Chapter 271 267. Experimental Report and Inspection

Modern medical examinations can be roughly divided into two types.

One is laboratory examination. In the early years, it was entirely dependent on microscopes. Now it can also rely on various instruments to distinguish blood, urine, feces, as well as cells and other components in various sectioned tissues, etc.

The other is imaging examination. At first, various peeping glasses were used. After X-ray and B-super were released one after another, the choice of imaging examination became more and more abundant.

For the differential diagnosis of hematuria, the first and most important step is to do laboratory examinations, which is why Kawei chose to go to his own laboratory.

Because there is no shooting device now, the cells in the urine under the microscope should be carefully looked at by those in the laboratory to improve their experience. At the same time, he can also check it out. In the past month, Koch's

Discover.

Since the Pakatan Harapan War entered the preparation period, the future father of microbiology encountered some trouble.

In fact, his study time in Austria is very limited, and he has to go back in July as planned. But because of the relationship between the two countries, it is actually time to leave at the end of May.

After returning to China, Koch will be able to obtain a doctorate degree from the School of Medicine of the University of Göttingen. He does not like clinical practice very much, and should be able to work in the Institute of Chemistry in Berlin by relying on his connections.

The Institute of Chemistry is just a compromise between medical clinical and scientific research. His interest is not strong. Compared to being around Kawei, he is more relaxed and comfortable, and he can also see something he has never seen before.

"Forehead"

Three months have passed now, and the seeds sown by Kawei in early summer have already taken root and sprouted. When he returns to the laboratory again, the harvest is in front of him.

After Justina walked into the embassy, ​​she saw Edm who was observing flowers and plants in the yard at first sight, and then happily introduced Kavi, who was walking behind her: "This is what I mentioned to you before.

Dr. Kavi Hines, his surgical skills are very good. He heard that you were sick, so he rushed back from the battlefield ahead without stopping."

Another article is in the United States across the ocean. A veterinarian named York also published in 1859 about the suspected infection of anthrax in cattle.

"Oh, it's the laboratory's experimental report these days." Kawei got into the car and put the instrument box down, put the documents on his legs, and turned a page, "After all, it's my own laboratory, I need to see their research

Something happened."

One article was published by the French microbiologist Casimir Davena in 1863 in the anthrax paper in the French Journal of Medicine. He mentioned that anthrax can be directly transmitted between cattle, rather than individual diseases.

The other party's question was slightly angular, and Kawei just looked at the report and said with a smile: "Bacteria are the enemy of surgery. As long as it is related to bacteria, I think they have research value. Even Mr. Pasteur should do it.

It’s right to agree with this statement.”

In history, he had no good choice, so he went to the Berlin Institute of Chemistry for six months. Finally, he gave up at the suggestion of Weirshaw, the father of cytopathology, and returned to the clinic again. Starting from clinical practice, relying on work.

Accumulate and slowly find the direction of your own research.

"Savalin is at the Municipal General Hospital, and Matik should be in class, after all, school has just started."

This series of experimental processes made Masimov unbelievable: "The results are shocking. To be honest, I still can't believe my eyes."

Ten minutes later, Kavi left the medical school and got back on the carriage.

From the beginning, Kavi was trying to keep him. Even though he knew the hostile relationship between the countries behind the two, Kavi was willing to guarantee him, just like the Italian surgeon Botini.

".You still remember this." Mosie said, "Do you know you have specially bypassed the embassy and returned to the medical school to get the experimental report?"

Masimov took the report and started reading it.

"Weight?" Edm shook his head, "It probably didn't. I have always had a good appetite. I ate several plates of oysters at noon just now."

Unexpectedly, just after returning to Göttingen in June, he received a reply from chemistry research [1]. The general content is that he did not graduate from chemistry majors, and he had to start from the most basic researcher in the research institute. At the same time, the research institute also

Hopefully he can focus more on chemistry than medicine.

When I heard about hematuria in my eyes, the first thing that popped up in Kavey's mind was bladder cancer.

"It should refer to the spores generated on the surface of bacteria." Kawei spread his hands and said, "Although it is not the first time I have discovered it, it is the first time that it has been mentioned in its function and the life history of anthrax bacteria. There are thousands of bacterial species

If you guess boldly, maybe many of the diseases we have are related to these little guys.”

Koch's next experimental report even subverted the two's perceptions.

"It's just a sensationalism." Mosie was a little dissatisfied.

Mosier couldn't believe it: "This"

Kawei knew this was a cognitive bias that appeared when matching his age and experience, and he has been seeing it frequently since he traveled here. It was just that Edham hid better than others, and this expression quickly dissipated.

In his smile.

Mosie looked at him, then looked at Kavi, who was reading the experimental report opposite, and took the report. The content was indeed the same as the other party said. The infectivity of anthrax was further confirmed, and the microscopic examination found

The bacteria were also drawn by Koch with a stroke and then equalized by a series of explanatory texts.

"soil?"

"I've recruited an assistant," Koch said, "I just graduated from the University of Vienna Medical School and named Albuck."

"Oh, yes, anthrax." Kavey said, "There are many reports recently that anthrax is contagious and can be transmitted between cattle. But I personally suspect that human anthrax may also be from cattle or even from cattle.

Infected in the land, but there is no evidence”

And now, Koch has one more Kavi in ​​front of him.

"He saw that I was studying anthrax before, and he could only take action, and he always felt uncomfortable. Later, I suggested that he also start a project, and after searching, he became interested in typhoid fever and typhoid fever. Recently, he has been collecting cases in the hospital.

.”

Anyway, Masimov asked, "Can you let me see?"

"Wait!" Justina sat aside and suddenly spoke, "As you mentioned just now, I can see. Uncle, you have indeed lost weight, much thinner than when I first left Paris."

When he returned to Göttingen and found that his future was bleak, the first thing he thought of was Kavey.

"Uncle, I'm here."

Is disease related to microorganisms?

"I have nothing to do with Pasteur, and in France, Pasteur is not that likable." Mosier snorted, "I believe in science. I don't believe in that without clear experimental results supporting it, I don't believe that.

Growing small things will have an impact on humans.”

So he hopes to find the shedded tumor cells through urine sediment examination to clarify the diagnosis of urinary tract tumors.

"Yes, soil," Kavey explained, "Some patients with anthrax have never been exposed to sick animals, and some have never even touched living animals. So it only proves that animals and animals and humans are among them.

The contagiousness between them is not really aware of it.”

Then, through endoscopy of the vesicle, carefully look at the inside of the bladder and determine the location of the tumor.

How could a person be defeated by such invisible things? It is simply denying the meaning of human existence!

But in front of the manuscript of the painting of the bacillus anthrax, which was like a stick, the two could not find any evidence to refute. They would never have thought that they just followed Kavi to the University of Vienna and saw this

A remarkable discovery.

Kawei laughed twice, without refuting.

"Okay, let the report aside for the time being." Kawei took back the experimental report and continued the topic of Edham just now, "It is still Mr. Edham's body more important."

"So that's how you prepare the microscope and dye first. Several experiments need to be done at night. The hospital microscope is not enough." Carve looked at the report in his hand and said, "I'm going to the French Embassy now, I will do things.

Watching on the road.”

When he returned to Vienna in mid-July, Kawei was happy and left him two papers and one sentence.

Elderly men have many years of smoking history and bladder stones. They are still a painter who has been exposed to pigments for a long time. They all have high-risk factors and early symptoms are also consistent. However, bladder cancer surgery is very complicated and difficult to treat, so it is impossible to rely solely on these things.

Make a diagnosis and then cut Edham's belly.

If you don’t have these experimental reports in your hand, both of you will think that this young man is talking nonsense.

"Doctor Kavey, why are you back?" Koch was wearing a mask, and there was no sense of any atmosphere of war between his eyebrows. "I have figured out the anthrax you gave me. Thank goodness, here is what I need most.

With a microscope and enough experimental materials, my results will surely surprise the whole world!!!”

After dissecting the mice, the dissection was performed again and the visceral tissue fluid of the extracted mice was examined again. Just like the previous bovine spleen extract, a large number of bacteria were found in the visceral extract of the mice.

Masimov, who was on the side, was also a surgeon. He had only seen anthrax patients and was not sure about the relationship between this disease and microorganisms. But he believed that Kavi was soon attracted by Kavi's statement.

.

Mosier felt strange, "How did you, a surgeon, study internal medicine diseases?"

Mosie didn't know much about German, but Masimov, who was sitting on his side, could still understand: "Anthrax?"

"No, no, Dr. Mosie, these are just things I took away by the way," Kavey explained. "I went to the medical school mainly to find my colleagues in the laboratory, and I would like to do some of Mr. Edham's urine next.

Several checks, I need their help.”

"This is just the beginning, two doctors." Kawei smiled and took out the second and third experimental reports. "Koch's subsequent reports were based on the first report, and continued to prove that anthrax was not the only one.

Cattle that have anthrax can spread, and these bacteria can even exist in the soil for a long time."

"Yes" Kawei quickly flipped through the first experimental report, closed it and handed it over, "From the results of the first experimental, anthrax is caused by bacteria."

"Can it wear itself 'clothes'? What the hell?"

Kawei had been used to this argument in the Academy of Surgery and shrugged and stopped talking.

"good."

However, when I saw Kawei, a hint of surprise flashed unnaturally on my face: "Happy, I'll be happy, Dr. Kawei."

Edham does not have the airs of a French marshal's elder brother. Even if he is in the French Embassy, ​​his every move is very appropriate.
To be continued...