Chapter 155 152. Membership System
The surgical theater of the Municipal General Hospital is the original hospital warehouse. Because Laslow gave the money to expand the hospital, the warehouse moved to the new building.
According to the previous plan, all of this place should be demolished, and a fountain will be built, and the surrounding gardens will help hospitalized patients recuperate.
But whoever can make money will have greater say within the allowable range. The more mature and relatively safe cesarean section can bring considerable income to the hospital, and the director followed Kawei's wishes to renovate it into a surgical theater.
As for the fountain, as long as you spend more time laying the canal, you can actually build it anywhere.
The warehouse covers a small area, and the theater is definitely not as spacious as that in the Lakeside Theater.
The auditorium still maintains a semicircular design, but the number of layers has been reduced from 6 to 4, and the seats have also been reduced by 1/3. Compared with the surgical area, the surgical area has been reduced a lot. The main surgery can touch the baffle in front of the auditorium by taking two steps back.
The number of viewers that seem to be able to accommodate is less, and doctors and hospitals make less money, but this bold design greatly increases the distance between them and the operating table.
As the only two operating theaters that provide the public with access to the public, the Municipal General Hospital will definitely attract more attention. After all, the distance between the VIP seats in the four corners of the operating table and the patient's incision is equivalent to that of the assistant who delivers the device.
This compact design stacks up the immersive stimulation that the Lakeside Theater cannot give.
The reduction of the area of the surgical theater is not entirely for the sake of visual experience, but more of the hope is to squeeze out the locations of other rooms in a limited space.
Compared with Lakeside Theater, the rooms around the surgical theater of the Municipal General Hospital have also been greatly adjusted, and the separate preoperative preparation room was divided into three by Kawei.
One is still the preoperative preparation room, and it is also the storage room for surgical instruments. It only belongs to doctors and nurses, and the preoperative rest attributes are removed. The things prepared are also for the operation itself, such as gauze, alcohol, carbolic acid, cleaning of surgical instruments and high-temperature steam disinfection, etc.
The second is the patient's anesthesia room, which places anesthesia into the preoperative preparation stage, and also greatly reduces the patient's nervousness in full view of the public.
The third is the observation ward after the operation. The patient saw anesthesia before anesthesia. After waking up anesthesia, he saw an observation ward, which completely got rid of the audience's sight. From a professional perspective, the hours after the operation are the most dangerous period, and observing the ward can allow medical staff to better observe changes in the condition.
The surgical theater is a historical legacy, and it is not easy to reform.
Kawei can only increase the professionalism, complexity, and strict disinfection measures of the surgery from all aspects, and then introduce the surgery step by step.
"Today is Dr. Kavey's surgery, please be sure to wear a mask." The ticket inspector is the intern who just came to the hospital for internship. At the same time, a classmate is selling masks. "If there is no mask, you can buy it here, 5 kronor each."
“I have a mask.”
"Let me see. Oh, sir, the thickness of your mask is not up to standard, it must reach our thickness."
Looking at the Kavi masks sewn with more than ten layers of gauze in front of me, the audience felt a little confused: "I have worn something like you, and I can't breathe after a surgery." [1]
"I'm really sorry, this is Dr. Kavey's rule."
There is no way, the uniqueness and professionalism of the surgery have made Kavey's surgery the hottest entertainment product in Vienna. Even with the strict rules such as "strict wear of masks" and "spraying and disinfecting of alcohol throughout the body", tickets are still sold.
"Then let's have one."
"5 kronor, sir." The intern doctor took the coins and sent the masks to the audience. "If you come to watch the surgery frequently, you can choose to buy a monthly membership of 500 kronor, or an annual membership of 3,800 kronor. We can provide special mask storage and disinfection services, as well as the right to purchase 5 tickets per month or annual tickets."
"There is such a good thing?"
"Members can buy it with the dean, but before entering the venue, I hope you can give up the food in your hands. Because of the wearing of masks, food has no meaning of existence, and strictly speaking, food itself is also an important factor in postoperative ulceration."
It is almost impossible for the VIP ticket for Kawei's surgery to exist for more than one hour. Whenever the Kawei's surgery notification is hung at the entrance of the Municipal General Hospital, the fastest is 10 minutes and the slowest is only half an hour and it will be purchased.
Compared to a month ago, the audience type structure of people who buy tickets now has changed a lot.
A large part of them are surgical colleagues in the same city, such as Watman, Orgi, Korigo, Masimov, etc., are all regular visitors here. Because they are already friends with many doctors at the Municipal General Hospital, it is much easier to get tickets internally.
Today, the four of them wore thick masks and also wrapped their four-corner VIP seats, hoping to observe the operation up close.
In fact, in Kawei's eyes, this operation is not very difficult.
The resection of gao pill cancer has been around since ancient times. Although many of them are removed together with the "root" and the technique is rough, there are also many cases where gao pills are removed only [2]. With the knowledge of anatomy in the 19th century, it is not difficult to remove gao pills.
What really makes the four of them pay more attention to is the removal of breast hyperplasia in small incisions.
It is not difficult to simply remove the breasts of men who have non-breast cancer. As long as the curved incision on the side is large enough, even Herman can easily take them. However, as an important branch of plastic surgery, the surgical industry has never thought that it would be possible to make small incisions even if the mastectomy is removed.
How small is the incision?
Will there be special scars?
Can the scar position after incision suture be covered?
These are the details of the surgery they need to know.
Because of the importance of these surgical details, they had to buy VIP tickets, so the four members who were here from the beginning: "3,800 kroner a year is too cruel. I have to pay for almost 1/5 of my income, and I can't afford it."
"Yes, that doesn't include ticket money." Corigo glanced at Watman beside him, "It's probably only a dean who is worth a fortune like this can afford it."
"We can get ordinary seats at any time, but VIP seats can only be snatched by members' priority. I wish he could become a permanent member." Watman looked at the empty operating table and laughed at them for no see through. "It's less than 4,000 kroner. Such a close distance is almost the same as being an assistant, and it's a lot of money."
"Make a lot? But he didn't give us a chance to practice."
"I still want to do it? The requirements are too high." Watman began to calculate the calculations for them and asked, "How much does a corpse cost?"
"50 kroner?"
"Can you benefit from dissecting ten bodies in a month than a surgery here?"
Corigor thought it was really hard to draw a conclusion. However, Olgi, who was standing aside, was very pertinent: "It is certainly not. The idea of surgery is very important. Many times, it still needs to communicate with each other. If you rely on yourself to think about it, sometimes it will have the opposite effect."
Watman said casually: "A month of 500, this month, you saw a cesarean section and felt like you made a profit. As a result, he gave you a small incision mastectomy next month. Will you renew the fee?"
Corigo's main focus is plastic surgery. The size of the surgical incision directly determines the effect of plastic surgery. Of course, such a surgery cannot be missed: "It must be continued."
"It's been spent 1,000 kroner in just two months." Watman seemed to have seen through Kavey's charging method, "What about next month? Will you renew it?"
"this"
"This is just a difference in fees. 3,800 kroner is equivalent to 7 and a half months of price, but it has a 16-month priority." Watman became more and more excited as he said, "Isn't this profitable?"
Corigo admitted that this is indeed very profitable, but there are prerequisites for this kind of profit, that is, Kavi can throw out a brand new surgical procedure every month.
"I have confidence in him." Watman put his masks in place again and covered them with their mouth and nose again. "The only troublesome thing is this mask, a strange smell of alcohol and carbolic acid mixed."
These words touched the other three people very much.
Olgi had benefited from Kavi's cesarean section and abdominal surgery. Korigo was also very clear that Kavi's plastic surgery ideas had already been ahead of them. Although Masimov did not like Kavi's personality, he also knew his superb surgery.
Now after Watman's dial, it seems that it is very stupid to only purchase monthly memberships.
"Where is Bill Rot and Edinson?" Masimov was a little concerned about where the two vice presidents of the Academy of Accident Sciences were. "Don't they want to see this surgery?"
"Addingson has been taken to be a military doctor. I'm afraid he won't have time for the next six months." Watman said, "Bill Rotter, he only cares about abdominal surgery. If it were an appendectomy or hernia repair, he might have been there long ago."
The Academy of Surgery has many vice presidents, Ignaz is one, and Edinson is one.
The former is very capable and is Watman's son, so everyone has no objection. Aidinson satisfies many people because of his prominent family background, strong surgical ability and relatively smooth style of handling things.
What is Bill Rotter?
Why did a professor of surgery at the University of Zurich suddenly enter the Vienna Academy of Surgery as vice president? Is he better than all three of them here?
This is the voice of Korigo, Olgi and Masimov, but I feel embarrassed to say it in front of Watman. They are not young anymore, and the position of vice president can effectively ensure the source of income after retirement, so I still hope to compete with each other under the premise of in-depth technology.
"I'm very interested in Dr. Bill Rott's surgical ability." Suddenly, Masimov asked, "I don't know when his surgery will enter the theater?"
After all, it was a corner he dug up himself, and Watman would definitely protect himself: "He has been studying the removal of gastric and esophageal resection recently to treat gastric and esophageal cancer. At the same time, he is also actively seeking ways to fight miasma, hoping to refute the disinfection view put forward by Liszt and Kavey."
"So there is no surgery."
“.So that can be said.”
Masimov sighed: "Dean, it's not that I'm gossiping, but the decision on some things is too hasty."
Watman couldn't help: "I guarantee it with my personality that his abilities are absolutely fine."
"It's useless to just say this, you have to do it!" Corrigo also became sarcastic, "Do nothing, if we don't say anything, others will also say it. At that time, the entire Academy of Surgery will be in chaos, and it will be bad for those hypocrites in the internal medicine department to know."
Orgi is much more sleek and helps to smooth things over, but he also has his own dissatisfaction in his words: "I know the dean must have his own concerns, but the vice president used to reward the hard work of the surgeon. Now it makes people become idle and lazy. Isn't it inconsistent with the original setting?"
Watman sighed and could only defeat the three of them if he could speak: "Okay, okay, I'll let him have an operation as soon as possible, and the time and place will be announced in advance."
At this time, in the anesthesia room beside the surgical theater, Fernan was already lying on the pushing bed with peace of mind.
In order to hide his identity, he prepared an eye mask and facial towel for himself, plus the medical cover during the operation, and no one could tell who he was. Now Fernan is most concerned about the effect of the surgery: "Can gao pills be removed prolong life?"
"If there are no other lesions, if the surgery goes well, there should be no problem." Kawei dared not say too much, "but you also need to know that there are many uncertainties in medicine, and all I can guarantee is to do better than others."
"Just have you." Fernan took a few deep breaths, put on a black eye mask and mask, "Get started."
In addition to Herman and Damirgaon, today's surgical assistants also have two new faces.
One is Koch, who has just come from university. He cares about the preoperative disinfection method that Kavey and Liszt have jointly improved. The other is Amor, who has just arrived at the Municipal General Hospital. He wants to learn the skills of ether anesthesia.
"First of all, you need to know that fasting is needed before the operation," Kavey introduced. "Simple fasting will not have any bad effects on the patient, but it can greatly reduce vomiting and aspiration after anesthesia."
"I already know this."
"The second is the dosage of ether." Kavey looked at Fernan who inhaled ether gas and began to make some neural response judgments. "The dosage does not need to be strictly specified. The purity of the ether I bought is a mystery, and mathematical calculations do not have much clinical significance. What really needs to be mastered is to judge the depth of the dosage of ether through the patient's reaction."
Under the urging of ether, Fernan's consciousness gradually disappeared, but his breathing was still unstable and his nerve reflex was in an hyperactive state.
"The pain can cause him to have reflexes such as frowning, which means that it is an ejaculation period and cannot be operated on." Kavey said, "We still need to wait."
"When will it take?"
Kavey opened Fernan's eyelids and looked at his pupils with the candle in his hand: "When he lost his pain reflex, his breathing and heart rate returned to his original calm level. At the same time, the pupils of both eyes narrowed and did not respond to the light, which means that the anesthesia has been completed and the ether steam can be cut off."
Before he finished speaking, the familiar nurse had already taken off her mask.
"I see."
"But sometimes this kind of boundary is blurry and it takes a lot of clinical experience to accurately find the dividing line." Kawei looked back at Koch who was about to push the flatbed car out of the door and said, "Don't worry, find a razor from the box first."
"Razor? Why do you want a razor?"
Kavey pulled down Fernan's pants: "You have to shave your hair before the operation."
Chapter completed!