Nineteenth Century Medical Guide

Chapter 130 127. The Uterus Can Talk
Carvey's question is actually a bit unnecessary, because Brenda gave birth to a daughter five years ago, and she was originally a multipara.And when he came to the door five days ago, Carvey had seen this little girl.

But the same question will have several meanings because of the different answers in each person's heart.

Kawei's question must not be about her daughter, and the time must be after giving birth to her daughter.But Brenda seemed to keep this matter hidden in her heart, and she didn't expect that Carvey could guess it, so she couldn't react for a while: "Didn't Dr. Carvey see my daughter?"

"You know it's not her I'm asking."

Carvey didn't go around in circles, just looked at Brenda, hoping she could give him a clear answer.

Brenda hesitated for a moment, then quickly laughed: "Stop joking, doctor. My husband went out to sea with the fleet shortly after giving birth to my daughter. He just came back last year. How could he be pregnant?"

"But that's not what your uterus said." Seeing that she still wanted to defend herself, without elaborating on the reasons, she just interrupted, "Don't deny it, I hope you can trust a successful The eye of the cesarean doctor."

In fact, the answer is already obvious, and the expression of the woman in front of her has already explained something: "What exactly is Dr. Kawei trying to say?"

"Your uterus is not thin, but it is scarred."

This sentence contains quite a lot of information. If it is explained with medical knowledge, it is an explanation of the cause of placenta accreta [1].Brenda definitely doesn't understand medicine. In her eyes, Kavey is the same as the god of the prophet: "Dr. Kavey, you are really amazing."

Carvey sighed and lowered his voice: "Did you have an abortion?"【2】

For Catholic countries, this is a very heavy term, and both the implementer and the recipient of abortion must be severely punished [3].So even if Brenda acquiesced to this statement, she didn't dare to nod her head: "You know I won't admit it."

Carvey nodded: "So you don't need to answer next, just blink your eyes. Blink if you are right, and don't move if you are wrong."

Brenda blinked.

"What method did you use at the beginning?" Carvey asked, and then gave many options, "Take medicine? Fill it with liquid? Or"

[wink]
"What was it? Milk? Wine? Wort? Soap?"

[wink]
Although all of this was expected by Carvey, because the uterus needs to be rested for at least a year after a cesarean section, he has specially learned about abortion and contraceptive measures in this era.Simply relying on reading to understand, and listening to the process of a pregnant woman's statement face-to-face are two completely different experiences.

"It turned out to be soapy water."

When Carvey determined the abortion method, Brenda shook her head slightly: "Actually, I not only fed but also drank a lot, but the effect was not good. I know many girls who want to solve this difficult problem by themselves Some people drink very boldly, but in the end they can’t get what they want, so they can only seek help from some people.”【4】

"So you used another method?"

Brenda is back to her previous silence: [wink]
Carvey thought for a while, then asked again: "Did you use a sharp weapon?"

[wink]
"Is it the long metal needle from the hospital?"

"."

"Metal stick?"

"."

"Pliers?"

"."

Carvey failed to guess three in a row, and suddenly thought that the other party might not have a medical background, and the things he used must not leave a clue, so he narrowed the scope to the usual daily necessities: "It will not be a knitting needle for home use. Is it a quill?"

[wink]
too crazy!

"Because if I fail, I will probably die, and I will know after the forensic examination." Brenda didn't go on, "so she also took a lot of risks to help us."

"I understand, don't be nervous, I'm just confirming my guess." Carvey comforted, "You lost a lot of blood during the operation, you should take good care of your body first."

Seeing that Carvey didn't ask any further questions, Brenda was also relieved, but she didn't dare to let him go easily.She moved her body with difficulty, stretched out her hand and grabbed Carvey's arm, and asked worriedly: "You won't tell, will you? I have two children who need to be taken care of, and they can't live without me."

"Don't worry." Carvey said, "Protecting patients' privacy is the most basic professional ethics of doctors, not to mention that I don't know anything."

"."

Brenda stared at him for a while, then slowly let go and said thank you.

Carvey cleared his throat, and continued to talk about what needs to be paid attention to after the operation: "The operation will do a lot of damage to your uterus. The incision is in the uterus, so you have to wait at least two years before you can get pregnant."

"It will take that long?"

"Because pregnancy expands the uterus, then the stitches can easily tear."

In this era of uncontrolled births, Kavey knew the difficulty of contraception, so he deliberately lengthened the recovery time, just to avoid the trouble after cesarean section: "Don't worry, after all, it's not something you can control alone , I will also tell your husband about this."

"thanks."

The second thank you was far more cordial than the previous one, but Carvey could still see her helplessness.In fact, Carvey is also very helpless, because in this strange age, even doctors are not allowed to spread contraceptive methods.

So he didn't say anything, but "very accidentally" left a piece of paper with several lines of words spliced ​​​​in letters. 【5】

The things should be of the same kind as the ones used in modern times, but Kavi doesn't know how to make them.Considering the price of rubber, it is also much cheaper to make your own than to buy the finished product directly.This is the method he read from the library, and it is the limit of what he can do. If Nora remarries, Carvey will also give her a copy.

No matter how difficult the world was, at least the cesarean section was a success, and the mother and child were safe.

The success of the operation reassured Chino and Laszlo, who were sitting in the VIP seats, that oxytocin really helped, at least the uterus shrank at the last moment.

In fact, even if it is useless, the anticoagulant effect of sodium citrate shown by Kavey is enough to change the surgical pattern.As long as surgery has a place in medicine, as long as people are injured, and as long as there are wars in the world, blood transfusion will definitely have its future.

Immediately after the operation, the tripartite agreement between Chino, Laszlo, and Carvey took effect, and the scope of cooperation was also extended to anticoagulants.

But for Carvey, the pharmaceutical factory is just a means to improve the medical level, and making money is not his real purpose.What really made him feel profitable was actually the growth of his identity and status.

In a sense, this is the first complicated operation that Carvey has actually handled as the chief surgeon.While receiving a lot of applause, his position in the Municipal General Hospital has also become more stable.

This status quickly became a bargaining chip in the Dean's decision.

The income of tens of thousands of crowns for one operation is enough to force the dean to tear up the previous cooperation agreement with the theater.After all, the penalty for breaking the contract is only 8000 crowns, and it only takes one cesarean section operation by Kavey to pay back the cost, which is too easy.

At the same time, this status also gave Kavey the capital to bargain with the dean. After all, the previous share of the account percentage was too unreasonable, and he had to increase his income ratio.

"I only need 20% for other simple operations, but half for cesarean section."

Carvey is not black-hearted: "As long as someone in Vienna can successfully perform a cesarean section, the share can be reduced by one percentage point until it falls back to 20%. This share rate also applies to other innovative surgeries. Of course, the difficulty of these new surgeries Certainly comparable to a cesarean section."

The dean needs to consider the long-term development of the hospital, and he must have a different view on this request: "I know your cesarean section is very powerful, but it is also innovative, and Professor Ignatz's cleft lip repair is also successful, but he did not That's too much to ask."

"Cleft lip repair?"

"Yes, Professor Ignatz only wants a 20% share."

Carvey forgot about the operation, and said with a smile: "If I remember correctly, I also have a part in this new operation."

"I heard from Ignatz about this, but now he is the creator of the new technique."

Carvey doesn't deny it: "The dean thinks I'm going to stop here?"

"I know that this cesarean section was very successful, and I am also optimistic about your future success rate of cesarean section. It's just that" the dean is an ordinary person after all, "it's just that surgical innovation is too difficult."

Carvey didn't take his suspicions seriously at all, and it was impossible for him to reveal his experience to him. He just turned everything into a threat and tried to get his share.

Only by showing the appearance of striving for interests can he pave the way for the future reform of the operating room.

Carvey took out a member badge of the Academy of Surgery that Watman stuffed into his hand after the operation, and said: "I should be the youngest member of the Academy of Surgery in the history of the Empire. It’s very sincere. If the dean insists on doing that, I’m afraid I can only follow the example of Dr. Hills.”

"I understand." The dean interrupted him in time, "Just do as you said just now, but you have to keep money as a secret."

"No problem, I understand the rules."

Carvey wanted to leave after finishing speaking, but the dean stopped him again: "Wait a minute."

"what happened?"

"I have two more things here." The dean opened the drawer next to his desk, and there was a letter lying in it, "I have received a recruitment letter from a military hospital here, and I hope I can provide qualified surgeons to join the military medical team." System training."

Carvey immediately thought of the important event he had heard from Chino in the theater before, and quickly declined: "I'm not interested in military doctors, as long as I can work in the hospital with peace of mind."

"Don't worry." The dean quickly said with a smile, "The empire is martial, this is just a training, and it is the honor of every doctor to be able to enter the military medical system. If you can contribute to the military doctor, maybe you will return to the hospital after completing the training." Receive the Imperial Medal of Merit."

Flatbread!

It's just like painting a big pie, the Imperial Meritorious Medal is so easy to get, otherwise Ignatz's experience would have been full of it.

Several black lines landed on Kavey's forehead: "Isn't this mandatory?"

"Of course it's not mandatory, it definitely requires the person's consent."

"That's good." Carvey smiled and left the sofa, bowed slightly to him, "Dean, goodbye."

"you"

Before he could speak, Carvey turned and left the office.

It must not be a coincidence that the military doctor's call letter was sent to the hospital at this time, and the war was imminent.

Kavi didn't know if Chino could delay the start of the war, nor did he know what the war would look like.At least in his meager knowledge of foreign history, Vienna had not been invaded from abroad and should be safe here.

But to be safe, he also needs to be prepared for this war.

While sitting in the carriage going home, Carvey had already found several escape routes.To the east is Russia, to the west is England, France, and the United States on the other side of the ocean. As long as he has the technology in his hands and understands the local language, he can go anywhere.

As long as you get the news and dynamics of the war in time, you can respond at critical moments, and then
Not anymore!

He was sitting in the carriage, looking at the door of his apartment in the distance, thinking that he would take a shower after arriving home and then make a good summary of all the previous operations, and then polish the thesis that he had been revising recently.

Unexpectedly, there was an acquaintance standing at the gate.

An acquaintance he least wanted to meet.

"Driver, go straight ahead!" Kavela lowered the curtains, raised his hand and knocked on the window at the same time, and said, "I'm not going home."

"Huh? Not coming back?"

"Yes, I suddenly remembered that I left something in the hospital." Carvey said anxiously, "I have to go back now, turn around and go back to the hospital at the intersection ahead."

The driver was skeptical, but since it was a passenger's request, he had no reason to refuse, so he could only loosen the rein that had just been tightened, and flicked the whip in his hand: "That's fine."

The carriage went straight ahead like this, and Carvey hid in the carriage, just waiting for the car to turn in front to avoid this big trouble.

But since this is a big trouble, it is impossible to avoid it so easily. Just as the carriage was about to pass the door of the apartment, the man rushed out: "Is it Dr. Carvey's carriage?"

The coachman didn't answer, just kept going.

"Kavi, I have something urgent to see you!"

"."

"Stop! Stop now!"

"."

"If you don't stop, I will shoot!!!"

This is not a bluff, the other party does have a gun in his hand.

The coachman had never seen such a battle before. Hearing this, he quickly tightened the reins, and when the horse's hooves just stopped, he gave two strange shouts, rolled off the car and ran into the depths of the alley.

The other party didn't make trouble for him, but walked slowly to the side of the carriage, raised his hand and knocked on the window like Carvey: "Doctor Carvey, this is your home, why are you running?"

"It turned out to be Earl Moraso. I remembered that I had some work to do, so I was going back to the hospital." Carvey opened the curtain awkwardly, opened the door with a smile, and said, "The Earl is so excited, why did you think of coming to me?" Here? But I’m afraid I don’t have time today, why don’t we meet again another day?”

"I don't have time to waste time." Moraso grabbed his wrist, "I have something to do with you! It's a big deal!"

　I'm thinking about where to post the protagonist's thesis. The main text is obviously inappropriate, but it's too little for this chapter to say that it can only be 150 words at a time.So in the end there are two places, one is the author's words, that is, this position, and the other is related to the work. I personally prefer the latter.

　　
　
(End of this chapter)