The manor of Count Morasso's family is in the suburbs. Although it is not so splendid, it was purchased by the king himself after returning from the war.

Different from the atmosphere at the Laszlo's dance two days ago, the atmosphere here is more tranquil and slightly depressed. The servants and butlers are very polite when dealing with guests, but their smiles are very shallow, and their voices, words and hospitality actions are very restrained.

.

As long as you pay a little attention, you can see something unusual in their words and deeds, as if something big is about to happen.

"Lord Baron, I'm so sorry." The butler bowed slightly and apologized, "Today is an important day for the master. Please wait in the living room for a while. I will see you before dinner."

A trace of gloom flashed across Ignatz's face, and he quickly asked: "Is he feeling unwell?"

"It's not bad. I had half a steak, a bowl of vegetable soup, and two bites of cake for lunch." The butler smiled, "Actually, I found someone to paint a portrait for him. He has been thinking about this for a long time. Today

Finally I caught the opportunity and invited Mr. Hans over."

"Oh, it's okay, I'll just sit here and wait."

The housekeeper welcomed him to the sofa, and then said to Berget behind him: "Master Berget, if you want to see me, I can do it for you..."

"No, I just need to accompany the teacher." Berget followed and walked over. "Anyway, Mr. Hans doesn't want anyone else to be around when he's painting. He'll kick him out if he does."

The butler nodded: "Excuse me, you three. The tea will be here soon, so I won't disturb you."

"Uh, I'm sorry." Seeing that he was about to leave, Kawei said quickly, "Where is the kitchen?"

The butler didn't understand what he meant for a moment: "If this gentleman is hungry, we will bring you cakes later."

"Oh, no, I'm not hungry, you misunderstood." Kawei explained, "I just need to use the kitchen and laundry room to prepare some necessary things for the count's wounds."

"So that's it..."

The butler seemed to understand what he meant, but his feet did not move from their original place. He turned sideways and looked at Ignatz on the sofa. It wasn't until the baron nodded that he turned around and led Kavi: "Sir, this way

please."

...

The living room is much smaller than the one in Laszlo's house, and the furniture and decorations are not gorgeous. In fact, even if you hire the best architectural decorator in Austria and spend tens of thousands of crowns, it will be difficult to sit in front of the two portraits on the wall.

Steal the attention of guests.

One is the late old king, the other is the young Morasso.

The earl was wearing a uniform with a saber and three military medals on his chest. He was much more energetic than he was now lying in bed sick.

"It's been a long time since I had a sword duel with my uncle." Berget stood in front of the portrait, recalling the time when he received swordsmanship instruction as a child. "I don't know if he can survive it..."

As a good friend, Ignatz has already made mental preparations: "Today we need to clean up the carrion outside, and then use Kawei's wine. If we still can't do it, there is nothing we can do."

"Teacher, is the half bottle of brandy in Kawei's hand really useful?"

"I don't know either."

Ignatz sighed, but quickly explained: "He only said that the nursing process was clearly written in the New England Journal. I don't think a dignified medical journal would make fun of the patient. After all, the medical treatment in the Crimean War

The data is still very clear. In the later stages of the war, the mortality rate of wounded soldiers in the British army dropped very significantly, and it was even reported in China."

"Cut off the carrion, debridement with alcohol, and then cover it with ointment and dressing..." Berget suddenly asked, "Everything is here, why is he going to the kitchen?"

"I heard that fabric bandages need to be steamed and processed at high temperatures before they can be used."

"Steam? That's too much to ask for!"

Of course, Ignatz felt that it was too much. He remembered that at first Kawei only mentioned oils and ointments, and then a high-concentration alcohol popped up. Later, he found that not only the skin on the patient's body, but also his own equipment had been contaminated.

Kawei has been cleaned once.

I thought this was complicated enough, but who knew that now even daily cleaned fabric bandages need to be treated at high temperatures.

Why do you need so many steps? Can these really relieve wound ulceration?

Ignatz's doubts were quickly interrupted by Bergt. It was rare for him to get along with the teacher. He wanted to ask some questions about surgery. Ignatz was not in the mood, but he couldn't resist Berget's interest, so he just

I was able to review all the surgeries I had done before.

Half an hour later, Kawei came into the living room with a paper bag. Just when there was a sound from upstairs, the three of them went upstairs accompanied by the housekeeper.

The last time Kawei saw this painter was at the entrance of Alphonse's restaurant. He had no chance to get to know him. The atmosphere of this meeting was too depressing, so he just nodded and ignored it.

"My lord, I wish you a speedy recovery."

Hans smiled and packed up his drawing board and brushes, put on his hat and clothes. Before leaving, he did not forget to whisper a few words to Bergt: "There is a game tonight, do you want to go?"

"what match?"

Hans waved his fist slightly: "I have a ticket."

Although Berget faced the bloody operating table every day, he couldn't stand this kind of exercise. He always felt as if someone was tugging at his heart and said, "It's better not to go to that kind of place."

"What are you afraid of? I also called Sarson and Meren. It would be boring to miss you." Hans said, "Yesterday the opera failed to find inspiration, and the French food was ruined again. You have to agree to this matter no matter what.

.”

Berget struggled for a while before nodding: "Okay."

"Then I'll wait for you downstairs."

While the two were still discussing at the door, Ignatz had already taken the first step to help remove the bandage on Morasso's groin.

It has been almost a week since the hernia surgery. If it was sutured normally, the wound should be almost healed. Considering that Ignatz had an open treatment in the end, if he took good care of it, there should be a layer of fresh granulation.

It's a light red color mixed with tissue fluid.

But now what Kawei sees is yellowish brown.

Staphylococcus aureus?

It doesn't look like much.

Kawei stepped forward and took a sniff. He could smell the obvious smell of feces. It should be Escherichia coli, a frequent visitor to general surgery. He touched the wound during the anastomosis of the small intestine. [1]

Anyway, no matter what kind of bacteria it is, brandy is used in the end. I just hope that the alcohol concentration is enough to sterilize it.

"How are you feeling today?" Ignatz's face was very calm, and there was even a smile on the corner of his mouth. "The housekeeper said you have a good appetite."

"It's not bad." Morasso looked at the wound and sighed, "It's just that this wound hurts a lot. Isn't the situation not good?"

"You are in such good health that there will be no problem." Ignatz threw all the bandages on the ground and took out the scissors and scalpel from the box: "But if you want to get better quickly, you still have to endure it.

Just be patient, you know."

"Understand......"

Berget stepped forward to help put on the blood-proof towel, and then picked up a corner of the quilt and handed it to his uncle. Morazo bit the quilt, pinched both sides of the pillow with both hands, took a deep breath, and shouted in a low voice: "Come here

Bar!"

Debridement, as the name suggests, is to make the wound clean.

First of all, the scabs on some wounds must not be left behind, and secondly, there is yellowish-white slough around them. They are attached to the fresh granulations, and Ignatz sometimes needs to cut them off together if he wants to clean them.

This is cutting off the flesh abruptly.【2】

The whole process lasted for 8 minutes. Even Morasso, who had been fighting on the battlefield for many years, could not bear the pain for a while. Just when he started, his back and hair were already soaked. But as an imperial soldier, he would never

It's a shame to cry out in pain, or even to groan accidentally.

"Okay... okay?"

"Yeah." Ignatz put away the knife and scissors and breathed a sigh of relief, "I'm fine here."

Morasso thought he was dizzy from pain and didn't hear clearly, so he asked again: "Huh? What...what do you mean?"

"After the debridement is completed, we have the next step." Ignatz let Kawi pass, "This... well, I'm afraid you don't know this guy. He was from the original surgery.

assistant."

"Assistant? Isn't the assistant Dr. Hills?"

"Oh, this is a long story."

Ignatz glanced at Bergt, who could only tell what his mother and he had done: "It's quite embarrassing anyway."

"Then what?" Morasso slowly came over.

"The next step is his job." Ignatz is still a layman in nursing, and he is in front of his old friend, so he really doesn't dare to do it himself. "He has some experience in wound care. There is a patient in the ward with a big leg."

He healed all the boys with wounds."

Morazo just looked at Kawei and nodded, still not getting the answer he wanted: "So, what are you going to do to my wounds next?"

"Wine, my lord."

Kawei smiled and took out the small half bottle of brandy: "I don't know how you taste it, so I can only use this cheap bottle to make ends meet today. If the effect is good, within one to two weeks, I will

I’ll help you change it into something better.”

"Buy me a drink?"

"No, treat it to a drink."

Kawei uses a more rough debridement method, which is generally used to deal with large-area wounds, such as burns and degloving injuries. But compared to modern times, Ignatz's suitcase is still a lot shy and does not have a similar brush.

The same thing [3], in the end Kawei could only choose a coarse sponge that is usually used to suck blood.
To be continued...