Nineteenth Century Medical Guide

Chapter 155 152. Membership System
The surgical theater of the Municipal General Hospital was the original hospital warehouse. Because Laszlo gave money to expand the hospital, the warehouse moved to the new building.

According to the previous plan, it should be completely demolished, and then a fountain will be built, and then together with the surrounding garden greening, it will help inpatients recuperate.

But whoever can make money will have a greater right to speak within an allowable range. The relatively mature and relatively safe cesarean section production capacity brings considerable income to the hospital. It was renovated into a surgical theater.

As for the fountain, it can be placed anywhere as long as it takes a little more effort to pave the water channel.

The warehouse occupies a small area, and the theater is definitely not as spacious as the one in the Lakeside Theater.

The auditorium still maintains a semicircular design, but the number of floors has been reduced from 6 floors to 4 floors, and the seats have also been reduced by 1/3.In comparison, the operating area was also much smaller, and the chief surgeon could touch the baffle in front of the auditorium by taking two steps back.

It seems that the number of viewers that can be accommodated is reduced, and the doctors and hospitals earn less, but this bold design has greatly shortened the distance between the operating table and the operating table.

As the only surgical theater that allows the public to visit, the Municipal General Hospital must be more eye-catching. After all, the VIP seats at the four corners of the operating table are as far away from the patient's incision as the assistants passing the instruments.

This compact design stacks up an immersive and stimulating look that cannot be given by the Lakeside Theater.

The reduction of the area of ​​the surgical theater is not entirely for the sake of perception, but more to squeeze out the positions of other rooms in the limited space.

Compared with the Lakeside Theatre, the rooms around the Municipal General Hospital's surgical theater have also been greatly adjusted, and the separate preoperative preparation room was divided into three by Carvey.

One is still the preoperative preparation room and also the storage room for surgical instruments.This place only belongs to doctors and nurses. The pre-operative rest attribute is removed, and the preparations are all for the operation itself, such as gauze, alcohol, carbolic acid, cleaning of surgical instruments, high-temperature steam disinfection, and so on.

The second is the patient's anesthesia room, which includes anesthesia into the preoperative preparation stage, and also greatly reduces the tension of the patient under the eyes of everyone.

The third is the postoperative observation ward. Before anesthesia, what the patient sees is the anesthesia room. After waking up from anesthesia, what he sees is the observation ward, completely out of sight of the audience.From a professional point of view, the hours after surgery are the most dangerous period. Observing the ward allows doctors and nurses to better observe changes in the condition.

Surgical theater is a legacy of history, and it is not easy to reform it.

Carvey can only increase the professionalism, complexity, and strict disinfection measures of the operation from all aspects, and then put the operation on the right track step by step

"Today is Dr. Kavey's operation, please be sure to wear a mask." The ticket inspector is in charge of an intern doctor who just came to the hospital for an internship. At the same time, there is a classmate who is selling masks. "If you don't have a mask, you can buy it here, 5 crowns one."

"I have a mask."

"Let me see. Oh, sir, the thickness of your mask is not enough. It must be as thick as ours."

Looking at the Kavi-style mask sewn after stacking ten layers of gauze in front of them, the audience felt confused: "I have worn yours before, and I can hardly breathe after an operation."【1】

"I'm so sorry, it's Dr. Carvey's rule."

No way, the uniqueness and professionalism of the operation made Carvey's operation the best-selling entertainment product in Vienna.Even with strict rules such as "strictly wearing masks" and "spraying the whole body with alcohol for disinfection", tickets are still selling hot.

"Then let's have one."

"5 crowns, sir." The intern took the coins away and put the masks into the hands of the audience, "If you often come to watch the operation, you can choose to buy a monthly membership fee of 500 crowns or an annual membership fee of 3800 crowns. We can provide personal mask storage and disinfection services, and the right to purchase 5 VIP seat tickets per month or 80 per year."

"Is there such a good thing?"

"Members can find the dean to buy, but before entering the venue, I hope you can give up the food in your hand. Because of the wearing of the mask, the food has no meaning of existence, and in a strict sense, the food itself is also a surgery. An important factor in post-ulceration."

It is almost impossible for the VIP tickets for Kavey’s surgery to exist for more than an hour. Whenever a Kavey’s surgery notice is posted at the entrance of the Municipal General Hospital, it will be sold out within 1 minutes at the fastest, and half an hour at the slowest.

Compared with a month ago, the structure of the audience who buys tickets has changed a lot.

A large part of them are fellow surgeons in the same city, such as Waterman, Olgi, Corrigo, and Massimov are regular visitors here.Because they are friends with many doctors in the Municipal General Hospital, it is much easier to get tickets internally.

Today, the four of them wore thick masks and took four-corner VIP seats, hoping to observe the operation up close.

In fact, in Carvey's eyes, the difficulty of this operation is not high.

The resection of gao pill cancer has existed in ancient times. Although many of them remove the "root" together, and the technique is rough, there are also many cases where only the gao pill is removed【2】.With the knowledge of anatomy in the 19th century, it is not too difficult to remove the gao pill.

What really made the four of them pay more attention was the removal of breast hyperplasia through small incisions.

It is not difficult to simply remove the non-breast cancer male breasts. As long as the side curved incision is large enough, even Herman can easily remove it.As an important branch of surgical surgery, cosmetic surgery has never thought that mastectomy can also be performed with small incisions.

How small is the incision?
Will it leave special scars?

Can it cover up the scar position after the incision is sutured?
These are the surgical details they need to know.

Because of the importance of these surgical details, they had to buy VIP tickets, so the four of them have been monthly members here from the beginning: "3800 kroner a year, it's too cruel, almost 1/5 of my income has to be used, it's really worth paying Sorry."

"That's right, that's not including the ticket price." Corrigo glanced at Watman who was on the side, "Probably only the Dean's wealth can afford this kind of thing."

"We can get ordinary seats at any time, but VIP seats can only be grabbed by the priority given by members. I wish he would become a permanent member." Watman looked at the empty operating table and laughed that they couldn't see through, "That's right. It’s less than 4000 kroner, and this kind of close distance is almost the same as being an assistant yourself, and it’s a lot of money.”

"Make money? But he didn't give us a chance to practice it at all."

"You still want to practice? The requirements are too high." Watman began to calculate an account for them and asked, "How much is a corpse?"

"Ten crowns?"

"Can you dissect ten corpses a month to benefit more than one operation here?"

Corrigo thought about it in his heart, but it was really not easy to draw a conclusion, but Olgi on the side was very pertinent: "Of course not, the idea of ​​​​surgery is very important, and it is necessary to communicate with each other in many cases. It is only necessary to think about it by yourself. Time will have the opposite effect.”

Watman said casually: "500 a month. You saw the cesarean section this month and thought it seemed like you made money. But next month he will give you a small incision mastectomy. Do you want to continue the fee?"

Corrigo's main focus is plastic surgery, and the size of the surgical incision directly determines the effect of plastic surgery. Of course, this kind of surgery cannot be missed: "It must be continued."

"I've already spent 1000 crowns in just two months." Watman seemed to have seen through Carvey's charging method. "What about next month? Do you want to renew?"

"This"

"It's just a difference in fees. The price of 3800 crowns is equal to 7 and a half months, but it has 16 months of priority." Watman said more and more excitedly, "Isn't this still profitable?"

Corrigo admitted that this is indeed very profitable, but this kind of profit has a prerequisite, that is, Kawei can throw out a brand new surgical technique every month.

"I have confidence in him." Watman readjusted the position of his mask and covered his mouth and nose again. "The only troublesome thing is this mask. It smells like a mixture of alcohol and carbolic acid."

These words touched the other three people very much.

Olgi had already benefited from Kavey’s cesarean section and abdominal surgery. Colrigo also knew that Kavey’s plastic surgery idea was already ahead of them. Although Massimov didn’t like Kavey’s character, he also knew that he Surgical excellence.

After a little bit of waterman now, it seems that it is a foolish thing to only buy monthly memberships.

"Where are Bill Roth and Edinson?" Massimov was a little surprised where the two vice presidents of the Academy of Sciences were. "Don't they want to see this operation?"

"Edinson has been dragged to be the chief medical officer, and I'm afraid he won't be free for the next six months." Watman said, "Bill Roth, he only cares about abdominal surgery. If it's an appendectomy or hernia repair, he Maybe it's already here."

The College of Surgery has many associate deans, Ignatz is one, and so is Edinson.

The former himself is superior in strength, and he is the son of Waterman, so no one has any objection.Eddinson satisfied many people because of his prominent family background, strong surgical ability and smooth handling style.

What is Bill Roth?
Why did a professor of surgery at the University of Zurich suddenly join the Vienna Academy of Surgery as the vice president?Could it be that he is stronger than the three present here?

This is the inner voice of Corrigo, Olgi and Massimov, but they are embarrassed to say it in front of Waterman.They are not young anymore, and the position of deputy dean can effectively guarantee the source of income after retirement, so they still hope to compete for it under the premise that the technology is in place.

"I'm very interested in Dr. Billrot's surgical ability." Suddenly Massimov asked, "I wonder when his surgery will enter the theater?"

After all, he dug the corner himself, and Watman will definitely defend his shortcomings: "He is currently studying the resection of the stomach and esophagus to treat gastric cancer and esophageal cancer. At the same time, he is also actively seeking ways to fight against miasma, hoping to refute Li Si Te and Carvey's point of view on disinfection."

"So there is no surgery."

"... so to speak."

Massimov sighed: "Dean, it's not that I'm gossiping, some decisions are still too hasty."

Watman can't help it: "I guarantee with my personality, his ability is absolutely fine."

"It's useless to just talk about this kind of thing, it has to be done!" Corrigo also became angry, "If you don't do anything, the three of us don't say anything, and the others will say it. At that time, the entire School of Surgery will be in a mess, and it will be a disaster for the Department of Internal Medicine." Those hypocrites know how bad it is."

Olgi was much more tactful and helped to smooth things over, but there was also his own dissatisfaction in his words: "I know the dean must have his own concerns, but the deputy dean was originally used to reward the hard work of the surgeon. Now instead It makes people become leisurely and lazy, isn't it inconsistent with the original setting?"

Watman heaved a long sigh. If he could speak again, he could only be defeated in the siege of the three: "Okay, okay, I will let him have an operation as soon as possible, and the time and place will be announced in advance."

At this time, in the anesthesia room next to the operation theater, Fernan was already lying on the push bed with peace of mind.

In order to hide his identity, he prepared himself a blindfold and a face covering, and with the cover of the medical staff during the operation, no one could see who he was.Now Fernan is most concerned about the effect of the operation: "Can excision of the gao pill prolong life?"

"If there are no other lesions, and if the operation goes well, there should be no problem." Carvey did not dare to speak too much, "But you must also know that there are many uncertainties in medicine. What I can guarantee is that it is better than others. better."

"It's enough to have your words." Fernan took a few deep breaths, put on the black eye patch and mask, "Let's get started."

In addition to Heman and Damirgang, today's surgical assistants also have two new faces.

One is Koch, who just came from university, and he is concerned about the preoperative disinfection method that Carvey and Lister jointly perfected.The other was Amor who had just arrived at the Municipal General Hospital, and what he wanted to learn was the technique of ether anesthesia.

"The first thing you need to know is that you need to fast before the operation." Carvey introduced, "Simple fasting will not have any bad effects on the patient, but it can greatly reduce vomiting after anesthesia Aspiration."

"I already know this."

"The second is the amount of ether." Carvey looked at Fernand who was inhaling ether gas, and began to make some judgments on the nerve response, "There is no need to strictly regulate the amount. The purity of the ether I bought is a mystery. Too much clinical significance. What really needs to be grasped is to judge the dosage of ether based on the patient’s response.”

Under the urging of ether, Fernan gradually lost his consciousness, but his breathing was still unstable, and his nerve reflexes were in a state of hyperactivity.

"The pain can cause him to frown and other reflexes, which means that it is an exciting period and surgery is not possible." Carvey said, "We still have to wait."

"Wait until when?"

Carvey opened Fernan's eyelids and looked at the pupils with the candle in his hand: "After he lost his pain reflex, his breathing and heart rate returned to the original calm level. At the same time, the pupils of his eyes shrank and did not respond to the light. It means that the anesthesia has been completed, and the ether vapor can be cut off."

Before she finished speaking, the familiar nurse had already taken off her mask.

"I see."

"However, sometimes this kind of boundary is blurred, and a lot of clinical experience is needed to accurately find this dividing line." Carvey looked back at Koch who was about to push the flatbed cart out of the door, and said, "Don't worry, start from the box first." Get a razor."

"Razor? What do you want a razor for?"

Cavila took off Fernan's pants: "Before the operation, the hair must be shaved."

(End of this chapter)