You can see the clear cut from his left cheek to the top of his head!
Dr. Harlow will dress the wound and bandage his head to stop it from bleeding.
Doctors in Phineas's time didn't have ambulances, so Phineas had to ride in a wagon to get to the cabin for the doctor.
Should I just push the bone back into place?
Dr. Harlow had cleaned Phineas's wound by cleaning the skin around the hole, extracts the small fragments of bone,and gently presses the larger pieces of skull back into place.
Back in Phineas's time, doctors didn't wear gloves, surgical clothing, and didn't have machines or technology and didn't wash their hands before or after doing surgical work. At that time they didn't know about the bacteria on their hands.