Chapter 105 102. Write a letter

[I won’t talk last night, I slept until nine o’clock in the afternoon, and I felt like I was alive again]

Kawei's rough debridement made Li Ben die and fainted twice in a row. It was already eight o'clock in the evening when it ended. At this time, Kawei put the prepared crow (prevention) tincture beside his bed: "Drink some, you can have a good sleep."

Li Ben was soaked all over, his sticky hair was still covered with sweat. He looked at the brown bottle and wanted to tremble with anger, but the debridement just now had consumed a lot of his energy, and now he couldn't even shake: "You, you did it on your own."

"Mr. Li Ben, stop joking. You should believe my most basic professional ethics as a doctor. I have always followed Mr. Mick's requirements and everything I do is to make you live well. Considering the danger of repeated use of opium, I can only feel wronged for the time being."

Kavey let go of his belt and took a large cup of warm water from the nurse: "Drink this cup of water too. If your stomach hurts, drink more." [1]

"this"

"Don't ask why, it's good for you anyway." Kavey wrote a few debridement records in his medical record book, "If you don't drink it, you will be the one who will suffer at that time."

Li Ben dared not refute, so he could only endure the pain and take the crow (prevention) tincture handed over by Kawei and quickly took a few sips.

Debridement is just the first step. Whether it can curb infection depends not only on Li Ben's physical fitness, but also on the subsequent development.

Kawei had no examination in his hand, and he could only start from the symptoms. The main thing was to monitor the body temperature and check the condition of the incision healing. If debridement is ineffective, the body temperature continues to rise, and the infection continues to spread in the wound, then you can only take more extreme measures.

"These two days are the key. You have a good rest and don't move around. I'll see you again the morning after tomorrow. If you feel any other discomfort, please inform the nurse as soon as possible."

The liquid in the small wine bottle immediately played a role, and the pain relief effect was very good. The happiness obtained by suddenly relieving the pain after surviving extreme pain is far more unforgettable than other stimuli.

This floating feeling made the figure who helped to suture and stop bleeding again appear in front of Li Ben's eyes. Although the operation was a little rough, at least he was still alive. After listening to Kawei's words, Li Ben couldn't help but feel a little safe: "If I feel uncomfortable, the nurse will find and tell you as soon as possible, right?"

"That won't be." Kavey shook his head, "They just recorded your symptoms. If you die, I'll give Mr. Mick an explanation."

"."

"So you still have to take good care of yourself."

"I see."

After saying that, Kawei took care of the nurse and quickly left the ward.

I spent a day in the Academy of Surgery today, but I had very few things to do. Apart from two reports and a lunch, Kawei did nothing, and he didn't feel much tired after a day.

It has been more than 20 days since he traveled here. On the way home, he couldn't help but summarize his recent gains and set a tone for his future development direction.

First of all, there are some things in surgical support. The extreme lack of equipment and drugs is the biggest obstacle to the success of the surgery.

The most important thing to mass production is oxytocin. Faced with so many women who need cesarean section, this is a life-saving drug. As for the research and development of other drugs, it is not easy to deal with. Kawei doesn’t know much about pharmaceuticals. Only when he goes to university can he find experts in biology, chemistry, and physiology to do research slowly.

But the equipment is different. It is the food he needs to use every day, and it can be improved.

There is no unified surgical instruments nowadays. Every doctor has his own set of equipment that he is used to, which is very personalized. Kawei does not have his own surgical instrument box, and the one he has eliminated from Ignaz, so the scalpel is well maintained.

The most common and frequent operation is the crow beak clamp. The set of pliers given by Ignaz has been used for many years. The bite force is small and the pincer teeth have been smoothed. It is urgent to change the replacement.

Moreover, a single crow beak claw is difficult to deal with complex and changeable operations. Kawei must prepare more "special" claw beak claw claw according to its functions.

For example, ordinary hemostasis forceps for tissue bleeding; [2]

Mosquito-type blood vessel clamps that clamp tiny blood vessels;

Tissue forceps that grasp blood vessels;

cocoa forceps that clamp muscle ligaments;

Right-angle clamps that deal with deep tissue.

In addition, the suture needle also needs improvement.

Now the arc of the suture needle is very small, and Kawei needs some large-arc suture needles to perform some more finer suture operations, such as the most widely used 1/2 arc and 3/8 arc. [3]

As for traditional angle needles, reverse angle needles and other requirements for technology are too high, so the needle tip can only be used at will, [4]

If there is enough technical support, the suture thread needs to be upgraded properly. Now the simple intestinal thread is not enough. If it is loose, it is afraid of slipping the knot, and it is easy to break it if it is tight. It is normal for a surgery to break the thread three or two times, but if each knot is broken, it will be a disgraceful mentality.

Whether it is medicine or equipment, it requires money, so Kavi can only talk to Laslow slowly. He is involved in many industries and has a greater say in production and sales.

Apart from these, all Kawei had to do was to do was to write the pen.

First of all, he has to prepare some articles as soon as possible. The structure does not need to be too complicated. The level of ordinary review is enough, otherwise it will appear particularly abrupt. Because as long as this era is novel enough, or it can prove certain theories, even letter records less than 200 words can be published on BMJ. [5]

There is really no need for Kawei to be too arrogant. He just needs to write the surgical record and polish it a little, and publishing it is not a problem at all.

As for the journals to be published, he will not hang himself on a tree. He is good at languages ​​and has more choices.

Although he had some conflicts with the old guys at the regular meeting and complained about Watman, after calming down, Kavey still felt that he should focus on Austria first.

The current "Vienna Medical Journal" has been serialized for more than 100 years. With the popularity of German, its influence is stronger than that of the British BMJ and Lancet. This is his main battlefield.

Of course, it is definitely not possible to stick to the stubborn local area everywhere. Kaweit has more flowers and more manuscripts are submitted.

In the future, English is the dominant player, and the four major journals in the medical field are still missing the JAMA. In addition to the BMJ and Lancet that must be published, Carvey also focused on the United States on the other side of the Atlantic Ocean. At this time, the Boston Journal of Medicine and Surgery is quietly growing, so it is naturally indispensable. [6]

After the English coverage is completed, Kawei hopes to gain more popularity in German-speaking areas.

The German Journal of Leopoldina and the Journal of Berlin Medical are both very powerful. The former was founded in Leipzig in the 17th century and is considered a very old journal, while the latter was the predecessor of the Journal of Berlin Medical and is also very famous.

In addition to these, Cavi also wanted to send one or two articles to Italy and France in Latin.

Thinking of his headache when he was in trouble with his thesis, he had to sigh that it is so easy to mess around in this era.

Publishing an article is a long-lasting job, and you can calm down and take your time, because for Kawei, every major operation in the next step will become a first-class article in the journal, sooner or later.

But the communication with Dr. Lister is different. Carbonic acid is toxic after all. Switching to a safer disinfectant as soon as possible and promoting it can set a benchmark for chaotic surgical disinfection.

"Doctor Kavey, your apartment is here."

When Kawei heard the coachman's call, he opened the car door and got out. After giving the fare, he carried his suitcase all the way upstairs, ready to take a shower, and then wrote the letter with peace of mind.

I never thought that as soon as I went upstairs, I saw a stranger at the door, carrying a suitcase in my hand and wearing a black suit. The person who came was not Mick, but it was even more difficult than Mick. As soon as I saw Kawei, I smiled and took off my hat and greeted him: "Doctor Kawei, you are back."

Seeing that he said his name, Kawei was still worried, and his mind was full of scenes of Mick instigating his men to commit sabotage: "Who are you? We don't seem to know each other."

"I am the manager of the 'Payun' pharmacy in the corner. I came here to talk to you about an important thing."

It turns out that it sells medicine

Before traveling through time, Kawei often deals with them, including different face shape, figure, nationality, age, gender, and all kinds of people, but what remains unchanged is the smell of copper.

Kawei admits that medical care cannot be separated from money, and medical care without spending money is a joke in utopia. Kawei only saves people, but he is not so arrogant that he can change the interest structure of the entire medical sector.

Moreover, modern medicine and medicine have a lot to do with interests. In order to popularize medical care under industrialization, medicine must be separated. Everyone is a small drop in the wave of medical care, and each performs his or her own needs. As long as he does not violate the rules and follows the system, even if the relationship is cut off, it will be broken.

But it was much simpler in the 19th century. The store manager visited to sell a new drug. In order to meet sales expectations, he needed some personal help from Kawei.

"Doctor Kavey, you are now a rising star in the surgical world in Vienna. Your name is already a household name. I think you can make more profits with this name."

The store manager stood by the door and watched Kavi take out the key, open the door lock, open the door, and close the door again when entering, without any ambiguity.

The more he looked at it, the more strange he felt. Finally, at the last moment, he realized something was wrong, and suddenly stretched out his right foot and stuck it to the edge of the door frame to block the door: "Doctor Kavi, you misunderstood, I'm not a liar. You only need to sign a short-term contract to sit in the office to count the money, why not do it?"

"I'm not interested in money." Kawei looked down at his leather shoes, "Please move the leather shoes away. This door is quite expensive."

The store manager encountered such setbacks for the first time, and never thought that he could not even get in: "My medicine really has a very special effect!"

"Oh? A survey on the effectiveness of the medication?"

"have."

"How many people are there?"

“12 people.”

"Should you add another 0 later and come to me."

"I just want to find a spokesperson."

"That's why I need efficacy data." Kawei looked back at the wall clock, "If you really want to find me, you can go to my hospital to chat with the efficacy data after the drug is used. Now I need a rest."

Perhaps the two have different definitions of "endorsement", and the store manager always feels that it is necessary to persuade this ignorant young man with kind words:

"I suggest you talk to Dr. Posa of Hartmann Hospital to see how he endorses. This young physician can get hundreds of kroners of money from these ad endors every month, which is much more comfortable than if you are exhausted and have surgery in front of people."

"Then there's nothing to talk about."

"Doctor Kavey."

Kavey was too lazy to talk nonsense, so he picked up the cane placed beside the wall and pressed it hard on the manager's feet with a pointed tip: "If I don't leave, I will change the kitchen knife."

It was not until the final order to expel the guest that Kawei was quiet.

After a simple bath, he took out the envelope and spread it with letter paper, made himself a cup of coffee, and sat quietly at the table and started writing. But today it was destined to be uneasy. Kawei had just picked up the pen and started to start [7], and there was another knock on the door outside:

Dongdongdongdongdong~

"Who?"

A woman's voice came from outside the house: "Is it a maid here?"

Kavi frowned: "No, it's not here, you're looking for the wrong one."

"Hmm? Isn't this Dr. Kavey's home?"

Kawei doesn't like strangers touching his own things, so he will never take the initiative to recruit maids. There must be other reasons why he is being asked to come to the door. Seeing that he can't explain clearly, he has to get up and open the door.

Standing in front of him was a beautiful young girl, about 20 years old, with a long brown ponytail. When she saw the younger Kavi, she was even a little nervous: "I am indeed No. 16, but I have never hired a maid. It must be a problem in some link. You should go to another place to take a look."

"But someone paid me for it." The girl took a 20-kron note from her pocket. "He has paid the wages."
To be continued...