Chapter 278 274. No matter how small the inspection is, it is full of details

In the history of medical development, it is never easy to make a breakthrough that is recognized by most doctors.

There are too many pioneers who are unable to break the original stable medical system even if they hold the truth and shout their discoveries at the top of their lungs. Breaking the inherent cognition requires not only knowledge, courage and perseverance, but also some external things.

External forces do not play a dominant role, but they can play an auxiliary role as the icing on the cake, greatly reducing the time required for medical development.

Even though Kawei had insufficient external resources before, he never had much say in the fight against infection. But compared to the earlier Semmelweis, at least he was not isolated by the people around him. He was also surrounded by the Municipal General Hospital and the Iraqi Medical University.

Gnatz has these backings.

A large number of surgeries and the gradually developed types of surgeries allowed him to gradually gain a foothold in Vienna.

Tracheotomy, inguinal hernia, intestinal repair, cesarean section, ventricular shunt, gastrointestinal cancer, cleft lip, breast hyperplasia, breast cancer, hepatosplenecectomy, intervertebral disc herniation

These surgeries brought Kawei to a level not belonging to his age group. At the same time, others who followed suit also saw the feasibility of the surgeries. Over time, after discovering that the overall postoperative infection rate in the Municipal General Hospital dropped,

, anti-infection has gradually become the standard of surgery at Vienna Hospital.

More than half a year has passed, and every surgeon in Vienna knows about disinfection, and everyone is willing to do it.

With such a status, Kawei's resistance to selling technology to other countries will naturally become smaller.

The nominal host of this conference is Waterman, but Carvey has always been in the lead. His main role is to downplay the responsibility for diagnosis and surgery. If the time goes back six months ago, Carvey may not even be qualified to enter the venue.

.

In fact, those who spoke up to rebut and put forward different opinions were all "outsiders" who were not familiar with him. Those who had worked with him and were familiar with his abilities naturally had a high degree of trust. Even if they really had doubts,

I still hope to see what new things Kawei has come up with and what changes it can bring to surgery.

Kawei's examination techniques are not very skilled. After all, modern cystoscopy is performed by full-time urological surgeons, and many details can only be known after they have done it. However, he has still inserted the most basic urinary catheter, and all of them are in

For insertion without anesthesia, the operating techniques can be learned from each other.

Kawei gently moved the mirror body and said calmly: "I didn't see the tumor. It may be that the distance between the mirror body is too long, or the tumor may be closer to the entrance of the bladder. However, I can clearly see the urine entering the bladder.

The fluid was clean and there was no blood, but the bladder that I had originally cleaned already had bloodshot eyes."

Ginger is still spicy. Kawei briefly talked about the theoretical basis, and Jacob had already thought of clinical practice.

"Where's Teacher Massimov?"

"Of course."

This is true at all. The only person who feels ordinary is probably the modern Kawi.

With a slightly embarrassed shout, the scene ends.【3】

With the help of the flame, the dark mirror tube suddenly shone with the luster that metal should have, and at the end of the mirror, Kawei finally saw the scene inside the bladder: "When examining a living person, I was talking about the corpse just now.

Differently, we cannot rush to find the location of the disease, but must prepare the bladder first."

Edem sat on the operating table wearing a hospital gown and asked: "Is ether the same thing as chloroform?"

"Teacher Jacob is really amazing. In just a few seconds, he told me the details of the operation that I had been thinking about for three days." Kawei took the rubber tube given by Begut and slowly moved it along the lens body.

Put it into the bladder and connect the syringe, "But I still want to ask one more question."

"It's true that I can't see it anymore."

"With the palm of your left hand facing upward, hold the coronal sulcus of the YJ between your middle finger and ring finger and lift it upward to straighten the urethra." Kawei said while doing it, "then separate the urethral opening with your thumb and index finger, hold the mirror with your right hand, and enter slowly."

"Yes." Kawei looked at Mosier, who had been questioning him before, "Teacher Mosier, I have thoroughly cleaned my bladder just now, and there was no serious damage when the cystoscope entered the urethra."

Edem tried Kawi's request, trying to get used to the feeling, and asked: "How much trouble?"

Jacob also tried once and asked: "This also means that the location of the lesion is inside the bladder?"

"I'm glad that I can bring you a good memory." Kavi smiled and removed the cushion, letting him sleep smoothly before announcing to everyone, "Now Dr. Damirgaon will lower the height of the cystoscope, and Dr. Berget will go to the hospital."

Put fuel at the light source and ignite it."

Skipping the step of informed consent, Damirgaon fully sterilized the cystoscope and handed the fully lubricated mirror to Kavi.

"Of course not."

But considering Edem's age and status, he still hopes to give another advice to this very curious old French man: "For medical advice, I still hope to use ether anesthesia, which can reduce the pain. As long as I sleep

You’ll be fine as soon as you sleep.”

"Not bad." Edem's forehead was covered with fine sweat. He watched the thick cystoscope enter his body and always had a strange feeling. "Dr. Kawei, I need to make sure of one thing. I am

Not the first patient to be examined?”

Before others knew what Kawei wanted to say, Jacob and Mosier successively guessed the reason for doing so.

"Thank you. Ouch!!!"

If the examination fails, Jacob's promotion alone will still be limited. But if the examination is successful, coupled with the subsequent surgery, Vienna's already top-ranked urology department will be pushed to a new level.

"How can I relax my muscles when it hurts so much?"

"Don't say it. It's not like I haven't experienced surgery before. I'm just doing a check-up." Edem was familiar with the process, took off his pants, quickly lay on the bed, and assumed a very standard lithotomy position, "Come on.

"

They are all surgeons who can perform surgeries by themselves. They believe that seeing is believing. No one will admit the inspection results without judging by their own eyes. At the same time, this is also a perfect opportunity for them to observe the inside of a living person's bladder for the first time.

"You have to relax."

"That's good! That's good!!!" Edem looked up at the ceiling with satisfaction, "This is really a wonderful experience, haha~~~ I must write it in my diary!" [

4]

"It's really uncomfortable." Kawe reminded again, "You will feel like you are being..."

Kawei stopped his hand. At this time, the mirror port has passed through the bulb of the urethra [2], and then down to the sphincter: "How about it? If you feel uncomfortable, you can also use ether now. I have the best in the world here.

anesthesiologist."

Jacob looked at him and asked: "Is this the reason?"

"It may not be the first one, but it must be the first one whose inspection is successful."

"What's the problem?"

"Okay." Kawei let go and handed over the task of holding the mirror to Damirgang, "Mr. Edem, how do you feel now?"

Kawei tried to ask: "Are the cystic organs still full after the urine is emptied?"

".I will try my best to cooperate."

Of course, all this seems to be going smoothly, but it all needs to be based on the results of the inspection.

A burst of electric pain suddenly came from his lower body. His whole body couldn't help but tremble, and his body reflexively wanted to lean back: "This is really powerful, so powerful."

"Muscles relax."

"It's coming, it's coming, hey. It's so exciting!"

Kawei injected cold water into the rubber tube to stop the bleeding and flush the bladder at the same time. Only by thoroughly cleaning the inside of the bladder can the surrounding structures be seen clearly: "Teacher Jacob's urology skills are really profound. I was offended by the question just now."

"

Kawei saw that he still didn't understand, so he glanced at Heman behind him. The latter also understood clearly. He made a fist with his left hand, and used the index finger of his right hand to poke the joint between the index finger and thumb, and at the same time said: "That's probably it."

This is what it looks like.”

"Empty the urine before the endoscopy to prevent colored urine from interfering with vision." Jacob said, "What you need to do now is to inject enough water into the bladder to remove the shrinkage.

The bladder is full."

Everyone left their seats and leaned toward the operating table.

"How is it?" Jacob was very concerned.

If it can be used on the bladder of adult men in a non-invasive manner, it will greatly reduce the cost of examination. Not only is the examination process simple, doctors are more willing to use it, and patients are more likely to accept it, which invisibly promotes the development of endoscopy.

"I asked Mr. Edem to empty the urine before the examination. What should be the state inside the bladder now?" Kawei glanced at everyone, "Should it be in a contracted state? It is a cystic structure, like a

A balled-up paper bag, rather than a structural steamer, because air can't exist without urine."

"Well, yes, they are all magical drugs that allow you to wake up and find that everything is done well." Kawei explained, "But in comparison, I prefer ether, which is less toxic and safer.

"

"Bladder anatomy is the basis of lithotripsy. Based on everyone's surgical experience, it is impossible that we don't know it."

"I see."

Edem raised his head to see the whole process clearly, but found that he had insufficient vision while lying on his back, and missed the opening scene. Just when he was about to shout for help, Herman at the side brought a pillow and raised the back of his head.

"No offense." Jacob drew several sketches on the paper with a pen, and quickly wrote down various notes on the side, "Your cystoscopy is more serious than my casual lip service just now.

Much more."

"Yeah, what does this have to do with cystoscopy?"

"So you can't see the inspection process, right?"

"Uh, I'm sorry." Kawei suddenly explained, "Maybe I was too vague. I was referring to the anatomy of the internal structure of the bladder, not the location of the surrounding organs and blood vessels."

“Isn’t the bladder just a cystic organ?”
To be continued...