Nineteenth Century Medical Guide

Chapter 185 182. Improved electrotherapy belt and improved skull drilling
At ten o'clock in the evening, the office of the physician at St. Mary's Hospital was still brightly lit.

Several young physicians had left home after a day's work, but Ed Nelson, chief of internal medicine, remained in the hospital.According to the previous agreement, he still needs to meet someone here.

"Miss Trout, you are late."

Ed Nelson sat on the seat, looking a little annoyed, but he still delivered the freshly brewed hot milk tea to the other party: "If I didn't have an appointment with you, I should be at home by now to enjoy the delicious meal carefully prepared by my wife gone."

"You are too out of touch, just call me Jenny."

She tried to control the breath in her mouth, hoping to make herself look more ladylike.But the lungs were not obedient, and still caused some ups and downs in the body.This should be a by-product left behind when she rushed upstairs just now, which made her feel quite embarrassed: "It is true that I am late, I am really sorry. I walked too fast just now, and my head is still dizzy."

Ed Nelson sighed: "Hysteria again?"

"Maybe." Jenny asked with a smile on her face flushed, "The pelvic massage last time worked well, if possible."【1】

"My skills are limited, and I'm not good at this British style of treatment." Ed Nelson refused, "This matter should be handed over to Dr. Ambrose who just returned from studying in the UK. His skills are top-notch. "

"Ok."

Jenny drank most of the cup of milk tea in one go, finally calmed down, and started to get down to business.However, what she didn't expect was that this topic had already ended before it started, or it could be said that it was forcibly ended by someone: "What did you say?"

"I said that tomorrow's plan has changed. Mrs. Sandini may not be able to go to the nursing home." Ed Nelson paused, and added room for maneuver to this sentence, "But not necessarily, it depends on the situation."

Jenny was confused by him: "What does this mean? I promised to go tomorrow, why did it change again?"

"Don't get excited." Ed Nelson glanced at the Bible in his hand, his expression was quite indifferent, "It's just that some new changes have occurred during the treatment process. I temporarily changed the patient's treatment plan, and at the same time I had to temporarily change her Tomorrow's itinerary."

Jenny was very aggrieved. After working for so long, she wanted to cooperate with the patient's treatment tomorrow, and immediately became a hit with the signboard of her nursing home.Now that he is temporarily saying that he wants to change the treatment plan, it is equivalent to erasing all the hard work of the previous few days: "I specially improved the original electric tub, everything is for tomorrow, you say now"

"As I said, it's just a temporary change. If the new treatment doesn't work, it will naturally be sent to you."

Ed Nelson didn't like her impulsive personality, and his tone suddenly turned cold: "Don't take yourself so seriously just because of a nursing home. I am the doctor who leads the treatment, not you, a businesswoman."

Jenny was said to have lost her temper.

Although I have made some small names in the Vienna medical circle with the emerging electrotherapy.But at best, the businessman in the other party's mouth is still a businesswoman, and there is no room for bargaining with Ed Nelson.

Of course, since Ed Nelson is willing to work with her regardless of gender, he must have his own purpose.

Now I gave him a slap in the face, which is a lesson, and then it's time to stuff the candy: "You just said that the electric bathtub has been improved?"【2】

"I took into account Mrs. Santini's family situation, so I made a simplified version of the poor to make it more suitable for the poor." Jenny took out a stacked engineering drawing from her small bag, "This is it."【3】

Ed Nelson looked at the blueprint and nodded again and again: "It looks good, how much is this?"

"It cost me 3500 crowns from the drawing to the completion of the machine." Jenny complained, "The whole nursing home cost me 3 crowns for these machines alone, not including the laying of wires and motors. If it opens, it will not make money."

"I'm asking how much each machine costs once." Ed Nelson had no interest in cost.

"The hydroelectric bathtub costs 650 kroner once." Jenny pointed to the drawing and said, "this simplified version costs 400 kroner, half price for the opening, and 200 kroner once."

Ed Nelson nodded: "It's really not cheap."

"This is the most fashionable treatment method in the world. Now only the United States and the United Kingdom have electrotherapy sanatoriums of this scale. Although France also has similar ones, the competition for electrotherapy in Paris is too fierce, and it is difficult to expand it."

Jenny is very confident about her career in Vienna: "If you can help spread the word, this nursing home will surely cure many people's strange diseases."

Ed Nelson looked at the drawing, just nodded, and didn't answer.

Jenny thought that she hadn’t explained the benefits of electrotherapy, so she reiterated: “Electric energy is life, Dr. Ed Nelson. In electric current, people can overcome kidney disease, stomach disease, liver disease, intestinal disease, especially indigestion!”

"Um"

"If possible, I really want to go back to the days when electric shocks were used on dead bodies." Jenny really loves electric shocks, and she always carries newspaper clippings【4】, "Although it was finally confirmed that electric shocks can't bring dead bodies back to life, it does The life energy contained therein is beyond reproach.”

"really."

Jenny is not the kind of small businessman who catches a lot on the street. She can get in touch with Ed Nelson, so she naturally has a set of survival rules.Seeing the other party's indifferent attitude, she knew that she needed to pay more.

She thought of her black suitcase, put it on her lap, opened it, and took out an all-metal "belt" from it: "This is a new product invented by our company. As long as you make careful preparations, you can wear it." Can provide you with a weak continuous current for the next 8-12 hours."【5】

Even though he knew that this metal could not be gold, its golden-like luster immediately caught Ed Nelson's attention: "It's so amazing?"

Jenny gave the belt with a smile and helped him wrap it around his waist: "Such a dazzling golden spiral waist chain exudes unparalleled light like a saint. Please believe me, no woman can escape its attraction. "

"Not bad, really good." Ed Nelson was very satisfied with this, "You said that all women will be attracted by it?"

Jenny replied with a smile: "Of course."

Ed Nelson nodded, and suddenly put his hand through her waist and hugged her tightly: "What about you?"

"I"

While Ed Nelson was working hard for the development of medical devices around the world, the discussions in the surgical ward had reached a fever pitch.

In fact, the purpose of Carvey's operation is very simple. He does not seek to relieve the pain, because the tumor has metastasized to such an extent that there is no possibility of cure. Now he only wants to help Mrs. Santini relieve or completely eliminate the pain.

At least the headache should be suppressed immediately.

"Mr. Santini, the headache comes from the compression of other brain tissues after the tumor has metastasized into the brain." Carvey explained to her husband, "It's like bladder stones. The pain was unbearable."

"So that's the case." Santini didn't seem to realize the seriousness of the problem, "Then can this thing be removed by surgery? I mean it's like removing bladder stones."

He also said that he imitated those surgeons and made a gesture of picking up stones with clips.

"This, I'm afraid it won't work." Carvey didn't plan to go around with him. "The head is no more than a bladder. It's not useless urine, but a variety of brain tissues. They are very easy to bleed and are very vulnerable to injury. Of course, the most critical The problem is not the surgical risk, but the fact that we don't know where the metastases are."

The head is not like the stomach, as long as a full-length incision is made, the lesion can always be found inside.The head is covered by bone, not to mention making a long incision, even drilling a small hole has to worry about a bunch of surgical complications.

Depending on the symptoms themselves, Carvey can make a good guess.

The location of the pain suggested the left side of the brain, the epilepsy suggested a meningioma, and the hearing loss suggested the auditory center in the temporal lobe.The three "hints" are based on the maximum possibility, but if they are combined together, the chances will be greatly reduced.

Moreover, brain metastases are not primary, and no one knows whether there are one, two, or several metastases.In the absence of imaging positioning and diagnostic tools, Carvey has no confidence to gamble, and the operation itself has no meaning of gambling.

"Do you just leave it like this?"

"If you really find the tumor, you can cut it off, but if you can't find it, don't look for it." Carvey said, "Because even if you find it and cut it off, the final result will not be much different. On the contrary, it will increase the risk of surgery.”

"What does this mean?"

Massimov sat aside and explained: "It means that the operation is likely to fail, and she may not survive it, and will die directly on the operating table."

"how so???"

"I'll ask you this." Massimov also became irritable when he thought that the patient had no hope of being cured, "You should have prepared yourself for this when you gave up the operation and went home, the god of death will not joke with you. "

After learning that they were suffering from breast cancer, the husband and wife made preparations, and it was their joint decision to give up the operation.

I thought I could survive for two or three years. I thought that headaches and breast cancer were two completely different diseases, but who knew that the tumor could still metastasize, and I couldn't survive it after just one year.This severe pain has already made Mrs. Santini lose her mind. As long as it can relieve the headache, she is willing to try any treatment.

"We've discussed it with Dr. Ed Nelson, just try it once, if it doesn't work, then you can go to a nursing home for electrotherapy tomorrow."

"Okay, just follow your plan."

St. Mary's Hospital has its own surgery theater, but the operation at ten o'clock in the evening is rare, and it is a temporary addition of surgery, so the scene is empty without any audience.

This quiet environment is very strange to other surgeons, but it has been a long time for Carvey.And the most important point is that without the noisy audience, there will be no sources of most bacterial infections. As long as the surgical theater is thoroughly disinfected several times, it will be one step closer to a "sterile" environment.

"You shouldn't have sprayed out the entire two bottles of carbolic acid and alcohol." Massimov frowned, resisting the irritation at the tip of his nose, and said, "Is it necessary to do so thoroughly?"

"Of course there is."

Carvey wrapped a steam-sterilized bandage around his hand, picked up a pair of surgical forceps by the table and threw it on the ground: "I remember reminding you before entering the theater, no carbolic acid or steam box Things are not allowed on stage!"

"It's just pliers for cotton balls and gauze."

"That's not okay." Carvey asked, "Who said that as long as I perform the operation, I will decide all the surgical rules?"

Massimov felt uncomfortable seeing his doctoral student being scolded by a young man who was several years younger, but there was nothing he could do.Because this sentence is what he said, and since he said it, he must abide by it: "Okay, okay, there is nothing to argue about, let's get disinfected!"

"It's not that I deliberately made things difficult for them." Carvey sighed, "It's because your surgical instruments are too dirty."

"It's okay, listen to you."

Massimov felt uncomfortable when a good breast cancer operation turned into a drilling operation.Because in his cognition, breast cancer must be removed immediately, and there are other better ways for headaches.

But Carvey's ideas far exceeded his expectations.

[All tumor operations were abandoned, and we only concentrated on Mrs. Santini's headache. ]
This sentence hovered in Massimov's mind from the beginning, lingering: "Give me the razor, and I have to shave her hair off first."

"Prepare the metal tube and rubber tube I asked for before, the longer the better." Carvey began to prepare surgical instruments with two other assistants, "Hand drill, scalpel, tweezers, hemostat, gauze, scissors, needles , line and give me two pressure plates and three pull hooks."

"Press plate? Pull hook?"

"Why do you need a pressure plate and a hook???"

"Dr. Carvey, this is an intracranial operation, surrounded by bones, there is no need to use these."

In their view, it was just a hole in the head, and there was no chance of using the pressure plate at all.

But Carvey's operation was not as simple as they imagined. Naturally, he had his reason for pressing the plate: "Drilling the hole is only the first step. The purpose of the operation cannot be achieved only by drilling the skull. Next, I have to incision Her abdomen, that's why a compression board was needed."

"Cut the abdominal cavity???"

"Yes." Carvey picked up a rubber tube and said, "I will use it to connect the cranial cavity to the abdominal cavity and divert the high intracranial pressure away."

【Let’s wait for midnight in this chapter】

　Small theater on the last page: When Carvey and Massimov were preparing for the operation, Mariana accompanied Nora to a shelter not far from St. Mary's Hospital, where she found her son who had been sent away before.

　　
　
(End of this chapter)