Chapter 295 291. Strange request
The process of peace talks between Prussia and Austria was very secretive, and because of the active concessions from both sides, the peace talks process was further accelerated. In less than three days, a basic consensus was reached between Prussia and Austria.
On the surface, Austria declared defeat and returned the prince, while Prussia withdrew from the occupied areas across the board. It seems that apart from the tens of thousands of soldiers who died, the relationship between the two countries has not changed much.
In fact, nothing has changed, because the most important matter of German unification has not come to an end. Behind the scenes, the two countries will definitely continue to compete secretly, and the dominance of unity cannot disappear because of the disappearance of this war.
Comparing the outcome of the Austro-Prussian War in history, although Austria was defeated, it was not a miserable defeat and it was a big profit. France is still sitting on the mountain watching the fight between tigers and tigers. It has done nothing and is considered flat. Only Prussia fought a stupid war and suffered a loss of blood.
Their war goal was not achieved, and Austria still had one foot on the soil of the Prussian Federation and refused to move away.
However, putting aside God's perspective and looking at the current situation alone, these three parties have actually lost.
Prussia naturally lost in a cowardly manner. After mobilizing for half a year, it gained nothing in the end. Once unification was announced, it would inevitably face the joint efforts of France and Austria to obstruct it.
And Austria itself was a defeated country, followed by Austria and Austria, which completely lost the last face of the empire and completely reduced it to a second-rate power. As for France, although it did not participate in the war, if you think about it from the perspective of taking three, if you did not earn what you should have earned, it would be equivalent to losing.
"It turns out that the Prince's only son fell into their hands. They were so cunning. Before I left, they told me not to forget to talk to you." Edward felt like he was being played as a pawn, "Franz... He has a decent face, but he didn’t expect to act so sinisterly.”
"Maybe they are afraid that we will affect the peace talks. After all, I really hope that they will continue the fight."
Nasan moved his body and changed into a more comfortable sitting position: "They say that Emperor Pu is like a butcher, killing people without blinking an eye, but he still values emotions now. If it were me, I would never give away the fruits of victory. If you don’t have a son, you always have a nephew, right? Franz and I both inherited the throne from our nephews.”
"Oh, I didn't get something back from Prussia, so I'm so embarrassed now." Edward didn't even know what expression to use when facing Franz next time, "By the way, has the Prussian Emperor come to see you? "
Nassan shook his head: "Forget it, there's nothing much to talk about at this point. After all, it's a Prussian family matter. Talking too much about it will make it appear that we have bad intentions. Let's take care of our own business first. You're responsible for the card. Doctor Wei, and then establish a good relationship with the Austrian Emperor. As for me."
There was a sudden pause at this point, and Nasan raised his head and looked at his old friend.
In the past, Edward's job was very stable and he had a title, so he shouldn't have worried about his situation. But after going through the tricks in Vienna, and now seeing this report, I feel a little unsure.
As the ambassador to Vienna, he also plays the role of an intelligence officer. Franz's secretiveness is indeed beautiful, but if there is someone to take the blame, it can only be him.
There was a hint of ferocity in Nasan's eyes, as if he wanted to swallow Edwards in front of him, but what he said was another thing: "Has the time for Dr. Kawei's surgical demonstration been set?"
"operation time?"
Edward was a little confused by the question, and his pores tightened in a cold sweat: "He just arrived at the Main Palace Hospital, so he probably hasn't decided yet."
"Anyway, the Austro-Prussian War is over. You don't have to rush back to Vienna. Just work hard in the past few days to prepare a detailed schedule for me to see." Nasan put down the documents and stood up, walking towards his desk, " If I have time, maybe I’ll go take a look too.”
When he took three to support Carvey's surgical tour in Paris, Edward thought he had seen the crux of France's population problem, and at the same time wanted to give himself some face. In the final analysis, Kawei is just a tool to promote cesarean section.
He never thought that Nathan would be so interested in a little-known doctor.
Edward walked out of the palace, still frightened by the conversation just now. He really couldn't understand what Nasan wanted, so he could only do as he said: "Carriage~"
"Sir, where are you going?"
"City Hospital."
At this time, the Main Palace Hospital was not very peaceful.
Cediyo's operation itself affected the emotions of many people. Now the operation failed and the patient Mr. Polis died unexpectedly. Everyone's expectations were disappointed. Under the cold veil of the surgical theater was a slightly lonely face.
However, Kawei, who came from afar, suddenly intervened, turning the theater originally dedicated to surgery into a "live" anatomy class. The transformation was so smooth that even Cediyo, the surgeon, might not have expected it.
The old steam train, which was originally slow and slow, gradually accelerated and then accelerated under the stimulation of Kawei, and gradually went off the track.
"It is worthy of being the pinnacle of surgery in France, and the Palais-Dieu Hospital can produce such clear and wide anatomy pictures."
Kawei asked his assistant to hang the anatomy diagram with a sling in the center of the surgical theater, as if he were the owner of the theater: "Everyone can take a look at this upper abdominal anatomy diagram. It is very detailed and you can easily see the stomach and ten The major blood vessels surrounding the duodenum."[1]
The anatomy diagram is indeed good, but unfortunately the person speaking made the audience feel extremely out of place.
It's like throwing a piece of Austrian pork offal into a bowl of rich and delicious French tomato soup, which makes people turn off their appetite.
"I think it's more like blood sausage or fried lard."
"too disgusting."
"That's not the point. The point is why he loves to show off so much?"
“There’s no other way, that’s a place for people to express themselves.”
Because he had asked a "good" question that no one could answer, Kawei was invited by Professor Cediyo to enter the surgical area, hoping to help find the location of Mr. Polis's massive bleeding.
In fact, before asking the question, Kawei had basically guessed the answer, which was nothing more than a ruptured blood vessel. Considering Cediyo's technical level, the vessels that may be ruptured should be the short gastric artery arising from the splenic artery, and the gastroduodenal artery arising from the common hepatic artery.
Among them, the short gastric artery is more hidden and often causes massive blood loss without anyone noticing.
but.
"Short gastric artery?" Cediyo shook his head, "I know the location of this artery very well, and I always pay attention to it when dissociating it, for fear that it will be torn off by the traction force that will appear at an unknown time."
Kavey carefully turned Boris's stomach and indeed saw the short gastric artery intact.
Could it be the gastroduodenal artery on the other side?
Obviously not.
The sequence of steps of the operation was different from what Carvey had imagined. Sedillo did not fully separate the duodenum, and the blood vessel was only half-processed. Although it seemed that the ligation was insufficient, the sutures were placed after Boris died and had nothing to do with the bleeding just now.
"Dr. Kawei, I know very well how many blood vessels there are around the stomach and duodenum, as well as their location and the technique for dissociation."
Sedillo said with a matter-of-fact expression: "If you think I will make such a mistake, you will inevitably look down on French surgical technology."
At this time, Juyong, who had been doing pathological microscopy just now, walked into the operation area with the newly prepared tumor slices: "I sampled Mr. Boris's stomach tumor from various angles and depths. The first specimen was Tumor cells have been found, proving that he is suffering from gastric cancer."
"It seems that my diagnosis is correct." Cediyo continued to search the abdominal cavity with Kawei. "The left and right gastric arteries and the greater omentum artery have been checked, and no bleeding points were found."
This is the first time Kawei has seen this situation. In clinical practice, there are basically two locations for severe bleeding during gastrectomy. Are there others?
"Doctor Kawei, you were just asked by Teacher Sedieu to help. Don't act like you are dominating in Vienna." Guyon walked to Kawei with the slices and whispered, "Hurry up and end this ridiculous incident." Find a job, accompany the professor to complete the surgery as soon as possible, and talk about other things afterwards."
There was a bit of arrogance in his tone, but his words were objective and pertinent.
Now that the bleeding location has not been found, pursuing the so-called cause of death is equivalent to tying Cediyo and Kawi themselves together and roasting them on a fire rack, which is obviously inappropriate.
The correct approach for ordinary people should be as Guyon is suggesting:
"Teacher, let's finish the scheduled operation first, and let Mr. Polis's wife decide whether she is willing to donate the body for our research. If she is willing, we will hold another public autopsy at 8 o'clock in the evening. It must be stuck Dr. Wei is tired from the long journey, so why not go back and have a good rest and wait for our autopsy results tomorrow."
This passage gave Kawei a not-so-pretty step, not because there was anything wrong with its design, but because the step was covered with a thin layer of imperceptible shit.
Kawei would not give up, and even refused to leave after hearing what he said: "Mr. Juyong, why are you in such a hurry? You still have a dozen slides to look at."
"The tumor has been characterized, there is nothing to see."
"Unfortunately, bleeding is not definite and cannot be left alone."
"But he's dead!"
"But the operation is still going on, and it has not been declared over." Kawei explained in their own words, "According to the surgical procedure, it is natural to deal with heavy bleeding, just like what Professor Sediyo and Teacher Juyong were doing together just now. Same thing."
It was simply sophistry, but no one could refute it, because they defined the concept of "surgery" first, and Kawei just used it.
"Could it be that if we can't find it for an hour, the operation won't be over for an hour?"
"I'm afraid that's the case." Kawei took out a retractor from the pile of instruments, opened the skin, and dragged the stomach out of the incision. "The dissociation of the stomach has been completed. If there is bleeding, there will be a lot of blood coagulation around the blood vessels. The block is right”
"There is no blood clot now, you are overthinking it."
"Professor Cediyo is so skilled in technique and knows the anatomy of the upper abdomen very well. How could he make a common-sense mistake when suturing free tissue and blood vessels?"
Under the leadership of Juyong, the objections in the audience gradually turned from low-pitched discussions into in-person questioning. Although it is not radical enough to drive people away, it is enough to make ordinary people feel uncomfortable.
Fortunately, Kawei was not an ordinary person. He ignored these voices and just looked at the half of his stomach that had been turned out of his body.
Before it was left in the abdominal cavity, Kawei had not noticed any problems, but now that it was taken out of the body, the sense of disobedience hidden behind it was slowly revealed.
The more Kawei looked, the more fishy he felt, so he checked the remaining stomach for the second time. This time he finally found the key to the problem: "It seems that we were looking for the wrong location. Although it was a gastrectomy, the The bleeding location may not be in the stomach."
"That sounds really good." Cediyo was a little upset by Kawi's persistence. Just as he was about to have an attack, he thought of a possibility, "Wait a minute, could it be?"
Ju Yong on the side also reacted and used his hands to help support the half of the stomach that was pulled out of the abdominal cavity, creating space for the two of them to further explore the abdomen.
"A problem occurred during gastric dissection. Although the short gastric artery was noticed, the omentum was not stretched." Sediyo separated various soft tissues and finally found the problem in Mr. Polis's left upper abdomen. The key is, "It is indeed the spleen!"
"The omentum was stretched too much during the operation, which caused the spleen capsule to tear, causing massive bleeding." Kawei simply dictated the cause of the bleeding, "In this case, follow the normal surgical procedures."
After finding the cause, Cediyo was completely relieved, and his tone and attitude softened: "According to the surgical procedure, the spleen should be cut off directly to stop the bleeding as soon as possible."
Kawei looked at the extent of the membrane tear and felt that it would be okay to suture it directly. However, considering that the other party was the chief surgeon, he did not say anything further: "Give me the tissue forceps and gauze. Dr. Albaran, take the retractor. Let's go first." Isolate the splenic vessels.”
The tumor has been removed, the bleeding problem has been clarified, and splenectomy is not too difficult for Cediyo. The significance of the subsequent surgery outweighs the content.
After the operation, the audience's view of Kawhi also took a 180° turn.
Not only for finding the cause of the bleeding, but also for the beautiful assistant work in the final stages. He is different from other assistants. He is not just an "assistant", but an "assistant" who is connected with the surgeon. He can bring the instruments and surgical position to the surgeon's hand at every step, making it extremely comfortable.
The one who really felt the impact was the surgeon, Cediyo.
Just like Ignatz, who had asked Kavi to help him in the first place, he clearly recognized the power of this young man. Maybe this was not Kawi's intention, but every step he performed made Sedieu feel that this was not assistant work, but surgical teaching at a higher level.
Seeing him and Guyon talking about surgery and washing hands together, Sedieu couldn't help but said: "Dr. Kawei, how about the 97 beds you just saw?"
"." Kawei actually hadn't figured out how to answer this question yet. After hesitating for a moment, he was ready to seek truth from facts, "I think the diagnosis of appendicitis is still open to question."
"You have a different opinion?"
"I just can't tell. The possibility of appendicitis is not low, but other diseases must also be considered." Kawei said, "If the pain persists, we still have to wait until the abdominal cavity is opened before we can draw a conclusion."
Cediyo sighed: "Please set a time for the operation as soon as possible."
"If possible, I would like to postpone the operation as much as possible, although this is not good news for the patient, but"
"Are you waiting for your team assistant?"
Kawei nodded: "Assistants are very important."
"It is indeed important." Cediyo looked at Kawei again, more carefully than when he was in the center of the surgical theater. "Dr. Kawei, if you don't mind, I am willing to be your assistant to help you complete this operation."
(End of chapter)
