Chapter 14 Training courses in the nineteenth century

"Good morning, Mr. Huntelaar."

"Good morning, Miss Helen."

"Good morning!"

……

With a series of warm greetings, John walked into the surgical building of Charlotte Hospital with a smile on his face, and everyone who saw him, whether it was a doctor or a nurse, would take the initiative to stop his steps and say good morning.

Before you know it, John has become the object of all people's admiration.

The reason is simple, after the application of new local anesthetics and surgical aseptic techniques in the last month, the surgery at Charlotte Hospital has changed dramatically! And everyone knows that it was this John, who had just officially joined Charlotte Hospital for a month, who had made this change happen. Huntelaar!

Winning the respect of everyone is a natural thing......

"Good morning, Professor Bergman!"

Seeing Bergman opening the door from a distance, John greeted him warmly.

"Good morning, John!"

After looking back at John, Bergman raised his eyebrows and beckoned, "It's just right, you come to my office, I have something to talk to you about." ”

"Okay."

Without hesitation, John followed Bergman into his office.

When John came in and closed the door, Bergman smiled slightly, first invited John to sit down on the couch, and then asked a little nonchalantly; "John, you're going to start seeing patients today, are you ready?"

"Yes sir, I'm ready!"

Taking a deep breath, John said earnestly.

Of course he's ready!

It took a whole month to complete the training of Thomas and others, and at the same time to renovate the operating room and two patient rooms, and John was so busy every day that he barely touched the ground, didn't he just do it?

Bergman is naturally well aware of this.

So the sentence just now. He just asked casually and didn't say anything, but smiled and said, "John, the supply of procaine and lidocaine has been a little tight in the past two days...... Can you find a way to prepare more? ”

"This ......"

Hearing Professor Bergman bring it up again, John couldn't help but smile bitterly.

The Department of Surgery at Charlotte Hospital became the first hospital in the world to use procaine and lidocaine for local anesthetic surgery, and it was also the first hospital to use iodine tincture to disinfect surgical sites. In the last month. Surgeons, including Bergman, saw the power of John's inventions!

In the surgical building, the screams of the patients during the operation can hardly be heard.

For surgeries that are not worth the risk of general anesthesia, surgeons do not go straight to the knife and do it as quickly as possible. Now their favorite thing is to give the patients two injections first, and then Shi Shiran completes the operation, looking like an internal medicine doctor calmly.

For local anesthetics and iodine tinctures, they are getting more and more preferred.

In this era, there were very few major surgeries, and surgeons rarely opened the abdominal cavity except when they had to do so, such as amputation. Not to mention the chest cavity and head, so in most cases local anesthetics are enough for their needs.

But Bergman's request gave John a headache.

The preparation of iodine tincture is relatively simple, requiring only a few simple raw materials, although a surgeon can make it himself, so John didn't even bother to think about making money from it after applying for a patent. But with two local anesthetics, it is not easy to make them, at least for the chemistry of this era. And if you want to ensure the purity of the final product, the requirements for the operator are also very high!

With the full support of Professor Bergman. John is now working with the chemistry department of the University of Berlin on a small scale for the preparation of procaine and lidocaine in the practical room. But the daily yield is very low, after all, it is impossible for scientists to repeat the same reality every day full-time, and only some students work part-time to earn a little extra money.

It's really not easy to increase production.

Feeling Professor Bergman's expectant gaze, John thought for a moment. Shaking his head with a wry smile, he said, "I'm sorry professor, I'm afraid I really can't do anything in a short time...... However, I will seriously consider this matter and try to solve the supply problem of local anesthetic as soon as possible. ”

Come to think of it, soon the demand for local anesthetics among surgeons will skyrocket, and that's quite a good business. For John, who is definitely going to enter the pharmaceutical industry in the future. Using them as a stepping stone to entry is also the best choice.

"Okay then."

Although he was a little disappointed, Bergman also knew the specific situation, so he could only nod helplessly.

After talking about the local anesthetic, Bergman paused for a moment, and then asked, "John, you have been busy with your own affairs lately, but I have helped you accumulate a lot of invitations and letters, all waiting for you to deal with them...... By the way, what the hell do you think? ”

With the gradual fermentation of the influence of the June issue of The Lancet, many surgeons have sensitively discovered the value of John's four papers, and surgeons in places such as England, France, Austria and other places where they got the journal early or close to the University of Berlin have written letters, some of them invited John to give lectures, and most of them made requests to come to study in person or send people to study, including even Liszt, Biltrow and other bigwigs!

Of course, the focus is mainly on local anesthetics.

Surgical sterilization has been developed for forty or fifty years, and although there are still many old and stubborn or low-level surgeons who still turn a blind eye to it, mainstream surgeons in big cities have basically embraced it. But John's paper published this time is too radical, and there are too many things to change at once, such as the construction of the surgeon fully armed, the construction of the operating room environment that strictly controls the operating room, and the construction of the strict regulation of the operation during and before and after the operation, which makes the current surgeons still a little difficult to accept for a while.

Twenty years of improvement is suddenly shortened to a single paper, and it is natural to be questioned.

Therefore, except for surgeons like Liszt, who attaches great importance to surgical sterilization and understands it thoroughly, no one else will accept John's theory lightly, unless there are enough to prove it!

But the advent of local anesthetic drugs is shocking for surgeons!

The most commonly used gas anesthetic before, the danger of lvfang is too high, and gradually many surgeons have begun to give up, and the irritation and instability of ether also make many people stay away, only the use of laughing gas is better, but the preparation is more difficult, and the dosage is difficult to grasp, and if it is a local minor operation, such as removing a body surface mass or cutting an abscess, it is not worth it if general anesthesia is used.

The advent of two local anesthetics has undoubtedly opened a door for surgeons!

If, as John wrote in his paper, they are easier to use, easier to dosage and safer than traditional inhalation gas anesthetics, then they are undoubtedly the best choice for surgeons who are struggling to control the procedure!

So most of the letters are about these two drugs.

In fact, John should have been thankful for the poor communication and transportation conditions of the era, otherwise the surgeons who had arrived in Berlin would have filled the entire surgical building more than a month after the publication of that issue!

"What do you think, sir?"

After a moment's hesitation, John asked with a wry smile.

Now he just wants to start his career as a surgeon as much as he can, and he doesn't want to run around for the time being, but he also doesn't want to spend all his time hosting trainee doctors. However, if he wanted to fit in with this era, he couldn't isolate himself, so John was in a dilemma for a while.

"It's really unrealistic to let you go out now."

Knowing what John wanted to do now, so after thinking for a moment, Bergman said calmly: "But I personally suggest that you can choose some people and let them come here to study for a while...... If there are only two or three people at a time, I think you can handle it, right? When they're done, they can switch to the next wave, so there should be no problem. ”

"That's ......"

After listening to Bergman's proposal, John's brow furrowed.

If the future is ripe in all aspects, John doesn't mind recruiting more advanced doctors, but now is obviously not the time. With Thomas and the others not on the table, John didn't have much energy and time to deal with those guys with so many problems!

"Wave after wave, it's better to bring more people at a time!"

After a few thoughts in his mind, John quickly remembered the training courses that had been held in the hospital in his previous life, and suddenly said with joy: "Professor Bergman, what do you say about what if we could contact all the surgeons who want to know about local anesthesia technology, hold an academic conference on local anesthetic technology, and let them come to Berlin at the same time" (to be continued............

PS: I'm sorry everyone, but it's still a shift today.