In the 21st century, although it is not said that doctors will do surgery when they say they will do it, most of the time, patients will basically obey their opinions. Whether the surgeons want to open their abdomen, chest, or head, they basically lie down on the operating table and let them toss around.

Of course, the premise is that patients have enough trust in the surgeons.

Therefore, when people's financial capacity is enough to support a certain level of medical expenditure, as long as the diagnosis requires a relatively large operation, patients in rural areas will run to the city, patients in small cities will run to big cities, and patients in big cities will run to Beijing, Shanghai and Guangzhou, and even patients in first-tier cities will try their best to run to the best hospitals, because they have a higher trust in the doctors there. This is the authority of modern medicine after hundreds of years of rapid development.

But in Berlin at the end of the 19th century, John had to deal with a different situation.

In this era, the progress of modern medicine has just begun, and due to historical reasons, the image of the general image of the surgeon butcher has been deeply rooted in the hearts of the people, and the slightly larger surgical mortality rate is also high, and people's dislike of surgeons is taken for granted. In this case, except for ordinary trauma, amputation or diagnosed tumors, only when the condition is so severe that it cannot be done, the patient may choose a surgeon to give it a go.

Abdominal surgery is one of the absolute contraindications.

To give an inappropriate example, it is like going to the hospital in the future, after the doctor has done an examination, after considering the progress of the disease, the patient's physical condition, the prognosis of treatment, and other factors, he has no choice but to say to the patient: "Why don't you go to another hospital, or see Chinese medicine or something......

This was basically the case with patients in the 19th century who went to see surgeons.

"We have to adjust our strategy!"

So even if the others are a little impatient. John still did not immediately come forward to examine Mr. Miller, but frowned and pondered.

Mr. Miller came to John under Professor Wolfgang's office, and there were many human factors involved, and his condition was far from critical, so if John had waited for a later examination, he would have roughly judged that he was suffering from acute appendicitis. If you directly ask the other party to have surgery, you can imagine what kind of response it will be......

"John, what are you waiting for?"

Seeing that John was just pondering and not moving, Thomas suddenly felt a little strange, and stepped forward to him and asked in a low voice.

"Well, please wait a moment!"

John raised his eyebrows and said with a slightly apologetic smile.

Under the puzzled gaze of everyone, John opened the door of his bookcase, took out a thick stack of texts from it, and placed it on the table.

After seeing this stack of texts, Thomas was amazed. hurriedly stepped forward and said urgently: "John, why did you suddenly take out these things when you didn't go to examine the patient?!" ”

This stack of texts is familiar to Thomas, and it is their research report on right lower quadrant pain!

Professor Bergman, who was waiting patiently, couldn't help but be stunned at this time, of course he had read John's report, and had studied it carefully, and knew that it was very valuable at least theoretically, and what was lacking at present was only practical verification. So after careful consideration. Bergman agreed to John's request and went to Professor Wolfgang to coordinate the patient's affairs. But......

What is John doing with taking it out now?!

"Mr. Miller!"

While the others were puzzled, John walked to the bedside and smiled at the patient and said, "Before I examine you, there are some things I want to be able to explain to you in advance!" ”

"What's the matter?"

Although he was a little impatient to wait, Miller's curiosity was at its peak. In his opinion, this Mr. Huntelaar was too strange, though too young. However, both Professor Wolfgang and the Professor Bergman next to him seemed to attach great importance to him, but when he saw a doctor, he was verbose and long-winded, and it took more than half an hour to ask about his condition......

"About the diagnosis of your disease!"

John turned his head, pointed to the thick stack of materials on the table, and whispered, "Mr. Miller, I told you before. We have been studying the symptoms of right lower quadrant pain for a long time, and we have accumulated experience with nearly 200 cases, so we can say that we have a deep understanding! If you and your wife want to check it out, you can take a look at the thick stack of materials first! ”

In the last two or three months, John and Thomas have not relaxed the collection and collation of relevant cases, increasing the total number of cases to nearly two hundred, and dissecting four more corpses, so they have enough confidence to speak at this time.

"This ......"

Now it was not only Mr. Miller himself, but Mrs. Miller and Thomas were stunned when they heard John's words.

Everyone is confused!

Professor Bergman, who was only on the side, was slightly stunned at first, and then as if he had suddenly thought of something, a trace of surprise flashed in his eyes, and then, after a short thought, his gaze at John gradually began to appreciate!

Just when Mr. Miller was a little overwhelmed for a while, John then said softly: "Don't get me wrong, Mr. Miller, the reason why I said what I just said just now is just to let you know one thing, that is, the next examination I will do for you is very important, it can determine which disease may be the cause of your stomach pain in a certain way......"

"I don't understand what you mean, Mr. Huntelaar!"

Mrs. Miller also stepped forward at this moment and asked in surprise, "Do you mean that my husband's stomach ache is not a disease, but is caused by something else?" ”

Nodding with a smile, John said seriously: "Yes madam, maybe Professor Wolfgang didn't explain it to you clearly, our physical discomfort is just a symptom, not the disease itself, which means that your stomach ache must be caused by some kind of disease!" The purpose of our examination is to find out what kind of disease is causing the stomach pain......"

Diseases and symptoms are not a concept in themselves, just like the common cold. Fever, runny nose and other symptoms are just symptoms, and the real cause is a bacterial or viral infection.

After listening to John's explanation, the Millers immediately looked at each other.

Many people in later generations don't quite understand this, let alone ordinary people now. Professor Wolfgang really didn't explain these things to them, and in fact the other young physician who saw them for the first time didn't explain them. It was only now that they had heard this concept, which was relatively new to them, from John's mouth.

Subconsciously, the Millers looked at John with a change in their eyes.

Originally, they came to surgery because of the influence of Professor Wolfgang, and after meeting John, they instinctively distrusted, partly because of his status as a surgeon, and partly because of his age. But now, listening to John's patient and meticulous explanations, and looking at the thick stack of materials, a trace of trust quietly took root in their hearts.

Someone who can write such a thick stack of things must be a capable person, right?

He swallowed hard and foamed. Mr. Miller asked cautiously, "Mr. Huntelaar, what do you mean, Mr. Wolfgang didn't actually find the cause of my stomachache?" But he gave me a yapian...... It works! ”

"This ......"

After hearing Mr. Miller's question, it was John's turn to be stunned this time.

According to the facts, in fact, there is not much market for smoking yapian in Europe, and it is mainly used in the medical field. From the point of view of later generations, John could have lashed out at Yapian's damn poison, but it didn't fit in with the current mainstream concept. Second, there really isn't any effective analgesic at the moment, and things like kekayin are more dangerous. Thirdly, if he said it directly, he would inevitably offend Professor Wolfgang, so how could he expect others to introduce patients to him in the future?

Therefore, Thomas and Bergman, who understood John's point of view, also frowned at this time.

However, after only a few seconds of hesitation, John shook his head and said calmly, "Mr. Miller, in fact, Yapian can only relieve your pain for a short time at most, that is. At best, it treats symptoms, not diseases. And as far as I'm concerned, I don't recommend using this kind of thing, and the disadvantages it will probably outweigh the benefits for a short period of time......"

Although John needs the support of Professor Wolfgang now, he is a traverser. If you're even afraid of this, it's too embarrassing! And in terms of John's contributions in the field of surgical sterilization and local anesthesia, he has already laid a solid foundation for himself, and there may be a little obstacle after offending the other party, but it is nothing more than spending more time.

If he is afraid now, what will he do in the future when he goes to war with the entire medical community?

However, John's words caused great distress to the Millers, and Mr. Miller glared and asked, "How is this possible?!" Isn't it being used by many physicians now......"

"Alright John, let's start checking."

At this time, Professor Bergman, who was next to him, finally couldn't help but interject.

In order to relieve the pain of patients after surgery, the Department of Surgery at Charlotte Hospital also used Yapian frequently, so Bergman was also a little unhappy after listening to John's words. However, he also understood that these were arguments of personal opinion, and there was no need to think about it, so he simply urged John to check it out immediately.

"Okay."

After taking a deep breath, John nodded helplessly.

He may not be able to change this situation at all until there is a suitable replacement, and it is useless to talk too much, so it is better to focus on waiting for a physical examination.

Thinking of this, John couldn't care about Mr. Miller's doubts, he thought about it for a while and then said in a deep voice: "Mr. Miller, Mrs. Miller, what I am going to say next is very important, and may play a key role in your next choice, so I hope you must listen carefully and listen patiently to the ......" (to be continued......