Truth be told, John really wanted to start seeing patients right away.

He even wondered countless times that he already had local anesthetics, high-pressure steam disinfection, disinfectants such as iodine tincture and alcohol, and now that he had surgical instruments at his disposal, and he also had more than 100 years of surgical knowledge beyond the times compared to other surgeons, wasn't it enough?

Inadequate!

John himself knew in his heart that this was not enough!

In fact, John is not a perfectionist, he has also considered doing the surgery first, and then slowly training the three people around him, spending a year or two to perfect all the techniques. This way, you can start early and save yourself time; Second, it can also avoid taking out too many things at once, which is not natural enough.

But after much thought, John rejected the idea.

The conditions of this era were so bad that the absence of antibiotics was John's biggest difficulty!

The importance of antibiotics to prevent infection is self-evident for any operation, and given the current situation, John has not been able to produce enough antibiotics in a short period of time.

Don't think that penicillin or something is easy to produce, the relevant plots in the web novel are grabbed a lot, in fact, after Fleming discovered penicillin, the British and Americans spent a huge price to find a way to mass produce it! For the time being, John could only say that it might have been developed in the real room, but with the state of the art in 1885, mass production would have been difficult to do.

What's the point of inventing it if it can't be widely used?

So John didn't think about developing any penicillin right away, but put it back for a while, and when he had enough foundation in the future, he first "discovered" it in the real room. Then invest large-scale manpower and financial resources to study the method of mass production, that is the right way to solve the problem.

Therefore, under the premise of lack of antibiotics, John can only try to avoid the occurrence of infection through other aspects, and one of the more important points is that he and his doctors must standardize their operations!

Any step before and after surgery may lead to the occurrence of zhì infection.

For example, in Thomas's opinion, he has mastered the basic techniques of surgery perfectly. Compared to Professor Bergman, he was only lacking in the more difficult surgeries, but John knew very well that he was far behind!

Even Professor Bergman himself is too far behind!

In other words, it should be that the foreign science and technology of this era are too far behind, and it is not the accurate science of later generations at all, but a pure empirical technology!

In the era when disinfection technology has not been completely popularized, surgeons still have too many non-standard operations, such as the technique and sequence of disinfection. For example, the specification of the surgical field towel, the posture and transposition of the elbow of the physicians during surgery, and of course, the way of receiving the surgical instruments that John just mentioned.

These are the most basic things.

In addition, there are too many things that John needs to train them, such as the methods and precautions for the use of local anesthetics, the selection and treatment of surgical incisions, the treatment of blood vessels during the operation, and the suturing of the postoperative incisions, etc., and it is not even a month to complete them!

So John had to stick to his thoughts.

He could not allow it because his preparations were not in place. and thus pose a threat to the patient, so before starting to receive the patient. In addition to all the preparations, Thomas and the other three must undergo his rigorous training, even if they complain about it......

After receiving Thomas's temporary understanding, John got busy the next day.

The most urgent task is, of course, the renovation of operating rooms and patient rooms.

The renovation of the operating room is actually relatively simple, and in terms of the conditions of Charlotte Hospital and the current technology, the laminar flow operating room or something is delusional. All John had to do was have the workers re-tile the floors, repaint the walls, and then customize an operating table and two instrument tables to install the necessary lights for the operating room......

The key is to facilitate the disinfection of the operating room!

As for the ward, it is a little more complicated, except for the redecoration. Despite Thomas's objections, John also widened the distance between the beds considerably, reducing the maximum capacity of a ward to the level of four people in one fell swoop! In addition, John began to customize a full set of daily necessities for his two wards, including brand new bedding, bed sheets, pillows, etc., and of course, hired a special cleaning and sanitation staff......

All expenses are paid by Charlotte Hospital.

After agreeing to John's request, Bergman's attitude took a 180-degree turn, giving him unreserved support. Perhaps because of the four papers, or perhaps because Bergman himself wanted to see the effect of John's measures, he met with little resistance when he presided over these things, and soon began to implement them in an orderly and comprehensive manner......

……

The time entered July 1885.

While John was busy renovating the operating room and the hospital room, and training the three Thomas, the June issue of The Lancet finally reached many readers, and the impact of John's four papers began to ferment.

In this era, the influence of The Lancet is still quite large.

Although the level of medicine in the UK is not the highest, it has managed to establish itself over the past few decades and is impressive in many ways. For example, Liszt's disinfection theory, such as the world's first "Food and Drug Sales Act" ten years ago, and the strong criticism of the British workhouse hospital more than ten years ago, etc., have made many doctors recognize the "Lancet" very highly.

So, although the Lancet is not very subscribed to a large number of journals on the whole, and may be slightly inferior in terms of academic influence to many German journals, it has also quietly entered many countries.

However, due to the poor traffic conditions, everyone can see it early and late.

Readers in the UK are okay and can get the magazine within a week or two of its publication, but doctors on the continent are much more late, and in the big cities it is common to wait two to four weeks. In slightly more remote places, you will have to wait more than a month! As for the Americans on the other side of the ocean, I'm sorry, two months is also a common thing.

In the new issue of The Lancet, there is no doubt that one name catches everyone's eye!

More than half of the entire issue of the magazine was occupied by this German physician named Johann Huntelaar, who published four papers in one go! Moreover, these four papers cover four aspects: surgical sterilization, lumbar puncture, two local anesthetics, and neuraxial anesthesia. It is even more surprising that this Mr. Huntelaar has a wide range of research directions!

The most eye-catching is undoubtedly surgical disinfection and local anesthesia.

From 1879, when John returned to New York, to 1885, six years have made the concept of surgical sterilization more widely spread, and as more and more physicians in Europe return to the United States, many surgeons in the New World have also paid attention to surgical sterilization. The advent of local anesthetics and the development of neuraxial anesthesia will undoubtedly open a new door for surgeons!

Therefore, it is conceivable how much impact this issue of The Lancet will have.

In this day and age, there is spare money to subscribe to medical journals. Basically, they are relatively good surgeons, or surgeons from some big hospitals, because after seeing them, they immediately discovered the value of the four papers, but because the preparation methods of procaine and lidocaine are not written in detail in the text, everyone cannot verify them, and the specific measures of the disinfection method are only text descriptions and simple sketch pictures, which are not intuitive enough, so many people have moved the idea of going to Berlin or sending people to Berlin. For example, Liszt in London, Biertro in Vienna and other bigwigs......

And in the other group. This "Lancet" also caused quite a stir.

For example, in the editorial department of the journal "German Medicine", the editor-in-chief, Mr. Byrne, after reading the entire issue of the journal, was furious, and called the editor Hines into the office and scolded him wildly!

Hines, who was dizzy from being scolded, finally waited for Bourne to stop, and immediately asked with a bitter face: "Mr. Bourne, you have scolded me for so long, you should let me know the reason, right?" ”

"The reason? Damn it! You're still asking me why? ”

After listening to Hines's words. Byrne slammed the "Lancet" that he had just gotten not long ago in front of Hines, and said viciously: "Look at it, find out the reason in this magazine!" ”

"The British Lancet?"

Hines was slightly stunned, and immediately picked up the magazine and flipped through it.

As one of the best medical journals in Germany, it is only natural that German Medicine also has to pay attention to the situation of its competitors. So he asked a doctor in Berlin to order a copy of The Lancet, but Hines couldn't figure out why Mr. Byrne scolded himself for a British magazine.

Turning the first page of the magazine, Hines quickly immersed himself.

"Did you find the reason?"

A few minutes later, Byrne's cold voice reached Hines again.

"Uh......"

Open your mouth, Hines really didn't come up with it. There are a few papers in this issue of The Lancet that are really interesting, and although I didn't look closely, out of the intuition of an editor, Hines saw the great value of those papers just from the title and the introduction!

But......

What does this really have to do with him?

Seeing Hines with an innocent look, the anger in Bourne's heart rose again, snatched the magazine in his hand, pointed to the text on the table of contents, and shouted: "Don't read the content of the paper, I'm asking you to read the author!" Damn, show me, you show me the name on it! ”

Name?

Hines hurriedly cast his gaze again, and at this glance, it was as if he had been struck by lightning, and his whole body froze!

"This ...... How is this possible?! ”

Seeing that familiar name appear four times in succession on the catalog, Hines couldn't suppress the horror in his heart at all, and shouted loudly.

John Huntelaar!

The little guy who innovated surgical sterilization technology with Professor Bergman and independently published a paper on abdominal impingement?

"How is this possible?!"

When he flipped through the pages of a paper and saw that it was indeed Johann Huntelaar of the University of Berlin, Hines looked stunned.

"See why I'm scolding you?"

Looking at his subordinates' stunned appearance, Byrne felt that his head hurt, he snorted coldly and said angrily: "You are responsible for Professor Bergman's paper, and Mr. Huntelaar's later paper on the abdominal impact method is also responsible for you, but now he has published four papers in The Lancet in one go, and they are all such heavyweight papers, I don't scold you for scolding anyone?!" ”

Hines was completely speechless.

The core of a medical journal is the author, especially the good author, so one of the editors' job is to build a good relationship with them and get them to submit all their papers first. A situation like John, who submitted his paper to the British, even though he was in Berlin, was a disgrace to the magazine and a dereliction of duty to Hines!

Hines had no excuses.

Can he say that it is because he thinks that the other party is young and thinks that the first two papers are not promoted by Bergman?

Glaring at Hines with hatred, Byrne said in a deep voice: "Hines, I don't care what method you use, no matter how much effort you expend, in short, you must win over this Mr. Huntelaar!" If he still submits his paper to The Lancet in the future, it will be a disgrace that our German Medicine cannot erase......" (to be continued......