Chapter 171 168. Postoperative aftershocks (4)

For Carvey, who had met King Franz several times, the banquet in front of him should not have become a big scene that he could not cope with. But the difference is that the focus was on others at the beginning, and he was happy to be quiet, but this time it fell on himself.

The praises have been heard all the time since the soup was served before the meal. After working for so many years, Kawei has heard too much. Except for the different languages ​​and some changes in wording, the meaning is roughly no different.

He has just been tired of working, young and promising, talented, etc.

Perhaps in the beginning of practicing medicine, it can still become the driving force for studying and working, but over time, this templated praise has become lower and lower in Kawei's heart, and in the end he has completely thrown out of the tolerant category.

When he reaches his ability stage, his own evaluation is authoritative, so his recognition is more important, which is commonly known as self-satisfaction.

In the eyes of people in 1866, radical breast cancer surgery is a new treatment that has not been proven. Everything is tried, and it is already amazing to be successful in the surgery itself. But in the eyes of Kawei, radical surgery has long been eliminated by modern medical care (the reason for the elimination was written before), and success or failure is no longer a measure of true success.

There is no reasonable radiotherapy and chemotherapy now, and radical surgery may last for a long time.

The operation seemed hasty from determination to implementation, and the result was good, but Kawei was not satisfied. The details of the surgery are still worth adjusting, and many operations still have room for improvement.

"The second course, appetizer plate, royal pheasant rolls and fresh deep-sea oysters."

The servants took away the soup plates one by one and changed to the pretzel. Alphons, who was standing by the table, was very excited: "The thickest chicken breast slices were used for low-temperature cooking, served with pea puree and mushroom grains. Not to mention the oysters, they were just shipped from the train today, and they were guaranteed to be fresh."

"Mr. Alphonse's craftsmanship is still amazing." Edward cut a large piece of chicken into his mouth and praised, "It makes me feel like I'm in the Palace of Versailles in the 17th century."

"Thank you for the compliment."

Kawei lowered his head and cut the chicken. While they were discussing food, they were thinking about some details of the operation.

No matter how you look at it, the radical surgery just completed is inconsistent with the minimally invasive concept of the 21st century, and the incision is too large. Especially when the upper edge comes to the front of the armpit, this is the location where a large number of veins return to the upper limbs. Incision here may cause edema of the upper limbs.

Can you make the incision smaller, such as making only horizontal incisions to avoid the front of the armpit?

It seems to affect the field of vision during armpit treatment, but in fact, after removing the breast, the space becomes wider, so it should not be too troublesome.

Speaking of incision selection, in fact, when the suture was done at the end of the operation, Kawei also saw that there were some minor flaws on the incision. After all, he was not an expert in breast surgery. After all, he was not a professional in breast surgery. The first time he encountered this surgery, he was not proficient in retaining space under the skin after the breast was removed.

Incision design requires a lot of clinical experience accumulation, and there is no shortcut to go

"Doctor Kavey, is French cuisine suitable for your taste?"

"Yeah, it's very delicious. I haven't eaten Mr. Alphonse's skills for a long time." Kavi used a dining knife to cut off a large piece of oyster meat, mixed with olive oil and red wine vinegar and quickly put it into his mouth. He chewed it all over and swallowed it. "The taste is crispy and delicious."

"It turns out that Dr. Kavi has been to Roshshuat Restaurant before."

Kavey looked at Alphons: "It's also a kind of fate, the kind on the operating table."

The experience of abnormal pain after the operation made Alphons tighten: "Doctor Kavey's skills are indeed superb."

Kavey took a sip of wine and said with a smile: "Mr. Alphons, please be careful of your health. If you find that it will recur in the future, please be sure to come and see it. You can't delay it."

"Recurrence? No, no, the operation is too painful." Alphons waved his hands repeatedly, "I felt like I was forced to open by more than a dozen knives."

Everyone was upset after hearing this: "Is that serious?"

"Didn't you drink yacata tincture? I heard it can relieve pain."

"It's useless! I feel that the pain after the operation has exceeded the range of the medicine." Alphons vividly described his experience. "It only took two hours at that time, the sweat on his body could soak a patient's gown."

“It’s so scary.”

"Actually, it's because the operation is quite special, but now I have new medicine in my hand, which can ensure that I can't feel any pain within half a month after the operation." Kavey mentioned methylene blue, "It's especially suitable for diseases in Alphons."

Half a month is exactly the recovery period after hemorrhoid surgery.

The patient's pain will be particularly severe within 24 hours after the operation and almost unbearable. Modern pain relief pumps can relieve a lot. In the subsequent long recovery period, due to the complex internal anal environment, every time the dressing is changed, it must be thoroughly disinfected. Coupled with the rough gauze, the sour feeling can be remembered for a lifetime.

However, in fact, in the 19th century without any local anesthetics, all movements of the sphincter would cause unbearable intense pain.

Defecation, wiping paper, walking on a daily basis, and even coughing and sneezing can make people tremble with pain. This pain is not linearly related to time. Five or six days after the operation, some scars at the anal canal incision will fall off, and when defecation occurs, people can return to the tragic 24 hours after the operation.

Alphons shook his head: "It's better not to be there, I don't want to lie in bed for more than half a month."

"Oh? I didn't expect that Mr. Alphons was also a patient of Dr. Kavey. I don't know where the surgical incision is? Can you show it to us?"

Edward didn't know where the surgery was before. He said casually and made Alphonse feel embarrassed. But he asked, and so many eyes on the table looked at him, so he would definitely not be able to escape: "There is a bit of a location. Alas, it's rare for you to have a meal together, so I won't affect your appetite."

After saying that, he quickly left the restaurant.

"this"

"Mr. Ambassador, he has hemorrhoid surgery."

Kawei wiped his mouth with a napkin and told the truth lightly. Everyone looked at each other in surprise, and after hesitating for a moment, he couldn't help but burst into laughter.

The dinner was a traditional French meal, with the interval between dishes at 15 minutes, and the total time was basically about three hours. This not only gave diners enough time to communicate, but also gave the kitchen time to prepare sufficiently.

"The third course, I chose the combination of eel and salmon, charcoal grilled eel and mayonnaise baked wild salmon, and paired with seasonal vegetables."

When Alphons brought out these two bowls of fish dishes, several people were still laughing: "I'm really sorry, we shouldn't laugh at a patient like this. But, but I can't help it!"

"Okay, let's eat while it's hot." Alphons briefly introduced the way to cook the fish, "I need to spend more time on the main course, and it will be about 18 minutes apart, so wait."

"It's okay, follow your pace." Edward sent him away, and asked to the servant beside him, "Where is the evening newspaper?"

“It’s in the living room.”

"Go and bring them all, I'm going to have a good look."

"yes."

Since it was a celebration banquet to celebrate Dr. Kavey's successful operation, how could the newspaper not be able to enjoy the fun? Unfortunately, the operation ended too late, and for security, the interview time was greatly delayed, and the newspapers still had more expectations for the operation.

"I actually spent a lot of space on Justina." Edward looked at the daily newspaper and shook his head, "I didn't have any description of the surgeons who really needed attention." [1]

"Maybe it's to introduce the importance of the patient."

"The Countess is the daughter of Marshal McMahon, but what does that matter?" Edward said unfairly to Kawi. "If you really want to introduce her, you can start another article on other pages. Why do you have to scatter the main points here?"

Although he said it well, Kavey understood why Varella wrote this way.

The reason is very simple, because he has long become a frequent visitor to the daily headlines like Ignaz. People who often watch surgical reports are familiar with Kawei, and reporting Kawei's current situation is far less eye-catching than reporting the French Countess.

This is also an important preparation for detonating the results of the surgery. No matter whether the results of the surgery are good or bad, as long as Giustina is done, the sales of newspapers tomorrow will not be bad.

Kawei had no reason to wear this, because he believed that the people in front of him who could climb to such a position in the storm would not have imagined this: "It's just a newspaper that is just a mess."

However, Edward and others seemed to be unsatisfied. After putting down the daily newspaper, they immediately looked at the Times and Free News sent by the clerk: "Don't be anxious, there is something even more outrageous. The Times wrote 'Breast Cancer Resection' as 'Chest Resection', and did not even mention the names of the two surgeons from beginning to end!" [2]

"Free news is even more exaggerated, and it is actually refuting the legitimacy of breast cancer removal???" [3]

The chat was very hot on the dining table, but Kawei was not interested.

Different circles, the perspectives and opinions on things will naturally be different. Even if the report seems a little bit aside, it doesn’t matter. After all, doctors are not very professional. Moreover, this is a very common small thing in the 21st century. As long as you spend a few years in clinical practice, you will feel relieved.

What Kawei really wants to do is to review the surgery.

He looked at the fish bones on the plate and thought of the cutting position he chose when the muscle was removed in the operation.

When the surgery is removed from the pectoralis major and pectoralis minor muscles, the cutting point is too far away from the tendon root of the tendon. Although it does not have much impact on the surgical result, it will still cause unnecessary bleeding to the patient. Will it be better if the cutting point is placed against the tendon?

There are also many venous branches below the pectoralis minisculature. Isn’t the separation a little too long?

If you do it again, will the separation level accidentally damage the lower vein and cause bleeding?

Also, I just thought of changing the position of the incision. Although the art field has not changed much, have I forgotten that there was no shadowless lamp in the 19th century. The light of the candlestick cannot shine deep into the incision, so if you expose the armpit, you still have to do an incision before the armpit.

Kawei thought a lot, and he would carefully analyze what happened to the basic idea, and then proceed to the next one.

At this time, Edward suddenly said: "Although this will attract a lot of criticism, as a Frenchman who has worked in Vienna for many years, I still have to express my dissatisfaction. Vienna is indeed a great enough city to be called an art capital comparable to Paris. But in terms of supporting external technology, it is too poor here."

"Yes, if it was in Paris, France, if it was a surgical master like Alfred Verpeo." The clerk stood up in time and added details to his boss. "The Paris newspapers would never be so sloppy about his surgery."

Edward gently threw the free news in his hand on the table: "It's so annoying! It's no longer a medieval time now, and the art of technology is also part of the art."

"really."

"The ambassador is right."

"If there were surgical geniuses like Dr. Carvey in the French medical school, I'm afraid that major newspapers in Paris would have started to report them long ago."

Edward turned on the bragging mode. Anyway, Kawei had never been to Paris, so it didn't matter: "Every of his surgery will be recorded in detail, and each movement will be depicted by the artist on the cleanest drawing paper. The newspaper's surgical page will be reserved every day to show his surgical results."

The more he said it, the more mysterious it became. In his mouth, Paris seemed to be the surgical center of the world, and everyone in the French seemed to care about surgery.

The rest of the people stopped listening to his performance, but Aidinson, who had been silent, suddenly spoke: "Amistant Edward must have fallen in love with Dr. Carvey."

"Falling?" Edward smiled, "Although Dr. Kavi is indeed good-looking, it's a pity that I like women." [4]

"I mean, Kavi's talent." Aidinson understood the other party's intentions and couldn't help reminding him, "Mr. Ambassador, Dr. Kavi is affiliated with the Imperial Army Military Medical Office and is a glorious surgical military doctor. If."

Diplomacy cannot tolerate such straightforward conversations. Carl, who was good at coping with others, directly interrupted him: "Yes, Dr. Kavi has extremely high surgical talent, and being able to enter the military department is definitely a recognition of his technology."

"Oh? Is that right?" Edward was a little disappointed. "I personally think that such a capable doctor should stay in the anatomy room and study more new procedures."

"I have a title and His Majesty Franz personally recruited it." Kawei was helpless, "It is related to the safety of the empire, and we should do something within our ability."

The sudden serious chat topic caught many people off guard. Fortunately, the sound of the dining car roller and Alphonse came from a distance: "For the fourth main course, I specially prepared two more dishes, including baked hare baked hare, fried lamb chops, Rouen blood duck and Portuguese roasted chicken, hoping to let you have a great time in the embassy." [5]
Chapter completed!