Chapter 15: The First Patient
The so-called continuing education actually refers to the learning after school education, for many fast-developing disciplines such as medicine, what is learned in school is certainly far from enough, new technologies and theories appear every year, and doctors need to keep learning if they want to keep up with the times.
In his previous life, John had attended several training courses or academic conferences each year.
In order to achieve the purpose of compulsory learning for doctors, the state even stipulates the corresponding credit policy, for example, some credits must be taken in face-to-face training every year, a few hours will give you a credit, how many credits must be earned in a year before you can be promoted to a professional title, and so on.
Of course, there can be no such regulations in this era, but there must be a sense of learning among physicians, for example, many doctors in the United States will go to Europe to recharge after graduation, and for example, Biltrow sent people to the United Kingdom to learn aseptic disinfection technology, etc., so of course, John's paper on local anesthetics and neuraxial anesthesia came out, which immediately attracted many doctors to go to Berlin.
The problem is that John simply didn't have time to greet them!
After a month of hard preparation, he couldn't wait to start his career as a surgeon, where could he focus on local anesthesia again? So with a flash of inspiration in his head, John thought of the training courses held by the big hospitals in the later generations, and mentioned it to Bergman.
"Running an academic conference? We? β
After listening to John's words, Bergman's eyes almost popped out!
In the 19th century, there were not no academic conferences, but due to the restrictions of transportation and communication, such meetings were very few, and most of them were organized by various societies, and the scale was not very large. However, Bergman had never heard of an academic conference organized by a single hospital! So after hearing John's Jianyì. His first reaction was: This kid can't be joking with me, right?
With a smile, John shrugged his shoulders and said, "Why not?" Professor, we've been using two local anesthetics for a while, do you think they appeal to surgeons? β
"Of course!"
Without hesitation, Bergman nodded heavily.
For surgery in this era, local anesthetics are certainly much more powerful than inhaled gas anesthetics! Especially if major surgery is rarely performed. More practical, safer, and undeniably appealing to surgeons!
"Isn't that all there is to it?"
John laughed and said, "We can set aside a certain amount of time, let's say a week, to entertain those physicians who want to learn local anesthesia techniques, I don't think they will refuse, right?" And holding such an academic conference can greatly increase the impact of our Department of Surgery at Charlotte Hospital, Professor, don't you think it's a good idea? β
"This ......"
When I heard this. Bergman's eyes finally widened. The phrase "improving the influence of Charlotte Hospital's surgery" completely moved him!
When it comes to Bergman's position, it is indeed more difficult to go further, don't look at his halo as a professor at the University of Berlin, but if you add a surgical department in front, the gold content will drop all of a sudden. There are many reasons for this, on the one hand, historical reasons, surgeons are far inferior to internal medicine physicians in terms of status. Even now, many people think of barbers when they think of surgeons; On the other hand, the current surgical technology is still too backward. How many people would like to trust a surgeon even if the most common appendicitis surgery is still unclear?
So John's mention made Bergman's heart pound!
It is not possible for a surgeon to rise to the top of the general public at once, it takes a long time to work hard and the development of surgery itself, but if it can increase its influence among its peers. In Bergman's view, it is also quite worth doing, just like Liszt, who is slowly reaching the peak of his life......
"You let me think about it!"
After a long silence, Bergman nodded slowly.
Although John said it simply, Bergman knew that it was not an easy task, such as the cost of the meeting, the organization, etc. It's definitely not something that can be slapped on the head. If you are not prepared and make a mess of the meeting, you will not be gaining prestige but a disgrace!
Of course, John understood this, nodded with a smile and said: "Professor, in fact, I think you can have a cooperation with "German Medicine", leave all the chores to them to complete, such as arranging accommodation or something, and then allow them to charge a certain fee to the people attending the conference to cover the cost, and we are only responsible for academic things...... I think this will also greatly increase the influence of German Medicine, and they will probably be more interested. β
"Huh? That's right! β
After hearing this, Bergman's eyes lit up again, and he slapped his thigh hard and shouted!
For John, it is common knowledge that academic conferences are organized by academic magazines or specialized conference companies or advertising agencies, and that experts are only responsible for lecturing, but for people in this era, academic conferences are far from reaching such a professional level. Of course, it is also because of the limitations of this era itself, so after hearing John's mention yì, Bergman felt very novel.
The increase in the influence of the magazine may sound tempting!
"I'll mention it to them tomorrow!"
This time, after only two or three seconds of consideration, Bergman made up his mind. He was very familiar with Mr. Byrne of German Medicine, and had a very good relationship in private, so this kind of thing could naturally be discussed.
After seeing Bergman's excited expression, John knew that the professor must have been moved, and he couldn't help but be happy: perhaps this model of special training courses held by hospitals began in the 19th century at Charlotte Hospital......
"Professor, if nothing else, I'll go to work."
Seeing that Bergman began to frown and ponder, John stood up and said with a smile.
From today onwards, John will completely get rid of his status as an intern and officially start accepting patients, so he can't wait for it!
"Huh? John, wait a minute! β
Unexpectedly, after Bergman woke up from his contemplation. Immediately stopped him: "There is one more thing, I must discuss it with you!" β
"Oh? You say! β
John sat back down, nodding and smiling.
"That's right."
After a moment's deliberation on the words, Bergman smiled and said, "As you know, a month ago I started everyone on local anesthetics, and I also carried out some of the surgical disinfection measures you proposed. For example, wear gloves, masks, and hats, and disinfect surgical incisions with iodine tincture...... Although you have not fully performed your proposal, the effect of performing a part of it is also very significant for more than a month: the patient is not so painful, and the chance of suppuration after surgery is greatly reduced! Therefore...... I must admit that I was probably really wrong in my previous opinion! β
"Huh? You mean ......"
After listening to Bergman's words, John was immediately surprised and delighted!
"Yes, John."
Taking a deep breath, Bergman said, "After summarizing hundreds of large and small surgeries in the past month. We have to admit that your surgical sterilization practices can greatly improve the success rate of surgery and prevent postoperative dangers, so I am now considering whether to accept your plan in its entirety and completely renovate the entire surgery! β
"Sizzle! β¦β¦β
After listening to the last sentence, John finally couldn't help but gasp!
Did you hear me right?!
Professor Bergman, who just a few months ago thought his ideas were too radical, is now considering accepting his plan in its entirety?
"John, I'm serious!"
Knowing that John would have been suspicious. Bergman said with a wry smile.
As one of the most important figures in the history of surgical sterilization techniques, Bergman was in fact not a conservative person. At first, he also thought that John's plan was not unreasonable, but in the absence of conclusive evidence, he rejected it on the cost of consideration. But in the past month, after adopting simple measures such as John's wearing a mask and gloves, and using iodine tincture, the patients' astonishing appearance made Bergman can't help but think of John's more complete plan at the beginning!
"If fully adopted. What will happen? β
At this time today, this thought arose in Bergman's heart again!
If the surgery is reconstructed according to John's plan, at least tens of thousands of marks of funds will be required, and the follow-up may have to be continuously invested, and the cost of the guide will rise sharply every month. This is for Charlotte Hospital. It is undoubtedly a very heavy burden, after all, the hospitals of this era are different from later generations, and the income of doctors is still quite low. But if there is a significant effect, on the one hand, the consultation fee can naturally be appropriately increased, and on the other hand, Bergman does not mind going to the hospital or even the University of Berlin to ask for money cheekily!
And the premise of this is that there must be a reason to impress the hospital and the school!
However, significant clinical results are one thing, and coming up with enough research results is another. And if only the postoperative infection rate of minor surgery is reduced, Bergman feels that it may be difficult to impress those people, and what he needs is a breakthrough in the treatment of diseases!
For example......
After a slight hesitation, Bergman couldn't help but ask in a deep voice, "John, are you confident in the upcoming right lower quadrant pain research?" β
At first, Bergman was opposed to John's surgery for right lower quadrant pain because, as a good surgeon, he saw the possibility of success in John's detailed plan, and it was this that made him resist! You know, Bergman is only in his early forties this year, and it is difficult for him to accept that a subordinate is better than himself in all aspects, which will be an extremely serious threat to his position. But after determining that John would definitely return to the United States in the future, Bergman's mentality gradually changed dramatically!
An excellent student who is destined to leave has almost zero threat to himself!
And if on the other hand, if John succeeds, it will also increase his prestige, and even if he leaves, he will definitely leave a good fortune for the Charlotte Hospital Surgeon, so what reason does Bergman have to thwart him?
So after the publication of John's four papers, Bergman reversed his attitude almost instantly, not only supporting John's research, but also graciously giving him an office, an operating room, and two patient rooms. From the initial resistance to the current support, Bergman is looking forward to John's success, because that also means the success of him and the Charlotte Hospital Surgery!
"Uh...... Of course! β
Slightly stunned, John smiled and nodded.
A future surgeon from the future who had been preparing for an appendicitis operation for half a year, John was really a joke if he didn't have the confidence.
"Good!"
Taking a deep breath, Bergman said solemnly: "John, I have had a serious conversation with Professor Wolfgang in the Department of Internal Medicine, and he also agreed that some patients with right lower abdominal pain will be transferred to you for a try, and there should be a ...... this week."
Pain in the right lower abdomen is a common clinical practice, and as the largest hospital in Berlin, Charlotte Hospital has never had a shortage of such patients. In order to give him enough support, Bergman also put a lot of effort into this time, went to Wolfgang and said all the good things, and finally got the big guy to agree.
Of course, it is one thing for the physician to refer patients to him, but it is John's job to convince them to accept his diagnosis and treatment. At least in Bergman's opinion, this is definitely not an easy thing to do......
"Really?"
A look of surprise suddenly appeared on John's face, and he stood up suddenly!
Today is the first day of seeing a patient, but when he will be able to meet his first patient with right lower quadrant pain makes John a little worried, after all, no one with a stomach ache will come directly to the surgeon, and the current internal medicine doctors do not trust their peers very much......
Even though John had won the respect of almost all the physicians at Charlotte Hospital with a few papers, he didn't think it would be easy to convince internal medicine physicians to believe in himself and perform abdominal surgery that most people don't approve of!
Professor Bergman's words solved a big problem for him!
"Haha, of course it's true!"
Laughing, Professor Bergman said: "Go for it, if the first one can be successful, then I will have the confidence to ask Professor Wolfgang to help you introduce more patients......" (Want to know more exciting developments in "Doctor 1879"?) Open WeChat now, click on the "+" sign in the upper right corner, select Add Friends to add an official account, search for "Qidianzhongwenwang", follow the official account, and never miss every update! (To be continued......)