Chapter 217 Limitations of the Times

According to incomplete statistics, acute appendicitis occurs in one in 70 to 80 people, making it a relatively common disease.

Therefore, ancient Chinese not only had a certain understanding of appendicitis, but also had certain treatment capabilities.

Even for chronic cases, if the treatment is correct, it is said that "10 times can be cured".

However, this statement should be an exaggeration.

It is possible that many patients who have been cured did not really suffer from appendicitis, but just ordinary stomachaches and other minor intestinal diseases. Otherwise, not so many people in future generations would have to undergo surgery.

Emergency and severe diseases were not completely incurable in ancient times.

"History of the Ming Dynasty" records a famous diagnosis by the famous doctor Zhou Hanqing. The son of Chen family in Yiwu had a lump in his abdomen, which looked like a poppy when he touched it. Zhou Hanqing said: "This is an intestinal carbuncle!" He burned it with a large needle and stabbed it. About three inches into the needle, pus bursts out with the needle and makes a sound, and it heals.

This record should not be an anomaly, but an extremely lucky and special case, otherwise it would not have been specially written into the official history books.

It also reflected that many doctors at that time had no understanding of appendicitis and a serious lack of treatment methods.

In fact, due to the lack of anatomy, it was basically impossible for many doctors in ancient times to know the appendix and its specific shape, let alone its accurate location. Their understanding of its pathology was at best only half-understood, and even the rare miracle doctors dared to give an injection. It also has a lot of elements that make a blind cat kill a mouse.

For the treatment of intestinal carbuncle caused by vermis, ancient China mainly relied on oral decoction, and mainly treated chronic diseases.

Acute and severe cases often result in death.

Xu Keran's rapidly developing condition quickly alarmed Li Ping. After thinking about it for a while, he felt that expecting the decoction at this time was a bit like buying a lottery ticket. As someone who has seen many relatives and friends around him undergo appendicitis operations, he was more willing to believe it. The power of surgery.

So, he rushed to Gao Lei who had returned to his residence that night, and woke up Gao Lei who had already fallen asleep.

Zhao Lanyue, who was woken up, also ran out of the house curiously to get some soy sauce.

But after explaining his purpose of coming, Li Ping found that the two sleepy-eyed women had somewhat unkind expressions.

After pretending to glance at Gao Lei casually, Zhao Lanyue pointed at the exquisite geared clock in the middle of the room and was the first to express dissatisfaction: "Look at what time it is, can't we talk tomorrow?"

Modern people who are accustomed to referring to time have a strong desire for clocks and watches, and Li Ping is no exception. He has been focusing on collecting them.

Now, although the clocks he owns are still rare, they are not rare.

Some of these clocks were captured in Qizhou, and some were purchased from wealthy gentry families in Xingguo Prefecture. The most exquisite ones were naturally from the former Prince Jing's Mansion, and were placed in Gao Lei and Zhao Lanyue's place without exception.

Therefore, the exquisite geared clock brought by businessman Xu Keran naturally did not have much appeal to Li Ping, and it was unlikely to be better than the one in Prince Jing's palace.

"I'm impatient!" Li Ping choked and felt a little embarrassed.

But Zhao Lanyue was even more dissatisfied. She said angrily: "Do you regard Sister Gao as a surgeon? As omnipotent? If she can operate, can Sister Gao not care about it? Especially this businessman has just brought us such a What a wonderful crop, you really don’t have to tell me what it can do?”

"Aren't I here to discuss it?" Li Ping resisted weakly, and he was completely temperless after being sprayed.

Gao Lei's tone was quite good, but what he received was a merciless critical blow.

"We have indeed performed many simple surgeries on the wounded, and have mastered certain short-term anesthesia capabilities. We have even performed simple debridement and suturing for some wounded patients with internal chest and abdominal injuries. But we still have

There has never been a case of active disembowelment surgery. We do not have the conditions and cannot do this surgery."

"How do you know you can't do it if you don't try?" Li Ping was very puzzled by Gao Lei's clear rejection.

Gao Lei frowned, and then tried to calmly say: "I am neither a surgeon, nor do I have sufficient knowledge of the internal tissues of the human body. I do not have the ability to do this kind of surgery at all. Forcible surgery is almost the same as murder. And this kind of surgery requires a lot of time."

Anesthetizing patients for a long time and safely is something we are currently unable to do."

"I know everything you said. We can definitely dissect a few cadavers first to practice. It shouldn't be complicated to just remove the appendix, and we don't lack cadavers. As for anesthesia, I don't think it's a big problem. We still have to try it.

After all, this is the most direct and effective method.”

Li Ping would not be easily rebuffed. He had given serious consideration before coming, otherwise there would be no need to come.

But Gao Lei became serious, and said in a somewhat educational tone: "I'm not trying to shirk it, you think this surgery is too simple! The internal environment of the human body is very complex, and the control requirements for surgical contamination are extremely high."

The simplicity of this surgery is for future generations, not this era.

To give a simple example: Without antibiotics, we are simply unable to control abdominal infection and a series of complications caused by it, which will lead to a high mortality rate for patients. Those of us who hurt the inside of the chest and abdomen but did not hurt the vital points

This is the case even though there are many wounded and death cannot be avoided.”

"No matter how high the surgical mortality rate is, the hope of life is always greater than the possibility of death! If you hold on hard, you will really have a narrow escape. If you are not confident in your surgical ability, or you can't bear to see such a bloody belly, you can let Jia Youliang perform the surgery

.That guy is bold and careful, you can just guide him. We need this businessman to survive." Li Ping still insisted on his point of view unconvinced.

In the future, most surgeries will require antibacterial and anti-inflammatory liquids, and as long as you are not allergic, penicillin or cephalosporin will be the first choice. How could Li Ping not know the risks and troubles of infection?

But he felt that they couldn't stop eating because of the risks, especially since they really needed this businessman at the moment.

But Gao Lei rolled his eyes at Li Ping and said angrily: "Are you busy and confused during this time? Such an unprecedented thoracotomy and abdominal rupture surgery must be very cautious, especially for such a prestigious businessman. Of course if it is successful,

Okay, but if we fail, it will be a big trouble and we will be demonized."

Li Ping's heart suddenly trembled.

Gao Lei has always been at the forefront of medical care, and has a deeper understanding of people's backward medical ideas at this time. Moreover, she has worked in the middle and lower levels of medical institutions, and she obviously has a better understanding of the pros and cons of medical choices.

But he himself only thought about the benefits and ignored the limitations and ignorance of this era.

Just like the legendary Hua Tuo who wanted to cut open Cao Cao's head to cure his headache, who in this era would believe that a person can survive after being disemboweled, and then still have to cut off a part of the body.

Unless the person is cured, it is easy to be rumored that they are killing people, and it may even turn out that they are trying to kill people and seize goods.

Seeing that Li Ping's expression suddenly became serious, Gao Lei, who had no idea why, softened his tone and said, "Don't worry too much. If this businessman needs to survive, it's not that there are no other ways. The decoction is actually effective.

.It’s not like we haven’t encountered appendicitis before, and most of them survived.”

"That's right, Sister Gao is right. Li Ping, why are you suddenly confused? Did you stay up late during this period? Your mental state is not good." Zhao Lanyue also helped.

After Li Ping sighed deeply, he could only nodded silently.

So Gao Lei said no more and immediately got up and went back to the house. She seemed to be still angry.

Looking at Gao Lei's back blankly, Zhao Lanyue said helplessly: "You! What can I say about you? You always think you are smart, but in fact you are a fool. Forget it, I will tell you a few other words: Eat well,

Pay more attention to rest, you are dark and thin now, your body is the capital of revolution."

…

The next morning, although Xu Keran's condition worsened, Song Baolai, who was most concerned about him, did not appear.

At this time he was at the foot of Pheasant Mountain.

Here, an eye-catching test is about to begin.

A row of ten three-eye muskets and ten newly made simple hand muskets were neatly placed on the testing ground, and an entire company of the cavalry battalion was also pulled over at the same time.

War is the best catalyst for technology and the best multiplier of efficiency.

The hand gun was finally successfully built after seven or eight days and twenty-four hours of continuous struggle. Although it was relatively simple and immature, it could be used for simulation testing.

However, throughout the whole day, despite the continuous sound of gunfire, Li Ping did not appear on the testing ground, but only the cavalry were practicing riding horses in groups.

The cavalry are getting familiar with the weapons that will be tested and are being selected at the same time.

Only the cavalry with the best feel and the most skill will participate in the final test.

So when Li Ping showed up one day with almost the entire staff, there were only twenty cavalrymen left in the center of the test field who had been selected and divided into groups. At the same time, groups of humanoid wooden targets in the distance were also ready.

Li Ping did not give the cavalry more time to become familiar with the muskets. The urgency of the war and the serious lack of training of his own cavalry did not allow the cavalry to waste too much time.

And from a testing perspective, the accuracy gap within several times due to greater familiarity will not affect the test conclusion.

Everyone who should be there arrived, and the final test began soon.

This test was divided into two methods: fixed targets and rope-drag movable targets, and several different distances and scenarios were set up to simulate actual combat to the greatest extent.

Each type will take a minimum of thirty data, that is, each person must perform each type of shooting at least three times.

Although the field quickly became loud and filled with smoke, the cavalry battalion commander Zhang Qing, who was also observing the field, had a disapproving look on his face and frequently became distracted.

Zhang Qing was one of the few people who showed little interest in this test. Yuanye and Shouhouer, who were not present, also held the same view as him.

The turbulent years in Liaodong have made them, elite cavalry who are experienced in war, very indifferent to the three-eyed gun, and they are even more aware of the actual performance of that thing on the battlefield.

It is only used by unskilled riders, and it cannot be compared with bows and arrows.

However, Zhang Qing still supports this test. He knows the different voices and appreciates this method of using example data to verify the comparison.

This is not only a very meaningful pursuit of knowledge, but also undoubtedly more convincing.

And as the test was fully launched and gradually progressed, people who were full of interest and full of expectations began to look sad one by one.

The test results were very unsatisfactory, and the three-eyed gun was actually far stronger than the hand gun.

Even against a fixed target, the hand gun is completely dependent on luck at close range. Although the performance of the three-eyed gun is much better, the target rate is still extremely low, and once the distance is a little further, it is still terrible.

As for moving targets, whether it is a hand gun or a three-eyed gun, the target accuracy is basically an accidental phenomenon.

Regarding this result, the staff office and testers quickly came to a conclusion after intense discussions.

It's not difficult.

The fatal flaw of their original smoothbore firing method was that the trajectory of the lead bullets was completely irregular. The violent muzzle beating caused by the jolting horses and the inability to hold the gun stably caused this error to increase exponentially. The result was naturally terrible.

Just imagine.

The results of the three-eye gun are slightly better. The reason is that its large weight increases the stability and reduces the muzzle bounce range, and the longer barrel gives the lead bullet better acceleration and posture correction, and allows it to exit the gun.

The diffusion surface is smaller.
To be continued...