“…… It's a hospital, John, and April Fool's jokes aren't popular! ”

In the office of a professor of surgery at the University of Berlin, Bergman said to John with a displeased expression. Just a few seconds ago, his protégé suddenly said that he was going to carry out research on the surgical treatment of pain in the right lower abdomen, and asked Bergman to grant him the authority to operate independently......

Bergman really thought he had misheard, or that John was playing an April Fool's joke with him!

A stunned young man who has just come out of medical school and joined the Department of Surgery at Charlotte Hospital for only a few months, and has only just started to be exposed to complex surgeries such as hernias and bladder stones in the past month, dares to say that he wants the right to independent diagnosis and treatment, and still wants to use surgery to treat right lower abdominal pain?

What is this not a joke?

"Sir, I'm really not kidding you."

Blinking, John said seriously: "I'm sorry I couldn't tell you in advance, but we've been preparing for this for a long time......"

"What's not kidding?!"

This time, without waiting for John to finish speaking, Bergman frowned and scolded in a deep voice: "You, a person who hasn't even gotten a medical doctorate, want to do abdominal surgery by yourself that I don't even dare to touch?" Do you know how high the mortality rate is for this kind of surgery to open the abdominal cavity? ”

"I know, sir."

John sighed secretly, but immediately replied: "However, according to my analysis, the mortality rate of laparotomy is only so high, mainly because the timing of the surgery is too late, and the diagnosis is not accurate enough......"

"Your analysis?"

Bergman's eyes suddenly widened, and there was a hint of anger in his voice: "John, do you know how many surgeons have studied the pain problem of the right lower abdomen?" But which one is correct? Charlotte Hospital's surgeon has built up over the years, do you want to ruin it? ”

"Mr. ......"

John opened his mouth, but for a moment he really didn't know what to say.

As originally intended. John wanted to first tell Sù Bergman about the results of the research of the four of them during this time, and then persuade him to agree to his plan, but now it seems that Bergman is unwilling to give him a chance to speak, and this result undoubtedly makes him extremely disappointed!

And, more crucially, Bergman's argument for opposition was not because they were poorly prepared. Or maybe it's too much risk to the patient, but the reputation of the hospital!

At this time, Bergman was also disappointed.

Bergman had great hopes for John, an excellent student, especially the proposal of autoclave sterilization a year ago, which he admired very much, thinking that this was a good seedling of an excellent surgeon, but in the next three months, John's expression disappointed Bergman.

In Bergman's opinion, it may be that John's talent is too high, and he is a little arrogant. In addition, I don't work as hard as other American students in the hospital. I don't know what I'm thinking every day......

Now it's getting to the point where I'm going to have surgery on my right lower abdomen!

"Maybe I'm being too indulgent about him?"

Looking at John, who was still unashamed in front of him, Bergman thought disappointedly. Originally, because John's progress was really fast, Bergman had planned to let him start performing more complex surgeries on his own and get his doctorate a month later, but today's events made Bergman question his decision......

Under Bergman's disgruntled gaze, John was silent for a long time and then said calmly: "Professor, although it seems to you that I am only a student who has just stepped into the threshold of surgery for a few months, I and three other friends have spent several months collecting cases. Why don't you listen to our plan first? ”

"And Thomas them?"

Bergman's gaze froze. I couldn't help but ask.

"Yes."

Nodding, John said in a deep voice, "With Thomas, and two students who are about to join Charlotte Hospital for internships, we've been working together for months!" ”

After saying that, John calmly faced Bergman's astonished gaze.

Bergman's brow furrowed again.

John's expression was all too familiar to him, it was a state that had already made up his mind! Other words. No matter how much Bergman tried to persuade and oppose it, it didn't work for this kid.

This made Bergman feel a strange feeling.

Two students who have not yet entered the hospital, a student who has just been in contact with surgery for four or five months, and a surgeon who has been working for three years, four of them are really planning to do abdominal surgery?

They really thought. Is it easy to open a human body cavity?

How to solve the bleeding problem? Did they consider the difficulty of anesthesia? And the cause of the pain in the right lower abdomen, did they find it? What if all the surgeries end in failure? Have they considered the reputation of Charlotte Hospital Surgery?

A series of questions rolled in Bergman's mind!

This is not because Professor Bergman is here to worry about it, but his worries have a lot to do with the poor standard of surgery in this era.

Although there are anesthetics such as laughing gas, yimi and lvfang, it goes without saying that lvfang has a high mortality rate, and the preparation and use of ether and laughing gas are more troublesome, and there is not much research on the use, so the stability and safety are relatively poor. In addition, far from perfect, disinfection technology can only prevent the occurrence of some infections, and the poor level of surgical skills also makes it impossible for doctors to control intraoperative bleeding, and the lack of simple X-ray and other techniques makes it impossible for doctors to even determine the correct lesion location before surgery......

Therefore, in addition to surgeries such as hernias, aneurysms and fractures, surgeons like laparotomy are reluctant to give it a go when it is a last resort!

The mortality rate is so high and scary!

Bergman really wanted to tell John about these situations in detail, but seeing John's calm expression at this time, he knew that he was probably talking in vain......

"Professor, can you take a look at this material I wrote first?"

Seeing that Bergman was silent, John took out a stack of bound materials from his bag and placed them on his desk: "This is the result of our hard work during this time. That's why I'm here to make a request to you! ”

"Oh?"

As soon as his heart moved, Bergman's heart moved, and he quickly picked up the information and flipped through it page by page.

He had always been very important to what John wrote, and the use and groundbreaking of the content was one thing, but more importantly, the way John wrote it! There is less speculation and inference, more convincing numbers, analyses and comparisons. This was a novelty for Bergman, who was accustomed to reading simple papers.

It's the same today.

From initial disapproval, to later surprise, and then to solemnity, Bergman's expression slowly changed.

This was a piece of information that surprised him.

In other words, it is a bit inaccurate to describe it with information, and it should be said that it is a rigorous plan. In this 30-page proposal, John describes his understanding of right lower quadrant pain in a form that Bergman has never seen before: starting with the anatomy of the human abdomen and describing in detail the possibilities of right lower quadrant pain, in order to make the narrative more intuitive. John even used a large number of sketches to illustrate his arguments, some of which were struck by Bergman's preciousness, far more refined and accurate than he could have imagined.

Of course, if it is limited to this, it is fine, the key is in the case attached by John later!

He did not rely on the knowledge he learned in books and his own understanding to guess out of thin air, but collected more than 100 cases of right lower quadrant pain, of which nearly 60 cases were personally contacted, and not only did he have a comprehensive physical examination. Follow-up of treatments and outcomes was also followed......

What's more, there are as many as six fatal cases caused by severe pain in the right lower abdomen!

"Where did this kid get his body?"

When I saw this paragraph. Bergman's brow furrowed in astonishment.

As a professor of surgery, Bergman knows how precious corpses are, especially a very targeted autopsy like John, which can be said to be unavoidable, how could this kid have such good luck?

"Could it be that this kid is a fake?"

The thought crossed Bergman's mind.

Bergman didn't ask the question right away, though, he just glanced up at John, who was still quiet. Read on.

The analysis and summary of more than 100 cases is undoubtedly a very large workload, which can easily cause confusion, but it is clear to Bergman after reading it. John used mathematical methods to count and generalize them, and analyzed, compared, and summarized the results, at least in Bergman's view. This way is quite convincing for him.

So almost impatiently, Bergman looked behind him.

After summarizing all the cases, it is the focus of this plan - the diagnosis of right lower quadrant pain! John is very sure that the cause of most of the right lower quadrant pain is located in the appendix, and gives a systematic diagnostic plan!

"Goo-dong!"

When he saw the diagnosis plan, Bergman couldn't help but swallow hard and spit hard!

The question of pain in the right lower abdomen has always been a hot topic of research among physicians, and surgeons are certainly no exception. In fact, in the last decade, due to advances in sterilization, anesthesia and other technologies, surgeons have been particularly interested in the use of surgery to treat right lower quadrant pain, and many prominent surgeons have proposed their own diagnostic theories, including Bergman himself. None of them, however, have been widely accepted because they have been shown to be inaccurate.

But seeing John's plan, Bergman's was shaken!

Without him, it's so precise!

John not only came up with Bergman's unheard of diagnostic options, but he even listed them one by one and pointed out which are the best criteria for diagnosis!

"How the hell did you come up with this?"

When he saw this, Bergman finally couldn't bear it anymore, raised his head and asked in surprise. (To be continued......)