Nineteenth Century Medical Guide

Chapter 124 121. Compromise
In the 19th century, medical treatment developed rapidly. Although people remained in a semi-ignorant state, the life expectancy of the people continued to increase.Doctors themselves are descendants of nobles and capitalists, and they do the noble work of treating diseases, and their status is much higher than that of ordinary civilians.

Rushing into a hospital in broad daylight and killing a doctor with a knife is enough to become a major case that caused a sensation in the whole city.

Graze Hospital is located in the center of the city, some distance from the east of the city where Nora lives, but it happens to enter the area that Werther is in charge of.

He had just planned to have dinner with Musil when he received the police report, but now the dinner was in vain.

At 8 o'clock in the evening, the sun had already set, and the police carriage hurried to the gate of Graze Hospital with the oil lamps on both sides on.The place has been cleared, there are no patients, and even the lights in the medical ward that should be on are much less.

Werther jumped out of the car, glanced at the gate of the hospital, and couldn't help complaining: "He came to kill the doctor, that guy must have lost his mind."

"Everyone is here these days." Musil held a piece of bread in his hand and gnawed, "Go in quickly, finish early, I have to go to the restaurant to make up for this meal."

The two had already heard the details from the patrolman at the police station, and the knife directly poked their stomachs, which was basically hopeless.Werther came here just to see the scene, and then take the murder weapon and the murderer back to write a record.

But Musil was more troublesome. After checking the condition of the corpse at the scene, he had to move back for an autopsy.

So when he learned that the victim, Dr. Olgi, was still alive, the forensic doctor was the happiest: "No one is dead? Can I leave if there is no death?"

Werther grabbed his sleeve: "You're not dead now, but it doesn't mean you won't die later. It's just being rescued. Who knows if you can be rescued? What if you die in the end? Get you out of the restaurant again?"

The risk of surgery is inherently high, and the one who is injured is still the top card of Graze Hospital, and there are only a handful of doctors who can really take the stage.After calming down, the more Musil thought about it, the more uncertain he became. He always felt that Olji lying on the bed was in danger:
"Who is rescuing now? Lockard? Or Sears who just came from the Municipal General Hospital?"

"Both doctors are inside," the nurse said, "but the real surgeon is someone else."

"Others? Who?"

Although Musil has been away from the clinic for many years, he does not separate his family for anatomy and surgery. He is still in the surgical circle and still understands the structure of doctors in various hospitals.Neither Locard nor Hills has the ability to perform abdominal surgery, and there are no more than one hand in Vienna who can pull them to the stage.

Ignatz?Or Waterman?or
"It can't be Kavi."

"Yes, that's him." The nurse said with a smile, "Dr. Carvey specially ordered that if you see Detective Witt come to handle the case, please ask him to wait outside the house for a while. The operation has been done for more than an hour, and there are still 30 minutes at most." will end."

[Why is it him again. ]
[Why is there him everywhere. ]
Although their minds were full of question marks, after hearing Kavey's name, they were inexplicably relieved. Olgi's life should not be lost.Werther secretly breathed a sigh of relief, and patted his old partner on the shoulder: "I'll go and see that idiot who used the knife first."

"what about me?"

"You haven't died after so long, it seems that you don't have a chance to play."

Olgi, who was lying on the desk, was out of danger now, the bleeding had been stopped, and the lost blood had been replaced with saline, at least the slowing heart rate would not lie.

The operation was coming to an end, and the three began to discuss the cause of the whole thing.

In fact, the right to know has always been a relative paradox in the medical field. Instead of jumping back and forth on both sides, it is easier to directly formulate a standard for people to abide by.So there are provisions to protect the privacy of patients, which is still from the "Hippocratic Manifesto" of Hippocrates, an old friend of Western medicine.

Although it is the basic ethics of doctors not to disclose personal privacy, many doctors will feel empathy when encountering such a thing, and they may step on the red line in the end.

Olgi did violate professional ethics, and the main reason was Linette's identity.

She is not married to the writer, so she cannot be counted as a family member of the writer.Since they are not family members, they should not have the right to informed consent [1].However, in the 19th century, there were not many doctors who could really do this, and patients turned a blind eye.

"I personally think that Dr. Olgi's approach is indeed inappropriate." Carvey tilted his head and pulled out the colon from below the spleen, and found the opening above it. "It's broken badly here, give me wet gauze."

"What's wrong? Should Miss Lynette be deceived?"

"First of all, she is not a family member, but a friend."

The gauze was soaked in salt water and was quickly handed to Carvey: "Secondly, I just said that Dr. Olgi's actions were inappropriate, not that his intention was wrong. There are a lot of compromises that can be made to convey that message.”

"any solution?"

"Minimize the conflict between yourself and the patient, arouse Linette's curiosity about the patient's disease outcome, and turn your own initiative into her initiative to seek the truth. By the way, didn't she come to the hospital together at the beginning, she should know the progress of the treatment That's right"

Carvey said something along his own train of thought, causing the surroundings to be silent.

It wasn't until the end that he realized that he had spoken too clearly, and quickly changed his words with a smile: "Hehe, it was just a casual joke just now, just pretend you didn't hear it, and don't take it to heart."

What he said was indeed dark and selfish, but for a profession like a doctor, which is sandwiched between legal principles and human feelings, protecting oneself becomes extremely important.

Hills and Locard were like two wild donkeys running in opposite directions, with a rope pulled between them, and neither could convince the other.But after hearing this, it seemed that they had found a balance in the middle: "Dr. Carvey, can you be more specific?"

"For example, you two are unmarried couples, come to me for review."

Carvey glanced at the two of them, and immediately set up a small scenario theater: "At this time, based on the author's understanding of his situation and his exaggerated reaction afterwards, he definitely doesn't want her to know the truth. So before coming here, I will talk to the doctor Breathe, try to hide the truth."

"Yes, that's how it was at the beginning."

Lockard still clearly remembers what happened: "After knowing that there is no hope of having a baby, he has been lying to Linette that the operation effect is satisfactory. Although the teacher knew that it was unfair to the woman, he told us that it was professional ethics. Doctors do not have the right to divulge privacy."

"So you two are here for a review now"

Carvey wiped away the dirty things that leaked around the intestine breach one by one, and then brought a needle and thread to start the colon suture: "I first checked the yin sac after the operation, and said that the incision was good. Then what? At that time How did the guy answer the phone?"

"He told Linette that he has recovered and is fully capable of having children." Lockard said, "I hope to get married as soon as possible."

"Shameless!" Hills became angrier the more he heard it, "What kind of bullshit love is for money!"

Carvey tapped the hook board in his hand with the tweezers in his hand: "You are the deceived woman now, can you join the show?"

Hills had no choice but to sigh, and said according to Linette's tone at the time: "It's good to be able to recover. My father is still waiting for his grandson to be born. So doctor, how many times does he need to come for reexamination?"

"This is the last time."

Carvey did not deny the writer's deceitful behavior, nor did he take the initiative to tell the woman the truth, but chose another method: "Here is the discharge summary that records your condition, operation process and results, and prognosis. According to the hospital's regulations , need to be handed over to you, if you have any questions after reading it, you can come to me again.”

Two people: "this"

Carvey took the needle from the thread and handed it to the nurse: "When I finished speaking, I handed the things into the man's hand, but my eyes were on the woman. Pay attention, your face should be dignified, at least not Laughing. If the woman still doesn’t have any doubts after doing this, or even asks, then there’s nothing she can do, and this is God’s test for her.”

Hills shook his head: "No, I'm already interested."

"Why didn't the teacher think of it at the beginning?"

Carvey quickly tied a knot in the intestines, and then cut off the thread: "The result is that Dr. Olgi kindly rescued Linette, and God threw the test into his arms by the way."

"Yeah, he has been suffering for the past half month."

"what happened?"

"The writer took him to court." Lockard said, "The court just started two days ago. Fortunately, the judge and the teacher have a good relationship, and the writer's actions are too despicable."

"The result is winning?"

"Ah."

Carvey snorted softly, but felt that it was inappropriate to do so: "If you lose some money, maybe this farce won't happen, and now not only messed up his marriage, but also entrapped yourself with the judge, what would you do instead? "

The contradictions in the whole matter have been revolving around Dr. Olgi, which is a very dangerous thing in modern times, and conflicts will explode at any time.

Therefore, Carvey's compromise solution is to change the power holder and forcefully hand over the power of notification originally held by the doctor to the patient.Let the woman force the patient to tell the patient himself about the condition, if not, then it has nothing to do with the doctor.

To put it bluntly, it is a kind of dumping behavior to avoid danger. It is not glorious but it can reduce one's own danger at critical moments.

Giving a medical history of the hospitalization period was rare in the 19th century, but it is a good thing after all, so as not to leave any clues.

Carvey glanced at his stitched colon, nodded in satisfaction, "Here's a basin of salt water."

"Just now, we finished all the water in the water basin."

"Oh, then make another pot." Carvey pointed to the salt box and said, "It is enough to put one and a half teaspoons of salt in 1L of water."

"Where's the baking soda?"

"That's not necessary."

A large amount of saline was poured into Olgi's abdominal cavity, not only to clean the stomach, but also to check other bleeding points during abdominal trauma to prevent omissions.Hills squeezed the suction device and kept sucking out the rinsed saline, but his mind was still thinking about the incident just now.

Because there are still many loopholes in Kawi's settings.

"What if I don't even want the medical history information you gave me?"

"It's okay if you don't want it. Anyway, I look at the woman, and she can say yes."

"She's not a family member, so she can't have it."

"Yes, of course she can't ask for it. But she can ask for a medical history, and I just refuse." Carvey explained, "At this time, the statement is very particular. Generally, it is necessary to clarify the scope of disclosure of the patient's privacy and emphasize her It’s not that family members can’t tell, if you want to know, you can ask him.”

Lockard immediately understood: "Because the writer has said before that she has no problem with childbirth, and now she says that her condition is normal even in front of her face, so there must be something wrong behind this ambiguity."

But Hills still felt wrong: "What if the writer insists on you expressing your opinion positively?"

Carvey looked at him and crossed himself with his bloody right hand: "I'm a devout Catholic, (I can't lie)."

"It's so obvious."

"It's obvious." Carvey still has a bunch of other messy methods in his hands, but they are too insidious to be used here, "So it shouldn't be said from the beginning, and it has to bear this tragic burden as a result of."

Carvey has seen too many things like medical troubles, not only legal, financial, but also violence.

Doctors are the strong side at the medical level, but if medical treatment is left aside, the rest are weak.Especially in the face of heinous violence, even an experienced surgeon like Olgi has to admit defeat.

"If you are really determined for money, no matter what method you use, the last unlucky person is the doctor himself." Carvey cleaned the abdominal cavity again, "The only way to really put an end to this situation is to follow the rules. If you don't say it, don't say it."

Hills shook the handle of the suction device in his hand vigorously, watching the salt water pour into the glass bottle at his feet, feeling like Olgi's abdomen that had just been ravaged, a mess.

At this moment, there was a knock on the door suddenly.

"The operation is going on inside." The nurse near the door opened the door and whispered, "If you have something to do, please wait outside for a while."

"I'm looking for the surgeon who will perform the surgery."

"This..." the nurse looked back at Carvey, hesitated for a moment, "Doctor Carvey, someone is looking for you outside the door."

"Wait until I'm done."

"Brother Kawei, it's me." Musil smiled and squeezed half a body forward, "I heard that you are doing rescue work for Dr. Olgi, so I just want to come in and have a look, don't you mind?"

Carvey heard a familiar voice, and then looked back: "It turned out to be Teacher Musil, what brought you here."

Musil smiled awkwardly, and at the same time he took the doorknob and walked into the office: "Isn't this the case, if the police told me earlier that you were the rescuer, I wouldn't have come .”

After all, Musil still stepped forward and glanced at the table curiously.

It's a pity that the operation has already ended, and the sutures are running back and forth on Olgi's stomach.As soon as he reminded him, Carvey remembered his real purpose of coming here, and then asked Lockard and Hills in front of him: "Teachers, I wonder if there are any pregnant women who are suitable for cesarean section surgery here?" ?”

(End of this chapter)