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Chapter 207 204. Semi-teaching surgery(1/2)

[Today I'm late, I'll always slack off for two days when I ask for leave at the beginning of every month]

Half an hour passed since the old butler was sent out of the bedroom by Kawei. The maids waiting at the door were anxiously waiting for the result.

They had no medical knowledge and had no thoughts about the episode they had just had in the bedroom. The only thing they were worried about now was the danger of surgery. The old marshal was the support of the whole family. Albert had just died. If he had another one, the family would probably decline.

The main reason is that other sons have awkward position in both military and political aspects, and they also need the old marshal to continue to shine and heat to pave the way for them. The servants are all very realistic. In addition to some sense of belonging brought by work, the rest are considered to be prosperous and both prosperity and loss.

Even if the nobles declined, the remaining wealth would be enough to maintain a long life. However, the maids would lose this job that would allow food and accommodation at the first time. It is not that easy to find a stable job in Vienna these days.

In this case, Ludwig's health is very important and will naturally become their only topic now.

"Master, no."

"Don't talk nonsense!"

"The surgery is scary. A neighbor of mine had an amputation surgery before, but he died without escaping for two days."

"The doctors who are in charge of surgery are different. Today's doctors are very powerful."

"Is it amazing?"

"I'm too young, and I've said I should prepare salt and sugar before, and it's like a kitchen. I always feel a little hungry."

"But he has many chief doctors around him and His Majesty the King is present, so it should be fine."

The chat whispered for a while, suddenly someone knocked on the door in the bedroom. This strange situation made the housekeeper shudder, and he quickly stepped forward and opened the door two steps, and Hills's head poked out from the door.

I saw him standing by the door, with his hands standing in front of him, looking like a modern surgeon: "The water is running out."

The butler looked inside through the crack of the door and asked, "Would it be hot or cold?"

"Just as before, just warm." Hills hesitated for a moment, and said, "I also need some clean gauze and towels, because we need to rinse the wound and dirty the carpet. Oh, by the way, if possible, can you speak less? The sound insulation of the door is not very good."

The butler was a little embarrassed and could only nod.

"As soon as possible, we can't do anything without water." Hills turned around and walked towards the operating table, "I can't touch things with my hands, you can close the door."

"knew."

The housekeeper helped close the door and looked back at the maids who were communicating quietly. He was immediately angry: "Didn't you hear Dr. Hills? Do you want me to repeat it?"

"Dr. Hills said don't be too loud"

".Cough cough." The housekeeper lowered his voice, "You have the energy to gossip the master's surgery, so it's better to spend more time thinking about what the master needs after the surgery, prepare the things first, and don't mess up when the time comes."

The maids disappeared and dispersed in groups of three or three.

Some people went to the kitchen to get hot water and prepare food, some went to the laundry to get gauze and some bedding. Some were asked by the housekeeper to go to the living room: "You can't just care about the master, and the living room is also short of staff. You guys go there to help, I'll just keep an eye on here."

"good."

"Remember, don't talk nonsense, especially the master's surgery."

"kindness"

At this time, the reception room also gradually became tense as the operation progressed. I was discussing the topic of the new commander just now, and gradually leaning towards Ludwig's surgery time and possible physical conditions.

"The operation has begun almost an hour."

"Um."

"Why didn't the news come out at all?"

"Doctor Kavey's surgery is like this. He can't get out in less than two hours. And this is not a surgical theater, so how can there be news before the operation is over?"

"You said that if the old marshal's surgery went wrong, wouldn't that be?"

"Bah! What are you talking nonsense? How could the old marshal who traveled through the battlefields of all sizes fall on the operating table!"

"Just just talk casually, what's the matter? It's a private discussion."

"No matter whether the operation fails or not, he has rejected His Majesty the King's invitation and cannot become our commander. To be honest, what is the significance of the result of the operation? The reason why we are talking here is just to wait for the new commander to be determined."

This sentence sets the tone for Ludwig's old age life. Missing the position of command is basically equivalent to staying away from the center of power. However, such a summary speech will definitely cause criticism, and someone soon came forward to explain the importance of Ludwig.

"You look down on the old marshal too much."

Jedion was most disgusted with this self-proclaimed rational speech: "Why do you think His Majesty the King must take the position of commander? It's just because he has been through the battlefield for a long time? It's not for him to stabilize the morale of the army and to make the soldiers fight bravely at critical moments. Guess what impact will the old marshal fail in the operation now?"

Ludwig's becoming the commander was a product of compromise, which demonstrated Franz's absolute trust in him.

Now the news that the candidate for the commander has been undecided has spread. "Absolute rest after the operation" and "death without surgery" are completely different concepts, and the impact on the imperial army is also completely different.

"The old marshal's tactical style is calm and will not allow soldiers to make unnecessary sacrifices. It is indeed the spiritual pillar of the army." [1]

"So" Jedion looked back at Brecht beside Franz and said, "Grand Duke Brecht was too fierce in war and even dared to rush into the enemy's formation to participate in the fight. In fact, to put it bluntly, his ability is more suitable for being a front-line commander rather than a commander of the entire army."

"But he is highly appreciated by His Majesty the King."

"Because I have won several big victories." Jedion was a little jealous and felt that he was not fair to him in this regard. "I am just the chief of staff, and sometimes I can only make suggestions. The real command is not in my hands."

"really."

The seemingly reasonable discussion and his current position made people around him echo, but the final result after their discussion did not help the determination of the commander. After all, the Austrian Empire was still in the hands of that man. The command of the army did not belong to the army, but was always in his hands.

"Virtus Jadyon." Franz and Brecht made a vacant seat together on the sofa, "Come, come and sit."

".His Majesty the King." Jadion walked forward and saluted, sitting carefully in the empty seat between the two.

Franz went straight to the point: "If you now become the commander of the entire army and command a total of 500,000 troops. How would you deal with it when facing the two advances of the same number of Prussian troops in the north and the 300,000 Italians in the south?"

"The north is defending, and the south is attacking." Jedion gave the basic strategy after discussing with the old marshal without hesitation. "The Prussian army is coming in full force, but the strategic preparation is insufficient. If you drag it into a protracted war, you will lose. The Italians have always been useless. For us, it is a pizza cake that is put into our mouths."

"Can you really win against Italy?"

"I have discussed with the old marshal. If nothing unexpected happens, we have a 90% chance of winning." Jedion said, "As long as we eat them, the Prussians will definitely choose to retreat if they are unstable. At that time, the initiative will be in our hands."

"Why don't you go in the same direction?"

"There are risks in advance on the northern front, and it will be safer to choose to stick in Bohemia." Jedion's level is indeed not bad, and he also counted the French. "If all the Prussian troops cannot be solved at one time and invaded Berlin within half a month, we will be restrained by the French because of some small victories."

Franz nodded and suddenly asked, "If there was no restraint from France, at least the French would not have restrained them before attacking Berlin."

Jedion frowned slightly, not understanding what he meant: "The French will never let us win easily, they will."

"They will remain neutral," Franz said. "There is an agreement between Nasan and the Emperor of the Pu Dynasty, and I and Nasan also have an agreement. France is a bystander and at most it can be mediated."

"If this is the case, with the support of the South Prussian Federation, we can give it a try." Jedion thought Franz asked this question to give him a chance, so he quickly expressed his opinion, "I am willing to take over the old marshal to lead the combat troops on the Northern Front and defeat Prussia."

Franz did not respond, but continued to ask, "What if there was no support from South Prussia?"

"They have always wanted to get out of Prussia, and we should be able to get their help after the war begins."

"I mean, without their help, can we beat Prussia with two divisions."

"This" Jedion, like Marshal Ludwig, fought very conservatively. After thinking for a while, he shook his head slightly, "Without the help of friendly forces, entering the heartland of Prussia will become very dangerous, with a winning rate of less than 50%.

Franz smiled, got up and patted his shoulder, and said, "Our goal is consistent, but the position of commander should be given to Brecht."

This was what Jedion had expected before. He had no chance of winning, whether it was military merit or title. Jedion was unhappy, but his words quickly changed: "Since that's the case, please transfer me to the southern line. Even if I only give me 100,000 soldiers, I am sure to defeat Italy."

"South Line?" Franz shook his head, "You are not familiar with Italy, so it is better to stay on the North Line."

This sentence gave Jedion a bad premonition.

Franz smiled and said, "The Northern Line troops directly face the attack from Prussia and need Brecht's command. The Grand Duke of Brecht needs a chief of staff who can provide detailed analysis at any time, and you are the best candidate." [2]

At this point, the king's determination has been fully demonstrated, and Jedion completely lost the opportunity.

But what puzzled him was that there were only a few candidates who could participate in the competition for the commander, and now he and Brecht were present. Even if he couldn't get the commander, he could at least be the deputy commander of the southern line. As long as he won the battle on the southern line, he would have enough promotion opportunities in the future.

But what is the situation now that he and Brecht are put together?

"You ask the southern line?" Franz kept it a secret, "I have my own arrangements for the southern line."

The candidate for the commander of the entire army has been basically set in the living room. If no one stands up and opposes, Brecht will replace Ludwig as the commander. But for the five doctors in the bedroom upstairs, who is the commander has nothing to do with them. What is really important is in the small square on the spine.

After pushing apart the paravertebral muscles, only the ligamentum and nerve roots remain between them from the broken discs.

The ligamentum of calcareous is a very important anatomical structure in the spine and is also the focus of this operation [3]. It is involved in the posterior wall of the entire spinal canal and is also responsible for connecting adjacent upper and lower pedicle plates.

If you want to find the herniated intervertebral discs all the way inward, you must peel and dissect the ligament of the calcareous ligament. If you want to peel and dissect the ligament of the ligament of the calcareous ligament, you must first cut the laminar plate.

Kawei uses bone chisels and impact bone biting pincers.

The former is a traditional orthopedic device, which Watman used when he was dealing with the maxilla. The latter was created by Kavey, who made the foundry: "This is a new thing I spent a lot of money to get. I used extremely elastic steel sheets. It is much more convenient and safer to remove than bone chisels." [4]

Compared with other surgical instruments invented by Kawei, this bone-biting forceps are more suitable for modern surgery, and the whole body exudes the charm of modern surgery.

He first used bone biting forceps to remove the surrounding laminar plate. When removing, he needed to pay attention to the collapsed bone debris, and also pay attention to the scope of the resection.

"In fact, we have already concluded on the body before, that is, to plan according to the attachment point of the internal ligament of the calcareous ligament." Kawei explained while cutting off the laminar plate, "The removal of the laminar plate is also a preparation for the next method of treating the ligament of the calcareous ligament to get normal saline. I want to rinse it." [5]

Hills hasn't been a maid assistant for a long time and didn't notice the bottom-up water basin: "I'll go find someone to get some water."

The interruption of surgical coherence makes Kawei very uncomfortable, which is also an inconvenience of home surgery

Kawei brought a spatula from the side: "Then let's deal with the shallow yellow ligament first, and first separate the attachment points inside the caudal lamina. The attachment points here are very thick. Be patient when operating and try not to damage the joint capsule." [6]

The ligament of calcareous is divided into shallow and deep layers. Remove the shallow layer is equivalent to thinning the ligament and preparing to completely peel off the ligament. [7] As long as the ligament of calcare is stripped cleanly and the nerve roots are pulled open, you can see the intervertebral disc. The dissection of the intervertebral disc must be completed by Kawei, so now is the last chance.

The first of the four people was Watman. It was normal for me to rank first as the president of the Academy of Surgery: "Let me give it a try."

Kavey handed over the scraper: "It's a little more troublesome than dealing with facial muscles."
To be continued...
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