303. A strange combination of circumstances

The failure of the afternoon operation meant that Cediyo had to stay in the anatomy room for four full hours.

In fact, regardless of the surgical concepts at the time or the cutting-edge surgical technology, the tumor could be completely removed and pathological biopsy was performed, the intestinal tract was anastomosed, and the patient was still alive off the operating table. The operation was undoubtedly a success.

But since Kawei appeared, some strange changes have taken place in the brain of this famous French surgical professor.

Human beings are extremely greedy creatures, and doctors are human beings too, so naturally they are no exception.

When it is discovered that there is a better way to treat the same disease, a considerable number of doctors will not be content with the status quo and will force themselves to improve their technology. In the process of improving technology, they will inevitably have to pay the price of forced improvement.

The patient's incision was swollen and bleeding, and a large amount of bloody fluid leaked from the suture site, which was difficult to heal.

Some patients are in good enough health and may have a chance to grow well if they receive adequate nutrition, but cancer patients are often elderly, so this chance is slim. The same is true for 13-year-old patients. In their 60s, they are thin and rely on the hospital.

The free food provided here is not nutritionally sufficient at all, and there is no endless supply of antibiotics.

In the 19th century, the occurrence of intestinal fistula and anastomotic leakage was basically a death sentence.

Of course, Cediyo also paid the price known as "reputation."

The failure of two operations in a row was a wake-up call for the nascent abdominal surgery industry. Although the colleagues and students who came to watch the operations did not say anything, they would talk about it behind the scenes, and there would inevitably be some hindsight.

view.

Peang took the drill and looked back at Sebasto, who was lying on the bed. He was about to ask what kind of surgery he was going to do next, but suddenly he remembered that he seemed to have forgotten a huge event: "Ah, I

Forget Professor Sedieu’s coffee!”

Of course, the premise is that he has enough prestige.

Cediyo looked at the blood stains and greasy dragging marks of various tissues on the ground, and sighed: "How many sutures have we done in total?"

The incident happened suddenly, and he didn't bring his own equipment box, so he had to make do with this skull drill: "Go and wash it, and then soak it in brandy for a while. I will use it later."

Fortunately, he would not argue with his subordinates over a cup of coffee. He just complained secretly and put the matter behind him. The most important thing now is the timing of the second surgery on bed 13. It is best to decide as soon as possible. Unfortunately, he

There is no energy left to continue thinking now.

Seeing that he was still explaining at this time, the nurse became anxious: "Dr. Kawei is watching inside. He asked for the theater. What's the point of going to see him? Hurry and prepare the theater, he is going to have an emergency operation!"

However, French surgeons were very cautious when it came to drilling holes in the skull. This is also an important issue that must be treated with caution and review when medical care around the world enters the threshold of "modernity".

"Didn't he drink too much? He smelled of alcohol."

Cediyo looked at his newly sewn rectum, sat on the small chair next to the body, and said, "Go and get me a cup of coffee."

Although the surgical theater no longer admits outsiders, it still has a performance nature. Cediyo has experienced many failed scenes, and he no longer cares about these.

Prepare the theater for surgery? Someone is dying? Which person is dying?

"Look at his head." Kawei turned to Shebasto's face, exposing the back of his head, and then called him twice, "There is no reaction from such a big wound on his head. This state has continued.

It’s been more than an hour, something will definitely happen if we go down any further.”

There are also arguments such as "Only local excision should be performed through the ganglion from the beginning" and "Instead of removing the sacrococcygeal bone, it is better to do it through the abdominal cavity." Some reporters even stated that abdominal surgery is a killing technique and is nothing like killing pigs and digging out the internal organs.

Both.

"This is too dirty." Kawei picked up the drill and looked at it under the light, feeling really unsure, "There are blood stains and rust spots everywhere. I see that you usually wash the instruments after use, so why don't you wash the drill?

?”

Peang has almost never had brain surgery, and the last time he saw anyone doing it was several years ago: "It's just this one, and no one usually uses it."

"You ask why?"

Seeing his interest, Kawei picked out a few more tweezers, hemostatic forceps and a slender metal probe for the urethra: "These also need to be washed, and the rust and blood stains on the drill bit must be cleaned, and then a charcoal brazier will be prepared.

"

From the time Kawei gave the order to the time the person was pushed into the operating theatre, only three or four minutes had passed. This is also unimaginable in modern times.

Not long after he left the anatomy room, the nurse holding the oil lamp stopped him: "Dr. Payon, you came just in time!"

This difference is based on more than a hundred years of accidents, reflections, and institutional regulations. If it is just said casually, nothing will change.

"You haven't eaten yet?"

"What are you doing?" The nurse was also confused, "The operating theater is outside!"

"Hurry, hurry up and prepare the operating theater, the person is dying!"

Payon didn't understand the importance for a moment, and wanted to use the nurse on the side as a shield. It was not until Kawei emphasized the skull drill again that he realized that what was about to be performed here was a craniotomy.

The men and women were well dressed. When they saw Sedieu, they all crowded up and asked, "Professor Sedieu, are you doing the surgery?"

Peang, who usually followed other doctors, was confused for a moment. He just felt that bed 13 did not deserve to die and must be saved, so he ran out without looking back.

Coffee and bed 13, he would definitely choose bed 13 and immediately turned around to go to the ward.

Peang picked up the skull drill he had just put down again, his hands trembling slightly: "Dr. Kawei, can you tell me why you chose to drill open his head? I remember that the applicable area of ​​skull drilling is very narrow, and there are extremely serious risks.

complications, the patient will most likely die on the operating table."

The chance encounter between the two came and went quickly, and they both thought and behaved seriously and responsibly. But just like their advantages, their shortcomings were also obvious. The most important checks were missing between information exchanges, including the most basic patient information.

Check information.

Kawei was still rummaging through the equipment box quickly for the tools he would use later: "Do you want to do it or not? Forget it if you don't, I can do it by myself."

There is no need for consultation, no clear diagnosis, no need for coordination in all aspects of the operating room, no need to report to superiors, and no pre-operative conversations and communication. Everything can be done with just one sentence from Kawei.

Kawei quickly interrupted him: "Are you kidding? I'm about to start a show here. Who will be my assistant if you run away?"

Three yawns in a row seemed to add a few more handfuls of soil to the frustration after the operation, making his body heavier and heavier. As soon as he sat down, he lost all his strength and could no longer stand up: "What time is it now?"

Cediyo nodded after hearing this, wiped his greasy hands on the leather skirt several times, turned around and looked at the door: "Why hasn't Peang come yet?"

"What's wrong? What happened?"

"I don't know, but his family is with him, so he should be fine." Kawei only focused on his patient and casually replied, "By the way, where is your skull drill? Just this one?"

"The reason is that if he doesn't open his head, he will definitely die. If he does, he might still have a chance."

"We do clean things now, but this was from several years ago."

"Have something to eat before coming here."

The bed number was not even confirmed before the operation. This is unthinkable in modern times, but it was very common in the 19th century.

"Eight times."

"Coffee? What coffee?"

Different from the layout of the Municipal General Hospital, the Main Palace Hospital specializes in surgery, has sufficient surgical beds, and has more wards. From the anatomy room to the office, you need to pass through an entire corridor, with wards on both sides.

"It's late." Cediyo couldn't help but yawned again, "It's getting late. There are surgeries to be done tomorrow. You can go back when you are tired."

The two of them were just about to leave when they suddenly felt that something was wrong. They still stood still and said, "The equipment will be used early tomorrow morning, and the body must be disposed of. Let's pack it up before leaving."

"It's past ten o'clock."

"Then what did you say just now?" At this moment, Peang remembered that he had not heard what the nurse said clearly, and asked quickly, "It turns out that he is the one who is dying. How is bed 13 now?"

At this time, the anatomy room had been cleaned up. Although there was still a smell in the air, it at least looked much tidier. The intern doctors and nurses bid farewell to Sediyo, but his coffee never came.

"Professor Sedieu just asked me to make coffee."

"Now?"

Peang was not lazy. After leaving the anatomy room, he did go to Serdieu's office, preparing to make a cup of rich and refreshing coffee for his respected teacher. However, there was a little hiccup in the process, and a variation made the idleness relaxed.

The lazy rest time immediately became tense.

"This" Peang looked at the fat Sebasto, and even suspected that he had heard wrong just now, "Isn't this Mr. Lennon from bed 13?"

"right."

Only then did Kawei clarify their thinking on the maintenance of equipment: it turns out that as long as it is not used, there is no need to wash it.

Peang was a little confused.

It is undeniable that the information gap between Payon and the nurse put Shebasto's rescue on the fast track. Moreover, the lax management of the surgical theater, or it can be called no management, also caused the entire rescue province to

A lot of trouble is saved, all the equipment is at your fingertips with just one word.

After a night of rectal resection + anastomosis, all he could think about was the 13-bed rectal cancer surgery. So when he heard this sentence, his brain did not think seriously at all and directly gave the answer: 13-bed is not enough.

.

Payon had no idea about cerebral hemorrhage and cerebral herniation, nor did he know the principle of craniotomy, but he knew that this must be a rare opportunity, at least more rare than offering a cup of coffee.

Peon usually doesn't stay that late, and he doesn't have any night shift experience. However, the doctor's intuition told him that the nurse looked bad and seemed out of breath, so something might have happened in the ward.

Although France is very liberal in medical treatment, even though the mortality rate of diphtheria tracheotomy is as high as 75%, there are still people who are willing to try it.

The intern doctor looked at the record book in his hand and replied: "I failed three times, but I succeeded the last three times."

"How many times have I failed in total?"

"good."

Cediyo is still constructing the scene of the anatomy around the rectum during the operation in his mind, hoping to find the differences between the operation and the anatomy. At the same time, he also needs to consider the time of the second operation, whether to wait a few days or do it immediately.
To be continued...