Chapter 31: There is no way
Kraft adjusted his state, no matter when, the patient can panic, the family can panic, he must not panic. There's no senior doctor here to cover him up.
"The situation now is that we may need some special treatment options." He replied to Gris in the most calm tone possible, "But I need a little time to give a concrete answer." ”
"Before I do that, I want to ask, has she eaten or drunk anything since last night?"
Gris recalled, "No, she hasn't eaten anything since last night, only a little water. ”
"Okay, don't feed her now, if she's thirsty, you can take a sip of water in her mouth, but not drink." Kraft finished explaining, turned and walked towards the door, "I need a moment. ”
Kraftra opened the door, but the students were still outside the door and did not leave, and Lucius stood in the doorway with a blanket.
"Thank you, Lucius, give the blanket to Gris, and come next door...... Well, everybody, come here. Also, who can call the other lecturers? ”
In a way, the priest is at least right in saying that "the rest is only God's will".
Kraft knew in his heart that there were nothing more than two conditions under this condition.
Either it is dry, as time goes on, the incarcerated intestinal segment will not recover on its own, and the blood vessels will not be able to supply blood to this piece of intestine, and the situation will gradually deteriorate.
The lack of blood supply to the intestines completely necrosis after a day or two, and the patient dies in agony. In this era, there was no autopsy or any other means to determine the cause of death, and no one knew that it was such a simple structure that led to a terrible death.
Then this terrible secret will be kept until I don't know how many years later, with the support of modern science, surgery really rises, and this current terminal disease will become a "small problem".
Either Kraft has to figure out a way to come up with a viable surgical option in a limited time in this hellish age of amputations without anesthesia.
He had to put into practice the plan he had come up with in a short period of time, perform an operation that he had barely seen when he was in school, get the intestine back in place, and pray that there would be no post-operative infections or anything like that.
There was really a postoperative infection, and with Lis's physical condition, combined with the level of internal medicine here, Kraft didn't dare to think about it.
If it was an internship outside the child, whoever proposed this kind of thing that could make the director angry to ECG surfing, the director would definitely take him away with a knife before leaving.
One is sure to die, the other is likely to die, there seems to be no choice, and if you want to choose, Liz and Gris will choose, and Kraft can only find the best solution to provide to them now.
A lacquered board was erected in the next classroom, and after everyone had arrived, Kraft sketched the current situation, trying to see if anyone else could help with the current conditions.
"I'm sure everyone listened carefully to my anatomy class, and I didn't have to waste time explaining what it was.
Now we need to make a small opening in the abdomen, put the intussusceptible intestine back in place, and finally sew the incision shut.
Sounds simple? Frankly speaking, in medical school, we don't have to shy away from it, probably many of us have seen dissections, or even done them themselves, but they are not alive.
But this time is different, gentlemen, this time it is completely different. ”
Kraft tapped on the lacquer board, an action that was clearly superfluous, and everyone's attention was there, including the few lecturers who had just come in the back row.
"Do you have any special needs?" One of the lecturers spoke up. He would sometimes visit Kraft's classes, listen quietly and then leave quietly, and Kraft had some impression of his curly hair.
"I need to be as clean as possible, linen, silk thread, iron needles, knives, and people involved." It was difficult for Kraft to explain his idea of sterility to them, so he could only say, "It would probably be better to go through everything in boiling water." ”
This is the only way he can think of at present, formaldehyde, high-pressure steam is not here, and high-concentration alcohol has to look at distillation.
The one sitting next to the curly-haired lecturer made his own point: "We have a lot of lime, I haven't seen anything that can go bad if you sprinkle it, at least you can wash your hands with lime water." ”
He pointed to the small lime block that Kraft had in his hand to write the board book. It was dark under the lamp, and he didn't remember to write about it all day, and Kraft had thought if there was any distilled liquor that could be sterilized, but there was no such thing now.
Sterility is impossible to be sterile, try to be clean. Kraft sweated for the patient's postoperative operation and moved on to the next topic.
"With all due respect, I would like to ask if there is a way to make the patient temporarily lose sensation, and the kind that does not affect the flesh and skin."
"Can't you just tie up the patient and end it as soon as possible?" Lucius asked. This is how all amputations are currently handled – if that could be called surgery.
"No, you can't solve the problem like amputation." Kraft vetoed his plan, "At least I can't." ”
Open surgery is not so simple in many cases. The actual situation of the abdominal cavity is very different from the clear color map in the anatomy book, and the boundaries of various structures are not as obvious as imagined, and the capsule, ligaments, and adhesions caused by various reasons wrap the organs, making the microscopic vision a mess.
When you make a small opening in the belly, it is obviously not as simple as a rough amputation to determine your position in the surgical field where there is no clear landmark structure.
The patient was only a three-year-old girl, not Guan Yu or Rambo, who had to cut open the abdominal cavity without anesthesia and rummage for the operation, and then suture. It's impossible to imagine what will happen during this time.
"It's true that there are some things that can make people unconscious, but ......," one student stopped halfway through the book, feeling that the drugs recorded were basically not up to the mark.
Some of them simply do not wake up, while others have only a slight paralyzing effect and cannot be applied to an operation that takes time.
This is also the fundamental reason why there are no complex surgeries in this era, and even infection and blood loss have to be leaned back. Without anesthesia, the patient would not survive such an operation.
"Lecturer Kraft, I have to say, this is just a project based on The Structure of the Human Body."
The speaker was a lecturer in pharmacology at the college, named Romollo, and the reason Kraft remembered his name was that one day during lunch they had a table and the two had a conversation about drugs, and finally they didn't talk together because of their differences.
Kraft was more rejective of the four-liquid theory, while Romolo was a big supporter of the traditional four-liquid theory, and was happy to use this framework to explain the relationship between the four elements and medicinal effects.
"Unless the white or red liquor dries up, there is no way to make a living person absolutely unresponsive to pain." Romolo was the most familiar with all the drugs in the academy except for Professor Kallman, and he was the only one present who was qualified to make up his mind about it.
"But a large loss of red and white liquor will soon lead to death, so I think it's unrealistic, and it's a scheme that only considers the structure. But at present, there is no other way but to tie up the patient and try. ”
He said he was trying, but there was no hope in his tone. He shook his head and sat back in his chair and finished his speech.
"Since Lecturer Romolo has said so, it seems that we can only hope to be fast enough." Kraft put aside the lime block and took one last look at his sketch, "Let's go to class, we've been delayed long enough." ”
The students got up to leave, and the curly-haired lecturer stepped down from the back row, took out a small box from his black robe and handed it to Kraft, "Formally acquainted, my name is Liston, please allow me to express my admiration." ”
"Why do you say that?" Kraft didn't take the box, and judging by how delicate it was, it wouldn't be anything cheap.
Liston smiled and said, "Probably admiration for the forerunners." I secretly came to listen to a few lectures, and I was impressed by my understanding of the structure of the human body, but it is not easy to apply what I have learned from the dead to the living. ”
"I don't believe anyone has tried it before."
"But their goals are not clear, and they don't know what they are going to face until they open their abdomen." He looked at Kraft with a blazing gaze, as if he were looking at some kind of treasure, "You're different, you know what you're going to do when you don't see it." ”
"So I felt the need to join the history for the first time, and this knife was my greeting gift. This is a knife I designed myself to dissect, and I haven't used it yet. ”
Liston took the box and waited for Kraft's answer.
"Of course, I can't do this alone." Kraft took the box with a polite smile on his face, an assistant with a fair knowledge of anatomy was exactly what he needed.
The smile flickered, and the fear of the next surgery made him unable to maintain this expression.
Liston sensed Kraft's mood, and took his leave, giving Kraft the space to think quietly, "Then I'll go to the classroom first and clean the stone platform, and only that side is suitable." ”
"Thanks, remember to use lime. We'll come when we're ready for something else. Kraft was absentmindedly holding the box, not even noticing that Lucius in the first row had not left.
Lucius sat quietly, looking like he was sorting through his notes. When Liston went out, leaving Kraft and himself in the classroom, he stood up and walked over to Kraft and handed him the transcript of what he had just memorized.
"Thank you so much, Lucius, I really don't know what to say."
Kraft took the note and looked at it, and although he didn't need such a thing, he was still impressed by Lucius's attentiveness. It's really not in vain to worry about this kid for so many days.
Next, it is estimated that Lucius will have to trouble Lucius for another day, and he and Liston will prepare for this murderous operation.
Lucius didn't answer Kraft's words. He was uncharacteristically silent for a while, glanced at the door of the classroom, and after confirming that there were only two people here, a sentence came out of nowhere.
"It's not impossible."