Nineteenth Century Medical Guide

Chapter 318 314. The Auction Begins

[The views in this chapter belong to the protagonist and have nothing to do with the author himself]

In the previous surgical operation mode, the chief surgeon was the absolute core, followed by the first assistant and equipment nurse who could help the chief surgeon speed up.

Except for these three, the other staff's work is more like physical work, and the requirements for experience and technology are not high, and more is the proficiency of fighting.And proficiency is the least valuable in extremely introverted surgery, and even ordinary people who haven't gone to medical school can do it after a period of practice.

But this statement has a premise, that is, the surgical environment must be stable, and the gap between the parties is not large.

Looking at the entire development of surgical medicine, the middle of the 19th century does fit this description.Anesthesia has been on the rise for more than ten years, but the operation mode is still limited to infection and hemostasis techniques, and no real innovation can be achieved in the next ten years.

In order to break through such an environment, it is necessary to have a new understanding of hemostasis, blood transfusion and anti-infection, and to put it into practice.

This kind of environment where the surgical method is above the main surgeon requires assistants who are familiar with this type of mode, and the importance of the team is self-evident.And when the new surgical method is understood by others and everyone starts to use it, the whole environment will return to the situation where the surgeon's personal skills are more dominant.

Therefore, whether surgery depends on the main surgeon or on the innovation of surgical methods is actually determined by the development of science and technology and medicine itself.

When Carvey plunged headlong into the chaotic 19s, he brought not only brand-new surgical concepts, but also surgical techniques updated and iterated by countless surgical pioneers.This mode and the situation where both the chief and the main surgeon are excellent, requires skilled assistants to exert the maximum effect.

Of course, Herman and the others are more of the taller than the dwarfs, and they have the right time and place. They still need to learn a lot if they want to really fit in with Carvey.

Aside from the surgical team, the train delivered something else.

The first is the supplement of drugs and equipment, sodium citrate, oxytocin, methylene blue, cystoscope, thermometer, sphygmomanometer, all kinds of thinner and tougher sutures, curved needles and needle holders suitable for deep tissues. These are especially important for Carvey's operation.

The second is the recovery of Justina and Edem.

It has been half a year and more than two months since Giustina's two operations, and the recovery is satisfactory.From her confident smile when she followed Elizabeth out of the carriage, it could be seen that Carvey's technology satisfied her.

Erdem, while still in Vienna, suffered from postoperative infections and midnight urinary incontinence.

But the degree is still controllable. For an old man in his sixties, being able to survive that operation is already very remarkable.

"The body temperature has been maintained below 38 degrees since the third day." Herman handed over Erdem's postoperative medical records and treatment sheets, "The incision is not bad, there is obvious redness and swelling in the first three days, and the fifth day I just backed off."

"What's the main problem now?"

"We were concerned about chronic inflammation," Hermann said, "and poor nocturia control."

"What's the first of my previous requirements?" Carvey looked at the treatment sheet and asked.

"Monitor vital signs and anastomotic leaks."

"It is true that all the medicines have been used, but what about the drainage?" Carvey pointed to the medical records they wrote, and asked, "Why was the drainage not written? There was no description, and the drainage volume was not calculated. Also, since there was an infection at the beginning, What about urinary irrigation?"

"The main reason is that there was a delay in the delivery of the railway. By the time we got these requests, it was already the third day." Damirgang said, "At that time we observed that the drainage fluid was gone, so we"

"On the third day, the body temperature dropped below 38, of course there will be less drainage!" Carvey was a little disappointed with their performance, "The delay in the delivery of the railway letter is not the reason for you to forget to record the drainage. I have repeatedly emphasized that this must be done. arrive!"

After being choked back, Herman, Damirgon, and Bergett did not dare to speak out, and could only listen to his lecture in silence.

The concept of modern surgery is based on the major medical disciplines, and their knowledge is very scarce. Carvey can only force the concept into their minds over and over again, and change their original habits little by little.

Carvey's learning environment was not good.

Domestic and foreign subjects have just started, and what can be learned are only some materials brought back by predecessors after going abroad, some of which are already out of date.And it didn't matter what you wanted at the beginning, even the needle strips were not disposable, they needed to be cleaned before being reused.

He also came here step by step in this way, knowing that there is no shortcut to this "learning" method.

In addition to rote memorization, occasional admonitions are necessary and will serve as catalysts for deepening memory, as he is doing now: "How about the post-douche mirror?"

"No bacteria were found in the sediment, and there were a small amount of white blood cells and red blood cells."

"What about the cough? There is no mention of coughing and expectoration in the medical records." Carvey sighed, shaking his head and said, "I don't think the wards of the Municipal General Hospital can be so spotless."

"I had a cough, and we followed suit afterwards, but" Bergett coughed twice, and replied, "It's just that it wasn't written in the medical record."

"It's written about moving limbs on the bed, and the urine output is also recorded. How do you arrange the regular urination?" Carvey said, "And the regular boki? There is no record of these. If something goes wrong, how can I find the reason? "

In fact, in terms of the content of the medical records, the three of them have done a very good job, which is more detailed than all the medical records in the same period.

Kewei's request has always been like this, so the previous medical records rarely let them intervene.Now when Kavey is about to leave suddenly, the shortcomings of the team's overall strength are exposed.

"We talked to Mr. Erdem and arranged to urinate every three hours or so. The effect is not bad." Herman replied, "But it is difficult for him to get up regularly in the middle of the night, so he is not well controlled."

"We also let him try boki, but unfortunately it didn't work."

"It didn't work?"

Preserving the x-ray function and the ability to urinate independently are the two major advantages of this operation, and any operation that is missing will be considered a failure.So when he heard that boki failed, Kavey couldn't help but thumped in his heart: "Tell me, what's going on?"

The three looked at each other, and told the truth despite being embarrassed: "Mr. Edem said that nurses are not his type."

"Well, then?" Carvey seemed to be used to this kind of situation, and asked calmly, "Then how did you solve it?"

"How else can this be solved? We also looked for several nurses in the internal medicine department, but it was useless."

"It is impossible for us to specially recruit new nurses for him. Even if Teacher Ignatz agrees, the dean may not agree."

After hearing these answers, Carvey finally knew where the problem was: "So you guys didn't continue to look for a feasible solution after knowing that he had no boki?"

The three were very wronged.

According to what Kavey said, if they were daughters, they might have to sell their looks to be considered dedicated.But in fact, what Carvey wants is not this kind of dedication, but to think about the problem from another angle.

“I met a physician before who had a very different style of practice. While most of his behavior I personally didn’t like, even outside the boundaries of morality, he definitely changed my perspective on the profession .”

Carvey looked at the streets of Paris outside the carriage, and asked a question that was difficult to answer correctly: "What kind of character do you think doctors need? I'm talking about professional character, not human character."

There are many words to choose from, but the three of them are still speechless and cannot find a suitable answer.

"Since it is a professional character, it is naturally for the profession." Carvey asked again, "So what are doctors used for?"

"Heal the sick and save the sick."

"Since it is to save lives, what is the most important thing for a doctor?"

"Medicine!" said Bergett.

"I think it's still the spirit of dedication. When the plague hits the city, who will save people without dedication?" Heman felt that it was not appropriate to just talk about medical skills. "If you don't want to save people at this time, then what's the use of the medical skills you have learned?" ?”

"But he was talking about professionalism." Bergett seemed to understand what Carvey meant. "Those priests and nuns also have dedication, but it's the 19th century, and they can't save people."

Damirgang is also a bit enlightened: "Indeed, the first thing a doctor needs is medical skills. Whether he is willing to contribute is a matter of life, and has nothing to do with the profession itself."

"I don't agree with that." Herman shook his head, contrary to his usual routine, "How can we save lives and heal the wounded without dedication? This profession itself is subtly changing a person's character."

"No, you still don't understand me."

Carvey explained: "You think dedication is the most important thing. Does Mr. Ignatz have dedication? What about the dean of the School of Surgery, his father, Professor Waterman? And the deputy dean Bill Roth, Orr Ji, Massimov, so many high-ranking chief physicians, do they all have dedication?"

Bergert chuckled twice: "If it was true, Mr. Massimov would not have retired early."

"To put it bluntly, devotion to ourselves does not get rid of difficulties. At most, people who are suffering can see that we are also suffering, so that they will feel better. This kind of practice is not medicine, it is."

Carvey drew a cross in front of him, and then brought the topic back to Edm: "Doctors are far less noble than Herman said, because the threshold is really set so high, how can we cultivate so many responsible people?" A doctor who heals and saves lives.

My position as a doctor is to display medical skills to the extreme within the legal framework.First of all, you must ensure that you can cure the disease and save the living at any time. Only in this way can you be considered a doctor.As for whether to give or not, that is a higher-level requirement, and it is not necessary for this profession. "

This may become a point of debate or even quarrel in modern times, but in Europe in the 19th century, doctors were far from dedicated.

Free medical care did not reduce their income, and the title of nobility is standard for most highly educated doctors.Even if you don't have such a title, at least you have to ensure that you have no worries about food and clothing, otherwise you won't even be able to pay your tuition fees.

If they could all be called dedicated, then the world would be in total chaos.

"So, everything you do is not serving patients, but honing your own medical skills. The so-called serving patients is just a by-product of honing your medical skills." Carvey said the core, "can serve Patient services are naturally better, but as long as the medical skills are high enough and you don’t break the law, you can be considered a doctor.”

Kavey made a big circle, and the last thing he wanted to say was Edem: "When Edem, who strongly demanded to recover the x-function after surgery, couldn't do boki, what did you do?"

The three fell silent again.

"Herman, you just said dedication, have you ever thought about contributing to Mr. Edem's restoration of boki?"

Herman looked embarrassed: "How can I dedicate to this?"

Carvey looked at Damirgon and Bergett again, sighed and said, "You think I'm satisfying Mr. Erdem's request? No, no, I did this entirely to verify whether there was a mistake during the operation. .If he didn’t get feedback in time after the operation, and he didn’t boki after waiting for a long time, was it caused after the operation or during the operation?”

"So it is."

The three of them immediately understood his intention, but it was useless to understand the intention, and they had to come up with a solution.Carvey knocked them all out with just one question: "No nurse, have you ever thought about other women?"

"Other women can't do it either, this."

Damirgang was from a lower family background, and after receiving repeated instructions, he finally realized the crux of the problem: "You mean to go to Hoinz Street to find a solution?"

"Spend some money and let more professional people deal with this problem. In this matter, they can do it better than you." Carvey said, "When you arrive at the hotel, write a letter back to Vienna and let Igna Do me a favor, Mr. Ci, anyway, he knows Hoynz Street very well."

Herman's father was at most a new nobleman who was bought, and he was more open about such things.But Bergett is different. The Celestine family is a noble viscount, how could it be possible to do such a dirty deal.

"I know this is a bit difficult for you, but it is an inevitable part of climbing the peak of medical skills, and it is not a kind of dedication."

While speaking, the carriage arrived at the hotel. Carvey gave the itinerary for the next week, arranged a few more tasks, and went straight back to his room.

The conversation just now seemed redundant, but in fact it was Carvey who was ringing the alarm for them.Now that his status has risen to a new level, after the trip to France is over, it is impossible to have only three assistants around him.

If you still proceed step by step as before, you may be left behind by the large army at some point.

Of course, in another 12 hours, the auction will start.Regarding the ownership of cultural relics, Carvey will still focus on the auction first.

(End of this chapter)