Nineteenth Century Medical Guide

Chapter 29 28. Cousin's Ledger

At 6 o'clock in the evening, Carvey got into the carriage to go home.

In his hand were two pieces of letter paper, on which some experimental ideas and collected data were scribbled, and what he saw and heard in the ward in the afternoon was still flashing through his mind.

If it is said that the need to wear sterile gloves when touching a patient's wound still belongs to the medical category, then washing hands frequently should be a living habit developed from childhood.Ke Kewei observed in the surgical ward all afternoon. Interns like Ignatz and Bergett didn't wash their hands when they entered the ward.

It can't even be called a habit. Strictly speaking, the whole society has no concept of washing hands.

In the previous step, they were still exploring the possibility of cesarean section in the corpses of Rosa and Andre. In the next step, they just wiped their hands casually and walked into the door of the ward, so that the wounds of all the patients and those who touched the corpse tissue Hands made an intimate contact.

This is no longer a matter of probability, but a real man-made disaster.

In the 19th century, when the medical theory was half-chaotic, doctors thought they had jumped out of the circle of metaphysics and theology, and took off the hats of witchcraft and alchemy, but they did not expect that they would still play the role of the accomplice of death, accepting every bit. Surgical patients push the abyss of infection.

There's no way Carvey could have imposed the handwashing protocol on them 20+ years later, plus those patients weren't his either, so didn't say anything during the rounds.

But when Ignatz and the others came to bedside 11, the boy with a fractured tibia and fibula became the only exception in the audience.For him, the boy Eston's injured leg was his first step to improve the environment of the surgical ward, and he must not let it go.

"Once other people have been exposed to Eston, the conservative treatment I advocate may be mixed with uncertain factors, and the final result will be inaccurate!"

This is the reason given by Carvey at the time. It sounds a bit reluctant, but the result is not bad.Ignatz did not check the wound. Considering that the patient did not need surgery for the time being, he simply assigned the 11th bed to Carvey alone.

On the surface, the transfer of responsibility gave him enough face, but in fact it put pressure on him secretly.

And the verbal statement has no effect, and Carvey is very clear that Ignatz still retains the final power.

Once the wound on bed 11 festered, he would probably intervene without hesitation, and let the mother and child immediately choose between "amputation" and "packing up and leaving", just as indifferent as he was when he was the chief of surgery.

It is impossible for social welfare hospitals to provide welfare without a lower limit, and sometimes they have to make trade-offs.

Fortunately, the wound of the boy in bed 11 has been closed and there is very little exudation. As long as it continues to be maintained, healing will take place sooner or later.With this foundation, Carvey thought of the difference in mortality between the first and second wards of obstetrics.

When he was working, he asked several obstetric nurses to verify that most of the mothers died after delivery [1], and the time of death was about 1-4 weeks after delivery, and rarely more than 4 weeks.The cause of death was nothing more than swelling and pain in the birth canal, chills and high fever.

There is no need for examination, the answer must be puerperal fever【2】, the cause is infection.

We are all in the same hospital department, surgeons don't wash their hands, and obstetricians naturally have no reason to waste water, let alone those students who enter and exit medical schools.

Dissecting corpses is not the monopoly of doctors, and students studying in medical schools have more opportunities to touch corpses.Anatomy is not only a compulsory subject in medical school, but also takes up a lot of class hours in order to allow students to participate in it by themselves.

Remove the common items of the two wards, and what remains are the corpses and medical students. The answer is ready to come out: "The difference lies in the students!"

There is no place for "microorganisms infecting the human body" in the doctor's theory. If he wants to blame the hands of medical students for more than ten years of maternal death, and instill the concept of washing hands frequently, then Carvey must give everyone a reasonable reason.

Carvey kept tapping a set of data on the paper with his fingers, and murmured: "The maternal mortality rate in the first ward does follow a certain cycle. But during the winter and summer vacation [3], maternal Why did the death rate increase instead? Don’t they have holidays? It’s just like that in the 19th century?”

His mind was a little messed up, and he pressed his forehead hard, so he could only put aside the obstetrics, and rethought the rabbit head he had ordered with Alphonse before.

Rabbit heads are used to make oxytocin, which has long been recorded in ancient Chinese medicine [4], but it took about half a century for Western medicine to start using the posterior lobe of animal brains to extract oxytocin.Kavey is standing on the shoulders of giants, just like disinfectant alcohol.

Needless to say the effects of the two things, but the key is to have a rigorous experimental process and data.With the increasing self-confidence of Western medicine today, any innovation needs a series of experimental demonstrations before it can be recognized by all doctors.

Carvey sighed: "Make achievements first, then strive for in-house experiments, and then publish papers. It would be best if you can enter medical school, there are a bunch of research institutes available there."

The carriage in the evening quickly stopped by the side of the road. Seeing that there was no movement in the carriage, the driver tapped on the window lightly: "Sir, we are here on Basinger Street."

"Well, okay, thank you." Carvey rubbed his eyes, got out of the car and paid.

Thinking of the 15 khel that was sent to the coachman before, he felt somewhat unhappy.But after thinking that he could move out tonight and never need a carriage to go back and forth, Carvey was relieved.

He walked into the gate of No. 73 again, and the familiar long wooden ladder sent him to the third floor with creaking noises.The first room upstairs was his room 301. Carvey reached into his trouser pocket, took out the door key, and prepared to enter the room.

Suddenly there was a soft door opening sound behind him: "Mr. Carvey from Room 301?"

Carvey looked back: "Well, it's me."

The door opened was Room 303. A thin, wrinkled old face protruded from the dark door: "Did Mr. Andre look for you last night?"

This person's name has only been heard from Andre a few times, and Carvey can't remember clearly, and he doesn't have much contact with each other in normal times.Thinking that he had seen Mick walk into his room before, Carvey didn't bother to say much: "Well, I saw him last night."

"Oh, I didn't expect such an accident to happen to Mr. Andre. It's really. Oh."

The old man sighed, and seemed to want to express his grief, but seeing that Carvey was unmoved, and even inserted the key into the lock, he quickly said: "Wait, Mr. Carvey, don't worry. Let's go!"

"I'm tired and need to rest."

"Before you rest, I think you should meet the new landlord, Mr. Sharden." The old man pushed open the door, and a young man under 30 years old greeted him from the door, "He is Ender Mr. Lie's nephew rushed over from Medeling when he saw the obituary in the morning."

Carvey knew that Andre had always been single and had no children, so there seemed to be nothing wrong with his cousin's succession.It's just that he didn't intend to continue renting the house at all, nor did he want to get to know the other party, so he refused very simply: "Oh, I asked Mr. Andre to cancel the rent last night."

"Return?"

"The new job is too far away for me to continue living."

"I've never heard of Uncle Andre talking about such a big deal." The young man named Xia Deng didn't let the old man in Room 303 interrupt, and walked over with a smile on his face, "And last month You did not pay the rent, and the money was not entered in his account book."

"I gave him the money last night."

"Empty words have no proof, I only take my cousin's record as the standard."

Xia Deng was no easier to deal with than Andre. He quickly took out the account book from the inside pocket of his suit, and skillfully flipped to the blank record of Carvey. His eyes were full of greed for Krona: "Payment before 2/28 218 hel, the rent will be raised to 250 hel next month', clearly written in black and white."

Carvey didn't expect that the fat man would be so troublesome when he died: "I've already given the money to Mr. Andre, the whole 50 Heller copper coin, five in total. Have you never been to the police station to see his body? The wallet should be It's in his vest pocket."

"I drove the carriage for three hours, and I just saw him for the last time this morning."

"Where's the wallet?"

"It's been lost."

Carvey sighed, he really didn't expect the new landlord to come so soon, if he had known this, he should have packed up and left here as soon as possible last night.

Failed.
"If you don't admit it, then you have to go to the police station. I have not only physical evidence but also personal evidence here." The young man shook the account book in his hand, pointed at the old man in room 303 behind him, and continued, "If you change It's me, I will definitely pay the money, one thing more is worse than one thing less."

Of course, Carvey has nothing, so he can only choose to take a step back and keep silent about the rent of 250 hellers, and then asks: "What about the rent refund?"

"After paying off the last month's rent, you can choose to withdraw the lease, but before withdrawing the lease, you need to pay me another month's rent according to the provisions of the new contract."

"What's the point of this?"

"The landlord must be notified one month in advance to cancel the lease. This is the rule."

"Rule? Mr. Andre never said such a rule."

"I'm the new landlord, and this is my rule, please follow it."

Of course Carvey is unwilling to go to the police station, no matter how good the relationship with Werther is, the man in black is always a terrible topic.He is also unwilling to stay at No. 73. It is unrealistic for the public carriage to go back and forth every day, but staying in the hospital is equivalent to paying 250 Helles for nothing, and he feels very distressed.
"Let me think about it again." Carvey considered again and again, and chose to procrastinate.

Xia Deng didn't force it, but just nodded and said: "I will come here to see you at ten o'clock tomorrow morning according to the time set by my cousin. I hope I can give me a satisfactory answer then."

(End of this chapter)