Nineteenth Century Medical Guide

Chapter 292 288.19. The Involution of the [-]th Century

Paris has a unique romance that is different from other cities, but after peeling off this layer of thinking, its inner structure is still the same.

Like big cities like London, Berlin, Vienna, New York, Paris is made up of various "worlds".Each "world" is wonderful in its own way, but it does not interact with each other and is independent of other "worlds".

They are like brilliant gems inlaid in the crown. While making this 1500-year-old crown dazzling, it also makes it extra heavy.

The biggest one is undoubtedly the art that mainly focuses on painting, and then there are more and more political, fashion, finance, food and other parts that can demonstrate the strength of France.But if the time goes back to more than 20 years ago, science can definitely be ranked in the top three.

In the scientific community with a large number of people, medicine is a very prominent existence.

The medical field in Paris is very famous, and even became the medical center of the whole world at one time.

The complete medical education system and the pressure brought by absolute introversion have given birth to a large number of hospitals and countless outstanding doctors, medical technicians, nurses, interns, and tens of thousands of patients who come to see the doctor.

In Paris, there are as many people in medicine-related jobs as the population of a small city.Too many monks and too few make for fierce competition, and jealousy and suspicion are as rife as in any show company.

Unlike the modern United States, which is thriving in the medical field, the United States, an emerging country in the 19th century, has no comparable medical level with the old European powers, and is not even qualified to be hanged.

"In the cholera outbreak more than 30 years ago, 12 hospitals in Paris treated more than 6 patients. In contrast, London had only 4, Berlin had less than 3, Vienna had only about 1, and Moscow may not even have 5000."

Carvey was sitting in the carriage, watching the scenery outside the window, while listening to Edward talking about Paris: "What about New York?"

Edward didn't understand why Carvey mentioned that inconspicuous city, but he still behaved decently enough: "New York? Oh, yes, and New York. But, Dr. Carvey, that was 1830, not now. Those days in New York The scale of the hospital is not large, maybe even 2000 people are enough."

To be honest, most of the so-called New York hospitals were left by the British, and the hospitals run by the British always look petty in the eyes of the French.

Thus the chain of contempt was born.

"Mr. Ambassador really understands these things in the medical field."

"Isn't it just to send you here to make up for it?"

Kavey wanted to taunt him at first, but he gave up thinking that he didn't care about those things.After all, in the eyes of the French medical community, he was just a little-known doctor who hadn't even gone through systematic medical studies. He must have talent, and the success of the operation was probably just a rumor.

In the eyes of everyone, it was just a show for such a doctor who shouldn't be a doctor to do a surgery tour with great fanfare.

Naturally, the down-to-earth French medical workers would not waste time for a show, so there were only three people who greeted them at the train station, two of whom were clerks of the Ministry of Foreign Affairs.

"I didn't expect Dr. Albaran to greet me at the train station. I was flattered."

Alba lazy just smiled: "It should."

Carvey couldn't hold back seeing him like this, and asked, "I heard that you are a student of Teacher Mosier?"

"Correct."

Albaran looked less than 30 years old, but he seemed very reserved, and he didn't even dare to speak much.The status gap between general surgeons and ambassadors abroad is vividly reflected in this carriage.

"You also do prostate research?"

"Ah."

"It seems that Dr. Albaran is very knowledgeable about urethral strictures caused by the prostate."

"No, no, you're overrated." Alba waved his hands lazily, and his face turned red, "When it comes to the prostate, how could I be better than Mr. Mosier, and I heard that Dr. Carvey's treatment of the prostate is also very good have to."

Carvey is far less humble, but he still has to keep a low profile when he first arrives: "I haven't studied much."

"I heard that you just performed a tumor resection on Mr. Erdem in Vienna?" Albaran tried to ask a question, "Did the operation go well?"

"Everything is going well for the time being." Carvey's only worry now is Edem's physical condition. "It stands to reason that I should stay in Vienna for a week after the operation. Now I can only rely on telegrams to deliver news. I hope that Edem will Mr. Mu can successfully complete the recovery period."

In fact, Albaran had no concept of Erdem's tumor, and the previous consultation was not something he, a small person, could participate in. Talking about this matter was nothing more than trying to add some topics and interactions.

But who would have thought that Kavey finished talking about everything he understood as soon as he opened his mouth, and there was no room for answering.

Ask about tumor-related content?

Surgical approach?

Or the details of the next treatment?

Albaran is still somewhat self-aware. Even if Kavey is young and has no theoretical knowledge, he is still a doctor who can share the stage with Mr. Mosier.

Just like the American students who came to Paris to study in the past few years, even if they do not have a medical undergraduate diploma, they can still enter the school to attend lectures.Even as long as you get a university pass, you can visit the anatomy classroom, specimen display room and surgical theater at any time.

The seemingly unreasonable teaching system can discover many geniuses. Now most of the director-level doctors and professors in the United States have been to France, and they were just apprentices who followed the doctors.

Maybe the young man in front of me is also like them.
"Doctor Albaran, let's talk about the hospital where you and Mr. Mosier are." Seeing that he was not interested in surgery, Carvey changed the subject, "I have to give a report there today, and I want to know more about it first." Condition."

"Oh well."

The Main Palace Hospital should be one of the oldest hospitals in Paris and even in Europe. It is located next to Notre Dame Cathedral. It is a large five-story building.The hospital has 1800 beds and serves nearly 2 patients every year. Like other Paris hospitals, it provides free treatment.

"The surgery in our hospital is of the highest standard in France." Albaran's smile was full of pride, "Dr. Carvey will definitely learn a lot this month."

"I am looking forward."

In fact, there are far more large hospitals in Paris than the Palace Hospital. There are also nearly 20 large and small hospitals including Grande, Salbert, and Mercy Hospital. The number almost surpassed the number of medical schools in the United States at that time.

Among them, the main palace, benevolence and love hospitals are not far from each other, and the University of Paris Medical School, which is responsible for transporting talents, is nearby, which jointly created the medical core of the whole of Europe.

This time, when Carvey went to the main palace hospital for an operation report and demonstration, the other two hospitals would also send people to listen in, which was a good opportunity.

"The original time should be just one hour later, but we just got off the train, why not wait until tomorrow morning."

Edward wants to change the time, hoping that Carvey can face those French doctors who are extremely picky about medicine with the best mental outlook.

Albaran on the side also meant the same thing. The Main Palace Hospital is not any other random medical institution. Here, the morning rounds are full of gunpowder: "Dr. Kawei, you should rest for one night and go tomorrow. .”

But Carvey didn't take it seriously: "Tomorrow? No need, I had a good rest on the train, let's go directly."

Although Edward always wanted Kavey to perform a cesarean section, in fact, Kavey came here and did not specify what kind of operation to perform, because it is impossible for those obstetricians to hand over a pregnant woman who is only 18 years old. hands.

The so-called conference report used only a small conference room, where a few medical students sat here and there, and they all came here when they were free, which was equivalent to being released as a pigeon.

Carvey casually talked about cases and surgical treatment methods, and his enthusiasm was quickly dissipated: "What time is it?"

"3:18," said Albaran, who had accompanied him.

"Thank you very much for coming in to be my audience. I really can't go on with this report." Carvey apologized to the medical students. Dr. Albaran."

"exist!"

Carvey closed his notebook, picked up the surgical instrument box and prepared to leave: "I'll go back to the hotel first."

Albaran also has seven or eight years of medical education, so he is very aware of the weight of the report just now.Just pick out a single case and put it in the main palace hospital, it will attract the attention of more than a dozen doctors.

Only now did he know what the "genius" that Mosier had written in the letter before meant. 【1】

It's a shame to let such a character go away like this.

"Doctor Carvey, why don't you?" Albaran hesitated for a while before saying, "Do you want to visit the surgical ward? I'll take you there to see the patients we admit."

Carvey knew that he was only a half-practice, half-job surgical assistant, with no real power in the ward.Without the consent of the director, it is obviously against the rules to bring outsiders into the ward to provide the patient's basic information.

So he has to confirm again and again whether he is really willing to do this: "I'm afraid this is not good."

"It doesn't matter, Mr. Mosier mentioned you repeatedly in the letter. If it were different, he would definitely take you to the ward." Albaran was willing to go all out, "Besides, you are the chief surgeon who performed the operation on Mr. Erdem Doctor, you are fully qualified to enter the ward."

Carvey smiled and nodded: "Well, listen to you."

In the old main palace hospital, every ward is like a castle hall.

There are shiny oak floors on the ground, and huge windows ensure light and ventilation.There are hundreds of beds on both sides of the ward.Each bed will have a separate white curtain hanging from a high place, leaving a private space for patients and their families.

It was past three o'clock in the afternoon when Carvey arrived in the surgical ward, but dozens of nuns of the St. Augustine Church in the ward were still busy with nursing work.

Compared with the previous appearance of the Municipal General Hospital, it is obviously much more professional here.Compared with modern hospitals, there is no leisure here. Every morning rounds at six o'clock may kill many doctors.

And they get off work at six o'clock, six o'clock in the afternoon.

Sometimes surgery is slow, or there is an accident, and surgical assistants and other cleaners may have to work overtime to clean up.The only thing that has not appeared is the evil on-duty system, a system that consumes the lives of doctors to save the lives of more patients.

"Adele, send the medical records for beds 13, 24, 62, and 97 to the office."

Albaran was asking a nun for a medical record, but was immediately stopped by Carvey: "No need, I'll look around."

He was not dissatisfied with the surgical beds left in advance, but he was not confident in their diagnosis.According to Carvey's operating principles, patients on his operating table must at least go through their own examinations, and it is not in line with his style to read medical records as soon as they come up.

I have to say that the surgery department of the Main Palace Hospital is really good, at least double the size of the Municipal General Hospital.

"There are currently 25 patients waiting for surgery, and the rest are recuperating after the surgery." Albaran introduced, "The four patients just now are typical patients who were carefully selected and reserved for Dr. Kavey. The diagnosis is clear and they should be able to A perfect display of your technical prowess."

"The diagnosis is clear?"

Kaweike did what he wanted, didn't look at other people, and just ran to the four bed numbers.

The four patients had different diagnoses, hemorrhoids, bladder stones, selenoid cysts, and appendicitis.However, in his eyes, except for the selenoid cyst, the diagnoses of the other three patients need to be questioned.

Bed 13 is more than 60 years old, and has had no problems with gang for most of his life, but now hemorrhoids suddenly appeared; , a girl of the same age as Carvey, has abdominal pain, but only abdominal pain.
Every symptom is very vague, and there is no way to pinpoint the type of disease.

Moreover, based on Carvey's decades of experience in emergency surgery, he could smell something strange from them: "Give me bed 97 first, I want to see it."

"Appendicitis?" Albaran nodded, and asked the nun to bring the medical records. "I came here last night. I was going to have surgery today, but the theater was full. Teacher Guyon heard that you will have an appendectomy, so I will give you The chief of surgery suggested that you be the chief surgeon of this operation."

"When did your stomach hurt?"

"Just, just yesterday morning." The girl spoke quietly, "It's actually fine now, just feeling a little sore."

"Ah."

Carvey glanced at the medical record, shook his head slightly, and was about to do some necessary examinations when he suddenly heard a shout outside the door: "Albaran! Where is Albaran???"

"I, I'm here!"

"Go to Theater No. [-], Mr. Ju Yong is looking for you!"

(End of this chapter)