Ignatz just wanted to go back to the ward to see his patient, see the location of the operation, and confirm some details of the operation before going to the theater. Unexpectedly, he happened to see a farce.

He had previously entered the hospital as his surgical assistant, mainly because this child had rich knowledge of anatomy and was a talent that could be developed. It would be a pity to just chop down trees or go to the Academy of Fine Arts to get involved.

Secondly...

Ignatz is still a little cautious.

He is a typical gifted person in the field of surgical teaching. He has always believed that whether he is from a college or from clinical practice, he must have surgical talent to be qualified to enter this field. His two good seedlings, Hills and Herman, are both medical students.

After graduating from the hospital, he slowly accumulated surgical experience and has achieved some success.

The road to college is finally clear.

Therefore, Ignatz also needs a talented wild man to take another path for him to prove his point of view.

He tried many apprentices, but in the end they were all empty-hearted and lacked calmness. They were often in a hurry when they encountered trouble. Moreover, these apprentices had low education and low literacy rate, and none of them knew Latin.

Even if they have really mastered some surgical skills, not being able to read magazine documents will still limit their hands and feet. Others working behind closed doors can still look at the drawings and pick up the wisdom of their predecessors, but these apprentices can't even understand the drawings, how can they succeed?

.

In the end, Ignatz had no choice but to settle for the next best thing and start with art students who had learned some anatomy knowledge.

An art student has no theoretical medical knowledge and no practical experience, and is also an apprentice with three skills. But no matter what, when receiving surgical training, he is better than ordinary people who know nothing.

Of course, in this city full of art, a painter who graduated from the Ecole des Beaux Arts will never have a lower status than a surgeon. Moreover, painters all create independently, but surgeons have to start as apprentices. Which one is higher?

Low, you will know after a little weighing.

Just when Ignatz was searching to no avail and had decided to give up the apprenticeship, he suddenly met Kavi.

He has a foundation in anatomy and is very interested in surgery. The most important thing is that he is born with a big heart. Walking in a top restaurant full of nobles and celebrities, he can chat and laugh with himself, a top surgeon. It is a bit dreamy to think about it.

This is something that a surgeon must possess, and it is also one of the "talents" that Ignatz has been talking about.

Of course, in addition to his pursuit of teaching, Kawei is also one of the candidates used by Ignatz to check and balance the aristocratic students of the academy. What he needs to play is a fish bone stuck in the throat. Although it will be pulled out sooner or later, it is enough.

Disgusting people.

So at first, he only hoped that Kawei could gain a foothold in the hospital, but this idea was shattered.

The debate in front of us can be regarded as a debate, because judging from the situation on the scene, it is more like a one-sided crushing. Kawei standing aside seems calm, but with one against three, every word can hit the opponent

The pain points, the gap is so huge that even Ignatz can hardly stand listening to it.

"This is an operation ordered by the teacher. How can we stop it at any time?"

"I didn't say to stop. I just need to discuss it with the teacher before the operation."

"With your level, what qualifications do you have to discuss with the teacher?"

"You mean that no matter what happens in the future, I don't need to consult the teacher?"

"...No, that's not what I meant."

"Then it can be discussed."

"We mean you can't deny the teacher's point of view!"

"Yes, I don't want to think about Teacher Ignatz's identity either."

"I said it was a discussion. Do you understand the discussion? It's not to the level of denial, it's just a reasonable doubt about the result."

“It’s okay to question!”

"Can't question it?" Kawei frowned, and his gentle tone and deep voice only made his tone more serious, "Does medicine in your eyes follow the line of religious authority? Have you removed medicine from science?

"

"You...I, I didn't mean that, of course not!"

"Then medicine still belongs to the category of science."

"of course."

“What is the most basic spirit of science?”

"Spirit? What spirit?"

The three of them looked at each other and didn't know what Kawei was asking.

"Science is rational and requires a rational spirit of seeking truth from facts and pioneering innovation."

Kawei talked about a general concept, and then quickly turned to his own topic: "First of all, the first is the spirit of criticism and skepticism. Copernicus, Bruno, Kepler, and Galileo all held high the banner of questioning and continued to study.

Make your own footprints on the road of science.”

The examples given were all from the founders of scientific development, and the three of them were as helpless as if they had eaten flies.

However, Carvey did not mean to stop talking, and even brought out Descartes, the ancestor of modern philosophy and science: "Rene Descartes, the modern philosopher, even put forward the idea of ​​'universal doubt'.

Philosophical Meditations (1) gives considerable space to prove..."

"Okay, okay, what are you doing? No more work?!"

Ignatz stood up at the right time and smoothed over the seemingly chaotic argument. Since Kawei had the upper hand, he had to "suppress" a few words: "You are just an apprentice, and they can count you."

How can you talk to seniors if you are half a senior? He only knows how to show off his knowledge... Do you think they haven't learned this in college?"

This is not a form of suppression, it is clearly adding fuel to the fire, and the faces of the three of them are about to turn green.

"You are yelling in the ward early in the morning. This is not a vegetable market. You are doctors! You are not those liars who say they can cure all diseases and sell those colorful omnipotent ointments."

Seeing both sides stop talking, Ignatz sighed and asked, "So what happened?"

Facts have proved that he still underestimated Kavi's pulling ability. An amputation that could be solved in a few minutes was actually raised to a philosophical level by him, and he tried to use Descartes' famous scene in the book to help him further consolidate his advantage.

Too cruel...

Ignatz appreciated this very much and did not have any negative emotions because of Kavi's doubts.

Everyone works for patients, solving pain, preventing patient death, and reducing patient mortality are their common responsibilities. But before refuting his decision of amputation surgery, Kawei needs to do one more thing: "You said no amputation?"

"Yes, surgery does not necessarily require surgery. His leg should be treated conservatively."

"What's the reason?"

"The deformation of the tibia is limited, there is no dislocation, the main blood vessels are not ruptured, and the functions of the distal limbs are also good." Kawei briefly stated these reasons, "The only thing that needs to be solved now is this wound. As long as the fracture is properly repaired,

Immobilized, and once the wound heals, his leg function will be restored."

Ignatz was very satisfied with these views and looked back at the three young people: "What do you think? Does it make sense?"

All three of them are outstanding graduates of the school, and amputation is a required course in the branch of surgery, so they know the indications very well. Whether or not the left calf of the child in bed 11 can be cut depends entirely on the surgeon's decision.

"It makes sense, but almost 85% of such wounds develop gangrene."

"85% is still conservative. In my opinion, the toxic components in the air have become higher in recent years. Even ordinary suture wounds can become gangrene, let alone something like this. I think the probability is 100%, and it is best to have surgery now."

Make a choice, it will be too late if you delay it any longer."

Ignatz nodded and asked the question to Kavi again: "So, how do you solve the wound problem?"

Kawei knew that the current theory of "infection" was a fantasy. No one would believe that his living environment was full of dense microorganisms. So he chose to use a statement that was more in line with the theory at the time: "Since the air is toxic

ingredients, then we just need to cut off the air.”

"How to isolate him? Should he cover his legs with glass?"

"Why don't you bring the cover used for bloodletting? I remember it was in the warehouse of the internal medicine ward. Say hello to Dr. Lund and maybe I can borrow it for a while."

"Let's forget about that thing. It's okay to cover it for a day or two. It will take at least two weeks for his wound to completely heal. Covering it for a long time will definitely not work."

"It seems to make sense, but who knows..."

Kawei knew that this would definitely not work. The wound had been exposed to the air for a night. If we use a highly airtight glass cover now, although it can isolate bacteria in the air, the sweat produced by the skin will accumulate in the air.

The surrounding, humid environment will become a paradise for anaerobic bacteria to breed.

But if you don’t use a glass cover, what can you use?

There isn't even a decent piece of gauze in the hospital now.

"By the way, is there any lint in the hospital?" There is no way to get stuck. Since there is no finished product in hand, let's start with its raw materials, "It's the kind made by cotton textile factories."

"American cotton? There are only cotton cloths in hospitals. They are usually used when wiping valuable items."

"It's okay to have cotton cloth." Kawei breathed a sigh of relief. Cotton cloth can at least ensure moisture absorption and moisture dissipation. Next, we need to use some isolation methods. "Teacher, what kind of oil was used in the French food we had last night?"

?”

"Did you mean fried cod? Or the pan-fried halibut you brought back?"

"No, no, no, it's a salad. In addition to seasoning, that beef salad also contains oil. Does the teacher know what kind of oil it is?"

As soon as Ignatz heard his description, he recalled the unique greasy feeling of the palace French cuisine. But he only stayed at the tasting stage of the dishes and never cooked them himself: "I don't know either, you have to go

The restaurant asked the chef.”

Kawei looked up at the wall clock on the wall and counted the time: "Teacher Ignatz, the original plan was to follow you into the theater for surgery, but now it seems that we have to postpone it for a while."

"You don't really want to go to the restaurant, do you?"

"Because one minute late will add an extra layer of risk to this leg."

Although Ignatz has been maintaining Kawei, his maintenance is not cheap and cannot be unchanged. At least when it comes to the issue of surgery or not, he, a famous surgeon, still prefers surgery.

However, he still saw persistence in Kawei's eyes, so he leaned over and asked the little boy and his mother: "Are you sure you want to keep this leg, or even lose your life because of this decision?"

"We're sure."

Ignatz nodded: "In that case, well, I have no reason to reject the decision of the patient and family members. But Kavi, you have to remember that there is a very important abdominal surgery at 2 p.m., very important! I hope
Chapter completed!