Chapter 276 272. “Expert” consultation (1)

Austria is also a long-standing power in surgery. Although it is not as good as Britain, France and Germany in general, its upper limit is not worse than these countries.

The College of Surgery in Vienna represents the highest level of imperial surgery. Dean Waterman is recognized as one of the strongest maxillofacial surgeons in Europe. His son Ignatz is also a famous sharp surgeon. Bill Rotter

The understanding of abdominal surgery is also at the forefront.

As another important branch of surgery at that time, urology, the Imperial College of Surgery also had representatives who could lead the times.

"Teacher Jacob."

As soon as Kawei led a group of people to the entrance of the surgical theater, he met the president of the Urology Association and one of the vice presidents of the College of Surgery who came specially to attend the consultation today: "Today is indeed very special. I have to let people

I went to find you, thank you very much."

In terms of seniority, Kawei is enough to honor Jacob, who graduated from the Vienna Medical School in 1846, as his teacher.

However, the tone of respect also appeared in the mouths of Edward, Justina and Edem. Even Mosier, who had never had a good impression of Kawei, still respected him even though he was a few years older than Jacob.

.

This relied on Jacob's outstanding surgical ability and his influence.

"You are too polite." Jacob took off his top hat, ushered everyone in, and said as he walked, "I am now semi-out of clinical practice. I only have a name in the surgical college. I am more interested in studying Persia."

Language and modern medical education reform.”[1]

Unfortunately, there are always some restless people who don't follow common sense. Before the experiment even started, or even a simple patient introduction began, there was already someone who couldn't restrain his excitement and took the lead: "Dr. Kawei,

Hematuria is caused by urethral rupture and bleeding. Wouldn't it be inappropriate if you stuffed such a long strip of metal into it at this time?"

Now that my face is gone, I may not even be able to protect my inner self.

However, the microscopic examination just now is only qualitative, and the next step is more important positioning. Only Mosier, Jacob, Massimov and Dean Waterman can connect microscopy and cystoscopy together.

Wire.

After listening to Mosier's speech and the gradually gathering attention around him, Maruna realized the seriousness of the problem.

"First characterize and then locate. The idea is indeed clear enough." Jacob muttered in a low voice, and suddenly asked, "Dr. Kawei, you just said yourself that the angles that can be seen with today's cystoscopy technology are limited."

These words seemed to have been processed. At first glance, they sounded a bit exaggerated and even had a touch of magic. But most of the doctors sitting on the stage had seen Kawei’s surgical skills on site. Comparing the two, 8

It makes sense for Sui to know this.

"It's over-praised. My little achievement is not surprising."

Fortunately, these doctors still have some knowledge of physiology and pathology, so they can at least recognize the cells inside: "This should be red blood cells and some epithelial cells, and that one is white blood cells."

"Tumor. Tumor is here! That cell diagram is a bit weird."

"Well, it should be a major surgery."

"really."

Edem was very surprised that he might be the first person to try the cystoscope. He was so surprised that he wanted to try it out at the embassy yesterday afternoon.

Mosier thought for a moment, then slowly said: "I'm not very good at making comments, but at least I won't allow my students to ask such questions."

"Okay, you are young and promising." Jacob smiled and patted his shoulder and said, "I have seen several of your articles in the "Royal Journal of Medicine in Vienna". They are very good. Please give me some mercy.

Less surgical thinking. If hematuria can be diagnosed and cured in this way, I might."

Therefore, most people will first observe the development of the situation before choosing whether to speak.

"Okay, if you have no other questions, this consultation will officially begin."

Sometimes those hospitals are so tight that a soaked corpse is not much cheaper than a French meal. Even so, there are still many hospitals bidding. It seems that the surgery, which was criticized by the internal medicine department as dirty and unprofessional, suddenly becomes

It's on fire.

After that, he took out several drawings left after the examination from the box and sent them to the doctors in the first row: "Here are the cell diagrams that my laboratory researchers saw from the microscope. Everyone,

You can pass it around to each other.”

“What’s the point of checking for cells in urine?”

Maruna's face became even more ugly because he really didn't expect this.

After all, for them, once they suffer from urinary tract tumors, they have to bear the high mortality rate of surgery and the painful daily life after surgery.

Upon hearing this result, the entire surgical theater became agitated.

"Maruna, surgeon at Graz Hospital."

Speaking of corpses, a very strange phenomenon has recently occurred in the medical industry in Vienna. The price of corpses, which has been maintained for many years, has suddenly increased a lot since May this year. The original price range of 30-80 has risen directly to 50-120 kronor.

And there is no sign of a pullback in sight.

Before Kawei undergoes cystoscopy, he still wants to go through the most basic method of diagnosing hematuria: "Faced with a tube of light red urine, our ability to observe with the naked eye is limited. At this time, we need to use a microscope."

"Nowadays, after many tumors are removed, you need to use a microscope to see whether the cells inside have abnormal proliferation, and then you can make a conclusion that it is a tumor." Kawei retorted, "Similarly, if there is abnormal proliferation of epithelial cells in the urine,

, I also have reason to suspect that there is a tumor in the urinary tract."

"You should know Dr. Hills at Graze Hospital, right?"

"Well, Waterman and I are both old, and we still have to look to the young people of your generation next."

Prices through normal channels have been rising steadily since the middle of the year, and have been monopolized by several institutions. Seventy percent are owned by the School of Surgery, and 20% are owned by the University of Vienna Medical School. And 90% of the remaining 10% are owned by the municipal general office.

If the hospital buys it, other hospitals won't even be able to get the dregs out of the soup.

If you want a suitable corpse, you either have to dig a grave secretly without conscience, or go to a black market agent to negotiate the price without conscience.

"Yes, I have improved the previous cystoscope, and I should be able to see the internal structure clearly." Kawei lifted the wooden box in his hand, "But the mirror is metal, and the mirror port cannot be turned, so the range of what can be seen is still limited."

In summer, corpses are prone to decay and difficult to preserve, so it is understandable that prices rise. But now that winter is approaching, corpses are still hard to come by.

Kawei has long been tired of hearing those compliments. Among the words just now, the only thing that aroused his interest was the last half of the sentence: "What did the deputy dean just say?"

"Oh, nothing, nothing." Jacob walked quickly to the banquet and found his seat, "Go and get ready."

Since falling out with Edinson, Carvey has received the support of Emperor Franz and Archduke Brecht, and has never thought of saving face for anyone: "This is indeed an issue worth worrying about, but it should not be left in the College of Surgery.

was discussed during the consultation.”

Maruna thought that taking the lead would at least increase his exposure, but unexpectedly the other party didn't take him seriously at all.

"I have some doubts about the personnel selection system of Graz Hospital. I have to have a good chat with Dr. Hills when he comes back." Kawei went to the preparation area and took out the new cystoscope and said, "Dr. Maruna, this is Yau.

I don’t mind you staying here at the consultation site where the patient’s life is at stake, but please don’t make any more noise.”

"kindness?"

This is indeed the basis of surgery and does not require any theoretical knowledge. Anyone who has worked beside a surgeon for a period of time will know it.

"It's not even close to knowing each other. I was hired by the hospital a few days before he went to the front line."

Therefore, many people did not come to the meeting with the mentality of watching a performance, but to try to find loopholes in Kawei's diagnosis. To put it bluntly, it was to find faults based on reasonable logical thinking.

However, the matter had already been out of his control, and Kawei's counterattack would only become more violent: "If it was just an ordinary urethral injury, it would not last for such a long time. I think as a surgeon who often deals with urethral stones, I have definitely experienced

The patient has hematuria after surgery. However, as long as the urinary tract is kept open, most surgical injuries can heal slowly within a few days."

"This is the body of a 65-year-old man who died in an accident just three days ago." Kawei looked at the name tag hanging on the toes of the body and said, "It has been preserved with carbolic acid for the past three days.

There was little damage to the body, with all limbs and torso intact. The only trauma was.

He lifted the white cloth and exposed his shoulders: "The only defect is his head, which is gone, but fortunately it is not needed for the cystoscopy experiment. It is indeed considered 'perfect'."

So after getting the manuscript, the somewhat cold atmosphere finally became lively: "Urine sediment is the substance after urine sedimentation?"

Kawei nodded: "Who are you?"

"I said there is no need to discuss it." Kawei's peripheral vision glanced at Mosier not far away, "Dr. Mosier, you are a surgeon who specializes in prostate surgery. Do you think what I said makes sense?

"

For today's experiment, the School of Surgery also put in a lot of effort.

"Don't understand?" Kawei looked at him and "translated" the words again, "I mean, this kind of pediatric problem was known to me when I was 8 years old, and there is no need to discuss it here.

"

At this time, there were seventy or eighty doctors sitting in the operating theater, most of them were surgeons who performed lithotripsy, and the rest were physicians who were experienced in kidney diseases. The purpose of their coming here was to provide

A reasonable diagnosis allows Edem to recover as soon as possible.

Urine microscopy is a very unfamiliar term. Many doctors present have only heard of it, but no one has done it.

"Thank you for your gentlemanly speech." Kawei bowed slightly to express his gratitude, "It's a pity that I am not that gentleman."

Jacob has often heard Kawei's name recently, and has seen him a few times in the College of Surgery, but he has never had a good chat. Today is a good opportunity.

It seems easy, but in fact, when they questioned Kawei, they also entered Kawei's "attack" range.

"Yes, you can take a closer look at the pictures on the drawing."

"What do you mean by this?" Maruna was a little anxious, "I just want to discuss it with you, I never thought about quarreling."

"Not bad, not bad, it's a big improvement. I've been performing blind bladder stone resections all my life, and I've always relied on my hands to position them. I didn't expect that times would develop so fast." Jacob suddenly stopped talking and asked Kawei in a low voice,

"This is not the first time that cystoscopy has appeared. Are you sure it will be successful?"
To be continued...