Chapter 146 143. Old injuries and illnesses

The pharmaceutical factory jointly established by Kavey, Laslo and Chino is located outside Vienna. The main production projects are oxytocin and sodium citrate for surgery. Recently, the preparation of hydrogen peroxide has also been put on the agenda. Verification experiments will definitely be successful and the finished product will be produced next month.

Because of the tight construction time and short construction period, the factory has just been opened and the retail channels have not yet been fully developed. Laslow is now more about volume-based wholesale.

Most of the people who come to the pharmaceutical factory to order goods are famous surgeons in Vienna or buyers in the hospital. Because of the particularity of the drugs and the patents in Kawei, as long as you want to have a cesarean section or some blood loss surgery, you need to come here to purchase goods.

However, the radiation for pure medical purposes is still too small, and Kawei's reputation is far from being famous nationwide. The real sales are still in the military.

The autologous blood transfusion created by Kavi can greatly save the lives of injured people. It has limited use in the quiet and peaceful capital of art. It can be saved by putting it in a hospital on the front-line battlefield. The oxytocin carries vasopressin, which also has a significant effect on those injured who have lost too much blood.

Since Kavey made the suggestion, the Military and Political Department and the Military Medical Chief have been considering whether to purchase sufficient amounts of medicine for the upcoming war.

Franz naturally knew about this, and he also heard about the pharmaceutical factory that Carvey said: "Is it your pharmaceutical factory?"

"No, I mean he should have bought medicines." Kavey explained, "The operation of bloodletting itself is very simple. Just cut the large blood vessels, such as the femoral artery or carotid artery, and they will die in a short while. However, it is not that easy to drain all the blood in the human body."

Muzier, who was standing aside, suddenly realized: "You mean to buy sodium citrate?"

"Yes, he needs to use a lot of anticoagulants," Kavey said. "Only my pharmaceutical factory in Vienna can produce that much sodium citrate."

Witt hurriedly stepped forward and asked, "Where is the pharmaceutical factory?"

"Along the Danube River, walk the southeastern avenue and passes through a small town." Kavi has only been there twice and is not familiar with the specific location. He only talked about the general route, "When you get there, you can see the signs on the road."

Witt wrote down these keywords: "I have to check something when I get there."

Kawei understood what he meant: "We are a regular company and will definitely cooperate with the investigation. Moreover, when purchasing medicines, you need to register your name and hospital address. What you are afraid of is someone doing something random, and they will provide it to you."

When Witt heard this, he was like a hunting dog that smelled the smell, pulled Derio away from the bedroom.

Seeing that the matter came to an end, Franz had nothing to help, so he stood up and said, "I have something to do, so I left first. When the old marshal wakes up, he will ask him to rest well. We will hold the first combat meeting in a week, and it won't work without him."

The butler nodded repeatedly and took the king out.

"Then I'll leave, too."

Muzier had basically completed the mission to come here, and he would wait for the two sheriffs to bring back new clues. So when he saw that the king had left, he didn't mean to stay: "Cavi, let's go, let the marshal rest."

Kavey changed his seat and sat down at Ludwig's bed: "The breathing heart rate is indeed very stable, but the old marshal is the commander-in-chief of the entire army, so I'm still not relieved."

"That's right, I'm a military doctor after all, and I have to be responsible for the old man." Muzier touched his stomach and remembered the sumptuous lunch that the manor was preparing for everyone. "I'm a little hungry, so I'll go to the kitchen to see what's delicious. By the way, do you want me to bring you some for you?"

"No, I'm not hungry."

"Oh well."

In just ten minutes, only Kawei and Ludwig were left in the bedroom.

The old man was still lying quietly on the bed, and the sun shone on his face through the glass window.

Kawei did his best to measure his pulse and breathing, and then he continued to clamp down the middle part of Ludwig's middle fingers with both hands. The wrist joint bent slightly, and he quickly flicked the patient's middle finger nails with his thumb. [1]

After the end, he moved his hands up to his face, touched his eyelashes lightly, then opened his bilateral eyelids to look at his pupils, and finally pressed his eye sockets deeply. [2]

A set of examinations made Kavi basically grasp Ludwig's physical condition: "Marson Marshal, wake up, everyone is gone."

"."

"It's pointless for you to pretend to be asleep like this."

"."

Kawei felt that when he said this, the other party should show up. Hoffmann's sign was negative, with eyelash reflexes, no pupils, but no orbital reflexes. It can basically be concluded that the old marshal was not in a coma at all.

But Ludwig was indeed a general who had experienced wars of all sizes and sizes. He was able to bear it. He was lying motionless on the bed in the face of the pressure on his socket without any response.

Since he was determined to persevere, Kavi had to ruin his ambition and said, "I am not interested in the family affairs or some choice of the marshal. The only thing I am interested in is your waist and legs, which look very painful."

"."

"The orbital pressure reflex does not work for you, but the pain on your waist and legs is not as good as it can be tolerated." Kawei got up and came to the end of the bed, holding his ankle with one hand and putting the other hand on the knee joint to keep his legs straight, and then slowly lifted up. "If it hurts, it means that there is really a big problem with the waist of the Marshal." [3]

"."

Ludwig still didn't respond, but Kawei could still see some slight tremors, indicating that the old marshal's sciatica was very serious: "It seems that he didn't respond, so it seems that he needs to do a strengthening experiment."

"."

If the normal straight leg elevation test will cause pain, strengthening the experiment will cause severe pain on the back of the thigh.

Kawei didn't have the courage to really try it, so he could only enjoy his mouth. If the other party continued to endure it, there was no way: "I will slowly put my legs back to a position that didn't hurt much, and then quickly raise the height. If it was a problem, it shouldn't hurt. But if there was a problem, it would."

He said and did it, and his hands were really relaxed and he slowly put his raised right leg back.

But under the processing of language, this relaxation becomes a prelude to severe stimulation, just like a slowly climbing roller coaster that will cross the apex at any time and leak down.

Finally, the old marshal responded.

He quickly pulled away his right leg, and sat up slowly with a grin on the mattress. Looking at his cheeks again, a lot of sweat had already oozed out of the traces left by time and war.

"Marson, you are awake."

"You boy is too cruel."

"I'm just confirming your physical condition," Kawei explained with a smile. "It's all medical examinations, so it should be nothing serious."

"Isn't it serious?" Ludwig slowly moved his legs away and fell down the ground. "It's okay to press the eye sockets, but you can still bear it, but is it too much for you to lift my legs?"

"I can't do anything, either." Kavey continued, "From the reaction of the marshal, it should be very painful, right?"

"Of course it hurts"

Ludwig did not continue to talk about his back and leg pain. In his eyes, it seemed like a bone-attached cervix and could not be treated at all. What he cares more about now is his son: "I can't tell who that piece of meat is?"

Kawei was a little surprised because he always thought that this was a play directed and acted by the old man in the locals: "Isn't this the old man who asked someone to send it home?"

"Of course not!" Ludwig was also surprised, "Why do you think so?"

"I thought you didn't want to take on this heavy responsibility, so I did."

Kavey didn't finish his words, but Ludwig had a temper: "What's the point of this? Fighting for the empire is my duty and yours. But sometimes, I'll be unable to do it as soon as I get older. Now that this happens again, how can I feel in the mood to go to the front line?"

"What you mean by being unable to do your heart means that your waist and legs hurt, right?"

"I've been an old problem for more than 10 years. I was about to retire, and I didn't expect to be promoted." Ludwig shook his head, not knowing what kind of way this young man was, and how he touched his own pain when he got up. "How did you know that I had a back and leg pain?"

Kavey recalled the first time he saw him: "I still remember when I went to the Military and Political Department to report, I saw you. At that time, you couldn't walk and walked for a short distance. You couldn't do it anymore. You needed someone to help you and have a good rest for a while before you could get back to normal."

"You're looking carefully enough."

Ludwig looked at him, moved his body to get the cane beside the bed, and then stood up with difficulty: "I just lifted it up by you, and it took me a lot of effort to get up. I can't even command myself, so how can I go to the battlefield to command more than 100,000 people to fight?"

Kawei is not talking about empty things like the imperial spirit like Franz. As a doctor, he must first consider the patient.

The old marshal has no way to travel far now, and forcibly carrying it to the front line is too cruel. Moreover, even if he really goes to the front line, the serious pain caused by the long journey will affect his final judgment of the battle situation.

In fact, even now, the work of the entire army commander is extremely complicated, and Ludwig is unable to do it at all.

"Is the Marshal not checking out what the problem is?"

"Check it? Who should I ask for to investigate it?" Ludwig pulled out the clothes on his back, revealing several scars. "The one on the top is the Galician rebellion in 1946, and the one on the middle is the Battle of Kurtatoni in 1949."

Speaking of this, he pulled down his pants again, revealing the scars on his legs:

"This one was left behind in the Battle of Vinson. There was also a gun hole on his shoulder, from the Battle of Novara. The most serious one was the one on the back. In April 1949, as the chief of staff of the Second Army, I followed General Julius as the chief of staff of the Second Army to participate in the suppression of the Hungarian riot. The enemy's knife split the bones. If two old comrades had not rescued me to death, I would not have lived now."

After saying so much, Ludwig just wanted to prove that the current illness was all due to war injuries, and there was no need for examination and treatment.

But from Kavi's perspective, this looks more like a lumbar disc herniation: "I personally think that the pain in the waist and legs of the Marshal is just because there is a problem with the spine, and it has nothing to do with the old skin and flesh injury."

"It doesn't matter?"

"You are in good health, so many skin injuries have healed early, and even infections are rare." Kavey explained. "The treatment of some war injuries is too hasty, which will leave sequelae for the old injuries. But even if it is really a sequelae, there shouldn't be such severe pain."

"It's not caused by the old injury?" Kawei was so young that Ludwig could only doubt it.

“The chance is more than 90%.

"What's the reason."

"If the nucleus pulposus loses elasticity and the surrounding fiber annulus breaks, it will protrude backward under the action of external forces and then press down on it."

Kawei looked at the old marshal who was confused and knew that the anatomy was too difficult for him, so he could only use Austrian national treasure-level snacks as an analogy [4]: ​​"It's like a Sach sandwich cake. If the outer chocolate icing shell is broken, just a gentle press is needed, and the chocolate sandwich inside will flow out."

"I see."

"Now that the flowing chocolate is irritating your waist, you need surgery to remove it." Kavey said, "Of course, the operation is difficult and dangerous. If there is a problem, it will be suppurative infection at the mildest, and the lower body will be paralyzed, and may even lose your life. So this needs to be obtained by you."

Before he could finish his words, the old marshal interrupted him and asked, "Do you talk about surgery?"

"right."

"I heard that the recovery period after the surgery will take a long time?"

"It does take time." Kawei calculated roughly, "If the opening is not very good, it will take about 4-6 months to resume daily work after the operation."

"So long?" Although Ludwig was talking about a question that was inconsistent with his own judgment, he smiled on his face, as if the result was better. "What is the success rate of the surgery?"

Seeing that he was interested, Kawei said, "If everything goes well, I'm 80% sure. The remaining 20% ​​are accidents, which are complications of the surgery. To be honest, I can't control it."

The illness has been tormenting the old man and seriously affecting his daily life and work. He dares to try even if his success rate is only half.

Ludwig nodded repeatedly, first expressing appreciation for Kawei's courage to propose surgery to him. Then he changed the subject and brought the person he talked about back to himself: "If the surgery is really successful, can the symptoms be relieved?"

"There will be some postoperative discomfort, but the previous symptoms will definitely be relieved. As for how much it can be relieved, it depends on the severity."

Kawei said it very objectively, but this objective has greatly exceeded Ludwig's goal, and soon received his decision: "It's enough to relieve it."
Chapter completed!