Ignatz used a traditional light guide instrument (lichtleiter) [1].

It is much more complicated than simple rhinoscopes and otoscopes [2]. It penetrates into a relatively long, narrow and hidden position in the body, and the distance is deeper. It is considered the originator of all endoscopes today.

What was a very high-end thing in the 19th century [3] was just a toy in Kawei's eyes. It was more useful than a simple anal expander, but its use was very complicated. The main problem was the light source, which required built-in candles or small kerosene.

The lamp provides light, and the light is guided into the cavity by the refraction of the mirror.

Secondly, the material is too hard. In order to see clearly, the cavity needs to be enlarged as much as possible, which makes the patient very painful.

"Mr. Alphonse, please be patient." Ignatz opened the dilator's regulating valve to the maximum and looked at the bleeding hemorrhoids without any worry. "The examination is already very painful. Think about it ten years ago.

Before ether, this kind of examination was like being bitten by a leech."

"Are you kidding, leeches don't bite your butt!" This was the first time Alphonse used this type of technique, and he was really unbearable. "This... um... can it be faster?"

"No, the height of the candle is not adjusted properly, so I can't see clearly." Ignatz still wanted to use a kerosene lamp, but there was no matching lamp in the whole instrument, and the specifications in the ward were too big. "Wait until I find a long one."

A little candle."

"...?..."

"Unscrew the top cover and put the longer candle in." Ignatz habitually explained his operation steps, "Then cover the top cover, insert it again, hold it open, and lock the valve switch.

.”

"Hiss... um... Why do you surgeons have such strong hands? Wow~ Baron, please be gentle!!"

"The sword wound did not penetrate the anal canal." Ignatz withdrew the anal dilator and finally made a diagnosis, "But your hemorrhoids need to be treated well."

"Does surgery have to be done?"

"Well, you have to have surgery." Ignatz explained, "I will use a modified hemorrhoidal dissection to remove all these protrusions. By then, you will feel refreshed and there will be no more swelling and pain.

If you have symptoms like repeated bleeding, your bowel movements will be very smooth.”

Alphonse comes from France, where surgery is at its peak, and anesthesia is available, so he doesn't have much resistance to surgical treatment. His only worry now is the duel with the little dwarf Li Benjian, and today's vienna daily and daily newspapers

The morning paper's report on last night.

"Kavi, have you bought the newspaper?"

Kawei yawned and took out the newspaper he just bought from behind his back: "Look, it's all written in the content..." This rare street duel soon came to an end. Unfortunately,

The honor of the upright Chef Alphonse is still not respected by the other party, and everything is not over yet...'."

"Well, what next? That's all?"

"Well..." Kawei flipped it up and down, shook his head, "No more."

"Where is the letter I gave them? Are you sure it was really delivered?" [4]

"I arrived at the newspaper office after 2 o'clock in the morning and personally delivered your handwritten letter to the reporters, and reiterated your position and decision." Kawei recalled, "The editor is not here, so he probably hasn't read it yet.

.”

The report on Alphonse was quite lengthy. Although it was not on the front page, it was also on the back page. By the way, the menu he tried out last night was also brought out.

However, the reporter who wrote this report did not grasp the real focus, and spent a lot of ink describing the verbal battle between the two. When the duel came, they went through the motions hastily, and the final result was over.

Neither his letter nor his subsequent plans to continue the duel were included in the report.

"What kind of people does the daily newspaper support? Do they know how to write articles?" Alphonse was very angry. "When they wrote like this, wasn't it just two boring men who didn't like each other and had a fight?

It doesn’t reflect the central idea of ​​why I want to duel at all.”

Suddenly, Ignatz, who was arranging the equipment at the side, interrupted: "Mr. Alphonse, these are not the times when things can be solved with just a swing of the sword."

"But the law cannot punish slanderers. The duel at least gave me a chance to fight back."

"It's true, but there are risks in dueling."

Ignatz didn’t have as many worries as Kawei, and he spoke bluntly: “Now our average life expectancy has increased from 37 years ago to 42 years ago. Our understanding of the human body in the past ten years has been better than that in the previous three hundred years.

You have to learn more. Medicine is protecting everyone's lives. It would be a waste to use it casually for duels."

Alphonse glanced at the newspaper and sighed: "What a bad luck!"

Ignatz patted him on the shoulder and comforted him: "Don't think so much, just relax and recover from your injuries. I will send someone to notify the restaurant."

...

After coordination, Alphonse's surgery was scheduled for the afternoon.

This morning was a patient with a cleft lip. The repair surgery itself was not difficult, but the difficulty was that one was born in the 19th century. Although there was a relatively mature surgical method for cleft lip repair surgery in this era, the understanding of skin and lip repair was not enough.

Disinfection also makes it difficult for wounds to heal, and the plastic surgery effect is not good.

But fortunately, Ignatz is very confident in his own skills, and after Laszlo's tracheotomy yesterday morning, he has full trust in Kavi, and he feels similar to Herman now.

"I left in a hurry yesterday and didn't have time to thank you."

"Thank me?"

"At least you saved the reputation of me and the hospital. You can't imagine what Austria will look like after Mr. Laszlo's death." Ignaz was able to face this setback calmly, and the topic returned to the professional field.

, "By the way, I didn't have time to ask you at Mr. Laszlo's house that day."

"Teacher, please speak."

Ignatz put on his favorite red and black dress, stood in front of the mirror and asked: "After I fainted, how did you find that Laszlo was still suffocating?"

"The chest is not rising, and then there is no air flow at the catheter port." Kawei suddenly felt that this answer was not appropriate, so he simply added, "My father has taught me since I was a child that I must check the patient's condition after surgery.

, you can’t just finish it and leave.”

"That's right..." Ignatz slowly buttoned himself up and pointed out his shortcomings, "If I hadn't been drinking, I would never have made such a mistake. If I told him, I would definitely be laughed at.

Big teeth."

"Teacher, you are worrying too much. This is a very difficult operation in Europe." Kaweike didn't dare to admit how successful he was, let alone mention it. He could only let the topic revolve around him, "Are you drinking?

Even if you stay up late, you still dare to do this kind of surgery, which has slapped many people in the face. If anyone still dares to laugh at you, I'm afraid they are either stupid or stupid..."

Ignatz nodded, but what he looked at was the daily newspaper on the table, which was still dated yesterday.

"...As for the things in newspapers, just read them for fun." Kawei followed his gaze and moved the topic to the media, "They just want to increase sales. Mr. Alphonse's

The same is true for the duel, I guess they will write the following process as a novel."

"Forget it, don't think about it, bring me my hat." Ignatz took care of his clothes, took the hat from Kawei, and suddenly asked, "By the way, are you in Lombard?"

Have you ever seen cleft lip surgery when you were young?"

Kawei is an emergency doctor, so he cannot perform plastic surgery, but he has seen it.

Because emergency maxillofacial trauma is not uncommon, once the danger period is over, plastic surgery will come into play. People like him who almost sleep in the operating room will visit the house when they are bored when they are free, so plastic surgery will naturally not be done.

Let it go.

However, modern surgery is a different concept from the past. Ignatz did not draw a picture of cleft lip repair in that atlas of anatomy and surgery.

Since he didn't see the repair artwork or the equipment used, Kawei didn't dare to say nonsense: "I haven't seen it very often."

"Oh? Your father doesn't do this kind of surgery?"

"Well, I've basically never seen him do it. Maybe I think it's unnecessary." Kawei sighed, "After all, a simple cleft lip won't kill anyone, but the wounds after surgery may be."

"There is some truth to this, but I personally don't agree with it. Face is a person's appearance. If you can't show others the most perfect posture while alive, it's better to die."

Ignatz straightened his bow tie, and then gently smoothed the small pleats on his dress: "Are you interested in taking a look? I just want to show you how cleft lip repair is done in Austria. Many of my surgeries have been recorded in

The surgical textbook of Vienna University is quite authoritative.”

Kawei was already curious, so he couldn't refuse even if he said so.

Unexpectedly, as soon as she nodded, Alina knocked on the office door.

The same place, the same three people, this reminded Ignaz of the quarrel between the couple the morning before yesterday. Later, through the dance and Laszlo's throat, the two resolved their conflict last night

.

"I'm going to the theater. If anything happens, I'll talk about it when I get back."

Alina suddenly walked up to Kawei: "It's up to you, I'm looking for Kawei."

"Why are you looking for him?"

"I am the director of the human resources department, so I naturally have things to do when looking for employees."

"Herman is in class. Hills has his own amputation surgery in the morning. He has to go to the theater to help me." Ignatz didn't want to let him go. "We will look for you when the surgery is over. Don't worry, it won't happen.

It’s too late, I’ll definitely arrive before lunch.”

"No." Alina shook her head, "Actually, the dean is looking for him, I just sent a message."

Ignatz felt strange: "The dean is looking for him? What are you doing?"

"how could I know."

"No!" Ignatz insisted, "Without Herman and Hills, I only have Kavi as my assistant. If you take him away now, you may not let me carry the three students to the surgery."

Taiwan? When the time comes, will I have my cleft lip stitched, or will I commit murder?"

After hearing this ridiculous statement, Alina didn't have the same attack as last time.
To be continued...