86. I am not good at breaking things up, but I am good at disrupting them.

In the 19th century, what could be called medical conferences were generally various lectures and seminars organized by major associations. There were no continuing education credits, and there were no hard and fast rules. Notices were sent to the doctor's hospital by letter, unless

You need to go on stage to speak, otherwise you will basically just participate by chance.【1】

They are broadly divided into three broad categories, the internal medicine meetings of the Royal College of Physicians, the surgical meetings of the College of Surgeons, and the pharmaceutical meetings of the Society of Pharmacists.

These conferences are basically operated on a city-by-city basis, and most of them are very small, just like university classes. Most of the participating doctors are from the same city, and occasionally doctors from outside the country come to learn from them. However, exchanges between different domestic cities are still rare, and even more so.

Forget about cross-border exchanges.

The inefficiency of communication capabilities has brought about a very serious information gap, coupled with some ignorance, stubbornness and low practice. Although the development of new surgical technologies has hit the highway, its diffusion is still limited.

The so-called surgery in the 17th and 18th centuries was still a mess of surgeons and barbers, and it was limited to three-minute amputation and epidermal incision to remove pus.

There were no academic conferences in the strict sense at that time, because technology only looked at hand speed and courage to stop bleeding, and there really wasn't much exchange.

It was not until the beginning of the 19th century that Ignatz's grandfather founded the College of Surgery, which greatly raised Austrian surgery to a higher level.

Meetings held every three months are mainly used to judge new trends in surgery, as well as review and organize some important surgical procedures. The purpose of the meeting is to promote surgical techniques to other doctors, which can be regarded as a catalyst for the development of surgery.

But the academy also has its limitations. Those who can enter the medical association are all big figures in the field, and the academy of surgery is no exception.

The minimum educational requirement is a master's degree, and it is strictly limited to top universities in Europe. Those who meet the educational requirements are eligible to use five years of independent surgeon work experience as a stepping stone. If they meet someone who can recommend them for help,

Resumes will be sent to the College of Surgeons New Member Review Committee.

The meeting is open to the public, and there is no hard and fast rule that non-college members cannot attend, because this is already the consensus of everyone.

They firmly believe that people who cannot obtain membership will not understand the content of the meeting at all. They will not only waste time but also easily occupy other people's seats. For the sake of scientific and standardized surgery, get rid of those barbers who are still holding on to the oil-burning iron.

is a top priority, just as reasonable as denying access to women.

Kawei is definitely not a member of the College of Surgery. Regardless of the school he graduated from, his seniority is significantly different. It is a huge gap that ordinary people will not be able to catch up with in their lifetime.

He has never cared about this kind of academic conference, and he doesn't even know about the existence of the College of Surgery. Anyway, there will be one sooner or later, so there is no point in forcing it for a while.

But in this case, an invitation letter written by the current president Waterman was delivered to the door of the Municipal General Hospital.

The whole letter is filled with an old dean's appreciation for the rising newcomers, and he also draws a clear line between himself and the conservatives who insist on identity first. He hopes that Kawei can be a scholar who is eager for talents.

Attend this meeting.【2】

With Waterman's prestige, any young doctor will choose to accept this letter immediately when he sees it, and there will be no second option.

But Kavi still hesitated.

He has attended many meetings. Even in the 21st century, people still value status and titles. It’s not that these are bad. After all, they are things that everyone strives for through strength, and they are cherished. But the more you cherish them, the more you value them, no matter if it is your own.

Or someone else’s.

Kavi was not very interested in this meeting. He was in the largest hospital in Austria, and there was no need to understand the contemporary medical level before his eyes.

Moreover, now that I have no education or experience, in the eyes of others, I am just an upstart who "accidentally succeeded", and is a typical person who is not qualified. In this case, even if I go to the podium to report my work, even if I am not attacked, it is difficult to spread surgical technology.

and its own value.

Rather than doing this, it would be better to stay in the hospital and take more care of poor Mr. Li Ben.

However, it is easy to fall into traps when moving forward, and it is even more troublesome to retreat. For a "celebrity" like Carvey who has already been in the newspapers, it is extremely unwise to refuse the invitation of the College of Surgery.

The major media have already been preparing to take action on the regular meeting, so they will inevitably add fuel to the fire with such explosive news. By then [Kavi, categorically rejecting the invitation from the College of Surgery due to his talent and arrogance] will appear on the paper, and any refutations and explanations will become a hot topic.

A condiment for a point of view.

Kawei is not Alphonse, and there is no way he could duel with those reporters with a rapier. All he can do is avoid these pitfalls as much as possible.

The old dean humbled himself and made the invitation in person. It would be his own fault if he didn't go, so he still had to go to the regular meeting, but he had to do some preliminary preparations before going.

According to Ignatz, if Waterman really invited Kavi, he should have prepared a temporary pass in the envelope, and then inserted a 50-kronor note as the appearance fee and transportation fee for speaking on stage.

This was a rule set by his grandfather. At the beginning of the establishment of the hospital, he invited several barbers to give speeches and gave them these things. It was just that the barbers' skills were poor and difficult to use, so they were quickly sealed into the long river of history.

among.

However, there was nothing in the letter that Kawei received.

Money doesn't matter, for Kawei, 50 kronor is not a big amount. But the pass is very important. Without the temporary pass of the college, you can't even enter the gate. So Kawei sent another reply to Waterman. On the morning of the 12th

The invitation letter received and the reply on the afternoon of the 12th should be sent to Waterman’s desk early the next morning.【3】

Unlike the "sincere words" with a hint of compulsion, Carvey's letter was tainted with a hint of irony and surface humility. But until today, when the meeting began, Waterman still has not given a reply.

Kawei really didn't like being pointed out, and wanted to cancel the meeting, but Ignatz still gave a compromise plan, allowing Kawei to enter the meeting as his student. There was a handwritten letter from the dean.

, coupled with the affirmation of the vice-dean, it will definitely not be difficult to enter the venue.

"Teacher, you know what I want is not a pass to enter or leave the venue at all."

Kawei sat in the second row of the conference hall, smiled bitterly and said to Ignatz: "All I want is your father's attitude. Now it seems that his attitude, or the entire surgical college's attitude towards me is very vague.

.”

His words were very tactful, and Ignatz also knew that he was reluctant to do this, so he could only advise: "They didn't stop you when you came in. It's actually not bad."

Kawei shook his head with a smile and pointed behind him with his finger: "From such a distance, I can hear the word 'barber'. This is the Royal College of Surgeons, and I'm afraid only the 'barber' can successfully enter.

Let me be the only one."

Ignatz sighed: "I thought you didn't care much about this kind of thing."

"When my father could still pick up a scalpel, I really didn't care. But so many years have passed, and the world has changed."

Kawei looked back at the busy conference hall. The surgeons who were entering one after another were all wearing expensive shirts, jackets, and high hats. They all behaved with the elegance of a gentleman: "There are a few familiar faces.

, I saw it during the operation."

"This is normal. We will get to know more and more people in the future." Ignatz suddenly asked, "By the way, there is something I have always wanted to ask you. When did your father pass away?"

"Oh, there was a traffic accident in Lombardy more than two years ago." Carvey said helplessly. "The tragedy of becoming the best surgeon in the area is that when you have an accident, you will never get the best medical treatment in the area.

Serve."

Ignatz seemed to feel deeply: "If he were alive, I would like to talk to him."

"well"

Today's surgery is still in chaos. No matter what organs are involved, any surgeon can operate as long as he is confident. Therefore, all kinds of surgeries can be gathered in a regular surgical meeting, which is an eye-opener for Kawei who comes from the 21st century.

In the previous scene, we were still talking about the new equipment for lithotripsy, in the latter scene we were already talking about the radical cure of breast cancer, and then we jumped into the big hole in the abdominal cavity again and talked about hernias. Among these various surgeries, the only one that can truly

What is distinguished independently is plastic surgery, which Kawi has never tried much.

Skin tumors, subcutaneous hemangiomas, rhinoplasty, ear plastic surgery, and even maxillary and mandibular bone and joint correction surgeries are the key items introduced at regular meetings.

The Department of Plastic Surgery was established by Dean Waterman and enjoys a high reputation in the surgical academy. It can be said to be the signature of Austrian surgery.

This is why Varela criticized Ignatz after the cleft lip surgery for not daring to innovate, but Ignatz was willing to lower his face and accept a new surgical method for cleft lip repair.

No matter how you look at it, plastic surgery represents the pinnacle of Austrian surgery in this era.

Kawei didn't understand it at the time, but now combined with Waterman's invitation letter and this series of operations, he seems to have some understanding.

There are many organs in abdominal surgery, the operation time is long, suturing is difficult, and intraoperative infection is very easy, so the success rate of the operation is very low. From the end of the 18th century to the present, the intraoperative mortality rate of abdominal surgery is very low, but the success rate has remained at 40

Around %, it is difficult to break through.

This makes some surgeons unable to see the path ahead, confused, and thinking that the abdominal cavity will always be a restricted area for surgery.

Waterman is one of them.

The College of Surgery is a national Royal Research College and receives state funds. If it wants to continue to exist, it must make some achievements as the dean. At that time, he chose plastic surgery as a breakthrough, which was the product of compromise after many years of failed abdominal operations.

.

After so many years, abdominal surgery has stagnated, but plastic surgery has become a symbol of Austrian surgery.

But Waterman knows very well that no matter how beautiful you look, it can't solve the problems in your abdominal cavity.

The most common inguinal hernia, appendix and cesarean section can stump a large number of Austria's top surgeons. They don't even have the courage to try it, and they watch the patients suffer from the pain every day until they die.

He knew that the transformation of surgery was imminent, but he did not want to upset the balance by himself, because if he failed, he would be a sinner in the history of the college.

Just when he was hesitating, Kawei jumped out.

Inguinal hernia repair, appendectomy, and cesarean section, known as the three major abdominal problems in the surgical academy, have been solved one after another within half a month. Especially cesarean section, which is a life-saving operation that does not even have the chance to be conservative, but

It was successfully solved by a child who was not yet an adult.

Waterman couldn't break the situation by himself, and he was afraid of offending vested interest groups and affecting himself, so he had no choice but to throw Kawei into it to attract a wave of attention.

"Does he really want me to break the situation? He thinks too highly of me."

"I don't know. Anyway, I'm sure he doesn't have any malicious intentions and certainly doesn't have much good intentions." Ignatz did not dare to be too biased towards his father. "He really hopes that the college can spin out an additional branch of abdominal surgery."

Typical wall view.

Kawei hates this kind of dual-handedness. If this is really his purpose, he might as well be a stick to stir things up. Anyway, it is impossible to break the game. Kawei has no interest in being someone else's pawn, but it is certainly okay to disrupt the situation.

Of course, these words can only be kept in the heart. After all, the other party is Ignatz's father, so he should be treated with some respect: "So that's it, I understand."

"You haven't seen the way he looked when he listened to me describing the cesarean section process that day. If he knew that the girl killed two people one against two on the second day after the operation, he would probably be more surprised."

Ignatz suddenly saw Hills, who had just entered the venue not far away, looking somewhat lonely: "It would be great if Hills had not left. He also participated in the cesarean section, and he was nominally a helper to you.
To be continued...