Chapter 299 295. Amazing Appetizer

The time was called back to 8 am on the 12th, when the original bed 97 started to suffer from abdominal pain. Most doctors, including Hu Jill, director of the University of Obstetrics, began to conduct early rounds. However, the surgery department on the other side had already finished the rounds, and bed 24 was pushed into the preparation room of the No. 2 surgical theater.

The person who presided over this operation was Carvey, which was also the first operation he had during his trip to Paris.

Because the content of the surgery is not complicated, you only need to find out whether there is stenosis of the urethra and whether there are stones in the bladder, and then choose any of them between dilation, conservative treatment, gravel, and stone removal. Therefore, the assistant to configure Kawei is very limited, and there is not even anesthesia before the diagnosis and subsequent treatment is clear.

This is also a small part of the "disadvantages" brought about by free treatment.

For a large hospital, daily expenses are 10,000 yuan, and it is not easy to maintain them. Some expenses can be saved. Of course, if the patient has requirements and pays the right money, the doctor will definitely be willing to make the treatment more comfortable.

Unfortunately, this guy named End Wells in bed 24 has no money and can't afford a child.

The surgery is not challenging, and it can even be said to be a bit boring. As a benchmark for surgery in all Paris, the Palazzo Hospital has never lacked such patients, and has undergone urethral exploration and dilation almost every day.

Usually, the number of viewers of such operations will never exceed 20, and it is mainly medical students. The appearance of Kawei today did not bring much exception. Some students sat in the audience scattered, and only three were truly doctors.

Seidio, Juyong and another urologist from Sabert Hospital.

He gave himself a clear operation as light as water, which could not cause many waves, but since he was here to show it, Kawei still wanted to come up with some tricks.

"Today is the second day I came to Paris. I was fortunate to be appreciated by Professor Seidio, and asked me to deal with this patient who suffered from frequent urination and urgency and pain."

Kavey signaled the nurse to send the patient to the theater and continued: "If I were in Vienna, I would have chosen the new endoscopic system that Dr. Bosini had invented and improved by me personally. Unfortunately, I left in a hurry and couldn't bring it, so I could only choose these (old) dilators."

He sprinkled the bait at the beginning, which immediately attracted the attention of three doctors.

"The endoscopic system? Is it a urethral endoscopy?"

"I remember someone used it before, saying that you can see the situation inside the urethra, which is the same as the gang door spectroscope. But it is very troublesome to operate and the imaging effect is not good."

"The urethra is so thin, there is not enough light source."

“It wasn’t enough at the time.”

After a brief discussion, Sediyo asked their most concerned questions: "Doctor Kavey, it's not that we question your level of device improvement. After all, any surgeon who has been praised should have this ability. What we are curious about is how you solve the light source problem of the endoscopy?"

"I changed the external candle to a built-in oil lamp. The specific structure will have to be displayed by my assistant to come to Paris." Carvey took out an expansion tube and continued, "I used it to observe Mr. Edham's bladder two weeks ago. Although the field of view is limited and cannot be rotated, the clarity is acceptable."

Edham, a patient who made urologists in Paris a month ago confused.

If Paris cannot be cured, then the whole world should not be cured. No one will believe that he has received proper treatment in Vienna.

Especially some doctors who are not optimistic about surgery firmly believe that Edham is suffering from internal medicine diseases and can recover with a little conditioning. Doing random surgery and wishfully claiming that the surgery is successful after the operation is no different from a liar.

Seidio, Ju Yong and another doctor at the Sabert Hospital also had this doubt.

But for Kavey, this is not a difficult question to explain: "Mr. Edham's problem is hematuria. The operation is over and his hematuria is basically over."

The solution to a problem will always come with more problems. If Edham's hematuria is really solved, the solution will become something that everyone is curious about: "Is it really the media's bladder cancer?"

"It's indeed bladder cancer."

"Did you choose to remove the tumor and then suture the bladder?" Ju Yong could only guess the operation method based on his imagination.

"No, I don't think so! If the tumor is too big, it will be difficult to suture the bladder, and the size of the bladder will be greatly reduced after suture, which will still affect the urination function."

"Cut off the bladder directly? What should I do if I have urine? How to store it? It doesn't necessarily mean that the kidneys can urinate as much as they come out. You can't live in the toilet?"

The three further began to discuss the methods and possibilities of the surgery, and the medical students around them were stunned. For these young people in their 20s, the amount of information about a tumor resection is still too large.

Seeing them like this, Kawei sat between the patient's legs with a smile and began to rinse the surgical area with clean water that had been prepared yesterday: "I will talk about it after the operation. Now I will pay attention to this patient with bed 24. I have only had three urine discharges since yesterday morning and I have already had urinary retention."

"It still feels like a stone."

"It should not be large pieces, but small pieces accumulate together. This way, palpation cannot be touched, but it can also block the urethra opening and cause interruption of urination."

“Indeed, there is this possibility.”

Ende's situation is special and he doesn't want to say anything. There are very few clues that can be used for diagnosis. Kavi is really unsure; "Doctor Albaran, help me to help it."

"kindness."

Kawei put on a mask and gloves, lifted the small thing with two fingers on his left hand, and then half of the urethral spy, the size of his finger, was sent directly in. To everyone's surprise, the whole process went very easily, and when he encountered the prostate downward, he did not encounter much resistance, but just put a little force into the bladder.

"The process is really smooth. But considering the patient's age, it's normal to have no prostate hyperplasia."

Kawei thought that the urethra would become adhesion due to inflammation, and Ende must suffer a little before entering the bladder. But when the spy really entered, he realized that it was strange that, except that the urethra was too unobstructed, Ende's patients did not seem to have as intense reactions to the spy as other patients.

"Doctor Kavey, how is the inside of the bladder? Have you encountered a stone?"

Kawei came to his senses and began to turn the silver rod in his hand, hoping to touch the surface of the stone by swinging the bent head. However, the contact was touching something, but it didn't feel like a hard stone.

What is this thing?

Even Kawei was in trouble. He was not strong enough to judge the complexity of the bladder by relying solely on the feel of the spy: "I did encounter something, but I can be sure it wasn't a stone."

"Not a stone? What else can it be?"

"In addition to stones, the bladder will also grow." Ju Yong thought of Edham, "It won't be a tumor again, right?"

"No, the tumor cannot be suspended in the urine." Kawei had not given up yet, but he still turned the silver rod in his hand repeatedly, feeling the touch caused by the collision in the previous period, "Wait, this feels a bit strange."

"What's wrong?"

"It's not blocky, but a wire-shaped." Kawei carefully described his judgment, "Yes, it's a wire-shaped!"

"What is a wire rope?"

"Doctor Kavey, you have to look carefully. Are you sure it's a cord?"

"I" Kavi was also a little suspicious at first, but after repeated teasing, "I'm sure."

This is a situation that no one has seen before. Whether it is bladder stones or tumors, it should not be cord-shaped, and the possibility of growths like polyps is even smaller. They are puzzled by the nature of the symptoms in the patient's body and the reasons for their occurrence, but Kawei seems to have his own judgment.

In fact, this situation is very common in modern times, and many people have this habit. After working in emergency rooms for so many years, he has seen boys as young as a few years old to elderly people who have retired for many years.

As for why there were no patients in this area in the 19th century, it was not a human problem, but because there was no condition that they could not obtain props of soft texture and sufficient length. It was not because hard objects could not be used, but because hard things were difficult to completely enter the urethra when used, and it was much easier to pull them out.

If it is replaced with a soft rubber tube or other slender props, it is easy to "miss" during use, resulting in similar effects.

From the touch of the hand and the reaction of the spy when it was probing, Kawei had to lean against the foreign object of the urethra. With a suspect, the first thing to do is to confirm it: "Mr. Ende, have you put some things that should not be placed in this?"

Everyone present and Ende lying on the operating table showed an incredible expression.

"No, I, I don't"

"No?" Kavi looked at him in confusion, and his hands were pressing hard again, "But you don't seem to hate me stirring this stick."

"Hiss" Ende felt the stimulation coming from below and struggled to control his facial expression, "You are a doctor. The doctor just needs to cure my illness. Why do you always ask so many questions?"

"Considering the extent of the urethra dilation, your reaction to the urethra probe, and the shape of suspicious foreign objects in the bladder, I have reason to suspect that this is not the first time you have been in trouble." Kavey sighed: "This length and shape must be taken out with surgery."

"Surgery?" Ende shook his head, "Can you not have surgery?"

"If you don't do it, you can only stay in it."

"Save it, just keep it, but I feel so uncomfortable when I go to the bathroom. Can you solve it?"

"So you have to take it out!"

Ende swept back and forth the eye surgery theater, and saw that they were discussing the feasibility of a layman's foreign object from the urethra. His heart, which was still swaying, immediately made a decision: "I don't want to have surgery."

Ende's look of dying for keeping a secret, Kawei shook his head, but it also aroused his curiosity to know what is inside his bladder: "I'm afraid he won't die if he doesn't have surgery."

"Don't, stop kidding." Ende said with a smile, "It's not that I haven't experienced it."

"Oh? Have you experienced it?"

Ende was too lazy to explain to him again: "I won't have surgery anyway."

After saying that, his cooperation began to decline, and his legs, which were originally placed on the shelf, began to disperse restlessly, as if he was ready to leave the operating table at any time.

At this time the spy was still inside, and moving around would definitely cause damage. But Kawei believed that a person who dared to stuff things into the urethra would definitely do such a thing.

Nowadays, doctors no longer have the absolute dominance between doctors and patients. Whether treatment is done or not depends on the patient's own wishes, not the doctor. Moreover, the full payment is free of charge, and there is no financial exchange between patients and the hospital. If Ende insists on not treating him, let alone Kavi has no choice but to say that he has no choice, even the chief director Sediyo on the stage has no choice.

Although foreign objects in the bladder will not have much impact at the beginning, they will definitely be secondary to infection over time. Local infections will lead to stones or more serious systemic infections.

In mild cases, re-operation will occur, and in severe cases, death will occur.

Kawei considered again and again and again to stabilize him and advised him to stay for surgery. First, it was for his curiosity, second, it was for his life, and third, it was for his good start and let the three on the stage see their skills.

"Don't worry, listen to me finish."

Kavi didn't say much, but just calmly exchanged something that the other party could not refuse: "I'll give you 100 francs and leave it for surgery."

Ende was stunned.

All the medical students and the three doctors were also stunned. They had only seen the hospital for free, but they had never seen the doctor send money to the patient in reverse.

"What did you say just now? Give me 100 francs?"

"Yes, there are already a lot." Kavey looked back at Seidio, who was sitting in the audience with a surprised face. "But I didn't bring any money with me. After the operation is over, I will send it to you. Of course, if you are afraid of being cheated, you can get the money from Director Seidio first."

"Hey, Doctor Kavi, you." Seidio couldn't be punished.

"This is a high-quality case," Kavey asked. "Are you not interested in his bladder at all? Don't you want to see what is hidden in your bladder?"

Juyong was the first to stand over: "Teacher, I think 100 francs is worth it. Teacher Kausk, what do you think?"

"Anyway, he paid the money, so I'm fine."

Sediyo had no choice but to take out a hundred-dollar bill from his pocket and send it to Ende: "It's getting late, find someone to fill him with some ether, and then start quickly."
To be continued...