Nineteenth Century Medical Guide

Chapter 243 239. Schrödinger's Life and Death and Antidote
In this temporary barracks hospital, what happened to the soldier just now is not uncommon.

In fact, this kind of "resurrection" occasionally appears in modern times, but it hardly exists in formal medical institutions. The reason lies in the measurement of vital signs and the final rescue work.

But in the chaotic post-war barracks in the 19th century, it was difficult for the accompanying doctors to judge whether the patient was really dead from the most basic inspection and palpation, especially they had not fully grasped the vital signs and body temperature diagnosis that Carvey said .

After all, when the number of doctors and patients is seriously disproportionate, it is difficult for doctors to maintain complex vital sign measurements in an unsupervised environment.

In fact, in surgery, the probability of Schrodinger's life and death is very rare, because after simple trauma treatment, the "wound ulcer + high fever + syncope" package is enough to take the life of a soldier, and it is almost rare to have an accident.

Internal medicine is different. Soldiers have no exposed wounds, only very subtle symptoms. To make a quick judgment requires a certain amount of clinical medical experience.However, after being diluted by the impact of a large number of wounded soldiers, he could not concentrate and became more sloppy in handling things. It was already considered commendable to be able to retain [-]% of the original experience.

Adams was the victim of Schrödinger's life and death. He used to live in the medical ward, but now he has been beaten with several sticks, and he is already a surgeon.

Karvey had no way to question the medical concept of a deputy marshal, and the letter from Archduke Brecht in his hand was like blank paper in the eyes of the other party.But he still needs to declare his status and his determination to make changes, otherwise, the Western Front will inevitably be defeated.

"Deputy Marshal Lamin, although this is your barracks, the barracks' temporary emergency room is not under the jurisdiction of the director of the General Hospital of Fortress Olmitz on the northern line. But there is one thing I need to remind you"

Carvey gently raised his right index finger, pointed to the military rank on the collar of the military uniform, and said, "In addition to the title of director of a field general hospital, I also have the title of deputy inspector of the military medical department."

"Deputy inspector? What deputy inspector?" Lamin hadn't figured out the rank and position of military doctors in the army. "My Sixth Army has its own military medical inspector."

"Strictly speaking, he belongs to me."

Karvey originally didn't want to talk nonsense with the defeated deputy marshal, because he only read the literal meaning of Archduke Brecht's telegram, and he was here to help.Messing about things, especially the set of open and secret struggles for power changes may not be conducive to front-line warfare.

But he didn't know that the Western Front, which was hundreds of kilometers away, had done such a mess.

If doctors can't even tell the difference between life and death of soldiers, then what kind of morale is there in this army.

Lamin seemed to understand what Carvey meant. He picked a bottle of wine from the wine table next to his desk, filled himself a glass, and said, "You mean you want to take over here?"

"The medical system here has collapsed. There are insufficient manpower and outdated medical concepts, which cannot guarantee the safety of soldiers." Carvey said it very directly. In his opinion, it is best to let the other party understand the seriousness of the matter. , "I'll take over, so it shouldn't happen again."

Laming shook his head with a smile, and tactfully refuted his point of view and request: "No, I think it's fine now."

"The living are treated as dead, good???"

"It's just inevitable mistakes and omissions. Isn't Lieutenant Adams awake?" Lamin said calmly after drinking a sip of red wine.

Carvey couldn't sort out his logical thinking about this matter for a while: "Then what about those who haven't woken up? Are they really dead?"

"Yeah, I just said that I used the purest German. Didn't Dr. Carvey understand?" Lamin put down his glass, glanced at Carvey, and then turned to look at the war map on the wall. , "The Sixth Army Temporary Ambulance Station is now operating normally. Dr. Carvey should go look elsewhere."

Kawei didn't know where his self-confidence came from. Perhaps the defeat in the previous battles was also directly related to this person's personality.

He had reason to suspect that the Deputy Marshal Wilhelm von Lamin in front of him had been dazzled by his false confidence and failure, and needed to report the matter to Vienna as soon as possible.But before that, he still wants to fight again: "I respect the decision of the deputy marshal, but as a doctor, I should be able to visit the lieutenant just now, right?"

Laming nodded: "Please feel free."

"Farewell."

Since Carvey couldn't hold back Laming and couldn't get the management rights of the hospital, he could only settle for the next best thing, trying to change the way of treatment here by relying on his own military medical philosophy.At least there can be no more weird operations of treating a living person as a dead person, because it is no different from burying alive.

Moreover, Adams was not a traumatized soldier, but a patient who had been ill from the beginning. It is also a precautionary measure to visit him for prudence.

Adams was being locked up in a separate small room at the corner of the barracks hospital, which looked like a simple farmhouse.The door was locked, and a "mental disorder" sign was hung.

"I'm Dr. Carvey."

There was a soldier standing at the door, who should have been called to take care of Adams. When he saw the young Kavey, he wanted to chase him away, but when he took a closer look at his back and his collar, his attitude changed dramatically.

He was emotionally unwilling to admit it, and his age and collar badge were seriously inconsistent.But the objective facts are right in front of our eyes, and as an ordinary soldier, we must give due responses.

He put his legs together, made the most standard posture of standing at attention, and said respectfully: "Your Excellency, Lieutenant General! I am here to take care of the mentally ill under the order of the chief doctor of the army."

Carvey nodded, smiled and signaled him to relax, and then asked, "Is Lieutenant Adams who shot just now locked up here?"

"Yes, right here."

"He was knocked on the head a few times. Has the surgeon visited him?"

"The surgeon just left." The guard wasn't sure what he said, and said after hesitating for a moment, "I think he brought the instrument box over, so he should have stitched up his wound."

These surgeons don't know enough about craniocerebral firearm injuries, but they still have some understanding of craniocerebral blunt injuries, so there should be no misjudgment.Of course, everything is uncertain, and Carvey has to go in and take a look: "I want to go in and see him."

The guard was very embarrassed: "No one can enter this room without the order of the chief doctor!"

"Deputy Marshal Lamin can't?"

"This"

Carvey said with a smile: "I just went in to see him, I have no other ideas."

"But this guy is emotionally unstable and too dangerous, Lieutenant General. If I were you, I would never meet such a madman."

It could be seen that the guards were really worried about Kavey's safety.But it also further aroused Carvey's thirst for knowledge.Why was he sentenced to death, and why did he wake up, and he became mentally abnormal.

"Don't worry, I have my own guards, he can't hurt me without a gun in his hand."

The guard looked at the military uniforms of him and the guards behind him, and then his eyes fell on their military ranks.To be honest, even the collar badge of the guards behind him is enough to order the commander of his infantry regiment: "Well then, I will open the door for you."

"Thank you."

The guard quickly took out the key and unlocked the door: "Please pay attention to the time, if you are seen by the chief doctor"

"I understand." Carvey patted him on the shoulder, "Just give me 10 minutes."

This room was just the most common one-story house, with only two rooms inside. The windows were sealed shut. All the furniture and daily necessities that should have existed here were removed and replaced with several hospital beds.The doctors here had foreseen the mental problems that the soldiers would have before the accident, and arranged a temporary psychiatric shelter early.

But now the only one who is lucky enough to live here is Adams just now.

"Lieutenant Adams." Carvey put on a mask and gloves, and slowly walked up to him, "I am Dr. Carvey."

Adams' hands were tied to the bed, his head was heavily bandaged, and the blood that had dried up for several days could still be seen on his face.His eyes were tightly closed, and he didn't intend to answer when someone greeted him.

Carvey's time is indeed limited, so he went to extremes in the questioning: "I want to ask why you were locked in the morgue."

This sentence directly touched Adams' pain point: "Are you joking? You ask me why? Are you not a doctor? The doctor came to ask why the patient appeared in the morgue??? There is nothing funnier in this world than this Is it a joke?"

Carvey looked at his furious appearance and smiled: "It seems not crazy."

"Of course I'm not crazy, it's the doctors who diagnosed me who are crazy!"

Carvey raised his hand and touched his forehead. His body temperature was still normal. The wound just now was just a laceration of the scalp. There was a lot of bleeding but no bones were injured.As for whether there is a cerebral hemorrhage, we can only wait and see.

"What disease did you have before?"

"The doctor didn't know at first, but then said I might have eaten something, food poisoning," Adams said, "and then gave me an antidote."

"Antidote?" Carvey frowned, and had a bad feeling, "What antidote?"

"It seems to be a very expensive antidote. I heard that the materials are very particular." Adams recalled the scene at the time, "He also prepared it in front of me, using various powders and herbs, mixed in A detoxification pill made after being together."【1】

Carvey didn't want to hear this, so he continued to ask: "Let's not talk about the antidote, or tell me what symptoms you had before?"

"High body temperature, chills, headache and fatigue, vomiting, bone and joint pain all over the body, muscle pain, anyway, I feel pain everywhere." Adams recalled the painful memories when he first fell ill, "I stayed in the ward for a long time. For 11 days, I kept feeling hot all over, it was so uncomfortable!"

"And after taking the antidote?"

"My stomach hurts, it hurts!" Adams explained, "but the doctor said it was toxins, let me bear it."

"Then?"

"Then it was diarrhea, of course, but it was only two or three times. In addition to this, my saliva also increased, and the vomiting that was almost healed also appeared." Adams was very disgusted with the doctor's treatment method, "That's it He also wanted to give me this antidote, saying it would work, but I couldn't stand the reaction and I said no."

"It seems that there is some mercury in it." Kawei has mastered the inherent routines of physicians for more than half a year, and can deduce the raw materials of the medicine used from the symptoms, "If I guessed correctly, you should not be poisoned .”

"I knew it! It must not be poisoned!!!"

From the point of view of time, he began to get sick when the troops were assembled, and he was absent from almost all military deployments.Back then, there were not so many wounded soldiers, and the misdiagnosis was completely due to the negligence of the doctors.

"You were not sent back to Vienna?"

"I had a fever on the march. The doctor said that I should be sent to the central hospital. And the central hospital is located in Muchen, and I have been there." Adams sighed, "I didn't expect that the disease would come from the front line before I got better." News of the defeat of the battle."

"Now you have followed them here again."

"Yeah, I arrived the day before yesterday. My body temperature hadn't gone down and it was raining again. I wasn't in a good state of mind." When Adams said this, his face became grim again, "Probably because I fell asleep for a day. The one-night relationship was diagnosed by the doctor as 'disease and death'."

"It's a good thing you're awake." Carvey lifted his smelly shirt, touched his liver and spleen carefully, and then looked at the skin of his torso. He had already come to a conclusion, "Aren't there many people in your army who are like you?" Such a patient?"

Adams didn't know how to answer the question either, since the Army looked healthy until he fell ill: "I don't know either."

"Then let me change the question." Carvey stood up and asked, "Are there a lot of rats in the barracks?"

"Rats are a special product in every barracks dormitory. How could there be none?" Adams smiled wryly. "Rats can climb on my head when I sleep in the ward. They don't want to bite me, but they just want to find something to eat."

"No bathing, there are rats, and the symptoms include high fever and chills, hepatosplenomegaly, and pain all over the body." Carvey pointed to several pigmentation on his trunk, "It should be typhus, these are the symptoms of the past. Evidence of a rash."

Typhus is not a strange disease. It was very common in the 19th century, and every doctor should have learned it.In fact, there are many typhus patients in the Municipal General Hospital. Carvey also quoted the medical records of typhus patients in the paper "Thermometer".

"Your macules are rare and seem to be developing a little strangely," Carvey explained, "but they should be fine by now."

(End of this chapter)