Kraft adjusted his attitude. No matter when the patient or family members could panic, he must not panic. There was no superior doctor here to give him the full answer.
"The current situation is that we may need some special treatment options." He answered Gris in as calm a tone as possible, "But it will take me a while to give a specific answer."
"Before that, I want to ask, has she eaten or drank anything since last night?"
Gris recalled it and replied: "No, she hasn't eaten anything since last night and only drank a little water."
"Okay, definitely don't feed her anything now. If she's thirsty, she can sip some water in her mouth, but she can't drink it." After Kraft finished explaining, he turned and walked towards the door, "I need a little time."
Kraft opened the door, but the students were still outside. Lucius stood at the door holding a blanket.
"Thank you, Lucius, give the blanket to Gris, and then come next door... Well, everyone, come here. Also, can anyone call the other lecturers?"
To a certain extent, at least what the priest said is completely correct, "The only thing we can do next is God's will."
Kraft knew clearly that there were only two situations under this condition.
Or just watch. As time goes by, the impacted intestinal segment will not recover on its own, and the blood vessels will not be able to supply blood to this segment of intestine, and the situation will gradually worsen.
The intestines that lacked blood supply completely became necrotic in a day or two, and the patient died in pain. In this era, there was no autopsy or other means to confirm the cause of death, and no one knew that such a simple structure led to the horrific way of death.
Then this terrible secret will be kept until an unknown number of years later, with the support of modern science, surgery really rises, and this current terminal disease will become a "minor problem."
Either Kraft had to come up with a way now, and in this hellish era of amputation without anesthesia, come up with a feasible surgical plan within a limited time.
He had to implement this plan that he had thought up in a short period of time, perform an operation that was rarely seen when he was in school, restore the intestine to its original position, and pray that there would be no post-operative infection.
If a postoperative infection really broke out, Kraft wouldn't dare to think about it considering Liz's physical condition and the level of internal medicine here.
If it were during the internship in the pediatrician, whoever proposed such a thing that could make the director so angry that he would surf an electrocardiogram, the director would definitely take him away with a knife before leaving.
One is certain to die and the other is likely to die. There seems to be no choice. It is up to Liz and Gris to choose. Now Kraft can only find the best plan to provide them.
A paint board was set up in the next classroom. After everyone arrived, Kraft drew a sketch of the current situation to see if others could provide some help that met the current conditions.
"I believe you all listened very carefully in my "Human Structure" class, I don't need to waste time explaining what this is.
Now we need to open a small opening in the abdomen, put the intussusceptible intestine back into its original position, and finally sew the opening closed.
Sounds simple? Frankly speaking, in medical school, we don’t need to be too shy. Probably many people have seen anatomy and even done it themselves, but it’s not a living one.
But this time is different, gentlemen, this time is completely different."
Kraft knocked on the paint board. This action was obviously unnecessary. Everyone's attention was here, including the lecturers who had just come in from the back row.
"Are there any special needs?" one of the lecturers said. He would sometimes visit Kraft's class, listen quietly and then leave quietly. Kraft was somewhat impressed by his curly hair.
"I need to keep the linen, silk thread, iron needles, knives, and everyone involved as clean as possible." Kraft found it difficult to explain his concept of sterility to them, so he could only express it this way, "Probably put everything in boiling water."
It will be better if you go through it again.”
This is the only way he can think of at the moment. Formaldehyde and high-pressure steam are not available here. High-concentration alcohol requires distillation.
The person sitting next to the curly-haired lecturer put forward his own point of view: "We have a lot of lime. I have never seen this stuff go bad if you sprinkle it. At least you can use lime water to wash your hands."
He pointed at the small lime block in Kraft's hand that he used to write on the blackboard. It was dark under the lamp, and he had been writing on it all day without thinking about it. Kraft had originally been thinking about whether there was some distilled spirit that could disinfect it.
But there is no such thing now.
Sterility means sterility is impossible, so try to be as clean as possible. Kraft sweated over the patient's postoperative care and moved on to the next topic.
"Forgive me for my limited knowledge in this area, I would like to ask if there is a method that can make the patient temporarily lose feeling, and it will not affect the skin and flesh even if it is cut."
"Can't we just tie the patient and end it as soon as possible?" Lucius asked. This is the way all amputation surgeries are currently handled - if that can really be called an operation.
"No, it's impossible to solve the problem with one knife like amputation." Kraft rejected his plan, "At least I can't do it."
Laparotomy is not that simple in many cases. The actual situation of the abdominal cavity is very different from the clear color pictures in anatomy books. The boundaries of various structures are not as obvious as imagined. The capsules, ligaments, and
Adhesions caused by various reasons make the vision under the microscope a mess.
When you open a small opening in the belly, it is obviously not as simple as extensive amputation to determine your position in the surgical field without clear landmark structures.
The patient was just a three-year-old girl, not Guan Yu or Rambo. She had to make an incision in her abdominal cavity, search for it, and then suture it without anesthesia. It is unimaginable what would happen during this period.
"There are indeed some things that can make people lose consciousness, but..." A student was flipping through the book and stopped mid-sentence. He felt that the drugs recorded basically did not meet the requirements.
Some of them do not wake up immediately, while others only have a slight paralysis effect, which is not suitable for a long-term operation.
This is also the fundamental reason why complex surgeries do not exist in this era. Even infection and blood loss have to be postponed. Without anesthesia, patients cannot survive such surgeries.
"Lecturer Kraft, I have to say that this is just a plan based on "The Structure of the Human Body"."
The speaker was a lecturer in pharmacology at the college, named Romulo. The reason Kraft remembered his name was because they sat across the table during lunch one day. The two chatted about some issues about drugs, but in the end they couldn't get together because of different ideas.
.
Kraft relatively rejected the four-liquid theory, while Romulo was a loyal supporter of the traditional four-liquid theory and was willing to use this framework to explain the relationship between the four elements and medicinal effects.
"Unless the white or red liquid dries up, there is no way to make a living person have no response to pain." Romolo is the person in the college who is most familiar with all drugs except Professor Kalman. He is the only one present who has this knowledge.
Qualifications to draw a conclusion on this.
"But a large loss of red fluid and white fluid will soon lead to death, so I think this is unrealistic and is a solution that only considers the structure. But currently there is no other way but to tie up the patient and try."
He said he was giving it a try, but there was no hint of hope in his tone. He shook his head and sat back on his chair, ending his speech.
"Since Lecturer Romolo said so, it seems that we can only hope to be fast enough." Kraft put down the lime block and took a last look at his sketch, "Everyone, go to class, we have been delayed long enough today.
."
The students stood up and left. The curly-haired lecturer came down from the back row, took out a small box from his black robe and handed it to Kraft, "Let me formally meet you. My name is Liston. Please allow me to express my admiration."
"Why do you say that?" Kraft did not take the box. Judging from the exquisiteness of the box, it would not contain anything cheap.
Liszt smiled and said: "Probably out of admiration for the forerunners. I secretly came to listen to a few classes, and I was deeply impressed by my understanding of the structure of the human body. But I can't apply what I learned from the dead to the living."
It’s not easy.”
"I don't believe no one has tried it before."
"But their goal is not clear. They don't know what kind of disease they are going to face before slicing open the abdominal cavity." He looked at Kraft with bright eyes, as if looking at some treasure, "It's different. You didn't see it.
Then you know what you want to do.”
"So I feel it is necessary to join in the history of the first time, this knife as my meeting gift. This is a knife I designed and customized for dissection, and I haven't used it yet."
Liston held the box and waited for Kraft's answer.
"Of course, I can't complete this work alone." Kraft took the box with a polite smile on his face. An assistant with a good understanding of anatomy was exactly what he needed.
The smile flashed away, and the worry in his heart about the upcoming surgery made it impossible for him to maintain this expression.
Liston noticed Kraft's mood, so he left first and gave Kraft some space for quiet reflection. "Then I'll go to the observation classroom and clean the stone platform first. Only that side is suitable."
"Thank you, remember to use lime. We'll be ready with the other things." Kraft held the box absentmindedly, not even noticing that Lucius in the first row hadn't left either.
Lucius had been sitting quietly, looking as if he was sorting out notes. When Liston went out and only Kraft and himself were left in the classroom, he stood up and walked to Kraft, handing over the transcript of the speech he had just memorized.
give him.
"Thank you so much, Lucius, I really don't know what to say."
Craft took the note and took a look at it. Although he didn't need this kind of thing, he was still very touched by Lucius's attentiveness. But it was really not in vain to worry about this kid for so many days.
Next, I will probably have to trouble Lucius for another day, while he and Liston prepare for this unlucky operation.
Lucius didn't answer Kraft's words. He was unusually silent for a while, looked at the door of the classroom, and after confirming that there were only two people here, he blurted out a sentence without any beginning or end.