40. The Hand of God (Part 1)(1/2)
Although Kawei had a lot of titles before he time traveled, in the eyes of outsiders, he was just an ordinary uncle. After he time traveled here, he was also an ordinary young man. Regardless of whether he has money or not, he has always been happy with a regular, monotonous and boring life.
And there are no plans to change, and it will continue as long as there are no sudden changes.
Only in this way can he devote all his physical and mental energy to his work without reservation...
Of course, this also caused a small problem, because he brought with him the almost crazy ideas, pursuits and a little bit of mental mysophobia in his mind.
For Kawei, who is obsessed with medicine, there are only two types of patients: his own and those who are not his.
Of course he doesn't care if it's not his own patient. There are tens of thousands of patients in the world. God can't save everyone even if he comes, let alone God, he has not come and will not come. But once it is in his own hands, it will be different.
The patient's health, life and death are directly linked to his ability to work.
Failure is not allowed, let alone death!
If he happens to encounter it, Kawei will lock himself in the office and dig out all the diagnosis and treatment records until he finds a way to break the situation, except of course for those who are unable to recover.
A minute ago, Laszlo was not his patient, but Ignatz's. Before taking action, he would consider the gains and losses, the benefits, and how to end the situation after failure. But now, Ignatz suddenly fainted. As a result of the tracheotomy surgery just now,
The first assistant, in Kawei’s established thinking, he has become Laszlo’s doctor...
You have to be at least half a doctor.
At this time, gains and losses in terms of money and status become insignificant.
This time Laszlo's hypoxia occurred quietly, far less violently than before.
There was no restlessness or struggle, and even to him himself, this chaotic and floating feeling seemed particularly subtle.
It is indeed a bit uncomfortable. There is still resistance when breathing, but the resistance is not so complete. It can still allow some air to flow into the lungs, but it is just a bit laborious...
Inhale...exhale...
The wound still hurts a little, but it's bearable...
Breathe...breathe...
Very laborious...
Laszlo thought he was just tired, so he closed his eyes cooperatively, preparing to give a big gift to the surgeon who insisted on operating on him when he woke up.
Just when everyone's attention turned away from Laszlo and turned to Ignatz, the God of Death, which had been lingering in the sky for a long time, finally gently swung its scythe. The trajectory of the scythe was clearly seen, and on the third
The only one who blocked it for a while was Kavi.
Kawi put his hand on the opening of the newly inserted catheter. The airflow caused by breathing was very weak, and the rising and falling of the chest that should have basically disappeared. Laszlo's hypoxia did not improve at all, his lips were obviously cyanotic, and he had no consciousness when he just woke up.
Already.
The unexpected situation did not allow for overthinking, but Kawei still had to figure out a reason first.
Why do I still suffer from hypoxia even after tracheal intubation?
Allergies will only cause tissue edema, the most typical of which is edema of the skin, mucous membranes and larynx [1]. The main components of the trachea are cartilage and muscle, and the trachea should not be swollen anywhere. Besides, Laszlo’s trachea is right in front of him.
When the tube first went in, it did alleviate some of the hypoxia.
But now I'm deprived of oxygen again, and it only lasts less than half a minute!
is blood?
Maybe the bleeding from the previous wound refluxed into the trachea, and now it has started to coagulate after a few minutes. However, the anterior jugular venous plexus was injured during the stoma, and the bleeding was not much. Even if there was reflux, it was not much, and it would not be completely blocked.
The level of the trachea.
Could it be the massive bleeding just now?
Kawei knew very well that he stopped the bleeding very quickly, and the blood vessels were sprayed outwards and did not stop at the wound. The blood would definitely flow back, but Laszlo also choked and coughed, so logically there should be no problem after he had been injured
That's right.
What else? Food scraps from a party?
However, the residue usually only blocks the subdivided bronchi, and will rarely cause blockage of the entire large airway. Laszlo is not a newborn child. Moreover, the person has been fine before, and there is no possibility of sudden obstruction.
If you think about it further, you have to ask about basic diseases and the like, which is obviously meaningless here.
Kawei took a deep breath, collected his thoughts and re-examined the entire tracheotomy process.
Although there was some problem with Ignatz's knife edge, it was only a minor problem. For someone who was doing it for the first time, he had already done a very good job. Although there was a lot of bleeding throughout the process, it was all under control.
What exactly is the problem...
In the entire room, except for Kawi who was still thinking about Laszlo's trachea, almost everyone gathered around Ignatz.
The physicians were all talking about "barber", and deep down they still had a little respect for Ignatz. The fact that he had just endured the pressure and completed the tracheotomy already showed the problem. At this moment, Ignatz
Natz no longer represents a single surgery, but the face of all Austrian doctors.
In particular, the doctors at the Municipal General Hospital immediately stepped forward and helped him out of the room. Ignatz was the hospital's signature, and his profession was a bit humble, but his earning power was not small at all.
Alina had been standing guard at the door. She heard the sound in the house just now and thought there was something wrong with the operation. Now when she looked again, it turned out that her husband had fainted: "What happened to him? What happened?"
"I must be too tired after a long night of hard work." Fatorad turned around and looked around and found the housekeeper, "Are there any dried peach slices in the house?"
"Yes, sir."
"Boil a cup of cognac and a tablespoon of sugar, then pour it into a wine glass containing three slices of ice-cold dried peaches [2]. Give each of them a glass, which is very useful for restoring physical strength." Fatorad finished.
As for the recipe, don’t forget to add, “If the dried peaches are not chilled, remember to put an ice cube in to prevent scalding your mouth.”
"Okay, Mr. Earl, I've written it down."
Several physicians all praised this classic prescription. Two of them helped send Ignatz to the bedroom next door to rest, while the others stood next to Fatolad and fast-forwarded to the part about merit and rewards.
.
"Count, Ignatz wins again this time."
"There is nothing we can do about it." Posa was quite calm and did not attach much importance to this kind of credit. "Actually, it just happened to fall within the scope of surgery."
"But he took away all the credit for our previous three hours!"
Fatorad felt helpless, but he still spoke politely: "He has won for more than ten years, not less than this time. Everyone, the most important thing is to save Mr. Laszlo's life. He has great influence on the entire Austrian Empire."
It’s too important.”
"really......"
"I see a lot of people gathered at the door. I'm afraid the news that Mr. Laszlo is suddenly unwell has reached the ears of the newspaper reporters."
"Hey, you go deal with these flies, and I have to make a report to the Duke."
Fatorad sighed and continued: "Remember not to exaggerate Mr. Laszlo's condition, especially the news that he was suffocating, otherwise the headline of the evening newspaper in the afternoon will become "The new president of the Credit Bank has an emergency just after he arrived in Vienna."
A title like "Erotic Disease" is what the Duke least wants to see."
"knew."
"Everyone~"
After the butler finished ordering the dry peach wine, he returned to the physician and said with a smile: "You must be tired after a long night of work. If you don't mind, you can have some breakfast. We have prepared Schlierbach cheese and ham sandwiches and salsa."
He chocolate cake.”
"Then, why don't you eat first?"
"By the way, where is Miss Naya?"
"The one who was here just now...should be accompanying Mr. Laszlo."
Just when everyone thought of Naya, Naya's voice came out immediately, but the young lady lost control of her emotions again: "What on earth are you doing??!"
...
In fact, Naya didn't leave the room at all. After Ignatz was helped out, she turned around and walked back. As the only family member around Laszlo, her father's health was closely related to her. But in fact, there was another person who came back earlier than her.
Beside the bed, there is Berget.
Berget was a student of Ignatz. When the teacher fell to the ground, he had to be with him. But when he was about to step forward to help, he looked back at the patient mysteriously. This glance not only saw Laszlo, but also
I saw Kawei nailed to the bedside like a piece of wood.
What is he doing?
Why didn't he react to the teacher's fainting?
And the operation has been completed, why is he still looking at the patient?
In the past, Berget would not have cared about it, but the ligation technique Kawei showed just now surprised him so much that it became an important weight when making a choice. Moreover, Ignatz has colleagues around him, and he also has his when he goes out.
Wife, it doesn’t make much sense to go there by yourself, it’s better to stay here.
After weighing the pros and cons, curiosity on the other side took over and brought him back to the bedside.
"Teacher Ignatz fainted, why did you still..."
"Shh~ The operation was not successful."
Kawei's voice was very soft, but the weight of his words was extremely heavy. Berget was shocked after hearing this, and like him, he did a little inspection before realizing something was wrong.
He had no clinical experience, and the anatomy knowledge in his mind was in a mess, and he was not prepared for this at all. He had been at the Municipal General Hospital for several days, and the only things he had learned were two things, "holding down the patient" and
"Call your teacher".
To be continued...