Chapter 76 73. Qualified surgeon - Shoumeng LoveMIkeG Han always adds more updates (25)

Surgical theater is actually a very niche entertainment project. Its emergence comes from people's desire for blood, screams and other sensory stimulations.

It can actually be traced back to the Roman duel arena. Although one witnessed redemption and the other watched the killing, we can get a glimpse of it from the layout of the surgical theater. It is the same stepped circular layout, the same bloody scene, and the audience can hear the brutal screams.

Even if you scream, you can smell the unique fishy smell of blood.

But after entering the 19th century, surgery became increasingly professional, and barbers slowly withdrew from the stage of history.

With the advent of mature hemostasis and anesthesia, the chance of major bleeding on the operating table has become smaller and smaller, patients have stopped screaming like a dead pig, and the operating time given to the surgeon has been further extended.

The changes in just a few decades have greatly reduced the excitement that outsiders can see, and greatly diluted the concentration of "stimulation".

It’s no fun anymore, so fewer and fewer people see the surgery.

As for why Ignatz's surgery is still a hit at the box office, the reason is nothing more than the support of colleagues and the study tasks of medical students.

In an era when medical education was still poor, medical students had a very low chance of getting started with practical anatomy. They could only rely on seeing to remember the anatomical structures and techniques. And when it came to the workplace, the source of the disease for surgeons was also a problem.

Few people are willing to lie down on an operating table that is as good as killing a pig.

If you want to improve your surgical skills, watching anatomy and surgery is an important way to learn.

The Vienna Municipal General Hospital was established early. At that time, all wards were internal medicine, and arrangements for a surgical theater were not considered.

In the days when barbers were surgeons, putting the operating theater inside the hospital would also cause dissatisfaction among the gentleman doctors, so the theater was thrown into a small theater next to the nearest theater on Lake Wien.

The initial surgical theater was tepid. It was not until many hospitals signed merger agreements in order to attract more audiences that the surgical theater became more popular. The theater became more and more popular, and the small theater evolved into a large theater, and this tradition was completed.

Retained.

Once it became a tradition, the old-school conservative Austrian Empire was unwilling to make changes.

The annual money-sharing ratio is a key point of contention between hospitals and theaters.

It’s not that the Municipal General Hospital had no intention of splitting up, but there was always only one Ignatz in the Department of Surgery, and the hospital couldn’t afford enough money to build a new theater. The director could only delay it again and again.

Now that Laszlo has money, there are also people who can share the pressure for Ignatz, which provides strong conditions for the theater to move inland.

"Now that the audience is used to going to theaters to watch surgeries, will there be a loss if there is a sudden change of direction?"

"The loss of the audience is inevitable." Kawei has his own opinion, "Surgery is becoming more and more professional, and the interest of ordinary people will continue to decrease. From the perspective of ordinary people, will Teacher Alina spend a lot of money to watch a surgery?

?”

Alina shook her head, the answer was naturally no.

"But there is still a group in the market that needs to watch the operation, that is, medical students and fellow surgeons. Since Count Morasso's operation was extended to more than an hour, the audience who came to watch our operation

Although the number of people is not small, the structure has undergone great changes."

Kawei explained: "The ratio of medical students to doctors is very high. I think it would be a good choice to contact the medical school and provide discounted theater tickets. If it is a complex surgery that only we can do, maybe the fee can be increased.

Some. Because this is the only one that doesn’t have a semicolon, if you want to see it, you can only come to our hospital to see it."

After listening to these analyses, Alina realized that things were not simple.

Just a cesarean section and Laszlo's injection of charitable funds, the hospital will undergo such earth-shaking changes. By then, the hospital will monopolize all income, not only will the hospital's working capital increase, but the income of the surgery will also

More and more.

The more successful operations there are, the more outstanding medical talents will come.

This forms a virtuous cycle.

"This seems to be a big deal. I will go to the dean to discuss it now."

Elena will handle the administrative matters, while Kawi and Ignatz are more focused on the operation itself.

The great success of cesarean section has a far greater impact than Kawei expected. Just this morning, Graze Hospital, Hartman Hospital, and St. Mary's Hospital all "donated" patients in their wards who needed cesarean section.

Maternity.

With their big bellies, they gathered in the first obstetric ward.

Both of them were similar to Nora, with obvious bony birth canal stenosis; one had a huge cyst in her YD that blocked the birth canal, making it difficult to give birth; and the other was more serious, having placenta previa at 36 weeks of pregnancy.

"The woman with placenta previa has been admitted to our surgical ward, and the other three are still staying in the obstetrics department." Ignatz has been staying in the office and admitted them during the ward rounds this morning. "Patient

She'll be on the bed managed by Hills for the time being, and when your bed is allocated, I'll turn her over."

Kawei knew that on the surface, he was already on an equal footing with Hills and Herman, becoming a doctor who could truly perform surgery.

Ignatz sent the medical records to him: "You are familiar with obstetrics. Do you have any suggestions for placenta previa?"

Kawei looked twice and saw nothing substantial, so he asked: "The danger of placenta previa is massive bleeding. Is the bleeding serious?"

"It looks a little bit. Marcus checked and said it's not too much."

"Well, 36 weeks is a bit tight. If the bleeding is not serious, we can delay it as long as we can." [1]

"If the bleeding is severe, does it require immediate surgery?"

"Yes, once the bleeding is serious, surgery must be done immediately." Kawei sighed, not too sure about the operation. "I need to do as much oxytocin as possible. The dosage for this operation will probably be much more than Nora's."

many."

Ignatz nodded, unwilling to miss this opportunity again: "Then I won't go home."

Kawei smiled and said, "The next one should be Mr. Schmidt of bed 9, the church priest."

"Hiles and I checked this morning. The old man's abdominal pain is still very serious." Ignatz was still a little confused about the differential diagnosis of abdominal pain. "You said it was bad food, abdominal bloating, or something else."

reason?"

"This isn't quite right."

"I touched the priest's belly, and the tenderness was obvious, right here." Ignatz held his right lower abdomen and said, "There is no lump. I guess it is appendicitis and it needs to be removed as soon as possible." [2]

Kawei took Schmidt's medical records and said, "It's a pity that the priest doesn't want surgery. He made it clear when he first came here."

"Then why is he here?" Ignatz didn't understand. "Hurry back to the internal medicine department and take medicine."

"Well," Kawei said, "he refused to even take medicine. He said that buying medicine and swallowing any kind of preparation would be regarded as a lack of faith and interfering with God's divine arrangement."

Ignatz took a deep breath and complained: "I thought he would use the medicine as 'Satan's bait to lure him to hell.'"

"what to do?"

"Let's go see him first, and I'll think of a solution."

Kavey has encountered patients with various religious beliefs before.

But in modern times, people have become wiser. Religion is just faith and science and there is no conflict. The influence of religion is not so deep-rooted, so he doesn't know how to deal with it. In comparison, Ignatz's experience is much richer.

"Father, how are you feeling today?"

Schmidt is nearly 50 years old. He has a stout figure and most of his hair is gray. He is wearing a white priest's robe and is sitting in a wheelchair. He is holding a Bible in his hand and muttering something. The general meaning is probably that he hopes that his prayers and confessions will win the Lord's favor.

of forgiveness.

So he didn't respond to Ignatz's question. It was his son Schmidt who stepped forward to answer: "Father's stomach hurts."

"How much does it hurt?"

"I almost fainted from the pain at noon." The son was very worried about his father, "but he still insisted that it was intestinal gas and refused to even take medicine."

"This is not a question of whether to take medicine or not." Ignatz made a decision immediately. "Your father's condition requires surgery. If you ignore the inflamed appendix, your father will definitely die when it ruptures. The time is still as follows.

It was decided before that tonight, it will be at the surgical theater."

"But he hasn't let doctors touch him since noon." Little Schmidt said, "Surgeons are very dirty, and he needs to keep his body and mind pure."

Ignatz had already prepared: "So we will talk to you."

"What do you want me to do?"

"Give him some wine, saying it can relieve pain, and then use this when he is in a daze after dinner." Kawei took out a handkerchief and a bottle of ether from his pocket, "Drop some on it and cover it gently.

On his nose, he fell asleep after a while."

Schmidt was only in his early 20s and had never thought that such a method would be available in the hospital. He was even more worried: "Are you sure the operation can be successful?"

Ignatz stood up straight, puffed out his chest, and made it clear: "Although appendectomy deep into the abdominal cavity is still in its infancy and the process is very dangerous, it is for most surgeons. For me

, the success rate is at least 60%.”

Little Schmidt looked back at his father, still hesitant: "Because several elders in the family have died due to surgery, maybe due to their influence, my father has never been able to accept surgery."

"We deeply regret this." Ignatz said helplessly, "I believe that all surgeons only choose to operate as a last resort."

At this time, the priest who was still praying beside the bed suddenly interrupted their conversation and shouted: "Don't waste any more time. The Lord told me that my stomach is just a stench. I will not agree to the operation! It's better than now."

Just let me go home from the hospital, I want to go home!"

"We are just asking about the situation. For safety reasons, we can't let you go back until tonight."

Kawei feinted and thrust the vial and handkerchief into his son's arms.

Little Schmidt hesitated for a long time before reluctantly accepting the job: "I really don't understand why you can face the bloody wounds and the patients who died due to surgery so calmly every day."

"That just shows that we are all qualified surgeons."

Ignatz replied without hesitation: "Kid, please remember that one of the essential qualities of a surgeon is that the mind must be accustomed to necessary cruelty."
To be continued...