Chapter 43: Rules
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John certainly couldn't agree with Hines's statement.
In fact, only a handful of the best surgeons of the day could understand the significance of John's work, and the vast majority of them were indifferent, otherwise the academic exchange that was about to take place would not have been attended by only forty people. John even wondered if there was a doctor who could really see what sterile, local anesthesia, and appendectomy meant for surgery!
These are the real cornerstones of the great development of surgery!
So after John got his doctorate from the University of Berlin, he couldn't wait to come up with these techniques, maybe not in a short period of time such as three or five years, but he can be sure that even if he doesn't do anything after that, at most by 1900, local anesthesia, sterile and standardized abdominal surgery will become the mainstream of surgery!
One or two academic conferences of an extension nature are merely a means to speed up this process.
casually discussed some questions about the meeting with Hines, and after the other party left, John went on to finish the meeting to Conan? Doyle's letter. For this short story, which is almost exactly the same style as the impression of "A Study in Scarlet Letters", John gave great enthusiasm, and gave unreserved praise and encouragement in his reply. Doyle immediately votes for a newspaper or a publishing house to publish!
Of course, at the end of the letter, John also unceremoniously made a request, that is, he wanted Conan wherever Sherlock Holmes's novels were published in the future? Doyle could mail him a copy as a souvenir - these things would be real treasures if they were left for a hundred years......
……
"John. This is a record of two surgeries done while you were on leave. ”
After rounding the room in the morning, Thomas arrived at John's office with two medical records. Although John has made it clear that he will handle appendectomy in the future, Thomas is very clear about his ability and his position, so he will show John the relevant records before and after each operation. In that case, John was reassured. He himself is down-to-earth.
After taking the medical records and looking through them roughly, John nodded with great satisfaction and smiled: "Yes, it looks like I can indeed trust you these surgeries in the future!" ”
From the medical records, a lot can be seen.
In fact, before the appendectomy began, John spent more than a week drawing up all the templates in his memory. Therefore, in this medical record, in addition to the diagnostic process, the surgical process and the postoperative care plan should be recorded in detail, and the entries are very careful. Glance.
Judging from the record situation, Thomas did a good job!
Thomas's rapid maturation freed John from appendectomy, at least from the perspective of the surgeries that have been done, Thomas has done quite well, and what makes John even more satisfied is that from the initial resistance to the current strict implementation, Thomas is very attentive to the various sterilization specifications and surgical matters he has formulated, which makes him very relieved.
And......
"I'm really lucky in this life!"
When you return the medical record book. John couldn't help but secretly rejoice in his heart. In the absence of antibiotics, more than 20 appendectomy cases have been completed until now. None of them had a postoperative infection, and only two had a mild infection that eventually improved under the careful care of the surgeons.
In John's opinion, this is nothing short of a miracle!
Or rather......
"Did God know I have an academic conference soon?"
In the midst of a flash of thought, John had to sigh again about his good fortune. As you can imagine, when surgeons from all over Europe arrive in Berlin the next weekend, they will find that John's laparotomy has a 100 percent success rate. When all the patients are recovered, how many of them will have their eyes fall directly to the ground......
But vaguely, John already had a guess about such a low infection rate.
There is a big problem in China's medical community in the future, that is, the abuse of antibiotics, in fact, this kind of situation has also occurred in the development process of Western countries. So the more time goes on. The stronger the bacterial resistance, the higher the dose of antibiotics, and the worse the treatment effect, which forces doctors to use more advanced antibiotics, so that pharmaceutical companies can make money one by one.
But more than 100 years ago, it was a desert of antibiotics.
There are not so many mutated strong bacteria, as long as surgeons do a good job of sterile disinfection, the incidence of infection will naturally be greatly reduced......
"John."
After retrieving the medical records, Thomas hesitated a little and said, "There is another appendectomy tomorrow, according to the examination, it should be simple appendicitis, and the location of the lesion is relatively normal, so I plan to let Chuck?" Mr. Dale gave it a try...... What do you think? ”
"Oh? Do you think he can? ”
John's brow furrowed, and he asked cautiously.
He hasn't had any of the last few surgeries, so I don't know how the British doctors as assistants are doing, so I'm really a little worried.
"I don't think there's a problem!"
Thomas pursed his lips and said in a deep voice: "Both of them have quite solid foundations, and they have worked very hard during this time, I believe that it should be no problem to deal with an appendectomy!" ”
In any case, appendectomy is a simple operation after all.
Even though more than 100 years ago, it was a very dangerous open surgery in the minds of surgeons, but after John perfected the aseptic technique, provided local anesthetics, and completed all the theoretical preparations, the procedure was actually really simple, otherwise it would not have become one of the main surgeries performed by junior surgeons in later generations - it is not uncommon to perform the surgery within a few days of work.
It was precisely because he understood this, so after just a little hesitation, John nodded and said, "Okay, let them do it for a while in the next period of time...... But Thomas, you must be an assistant next to you to avoid accidents! ”
"Don't worry, I understand."
Smiled and nodded, but Thomas was a little unimpressed.
He had always felt that John was a little too cautious, even to the point of cringe, which greatly slowed down the progress of many things. But it's no wonder that Thomas thinks so, after all, it is a very ridiculous thing for the surgeons of this era to pursue absolute safety and success rate like John, and they care more about their own reputation and gain. Even one successful case is enough to make people brag about it, not to mention that there have been almost twenty successful cases now?
However, these Thomas would definitely not say it in front of John, and after a little hesitation, he suddenly asked: "Also, John, the three German doctors complained to me again, saying that we deliberately did not let them into the operating room......"
"Oh?"
After hearing this, John's brow suddenly furrowed.
He was undoubtedly very satisfied with the two Englishmen who had come from afar, and although he always had an inexplicable sense of superiority at first, John could also understand them. After all, the purpose of their visit was to learn local anesthesia techniques, and the new surgical aseptic techniques were just for inspection, and the two who were born under Liszt naturally had their own pride.
However, after seeing the effects of these surgeries at Charlotte Hospital, the two quickly changed their attitudes.
In fact, in recent years Liszt has been questioned by many surgeons, and the irritation of stone carbonic acid makes it difficult for people to accept it, and in 1882 he was once again closed in front of the Americans. However, John's high-pressure steam disinfection and disinfection methods such as alcohol and iodine tincture made Dale and the others see the hope of completely popularizing disinfection technology!
So it soon became clear to the two British physicians that when more and more cases were announced, John's status in the field of surgical sterilization would quickly surpass Liszt's, and with the miraculous local anesthetic and the groundbreaking appendectomy, it was only a matter of time before John surpassed Liszt......
In this case, how can they still be proud?
The longer he spent at Charlotte's Hospital, the more respectful the two English physicians became for John, while the other three German physicians who came to study were hardly satisfying. The three Germans almost all complained about the boring theoretical study and apprenticeship, and shouted in front of Thomas and them every day to enter the operating room as much as possible, but in the end they were all blocked by John.
How is it possible to want to run without learning to walk?
Thinking of this, John didn't hesitate, and said indifferently with a cold face: "Then go back and tell them, since you come to me, you must abide by my rules!" Before we were examined, even if Professor Bergman was to come forward, they wouldn't want to step into the operating room! "A pie-in-the-sky event, cool mobile phones are waiting for you! Follow from ~ Dian/Chinese network public account (WeChat add friends - add public account - enter ddxiaoshuo), participate now! Everyone has a prize, now pay attention to ddxiaoshuo WeChat public account! (To be continued......)