Nineteenth Century Medical Guide
Chapter 125. 122. This moment is just like that moment
Chapter 125. 122. This moment is just like that moment
The murderous writer was tripped to the ground by Carvey, and surrounded by guards, he was locked in the sundries warehouse on the first floor of the surgical ward.His hands and feet were tied to the chair, and he couldn't move his whole body.
Because he had to wait for the result of the operation, Werther took two patrolmen into the house first, planning to ask the ins and outs of the matter clearly before talking.He moved a chair, took out the cigarette case, took out a cigarette and stuffed it into his mouth, and asked, "What's your name? What do you do?"
The man whimpered and shook his head constantly, and the corner of his mouth drooled, and Werther realized that someone had stuffed it with a rag: "It's really stuffed tightly enough, what's your name?"
After removing the rag, the writer moved his sore cheeks, then used his shoulder to wipe off the saliva leaking from the corner of his mouth, and then said: "Gabriel Valles."
"What?"
"An article writer." Valles hesitated for a while, but swallowed the word "writer" into his stomach, "a writer for a newspaper."
Werther looked up and down his figure and attire, and immediately wanted to get to the point.Balles didn't need him to ask too much, anyway, his goal had already been achieved, and he quickly told the whole story.
"You wanted to cheat marriage to live a life of the upper class, but you stabbed the doctor when you failed?"
Werther summed up the whole process in one sentence, but from Valles' perspective, things didn't go like this: "I finally found a girl who fell in love with me, just because he leaked my privacy. It's over, I can't accept it!"
"Whether you accept it or not is up to you. If you can't accept it, kill yourself?"
"Anyway, my life is over. I've been living a life without a meal. Even if I get married, I can't have children. It's better to die early." Valles has seen through life and has nothing to miss, "Anyway With Dr. Olgi as a backup, death is worth it."
Werther has seen many desperadoes, but one like him is rare: "I may disappoint you, Dr. Olgi is still alive."
Seeing the seriousness of the detective, Valles couldn't help frowning: "Don't be kidding, he was stabbed severely by me, and he was shot at close range. The bullet went in the middle, There's no way he survived."
"But in fact he is still alive. If there are no accidents, the operation should be successful." Werther sighed, "The era we live in is changing every day, and sometimes we have to feel the development of medical standards. I don't know when , your illness will be cured.”
"Who? Who is operating on him?"
Witte smiled and shook his head: "I am asking you, not you asking me, not to mention how could I tell a suspect about this."
Valles never considered the possibility of treatment for his infertility. He only thought that even a first-class male surgeon like Olgi couldn't handle his gao pills, so it might be hopeless.But now the male doctor is lying on someone else's operating table, receiving someone else's operation.
Is there really a better doctor than Olgi?
At this time, Olgi's abdominal cavity had just been cleaned, and all the organs were repaired and returned to their places.
After Kavi silently counted all the gauze and equipment, he handed over the burden of sewing the skin to Sears.
It was not difficult for Sears to sew the leather. After sewing, he didn't need to be told by Carvey, and he naturally washed it with boiled cold salt water.The only difference is that Graze Hospital does not have alcohol and carbolic acid, and disinfection can only be done by simple washing.
"The murderer really wanted to kill Dr. Olgi." Kavi stood beside Musil, and said, "Fortunately, the rescue was timely, and the bleeding stopped. Whether the incision can heal depends on luck."
"The little guy is really amazing, dare to cut the liver?" Musil's eyes were all on the small half of the liver, "I might have given up long ago."
"It can only be said that Dr. Olgi's luck is good enough. If the shot is on the right liver, or slightly lower, the operation will not be so easy." [1] Carvey didn't say much about spleen and gastrointestinal damage The suture of the mouth, just asked, "How did the teacher think the operation was done?"
"Very good, very good, with the demeanor of your teacher Ignatz back then. I think that even if Olgi's incision festers and dies in the end, he will look at the incision on his stomach in heaven and praise him with a thumbs up."
Musil bowed his waist, and the scalpel in his hand cut along the hole made by the bullet, and soon found the bullet in the cut left outer lobe: "The lead bullet is still stuck to the scorched cloth, and the firepower is not strong enough." Little one. By the way, where is the gun he used?"
"It's over there, wrapped in a handkerchief." The nurse pointed to the table beside her.
Musil put the gun in his pocket: "This thing has to be taken back."
"I don't have anything to do with the teacher today."
Musil threw the scalpel into the plate: "How dare you say that? Ever since I met you, there have been fewer corpses."
"Teacher's hand itches?"
"That's not true." Musil shook his head and said, "It's not that anyone's corpse can be sold casually, it's just a feeling. By the way, when is your next operation, I will go and see."
"It depends on whether Dr. Locard can find those two medical records for me."
Although the obstetrics department of Graze Hospital cannot compare with the Municipal General Hospital and St. Mary's Hospital in terms of scale, it still receives many consultations from pregnant women every day.
It's just that the cesarean section is too difficult, and it is listed as a taboo operation like St. Mary's Hospital.
Regardless of whether it is placenta previa or a narrow birth canal, they basically refuse. In the end, these mothers who need cesarean section will choose to go directly to the Municipal General Hospital to fight, or go home and resign themselves to fate.
Considering that the obstetrics department of the Municipal General Hospital is not good, coupled with the persuasion of neighbors and relatives, many pregnant women will choose the latter, and will not be sent to the hospital until they are actually in labor.
But the same result by different routes, the outcome of placenta previa is hemorrhage, and the outcome of malposition and narrow birth canal is dystocia.
In the past one or two months, two pregnant women came to Graze Hospital to inquire about YD bleeding. According to the procedure, the obstetrics department would come to the surgery department to consult Olgi's opinion, so Locard still remembered.The content of the medical record is not long, and it will be piled into the medical record cabinet in the ward after the diagnosis and treatment.
He needs to find these two people in the vast pile of books, because there are addresses on it, but it will take some time.
It was already ten o'clock in the evening when Olgi woke up. The side effects of ether were a bit severe, and he completely forgot what happened after he was shot.The only thing I can feel now is the incision pain, even if I drink a whole bottle of laudanum, I can't completely suppress this feeling.
"Teacher, bear with me for one night." Lockard was by his side.
"I remember Valles shot me."
"Correct."
"He stabbed me before."
"Correct."
"I'm still alive?" Olgi's voice was weak, but his surprise filled the lines, "I thought I would definitely not survive."
"Alive, alive and well." Lockard said with a smile, "Sills has gone to the Municipal General Hospital to get carbolic acid, and will disinfect the incision later. I heard that it can effectively prevent ulceration."
"Well, I remember, it was the one mentioned at the surgical meeting."
"Yes, I mentioned it at the regular meeting back then. It was specially recommended by Dr. Lister from the UK. There should be nothing wrong with it." Lockard said, "It's just that the incision will be very painful when it comes to disinfection."
Olgi nodded: "If it hurts, it hurts, as long as you can live."
At this time, Carvey had already obtained the addresses of the two women, and one of them had come to negotiate the price.The other party does not need to spend a penny for the whole process, and the success rate of the operation is about 70%, which is much higher than that of other hospitals.
And the other, because of a sudden hemorrhage two days ago, died at home before he could get into the carriage.
Fortunately, there was one left, and Carvey carefully sent her to his surgical ward.According to her labor time, Carvey still decided to delay it, not only for the sake of the child, but also because of the danger of placenta previa bleeding.
On the premise of no B-ultrasound, no blood transfusion, and no rescue medicine, Kawei must be well prepared to perform this play well in front of Chino.Before that, he had turned down all the operations and plunged into the library of the University of Vienna. Even Ignatz's new cleft lip repair was declined by him.
The time soon came to the day of surgery.
March 1866, 3 will never be forgotten by anyone interested in surgery.
Since Carvey informed the operation theater of the time of the cesarean section five nights ago, various promotions in the middle have not been interrupted.In addition to the theater itself, the Wiener Zeitung and several other newspapers carried the news.
Especially for the daily, Varela and Greg each used different strokes and perspectives to show the public's expectations for the operation. 【2】
However, the editor quickly realized the business opportunity from the newspaper sales on the first day. Since he got the news on the morning of the 17th, he decided to follow up and report the latest news of the operation, and the continuous publication did not officially stop until the morning of the 21st. 【3】
Of course, they did not forget Dr. Olgi who was lying on the bed of Graze Hospital. 【4】
While the daily publicized the caesarean section, it also interspersed with reports on the Vallez murder and the survivor Olgi.Although the latter did not accept an interview, this kind of legend has intensified the public's expectations for Kavey's surgery. 【5】
The reason why it attracted so much attention was not because Kavituo was strong, but because the operation was indeed very difficult.
In a cesarean section, a narrow birth canal may still be a viable option, because as long as the operation goes well, the only thing doctors have to deal with is poor contraction of the uterus.This is a very common situation in a cesarean section, and the bleeding is not small, but it is still an option to avoid.
That is to cut off the uterus, as long as the uterus is cut off, the mother has the possibility of survival.
But in the face of placenta previa, it is already a major event that the surgeon can save the child.Often, not long after the uterus is cut on the operating table, the mother dies of hemorrhage, and the child dies of suffocation in the uterus.
Surgeons are human beings, not lunatics who ignore life and death, and will choose to escape when encountering a situation where no surgery can save the patient.Even Ignatz, who took patients very lightly, would not dare to move a woman with placenta previa until she had a successful cesarean section.
But Kavey still moved, and even if he didn't move now, he would move in a week.
"How is it, is anyone here?" The host knocked on the door of the lounge.
"No." Herman shook his head.
"Why does your Municipal General Hospital do this every time you have a cesarean section?" Halfway through the sentence, the host found that Ignatz was there, and quickly shut his mouth, "Go and look for it, the time is almost up."
Herman is still Carvey's assistant today, and the situation this time is indeed very similar to last time: "It's easy to say, we also need to know where he is."
"I haven't seen him for two days." Ignatz's previous cleft lip surgery was successful, so he didn't care too much about it. "Bergett, he's really been in the library these days." ?”
"I saw him the first day, and he disappeared after that." Bergett replied, "I probably went home, or maybe I went to other places."
"Where's the hospital lab? Does the guy who stays there all day know?"
"I asked earlier. I have seen him once in the past few days. After taking away the oxytocin prepared earlier, he disappeared."
"It's impossible for him to go home, I went to his house to look for it." Ignatz was anxious, "Where can he go?"
"Did he forget the operation?" Hills also appeared in the waiting room as a friend, looking at the familiar scene, he didn't know whether he should be excited or a headache, "Or let Igna Teacher Ci, come on stage, the operation has been exaggerated for this sake, how much will be paid for canceling it."
"About more than 1 crowns." Ignatz smiled wryly, "It's quite expensive."
"so many???"
"Just two VIP seats cost 3000 crowns."
"The theater is too ruthless."
"It's just that someone will buy it, so the sky-high price has already exceeded the highest record in the theater over the years."
Ignatz knew that it was impossible for the hospital to lose money, and the money would have to be shared by the surgeon himself.
But let him take the stage, I am afraid that 99.9% of the operations will end in failure, and that 0.1% is also left for Carvey to rush to the rescue in time.Placenta previa moves in and out quickly, as long as there is massive bleeding, the mother's heart can stop beating in just 10 minutes.
Hills saw his teacher's embarrassment, so he could only continue to complain about Carvey: "Look at the daily report yesterday, even they know that Carvey has been missing for four days, and they think that today will definitely be the same as the French short-legged chicken As ugly as defeat in Belgium." [6]
"It's not as vicious as you make it out to be."
"Almost, evasion is more shameful than failure!" Hills glanced at Ignatz next to him, and almost said what happened that day, "No, we can't waste time here, we have to send someone to look for it. Go to the university, go to his residence, go to the hospital. We still have time, as long as the host can hold the audience."
"I'm afraid this is a bit difficult."
"what happened?"
"All the people who come here are famous and famous people. It's not something our small theater can provoke if you just take one out." The host said embarrassingly, "I was already very nervous when I was asked to stand on the stage, and I was held back." them?"
While everyone was waiting anxiously, Carvey fell asleep in the carriage.
At his feet was a newly updated surgical instrument box, and on his seat was a medicine box, which contained not only a dozen tubes of oxytocin, but also a glass bottle the size of a palm.This is what he has gained in the past four days, and it is also the key to this cesarean section operation.
(End of this chapter)
The murderous writer was tripped to the ground by Carvey, and surrounded by guards, he was locked in the sundries warehouse on the first floor of the surgical ward.His hands and feet were tied to the chair, and he couldn't move his whole body.
Because he had to wait for the result of the operation, Werther took two patrolmen into the house first, planning to ask the ins and outs of the matter clearly before talking.He moved a chair, took out the cigarette case, took out a cigarette and stuffed it into his mouth, and asked, "What's your name? What do you do?"
The man whimpered and shook his head constantly, and the corner of his mouth drooled, and Werther realized that someone had stuffed it with a rag: "It's really stuffed tightly enough, what's your name?"
After removing the rag, the writer moved his sore cheeks, then used his shoulder to wipe off the saliva leaking from the corner of his mouth, and then said: "Gabriel Valles."
"What?"
"An article writer." Valles hesitated for a while, but swallowed the word "writer" into his stomach, "a writer for a newspaper."
Werther looked up and down his figure and attire, and immediately wanted to get to the point.Balles didn't need him to ask too much, anyway, his goal had already been achieved, and he quickly told the whole story.
"You wanted to cheat marriage to live a life of the upper class, but you stabbed the doctor when you failed?"
Werther summed up the whole process in one sentence, but from Valles' perspective, things didn't go like this: "I finally found a girl who fell in love with me, just because he leaked my privacy. It's over, I can't accept it!"
"Whether you accept it or not is up to you. If you can't accept it, kill yourself?"
"Anyway, my life is over. I've been living a life without a meal. Even if I get married, I can't have children. It's better to die early." Valles has seen through life and has nothing to miss, "Anyway With Dr. Olgi as a backup, death is worth it."
Werther has seen many desperadoes, but one like him is rare: "I may disappoint you, Dr. Olgi is still alive."
Seeing the seriousness of the detective, Valles couldn't help frowning: "Don't be kidding, he was stabbed severely by me, and he was shot at close range. The bullet went in the middle, There's no way he survived."
"But in fact he is still alive. If there are no accidents, the operation should be successful." Werther sighed, "The era we live in is changing every day, and sometimes we have to feel the development of medical standards. I don't know when , your illness will be cured.”
"Who? Who is operating on him?"
Witte smiled and shook his head: "I am asking you, not you asking me, not to mention how could I tell a suspect about this."
Valles never considered the possibility of treatment for his infertility. He only thought that even a first-class male surgeon like Olgi couldn't handle his gao pills, so it might be hopeless.But now the male doctor is lying on someone else's operating table, receiving someone else's operation.
Is there really a better doctor than Olgi?
At this time, Olgi's abdominal cavity had just been cleaned, and all the organs were repaired and returned to their places.
After Kavi silently counted all the gauze and equipment, he handed over the burden of sewing the skin to Sears.
It was not difficult for Sears to sew the leather. After sewing, he didn't need to be told by Carvey, and he naturally washed it with boiled cold salt water.The only difference is that Graze Hospital does not have alcohol and carbolic acid, and disinfection can only be done by simple washing.
"The murderer really wanted to kill Dr. Olgi." Kavi stood beside Musil, and said, "Fortunately, the rescue was timely, and the bleeding stopped. Whether the incision can heal depends on luck."
"The little guy is really amazing, dare to cut the liver?" Musil's eyes were all on the small half of the liver, "I might have given up long ago."
"It can only be said that Dr. Olgi's luck is good enough. If the shot is on the right liver, or slightly lower, the operation will not be so easy." [1] Carvey didn't say much about spleen and gastrointestinal damage The suture of the mouth, just asked, "How did the teacher think the operation was done?"
"Very good, very good, with the demeanor of your teacher Ignatz back then. I think that even if Olgi's incision festers and dies in the end, he will look at the incision on his stomach in heaven and praise him with a thumbs up."
Musil bowed his waist, and the scalpel in his hand cut along the hole made by the bullet, and soon found the bullet in the cut left outer lobe: "The lead bullet is still stuck to the scorched cloth, and the firepower is not strong enough." Little one. By the way, where is the gun he used?"
"It's over there, wrapped in a handkerchief." The nurse pointed to the table beside her.
Musil put the gun in his pocket: "This thing has to be taken back."
"I don't have anything to do with the teacher today."
Musil threw the scalpel into the plate: "How dare you say that? Ever since I met you, there have been fewer corpses."
"Teacher's hand itches?"
"That's not true." Musil shook his head and said, "It's not that anyone's corpse can be sold casually, it's just a feeling. By the way, when is your next operation, I will go and see."
"It depends on whether Dr. Locard can find those two medical records for me."
Although the obstetrics department of Graze Hospital cannot compare with the Municipal General Hospital and St. Mary's Hospital in terms of scale, it still receives many consultations from pregnant women every day.
It's just that the cesarean section is too difficult, and it is listed as a taboo operation like St. Mary's Hospital.
Regardless of whether it is placenta previa or a narrow birth canal, they basically refuse. In the end, these mothers who need cesarean section will choose to go directly to the Municipal General Hospital to fight, or go home and resign themselves to fate.
Considering that the obstetrics department of the Municipal General Hospital is not good, coupled with the persuasion of neighbors and relatives, many pregnant women will choose the latter, and will not be sent to the hospital until they are actually in labor.
But the same result by different routes, the outcome of placenta previa is hemorrhage, and the outcome of malposition and narrow birth canal is dystocia.
In the past one or two months, two pregnant women came to Graze Hospital to inquire about YD bleeding. According to the procedure, the obstetrics department would come to the surgery department to consult Olgi's opinion, so Locard still remembered.The content of the medical record is not long, and it will be piled into the medical record cabinet in the ward after the diagnosis and treatment.
He needs to find these two people in the vast pile of books, because there are addresses on it, but it will take some time.
It was already ten o'clock in the evening when Olgi woke up. The side effects of ether were a bit severe, and he completely forgot what happened after he was shot.The only thing I can feel now is the incision pain, even if I drink a whole bottle of laudanum, I can't completely suppress this feeling.
"Teacher, bear with me for one night." Lockard was by his side.
"I remember Valles shot me."
"Correct."
"He stabbed me before."
"Correct."
"I'm still alive?" Olgi's voice was weak, but his surprise filled the lines, "I thought I would definitely not survive."
"Alive, alive and well." Lockard said with a smile, "Sills has gone to the Municipal General Hospital to get carbolic acid, and will disinfect the incision later. I heard that it can effectively prevent ulceration."
"Well, I remember, it was the one mentioned at the surgical meeting."
"Yes, I mentioned it at the regular meeting back then. It was specially recommended by Dr. Lister from the UK. There should be nothing wrong with it." Lockard said, "It's just that the incision will be very painful when it comes to disinfection."
Olgi nodded: "If it hurts, it hurts, as long as you can live."
At this time, Carvey had already obtained the addresses of the two women, and one of them had come to negotiate the price.The other party does not need to spend a penny for the whole process, and the success rate of the operation is about 70%, which is much higher than that of other hospitals.
And the other, because of a sudden hemorrhage two days ago, died at home before he could get into the carriage.
Fortunately, there was one left, and Carvey carefully sent her to his surgical ward.According to her labor time, Carvey still decided to delay it, not only for the sake of the child, but also because of the danger of placenta previa bleeding.
On the premise of no B-ultrasound, no blood transfusion, and no rescue medicine, Kawei must be well prepared to perform this play well in front of Chino.Before that, he had turned down all the operations and plunged into the library of the University of Vienna. Even Ignatz's new cleft lip repair was declined by him.
The time soon came to the day of surgery.
March 1866, 3 will never be forgotten by anyone interested in surgery.
Since Carvey informed the operation theater of the time of the cesarean section five nights ago, various promotions in the middle have not been interrupted.In addition to the theater itself, the Wiener Zeitung and several other newspapers carried the news.
Especially for the daily, Varela and Greg each used different strokes and perspectives to show the public's expectations for the operation. 【2】
However, the editor quickly realized the business opportunity from the newspaper sales on the first day. Since he got the news on the morning of the 17th, he decided to follow up and report the latest news of the operation, and the continuous publication did not officially stop until the morning of the 21st. 【3】
Of course, they did not forget Dr. Olgi who was lying on the bed of Graze Hospital. 【4】
While the daily publicized the caesarean section, it also interspersed with reports on the Vallez murder and the survivor Olgi.Although the latter did not accept an interview, this kind of legend has intensified the public's expectations for Kavey's surgery. 【5】
The reason why it attracted so much attention was not because Kavituo was strong, but because the operation was indeed very difficult.
In a cesarean section, a narrow birth canal may still be a viable option, because as long as the operation goes well, the only thing doctors have to deal with is poor contraction of the uterus.This is a very common situation in a cesarean section, and the bleeding is not small, but it is still an option to avoid.
That is to cut off the uterus, as long as the uterus is cut off, the mother has the possibility of survival.
But in the face of placenta previa, it is already a major event that the surgeon can save the child.Often, not long after the uterus is cut on the operating table, the mother dies of hemorrhage, and the child dies of suffocation in the uterus.
Surgeons are human beings, not lunatics who ignore life and death, and will choose to escape when encountering a situation where no surgery can save the patient.Even Ignatz, who took patients very lightly, would not dare to move a woman with placenta previa until she had a successful cesarean section.
But Kavey still moved, and even if he didn't move now, he would move in a week.
"How is it, is anyone here?" The host knocked on the door of the lounge.
"No." Herman shook his head.
"Why does your Municipal General Hospital do this every time you have a cesarean section?" Halfway through the sentence, the host found that Ignatz was there, and quickly shut his mouth, "Go and look for it, the time is almost up."
Herman is still Carvey's assistant today, and the situation this time is indeed very similar to last time: "It's easy to say, we also need to know where he is."
"I haven't seen him for two days." Ignatz's previous cleft lip surgery was successful, so he didn't care too much about it. "Bergett, he's really been in the library these days." ?”
"I saw him the first day, and he disappeared after that." Bergett replied, "I probably went home, or maybe I went to other places."
"Where's the hospital lab? Does the guy who stays there all day know?"
"I asked earlier. I have seen him once in the past few days. After taking away the oxytocin prepared earlier, he disappeared."
"It's impossible for him to go home, I went to his house to look for it." Ignatz was anxious, "Where can he go?"
"Did he forget the operation?" Hills also appeared in the waiting room as a friend, looking at the familiar scene, he didn't know whether he should be excited or a headache, "Or let Igna Teacher Ci, come on stage, the operation has been exaggerated for this sake, how much will be paid for canceling it."
"About more than 1 crowns." Ignatz smiled wryly, "It's quite expensive."
"so many???"
"Just two VIP seats cost 3000 crowns."
"The theater is too ruthless."
"It's just that someone will buy it, so the sky-high price has already exceeded the highest record in the theater over the years."
Ignatz knew that it was impossible for the hospital to lose money, and the money would have to be shared by the surgeon himself.
But let him take the stage, I am afraid that 99.9% of the operations will end in failure, and that 0.1% is also left for Carvey to rush to the rescue in time.Placenta previa moves in and out quickly, as long as there is massive bleeding, the mother's heart can stop beating in just 10 minutes.
Hills saw his teacher's embarrassment, so he could only continue to complain about Carvey: "Look at the daily report yesterday, even they know that Carvey has been missing for four days, and they think that today will definitely be the same as the French short-legged chicken As ugly as defeat in Belgium." [6]
"It's not as vicious as you make it out to be."
"Almost, evasion is more shameful than failure!" Hills glanced at Ignatz next to him, and almost said what happened that day, "No, we can't waste time here, we have to send someone to look for it. Go to the university, go to his residence, go to the hospital. We still have time, as long as the host can hold the audience."
"I'm afraid this is a bit difficult."
"what happened?"
"All the people who come here are famous and famous people. It's not something our small theater can provoke if you just take one out." The host said embarrassingly, "I was already very nervous when I was asked to stand on the stage, and I was held back." them?"
While everyone was waiting anxiously, Carvey fell asleep in the carriage.
At his feet was a newly updated surgical instrument box, and on his seat was a medicine box, which contained not only a dozen tubes of oxytocin, but also a glass bottle the size of a palm.This is what he has gained in the past four days, and it is also the key to this cesarean section operation.
(End of this chapter)
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