Nineteenth Century Medical Guide

Chapter 28 27. "Strike Poland"

The Municipal General Hospital used to have only one and two, two wards.

At the beginning, surgical patients and obstetrics and gynecology patients were scattered among them, and the management was quite chaotic.Since the end of the last century, the specialization of obstetrics, gynecology and surgery has been increasing day by day, and the number of patients has gradually increased. The hospital had to think twice and had to build three wards to pull out all their patients.

The internal medicine wards in the first and second wards are planned in a unified manner, with 6-10 patients in the same room.

The third ward originally wanted to continue this style, but Ignatz, the head of surgery, had a weird temper and was strong, so in the first few years, he often had conflicts with the obstetrics and gynecology department in terms of ward allocation.

Surgical options are gradually encroaching, attracting hospital senior management and newly admitted patients who are in urgent need of surgery, and from time to time swallowing a nearby maternity room in the name of borrowing for their own use.The obstetrics department couldn't take it anymore, and finally opened up all the rooms.

Even someone as unreasonable as Ignatz at work has at least some remnants of a gentleman in his everyday life, not placing his male patients in an embarrassing ward full of women.

This is not only disrespectful to women, but also irresponsible to one's own patients.

So far, the obstetrics department has been integrated from the original several small wards into a large ward on the east and west sides.

In fact, the surgery of the Municipal General Hospital has always been weak, and Ignatz likes to work alone. Many colleagues couldn't stand his temper and ran to other hospitals.So the surgery has always been in a very strange position. Although the surgeons are very strong, the number of patients admitted has never been large.

Obstetrics and Gynecology is different.

After the expansion of the three wards, the Obstetrics and Gynecology Department of the Municipal General Hospital has formed a very good scale, and has become the largest female disease diagnosis and treatment area in Austria.

Gynecology aside, the two obstetrical wards are now managed by doctors, midwives and nurses in coordination with each other. The procedures for ward rounds, delivery and postpartum care are exactly the same. Although the operators are different, it is actually a random probability for each individual. question.

Carvey couldn't figure out what caused it at first, and couldn't find the difference between them.But now it appears that a point of difference appears to have emerged.
But... it seems that it didn't appear.

There were a total of 11 medical students who came to practice. Whether it was the leader or the other noble students after entering the ward, they all obeyed the rules.Or to put it another way, they all pay great attention to the distance between men and women. Even if they start to operate, they will try to keep the distance as much as possible, which seems very cramped.

Some students even hid behind the crowd because of shyness, and gave up the opportunity voluntarily.

At first glance, these people are exactly the same as those doctors and midwives. They also wear formal clothes, do not wear masks and gloves, and operate with bare hands.In Kavey's eyes, compared with the second ward, the first obstetrics ward just has more prospective doctors.

And they just started their internship last fall, but the difference in mortality between wards 1 and 2 started more than ten years ago.

"Yeah, it's been a long time. Obstetrics has always been quite evil."

Ignatz was carefully stuffing a pig bladder full of water into Andre's stomach, but he was recalling: "So when I was bargaining with Marcus for the ward, I stopped in time. , I'm afraid that there is something unclean in that place that will affect the success rate of my operation."

Andre's smashed corpse became an advantage here. After removing some unnecessary parts, it successfully became the best carrier for simulating cesarean section.

Carvey stood by the dissecting room and watched Andre's sternum and ribs were easily removed, and his internal organs were hollowed out. He couldn't help but sigh in his heart: "So many years have passed."

Still staring at his bladder, Ignatz asked, "So, you came back late because you went to the maternity ward?"

"Go and see how Nora is doing."

Carvey did not hide that he had paid for her bed in advance, nor did he hide that he went to the pharmacy to chat with the French chef about the "mouth" feeling of Hungarian leeches: "When I left the police station, I didn't expect them to deliver it so quickly. I ran to the pharmacy next door and happened to meet Mr. Alphonse, so we chatted for a while."

"Pharmacy store?" Ignatz asked casually, and took the scalpel from Herman, "Why are you going to the pharmacy?"

"Mr. Alphonse's vegetable oil is too expensive, and I used up half a bottle on the second day. I want to go to the pharmacy and ask if there is any substitute." Carvey began to explain indiscriminately, "It turned out that the wine is also quite good. , that fragrant smell will surely ward off the miasma in the air."

The vegetable oil is very fragrant, and the wine is also very fragrant, there is nothing wrong with it.

Ignatz glanced at him, unmoved: "Wouldn't that be perfume?"

"Perfume? Perfume is too expensive." Carvey continued to explain, "My suggestion is to completely isolate the air and change it every day. If you really use perfume, you will consume a bottle every time you change the lint cloth."

Ignatz thought about his proposal carefully, and it seemed to make sense.

The matter of the pharmacy was revealed, and the topic returned to the police station.When he recalled that his old friend who often ridiculed him was swayed by a child, he couldn't help feeling sad: "Musil's face would turn green when he met you."

"So in the end he was given another 5 crowns."

"You can be considered a talent if you are so good at bargaining. It's just that" Ignaz beckoned to Bergert in the distance, "Bring the crow's beak pliers behind you, yes, the remaining two, take them all come over!"

"But what?"

"However, I have too few corpses to use now, and I still need the help of the police station, so I can't get into a stalemate with them."

Facing Hills, Ignatz gently drew a faint cutting mark on the protruding pig bladder with his fingers, and continued: "Of course I don't mean to blame you. If you go again, you don’t need to talk about the price so harshly.”

Carvey understood what he meant, and nodded cooperatively: "Well, I see."

Ignatz and Hillman each held a pair of crow's beak pliers to tightly clamp the two ends of the serosa layer of the pig's bladder, and then cut an opening with a knife.Herman took advantage of the situation with both hands, and while inserting the tube of the suction device into the bladder, he kept shaking the operating lever with the other hand.

The three of them cooperated well, at least there was no problem with the fluency, but Hills was still not satisfied: "It still can only simulate the appearance of amniotic fluid, not the thick blood flowing out."

Ignatz was not worried, and was very confident: "The uterus of the female corpse just now gave me a lot of inspiration. I have already grasped the key bleeding point."

"But."

Hills wanted to say something more, but Ignatz suddenly looked back at the words: "What's wrong with you today? Why do you always refute me? Do you think I'm not doing well enough?"

"No."

"So you think you're doing better than me?"

"No!" Hills knew his temper, and quickly denied, "I'm not refuting, nor arrogant. I just think that the cesarean section is very important, and we should consider more possible unfavorable factors."

"You just think that the surgery will get out of control like last time! You're scared! You don't like getting out of control!" Ignatz said his thoughts sharply, "But you should know that out of control in surgery is inevitable!"

"That's why I hope."

"Hope is useless! Your so-called hope is meaningless on this cold operating table!" Ignatz raised the volume again, "You said that you want to simulate all the situations that can be encountered during the operation? You ask Can I do it myself? There is still blood flowing. Do you want me to bring a pregnant woman from the maternity ward to test the knife?"

Hills:
"I've tried dead pigs, and I've used up three of the previous ones. I've also tried this female corpse now. It's only been two days since she died, and her body is well preserved, but she's not a pregnant woman! Her uterus is still intact. It's not as big as my fist, and there are no children in it!"

Ignatz let out a long sigh, let go of the last good mood of anatomy, and directly threw away the scalpel in his hand: "I have also been to a pig farm. The anatomy of a sow is different from that of a human. If you want to Cesareaning a sow involves not only buying the pig, but also borrowing their lashing tools and spending a lot of ether."

Herman, who was squatting aside, nodded, and said in a low voice, "Last time, I asked for 100 crowns."

"So, how much will it cost us to perfectly reproduce all the situations that may be encountered in a cesarean section?" Ignatz picked up the wet rag beside the operating table and wiped off the blood and stains on his hands back and forth. Greasy tissue fragments, "Hospitals can't spend all their money on one surgeon."

Herman drained the remaining water, took the pig bladder from Hillman, and began to clean the dissecting table carefully.

Hills also packed up his things, but he still wanted to say something: "Mr. Ignatz, I made a slip of the tongue just now, but my point of view remains the same. I still feel that since I am on the operating table, I will We should be fully prepared, we still have time."

"So you've said so much, do you have any good suggestions?" Ignatz threw the rag into his hand, "I remember I said it before, the guys who only refute with words but can't come up with opinions are all coward!"

"We can buy some blood," Hills said, wiping his hands.

"It's unrealistic that blood will coagulate as soon as it leaves the human body."

"You can use leeches, and the wounds opened by leeches can continue to bleed."

"That's too little." Ignatz kicked the bucket, "How many leeches can you think of to suck out such a bucket of blood?"

"One piece is about 1ml, 30 pieces?"

"You pay?"

"If it can be done, it doesn't matter if I pay."

"How much is your monthly salary?"

The future of surgery has unlimited possibilities. They are standing at the starting point of rapid development, and it is impossible to shrink back because of some small setbacks.

If Morazo's hernia operation failed yesterday, Ignaz may be sad for two days, but he will still carry the same patient on his operating table next time.If Nora really died at his hands in the near future, or even killed twice again, he would still continue to try a cesarean section.

"It's almost noon." Ignatz patted Hills on the shoulder, "Quickly check the ward, and then have dinner together."

The brief quarrel did not affect the master-student relationship between the two. Sears temporarily put down the burden of the cesarean section, nodded and said: "I have to persuade Mr. Daniel again, the ulcer on his feet has spread upwards, and he needs to be treated as soon as possible." Amputation will do."

"And that cleft lip."

"Yes, cleft lip surgery has to be put on the agenda."

The three interns on the side, including Bergett, saw the peaceful department atmosphere in front of them, and at the same time, they took into account the fierce academic debates in surgery and the harmonious deployment of daily work.Although it is hard work, as long as you keep pushing forward, you can always reap the happiness that ordinary people cannot understand.

But Kawi on the other side is different.

What he saw were three pairs of dirty hands that had just touched the cold corpse, and they rushed into the ward without even washing it with clean water, just like the Germans pushing thousands of iron lump tanks when they blitzed Poland. People were surprised.

and many more
Corpse?

Carvey looked back at Rosa and Andre, and then at the surgical ward outside the door, lost in thought.
(End of this chapter)