Nineteenth Century Medical Guide

At the beginning, the three of them had illusions about Shanwang's so-called joining, thinking that the other party was just helping them temporarily, or that it was some pressure that Kawei put on them, and it was far from outrageous to stay.

After all, they were just scolded the day before, so it is reasonable to send someone over now to increase their competitiveness.And the other person is in Paris, there are schools and teachers, and the group has to go back to Vienna after the tour is over.

More importantly, this is a yellow man.

At this time, East Asian countries have not started the trend of studying abroad.

There are still four years before the expatriation of the Westernization Movement, and there are only a few real people coming; there are still two years before the Meiji Restoration, and all the people who come are secret officials from the shogunate.

East Asians are feudal and conservative in thinking, science and technology are greatly backward, and knowledge is even more difficult to talk about.Letting such a person enter the top surgical team in Europe is obviously a bit out of Kavi's style.

Of course they don't want this to happen. There are so many doctors of medicine in Europe, even Vienna can find a lot of good candidates. Why do we need an East Asian who can't even speak French well.

"Your French is really bad." Bergett's pure aristocratic blood was the first to attack. "I think this kind of communication is too inefficient. It would be more efficient to give us the medical history and let us read it directly."

Facing the division of their own interests, Herman and Damirgang also agreed.

"I can't help it. Our country mainly studies English, and very few people know French." Shanwang explained according to the method taught by Kawei, "If you all know English, I don't have to work so hard."

"It doesn't matter, we just need to know French."

Bergert walked up to him with a smile, and brought back a medical record despite his hard work: "You go back to work, and you won't need it in the future."

The conversation stopped abruptly in the middle of the conversation, and the other two came together one after another when they saw that something was wrong, only then did they realize that the problem was already more serious than they imagined.

These are indeed the medical histories written by Carvey. From the meticulous logical structure to the detailed ward rounds and treatment content, some of Carvey's writing styles can be seen.It's just that the three of them couldn't understand the specific meaning in it, because they were all handwritten English versions by Shanwang.

"Hey, why are these all in English?"

"Because there are many medical terms in French that I don't understand, so I can only use English." Shanwang explained, "Don't worry, my teacher Huang Kuan is a doctor of pathological anatomy graduated from the University of Edinburgh School of Medicine. There will be no problem with professional terms."

The three of them looked at each other in blank dismay, and had long since forgotten about Carvey's previous suggestion to let them learn more English.

Now there are two roads before them.

One made Shanwang leave, and they had to go to the university's medical school to find an English-French medical dictionary and translate it slowly.The other is to leave people behind, let go of unnecessary self-esteem, and save the trouble of translation.

No matter how you look at it, the first clause seems unrealistic.

Leaving aside the difficulty of translation, whether or not the dictionary can be found is a matter of discussion, not counting the translation time.Seeing that two surgeries will be performed the next day, they don't even know the patient's name and situation, so it must not work.

The three quickly compromised: "Forget it, forget it, you should dictate it, and we will just write it down."

Shanwang continued his medical history report. Although the French was urgent, the clear focus saved a lot of time.

According to Carvey's request, he briefly explained the operations of two common patients, focusing on ectopic pregnancy and craniotomy hematoma, which the three of them had never encountered before.After more than half a year of training, the three of them had a surgical understanding far beyond their peers, and they quickly understood the key points in the operation.

The medical history notes, the sketches of the operation process compared with the anatomical atlas, as well as the preoperative preparation and postoperative response, all appeared in their small notebooks.

But their real focus is on the next surgical patient.

The surgery tour seems to focus on Kavey, and what others are watching is also Kavey's operation and surgical procedures.But only the three of them knew that with Carvey's style on stage, it was the assistants who needed to worry.

"Dr. Kawei's operations are still mainly cesarean section. Tomorrow afternoon, the first one will be a 45-bed maternity ward, a 31-year-old multipartum woman." Shanwang suddenly spoke much more fluently, without any unnecessary erm Ah, just with a normal French doctor, "diagnosed with placenta previa."

"How many weeks pregnant?"

"Ms. Hu Jier judged that it has been 36 weeks +, and it will be 37 weeks soon."

"How much bleeding?"

"Not much, it's still within the controllable range." Shanwang said, "I've been in the hospital for two months, and everything is normal. In fact, we should wait, but Teacher Hu Jier is worried that if she gives birth naturally, it will cause difficulties. To contain the hemorrhage, it is always recommended that the puerpera go all out to have a cesarean section.”

"Dr. Carvey is here, so there's no need to fight." Bergett said with a smile.

Herman frowned, and sensibly touched him lightly with his shoulder: "Don't say that, even Kavey will be nervous when he encounters placenta previa. A large part of that kind of bleeding depends entirely on the treatment. The luck of the day is not something that can be carried over every time.”

Although Bergett agreed with him on the surface, he still had his own ideas in his heart.

According to Carvey's approach, the uterine artery was ligated first, and most of the sources of bleeding could be offset directly.Coupled with oxytocin and fundal massage, as well as his proud method of quickly delivering the fetus and stripping the placenta, I really can't think of anything else to worry about.

"Have you started to prepare blood?"

"I have already found some reporters, and they hope to be able to enter the operation site." Shanwang already had many doubts about the blood type, so seeing Damirgang open his mouth, he asked, "Is there really a difference in blood between people? "

"Yes, different types of blood will clot when they meet each other." Damirgang explained, "I also had a cesarean section before, so I should have done blood preparation."

"I did it, I did it."

"It's just a knot, the same kind can only be used if it doesn't coagulate, so as to ensure the smooth flow of blood vessels."

"How many kinds are there?"

Shanwang suddenly asked a question that none of them had ever thought about, which made the three of them realize that they had only been working behind Kawei, and had lost the excitement they had for exploring medicine.

Damirgang thought about it for a while, and said, "The specific types. Dr. Carvey doesn't seem to have mentioned it."

Bergert looked at the two of them: "I really didn't say that."

"He's only 18 years old, and he hasn't done much medical experiments. It's already very impressive to be able to find out that blood is classified." Herman seems to be very interested in this issue, "Now that we know that blood is different, how can we judge whether there is any blood? How many kinds?"

"You can collect more blood for group experiments, and distinguish the coagulated ones."

"Yes, for example, if there is condensation between ab and b, then if b and the other kind also condense, you can mix it with a to see. If there is also condensation, then this tube can be marked with c"

Under a casual question from Shanwang, the four began to diverge their thinking, and gradually touched the truth of blood type.

The judgment method they imagined is the same as when Carl Landsteiner discovered the blood type in 1900. The test method is not difficult. As long as the sample size is large enough, the three types of blood can be temporarily determined by A, B, and B.

In fact, for Kavey, there are several types of blood types that are the most basic common sense. At the beginning, he didn't mention it just for the sake of easy explanation, but he forgot it after a long time. In the 19th century, it was impossible to have a blood bank, so who had what blood type had to be tested in the end, and no effort was spent to determine them one by one.

At the beginning, he just hoped that Shanwang would bring some pressure to these three guys, but he didn't expect such a chemical reaction to form.

Of course, this is the result that Carvey is happy to see, but now he is not in the mood or energy to take care of it, because the auction has entered the middle of the real shopping period.

"Lot 10, a gold-plated chime bell." Bernard introduced, "It seems to be somewhat different from the pair of chime bells in the Palace of Fontainebleau, but in terms of craftsmanship, it belongs to the same species. The only shortcoming is the size. . The starting price is 800 francs."

"800!"

"900!"

"1100!"

Different from the previous lot, the appearance of the gilt chime directly raised the auction to a higher level, and also attracted the attention of many people. Bidding was no longer limited to the hands of Carvey and Eugenie.

But the final focus still has to fall in the hands of the two.

"2500 francs."

Eugenie's expressions all showed that money was a bunch of meaningless numbers in her eyes, and the reason why she was sitting here to bid was nothing more than because she wanted to bid, otherwise someone could send it to the palace just by saying it casually.

Carvey is less comfortable by comparison.

"2600 francs."

"Okay, 2600 francs"

Bernard knew the value of the chime clock, and he could see some clues from the frequency of the two bids, so he saved a lot of unnecessary words, and just relied on his sight to make Eugenie continue to increase the price: "2800 francs."

"The queen bids 2800 francs, is there any more?"

"3000 francs." Carvey continued to raise his hand, raising the price by the same amount as her.

Seeing that Carvey was bound to win, Eugenie couldn't help but asked again: "Doctor Carvey, how can you move such a big chime back to Vienna? Why don't you just leave it in my palace, and someone will take care of it day and night. 3200 francs."

"It's okay, Your Majesty the Queen." Carvey replied with a smile, "Compared to the auction price, the shipping fee is nothing, 3500 francs."

"3500 francs!" Bernard looked at Carvey and raised his voice.

Eugenie blinked her eyes, her expression was no longer as thorough as when she looked at the child before, and it was obvious that she had some grit that was unique to the adult world: "I heard that Dr. Kawei just saved the life of a pregnant woman two days ago?"

In Kavey's perception, cesarean section still assumes more of the role of alleviating dystocia, and there is still a little distance from saving lives.

Carvey didn't react for a while, and after a while he realized: "Oh, it's just a cesarean section. Fortunately, the mother and child are safe."

Eugenie didn't raise her hand again, she personally broke the bidding rhythm that she and Kavey had built together, and turned the heat down: "When I heard the news of the cesarean section from Mr. Edward, to be honest, I was still very excited. Exciting."

"Cesarean delivery does take some skill."

"I am also a mother, and I know what those mothers go through."

Eugenie stopped the bidding suddenly and the audience fell into silence, but Bernard on the stage was the most confused.He didn't know whether he should interrupt at this time and continue the auction bid, or wait until Eugenie and Kavey finished chatting before dropping the hammer.

"I heard that you will stay in Paris for about a month." Eugenie looked at Bernard, forcing him to suspend the auction, "Will Dr. Carvey still perform cesarean section?"

"Of course, this is the main purpose of my coming to Paris." Carvey said.

"Okay then." Eugenie stood up suddenly, smiled and said to Carvey who stood up, "I hope Dr. Carvey's operation goes well, and I will teach this great operation to every French doctor who aspires to become an outstanding obstetrician." .I don’t want the stuff. If no one raises the price, let’s give it a hammer.”

The behavior patterns of the aristocratic and royal families always made Kawei unable to understand, nor did she understand the reason for her doing so. She just felt that she was not really here for these auction items.

But one thing is certain, that is, Eugénie seems to have given up on this auction, and finally dragged Elizabeth away after only saying something in the attendant's ear.The gold-plated chimes were won by him for 3500 francs, and almost all of the subsequent auctions were in Carvey's pocket without Eugenie's competition.

"Jade screen 3000 francs, deal!"

"Yuxi 3300 francs, deal!"

Bernard's valuation fluctuated to a certain extent, not only for the oriental collection, but also for some other works of art, but fortunately, they all exceeded Eli Jean's reserve price, which was considered a success.

The entire auction lasted for more than an hour, and finally came the finale lot: "Lot No. 22, enamel unicorn, the starting price is 2000 francs."

Carvey still raised his hand as usual, but the attendant who had been standing on the sidelines rushed ahead of him: "5000 francs!"

This sudden change caught Kavi by surprise, and at the same time made him immediately understand the real purpose of Eugenie's visit here, the franc unicorn.In comparison, those things before may be dispensable gifts.

"5500 francs."

Carvey added 500 francs for the first time, but the other party didn't give him face at all: "10000 francs!"

The price directly rose to Bernard's estimate, which made the auction scene extremely lively, and the voices urging Kawei to bid could be heard everywhere.Bernard could also feel the strong competitive relationship inside, but this time he no longer responded with bidding skills, but waited for Carvey to respond first.

The value of the appraiser itself lies in giving a proper valuation to a lot. If the enamel unicorn is really bid to a height much higher than the valuation, then its value will be low.

Bernard certainly didn't want this to happen, but he couldn't violate the rules of the auction, so after a pause, he chose to lower the atmosphere in the venue with a calm tone: "10000 francs, is there any price increase?"

"12000 francs!"

As soon as Carvey raised his hand to quote the price, the attendant once again overwhelmed his price: "20000 francs."