Nineteenth Century Medical Guide

Chapter 105 102. Writing a Letter
[I stopped talking about it last night, I slept until nine o'clock in the evening in the afternoon, and I feel alive again]

Kawei's rough debridement method made Li Ben die, and passed out twice in succession, and it was already eight o'clock in the evening when it was over.At this time, Kawei placed the prepared laudanum (anti) tablet tincture beside his bed: "Drink some, you can sleep well."

Li Ben was drenched all over, and his sticky hair was still beaded with sweat.He looked at the brown vial and was so angry that he wanted to tremble, but the debridement just now had consumed a lot of his energy, and now he couldn't even shake: "You, you did it on purpose."

"Mr. Li Ben, stop joking, you should believe in my most basic professional ethics as a doctor. I have always followed Mr. Meek's request, and everything I do is for you to live well. Before considering repeated use The danger of laudanum, so I can only wrong Mr. Li Ben for the time being."

Carvey loosened his belt, and brought a large glass of warm water from the nurse: "Drink this glass of water too, and drink more if your stomach hurts."【1】

"This"

"Don't ask why, it's good for you anyway." Carvey wrote a few clearing records in his medical record, "If you don't drink it, it will be you who will suffer."

Li Ben didn't dare to refute, so he could only bear the pain and took the tincture of crow (anti) tablets from Kawei, and quickly took two sips.

Debridement is only the first step. Whether the infection can be contained depends not only on Li Ben's physical fitness, but also on the subsequent development.

Carvey didn't have any tests in his hands, and everything could only start from the symptoms. The main thing was to monitor the body temperature and check the healing of the incision.If debridement is ineffective, body temperature continues to rise, and infection continues to spread in the wound, then more extreme measures can only be taken.

"These two days are the key. Take a good rest and don't move around. I will come to see you the next morning. If you feel any other discomfort, please inform the nurse as soon as possible."

The liquid in the small wine bottle took effect immediately, and the effect of pain relief was very good. The sense of happiness from sudden pain relief after enduring extreme pain was far more unforgettable than other stimuli.

This kind of floating feeling made Li Ben's figure reappear in front of Li Ben's eyes when he was helping to suture to stop the bleeding. Although the operation was a bit rough, at least he was still alive.After listening to Carvey's words, Li Ben couldn't help feeling a little bit safe: "If I feel uncomfortable, the nurse will find and tell you as soon as possible, right?"

"That's not enough." Carvey shook his head. "They just recorded your symptoms. If you die, I will have an explanation to Mr. Meek."

"."

"So you still have to take care of yourself."

"I see."

After Carvey finished speaking, he took care of the nurse for a few more words, and then left the ward quickly.

Today, I spent a day at the School of Surgery, but I did very little. Except for two reports and a lunch, Carvey didn’t do anything, and I didn’t feel tired at the end of the day.

It has been more than 20 days since he traveled here. On the way home, he inevitably made a summary of his recent gains and set the tone for future development.

First of all, it is about surgical support. The extreme lack of equipment and drugs is the biggest obstacle to the success of the operation.

The most urgent mass production is oxytocin. Faced with so many women who need cesarean section, this is a life-saving medicine.As for the research and development of other drugs, it is not easy to handle. Carvey does not know much about pharmaceuticals, and he can only do research slowly when he enters university and finds experts in biology, chemistry, and physiology.

But the equipment is different, it is the food he uses every day, and it can be improved.

The current surgical instruments are not unified, and each doctor has his own set of used instruments, which is very personalized.Carvey doesn't have his own surgical instrument box yet, and the one in his hand was eliminated by Ignatz, so the scalpel is in good condition.

The crow's beak pliers are the most frequently used in surgery. The set of pliers given by Ignatz has been used for many years. The bite force is small, and the teeth of the pliers have been worn out. The replacement is imminent.

Moreover, a single crow's beak pliers is also difficult to cope with complex and changeable operations, so Carvey must prepare more "special" crow's beak pliers according to their functions.

For example, ordinary hemostatic forceps to deal with tissue bleeding;【2】

Mosquito vascular clamp to clamp tiny blood vessels;

Tissue clamps for grasping blood vessels;
cocoa forceps for clamping muscles and ligaments;

Right-angle forceps for deep tissue.

In addition, the sewing needle also needs to be improved.

现在缝合针弧度很小，卡维需要一些大弧度的缝合针来施展一些更精细的缝合操作，比如应用最广的1/2弧和3/8弧两种。【3】

As for traditional angle needles and anti-angle needles, which require too much craftsmanship, the needle point and body can only be random,【4】

If there is enough technical support, the suture needs to be upgraded.Now the simple gut is not enough at all. If it is loosened, it is afraid of slippery knots, and if it is tightened, it is easy to break.It is normal for an operation to break the thread three or two times, but if every knot is broken, it will destroy the mentality.

Whether it is medicine or equipment, money is needed, so Carvey can only talk to Laszlo slowly.He is involved in many industries and has more say in production and sales.

Apart from these, all that Carvey has to do is some paper work.

First of all, he has to prepare some articles as soon as possible. The structure does not need to be too complicated, just a general review level, otherwise it will appear particularly abrupt.Because in this era, as long as it is novel enough, or can prove certain theories, even correspondence records of less than 200 words can be published in BMJ. 【5】

There is really no need for Carvey to be too ostentatious. He just needs to write down the operation record and polish it a little. It is not a problem to publish it.

As for the journals to publish, he will not hang himself on a tree. He is good at many languages ​​and has many choices.

Although there were some conflicts with those old guys at the regular meeting, and a lot of angry words to Watman, after calming down, Carvey still felt that the goal should be to focus on Austria.

The current "Vienna Medical Journal" has been serialized for more than 100 years. With the popularity of German, its influence is stronger than that of BMJ and Lancet in the UK. This is his main battlefield.

Of course, sticking to the old and stubborn homeland is definitely not enough. Kawei will bloom more and contribute more.

In the future, English is the only one, and the four major journals in the medical field still lack JAMA.In addition to the BMJ and Lancet that must appear, Carvey also set his sights on the old beauty on the other side of the Atlantic Ocean. At this time, the "Boston Medical and Surgical Journal" is quietly growing, and it is naturally indispensable. 【6】

After the English coverage is over, Carvey hopes to gain some popularity in the German-speaking area.

Germany's "Leopoldina Neue Acta" and "Berlin Medical Journal" are very powerful.The former was founded in Leipzig in the 17th century and is considered a very old journal, while the latter is the predecessor of the Berlin Medical Journal and is also very famous.

In addition to these, Carvey wanted to send a piece or two in Latin to both Italy and France to test the waters.
Thinking of how he was when he had a headache for his thesis, he couldn't help feeling that this era is so easy to mess up.

Publishing articles is a long-term job, and you can calm down and take your time, because for Carvey, every major surgery that follows will become a first-class article in a journal, sooner or later.

But the communication with Dr. Liszt is different. Carbolic acid is poisonous after all. Switching to a safer disinfectant as soon as possible and promoting it can set a benchmark for messy surgical disinfection.

"Dr. Carvey, your apartment has arrived."

Carvey heard the call from the coachman, opened the door and got out of the car.After paying the fare, he carried his suitcase all the way upstairs, ready to take a good shower, and then finish writing this letter with peace of mind.

I never thought that just as I went upstairs, I saw a stranger at the door, also carrying a suitcase in his hand, wearing a set of black underwear.The person who came was not Mick, but he was more difficult than Mick. When he saw Carvey, he took off his hat with a smile and greeted him: "Doctor Carvey, you are back."

Seeing him say his name, Carvey was still worried, his mind was filled with images of Mick instigating his subordinates to sabotage: "Who are you? We don't seem to know each other."

"I'm the store manager of the 'Payun' pharmacy on the corner of the street. I'm here to talk to you about an important matter."

It turned out to be a drug seller
Before crossing, Kavey had often dealt with them. There were all kinds of people with different faces, figures, nationalities, ages, and genders, but the one thing that never changed was the smell of copper.

Carvey admitted that medical care is inseparable from money, and medical care without money is a joke in Utopia.Carvey only saves people, he is not arrogant enough to change the interest pattern of the entire medical sector.

Moreover, there are many interests involved between modern medicine and medicine. In order to popularize medical care under industrialization, medicine must be separated.Everyone is a small drop in the big wave of medical care, each performs his duties and takes what he needs, as long as he does not violate the rules and follow the system, even if the relationship is severed, the relationship will be severed.

But it was much simpler in the 19th century. The store manager's visit was to sell a new drug, and in order to meet sales expectations, he needed a little personal help from Carvey.

"Dr. Carvey, you are now a rising star in Vienna's surgical field. Your name is already a household name. I think you can use this name to make more profits."

The store manager stood by the door, watching Carvey take out the key, unlock the door, open, enter and close the door without any ambiguity.

The more he looked at it, the more he felt strange, and finally realized something was wrong at the last moment, and suddenly stretched out his right foot and stuck it on the door frame to block the door: "Dr. Carvey, you misunderstood me, I am not a liar. You only need to sign a short-term contract." Contract, you can sit in the office and count the money, why not do it."

"I'm not interested in money." Carvey looked down at his leather shoes, "Please remove the shoes, this door is quite expensive."

It was the first time for the store manager to encounter such setbacks, and he never thought that he could not even enter the door: "My medicine really has a very special effect!"

"Oh? Is there a survey on the effect of the medicine?"

"Have."

"How many people are there?"

"12 people."

"Come to me after adding a 0."

"I just want to find a spokesperson."

"That's why I need the curative effect data." Carvey looked back at the wall clock, "If you really want to find me, you can go directly to my hospital to talk with the curative effect data after the drug is used. Now I need to rest."

Perhaps because the two people have different definitions of "endorsement", the store manager always feels that it is necessary to persuade this ignorant young man:

“I suggest you talk to Dr. Posa at Hartmann Hospital and see how he does his endorsements. The young physician gets thousands of kroner a month from these endorsements, compared to It’s much more comfortable for you to work hard and do surgery in front of people.”

"Then there's nothing to talk about."

"Doctor Carvey."

Carvey was too lazy to talk nonsense, picked up the cane placed by the wall, and pressed the pointed end against the store manager's feet: "If I don't leave, I will have to change the kitchen knife."

It wasn't until the last order to evict the guests that Carvey got peace.

After a simple bath, he took out the envelope and put the letter paper on it, made himself a cup of coffee, sat quietly at the table and began to write the letter.But today is destined to be uneventful. Carvey just started writing [7] when there was another knock on the door:
dong dong dong~
"Which one?"

A woman's voice came from outside the house: "Excuse me, is this the place to recruit maids?"

Carvey frowned: "No, it's not here, you're looking for the wrong one."

"Huh? Isn't this Dr. Carvey's home?"

Carvey doesn't like strangers touching his things, and he will never take the initiative to hire a maid.There must be other reasons for being called to the door now. Seeing that the explanation was unclear, he had no choice but to get up and open the door.

Standing in front of him was a beautiful young girl, about 20 years old, with a long brown ponytail. She was even a little embarrassed when she saw the younger Kavey: "I am indeed number 16 here. But I have never hired a maid, there must be a problem in some link, you should look elsewhere."

"But someone paid me to come." The girl took a twenty-crown note from her pocket. "He's already paid for it."

"Who paid for it?"

"It's a very generous Earl."

There are only two counts I know, one is Fatorade, and the other is Moraso: "Count Moraso?"

The girl nodded after hearing the name.

Carvey smiled bitterly, and gave the girl a suggestion: "Congratulations, you can stay at home for a month and have a good rest. Since it is the money given by the earl, you should take it well."

"You mean you don't need to work anymore?"

"Need not."

Carvey backed inside and slammed the door shut.

The interruption of the letter writing thought made him very uncomfortable. After drinking the coffee and adjusting for a while, Carvey finally found the feeling of Si just now. 【8】

However.
dong dong dong~
Carvey was restless, but based on the cultivation that a gentleman should have, he still stabilized his mind: "Who is it?"

"it's me!"

Carvey was disgusted by this ambiguous answer.

I?
Who is this "I" tm? ? ?

He obviously lost his patience. He lost his quill and got up to open the door. However, it was Bergert who had been out of work for many days in front of him: "Huh? Why are you?"

"The school celebration is finally over, and the next dance is too boring. We discussed it for a long time and decided to hang out with you." Although Bergert said this, he quickly saw Carvey's embarrassment, "You should Are you going to sleep?"

Kawei borrowed the slope to get off the donkey: "Yeah, I've been tired all day, and I have to go to your uncle's place early tomorrow morning. I need a good rest."

"So that's the case, then we won't bother."

After sending the three of them away, Kawei picked up his pen again, struggled for a long time and finally finished writing the rest:
[Unfortunately, although carbolic acid is suitable for disinfection, it has a disadvantage that it is toxic to humans.

This is not a strong poison, and a single use will not affect the patient too much.It's just that for the surgeon, it gets into the air and becomes a slow poison that invades the doctor's body during the course of surgery.

This kind of chronic poisoning will have very serious consequences. For this, I hope to find a more suitable alternative for disinfection.

Just the other day, I found two compounds in a chemical plant.The disinfection and toxicity experiments will take some time, and I will inform you as soon as I have a detailed report.Of course, if Dr. Liszt makes new discoveries, he also hopes to inform me as soon as possible so that we can learn from each other.

Your Forever Student: Kavi Hines]
(End of this chapter)