Nineteenth Century Medical Guide

Xie Basto fell to the ground without warning. He was still talking nonsense just now, but suddenly he fell to the ground like a puppet with a broken thread.

After all, he was also the head of the Paris Police Department, not a homeless man who could be seen everywhere on the street, and the private room suddenly exploded.

The first to react was his accompanying guard and the nearest waiter, who went up to check the situation as soon as they heard the noise.Then there are other people who eat melons, including those who just persuaded Edward to calm down.

They are still guessing the cause of the fall around the outer circle, and giving their own suggestions.

Falling over alcohol is nothing new, it happens almost all the time in Paris, where wine is served with every meal.But as Edward, who was still arguing with the other party just now, he had to put aside the relationship immediately.

"He fell by himself after drinking too much, but I didn't touch him!"

It’s okay not to say, no one will think about it, because as long as you are not blind, you know that Edward was not by his side when Shebasto fell down.Moreover, it is absurd that the upper echelon of Parisian politics would have a quarrel over a young female star that turned into manslaughter.

But as long as it starts, people who fear the world will not be chaotic will jump out and refresh their sense of existence.

No matter what the facts are, even if he himself thinks this should be the case, he still can't help but choose novel angles to refute a few sentences.This is a subconscious habit of wanting to show one's ability, and it is a conditioned reflex after long-term maintenance.

It is commonly known as the lever essence in modern times.

But there was no such concept at the time, and no one would find this kind of person annoying, but would instead focus on Edward.

"Mr Edward did give him a push."

"Come on, that counts as pushing? At best, it's just a touch." Edward argued, trying to win back the right to speak, "If that counts as pushing, how about lifting a girl's skirt and twisting her waist on the dance floor?" What is a person?"

"That's all I said, your reaction is too big."

"It really has nothing to do with Mr. Edward, not to mention how long it has been since that action."

"what should I do now?"

"Send him home, or just leave it like this, and he will wake up after a while."

In an age when alcohol is still considered a health drink, ignoring it is indeed practical advice.That doesn't apply to high-end venues, though, and it doesn't apply to high-ranking officials like Shebastowe.

These people around have to do something.

"Give me a drink, he did drink too much today."

"Who's going to get some vinegar?"

The method of hangover is the same, nothing more than using one kind of liquid to beat another kind of liquid, or one kind of food to beat another kind of food.In France, besides wine, there are various kinds of vinegar used for seasoning that are the most popular on the wine table. Over time, filling vinegar with vinegar has become a natural way to hangover.

But that's the sophistication of the French. There are many kinds of vinegar, many, many kinds.

Apple cider vinegar, grapefruit vinegar, grape vinegar, raspberry vinegar, peach vinegar. Various fruits, various vegetable spices, and even garlic can be made into vinegar.

After debating for a long time, everyone agreed that apple cider vinegar is more effective: "Try it first, if it doesn't work, you can only add two vinegar mixed with raw eggs. I saw someone try it last time and it was very effective."

"Or just take him to the back kitchen, take off his clothes, and have a vinegar bath!"

"That's okay too?"

"The last time a doctor gave me a suggestion, someone tried it, and it seemed to be quite effective."

When everyone was discussing how to hangover and what to use to hangover, Carvey couldn't help but stepped forward and said lightly: "Uh, can everyone help Mr. Xiebasito up first?" sit?"

At this time, everyone present knew that there was another doctor in the private room.

Perhaps some people are not at ease about his age and nationality, but out of trust in the profession of doctors as a whole, they still agree with Carvey's statement.

The waiter, the guard and two other people helped Xie Basto, who was a bit fat, onto the chair, and finally found something that everyone ignored: "I have blood on my hands, and blood on his shirt." "

"Broken head?"

"Sit him down quickly and show Dr. Carvey."

Carvey has seen too many patients who fell, car accidents, and fights after drinking. Unlike normal people's protective reflexes to the head, they lose their judgment after being drunk. Few people protect their heads in time, which often leads to serious injuries. ACCIDENT.

Shebasto is typical.

He was unconscious when he fell and fell backwards, hitting his head against the edge of the table, causing a scalp contusion.The blood supply of the scalp is rich, and the amount of bleeding must be very large. The blood droplets sliding to the tips of the hair can be clearly seen, and even the red carpet on the ground was dyed dark red.

Carvey didn't care what vinegar the French used to sober their hangovers, or why they shook him after they'd drunk it.Anyway, vomiting itself is a good defense mechanism, and it can also wake up the patient to check the reaction, as long as you pay attention to the direction of vomiting.

"Whoa, what is it?"

"How are you feeling, Mr. Shebasto? What's wrong?"

"Mouth. Stomach. Vomit."

"Do you know where you are?"

"Ugh, you...you give...what?"

Xie Basto reacted to the sudden gulp of apple cider vinegar, shook off his hands, barely controlled his body, and spit out several mouthfuls.But he never really opened his eyes from the beginning to the end, and the reaction only appeared for a short while, and soon passed out again.

"Turn your face away, then come over with a wet towel and clean his mouth!"

As long as someone can ensure that there are no foreign objects in the mouth and the airway is unobstructed enough, Carvey can free up his hands to judge his drunkenness: "Press the wound, and then bring me the candle on the wall."

In the eyes of everyone, Kavi's next series of operations were very confusing. He didn't solve the drunkenness, nor did he deal with the wound on the back of his head. Instead, he forcibly opened Shebasto's eyes, and then placed the candle in front of his eyes and dangled back and forth. .

While swaying, he still asked questions, and patted his face with his palm from time to time: "Mr. Xie Basto, wake up, Mr. Director, wake up"

"What are you doing?" Someone couldn't help asking in a low voice, for fear of being heard by Kawei.

"I am not sure as well."

"That's weird, are you looking at your eyes?"

"Isn't he a professional surgeon? Why does he look like he's summoning souls?"

I don't know who said something, and the atmosphere in the whole room became strange.Carvey's gesture of calling people with a candle in one hand is indeed very similar to that of a psychic in a seance: "Hey, Mr. Schebasto, wake up. Miss Sharana wants to invite you to dance!"

The repeated calls and Sharana's name did irritate the chief of police, but only a little bit, and he uttered a couple of hums, and soon returned to a coma.

Kavey's face was solemn, Xie Basto's pupils were not optimistic about the light reflex, and he was guaranteed to be moderately alcoholic.As for the smash just now, whether there is any brain damage has to be further observed.

He called Xie Basto twice again, but got no response. Looking at the wound on the scalp at the back of his head, there was no sign of hemostasis: "There is no fracture in the skull, and the bleeding is still a bit serious. It should be a blood vessel under the scalp. It must be done as soon as possible." Stitch."

"I'll go to the kitchen to see if there's any needlework."

The waiter got up and was about to leave the room, but was immediately stopped by Kawei: "No, there are needles and threads that do not meet the suture standards. Inferior silk threads are easy to cut the skin, and it will cause a lot of irritation to the skin, which will affect the healing of the wound."

The words are true, but when he first arrived in Vienna, Carvey even used straight needles and horsehair threads. In fact, the influence was far less than what he said.

The silk thread and even the fishing line in the kitchen are not unusable, or they are troublesome to use, and it will be ugly when stitched, but the hemostatic effect is still there.The real reason why he decided to send the person to the hospital was actually the fear of a relatively delayed serious brain injury.

People in the 19th century didn't even know what the brain did, thinking that as long as the blood stopped, it was difficult to understand the damage to the brain caused by the impact.

"So that's the case, so what should we do now?"

"The Main Palace Hospital is not too far from here, let's take a carriage there." Carvey said, "It's best to inform his family that Mr. Sebasto may have to stay in the hospital for one night."

At ten o'clock in the evening, Carvey accompanied the casino attendants and guards and sent Shebasto to the main palace hospital.

Just like the original Municipal General Hospital, there is no standardized on-duty system here, and the only ones staying in the surgical ward are two nurses who do not have treatment rights.

However, they have received a Nightingale-style education, and they already have the embryonic form of modern nurses, with high professionalism. When they see someone's face covered with blood, they react immediately.

"It's still the same as there, turn his face to the side, you press his hands and feet, don't let him move." Carvey directly found a bed in the ward, drew the curtains and sewed up Xibasto, "The bleeding is still serious, and the oppression can only temporarily stop the bleeding and the oil lamp is closer."

The nurse took another half step forward as instructed, her arms trembling from the long-term lifting.

The usual light source is generally in charge of the assistant. While helping the surgeon to find the angle, he will also have a better understanding of the anatomical structure of the surgical area.Nurses still do more work of preparing and passing equipment, and it is definitely not suitable for temporary lighting.

Scalp suturing already takes time, and there is no huge chandelier in the surgery theater in the office, so it must take more time to process.

"Where's another nurse?" Carvey asked. "Let her take over. You can take turns."

"In the autopsy room."

Carvey was puzzled: "What are you doing in the anatomy room?"

"The operation in the afternoon failed. The patient's rectum kept oozing blood, and it didn't help after stuffing a lot of gauze." The nurse said, and the height of the lamp in her hand fell again. "Professor Cedieu said it was an intestinal fistula." , is dissecting the body, performing intestinal anastomosis repeatedly, and preparing for a second operation on him."

Carvey had heard before that the operation had failed.

In his eyes, Cedieu's intestinal suturing skills are not high, and the means of hedging risks during the operation are extremely limited, or even none, and failure is inevitable.From a doctor's professional point of view, Carvey should lend a helping hand and take over the operation to remove the tumor.Even if the postoperative effect is poor, intestinal fistula will not occur with his technique.

Unfortunately, his healing principles did not allow him to do so.

The patient is not his own, the operation process is complicated, and the concept conflicts with Sediyo, so Kawei really doesn't want to care about it.The original plan was to rest at ease for half a day, try to avoid the topic of rectal cancer, and go directly to the main palace hospital when the surgery time comes tomorrow afternoon.

It now appears that the chief of police has messed things up.

I have come here, should I go to the dissection room to see this professor of surgery?

It stands to reason that he is a guest, and he came to the main palace hospital at night. Knowing that Cedieu had just completed a major operation and was in the dissection room, it would always make people feel very rude not to say hello.

But the crux of the matter is that Cedieu's operation failed, and it failed after Kavey reminded him.At this time, he deliberately ran to the dissection room, what should he say?

After thinking about it, Carvey wanted to end the stitches early and leave the hospital as soon as possible, as if nothing had happened.

Only later did he realize that the development of the matter was not decided by it, but by the fat bureau chief in front of him.

Two blood vessels and a rupture of less than 5cm, even if the conditions are difficult, it is still not a piece of cake.

The bleeding stopped quickly, the heart rate was fine, and the anastomotic wounds were aligned properly. It seemed that everything was going in a good direction.But when Carvey puts down his tools, washes his hands, and returns to check Shebasto's pupils again, things go wrong.

At first, Shebasto was just a typical alcoholic, with dilated pupils on both sides and a dull light reflex.

After a bumpy journey and the continuous absorption of the alcohol in his stomach, Xie Basto's alcoholism should have become more and more serious.The central inhibition will cause the pupil to shrink further and show a pinpoint change, and the light reflex is still sluggish, but Xie Basto's pupil has returned to normal size.

Less toxic?
This was obviously impossible, Xie Basto was still in a coma, and although he still responded when he called someone, he only responded twice and couldn't answer at all.

Of course, the specificity of pupil changes is extremely limited. Alcoholism also has a process of change in the body. The pupils will switch back and forth in size with the excitement and inhibition of the central nervous system.Normally, it is possible for the pupils to change into anything at this time.

But Carvey dared not gamble.

He used candles to illuminate Shebasto's eyeballs again, spent more time watching the changes in the pupils, and finally saw the difference in size between the left and right sides.

Pupils vary in size.
This is the last thing he wants to see: "Come on, take off his shoes."

The act of repeatedly shining candles on the eyes has already confused the nurse enough, but now she has to take off her shoes, which makes the nurse think carefully whether Carvey's words are a normal order.

However, the matter was far more urgent than the nurse had imagined. Carvey couldn't wait to bend down and began to pull out Shebasto's boots: "What are you waiting for, take them off!"