Naya's shout was like pouring a whole bottle of "Venice Carnival Night" [1] into her mouth. The strong stimulation that went straight into the depths of her brain made Ignatz instantly energetic: "Miss Naya, there's something going on inside."

What happened?"

He tried his best to restrain his impulse and knocked on the door gently as a gentleman should, but there was no other reaction in the room except Naya's cries and some comments.

Ignatz raised his voice again and struck harder: "Doctor Fatorade, it's me, Ignatz. I'm back, please open the door and let me in! Mr. Laszlo must be suffocating!"

"..."

"Only I can save him!"

It was only then that the door was opened, and what came to my face was the faint smell of blood, a patient who was agitated due to lack of oxygen, and a slightly helpless face.

The situation in the room was already very obvious, and the bloodletting therapy for oral mucositis had completely failed.

The course of the disease was exactly as Ignatz had expected. After the skin and mucous membranes became red, swollen and itchy, the tongue began to swell, and then he could not speak properly. Eventually, he developed respiratory tract obstruction, difficulty breathing and even suffocation.

Internal medicine failed.

The amount of bloodletting was approaching the limit, and vomiting pills and laxatives were tried. Even the new treatment of mixing whiskey with quinine powder was found to be ineffective. Now that the swelling was getting worse and beyond the scope of what they could solve, Laszlo exerted all his strength.

The ups and downs of the body after breathing and the hands with nowhere to rest are the best proof.

Physicians are either rich or noble, and these big names standing at the top of the pyramid are even more so. They usually have a proud and elegant attitude. Even if they encounter difficulties and setbacks, they will suppress the humiliation deep in their hearts and maintain their appearance.

Light breeze.

Of course, these are not absolute.

Those who are not confident in their medical skills are unable to face a tragic failure and generally choose to escape in order to prevent being defeated by failure.

As soon as Ignatz, Berget and Kavi entered the door, several doctors declared that they could not be treated in the same room as a lowly surgeon and barber, and left the room angrily. For them, this was the moment.

This is the most direct way to maintain one's own dignity. Anyway, the next time we meet, we don't know when it will be the Year of the Monkey or the Horse.

In the eyes of Fatolad and Bossa, they are already famous all over the world and they are well aware of the boundaries of medical treatment. Failure of treatment is a common occurrence.

The ineffectiveness of bloodletting therapy only stimulated their desire for knowledge.

If you run away now, you won't get anything, you will become the laughing stock of others, and you will lose the opportunity to observe the surgical skills of the strongest surgeon in Austria up close. It is not easy to get this guy's on-site tickets as soon as possible. Sometimes, just rely on

Money may not be able to buy it either.

Ignatz doesn't care about the little thoughts of these guys.

The swelling of the respiratory tract is like being stuck in the neck, which can kill people at any time. He directly crossed the crowd and informed the importance of Berget and Kavi in ​​a preventive way: "These two are my assistants, I need them to assist me.

Please give us some room to operate."

Fatolad and Bossa were both sober, and it was useless to continue occupying the space. The two quickly asked the remaining people to disperse back, freeing up the area next to the bed.

However, Naya was not awake: "Operation?"

"Actually, it can't be considered a formal surgery. It just creates a metal channel to send air to the lungs."

Ignatz said it very lightly, but after flying into Naya's ears, his appearance completely changed.

More than 300 ml of blood in the basin had stimulated her nerves. At this time, the operation was completely roasting her on the fire: "I just said that bloodletting can cure the disease. Now that the blood has been drained and the medicine has been taken, there is no cure at all."

It’s not good! How can I rest assured when you’re still talking about surgery?”

"Your father is in danger now. He needs air! [2] So I am helping him!"

It was difficult for Ignatz to explain the various anatomy structures to a little girl, so he just said casually and asked Berget and Kavi to step forward: "Hurry up and hold down the body, don't let him move!

"

Naya became anxious when she saw it: "My father is already very uncomfortable now, why do you still have to hold him down? Do all the doctors in Vienna treat patients like this?"

Ignatz did not expect that at this time, he would need to break down the process step by step for his family members.

He took the toolbox from Kawei, took out a long black metal tube with a specific curvature at the end [3] from the box, and said: "Your father has respiratory obstruction. The first thing we need to do is to use the newly developed

An artificial airway was inserted deep into his nasal cavity to help him breathe. If I didn't hold him down, I couldn't guarantee success."

"But......"

"Stop it!" Ignatz stressed, "I am the best surgeon in Austria, let alone Mr. Laszlo, even if the Hungarian prince comes here, I will still treat him like this. Time is limited, please

Don't affect my work."

This explanation was full of momentum and finally overcame Naya's nervousness.

Berget and Kavi took their positions, and with Count Morasso's lessons learned, they quickly suppressed Laszlo's hands and feet.

However, Kawei still has some opinions about this tube and is skeptical about the choice of approach: "Teacher, there is a distance between the tip of the nose and the throat. Is the tube too short?"

"There is a protruding section inside, and you can explore further after entering." Ignatz pushed forward from the end of the tube, and the front mouth of the tube protruded another full 5cm. "Actually, I also wanted to enter through the mouth, but he

My tongue was too swollen, so I had to try the longest nasal tube first."

After Ignatz explained, he prepared the long tube and approached to comfort the patient: "Mr. Laszlo, please relax as much as possible. I need to put the long tube into your nose. You will definitely feel uncomfortable and even a little painful.

, but there is no other way, please be patient!”

As he spoke, the long black tube slowly penetrated into the nasal cavity with Ignatz's hands [4].

The tube is made of metal and is definitely much rougher to operate than a modern nasal endoscope. After entering the nasal vestibule, the tube will continue to stimulate the soft tissue in the nasal cavity, and Laszlo's reaction was very violent.

"Without ether, it seems the stimulation is a bit too great..."

Ignatz gently stirred his wrist back and forth, but still could not find the passage into the throat, and Laszlo's condition did not improve: "No, it seems that the nasal cavity cannot be entered, and the lower section is completely blocked, so we can only

Try it from the mouth again."

"Are you coming again?" Naya looked at the heartbroken Naya with tears in her eyes, "Father, he feels very sad."

"I know he is feeling very uncomfortable, so I have to skip many unnecessary procedures, such as anesthesia. If we use ether anesthesia now, he will indeed feel comfortable all over, but I'm afraid he will never wake up again."

This time, Ignatz's hands were replaced with another white artificial airway [5], which was thicker and had a larger curvature. At the same time, two metal pressure plates were taken out: "Here, one for each of you.

Open his mouth and move quickly!"

Kawei knew what he was going to do, it was nothing more than a tracheal intubation set. But as he just said, Laszlo's oral condition was not good, his tongue was severely swollen, and he did not have the assistance of an intubation scope. Can he get in the sound?

The door is completely determined by luck.

This time even Berget on the other side saw the problem: "Teacher, the mouth is too swollen, can it go in?"

Ignatz was a little displeased: "Of course I know it's very swollen. I just tried the nasal cavity and it didn't work. Now I can only insert it here. How can I know if it can go in if I don't try it."

Seeing that Berget was scolded, Kawei did not dare to challenge his authority again, but followed the modern precautions before tracheal intubation [6] and reflexively asked: "Is the patient's teeth all good?"

"

This is a very strange and funny question, because if you live to the age of Laszlo and you are a rich man, a large amount of sugar and tobacco will cause immeasurable damage to your teeth. It is good to keep half of it.

.

So everyone's answer is simple: "Of course it's not good."

They didn't know why the young assistant asked such a ridiculous question at such a tense moment, but Ignatz's reaction quickly merged with that of Kavi, realizing that this was a very serious question: "You

Are you afraid that the pressure plate will damage the teeth and the teeth will be sucked into the airway after falling off?"

"right."

Ignatz glanced at Kawei and nodded: "It's a good suggestion. I will pay attention to it next time, but I can't control that much at this time."

Two metal plates forcefully opened Laszlo's mouth, and a silver metal catheter was inserted from the middle. The difficulty was obvious. Even if he lifted Laszlo's head, he still couldn't clear the space in and out of his throat. The swollen tongue

It was like a huge oyster meat that I had just eaten. I pushed the catheter out of my mouth several times.

"Don't be anxious...I'll try again." Ignatz was obviously anxious and asked, "By the way, check his pulse."

"It's a bit fast." Berget put his hand on his wrist and said, "It's probably more than 100."

"I can still feel some gas flowing around my mouth. We still have a chance. Move the pressure plate forward to press his tongue as much as possible and give me a little more space!" Ignatz did not give up and still held the artificial airway tube in Las Vegas.

Luo's throat was pounding, "Yes, just hold down here, okay, let me see if I can go in!"

"Teacher... there's bleeding in the throat." Kawei noticed something was wrong with his eyes.

"Well, fortunately, there's not a lot of blood."

Seeing that Ignatz didn't respond, Kawei really didn't dare to mess around. He glanced behind him to find a helper and found that they were all big doctors in expensive uniforms. It was impossible for him to command these people, and it was impossible to deal with the anxious people.

In Naya's laning, she could only choose the cotton pillow cover under Laszlo's head to use.

Kawi didn't say much. When Ignatz made a slight adjustment, he temporarily pulled out the pressure plate, quickly wrapped the pillow towel around the plate, and then stuffed it into Laszlo's mouth again.

Although it doesn't help with intubation, it can at least absorb a lot of blood.

It has to be said that the rich people even use the best material for pillowcases. The remaining blood was sucked out instantly and the vision became clear again, but the intubation progress was still not progressed. Laszlo's throat was filled with tears when his mouth was opened.

He was making a whining sound, his hands were getting weaker and weaker, but Ignatz's tube couldn't be inserted.

There is not much time for rescue after hypoxia, and the situation becomes increasingly dangerous.

Kawei was also hesitant to stop intubation in time and switch to a more reliable traumatic method.

Laszlo's status is obviously not low. There are so many famous doctors standing around watching the show. In addition, tracheotomy is not difficult for him, and the instruments are placed in the box. He can definitely give it a try. Once successful.

, maybe you can completely get rid of the shackles of your current identity.
To be continued...