Krafft's Notes on Anomalies

Kraft adjusted his attitude. No matter when the patient or family members could panic, he must not panic. There is no superior doctor here to tell him the truth.

"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 for a moment and replied: "No, she hasn't eaten anything since last night and only drank a little water."

"Okay, 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 in his heart that there were only two situations under this condition.

Or just wait and see. As time goes by, the impacted intestine will not recover on its own, and the blood vessels will not be able to supply blood to the blocked intestine, and the situation will gradually worsen.

The intestines, which lack blood supply, become completely necrotic in one or two days, and the patient dies in agony. In this era, there were no autopsies or other means to confirm the cause of death. 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 now terminal disease will become a "minor problem."

Either Kraft had to figure out a way now, and in this hellish era of amputating limbs without anesthesia, come up with a feasible surgical plan within a limited time.

He had to implement the plan 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.

A post-operative infection really broke out. Considering Liz's physical condition and the level of internal medicine here, Kraft didn't dare to think about it.

If during the internship in pediatrics, whoever came up with 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, and I don't have to waste time explaining where 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 dissections or even done them themselves, but they are not live ones.

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 a few 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, and 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." It was difficult for Kraft to explain his concept of sterility to them, so he could only express it this way, "Probably put everything in boiling water." It’ll be better if you go through it again.”

This is the only way he can think of at the moment. There is no formaldehyde or high-pressure steam here, and high-concentration alcohol requires distillation.

The man 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 to the small block of lime that Kraft was holding on to write on the blackboard. It was dark under the lamp, and he used it to write all day without thinking about it. Craft originally thought about whether there was some distilled spirit that could disinfect it, but there is no such thing now.

Sterility is impossible, so try to be as clean as possible. Kraft sweated over the patient's surgery and moved on to the next topic.

"Forgive me for my limited knowledge in this area, but 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 up the patient and end it as soon as possible?" Lucius asked. This is how all amputation surgeries are done these days - if that can be called surgery at all.

"No, it's impossible to solve the problem with one knife like amputation." Kraft rejected his plan, "At least I can't."

Open surgery is not that simple many times. 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 envelopes and ligaments surrounding the organs, as well as adhesions caused by various reasons, can be viewed under the microscope. The vision becomes 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 is just a three-year-old girl, not Guan Yu or Rambo. The abdominal cavity needs to be incised and searched without anesthesia, and then sutured. It is unimaginable what will happen during this time.

"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 are unable to 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, and even infection and blood loss have to be pushed back. Without anesthesia, the patient would not survive such an operation.

"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 to the point 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." Romulo is the person in the college who is most familiar with all drugs except Professor Kalman. He is the only one present who has Qualifications draw the final word 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 structure. But there is currently no other way but to tie the patient and try."

He said he wanted to give it a try, but there was no hint of hope in his tone. He shook his head and sat back in his chair, finishing 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.

Liston 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 human body structure, but applying 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 and took his leave first, leaving Kraft with 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 like he was sorting out his notes. When Liston went out and only Kraft and himself were left in the classroom, he stood up and walked to Kraft and handed him the record of the speech he had just memorized.

"Thank you so much, Lucius, I don't know what to say."

Kraft took the note and glanced at it. Although he didn't need this kind of thing, he was still very touched by Lucius's carefulness. It's really not worth worrying about this kid for so many days.

Next, I will probably have to trouble Lucius for another day, preparing for this unlucky operation with myself and Liston.

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, he blurted out a sentence without any beginning or end.

"Actually, it's not impossible."