Nineteenth Century Medical Guide

Chapter 297 293. Sleepless Night

November 1866, 11 is an ordinary day in history, but this night is destined to be difficult for many people.

Most of the oil lamps in the surgical ward of the main palace hospital in Paris were extinguished, and only the last quarter was still on. The girl in bed 1 held her navel with one hand, pulled the quilt over her head with the other, and just huddled on the bed, refusing to say a word.

The parents sat on both sides, one was still scolding and the other was sobbing secretly.Although in different ways, what they all want is the truth.

Dr. Pei Ang, who manages the bed, is less than 1 meters tall, so he can't speak in front of this family, and he looks very small.He didn't know how to make the news he just delivered clearer, and he didn't know how to keep them quiet. After all, there were more than 7 patients here who needed to rest.

"You said it, have you ever done it?"

The girl's hand holding the quilt was clenched even tighter: "Don't ask."

"It's related to your health, how can you not ask." The father continued to ask, "Is it the pharmacy guy on the street? Is it him? I've seen something wrong with him for a long time, so you just say it's him?? ?”

"."

"I earn less than 100 francs a month, and dare to touch my daughter!"

The father was really angry, and he was about to get up and go back to the man to argue, so the daughter reluctantly pulled off the quilt and said, "What's wrong with him? He works very hard! Mr. Tyrese said that next year he will Let him take care of the store before returning to the countryside for the elderly.”

"rhetoric!!!"

"Where is it!" The daughter couldn't help complaining, "I'm already 18 years old, I love him, and he loves me too, what's wrong with that? I've asked Mr. Tyrese, why do you say this Is it rhetoric?"

"The bad old man who knows how to sit on the recliner, read the newspaper and drink all day long? He gets drunk every day, maybe he's just talking nonsense."

"What is nonsense?" The daughter was also angry, "Why do you dislike him everywhere? Why do you always feel that others are lying to me?"

"because."

"Because your father was like this at the beginning." The mother who had been silent until now finally spoke.

She stepped forward and sat by the bed, gave her man a look and then continued to look at her daughter: "He doesn't even take protective measures, how can he say he loves you? Now that something like this has happened, even if you are not pregnant, you still have to Surgery. He didn't even come to see you, how could he say he loves you?"

The daughter finally couldn't bear to sit up, threw herself into her mother's arms and cried loudly: "Mom, I don't want to have an operation, I don't want to die."

Although the family of three in the ward had disputes, they would eventually compromise with each other for the sake of harmony.

But it is not so simple outside the ward. In addition to respect, there are more fame disputes, personality frictions and even purer ideological discord between doctors and doctors. Sometimes they cannot be reconciled in a lifetime.

Carvey and the current director of obstetrics Hu Jier belong to this category.

An hour ago, Carvey judged through palpation that bed 97 was not ordinary appendicitis, and then found out through questioning that the girl was likely to be pregnant, so he thought it should be an obstetrical problem.Cedieu invited the director Hujill to discuss the condition together, and the latter also held a conservative view on appendicitis, but did not agree with Carvey's judgment.

"Maybe it's just some inflammation in the abdominal cavity. It's not as exaggerated as you said. Try applying some medicine externally."

Hu Jier glanced at the medical records and reminded: "Dr. Carvey just came to Paris. If you don't want to rest, you should still focus on the previous rectal tumor patient."

"She has admitted to having sexual behavior, and now she has had abdominal pain for two days, and the degree is not mild," Carvey said, "I can't give an accurate judgment, I just think a laparotomy is needed. If possible, I hope Professor Hujill Can be on stage with me."

"Don't be kidding, open the abdomen every time." Hu Jier didn't show any face, and said in front of Cedieu, "You surgeons know everything and don't care about the consequences. What if you die on the operating table? Do? Who is in charge?"

Carvey knows that surgery is a double-edged sword, but now he has persistent severe abdominal pain, and there must be a big problem in his stomach: "If there is no surgery, once the disease progresses, it will only be more troublesome!"

"You can't convince me with this reason."

Hu Jier refused to accept it, and said: "You said the disease, what is the disease? You said it will develop, and how will it develop? You said it will be more troublesome. What kind of trouble is it? How troublesome is it? I have never seen abdominal pain. The case that died within two days was not infected with cholera, why are you so nervous?"

"The professor may not know that there is a kind of pregnancy that can appear in the fallopian tube!"

Carvey said the answer in his mind: "The embryo will grow up slowly in the fallopian tube, but the fallopian tube does not have the thick muscles of the uterus. Professor Hujill should understand what I mean. This kind of outward expansion force is even stronger than the uterus. Unstoppable, it will tear the fallopian tubes together with the surrounding blood vessels!"

When the whole world has not really understood the whole process of pregnancy, this is undoubtedly a very novel point of view, so novel that people cannot understand and believe it.

Doctors have just begun to understand the anatomy of embryos in the uterus, and the probability of ectopic pregnancy is not high. Even if it is found, it will be misjudged as a fallopian tube tumor.

Only at the end of the 19th century, when obstetricians really discovered the existence of ectopic pregnancy, would they pay attention to the raised mass in the abdomen during physical examination.If you want to make a clear diagnosis of ectopic pregnancy, you can't really realize it until at least the urine HCG test appeared in the early 20th century.

Let alone Hu Jier now, even Cedieu doesn't believe it.

But Cedieu at least has some confidence in Kawei, and will further consider this possibility: "Development in the fallopian tube? If it really enters the fallopian tube, what you said may happen. But the problem is."

"The question is why in the fallopian tube?"

Compared with the more neutral Cedieu, Hujier belongs to the faction of complete disbelief: "There must be a limit to wild guesses. Where is your basis? The only thing is that the belly is not big after pregnancy? By the way, you How did you know she was pregnant?"

The relationship between menstruation and pregnancy, which is well known in modern times, was indeed a mystery at that time.

In the 19th century, menstruation was only known to have cycles, and the deep-seated relationship between menstruation-endometrium-pregnancy, like the urine HCG used in pregnancy testing, will not be discovered until at least the next century.

Since the other party asked, there is no need for Carvey to hide it. It is much better to say the answer directly than to fool the other party: "I found that once the menstrual cycle is interrupted, pregnancy will come."

Hu Jier didn't want to intensify the conflict, but the reason given by Carvey is too subjective and has no reference value: "This kind of speculation is meaningless, what I want is evidence!"

Carvey had a palpation just now, and it is really difficult to distinguish the fallopian tube mass by hand with only two months of pregnancy: "I really only have a guess, but if it turns out to be true, it will kill her!"

"Please, young man, medicine is not speculation. Have you ever studied medicine?" Hu Jier became more and more disgusted with Kawei's operation. Now! Since you think this is an obstetric patient, then I will take care of it."

Seeing him like this, Carvey had to say: "Forget it, let's treat it as appendicitis."

"Don't, don't do this with me!" Hu Jier pulled away the medical records that had just been taken away by Cedieu, "If you say it's mine, it's mine. Obstetrics and surgery have been separated a long time ago. This is not you The patient who should be managed."

"Professor Hujill!"

Just as Hu Jier was about to leave, he suddenly remembered something, turned around and looked at Kawei, and warned: "Don't worry about your cesarean section, it is in line with the natural law to have a natural birth from YD, and it is against the law of heaven to cut the stomach and uterus artificially." His behavior will be condemned by God!"

"I'm saving lives."

"Can disembowelling be considered life-saving?"

Hu Jier, who is the same age as Sediyo, is far more stubborn than Carvey thought, but he still has profound knowledge in the history of medicine.

If there is no 97 beds, but to communicate with the other party's research projects, such as uterine pelvic measurement, ovarian cyst and cervical resection, maybe the relationship between the two will ease a lot.Of course, it will take some time to solve the problem of cesarean section.

In this regard, Carvey can do nothing but temporarily change the operation schedule.He put the 24-bed urethral exploration operation in the morning, and the 13-bed rectal cancer operation in the afternoon.

In order to complete this case of rectal cancer resection, Kavey and Cedieu had to stay to discuss the approach and specific procedures of the operation, and strive to cooperate correctly.

As for the 97 beds, if you want to regain the dominance of treatment, you have to pin your hopes on Edward who has returned home.

But what Carvey didn't know was that Edward was actually having a hard time tonight.

He is still single, and he has to think about his identity when he returns to Paris, which is far from comfortable in Vienna.At the same time, in addition to making Kavey's next operation arrangement as soon as possible, he also has to face an annoying fly that often hides in the dark.

"Thank you, don't look for it."

After Edward paid the car fare, as soon as he got out of the carriage, he saw a dark figure jumping out from the distance. He realized that it was Mick through the rare kerosene lamp on the street: "Mr. Mick, you scared me to death!"

"Mr. Edward is really slow. I've been waiting here for two hours." Mick lit a pipe for himself, stepped forward and said, "It's not convenient for me to go to the hospital, so I can only come to you to understand the situation, Ka Can Dr. Wei tell me the schedule for the next week?"

"I only know about tomorrow." Edward was not prepared at all, "The rest will have to wait for a few hospitals to discuss before deciding."

Mick frowned, exhaled two puffs of smoke rings, and complained, "Why are the French so inefficient?"

"Is there anything I can do, this is something you just brought up temporarily." Edward shifted the responsibility back to Mick, "When the Emperor Pu came to Paris to look for His Majesty, although there were many guards accompanying him, they were not as many as you requested. high."

Mick shrugged, disapproving of this: "I'm just following orders. Where are you going tomorrow?"

"Still in the surgery theater of the main palace hospital."

"I see."

When Mick got the news, he left Edward's residence with a cane without delay.

It is true that he cannot be blamed for this matter. According to the original plan, Mick will return to Vienna to continue working.Unexpectedly, the order was temporarily changed. Franz was worried about the security work in France, and he had the lessons learned from the town of Otaka, so he was appointed as the person in charge of Kawei's personal safety.

It's a pity that since getting on that train, Edward has been led by the nose by this sinister guy the whole time, even in his home country.

This sense of aggrieved, coupled with the burden of the relationship between France and Austria during the previous war, made Edward breathless.He felt like a bladder whose urethra was completely blocked by an enlarged prostate, and could explode anytime, anywhere.

He needs to decompress!
"No. I can't help it!!!"

As soon as Edward took off his coat at home, he felt uncomfortable all over, so he had to put the coat on again, and then hurried out of the house.

When it comes to decompression, especially the decompression of an authentic Parisian like Edward, it is nothing more than sex.

When it comes to sex, his choice is different from that of the liar who fled to Paris.The dark alleys of the Pigalle district are unpopular places, and the ones that can really show off their money and power while satisfying their selfish desires are the luxury theaters on the Boulevard Montmartre.

"carriage!!!"

Edward stopped a taxi and stuffed 5 francs directly into the driver's pocket: "Take me to the comprehensive theater on Montmartre Avenue."

Seeing the banknotes, the coachman was in a good mood, raised his whip and rushed to his destination.

At this time, the comprehensive theater has already reached the busiest time of the day.

The theater complex is by no means the largest theater in Paris, and the architecture is not that artistic.But in terms of fame, it is by no means inferior to any theater.Celebrities put down their tableware, walked out of the restaurant, and began to gather here one after another.

They are indeed here to pursue art, but they can also find a soul mate while pursuing art.

In order to meet this demand, those high-priced women who are waiting for a price will also bring their own maids and come here specially to wait for business to come.Usually just sending a bouquet of flowers, or putting on a coat, or even simply kissing the back of the hand, can seal the deal with simple eye contact.

Li Ben originally wanted to come here to try his luck, but the rules here are still too advanced for him who is new here.

After wandering around for a while, he retreated, and soon found a carriage that had just driven to the theater.

Li Ben limped to the door of the car, happened to meet Edward who got off the car, got into the carriage with difficulty, and said in broken French: "Cheerer, hurry up, take me to the Pigalle district."

(End of this chapter)