesterday's patient's case, it seems feasible to search for tumor cells in urine with a microscope."

"Is it possible it's just a coincidence? Or a misunderstanding?"

Waterman is obviously helping Kawei, but in his mind, medicine cannot tolerate loopholes. At least he has to pass his own test first: "What I mean is that after all, the cystoscopy did not see the tumor, but it can only determine the location of the bleeding. It’s just the bladder. If it’s a tumor, it must have tumor cells, and if there are tumor cells, does it have to be a tumor?”

"Do you think there are other diseases that can produce tumor cells?"

“I just don’t think the inference may be true.”

"It seems to me that all these topsy-turvy things mean the same thing."

Waterman pondered for a moment and nodded: "That's right. After all, 'tumors' are judged by doctors based on various methods and experience, and they are not absolutely objective."

"Okay, okay, can we stop playing these word games?" Massimov was a little annoyed. "Let's get back to the topic. Do you think what Kavi said at the end of the consultation is worth referring to? Or should I? To put it another way, is his statement clinically feasible?"

"To be honest, I think we can give it a try," Jacob said. "At least the Department of Urology can give it a try."

"You can indeed try it." Mosier also expressed a positive attitude, "Especially for those suspected skin tumors, it is not difficult to do the puncture he said."

"But I think, since we have to have surgery, why bother with it." Waterman picked up the cup and poured two sips of coffee into his mouth. "Just cut off the lump, and finally determine the nature, and let the microscope serve as a post-operative dessert. ' instead of 'pre-dinner soup' would be nice too."

"What if it's a medium-sized tumor? Should we cut it?"

"Oh, it affects the appearance."

"How about smaller? The size of half a fist."

"It should probably be cut too."

"How about younger?"

"This..." Although Waterman had different ideas, he could still keep up with his thinking and immediately realized that he had made a small mistake. "In this case, wouldn't the microscopic examination of tumor cells become the commander guiding the operation? ?”

Everyone around the table nodded: "That's what he meant."

"Isn't this a mess?"

Waterman has outstanding skills and is willing to try new things in surgery. He regards surgery as his whole life. But he is older, and apart from a little professional pride, he also has Austria's calm and conservative character.

Especially this kind of subversive approach, he would never agree to it: "This kid's ideas are getting more dangerous every time. In his eyes, do all future doctors have to do a bunch of tests before they can make a conclusion about the disease?"

Everyone looked at each other and said, "This...that's what he seems to think."

"Nonsense!!!"

"Actually, the doctor is looking at and writing the results of the microscopy, just with the help of some instruments." Someone started to smooth things over, "Surgeries don't just rely on hands, they still use knives."

"How can this be the same? The knife will tell you before the operation that the leg cannot be amputated?" The more Waterman thought about it, the more something was wrong. "The doctor has to direct the instrument, not the instrument to direct the doctor!"

"Stop, stop, stop!" Massimov interrupted, "You've made your old habit again, why are you starting to be idealistic again? Medicine is a science, and there is a set of logical relationships within it, not a doctor Whatever you feel is what you feel.”

They stand at the corner of a drastic shift from medical spiritualism to materialism. Many people admit that spiritualism is unreliable, but they still have some opinions in their hearts.

Waterman has lived so long that he will naturally appear to be more serious in this regard than others.

"Alas..." The old man sighed, drank all the coffee in the cup, and suddenly asked, "Well, how many years have it been since the argument that tumors are attributed to cellular diseases?"

Massimov thought for a moment and then said: "It has been around for more than ten years. In fact, it has only recently begun to be taken seriously. Who would do pathological slides in the past few years?"

"I was too excited just now."

After being reminded, Waterman's thoughts suddenly changed: "With Virchow's tumor cytopathology, perhaps this diagnostic method has very important significance for tumors. However, I don't think that future medicine will develop to what he said. kind of degree."

Jacob sighed softly and said, "Who knows, maybe we won't be here by then."

"Okay, okay, don't talk about these things." Mosier, who was sitting aside, brought the topic back again, "Now that we're done with the microscopy, we have to talk about surgery. His surgery hasn't given us a copy yet. Outline the process, will there be any problems?"

"I don't know much about abdominal surgery, so I won't talk."

Seeing that Waterman showed no interest, Massimov stood up and said, "Don't worry about Kawei's surgery. All we have to do is to be circus spectators and just buy tickets and enter the venue to watch his performance. We won't let you down." of."

"How can someone so young...a child, so to speak, know so much?"

"I heard that he helped in the operating room when he was five or six years old. Maybe this is his talent."

"Oh, by the way, when is the time?"

"Tentatively scheduled for three days."

"Where is the location?"

"Municipal General Hospital, you have to buy tickets in advance to enter."

"Why did you go to the hospital? Why don't you come here?"

"It's natural for people to go back to their own hospital to perform surgery and make money based on their own abilities." Waterman said, "And his tickets are not cheap at all. You should have learned this a few months ago."

Mosier felt distressed when he thought about his wallet: "I didn't expect that even a surgery would make me poor. I won't spend another 1,000 crowns, right?"

"It's hard to say. Who knows how much the ticket will be worth after a few fiddles. But..." At this time, Massimov smiled and looked at Waterman aside, and said with some pride: " Hehe, the dean and I are both members, so the price is discounted and you don’t have to grab tickets, it’s so comfortable.”

"Is there such a good thing?"

"But membership is a one-time purchase. You, a Frenchman, should just forget it and don't spend such unnecessary money."

Mosier was a little disappointed. On the surface, he still had the appearance of a chief doctor, but in his heart, he had long been appetized by the removal of bladder cancer. Now when he heard that the surgical theater still had such a business model, Kawei had lived in Vienna for a long time, which always made him feel itchy.

"It doesn't matter, Kawei will go to Paris after the war is over..."

...

At this time in the Hofburg Palace, Franz also heard the news about Erdem's surgery from Edward's mouth, and the stone in his heart finally fell...half. After all, surgery is risky. Kawei is highly skilled, but no one can tell what the final result will be.

"Do you need me to go?"

"No need." Edward said with a smile, "Your Majesty has to care about the war on the front line, the people's livelihood, and the old man's health. It's really tiring."

Franz said "Thank you for your understanding", but he was full of complaints in his heart: You know that I am busy and you know that I care about the front line, why don't you help me quickly? What's the use of saying you're tired?

"After the operation is over, I will take the time to see him." Franz closed a document in his hand and handed it to the minister beside him. "Don't worry, since Kawei is here, the operation will probably be done." It will be fine.”

"I understand, there are always risks in surgery, and Mr. Edem has been mentally prepared for it."

Franz picked up another document on the table and nodded: "Now that everything is done, Mr. Edward, if you have nothing else, go back quickly. You have been busy with this operation these days. , it’s time to go back and rest.”

Seeing that the other party had issued an eviction order, Edward quickly said: "Actually... I came to the palace for another thing."

"Huh? What's the matter?"

Edward finally brought up his topic: "I'm here to confirm the specific date of Dr. Carvey's Paris tour."

Franz had just opened the document, and his thoughts were spinning between the paper and the other party's words. He couldn't hear clearly for a while: "What did you just say? Paris? Who is going to Paris?"

"What I mean is that the surgical tour demonstration that His Majesty and I discussed before was originally agreed to allow Dr. Carvey to go to Paris to do medical reporting work, which would also enhance exchanges between the two countries." Edward said, "But later he became a military doctor. Ministry, we can only drag this matter backwards."

"Oh, you're talking about this."

Franz had actually forgotten it a long time ago. Even if the other party recited it in such detail, he couldn't remember many details: "You have to discuss this matter with Dr. Carvey. I am not a prison here. I can still stop him from going to Paris." Can’t do it?”

"Dr. Cockaway said..."

"say what?"

"Said he would not leave Austria until the war was over."

Franz nodded, his face softened a lot, and he reopened the document in his hand: "Since he is so good at it, let's wait until the war is over. Scientific exchange is a good thing, and no one will object to it."

This is a small thing. Many prestigious surgeons will receive invitations from foreign schools or associations to perform surgical demonstrations. No matter how bad you are, there will be various meetings that you need to attend. Simply making a report can increase your visibility, so why not do it.

Austria is indeed in a special situation now, and both the person involved and Franz have made a statement and made a rational choice.

On the other side of Paris, no one may know this young man who has just emerged, and the so-called traveling exhibition may not even have a hosting venue.

The most anxious person in the whole thing, and the only one who was eager to send Kavi to Paris, was Edward. Since the end of Fernand's turmoil, gossip about him has spread whether in Vienna or in Paris, which is more than a thousand kilometers away.

He was able to secure his current position entirely because Nasan had not yet tried to influence him.

If you want to reverse the unfavorable situation, you can only rely on building momentum, and Kawei is the straw in his hand. Maybe the straw wasn't strong, it was still very tender, and it might even break if it was pulled on, but Edward really had no other choice.

"Dear Your Majesty, I know that you are concerned about the front line and hope to end the war as soon as possible. As long as Mr. Edem's operation is successful, I and Count Giustina will write to His Majesty the Third Emperor and Marshal McMahon, Do our best to secure peace for Austria. So, I implore..."

This was the only bargaining chip that Edward could offer after careful consideration, but Franz had no reaction at all: "His Majesty the Austrian Emperor?"

"..."

Edward raised his voice: "His Majesty Emperor Franz of Austria?!"

Franz still didn't speak, but judging from the several expressions that flashed across his face, he seemed to be obsessed with the contents of the document in his hand. It wasn't until he shouted twice more that he reacted: "Huh? Oh, I understand, I'll do as you want."

"You agreed?"

"Um."