Nineteenth Century Medical Guide

At eleven o'clock in the evening, Mrs. Santini finally woke up.

She had heard people say that surgery is dangerous and people often die during the process, but for her, what she just experienced was a long-lost pain-free experience.

The severe headache that lasted for several days disappeared quickly like the ebb tide of the sea. Even though muscle weakness, confusion, coughing, and nausea occurred during the process, Mrs. Santini was still full of praise for this feeling and also It's really addicting to her.

She wished she could do it again with an ether mask on, if she could.

"Come again?" The husband sat beside her, a little worried, "The doctor said that your headache should have been relieved now, is it still hurting?"

"It doesn't hurt inside, but it hurts outside."

Mrs. Santini just woke up, her mind was a little confused, and she couldn't speak very fluently, "This is really a wonderful experience, it's amazing. However, I'm a little dizzy now, and I have to sleep for a while."

"Okay, okay, go to sleep."

Mrs. Santini's feeling is very subtle, the original feeling that the brain is about to split is really gone.Even though there was a wound on the scalp, the skin from the neck to the abdomen was forcibly stretched, and the effect of ether faded, but she could still sleep peacefully, because she was too sleepy after being tortured before.

"This is amazing."

Like Mrs. Santini, there was Miss Jenny, who promoted electrotherapy services in the nursing home.Wearing a long overcoat and breeches that ordinary women rarely touch, she stood at the door of the ward and looked at the bed. She couldn't help sighing, "Is the current surgical operation able to do this?"

Ed Nelson was beside her, and seeing Mrs. Santini's expression the moment she woke up, she already knew that the operation seemed to be a success: "The operation seems to be a success, but it doesn't mean that the patient's head will not hurt in the future. "

"The barbaric drilling technique is really useful. I remember that the death rate is very high."

Jenny stood far away, and didn't see the pipeline from the brain, and didn't know the specific procedure of the operation, thinking it was just a simple skull drilling.In comparison, Ed Nelson saw it more clearly. He also talked to Massimov after the operation and knew that Carvey's operation was far more delicate than drilling.

But he still didn't want to admit to the operation.

It's not that he doesn't recognize the result of the operation. After all, Mrs. Santini is still alive and her headache has been relieved. The operation must have been successful.

What he doesn't admit is the feasibility of popularizing this operation, and with his current medical knowledge reserve, he really can't think of how many patients are willing to take huge risks to rely on this operation that can kill them at any time to treat their headaches.

With this opportunity and courage, is it uncomfortable to spend some money on electrotherapy?
Ed Nelson straightened the new belt he just got, and said with a smile: "Don't worry, if there are headache patients in the future, I will still recommend them to come to your nursing home. There are too many uncertainties in surgical operations, and medical treatment is definitely safe. Much more."

"Really?"

"This belt is not for nothing." Ed Nelson patted his waist, "Besides, when have I ever lied to you?"

Seeing that her hard work had paid off, Jenny finally got some comfort in her heart.However, she is different from traditional women. After seeing such a drastic scene after puncture and shunt surgery, Jenny's firm electrical stimulation therapy and business acumen made her think of something that ordinary people can't think of.

Originally, she wanted to ask Ed Nelson in front of her, where the young chief surgeon named Kawei lived, but after thinking about it, she still felt that it was inappropriate.

Just after stabilizing this lsp, things are also developing in the direction I expected.Showing one's preference at this time is an extra problem, touching his possessive desire and making him disgusted is never a good thing, you still have to take it slowly
At this time, Carvey was sitting in a police carriage with Werther, and the destination was naturally the police station.The reason why Werther was in such a hurry was entirely because Fernan had an accident during the interrogation.

Spitting blood at the mouth was not uncommon in the 19th century, but often this symptom only stayed in the mouth, which was caused by the collision between the surrounding mucous membrane and teeth after the maxillofacial area was hit.Sitting quietly like Fernan, vomiting blood out of thin air is indeed rare, and it was also difficult for Werther, who was interrogating him, to understand.

"How much bleeding?"

"That's too much, the person who just vomited is about to die." Werther said, "I didn't even have the strength to speak, so he fell on the ground and asked us to find a doctor. If the doctor didn't come, he wouldn't say anything. I'll call Musil, in the end he said he only wanted to see you."

Carvey sighed and looked out of the window, he had met the best.

It's not like he hasn't encountered it before. Outside the emergency department, he can always encounter many dirty things that are unreasonable but have to be faced.This is the professional characteristic of a doctor, and Carvey has his own way.

That is to shield one's emotions, and everything depends on medicine.

Li Ben was like this back then, and so is Fernan now.However, compared to Li Ben, who was self-inflicted and unable to live, Fernan was a little more tyrannical and less deserved.

This kind of ferocious upper gastrointestinal bleeding often comes from the esophageal vein of the gastric fundus. The reason is that the varicose blood vessels protrude from the mucosal surface, and they will burst and bleed when they touch slightly hard food.

But the real main cause is still in the liver, or more precisely, the portal of the liver. 【1】

Carvey is confident in his palpation, and he can conclude that there must be something wrong with Fernand's liver.Before considering that he had been drinking for a long time, he thought it was cirrhosis of the liver, but because of the appearance of gao pills, Kawei is now more inclined to liver metastases after tumor cell metastasis.

But without imaging tests in hand, it is impossible to make a definite diagnosis, and there is even no good treatment.

"To be honest, I couldn't change anything after I went there." Carvey said, "The bleeding point is in the esophagus and stomach, and there are often more than one place. I can't stop the bleeding."

"Can't stop bleeding? Isn't surgery able to stop bleeding?"

"For a few bleeding points, cut open the stomach, and then open the stomach? What do you think is the point of this?" Carvey smiled, looked at the street outside the window, and suggested, "He killed so many people, You must die. If that's the case, what's the point of letting me go?"

"He can't die!"

Witte explained: "This guy not only moved the old marshal's son, but also kidnapped the French ambassador to Vienna and killed his clerk. It would be easier to kill someone, but now it's a complete diplomatic incident, a big one!

"

Carvey nodded, agreeing with the rhetoric: "But you still can't change the reality that medical treatment can't cure him at this stage."

"Really not?"

"No." Carvey said, "Of course, I'm a surgeon after all, and I'm not so sure about how to treat internal medicine. Perhaps Dr. Fattolad, or Dr. Ed Nelson who was waiting at the door with you just now, will There is no good way, maybe."

"...I asked Dr. Ed Nelson." Witt shook his head, "He said, 'Internal medicine is only good at bloodletting, and surgery is an expert in hemostasis'. I also asked Ingnatz, and he said that this situation is very difficult. There is almost no cure."

"so."

Werther was really anxious, and quickly interrupted: "But! But you are different from them!
"

"Everyone is a doctor, one head, two arms and ten fingers, what's the difference?" Carvey sighed, and didn't say anything more, "Okay, it's useless for us to talk more, when I get to the police It’s clear when you see people.”

After the two parted ways at the gate of the police station in the evening, Werther received a death order from above. The person must be alive, and the Frenchman and Franz had to discuss and decide how to deal with it.Now if Fernan died in his own hands for no apparent reason, let alone taking credit for breaking into the basement and catching the suspect, he would have thanked God for getting out of this mess.

But Fernan was like a bottomless black vortex. Before he died, he continued to stretch out his tentacles, firmly grasping all the related personnel by his side.

At 11:33 in the evening, there were still many people around the door of the interrogation room of the Vienna Police Station.

In addition to the necessary on-duty and assisting police officers, there are two sheriffs Witte and Del Rio, professional forensic doctor Musil, Ingnac, Fatolad and Alina from the Municipal General Hospital, and even attracted Several journalists.

Carvey looked more carefully, besides the people in front of him, there was Mick standing in the corner, and an extremely low-key Frenchman.If he guessed correctly, he should be another clerk under Edward.

Of course, in addition to these, there are some other people that Carvey doesn't know.

Just like the woman standing next to Ingnatz, who seems to be very close to Ingnatz, Kavey has never seen it before, and there is also a strange man standing beside Elena.Mick took the female deputy who had threatened him back then, and the secretary of the embassy also had his own bodyguard.

Under the eyes of these people, Carvey walked into the interrogation room.

It has to be said that knowing that Fernand was dying, the Vienna Police Department's approach was a bit too much.

Fernan's face was paler and yellower than when they met before, similar to a lifeless pale yellow.His limbs were firmly tied to the chair, several cloth strips were wrapped around his body, and his eyes were covered with a black cloth, for fear that he would get up suddenly and do something terrible.

Beside the chair was a pool of dried blood, and the cleaners didn't even come in to clean it up. The viscous blood, mixed with a little saliva and stomach debris, coagulated on the ground.

Judging from the extent of blood splashing, Fernan vomited a lot of blood, indicating that the varicose veins in the esophagus and stomach fundus had opened a big hole.Not to mention the 19th century, even in the 21st century, if you want to save this level of vomiting, you have to spend a lot of money to survive.

Even if he was able to pull him back, he would have to face serious liver problems later on, so no matter how he looked at it, Fernan would not be able to survive.

Kavi bypassed the bloodstains, stepped forward and gently lifted the black cloth over his eyes, and said, "Fernan, I'm here."

After hearing this voice, Fernan was slightly taken aback, and after the strong light in front of him passed away, he saw that the person who came was indeed Kawei, and then smiled slightly, revealing a few teeth in his mouth and the black red remaining on his lips Blood: "Doctor, your surgery doesn't seem to solve my problem."

"It's been resolved." Carvey opened the door and sat in the seat before Werther. "If it wasn't for my surgery, you would have died a long time ago."

"Is it?"

Fernan was a little surprised, but soon regained his composure.He swallowed his bloody saliva, and said weakly: "Forget it, it's pointless to worry about the previous operation. Let's talk now, is my body still saved?"

"No." Carvey replied very simply, "The diagnosis may be biased, but death is certain."

"Don't count the hanging." Fernand smiled again, "I let the Frenchman go, so logically he should save me."

Carvey shook his head: "I'm a doctor, and punishment is out of my consideration. What I'm talking about is the medical mortality rate, 100%. Even if you can live, it's the difference between a few days and a few weeks."

After hearing this, Fernan did not have the frustration that ordinary people should have, but became more excited: "How many weeks can I live?"

"There is indeed a very strange operation that can treat your hematemesis." Carvey did not hide it, and said directly, "But the mortality rate of this operation itself is 100%, because your physical condition is too poor, and you have undergone two This operation, I am afraid that he can be declared dead as soon as he opens his stomach on stage."

"Then what are you talking about for a few weeks?"

"Clinical medicine is full of various probabilities, and no one can say for sure." Carvey explained, and then suddenly said, "But no matter what, you will definitely die if you vomit blood to this degree. It’s just a little while longer.”

"Then give me a good time." Fernan lost confidence in Carvey, and turned his face to look at Werther at the door, "Sheriff, quickly report the transcript just now, and I will be sentenced to hang tomorrow morning. "

"It's up to you to decide what to sentence!" The clerk said, "You must die enough to satisfy Mr. Edward!"

"I'd rather be killed on the street than in such a ghost place"

As soon as Fernan finished speaking, he felt his stomach churning again. After retching twice, another mouthful of blood spit out from his mouth.Although the amount was not as large as before, the appearance was particularly frightening: "If you don't sentence me, I'm really going to die here!"

It is rare that the police and the criminals have a common goal, but due to some objective reasons, no one can come up with a good solution.

Carvey looked at his miserable appearance, then looked at the clerk of the embassy outside the door, and suddenly asked: "I have a solution that is not a solution, but it has to be approved by you, maybe after you After agreeing, you have to ask the king and Mr. Ambassador."

"any solution?"

"Say it!
"

Carvey hesitated for a moment before saying, "I think surgery can be used instead of hanging. What do you think?"