Chapter 22 The more you open, the better

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"Do you think they'll come back?"

Looking at the Millers who were fading away, Thomas, who was standing next to John, asked with some concern.

"I think I'll be back."

After a moment's hesitation, John said with some uncertainty.

John didn't have much confidence in whether Mr. Miller would come back to Charlotte Hospital and let the surgeons go under his knife, even if he showed the other party so many things, including the regrettable endings of more than a hundred patients with acute abdomen, including the bad results of so many animals, and even showing off a few of his papers, John still didn't have much confidence.

The limitations of the times are simply too great.

After examining Mr. Miller's abdomen in the morning, such as looking, touching, percussion, and listening, Thomas was quite glad in his heart, because Mr. Miller's signs were so consistent with the typical signs of acute appendicitis that John studied that they were almost perfectly reproduced! This gave Thomas so much confidence that he and John spent an afternoon explaining to the couple in an attempt to persuade each other to undergo the final surgery.

But unfortunately, in the end, the other party did not agree. Under the threat of the ultra-high mortality rate of abdominal surgery in the past, no matter how attractive John and Thomas said, it could not make him make up his mind to operate.

But......

"If you wait for it to get worse, I'm afraid it's really hard to say."

Sighing softly, John said with a wry smile.

As things stand, Mr. Miller's condition is not particularly bad, at least with Yapian's help, he can walk to Charlotte Hospital on his own. And it seems that the spirit is okay, that is, the condition is still in a tolerable stage. However, John's physical examination also showed that Mr. Miller's condition had deteriorated, showing mild rebound tenderness and signs of abdominal muscle tension. This is a defensive response to inflammation of the parietal peritoneum, suggesting that appendicitis is already worsening, and it is likely that there has been suppuration or perforation. If surgery is not done in time......

Even John, I'm afraid, wasn't much sure.

The effect of surgery is to remove the source of the infection, but fighting infection is another important factor, and without antibiotics, if Mr. Miller's condition deteriorates, John is not sure that he will be able to save the person.

After studying for so long, Thomas certainly understood this, so after a moment of silence, he also shook his head helplessly and smiled bitterly: "Okay John, this is no longer something we can decide, let's go." Professor Bergman is waiting for us! ā€

"What is he waiting for us to do?"

Thinking about the Millers who were still leaving, John asked casually.

"Of course, I'm waiting for you to explain the sphygmomanometer and animal reality."

Rolling his eyes, Thomas said angrily: "We have never told Professor Bergman about these things we do, people are dissatisfied on the one hand, and more importantly, I am afraid that we are already very curious at this time, waiting for us to explain!" ā€

"Oh, okay."

John suddenly remembered this and nodded helplessly.

But as soon as he took two steps out, John remembered another thing. Turning his head and asking, "Thomas, have you arranged to pick up people at the train station tomorrow?" ā€

Telegram received yesterday. The editor of The Lancet and the two physicians sent by Liszt to learn the new sterilization and aseptic technique will arrive at the Berlin train station tomorrow morning, and Bergmann, as the host, will naturally send someone to greet them. However, the professor of surgery handed over the matter to the real master, John, who naturally handed it over to his assistants.

"It's been arranged for Robert, don't worry."

Smiling, Thomas then said with some suspicion, "If Mr. Miller agrees to the operation, they will come at the right time...... Speaking of which. John, you can't have timed them to get to where they are now, are you? ā€

"Of course not!"

John rolled his eyes and said with a wry smile.

The little editor of The Lancet, who had just met, was indeed a little impatient, and Liszt also wrote two letters to him, saying that he wanted to send someone to study. But John refused, and only wrote to Thomas near the end of their training to allow them to come. The main reason is naturally the reluctance to be distracted, and as for the current time, it is just luck.

"I hope Mr. Miller can think it through."

Thomas blinked and said expectantly, "In this case, we will have the best witnesses for our results......

……

After leaving John's place, the Millers did not go straight home, but quietly returned to Charlotte Hospital after wandering around.

Of course, they didn't come back to John.

The two of them easily found the office of Mr. Wolfgang, a professor of internal medicine, and after much hesitation, they finally went up and knocked on the door.

"Please come in!"

Their familiar voices rang out from inside the room, and Mr. Miller pushed open the door and entered: "Good afternoon, Professor Wolfgang! ā€

"Good afternoon...... Hey? Is that you? ā€

After meeting the Millers, the professor of internal medicine was visibly surprised.

After Mrs. Miller closed the door, Mr. Miller said with a worried face: "Professor Wolfgang, we have just come out of the office of Mr. Huntelaar, the surgeon you recommended, but there are some things that need your opinion, I don't know if it is okay?" ā€

"Of course, you two may be seated."

Hearing Mr. Miller's words, Professor Wolfgang was immediately interested, and immediately invited the two to sit down.

Professor Wolfgang was undoubtedly very interested in Johann Huntelaar, a young man who had just come out of nowhere. On the one hand, it is naturally because of his in-depth understanding of the pain in the right lower quadrant, and more importantly, on the other hand, because of the so many papers published in one go in the first half of this year.

Although Wolfgang is a professor of internal medicine, he was also amazed after reading the papers.

Surgical sterilization and anesthesia aside, professors of internal medicine only know that they are very important for surgery, and few specific studies have been studied, but the abdominal impingement method and the theory of human blood group have opened his eyes. Especially the ABO blood group theory. Professor Wolfgang went to the physiology laboratory for this purpose, and after receiving the confirmation, he really admired the young man's creativity and observation. So after reading John's writings, he finally agreed to Professor Bergman's request and introduced the Millers to the past.

Now seeing the Millers who came back from John, Wolfgang naturally paused with curiosity in his heart, nodded and smiled: "Mr. Miller." Don't know what you have to say? ā€

"I want to ask, is there really a lot of people who die because of my disease?"

Gritting his teeth, Mr. Miller asked directly and unceremoniously.

"This ......"

Professor Wolfgang's eyes sank, and he hesitated for a moment. As a professor of internal medicine, he certainly has some research on acute abdomen, and he knows how bad the follow-up situation of these patients is, but he will not tell patients directly in most cases.

However, Wolfgang's hesitation made the hearts of the Millers sink suddenly.

There is no need to wait for the other party's answer, just look at the expressions of the two of them have already understood, I am afraid that their disease is really as Mr. Huntelaar said. The future is dark......

"What did Mr. Huntelaar give you?"

After a moment of silence, Wolfgang did not answer their questions, but instead asked about John's diagnosis.

"He built yƬ and we did the surgery!"

At this time, Mr. Miller was already flustered, but Mrs. Miller stared at a pair of eyes, and asked in a trembling voice: "Mr. Wolfgang, do you think we should accept this proposal?" ā€

"This ......"

Hearing this, Professor Wolfgang fell silent again.

To tell the truth, Professor Wolfgang was also very conflicted at this time. Judging from his decades of medical experience. He must not be willing to do any surgery for his own patient, after all, it is to open the abdominal cavity. How many patients who have opened their abdominal cavity in the past 100 years have survived? But on the other hand, the progress of surgery in recent decades has been very obvious, and he really wants this Mr. Miller to give it a try!

The most important point is that Professor Wolfgang is more optimistic about Johann Huntelaar.

That's an amazing young man!

It's only been a month or two since I got my Ph.D., but I've already published so many heavyweight papers, and most of them are groundbreaking research. This could not but be admired by Wolfgang, who was also a physician. And I heard that since the implementation of his disinfection norms on the surgical side, the infection rate of patients has been greatly reduced, which also fully shows the talent of that kid in the field of surgery!

Add to that the study of pain in the right lower quadrant......

After a long silence, Professor Wolfgang smiled wryly and nodded, "Mr. Miller, there is one thing I think Mr. Huntelaar is not wrong. In the case of yours, most patients end up regrettably, maybe quickly, maybe it will drag on for a long time, but sorry, we internal medicine doctors really don't have a good way to relieve your pain for the time being......"

Although it was very helpless, Professor Wolfgang chose to tell the truth at this time.

"Bang dang!"

Mrs. Miller's hand slipped, and the bag in her hand fell to the ground.

"Sizzle......"

After taking a deep breath, Mr. Miller asked in a trembling voice, "Professor Wolfgang, what do you mean...... Should I have this surgery? ā€

After a long silence again, Professor Wolfgang sighed softly: "Mr. Miller, the final decision is still up to you, and the only advice I can give you is that if you finally choose to go for surgery, then my proposal is as soon as possible, the ......better" (My novel "Doctor 1879" will have more fresh content on the official WeChat platform, and there will also be a 100% lottery gift for everyone!) Open WeChat now, click on the "+" sign in the upper right corner to "add friends", search for the official account "qdread" and follow, hurry up! (To be continued......)