In the blink of an eye, it's weekend again.

John had planned to go to the Brister house and send Anna the newly published German Medicine, on the one hand, to fulfill the promise he had promised her last time, and on the other hand, he also wanted to meet the beautiful girl so that he could add a little color to his life. But Thomas's decision discouraged him from that idea, and instead decided to invite him to his home again to talk about the next step in their cooperation.

The matter of going to see Miss Brister will be left for next weekend.

So early in the morning of the weekend, at breakfast, John smiled at the butler, "Mr. Elber, I have a friend coming today...... I am a very important friend, and I hope that the lunch can be as rich as possible! ”

"As you wish, sir!"

Hans bowed slightly, smiled and agreed.

Old Huntelaar had just left, and although it was a little regrettable that he could not go back with him, the increased salary was enough to make Hans feel good, and all this time he was smiling every day, preparing a good lunch or something, which was just a trivial matter.

After breakfast, when Hans had gone to work, Johann sat down on the sofa and fell into deep thought.

With the addition of Thomas, his work will undoubtedly be much easier, but how to do it may still require him to think carefully. Don't think that John is a surgeon who has traveled back in time, then doing an ordinary appendectomy is a very simple thing, and he still has a lot of work to prepare.

First and foremost, of course, it is necessary to collect sufficient case data.

Blindly going for surgery is certainly not feasible. John had to convince people why he had surgery and why he wanted to do it! Appendectomy has been around for a long time, but surgeons don't have an accurate understanding of it, and John must collect as much information as possible about the cases of patients with acute appendicitis, preferably in direct contact with them, and gather enough evidence to support his behavior.

John wanted to establish a correct concept for the doctors around him from the beginning!

And under the current conditions, the difficulty of John to complete one of these operations is actually not small, at least not less difficult than when he was in charge of the first operation!

The key is still the three major problems he talked about a long time ago.

The problem of blood transfusion is no longer to be considered for the time being, not to mention that John has revealed the mystery of blood type. With adequate preparation, the risk of blood transfusion can definitely be reduced to a very low level. Let's just say that with his level as an attending physician of general surgery in a tertiary hospital in later generations, if he needs a blood transfusion for appendectomy, it is better to find a piece of tofu and die head-on.

The biggest challenge lies in disinfection and anesthesia.

Although after the use of high-pressure steam sterilization by John Jianyì, the sterilization technology of the Department of Surgery at Charlotte Hospital is undoubtedly at the forefront of the world in this era. But John, who is accustomed to strict disinfection techniques, is far from enough. There is no sterile operating room. Hand coats that have not been sterilized. There was not a single room with good hygiene and ventilation, and the antibiotics routinely administered after surgery were now at least forty years away from being discovered by Fleming!

Under such conditions, it is really difficult for John to ensure that the patient does not develop postoperative infection!

As his first shot in the field of surgery. Since he was going to use appendectomy as a starting point, John naturally had no room for error, and if he wanted to ensure the success of the operation without any problems, he had to be completely prepared! For this reason, John had already thought that even if Bergman did not adopt his measures because of the cost, in order to ensure that his surgical head was fired, he had to make some blood himself......

As for the problem of anesthesia, it was even more of a headache for John.

The anesthetics of this era are only the earliest drugs such as laughing gas, chlorine f and B m, and chlorine f and B m have long been used in later generations, although laughing gas is still used, John has little contact with it, and has only seen it a few times when he was studying in the outer courtyard, and he is very unfamiliar. In addition, later generations of physicians have long been highly specialized, except for some minor surgeries such as lipoma and circumcision, which are performed by surgeons themselves to do local anesthesia, most of the surgical anesthesia is done by anesthesiologists, and as one of the most risky specialists in the hospital, the importance of anesthesia is far beyond the imagination of doctors in this era!

Sincerity is not such a simple thing.

Circulation and breathing are inhibited when a patient is under anesthesia, so anesthesiologists are often referred to as one of the most at-risk specialists. If John wants to ensure the absolute safety of the operation, he must prepare in advance, at least study the anesthetic effect and dosage of laughing gas, refer to the literature of this era and search the memory in his mind.

Or......

"Why don't you get the local anesthetic out?"

Sitting on the couch, John thought about it seriously.

In later periods, abdominal surgeries such as appendectomy, whether it was spinal anesthesia, combined spinal-epidural or epidural anesthesia, all required the use of local anesthetics, and the patient was awake at the time of the operation, but did not feel pain.

John is much more familiar with these anesthetic methods!

"Think about it!"

Soon, John made up his mind.

In the history of anesthesia, the emergence of local anesthetics can be said to be a revolution, on the one hand, they provide surgeons with a safer and more effective way of anesthesia, and on the other hand, the depth and time of anesthesia have gradually become controllable. It can be said that the emergence of local anesthetic drugs has greatly promoted the progress of surgery and has extremely important significance.

And it was not difficult for John to make a local anesthetic.

If John wanted to, she could even use one of the earliest local anesthetics, which is now readily available, but that thing was too toxic, and besides, it wasn't too difficult to prepare procaine, but now we had to consider whether we needed it......

"Boom! Boom! ”

Just as John closed his eyes in contemplation, there were two dull noises at the door.

With the sound of Hans the butler opening the door and talking to people. John put aside his thoughts for a moment and immediately stood up. He's already heard Thomas? Hunter's voice, but there was something strange in his heart that it seemed that Thomas was not alone, there seemed to be two or three other people.

"Did Thomas bring a friend with him?"

Speculating in his mind, John frowned.

Today he invited Thomas to come to the house as a guest, in addition to the relationship between Lala, the most important thing is to discuss the division of labor and arrangement of the cooperation between the two later, which can be said to be a very strict thing, but Thomas seems to regard his invitation as his usual leisure, which naturally makes John a little unhappy.

"Hi. John. Good morning! ”

"Good morning, Thomas."

When Thomas entered the house, John had already changed his smile and greeted him warmly. But when he saw the two young men following behind Thomas. A hint of surprise suddenly flashed in his eyes: "Paul? Robert? Why are you two here too? ”

"I'm sorry. John! ”

Don't wait for the two to respond. Thomas had already smiled and said, "I told them about it, and they were also very interested, so they came with me...... I think the more people there are, the better. May I? ”

"Absolutely!"

After listening to Thomas's explanation, John not only dissipated his displeasure just now, but his heart was instantly overjoyed!

Paul? Zach, Robert? Prince, the two people who came, John knew each other. Both of them are also students at the University of Berlin Medical School, and one of them is an international student from the United States and the other is an international student from Canada.

But......

After the surprise, John asked a little puzzled, "Paul, Robert, aren't you two still studying in school?" ”

"Does it matter?"

Paul laughed and said, "We can't compare to a super genius like you, but we can always help you or something, right?" How, isn't it welcome? ”

"Welcome, welcome!"

John nodded busily and laughed.

The two of them were from the same year as John, but the pace of learning was relatively slow. But don't think that they are not capable, in fact, one of them graduated from Harvard Medical School, the other graduated from McGill University Medical School, both of them are famous medical schools in North America, and they have obtained a doctorate degree before coming to Germany. In the past year and a half in Germany, the two of them have put most of their energy into the real yàn room, and John is quite satisfied with his ability or something.

"But do you really want to be surgeons?"

After smiling and greeting for a moment, John put away the smile on his face and asked very seriously.

Europe is Europe, the United States is the United States, and the situation on both sides is still different. In Europe, the status of surgeons has improved rapidly due to the progress of disinfection technology and other reasons, but the United States is different, relatively speaking, it is still much worse. Moreover, the two of them have to study in Germany for at least two years, plus the resumes of prestigious schools, if they return to the United States as internal medicine doctors in the future, they will definitely be much better than general surgeons!

"John, you don't have to worry about that."

Stepping forward and patting John on the shoulder, Thomas smiled happily: "Both of them are bent on becoming surgeons, there is no doubt about that, otherwise they would not have become good friends with me, and they did not hesitate to follow me after hearing what I said...... In fact, next month they will be going to Charlotte Hospital to study, and they will choose surgery! ”

"Good!"

Looking at the three smiling young doctors in front of him, John suddenly felt a sense of pride in his heart, nodded and said loudly: "Since you believe in me so much, I will definitely not let you down, welcome you to join the ......" (To be continued.) If you like this work, you are welcome to come to the Biquge www.biquge.info () to vote for recommendation, monthly pass, your support, is my biggest motivation. For mobile phone users, please go to M. to read. (To be continued......)

PS: Khan, I've been looking for sensitive words for a long time, and many of the words in them can only be expressed by letters.

There are a lot of things in the past two days.,Less updates.,But after thinking about it.,In the future, the routine is still two more.,The difficulty of three more every day is a bit big.,I can't guarantee it.,I can only say that I try to make three more.。