Chapter 77 74. Interview(1/2)
A well-known surgical columnist like Varela would not go astray like those two lame colleagues last night.
On weekdays, he only needs to stay in the theater to watch some interesting operations, make some notes, and finally judge the hero based on the success or failure of the operation. Due to work reasons, his only goal is surgery, and interviewing doctors after surgery is only a means of reporting on the operation.
That’s all.
But today was different. Varela entered the hospital for the first time and interviewed Kawi for the first time.
Things need to go back to when I left the theater last night.
At that time, Varela thought that the operation was on the verge of failure, and Ignatz, who was supposed to be the chief surgeon, never showed up, and failure was inevitable. When he thought of the situation in which Austrian surgery had fallen, he could not bring up the enthusiasm for work, and even in the end
Every bit of my energy was almost worn away.
But no matter how tired your heart is, you still have to work, and no matter how little enthusiasm you have, you still have to squeeze out some enthusiasm.
Anyway, this is not the first time that a cesarean section has failed. There are as many manuscript templates as needed to record the failure. Just change the time and the name of the surgeon, and just copy it. Only this time, he needs to stuff in some private goods to count it out.
How ignorant Ignatz is for slacking off, and how childish Kavi is for kicking himself out of the theater.
In the 19th century, when there were only print media, reporters often used their pens as knives to kill people in a matter of seconds, leaving no trace behind.
But Varela ignored Kavi's ability to turn the tide, which was already reflected in Laszlo's Qi Qie. However, Varela did not choose to report it in person at that time and handed the matter over to a new little reporter.
reporter.
It was 8 pm when I returned to the newspaper office, and it was less than 9 pm after I handed in the manuscript. I returned home half an hour later.
After a drowsy night's sleep, Varela woke up the next day as usual, biting into toast, grabbing milk, and preparing to have breakfast before going to work. He just sat by the window and just swallowed two mouthfuls of food.
I vaguely heard some strange sounds in my ears.
"Daily Daily, the latest daily headlines. City General Hospital successfully challenged a cesarean section, and newly-minted surgeon Kavi Hines became famous in one fell swoop!"
"Come on, buy one, it's only 5 Hellers."
"Young surgeon challenges unprecedented cesarean section operation and becomes famous in one fell swoop! Come and buy it, today's headlines!!!"
"Give me one~"
"okay."
At first, Varela thought that he was too hopeful that the operation would be successful and that he had some hallucination before his eyes. The operation had reached that point and the bleeding was uncontrollable. How could he possibly be saved? The key was still the youngest and most inexperienced Kavi Hai.
Ince.
And what he wrote the night before was not this, but [If the cesarean section fails again, we will always fail]. [1]
Varela was very strange, so after confirming that he was not dreaming, he went downstairs and bought the latest daily newspaper for the first time to verify that he was not crazy.
Sure enough, the title was changed, full of the exaggeration that troubled him most: [Kavi Hines turns the tide, Austrian surgery catches up] [2]
"What kind of garbage is raising its head?!"
Varela frowned and became more and more angry: "The content written in it is not very good. It looks like it has not been professionally trained. The text is crude and has no sense of victory! And there is a huge front page written by him.
It should be like an obituary. If it were me, I would have written the entire operation process on it."
After scolding him, he soon saw the last signature of the news - Greg, the newcomer who was sent to interview Laszlo.
Varela was not a fool, and he guessed that something was wrong with him after just a moment's thought.
Daily newspapers need to go through many steps from typesetting to printing and then to retail. It must have been after I left that the newspaper office discovered that the results of the surgery were completely different from the treatment methods just mentioned. And this newcomer made up for it like every stitch.
It is common to change the layout of news, so the editor will not be too demanding on the content, so there is such a second-rate report that does not meet the quality of the news itself.
But Varela has no time to care about this. What he needs to consider now is his own situation.
Describing a hugely successful operation as a failure and attaching such critical words was enough for the editor to banish him to limbo.
He put on his coat and kept thinking "what should I do" in his mind, but what he really reflected upon after thinking were the details of the cesarean section. For these details, Varela had to repeatedly ask why.
Is cesarean section really successful? Why is it successful?
The situation at that time would definitely cause massive bleeding. This was the experience gained from dozens of hundreds of failed operations. It was unrealistic to save the uterus. Kawei only had gauze strips and crow's-beak forceps at hand, and he couldn't be wrong about this, so
How did he stop the bleeding?
Use a soldering iron and magic?
The uterine incision was made so large by Hills. Even if the bleeding could be completely stopped, how did he finish the suturing?
Suturing the uterus is not suturing the intestines. The muscle layer is so thick, won’t ordinary sutures break?
What should I do if bleeding occurs again during suturing?
How many cesarean sections are performed at the last minute in order to forcefully suture the uterus before heavy bleeding, and to speed up the process. Not only is the suturing done badly, but the bleeding is not stopped. The sutured uterus just keeps bleeding there, and the doctors around the operating table
The nurse could only watch the mother bleed to death, unable to do anything.
But why was Kawei successful?
I really can’t understand it!!!
"Can't figure it out?"
The moment he met Varela in the newspaper office, the editor who had stayed up all night couldn't help but got angry: "If you don't understand, go home and think about it! Starting today, you will temporarily put down the column work of the surgical theater, and Greg will take charge of it."
"
Varela knew that he had made a mistake first, but he was really in trouble and couldn't say anything: "Hey, boss, it's not like that."
The editor didn't want to talk nonsense with him: "You want to go back to work? No problem. Put down your superior status, go to the Municipal General Hospital, and interview this future star."
"You mean Kavi?"
"certainly!"
"Don't go!"
"Why not go?" The editor was puzzled. "He is a man who has completed a cesarean section. He is only 17 years old. He is an absolute surgical genius. His achievements will definitely be above Ignatz! There was a scene in Paris back then.
After a successful cesarean section, you held your nose while interviewing a French guy, but Kavi is a serious Austrian!"
Varela remained silent, and the newcomer Greg quietly gave the reason: "Mr. Varela was kicked out by Dr. Carvey last night. Otherwise, how could he miss this operation?"
"you shut up!"
"Oh, so that's it." The editor leaned back slightly, thoughtfully, "Then it's even more important to interview him, because in the future his number of surgeries will never be lower than Ignatz's, so let me repair the relationship!
"
Varela still felt something was wrong and looked back at Greg: "Is it really Kawei's cesarean section yesterday?"
"According to the exact words of the two guys from the Times and the Free Press, yes." Greg spread his hands, looked at the editor with a smile and said, "I didn't follow him in either. The tickets are too expensive."
"Yes, ticket money!" The editor responded immediately, "You have been kicked out, and you still come to me to reimburse the tickets?"
"Okay, okay, why don't I go find him? I still have to rely on the newspaper for the tickets. How can I afford such an expensive surgery?" Varela was not willing to pay for it himself, so he quickly gave in, but before leaving, he still
Not forgetting to poke the editor's sore feet, "You said you wanted to mess with Ignatz, why don't you do it now?"
"It's not just that we write what the public wants to see. Why should I say such a simple truth?"
"So, I just came here in a daze."
Varela lost his aggressive look in the surgical theater and looked more like a greasy uncle with a cheap cigarette in his hand: "How does it feel to be the focus of the whole city's attention overnight? Isn't it great?"
Kawei shrugged: "It doesn't feel like anything (I've long been used to it)."
"That's good." Varela took out a small book and started today's interview, "Mr. Carvey, please be sure to tell me every detail of the operation after I left. What allowed you to complete the entire operation?"
Surgery, this is especially important to me."
"Why does it sound like I'm asking you for an interview?" Kawei sighed, "I think it's better to forget about the interview."
"Oh, wait!" Varela grabbed his arm, stamped out the cigarette butt, and said helplessly, "Okay, okay, Varela, I beg you, the great and young Dr. Carvey,
I would be grateful if you could provide as many details as possible about the operation."
Seeing him like this, Kawei couldn't help laughing, and then told all the details.
The details of cesarean section are many and complicated. There are several incisions for entering the abdominal cavity, and the anatomical structures that need to be avoided are different for each one. Kawei talked about the choices of several incisions. Of course, these operations are the most
He gave all the basic contents to Ignatz.
"The incision is the focus of the teacher's research before the operation, which involves the subsequent surgical process. Because Nora's contractions had lasted for more than 2 hours, Hills and I decided to use longitudinal incision."
Varela nodded repeatedly: "What about stopping the bleeding during the operation?"
"Don't be impatient"
Kawei doesn't like to skip the process. In his opinion, every treatment has its own reason. Looking only at the key parts will make the operation incomplete.
After the incision, the subcutaneous tissue is separated, and entering the abdominal cavity layer by layer requires meticulousness rather than speed, because there is no bleeding at this time, so you can take your time. The fetus and placenta removal during the operation are exactly the same, but he emphasized the uterine cavity.
Finger touch when cleaning.
As for the final uterine suturing technique, it is a matter of opinion. Considering the limitations of the times and the sutures are not strong enough, Kawei only mentioned the one he used last night.
Varela didn't say much throughout the whole process, focusing entirely on his notes.
After he finished writing it all, he was surprised by Kawei's generosity.
You must know that many surgeons cherish the techniques they have created and regard them as their absolute property. Unless they have been loyal apprentices for several years, they will not impart much experience and techniques at all, and they must rely entirely on themselves to see and understand.
To be continued...