Nineteenth Century Medical Guide

Early the next morning, Carvey wrote back a letter to Sears after getting up. 【1】

First, he affirmed his job, and then briefly talked about his own situation, skipping those things on the Western Front.The second is to take care of some matters that must be paid attention to, such as whether a rehabilitation sanatorium has been set up in the safe area after Olmitz, and whether an evacuation route has been selected once the fortress falls.

Finally, there is the problem of infectious diseases. With a large number of casualties, bacteria breed, and we must always be careful of plagues in the fortress.

After writing the letter, he didn't choose to flip through the book, but put on formal clothes and manners, and went to the Hofburg.As a lieutenant general, he broke into the palace again and met Franz.

Originally, the war was serious, the front line was fighting to the death, and the headquarters in the rear hadn't had a good rest. Kawei shouldn't just go to see him.However, considering that Edm is related to the entire battle situation, the situation is not optimistic, and the operation is difficult, so Franz must be informed in advance.

Kavi walked into his office under the leadership of the chief guard, stood upright, and took off his hat: "Your Majesty the King."

"You're back." Franz's expression was not very good, but he still squeezed out a smile after seeing Carvey, "Have you met Mr. Edem?"

"Well, I've already seen him when I arrived in Vienna yesterday afternoon."

"Come on, sit down, you're welcome." Franz stood up, sat on the sofa with Carvey, and then said to the chief guard, "Go and make a cup of coffee for Dr. Carvey, no milk and sugar."

"Yes."

In their eyes, "bleeding" itself is a state that requires dialectical consideration.

"It is indeed the pride of the empire, I will erect a monument for them." Franz sighed, looking a little tired, "Forget it, let's not talk about these sad things, let's talk about that old French painter .”

From the perspective of internal medicine at that time, as long as the amount of bleeding did not affect the function of urination, it could be ignored, and it could be relieved by taking medicine, and there was no need for surgery at all.

For kidney cancer, it depends on the degree of tumor invasion.If the degree of invasion is not high, kidney-preserving surgery can be done.Once the tumor enters the middle stage, there is no need to protect it, and the safest way is to completely remove it.

"exist."

For bladder cancer, according to Edm's physical condition and requirements, Carvey made three urinary tract reconstruction plans in advance to prepare for emergencies.

I thought it would be brewing for a while, but Felix didn't prepare much foreshadowing at all, so he started to draw a big cake after saying a few words casually.Carvey knew his intentions well, and quickly waved his hands and said, "Mr. Laszlo should know my original intention of making medicine and equipment, and I didn't do it for making money."

Even if the equipment factory completes this munitions order, the profit for the whole year is still very low.For Laszlo, if he didn't make a lot of money, it would be a loss. Once this wave of war dividends is over, the equipment factory will lose its meaning of existence.

France is an established power, and it is also an old enemy with Austria. Franz is happy to see that he can overwhelm the other party at the medical level: "It is true, but you can guarantee that our consultation will definitely give you an order." Is there a convincing conclusion?"

"Surgery can definitely be done, but the process is very complicated." Carvey said, "After all, it is an internal organ, not subcutaneous tissue, the damage will be very large, and the operation time may take more than three hours. He is over 3 years old, can he It will be a question mark to get off the operating table, and getting off the operating table is just the most insignificant trouble in the whole operation."

This is not that Carvey is evading responsibility, it is just a necessary measure to avoid risks.

In the absence of imaging support, tumor surgery can only take one step at a time.
"That's about it."

But just as he was about to get up and put on his clothes to leave, there was a knock on the door: "Is Dr. Carvey there?"

"I have already paid the deposit of 100 crowns last night." Carvey picked up the wallet on the table, "The final payment is 150 crowns, here it is."

To put it bluntly, Franz only needed Carvey to keep Edem for three months.After France agrees to enter, the life and death of this old man has nothing to do with this war.But Kavey's requirements are definitely different from those of ordinary people. Now that he has taken over, he must do his best.

"Cooperation? The contract of the pharmaceutical factory has already been signed, and there is nothing else that needs to be changed. Could there be something wrong with those drugs?"

Equipment factories originally processed mechanical parts, and were not as targeted as pharmaceutical factories.Surgical instruments are not as popular as medicines, and some have not made many finished products at all.In Austria, where industrial development is extremely conservative, this equipment factory has slowly slipped into a business quagmire.

"Tumor."

Carvey shook his head, "In terms of difficulty, this operation is similar to the one in the square before. But Fernan is young enough and has a good physical foundation, but even so, I still think it is a miracle that he survived."

Felix didn't have time to wait any longer.

At this time, the head of the guard knocked on the door and entered the office with coffee, and happened to give Franz a moment to think about it: "Actually, France has already done this. Everyone has their own opinions, and no substantial results have been reached. Otherwise Edem would not have followed Justina's advice and rushed to Vienna in such a hurry."

"I feel very good."

"No, Dr. Carvey misunderstood, the pharmaceutical factory is not under my control." Felix took out a pen and paper from his pocket and put it on the coffee table, "I'm talking about my own equipment factory."

"I'm not here to ask for money." Felix pushed back his right hand holding the money, "I'm here to discuss cooperation."

So when Felix proposed cooperation, Carvey was very surprised.He didn't expect this young man to attach so much importance to medical equipment, and he could see the proportion of medical treatment in the future market within less than half a year after taking over.

It's a pity that Laszlo was not optimistic at the beginning, so the cooperation has been on hold.Carvey has always obtained his own surgical instruments in the same way as the night before, and as for the drawings and patents, he has always been in his own hands.

It has to be said that such an ordinary equipment factory is not special in Austria.

The bladder is a sac-like organ that stores urine and acts like a spittoon in the corner.Everyone thinks the spittoon is dirty, but once the spittoon is gone, the physiological functions that people take for granted will disappear.

Carvey closed his notebook and prepared to go to Laszlo's equipment factory to pick up the goods.After the new cystoscope is in hand, I will go to the surgical college to give Edem a cystoscopy.

The result was the same as the big clinic in Paris, each had its own theory, and no one could convince the other.

However, the two surgeons tended to favor damage to the kidneys, ureters, and bladder, the most likely of which was the bleeding caused by the rubbing of stones.But physicians felt that stones were too ridiculous, and the diagnosis was more biased towards nephritis.

Transform it into a specialized medical device factory, and invest a few more sums of money. As long as you wait for the wind direction of surgery, making money is not a problem.

"Can these two tumors be treated with surgery?" Franz was still hopeful, "Just like the surgery on Justina?"

During this period, he only slept for three hours and was very tired, but he still had some gains.

"Father said that if there is no solution this year, the factory will probably close down next year." Felix didn't want this, so he found another way to discuss with Kawei, "I will open it again under the name of this factory." What do you think of a division specializing in surgical instruments?"

Among them, the bladder is the most troublesome.

"I'm free today, and I happened to send you the endoscope that I ordered the night before. It's quite heavy." Felix handed over the long wooden box in his hand, "Then I'll stop by and chat with you."

Carvey knows that it is difficult for medical devices to develop and grow without capital, but at the same time, if they are too closely entangled with capital, the consequences will only be more serious.

Carvey took two sips from the coffee cup and said with a smile: "If we come up with a treatment plan, doesn't it just mean that the doctors in Austria are better than them?"

Felix is ​​very likely to become Laszlo's successor. He doesn't want this young man to have too much contact, and it will easily cause problems after a long time.But the other party was really enthusiastic enough, not only delivered the endoscope to him, but also followed Carvey into the door very familiarly.

After leaving the Hofburg Palace at 26 am on the 10th, to 27 am on the 10th, Carvey locked himself in the room.He needs to repeatedly read all kinds of anatomy books at hand to have a more intuitive understanding of the upcoming operation.

He can understand this feeling very well. Instead of embarrassing Franz, it is better to take the initiative to put forward the other party's thoughts: "I am very confident in my diagnosis, but old Mr. Edem's situation is special, and it is impossible to only treat him in the diagnosis and treatment plan. Listen to me alone. If His Majesty thinks it is necessary, you can call other doctors for consultation."

In fact, long before Carvey came to Vienna, Edward, the ambassador to Austria, had asked several doctors to help him make a diagnosis.Except for Massimov and Mosier, the other three are internal medicine, two of whom are from the Municipal General Hospital and one from St. Mary's Hospital.

"Cooperate with me? My equipment business is not easy to do." Carvey shot a feint and continued to pack his suitcase, "Or wait until I'm done working for a while."

This is the only disease that Franz understands, because tumors represent pain and death, so there is no need to explain too much.Of course, this is also the disease he is least willing to face: "Are you sure?"

Looking at Kavey's raised index finger, Felix finally realized: "Father never told me about this."

Regardless of whether it is a kidney tumor or a bladder tumor, in order to achieve better surgical results, the scope of resection will definitely be enlarged.Simple removal of one kidney and removal of the bladder alone may cause tumor recurrence.

But after thinking about it, it was not because of the outbreak of the Prussian-Austrian War that the quartermaster purchased a large amount of medical supplies as required, which turned the equipment factory into a profit.

"In terms of the length of the operation, didn't the old Marshal Ludwig survive? It seems that his symptoms are more serious."

So after removing the bladder, how to rebuild the urinary tract is the key.

Carvey could hear his doubts, it wasn't distrust, it was just that the king of a country couldn't easily make a decision considering the status of the patient.

"The changes in the war on the western front were too fast, we couldn't react in time, and we were already entangled by people when we retreated." Kawei briefly talked about the small town of Otaka just past, and gave the guards a very positive opinion. Evaluation, "Aleister and his squad members are the best soldiers in the empire, and they never thought of surrendering until their death."

"I'll convince them."

Carvey adjusted his clothes, turned and opened the door: "Mr. Felix, why are you here?"

"So the patent time for all my products is only one year."

"At that time, you will be the chief development designer, and you will do more advertising to the outside world. Our medical devices will definitely be able to do it."

This can be regarded as the embryonic form of a medical device company. First try the water, and if it fails, then withdraw, and the investment loss will not be too great.But after these words entered Carvey's ears, he always felt that there would be some discomfort in the future.

"This is different. The old marshal is a bone, and he is an important organ in the abdominal cavity. It is completely different."

Carvey nodded: "I'm sure."

So this time, Carvey deliberately expanded the scope of the consultation. Doctors from all hospitals in Vienna can participate in this consultation as long as they wish.The time is 10:27 pm on October 1th, and the place is in the surgical theater of the School of Surgery.

Seeing that the chief guard had left the office, Franz asked, "I've read the letter you sent. Sigh, I didn't expect it to end like this."

"Ok, I know."

Franz felt that the chips he held in both hands suddenly turned into a bomb that could explode at any time, and he was full of complaints: "He just had some blood in his urine, and the doctor usually does bloodletting, why did he suddenly... "

"That's why I came to visit." Carvey said, "From the interview and subsequent laboratory tests, he should have a urinary tract tumor. The high probability is bladder cancer, and of course there is also the possibility of kidney cancer. "

"Now I'm telling you the same thing." Carvey stood up with a smile, "So the so-called medical equipment branch actually doesn't need to exist, and I won't run to be a designer. If you really want to cooperate , it can be exactly the same as a pharmaceutical factory, I will provide the drawings and you will provide the labor, and the income will be divided in half."

Felix, who wanted to cut through the mess quickly, thought that Kawei was young and could quickly reach a consensus with himself.

But his sharp knife cut on cotton: "Only one year? I think 1-5 years is more appropriate. As a return to Dr. Carvey's talent, it is very reasonable."

Carvey was so embarrassed that he was about to commit cancer, he quickly waved his hands and explained: "No, no, you misunderstood, the one-year patent period is not for me. If I opened the factory myself, most of the patents in my hand There is no need for patents."

Felix: ? ? ?
"To put it bluntly, this is for you and your father." Carvey borrowed what he said just now, and handed it back to him after a slight modification, "This one-year patent period can guarantee that the only patent in the world is your father's. The factory can produce my products, which is a kind of return to Mr. Laszlo, which is very reasonable."