In the German Medicine issue in early August, two papers by Johann Huntelaar on the anatomical and pathological aspects of appendicitis finally arrived in the hands of the majority of subscribers in early September.

For the same magazine, the time you see it may be two months apart.

The most tragic thing is that the doctors in North America, whether it is "The Lancet" or "German Medicine", they can indeed see it within a month if they are lucky, but if they are unlucky, it is normal to drag on for two months. In contrast, European physicians in the center of the world are much happier, such as those in Vienna, who receive the latest issue of German Medicine almost in a week.

Vienna, early September.

The Vienna General Hospital, also known as the Medical University of Vienna, is an important hospital in the history of medicine. As one of the top hospitals in Europe at this time, in addition to the overall level of the Vienna Hospital, there are two doctors who cannot fail to be mentioned in the history of medicine - Freud and Bierrot.

Freud moved from physiology to surgery, from surgery to internal medicine to psychiatry, and now he is just beginning to get into psychology, and is studying hypnosis with another big bull in Paris, and "The Interpretation of Dreams" has not even taken shape. But Bierrot, a former professor of surgery at the University of Berlin, developed the Bi-1 procedure a few years ago, and his reputation is now growing.

"Professor!"

Surgeon Wolfler hurriedly walked into Professor Bierrot's office with the copy of German Medicine he had just received, and said loudly: "You must immediately take a look at this issue of German Medicine, which contains two papers by Mr. Huntelaar of the University of Berlin!" ”

"Oh? What is it about this time? ”

Bierrot, who was working at the desk, raised his head in surprise and took the magazine handed over by his assistant.

If it were an ordinary surgeon, Bierrot might not have asked such a question at all. After all, even if the average person publishes papers frequently in a short period of time, the content will often be concentrated in one research field. But for this Mr. Huntelaar, Bierrot did not dare to be so arbitrary—looking at his research directions in the past year, the breadth and variety even made Bierrot feel incredible!

Aseptic disinfection and local anesthesia techniques are the work of surgeons, after all, but when Bierrot began to pay attention to this Huntelaar doctor because of aseptic disinfection and local anesthesia techniques. When he looked up his previous published papers, he found that in just two journals, German Medicine and The Lancet, this guy also published a paper on blood type and a ...... on abdominal shock

So after hearing Wolfler's words, he subconsciously asked.

"There's still something about the appendix!"

After taking a deep breath, Wolfler said solemnly: "But this time Mr. Huntelaar has completed sixteen appendectomys, and all the patients have recovered!" ”

"What?!"

Bierrot was shocked when he heard this, and stood up suddenly!

As for the fact that Mr. Huntelaar would begin to have an appendectomy, Bierrot had already prepared for it. In fact. Any surgeon who reads the two papers in August can guess that after studying the anatomy, physiology and pathology, and even releasing the diagnostic criteria, the next thing to complete is the removal of the appendix.

In Bierrot's eyes, this is a matter of course.

But what Bierrot didn't expect was that this Mr. Huntelaar would complete so many surgeries in such a short period of time, and the patients would all recover!

How is this possible?!

How difficult and dangerous is open surgery. There are probably not many people in this era who know better than Bierrot. As a grandmaster in the history of surgery, Bierrot's own proudest research is Bierrot's first surgery. From the beginning of 1881 when he performed the first operation under LVFANG, more than twenty cases were performed in just one year, but most of the surgeries failed, and most patients did not survive for long, which is why he drastically reduced such surgeries in the following years......

As a result, even though the Vienna hospital diagnosed several patients according to Guò Huntelaar's criteria, none of them were operated on – the mortality rate of Bierrot's own Bierrot surgery was too high. He's very cautious about opening his stomach now.

But now the paper in the journal actually tells me that the success rate of laparotomy is 100 percent?

Immediately opened the "German Medicine" journal in his hand, Bierrot couldn't wait to turn to the place where the two papers were located, and read them carefully. This paper on appendectomy is quite extensive, including preparation for surgery and the method of anesthesia. Including the selection of surgical incisions and the method of opening and closing the abdomen, as well as a series of precautions during the operation, etc., and at the end of this paper, the editors attached a small statistical table, which is the statistical table of the results of 16 appendectomy completed by the Department of Surgery at Charlotte Hospital in two months: all 16 patients had their appendixes removed, and then all recovered and were discharged!

This was added by Heinste to John just before the magazine was published.

"How did he do it?"

After reading the entire paper, Bierrot's face was blank.

Although the difference between gastric cancer and this so-called "appendicitis" is too great in terms of the surgical site and the type of disease, the 100% success rate of the other party still makes Bierrot have an unreal feeling.

Is it really that easy to open a human belly?

After seeing Bierrot's expression, Wolfler cautiously asked, "Professor, could it be that the content of the paper is wrong......

"Impossible!"

Before the assistant's words fell, Bierrot had already waved his hand a little irritably: "University of Berlin...... Professor Bergmann is definitely not that kind of person, and the German medical journal does not make such a mistake! ”

Just after reading the paper, Bierrot himself actually had such an idea, but it was just a moment of hard work that dissipated. As a former professor of surgery at the University of Berlin, Bierrot has a lot of trust in the places where he has worked, and the editors of German Medicine have confirmed this results in the field. What reason do they have to lie?

Wolfler grinned, not daring to say anything more.

Looking at the magazine in his hand, after pondering for a while, Bierrot suddenly asked: "I remember, last time I asked you to write a letter to Professor Bergman, saying that someone would be sent over to learn the new aseptic disinfection technology and local anesthesia technology, but the other party politely refused. Is it? ”

"Yes, sir."

Slightly stunned, Wolfler hurriedly said respectfully: "Professor Bergman did not refuse, but explained that it was because Mr. Huntelaar wanted to focus on the work at hand, so he hoped to postpone it for a while...... Judging by the literal meaning of the letter, the series of achievements of Charlotte Hospital this time should be dominated by Mr. Huntelaar, and Professor Bergman is at most an auxiliary work. ”

"Huntelaar ......"

Frowning, Bierrot whispered, "John Huntelaar, I'm sure I've never heard of this fame before. I heard it's an American? ”

"Yes, New Yorker."

Nodding, Wolfler replied in the affirmative.

Of course, it was not clear from the information in the magazine who Mr. Huntelaar was or how old he was, but Professor Bergman's reply was clear, so Wolfler remembered it.

"Then go to this October conference!"

After a long silence, Bierrot suddenly slapped the magazine on the table and said in a deep voice: "Wolfler." I'll write another letter to Professor Bergman, and you and Tom will go to Berlin to see ...... No. I'd better go myself, I'll see what kind of character this Mr. Huntelaar is......"

……

At the same time, London.

Looking at the freshly baked Lancet magazine in his hand, Joseph Liszt had been in this state of flux for a full minute, but it still seemed that he had not come back to his senses.

On the two pages of the magazine is a paper on aseptic disinfection technology.

For Liszt. The most proud achievement of his life is the promotion of surgical sterilization technology, and he is very fortunate to have caught up with the perfect time. Poor Semmelweis, who discovered that puerperal fever may have been caused by the dirty hands of obstetricians, was dismissed as an unconventional madman more than forty years ago. More than 20 years later, although Liszt initially suffered the same fate, fortunately Pasteur's sudden rise gave him strong support!

So though it's the same thing. But Liszt, twenty years late, succeeded.

More than ten years of hard work have given Liszt a taste of the ups and downs, but it has also brought him great honors. Although there are still countless opponents in Europe, Liszt has clearly felt that their voices are gradually becoming weaker. And, more importantly, more and more leading surgeons are embracing surgical sterilization, including Bierrot in Vienna. Liszt still remembers the ecstatic mood he felt when Bierrot suddenly changed his attitude a few years ago, from opposing surgical sterilization to strongly supporting it, and finally even sending someone to study in London!

It can be said that the promotion of surgical disinfection is the greatest achievement of Liszt's life.

But looking at the paper in front of him, Liszt didn't know what kind of mood he was in now. From the point of view of a promoter of surgical sterilization, he should undoubtedly be excited about the sudden rise of this Mr. Huntelaar, but when Liszt saw the American's comprehensive innovation in surgical sterile disinfection from concept to technology, in addition to adhering to the concept, he almost completely overturned the ...... In other words, when I rebuilt my own disinfection technology, a strong sense of loss came to my heart!

The name Liszt has long been synonymous with surgical sterilization.

Not only British surgeons, but also Bergmann in Germany, Bilrot in Vienna and other top figures in the field of surgery have sent people to study in the UK, and Liszt's prestige is inseparable from the strong support of these people. Although Liszt also knew that the fatal shortcomings of stone carbonic acid were destined to be replaced, and the surgical sterilization technology would become more and more perfect, she could not have imagined that she would come back so quickly and so quickly on this day!

Autoclave sterilization, high-concentration alcohol, iodine tincture, isolation gown, gloves, hats, masks, surgical drapes, ring application, sterile dressings, regular dressing changes...... In less than a year, a series of new discoveries in the field of surgical aseptic disinfection have been dizzying, giving Liszt, who has already begun to be hesitant in innovation, with a huge impact!

Almost in the blink of an eye, he seems to be completely outdated!

The paper in the journal "The Lancet" I saw today gave a detailed explanation of the application of disinfection technology in open surgery, and there were even more than a dozen precautions during operation, which can be said to completely subvert Liszt's perception of surgical disinfection - for him, these operation steps are really cumbersome, and it is impossible to achieve it under the premise of requiring surgeons to complete the operation as much as possible!

But after reading two other papers on neuraxial anesthesia, Liszt knew he was wrong. If the two local anesthetics were as stable and safe as the paper suggested, the surgeons would have had time to do it in stride......

"Gotta get it!"

Just when Liszt's mind was in turmoil, there was a knock on the door of his office.

A subordinate walked in and respectfully presented a letter: "Professor, this letter from Berlin should have been sent back by Mr. Dale." “

"Oh?"

After hearing this, Liszt's heart moved, and Liszt immediately opened the letter and read it. At the beginning, he sent Dale and the others to Berlin to see if the new disinfection technology was so effective, and also to investigate local anesthesia technology by the way. At first, the two seemed to be a little unhappy, but unexpectedly, they took the initiative to write a letter asking for an extension of their stay in Berlin. Now I'm writing back after a month or so, so I guess it's just about the harvest of this time, right?

With such speculation in mind, Liszt took the letter and read it carefully.

The letter was very long, six or seven pages long, but Liszt was slow to read, and it took him more than ten minutes to finally turn to the last page, and then ......

He froze again.

More than a dozen laparotomy surgeries were performed without failure, and all patients were discharged from the hospital after the operation. As a promoter of surgical sterilization, Liszt was well aware that although their work was effective, the incidence of infection after surgery was still high, but look at this letter......

This result shocked Liszt as much as Bierrot.

After a long while, Liszt slowly moved his gaze to the last page of the letter again: "Professor, I strongly urge you to carefully read the latest issue of German Medicine in September, which contains two papers by Mr. Huntelaar that I think will have a great impact on foreign science!" At the same time, I strongly recommend that you come to Berlin in October and look forward to your meeting with Mr. Huntelaar ......" (to be continued......