Nineteenth Century Medical Guide

Chapter 182. Defeating Magic with Magic

In Carvey's eyes, Fernan was just a loyal and honest butcher. He was a bit tired from work, but he earned enough money to feed himself.

The series of changes in his body caused by gao pill cancer made him feel a little ashamed. In addition, he has a good face, so he has been in a bad mood.But it's limited to this, because the vast majority of men will have this kind of thinking more or less if they lack a gao pill and breast hyperplasia.

Who would have thought that things would turn out this way in the end?
Carvey went to the police station with the patrolman next to Werther, and needed to submit all the medical records of Fernand since his first admission to the hospital. At the same time, he also needed to show his relationship with Fernand.

And Werther will go to Hoinz Street to join his patrol team and take down Fernand.Although theoretically he is still a suspect and has not been convicted, but all the clues are gathered on him alone, no matter what the final facts are, he needs to be arrested and questioned.

Time passed by, and after explaining all the details, Carvey left the police station in a hurry.

Fernan was just one of his patients. Years of surgical work had allowed Carvey to see the warmth and coldness of human relationships, and it also made him develop a more indifferent attitude. "Saving the murderer and causing other innocent people to die in vain" This kind of entangled emotion that only rookies have can never exist in his mind.

But when he left the police station and met Fernan who had just been captured, Carvey was still a little bit embarrassed.

He was still wearing that dirty black leather skirt with bits of minced meat on it from nowhere.Inside, he wore a greasy shirt that was stained with blood and sweat. It seemed that he hadn't changed it for several days, and he could smell the stench from it as soon as he leaned on it.

The original bluffing mask was ripped off, and there was no evil spirit underneath, but only a familiar yellowed and haggard face.

Edward's fear was well dictated by Werther to the patrol team, but Fernand was not as strong as they thought.After a group of patrolmen rushed into the basement, they easily took down the murderer without any violent conflicts.

"Doctor Carvey." After not seeing anyone for several days, Fernan didn't change much. When he saw Carvey, he managed to force a smile, "Why are you here?"

I haven't seen him for a few days. Fernan's eyes are yellow and his stomach is a little swollen. Considering the previous diagnosis of gao pill cancer and the palpation of the liver, Carvey speculates that his liver may not only be cirrhosis but a more serious tumor metastasis. .

He originally wanted to ask about the recent situation of Qiekou and Fernan, but he didn't know how to start the words.

Werther asked Fernand to be taken to the interrogation room, then walked up to Carvey and said, "He's recruited! A total of 11 people died, including the two girls in the restaurant, the clerk, and Al, the son of the old marshal. Bert and his wife. Some hid in the ice cellar in the basement, some he threw into the Danube, and some buried."

Carvey sighed: "Did he say the motive for the crime?"

Looking at Fernand who was going away, Werther said with emotion: "The reason is quite complicated. For the time being, it can be understood that his wife met Albert by chance. The two hit it off and they fell in love. Fernand himself has something The problem can’t be that, so in the end, my heart is broken.”

After all, Werther made a gesture of wiping his neck: "The problem is that I am still not satisfied after killing my wife, and even cut the man and woman into pieces to show off. Now the corpses in the old marshal's house can spell out more than half of the people. The most important thing is that he has to make up for what he lacks. It doesn’t matter if he makes up for it, he can eat cattle and sheep, but he wants to eat people.”

After listening to it, Carvey explained: "It should be to use the pleasure of insulting others to fill the spiritual emptiness left after being insulted."

Werther couldn't understand, and after being cold for a while, he automatically skipped this sentence: "It's really hateful and pitiful."

Carvey sighed again: "Thank you, Sheriff."

"Well, hard work is not hard work, but annoying. I have to interrogate all his crimes in surprise. It seems that I don't need to sleep tonight." Werther patted him on the shoulder and said, "By the way, you still have to go to St. Mary’s Hospital, why don’t you let the police carriage take you there?”

"No need." Carvey shook his head, "I'll just go there by myself."

All doctors hope that the patients in their hands will be healthy and healthy, and they will not come to themselves again.But birth, old age, sickness and death are impermanent, and many patients will meet their own endings. In most cases, doctors can only send them away on the sidelines, and cannot stop them.

It is rare to see such a moth like Fernan, even Kavey, who is used to the wind and waves, couldn't help thinking for a while in the carriage.

The death penalty is unavoidable. Even though Austria today prefers not to execute it, the clerk of the French embassy and the son of the old marshal were killed, and the whole case was closely connected by "cannibalism". The plot is extremely bad. So Fernan must die.

Judging from the crime process briefly described by Werther, Fernand should have suffered from bladder stones.

The ability to reduce the pain, and because of the double breast hyperplasia was criticized, and finally was cuckolded by his wife, there may be all kinds of stimulation and cold violence behind it.Fernan's nerves were like a steel wire, which was already thin enough, but had to be bent repeatedly, and finally slipped from the brink of collapse into the abyss step by step.

Although Carvey is indifferent, it is the patient's fault that the patient committed a crime, and the doctor must not be held responsible.But he also inevitably wants to learn some lessons from it, and minimize the occurrence of such things from a medical point of view.

Sitting in the carriage, he began to reflect on his own diagnosis and treatment process.

There is no problem with the treatment itself, and the surgical treatment of bladder stones, breast hyperplasia and gao cancer is not bad.In today's surgical environment, it is better than 40% of doctors.

The reason why it is 40% is because these 40% operations cannot relieve the pain.Unable to relieve the pain, Fernan could only stay at home and die in depression, with no chance to make a move.

The remaining 60% would allow Fernan to die directly on the operating table.As long as a person is dead, there is no possibility of committing a crime, and this case can be fundamentally prevented from happening.So judging from the results, their handling may be better than Carvey's.

But Carvey is a surgeon, and all measures must be based on the success of the operation.

In fact, if one looked into it deeply, it was a relatively obvious flaw that they had not waited until Fernand's family members.Although the lack of communication in the 19th century was used as an excuse, Carvey still felt that there was still something that the doctor could improve in this trivial matter.

It is the best choice for family members to be present and to help patients recover together with doctors.If the family members have not come, you need to consider the family disharmony, and you need to pay attention to the patient's mental state at this time.

The second is the lack of postoperative health management.

Fernand's credulity in what he eats to make up for himself is not outrageous, because many people have such an illusion.If you give him professional advice in advance, maybe you can give him a hand at the last minute.
Carvey thought of this, rubbed his forehead with his hand, and couldn't help shaking his head.

As I thought about it deeper and deeper, I seemed to be caught in the gap between modern medicine and medicine in the 19th century.In fact, now that medicine has not yet developed, there is really not much room for humanistic care.

Wouldn't it be better if I took him to the church in the hospital?

Unfortunately, all of this is Carvey's assumption.Even if some regulations and measures can be worked out, it will be difficult to implement them in the understaffed Municipal General Hospital. On the contrary, it will increase the burden on doctors themselves and risk reducing the quality of medical services.

Carvey felt that it was a pity, but the reality gave him very limited time for reflection. Within half an hour, the carriage arrived at St. Mary's Hospital.

He had to change his mind and give all his attention to the next patient.

The main reason I came here was that I was invited by a St. Mary’s doctor after the Countess’ surgery, and decided to take time to discuss the surgical treatment plan for a breast cancer patient with the surgeon here.

The discussion took place in Massimov's office. In addition to Massimov and Carvey, there were six surgeons participating in the discussion.

Four of them are surgical assistants, and the other two are Massimov's students, and they are also excellent surgeons who can be the chief surgeon.In terms of staffing structure, it is similar to the previous Municipal General Hospital.

Breast cancer surgery is still new to Carvey, and there are still many fine-tuning aspects of the operation, but the operation itself is not dangerous.

He is confident that he can teach Massimov and other doctors the main points of operation. After all, the operation itself is very mature. The difference lies in the confirmation of tumor spread and the scope of cutting.

So at first, Carvey thought it was just a "flying knife" after a clear diagnosis.

But after seeing the medical records, he was really surprised by the complexity of the patient's situation.

"The patient's left breast cancer has progressed for a year." Massimov was sitting at the desk with a pipe in his hand, his expression and tone were full of helplessness, "Considering the postoperative recurrence and mortality, and in order to continue work, so she has been refusing surgery."

"Reject the operation?" Carvey took the medical history record from him, "Why did you refuse the operation and was admitted to the hospital?"

"She was not hospitalized because of breast cancer." A doctor on Massimov's left said, "It was because she had a headache, so she went to the internal medicine department to dispense medicine, but she fell down and her left arm was broken, so she was admitted to the surgical ward." .”

Just one sentence made Kawei tense up.

The patient who can make breast cancer palliative for one year is naturally much stronger than ordinary people.But she went to the internal medicine department to prescribe medicine for the headache, indicating that the pain was beyond her tolerance.plus a broken left arm
The more Carvey thought about it, the more outrageous it became, and there was always a very bad feeling.

But to the other doctors in the room, it seemed that breast cancer alone needed to be addressed: “We put a splint and a cast on her arm, and we talked her over and over that she should have her cancerous breast removed while she couldn’t work now.”

"So she agreed?"

"I did agree." Massimov replied, "but the size of the tumor exceeded my expectations, and I have not been able to accurately judge the extent of the resection. It happened that you performed a mastectomy for the Countess before, so I wanted to let Come over and discuss."

"It's a pity that Teacher Massimov was not there at the time."

"Are you embarrassed to say that?" Massimov was furious when he heard that, "You only announced the time the day before the operation, and I happened to have an operation scheduled that day, so I couldn't go even if I wanted to."

"The patient's situation is special, and I can't help it." Carvey briefly explained, and then immediately brought the topic back to the new patient, "Now that I am here, I will naturally help to complete this operation. But I had a different view of the patient's situation until I had a clear surgical plan."

"What do you think?" Massimov was curious.

Carvey did not express his opinion directly, but looked at the medical history records and asked his own questions step by step: "Does the patient have a severe headache?"

"It's really powerful, sometimes even the tincture of ya tablets can't be suppressed." An assistant replied.

"Where is the headache?"

Another assistant covered the area above the right temple with her palm: "When the pain is severe, she usually presses the right side of her head."

"feel sick and vomit?"

"Yes, but not serious."

Carvey sighed, then nodded, as if he had his own diagnosis: "Not only breast cancer needs treatment, but her headache also needs treatment. It will be very dangerous if left unchecked."

"Don't worry about that." Massimov picked up the pipe and took a puff. "For the evil spirit in the skull, the internal medicine department of our hospital is an authority, and it is already treating it."

Evil spirit?

Carvey thought he heard it wrong: "Internal medicine? How can internal medicine be treated?"

"Bacon patch + shock therapy." Massimov said a very strange set of terms, "If it doesn't work, they will try hypnosis and exorcism. Anyway, we don't have to worry about headaches, physicians It'll work out."

It doesn't matter if you don't say it, this made Carvey even more curious: "Bacon patch? Shock therapy?"

"Wrap a whole piece of bacon with garlic, apply it to the painful area, and then tie it with a bandage." Massimov took a piece of paper and pressed it tightly to his scalp, "After doing this, let the patient lie on the On the ground, put the head into a large iron pot and hit it with a hammer. This method can force the evil spirit in the skull to come out, if the evil spirit is not very powerful."

Carvey: "."

"The development of internal medicine is also changing with each passing day. At the beginning, I wanted to introduce electric current bathtubs to treat headaches, but unfortunately the hospital had insufficient funds and had to give up." Masimov said with emotion, "Compared with our simple and unpretentious cutting of skin and flesh, their treatment methods are always more effective. It seemed so miraculous.”

Everyone echoed: "Yes."

It's a p! ! !

Carvey wanted to refute it with modern neurosurgery theories, but felt that the difficulty was too high. After all, the span from "Evil Spirit Theory" to "Breast Cancer Tumor Metastasis Compresses Brain Tissue Leads to Elevated Intracranial Pressure Causes Severe Headaches" is really big. some.

After thinking about it, he still decided to use magic to defeat magic: "The exorcism method in internal medicine seems to be clever, but in front of the 'skull drilling under precise positioning', it is just a bunch of little tricks played by children playing with each other. Not worth mentioning."

(End of this chapter)