Nineteenth Century Medical Guide

Chapter 270 266. A New Challenge
It seemed that the reinforcements brought by Morasso deterred the Prussian First Army, but in fact, the rush for several days, coupled with the temperature difference between the north and the south and the recent rainy weather, seriously dragged down the energy of the entire team.If there is a war at this time, the combat effectiveness will be greatly reduced, and there is even a risk of being swallowed by the opponent.

So when he took over the Sixth Army, he continued to withdraw to the southeast and returned to Kiscin on the morning of October 10.

This small town is the most important stronghold in the northwest of the entire Austrian Empire, and the Previcin Mountain between Gablenz is its natural barrier.After Morazo returned to Kischin, he immediately integrated the three groups of troops to form an army with nearly 7 people.

60 artillery pieces were deployed on Previkhin Mountain, commanded by General Pilet under his command, and the remaining 40 pieces were deployed between the north side of the mountain and another small town.

After occupying favorable terrain first, Morasso learned about the power of the Prussian firing pin rifle from Laming, and soon let the Austrian soldiers understand how to make up for the gap in weapons.

In fact, it is not difficult to do it, just change the individual shooting to a shooting group where one person shoots and one person loads.Every time the shooter finished firing a shot, he handed over the rifle in his hand to his comrades behind him for reloading, and he picked up another rifle that had already been loaded and continued to fire.

Through this method of non-stop firing, the Austrian army successfully withstood the repeated charges of the Prussian army in the Battle of Kischin three days later.

The 8th, 12th, and 48th Infantry Regiments of the Prussian Army, which were the main attackers, suffered much faster casualties in the battle than before, and the attack was quickly sluggish.The Perth Chatcher Brigade under Morazo even launched multiple counterattacks against the Prussians who were attacking their own positions, and finally turned into fierce hand-to-hand combat.

The battle continued for three days, and both sides suffered heavy casualties.

It wasn't until the Prussian general Timmpling who was in charge of attacking Kiscin was seriously injured that the battle ended with a temporary victory for the Austrian army.

This type of hematuria is not as easy as described by Mosier, and is often accompanied by complicated urinary system diseases.

But at the beginning, the old Marshal Ludwig was extremely stubborn and ignored this headless fly.The main reason was the tension on the western front. While Friedrich was sleepwalking there alone, the First Army had already captured Kischen.

"You are an excellent surgeon recommended by Countess Justina, and you are the director of the Northern Front Hospital. I'm just here to pick you up." Grand Duke Brecht said a bunch of meaningless guests. The cliché, "How's your rest these days?"

The patient is a 63-year-old French man, with continuous hematuria for more than two months, and no other discomfort.I have sought help from many doctors in France, but finally gave up because of the poor treatment effect.

The first thing Carvey had to do was imagine a few possible diagnoses, and then slowly narrow it down by asking: "Does Mr. Erdem smoke?"

He and General Bonin belonged to the same right wing, and after encountering multiple ambushes, he chose to divide his forces again.General Bonin led the First Army around the ambush circle and continued to march towards Trutnau, while he led his own guard corps and walked in the middle of the left and right wings.

This led to a very strange thing, because no good communication links were maintained after the division of troops, and Friedrich III did not know the defeat of the left and right wings.He just firmly followed the original plan and led the Guards to drive straight from the central open area and step into the Bohemian Plateau.

Divide troops.

Mossier explained: "The main reason is that bloodletting itself has certain benefits to the body. He is now in good spirits, his daily life is not affected, and he can even come to Vienna from Paris alone. Even if there is a real truth behind the hematuria If there is a cause, it is not too bad. Of course, there is no absolute in medicine, and I am just guessing."

It is none other than the commander-in-chief of the Austrian army, Archduke Brecht, who is at the forefront of the guard of honor.

At this moment, Mosier took over the topic: "My teacher did the previous lithotripsy, and I did the last lithotomy, both of which were performed more than 20 or [-] years ago. I only remember that he recovered very well after the operation. Not bad, it won't take long to be the same as a normal person."

The war on the northern front has begun, and the casualties have risen exponentially. Whether the hospital can operate under the command of Hills still needs to be marked with a question mark.

However, the defense and counterattack of the Austrian army on the northern front far exceeded the imagination of the Prussians.

"Mr. Edham is an excellent painter, and he is also the brother of Marshal McMahon." Minister Karl pointed out the key point of this matter, "Mr. Richard and Earl Justina are very concerned about his work. In good health."

"He is my uncle." Justina said, "Three weeks ago, he wrote to me to complain, and I told him that the surgical skills in Vienna are good, and he can come here to try [2]. I didn't see him replying. I thought The incident was over, but unexpectedly, he got off the train alone on the afternoon of the 14th and sneaked to the embassy."

If this passage is placed in modern times, the large description above may be a delaying tactic made by the doctor to try to take care of the relatives' mood before the examination, and the last sentence "no absolute" is the finishing touch.

At 3 o'clock in the afternoon, a military train with only five carriages stopped briefly against the platform during the busy transportation.After putting down a few people in military uniforms, they blew the whistle, rolled the wheels and left Vienna in a hurry.

"Welcome back, Dr. Carvey is back." Brecht said with a smile, "We received a telegram from Prague, and we will be here waiting for you after lunch."

The attack on Olmitz was unsuccessful, and Bonin's right wing had to retreat back to the starting point under the resistance of the Austrian army.

Surgical emergency, where every second counts, cannot be compared with the military hospital under artillery fire.

"Of course, his pipe is inseparable, and he smokes almost all the time for the so-called inspiration." Giustina said, "I have been to his studio before, and it can only be described as smoky, and even the letters sent are full of smoke. There was a smell of burnt tobacco."

"Not at all."

"You think there's nothing wrong with the patient?"

The garrison around Olmitz is nearly 15, and there is good material transportation behind it as a backing.

"Ahem." Brecht coughed twice, then lowered his voice, "It's not convenient to talk here, let's just get in the carriage and talk while walking."

As for the position of the director of the fortress general hospital, Ignatz will take over temporarily.

And just as they stepped on the stone steps of the platform, a guard of honor came from a distance.

"Have you ever had bladder stones before?"

On the Trutnau side, relying on a large number of ambushes along the road, the opponent's patience was worn down, and the right-wing commander Friedrich III (the only son of King William I of Prussia, and the second emperor of the German Empire in the future) was semi-forced. Made a very wrong decision.

"Why did the marshal come here in person?" Carvey greeted him.

If such a patient is encountered in the emergency department, the doctor will definitely give corresponding examinations according to the diagnostic thinking of modern medicine [3].From urine test to cystoscopy, as long as a series of checks are in place, it is not difficult to make a definite diagnosis.

The battlefield was turbulent, and the balance in the hands of the goddess of victory swayed repeatedly between the two armies.But for Kavi, who got rid of the entanglement, these are not important. What he is most concerned about now is the situation of the General Hospital of Fortress Olmitz.

However, now the commander-in-chief is Archduke Brecht, who is famous for his bravery, so it is naturally impossible to give up this good opportunity.

But it was precisely on these two wings that the problem occurred, and they were the first to encounter several battles.

Morazo also guessed the direction of the Silesian Northern Front battlefield, which had been suspended for half a month.After the old Moltke finished writing the letter to Prince Karl, he turned around and sent a letter to the commander of the Second Army.

In addition, there are some familiar faces on both sides of him, Foreign Minister Karl, French Ambassador to Austria Edward, Justina who has just undergone breast cancer surgery, Massimov, director of surgery at St. The surgeon Mocier.

As early as the day before the Battle of Kischin, the Second Army began to march south in two directions.

Hematuria is not common in emergency surgery, and Carvey sees more hematuria caused by trauma.This kind of hematuria has blood > urine, and is accompanied by severe pain and trauma history. In fact, it is more appropriate to call it bleeding.

But it was clear to Carvey now that Dr. Mercier believed in this passage.The supplementary "No Absolute" is just a muddled statement for colleagues, without any substantive meaning.

And as the examination continues to deepen and the results become clearer, what they say will become more and more serious. It belongs to slowly advancing information and increasing the tolerance of patients and family members step by step.

"Actually, prostate disease has nothing to do with hematuria. I haven't seen patients with hematuria." Mossier suddenly felt at a disadvantage when he expressed his opinion, and quickly added, "I also asked Mr. Edem , he urinates smoothly, and there is no pain or soreness, it seems that there is only a color change."

"That's good."

But in the 19th century when inspections were missing, it might be a little more troublesome.

"I remember there were two operations, and both operations should be considered successful." Justina glanced at Mosier beside her, and recalled, "It was but many years ago. My son was young, so I forgot, and there was no anesthesia at that time."

Edm's symptoms are called asymptomatic hematuria in modern medicine.

Carvey shook hands with the people behind him one by one, and he could judge the seriousness of the situation from the battle of people: "It seems that the patient's condition is not optimistic."

On the one hand, it is the responsibility of the Fortress General Hospital, and on the other hand, it wants to leave the battlefield as soon as possible and return to normal life. Kavey is very conflicted.When he left the small town of Otaka, he considered sending a letter to the headquarters in Vienna, stating his experience in a suggestive tone, hoping that the other party would make a decision for him.

The Vienna Railway Station carries the heavy burden of Austrian rail transportation, especially during the intense period of war. A large amount of war preparations will be transported from here to the two battlefields.

The description in the letter did not have much substantive content. It mainly praised Carvey's heroic performance and his academic status in surgery, and then raised the status of the patient and its importance to this war.

However, this trip to the west was not "in vain". The encounter between Gablenz and the small town of Otaka planted seeds in his heart.Let him realize the limitations of military doctors, and also understand that doctors rushing to the front line cannot solve any substantive problems.

But when Carvey listened carefully to the descriptions of Massimov and Mosier, he realized that the problem was serious.

The left wing attacked the fortress of Olmitz, while the right wing bypassed Olmitz and advanced towards Trutnau.

Justina smiled and said, "It's a bit strange, but Kamiyi is very satisfied."

However, to his surprise, he received a letter from the headquarters two days ago before he even started writing. 【1】

Carvey nodded, and looked at another doctor in the same car: "Dr. Mossier has been studying the prostate, he should be more familiar with the symptoms of hematuria than I am."

Olmitz is an important barrier to the north, breaking it can drive straight into the central area of ​​Austria.And Trutnau is an important fulcrum connecting the northern line and the western line to attack Kischin, and capturing it will allow the two armies to join forces smoothly.

He is over 60 years old, male, smokes every day, and has two history of bladder stones. More than half of the high-risk factors are included. If it is placed in modern clinical practice, it can be highly suspected.But Carvey knew that the patient was related to the relationship between the two countries, so he did not dare to draw conclusions easily for the time being, but said: "I still need to do further examinations."

"Fortunately, the sleeper on the train is quite comfortable." When Kavi saw Justina, he couldn't help but cast a glance at her chest, "How do you feel now, Your Excellency the Countess."

The military uniforms of the visitors seemed to be different from ordinary soldiers, not only their noble rank collar badges, but also the tuft of white feathers on the brim of their hats.

In history, this was the most serious mistake of the Prussian army, and it was also the only chance for Austria to counterattack.As long as the Crown Prince's Guards are taken down, the empire may force Prussia to make concessions.

It seemed to be a foolhardy choice, but it happened to avoid the defensive deployment of the Austrian army.So Bonin didn't object. After all, he was protected by two wings, and the crown prince also had a powerful guard army, so there shouldn't be any security issues.

The headquarters did not know that Kavey was in trouble, but only speculated that Kavey had arrived in Kischin according to the news sent back from the western front.Now that Vienna needs him, Kavi bid farewell to Morasso on the 17th and left Kischin.He first arrived in Prague by carriage, and then took him back to Vienna by train.

Mosier was a little curious: "What inspection?"

Carvey thought for a while, then listed the next inspection equipment that can make a definite diagnosis, and after clarifying their feasibility, he said: "They are all some avant-garde inspections that are usually not needed, and should be able to determine the location of the old man's lesion. However, the inspection itself requires a lot of equipment and some time."

"It doesn't matter," said Justina. "Go to the embassy and see my uncle first, and then."

"No, no need." Carvey declined her arrangement, and said, "In order to diagnose him as soon as possible, I will go directly to the University of Vienna Medical School and ask my experimental team to help."

(End of this chapter)