After spending three full days and looking through European medical journals in the last two years, John was helpless to find that lumbar piercing really hadn't appeared in this world. That is to say, before he can perform neuraxial anesthesia, he must first propose the concept of lumbar puncture and complete the preliminary practice!

After a brief list of the tasks he had to accomplish by April, even John couldn't help but smile wryly.

There was so much work to be done to prepare that John was skeptical that he would be able to have a showdown with Professor Bergman in early April.

But John could only grit his teeth and go on.

As his initial study in clinical surgery, and the one that built his reputation in the field of surgery, John would never allow failure and demanded perfection......

To put it bluntly, he wants to make himself a blockbuster!

Of the three articles he has just published, autoclave sterilization is undoubtedly the most influential, and will soon be widespread throughout Europe, but much of the credit goes to professors of surgery at the University of Berlin. If it weren't for Bergman's prestige, it remains to be said how many people would have been convinced of John's article. However, because John originally intended to return it to the real owner, Professor Bergman, since the benefits he received as the second author were not great, he did not feel any regrets. And essentially, the important impact of autoclave disinfection is that it will continue to be used for more than 100 years, and for now, it is just a new disinfection method without a pungent odor, successfully replacing stone carbonic acid.

As for the other abdominal impingement method, although it is practical, it can only deal with emergencies and does not belong to the routine technique of doctors, so the impact also needs a long time to be seen.

Only the ABO blood group system is the new theory that John really has expectations.

But alas. The backward medical level and communication technology of this era have restricted the promotion and acceptance of new theories, and while being supported by some people, they have even attracted criticism and abuse from many professionals for John, so before clinical blood transfusion and other technologies really mature, John's blood group theory is destined to only spread among a small number of physiologists and physicians, and it will take at least ten years for the influence to be reflected.

Such a result. It can be said that it was a little unexpected by John.

So, after some serious reflection, John generally understood something. In this special era, for the time being, what he needs is not a theoretical achievement that is too advanced like the blood group system, because if there is no mature blood transfusion system, its influence will be reduced to the minimum, what he needs is an achievement that can be used immediately and has immediate results!

Being able to cure diseases is the real skill!

Robert? The fundamental reason for Koch's fame is that he discovered the existence of tuberculosis bacilli, which gave people hope for a cure for tuberculosis. Because in this era, tuberculosis is a huge cloud that really hangs over people's heads, and the mortality rate is far from being imaginable by future generations.

That's why John is very focused on the appendicitis surgery that is scheduled to begin in April. Whether it is using his own perfect version of disinfection technology, or using new anesthesia technology, or even theoretical preparation before surgery, John must do his best! Only in this way can John make his partners, Bergman, and all the surgeons who can see his results understand one thing: that his success is not based on luck, but on real strength!

Of course. John also had this confidence, in addition to those systematic knowledge that he had learned at the university and graduate levels in his previous life. He also had a rigorous residency training, and it would be a joke to say that he had no confidence in following the department director who was also the number one person in the country for so many years.

In fact, he has even greater ambitions!

If it were just to put theories about acute appendicitis and related surgeries out, John wouldn't have spent so much time or thought about it. It is enough to do a few successful surgeries, and it is enough to bring up the tenderness and the McSs order, something that is very easy to verify in clinical practice can quickly pay off for him. But this was far from the outcome John wanted, or rather, he wanted much more than these things!

First of all. He wants to establish a real surgical sterilization standard for surgeons!

Autoclave sterilization was already in use, but in John's opinion, it was far from sufficient. Even in later hospitals, the chance of postoperative appendicitis infection is still more than 2%, and it would have been far more than 100 years ago! It was impossible for John to avoid the infection, so he had to be well prepared in the absence of antibiotics, even if Professor Bergman did not accept his suggestions, but in the case that he could call the shots, John had to set up the whole system.

It may seem simple to say, but John knows it won't be easy if he actually does it. The disinfection technology and infection control routines in later hospitals were developed after hundreds of years of exploration, involving all aspects of wards, operating rooms, logistics, etc., and a lot of work was actually done by nurses and other personnel, even as a qualified surgeon John could not understand everything, he could only do his best to perfect it.

Secondly, John wants to take this opportunity to usher in a new era of anesthesia.

In this era, almost all anesthesia methods were inhaled general anesthesia, and laughing gas and B mi were the main forces in surgery. KKY, a potential drug for local anesthesia, has just begun to be studied, and the concept of local anesthesia will emerge in the coming years. One of John's plans was to move the process forward quickly, and it was intended that in the near future, anesthesia would no longer be the task of surgeons, but the job of full-time anesthesiologists.

Of course, more important is the surgery itself.

For the work of the surgeon, the surgical process is of course the most important, but there are many other tasks to be done, such as regulating the patient's body fluids and acid-base imbalance, perioperative treatment, nutritional support, postoperative care, etc., is a complete system, John does not expect to be able to establish this system all at once, but little by little to improve it, perfect it, but he can do it.

So when it comes to his first clinical study, John gives the highest importance!

As long as he succeeds in overcoming acute appendicitis, which is a problem in the eyes of ordinary people and physicians, John will gain great prestige and bring endless benefits to himself: his other achievements will receive more attention and recognition, his research and work will receive more support and help, and even in the Department of Surgery at Charlotte Hospital, his status will quickly catch up with Mr. Bergman, a professor of surgery, and he will not have to go through his consent to do everything now, and he will really have the power to make a decision......

These were all things John desperately wanted to get.

And on the other hand, John is now surrounded by Thomas, Paul and Robert, three high-achieving students who have graduated or are about to graduate from the University of Berlin Medical School, the best of the times, and many more if you take into account his friends Peake and Luther. John has high expectations for them, and he expects them to join the hospital and medical school he founded in the future, at least in the future.

For these people, the best way to attract them is to show great strength.

This is an era of scientific and technological explosion, but in the same way, this is also an era of relative lack of talents, after all, scientists are a very small minority in the society, and in the case of relatively scarce resources, there will be a phenomenon of gathering more outstanding talents around an excellent scientist. Like Robert? Like Koch, he was surrounded by many top bacteriologists such as Behring, Ehrlich, and Kitasato Shiba Sanro.

This is the sorrow of the times, but also the great fortune of the times.

Therefore, it is important for John to attract more talented people after having great prestige. In any case, he is only one person, and it is impossible to do all the work in the evidence-oriented discipline of medicine, and there must be enough and good enough helpers. With enough funds and talents, coupled with John's vision and knowledge beyond the times, John may even launch many research results in the next hundred years in the next two or three decades!

So......

"Let's do it!"

After a long flickering on his face, John gritted his teeth fiercely and made up his mind: "At most, it will be a few months of hard work, hard work, and when the reputation and prestige are known, then you can hand over the work to others to do, and you can sit and wait for the benefits to fall......" (To be continued......