Chapter 247 243. The first cholecystectomy in history

Perhaps other doctors will choose to give up when encountering such resistance, especially after experiencing various constraints and education in the modern medical system, self-protection seems to have become a basic passive skill that all doctors should have.

Although Kavi has already achieved a good position, he is still very small in the military and political whirlpool.

Lamin has not only the title of Deputy Marshal, but also the connections of Grand Duke Brecht. This relationship is accumulated through generations of noble families. It cannot be a one-on-one single line, but a single picture that connects a large number of people.

A dense network of relationships between high-ranking officials and nobles.

From a rational point of view, getting close to Lamin is definitely more comfortable than singing a counter-tune with him. No surgeon needs to put his military and political resources on the gambling table for a civilian soldier to meet a bet of more losses than 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 perception, since he had already had an examination, he was his own patient. He could not ignore his own patient, even if he had something that others valued very much.

It doesn't matter.

Only his medical skills and sense of accomplishment after completing the operation are the driving force behind his life.

This makes Kavi's positioning in the hearts of others is strange. Ordinary people think he is strange, people like Lamin think he is stupid, while Donelson, who is also a surgeon, thinks he is very stubborn.

"In order to worry about the diagnosis and treatment of an ordinary soldier, are you willing to fight against Deputy Marshal Laming?"

Donelson is actually not too targeting Kawei. He has the self-esteem of a surgeon. He will definitely feel unhappy if he is snatched away by someone and suppressed by someone with medical skills. But more importantly, he needs to execute Lamin's orders.

As long as Laming nods, he will let go without hesitation.

Unfortunately, Kavi's operation took a sharp turn and couldn't fix Dornelson. He didn't even talk nonsense to him anymore, but handed the matter to his own guard captain to deal with: "Go and ask Ramin

Deputy Marshal, can you pick an excellent soldier from his troops to add to my guards?"

The captain blinked, looked up at the strange expression on Dornelson'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 guards are formed, and then think about what orders you received and who gave them the orders. Do you understand what I mean?

”

"Yes! Lieutenant General!!!"

The captain quickly held down the brim of the hat and turned to leave the operating room. Kawei quickly chose to leave: "I won't disturb Dr. Donelson's surgery, say goodbye."

The Guard was an order issued by Franz himself, and the only requirement was to protect Kawei's safety. This allowed Kawei, who made the request or even the requesting party, quickly completed the overtaking on the corner and kicked Donelson out of the entire situation.

The center of the event.

If it was a normal operation, Donelson wouldn't care. It didn't matter.

But now Kawei proposed a new concept in front of him: cholecystitis, and also gave the cause and treatment. He didn't even have time to use the patient's right to treat the bargaining chips, Kawei left.

Donelson struggled inside.

He knew Kawei's power, and no surgeon could say that he was better than him after seeing Kawei's skills. So this made Donelson have a very strange mentality, and he didn't want to be humble.

I want to learn some new ideas.

The saw blade of the bone saw stuck in the bone for 15 seconds, and he chose to suspend the operation.

"Doctor Kavey!"

"Yeah?" Seeing Donelson run out of the operating room, Kawei was surprised, "Is there anything else?"

"I want to ask my understanding of so-called cholecystitis, why is that patient cholecystitis?" asked Donelson. "The gallbladder rarely mentions in textbooks, and the anatomy has limited knowledge of it, so."

Kawei stopped him: "Aren't you doing amputation?"

"Well, when I saw you were leaving, I wanted to come out and ask." Donelson didn't care much about this, but just continued, "Can gallbladder stones really cause inflammation? Could it be that the gallbladder itself has other diseases?

That's why inflammation occurs? Or is there any other reason?”

"No matter what the cause is, if cholecystitis develops to this extent, it will be removed." Kawei said in a very concise and vague manner, because he didn't know what was going on in his stomach and could not easily draw conclusions.

"Is it too arbitrary to choose cholecystectomy?" Although Donelson's personality is not in line with Kawei, he still has his own understanding of surgery. "Will directly cutting off the gallbladder affect the patient's daily life? And the gallbladder and

The anatomical structure between the liver is too complicated, with blood vessels, bile ducts and messy connective tissue, and it is very difficult to escape these structures."

Kavi agreed with his views.

In the late 19th century, during the days when cholecystectomy was achieved, there was always debate on whether to remove the gallbladder due to acute cholecystitis or not. Even in modern surgery, with the support of technology, this was also the focus of debate in hepatobiliary surgery. [1

】

But what stood before him was not an ordinary old surgeon.

"These things have nothing to do with you." Kawei said calmly, and he did not mean to slap him in the face. "I am not targeting your attitude just now, but I really want to tell you a fact, the principle that a surgeon should keep in mind.

”

"Principle? What principle?"

"Don't get off the operating table if the operation is not completed!" Kavey looked him up and down and warned, "Although I appreciate that you can follow the disinfection concept I proposed, I left the cleaning area in the center of the operating table, now your gloves and leather skirts

The masks are dirty, so they have to be replaced when they go back."

Donelson was not familiar with the concept of aseptics, but he just followed the process. Now that he was distracted, he realized: "Uh, I really need to change it."

"A mature surgeon will not leave patients on the operating table." Kavey sighed, "If you care so much about the treatment of cholecystitis, you can choose to come to Vienna to find me in the future, and Graz is not away from the capital.

Far."

The method that Kawei thought of was very effective.

For Lamin, as long as he doesn't care about him, not to mention a soldier, it doesn't matter if he directly pulls out ten people from him. The key factor that really affects this operation is not him, but how to get from the barracks to Gabrun.

City Center.

"The cavalry must enter combat readiness at any time and there is no way to give up the horse."

This was the answer given by Lamin. It was not that he made things difficult for Kavi, but that the battle situation on the Western Front was much crueler than he thought: "Where is your carriage? Are you here walking?"

"The patient needs to lie flat, and our carriage can't hold so many people," said Kavey. "If the deputy marshal really cares about the horses, I can get the guards to send the horses back after I get to the city center."

Laming sighed: "Okay, let the cavalry team give you two horses, please be sure to return it as soon as possible!"

"knew."

After all, everyone is doing things for the empire. There will definitely be conflicts in terms of personality and selfishness, but as long as you don’t do it too much, Kawei can tolerate it. So in the subsequent "title report" session, Kawei is still

Raming's domineering arrogance was reduced and he did not say anything to death. [2]

But it was not peaceful to go from the barracks to the city center. I even encountered bandits who robbed and were fortunately protected by guards.

When Kavi and others came to Gabrentz, they realized that this kind of robbery was completely forced out by the war.

Here we have experienced several rounds of attacks in Prussia, and a large number of craters can be seen on the streets. Although it is not as devastating as modern war weapons, it is enough to make civilians lose their homes. The Austrian garrison directly broke his life and the houses were expropriated.

Everything must serve the war.

The carriage sent Kawei directly to this so-called "central hospital", which was actually similar to the temporary ambulance in the barracks.

The only difference is probably the accommodation conditions, but in fact the difference is not big. Dirty houses are not higher than outdoor tents. Sometimes the indoor room becomes dirtier due to ventilation restrictions.

However, compared to Lamin's Sixth Army, the troops here are much more obedient.

The reason is still the commander's identity. Lamin is the deputy marshal, so he naturally has the capital to ignore Kavi. A considerable number of the Osa coalition in the city center are the Saxony Kingdom army, which has not strong combat power, while the remaining Austria

The army was broken up early, and there were no senior officers in charge.

In principle, they were also under the command of Lamin, and the reason they were placed in the city center was entirely because Lamin saw that Prussia was going to attack the city and was used by him to block the knife.

Unlike going to the military rescue center, Kavi got off the carriage and went directly to the operating room, because there was Ignaz, a senior chief surgeon, and no one would get in the way. As he expected, Ignaz

Natz completely took over the operating room here.

"Teacher Ignaz, how is the situation?"

"You're here." Ignaz knew it was Kavi when he heard the voice, and his eyes were still staring at the small intestine in his hand. "It's not so good, there are too many wounded soldiers."

Kavi looked around and saw three rooms where there was only one operating table, saving space and disinfection costs, which was the biggest change after Ignaz came here.

But as long as the doctors who can go to the operating table are basically on the table, and there are already long queues outside the room preparing to undergo surgery.

"Is there an operating table?"

"It's gone." Ignaz shook his head and suddenly looked back at him, "You want to use it?"

"Yes, a soldier with cholecystitis needs surgery immediately," said Kavey. "The surgery is not difficult, I can do it in one hour."

Ignaz's mind was in chaos. Not only did the abdominal firearm in front of him give him a headache, but he also gave him a question mark on what Kavey said about cholecystitis. A word that he had never heard before can still speak.

The operation time is so strange

But now he doesn't have the energy to care about these things: "Wait, maybe you can find someone else to give you a free seat. Lucius, how long will you have here?"

"I just opened his thighs and it will take a while."

"Where is Bhutto?"

"Give me another half an hour."

"Rick, go to the next operating room to ask."

"Forget it!" Kawei didn't let his assistant leave the operating table, and he didn't want to do the temporary troop jump, "I'll go find a bed."

"It's not enough to squeeze here."
To be continued...