Nineteenth Century Medical Guide
Chapter 330 326. Dispensable Clown
Chapter 330 326. Dispensable Clown
No matter where you are or when you are, the doctor-patient relationship and related public opinion are troublesome things that can never be ignored or avoided.As long as human beings spare their lives, they cannot disappear.
Carvey originally thought that the newspaper would only talk about the dangers of YD's childbirth, and included his half-way choice of delivery in the category of dangerous technology, using the same tricks of criticizing and splashing dirty water.
But he still underestimated the other party's ability to dig out information. The Paris Review directly hit the crux of the matter and turned out the most shameful ruin.
If the time goes forward 20 years, Carvey was still young at that time, and he would probably panic when he first heard the news.Of course, age is only a factor. If it weren't for his decades of fighting experience, even if he calmed down at the beginning, he might show his flaws in the next response.
A broken tire is not a small matter, but if something goes wrong, people will make excuses, and then be overwhelmed by a huge amount of saliva.
For the first time, Carvey thanked the little people who made things difficult for him and disgusted him before. It was they who gave him the appropriate expression, tone and words to deal with these accusations, instead of standing there dumbly and letting others point and point.
With a smile on his face, he read the only Paris Review that reported the incident, and replied helplessly and gracefully: "It's unreasonable slander, it's slander."
"But this reporter seems to have evidence."
"What evidence?"
"He heard an obstetrician's account on the street, saying that it was because of dystocia that he directly destroyed the fetus."
"Oh, God!!!" Carvey looked surprised, took half a step back, raised his head and looked into the air, his fingers frantically made a cross on his chest, and he muttered, "How could someone use such a crime to retaliate against others?" , This is the most vicious accusation!"
"You don't admit it?"
The reporter didn't regard Carvey as a human being, but just another victim after the fuse was ignited. It is their general style to wipe him out: "But the report is clearly written, and it is your suggestion to destroy the tire. At the beginning, everyone seemed very hesitant, and some even tried their best to refute it, but they couldn't get your approval."
"Oh, I did what he wrote?" Carvey asked with a smile, "I wrote that you robbed the Paris bank, and you really robbed the Paris bank?"
"This"
"But the source of the news is the obstetrician in the main palace hospital, which cannot be faked."
Carvey couldn't bear it anymore, looked at the strangers who were laughing together, and asked, "Do you want to think about the logical relationship inside, and then reorganize the language before asking questions?"
Now Kawei is like being besieged by wild dogs.
If they are timid and fearful at this time, they will definitely jump up and bite them without any mercy.Only by taking over all the problems with a face of indifference can the disaster be avoided.
The entrance of the hotel became a small press conference. Carvey only answered some innocuous questions, and he was vague about the "broken tire".
"I came to Paris, France to demonstrate a cesarean section. Yesterday was a pure accident. In that case, I believe that I have also obtained similar opinions from many colleagues and teachers. Everyone will choose yd to give birth. I really don't know, so What did you do wrong?"
"How to explain the ruined tire?"
"Halfway through the delivery, there was no heartbeat, no fetal movement, and it was just declared stillbirth." Carvey only spoke half of the sentence, only talking about judgment and not operation, "Is there anything wrong with this?"
"So you chose to destroy the tire?"
"My caesarean section demonstration has just begun, and I really hope to have a good relationship with you. But meaningless speculation is shameful, and the impact on me may be second. What is really damaged is your credibility and my respect for you. Nice touch in Paris."
"Doctor Carvey, please answer whether there is any damage to the fetus?"
"This is not an issue you should discuss. Please submit your question to the Medical Association, and they will make a fair judgment."
The three-no principle of "not admitting", "not answering" and "not giving a positive response", coupled with his rambling style of speaking, did not give any chance to those reporters, and made it really hard for the reporters to say anything.
But when things got to this level, Kavey's rest was in vain.
After the reporters dispersed, he called a carriage casually, and the first thing he wanted to go was Hu Jier, who was working in the hospital.If it is justifiable for Kavey to conceal the ruined fetus during childbirth in order not to cause any harm, Hujier, who still insists on keeping it secret after the childbirth is over, is a little too cautious.
Sometimes this happens when you are cautious, and the seemingly well-designed links are easily broken.
At the end of the day, Carvey doesn't really care where the whole thing goes.What he was concerned about was whether the obstetrics department of the main palace hospital was still able to support his subsequent operations, and whether there was even room for the whole of Paris to carry out cesarean section operations by itself.
If not, then he would return to Vienna without hesitation. The trip to Paris was half a political mission.
Seeing Hu Jier again, his wrinkled face seemed to be painted with a gray color, and fear had already gained a firm foothold in his heart.Yesterday, the two obstetricians asked for leave one after another, and there was no one in sight.
"It seems that Professor Hujill's intimidation didn't have the effect it should have." Carvey sat in the office, flipping through the bookcase, "I said you can't be so sneaky, those wild dogs came here after smelling it, now Act like we're doing something bad."
Hugier is different from Carvey. The only thing that has restrained him for many years is the "Regulations of the French Medical Association".
Theoretically, as long as the doctor is not stupid or the operation is really against the sky, basically there will be no problems.Even if there are some small flaws, they can be settled with money in the end.But in today's situation and such pressure, Hu Jier has never encountered it.
"Where did I know that those two guys really revealed the matter."
"It's great to admit it generously."
Hu Jier was even more anxious when he was told this: "What should I do if this is the case?"
"To fight with the media, you have to take the initiative." Carvey listed several possible ways, "Don't wait for the other party to ask, we have to prove our innocence. We can let the medical association conduct investigations according to the standardization of stillbirth, When the outside world comes to really question it, we have something to say."
"and then?"
"Then it's time to find other newspapers, find possible backers, find other foreign aid, and clear up the relationship." Carvey thought for a while and said, "First make up for the previous loopholes."
"A newspaper. I know a few people from Le Figaro."
"Figaro? The one who stared at me the most fiercely just now was the Figaro newspaper, and they came here to kill relatives righteously?"
"Maybe it's a misunderstanding." Hu Jier felt dizzy when he thought of the newspaper, "What did you mean by the backstage?"
Carvey had been looking at the magazine in his hand, and suddenly he was hit by this question, so he closed the page, turned around and asked, "Doesn't Professor Hu Jier have a backer?"
"I don't quite understand the concept."
"It's someone who can give you a hand at critical moments."
"It doesn't seem to be true."
Kawei didn't expect this old man to be so poorly behaved. The director of obstetrics must often go in and out of rich people's mansions, but he didn't develop his personal connections.I don't know whether to call him stupid or pure enough.
If it was him, his first reaction would be to go to Laszlo, and then win over those people from the newspaper office, just like after the open-air operation.
Now in Paris, Laszlo has limited influence.
Since it is difficult for a strong dragon to overwhelm a local snake, then find a stronger dragon and come over: "Let me handle this matter, and don't rush to contact the Medical Association. How to say it, you have to wait for the news from me." Just do it."
Although the act of destroying the fetus violates the teaching, there is actually quite a lot of evidence to prove that the child has already died, but there is still a small step away from the real conclusion.
So in the closing stages, Kavey and Hujill had a disagreement.
Naturally, Kavey would not overwhelm the host, he presided over the destruction of the fetus, if he took the initiative again at this juncture, if something went wrong in the end, he would definitely be blamed on himself.So he dropped his suggestion and in the end it was up to Hoo-gil to keep hiding everything.
Hu Jier actually didn't want to make suggestions, but he was coerced to this point, and it was impossible to pull away, so he had to continue to hide it in the end.
In fact, the whole matter is rooted in the purpose of saving the mother and the uterus. There are quite a few decisions made by the mother and insisted on implementation.Only when it came to the decision to destroy the fetus, she remained silent and let the doctor make the choice.
Since she was the one who made the decision, she should be responsible for a considerable part of the criticism, but now it's all on the doctor's head.Although this has limitations in the times, including research on supervision and medical ethics and feedback to society, Carvey still feels uncomfortable.
He is not an angel, he is just an ordinary surgeon.
Of course, some people will say that doctors can choose to refuse.
Refusal is indeed a good way to preserve the doctor's reputation. The degree of "hooliganism" is no less than the pre-operative signature sheet. It is widely used in the field of modern medicine. As long as you don't do it, it's good.This is the product left after the three parties of doctors, patients, and regulatory authorities fought bloody battles, because sometimes the official signatures are also denied.
But there is really no such detailed responsibility implementation mechanism in modern times. Direct rejection may cause a stronger rebound from the mother. One dead body and two lives are definitely not what Kawei wants to see.
"Dr. Carvey, you're here~" The parturient woman lay on her side with a smile on her side, the tiredness from yesterday had long since disappeared from her face, "Sit down quickly."
"It seems to be recovering well." Carvey asked Karen for a record sheet, which was a detailed record made by his own nurse, "The temperature is a little bit up, but it's okay, this is a normal phenomenon. The side incision is not red and swollen, and the alignment is good. , the amount of lochia is also normal."
The mother who escaped the catastrophe quickly came out of the haze of stillbirth: "I didn't expect to be stabbed in the end."
"There's no way, your previous two deliveries caused tears. Although the repair is useful, there is a problem with the contraction this time, and the expansion of the vagina is limited. If it tears again, there will be problems with the birth canal including the gang gate."
"Well, I still remember the anatomy sketch you drew me yesterday."
Carvey patted her on the shoulder, picked up the Paris Review he was about to leave and put it under his arm, got up and left the ward in a hurry.
He considered himself an ordinary surgeon, but in the eyes of the ordinary woman in front of him, he was not ordinary.When risk hedging is not in the same order of magnitude, Carvey is willing to help.
He called the carriage again, and said his destination in a steady tone: "Go to the palace."
"The palace?"
Seeing that the other party didn't know, he went in, and Carvey explained it again carefully, for fear that the Paris Royal Palace would go the wrong way too much. After all, Hu Jier still had to wait for his own news: "It is the place where His Majesty the Three Emperors and Queen Eugenie live."
Realizing that the visitor was special, the coachman took the rein in one hand and the whip in the other, and took the horse up the avenue, heading straight for the Tuileries Palace.
If Carvey looked back at the hospital gate more often after getting in the car, he would definitely find Gustav who came to see Carvey, the Swiss who wanted to have a relationship with the youngest surgeon.Yesterday's note failed to enter Carvey's pocket, and he had already noticed the way, but this time he missed it.
It's a pity that Carvey doesn't have such a leisurely heart now, maybe even if he really sees him, he won't get out of the car.
The Tuileries Palace is not far from the Louvre. It was originally Nasan's office in Paris and also entertained foreign guests.Eugenie has been living in Fontainebleau in the south of Paris, and sometimes goes to the Palace of Compiègne in the north. This time, it is because of Elisabeth that she moved here for a longer period of time.
The life of the royal family is more enjoyable than that of the nobles.
The two queens, who have been emotionally suppressed for too long after marriage, can be said to have met each other late, and are now in a state of complete relaxation.Even after seeing the report on the Paris Review, he didn't show too much surprise.
This was not beyond Carvey's expectations, who made the Paris Review a tabloid, completely out of their sight.
But there was also something beyond his expectation, that is, the two queens had been on his side from the very beginning.Especially after listening to the whole process, Eugenie took the lead in attacking: "What's wrong with the ruined fetus? Can't the child be destroyed after death? Do you want the mother to die due to dystocia?"
"I really can't understand one thing." Elizabeth drank the freshly made milk tea and looked at Carvey. "I also want to ask Dr. Carvey's opinion on this point."
"Please speak, Your Majesty the Queen."
"The belly belongs to the woman, and the child in the belly also belongs to the woman, so why is the ultimate ownership not in the hands of the woman?"
Carvey understood what she meant in an instant, and chuckled awkwardly at the corner of his mouth: "This seems to be a bit beyond my ability, I'm just an ordinary surgeon."
"I can choose not to share a bed with Joseph, and Eugenie can choose not to share a bed with His Majesty Napoleon, but why can't we choose not to have a child?" Elizabeth really didn't understand the inner logic in it. If you want to, you will break the law? This is so strange!!!”
Yeah, Kavi felt weird too.
But there is also no surprise, that is, a storm is coming.
(End of this chapter)
No matter where you are or when you are, the doctor-patient relationship and related public opinion are troublesome things that can never be ignored or avoided.As long as human beings spare their lives, they cannot disappear.
Carvey originally thought that the newspaper would only talk about the dangers of YD's childbirth, and included his half-way choice of delivery in the category of dangerous technology, using the same tricks of criticizing and splashing dirty water.
But he still underestimated the other party's ability to dig out information. The Paris Review directly hit the crux of the matter and turned out the most shameful ruin.
If the time goes forward 20 years, Carvey was still young at that time, and he would probably panic when he first heard the news.Of course, age is only a factor. If it weren't for his decades of fighting experience, even if he calmed down at the beginning, he might show his flaws in the next response.
A broken tire is not a small matter, but if something goes wrong, people will make excuses, and then be overwhelmed by a huge amount of saliva.
For the first time, Carvey thanked the little people who made things difficult for him and disgusted him before. It was they who gave him the appropriate expression, tone and words to deal with these accusations, instead of standing there dumbly and letting others point and point.
With a smile on his face, he read the only Paris Review that reported the incident, and replied helplessly and gracefully: "It's unreasonable slander, it's slander."
"But this reporter seems to have evidence."
"What evidence?"
"He heard an obstetrician's account on the street, saying that it was because of dystocia that he directly destroyed the fetus."
"Oh, God!!!" Carvey looked surprised, took half a step back, raised his head and looked into the air, his fingers frantically made a cross on his chest, and he muttered, "How could someone use such a crime to retaliate against others?" , This is the most vicious accusation!"
"You don't admit it?"
The reporter didn't regard Carvey as a human being, but just another victim after the fuse was ignited. It is their general style to wipe him out: "But the report is clearly written, and it is your suggestion to destroy the tire. At the beginning, everyone seemed very hesitant, and some even tried their best to refute it, but they couldn't get your approval."
"Oh, I did what he wrote?" Carvey asked with a smile, "I wrote that you robbed the Paris bank, and you really robbed the Paris bank?"
"This"
"But the source of the news is the obstetrician in the main palace hospital, which cannot be faked."
Carvey couldn't bear it anymore, looked at the strangers who were laughing together, and asked, "Do you want to think about the logical relationship inside, and then reorganize the language before asking questions?"
Now Kawei is like being besieged by wild dogs.
If they are timid and fearful at this time, they will definitely jump up and bite them without any mercy.Only by taking over all the problems with a face of indifference can the disaster be avoided.
The entrance of the hotel became a small press conference. Carvey only answered some innocuous questions, and he was vague about the "broken tire".
"I came to Paris, France to demonstrate a cesarean section. Yesterday was a pure accident. In that case, I believe that I have also obtained similar opinions from many colleagues and teachers. Everyone will choose yd to give birth. I really don't know, so What did you do wrong?"
"How to explain the ruined tire?"
"Halfway through the delivery, there was no heartbeat, no fetal movement, and it was just declared stillbirth." Carvey only spoke half of the sentence, only talking about judgment and not operation, "Is there anything wrong with this?"
"So you chose to destroy the tire?"
"My caesarean section demonstration has just begun, and I really hope to have a good relationship with you. But meaningless speculation is shameful, and the impact on me may be second. What is really damaged is your credibility and my respect for you. Nice touch in Paris."
"Doctor Carvey, please answer whether there is any damage to the fetus?"
"This is not an issue you should discuss. Please submit your question to the Medical Association, and they will make a fair judgment."
The three-no principle of "not admitting", "not answering" and "not giving a positive response", coupled with his rambling style of speaking, did not give any chance to those reporters, and made it really hard for the reporters to say anything.
But when things got to this level, Kavey's rest was in vain.
After the reporters dispersed, he called a carriage casually, and the first thing he wanted to go was Hu Jier, who was working in the hospital.If it is justifiable for Kavey to conceal the ruined fetus during childbirth in order not to cause any harm, Hujier, who still insists on keeping it secret after the childbirth is over, is a little too cautious.
Sometimes this happens when you are cautious, and the seemingly well-designed links are easily broken.
At the end of the day, Carvey doesn't really care where the whole thing goes.What he was concerned about was whether the obstetrics department of the main palace hospital was still able to support his subsequent operations, and whether there was even room for the whole of Paris to carry out cesarean section operations by itself.
If not, then he would return to Vienna without hesitation. The trip to Paris was half a political mission.
Seeing Hu Jier again, his wrinkled face seemed to be painted with a gray color, and fear had already gained a firm foothold in his heart.Yesterday, the two obstetricians asked for leave one after another, and there was no one in sight.
"It seems that Professor Hujill's intimidation didn't have the effect it should have." Carvey sat in the office, flipping through the bookcase, "I said you can't be so sneaky, those wild dogs came here after smelling it, now Act like we're doing something bad."
Hugier is different from Carvey. The only thing that has restrained him for many years is the "Regulations of the French Medical Association".
Theoretically, as long as the doctor is not stupid or the operation is really against the sky, basically there will be no problems.Even if there are some small flaws, they can be settled with money in the end.But in today's situation and such pressure, Hu Jier has never encountered it.
"Where did I know that those two guys really revealed the matter."
"It's great to admit it generously."
Hu Jier was even more anxious when he was told this: "What should I do if this is the case?"
"To fight with the media, you have to take the initiative." Carvey listed several possible ways, "Don't wait for the other party to ask, we have to prove our innocence. We can let the medical association conduct investigations according to the standardization of stillbirth, When the outside world comes to really question it, we have something to say."
"and then?"
"Then it's time to find other newspapers, find possible backers, find other foreign aid, and clear up the relationship." Carvey thought for a while and said, "First make up for the previous loopholes."
"A newspaper. I know a few people from Le Figaro."
"Figaro? The one who stared at me the most fiercely just now was the Figaro newspaper, and they came here to kill relatives righteously?"
"Maybe it's a misunderstanding." Hu Jier felt dizzy when he thought of the newspaper, "What did you mean by the backstage?"
Carvey had been looking at the magazine in his hand, and suddenly he was hit by this question, so he closed the page, turned around and asked, "Doesn't Professor Hu Jier have a backer?"
"I don't quite understand the concept."
"It's someone who can give you a hand at critical moments."
"It doesn't seem to be true."
Kawei didn't expect this old man to be so poorly behaved. The director of obstetrics must often go in and out of rich people's mansions, but he didn't develop his personal connections.I don't know whether to call him stupid or pure enough.
If it was him, his first reaction would be to go to Laszlo, and then win over those people from the newspaper office, just like after the open-air operation.
Now in Paris, Laszlo has limited influence.
Since it is difficult for a strong dragon to overwhelm a local snake, then find a stronger dragon and come over: "Let me handle this matter, and don't rush to contact the Medical Association. How to say it, you have to wait for the news from me." Just do it."
Although the act of destroying the fetus violates the teaching, there is actually quite a lot of evidence to prove that the child has already died, but there is still a small step away from the real conclusion.
So in the closing stages, Kavey and Hujill had a disagreement.
Naturally, Kavey would not overwhelm the host, he presided over the destruction of the fetus, if he took the initiative again at this juncture, if something went wrong in the end, he would definitely be blamed on himself.So he dropped his suggestion and in the end it was up to Hoo-gil to keep hiding everything.
Hu Jier actually didn't want to make suggestions, but he was coerced to this point, and it was impossible to pull away, so he had to continue to hide it in the end.
In fact, the whole matter is rooted in the purpose of saving the mother and the uterus. There are quite a few decisions made by the mother and insisted on implementation.Only when it came to the decision to destroy the fetus, she remained silent and let the doctor make the choice.
Since she was the one who made the decision, she should be responsible for a considerable part of the criticism, but now it's all on the doctor's head.Although this has limitations in the times, including research on supervision and medical ethics and feedback to society, Carvey still feels uncomfortable.
He is not an angel, he is just an ordinary surgeon.
Of course, some people will say that doctors can choose to refuse.
Refusal is indeed a good way to preserve the doctor's reputation. The degree of "hooliganism" is no less than the pre-operative signature sheet. It is widely used in the field of modern medicine. As long as you don't do it, it's good.This is the product left after the three parties of doctors, patients, and regulatory authorities fought bloody battles, because sometimes the official signatures are also denied.
But there is really no such detailed responsibility implementation mechanism in modern times. Direct rejection may cause a stronger rebound from the mother. One dead body and two lives are definitely not what Kawei wants to see.
"Dr. Carvey, you're here~" The parturient woman lay on her side with a smile on her side, the tiredness from yesterday had long since disappeared from her face, "Sit down quickly."
"It seems to be recovering well." Carvey asked Karen for a record sheet, which was a detailed record made by his own nurse, "The temperature is a little bit up, but it's okay, this is a normal phenomenon. The side incision is not red and swollen, and the alignment is good. , the amount of lochia is also normal."
The mother who escaped the catastrophe quickly came out of the haze of stillbirth: "I didn't expect to be stabbed in the end."
"There's no way, your previous two deliveries caused tears. Although the repair is useful, there is a problem with the contraction this time, and the expansion of the vagina is limited. If it tears again, there will be problems with the birth canal including the gang gate."
"Well, I still remember the anatomy sketch you drew me yesterday."
Carvey patted her on the shoulder, picked up the Paris Review he was about to leave and put it under his arm, got up and left the ward in a hurry.
He considered himself an ordinary surgeon, but in the eyes of the ordinary woman in front of him, he was not ordinary.When risk hedging is not in the same order of magnitude, Carvey is willing to help.
He called the carriage again, and said his destination in a steady tone: "Go to the palace."
"The palace?"
Seeing that the other party didn't know, he went in, and Carvey explained it again carefully, for fear that the Paris Royal Palace would go the wrong way too much. After all, Hu Jier still had to wait for his own news: "It is the place where His Majesty the Three Emperors and Queen Eugenie live."
Realizing that the visitor was special, the coachman took the rein in one hand and the whip in the other, and took the horse up the avenue, heading straight for the Tuileries Palace.
If Carvey looked back at the hospital gate more often after getting in the car, he would definitely find Gustav who came to see Carvey, the Swiss who wanted to have a relationship with the youngest surgeon.Yesterday's note failed to enter Carvey's pocket, and he had already noticed the way, but this time he missed it.
It's a pity that Carvey doesn't have such a leisurely heart now, maybe even if he really sees him, he won't get out of the car.
The Tuileries Palace is not far from the Louvre. It was originally Nasan's office in Paris and also entertained foreign guests.Eugenie has been living in Fontainebleau in the south of Paris, and sometimes goes to the Palace of Compiègne in the north. This time, it is because of Elisabeth that she moved here for a longer period of time.
The life of the royal family is more enjoyable than that of the nobles.
The two queens, who have been emotionally suppressed for too long after marriage, can be said to have met each other late, and are now in a state of complete relaxation.Even after seeing the report on the Paris Review, he didn't show too much surprise.
This was not beyond Carvey's expectations, who made the Paris Review a tabloid, completely out of their sight.
But there was also something beyond his expectation, that is, the two queens had been on his side from the very beginning.Especially after listening to the whole process, Eugenie took the lead in attacking: "What's wrong with the ruined fetus? Can't the child be destroyed after death? Do you want the mother to die due to dystocia?"
"I really can't understand one thing." Elizabeth drank the freshly made milk tea and looked at Carvey. "I also want to ask Dr. Carvey's opinion on this point."
"Please speak, Your Majesty the Queen."
"The belly belongs to the woman, and the child in the belly also belongs to the woman, so why is the ultimate ownership not in the hands of the woman?"
Carvey understood what she meant in an instant, and chuckled awkwardly at the corner of his mouth: "This seems to be a bit beyond my ability, I'm just an ordinary surgeon."
"I can choose not to share a bed with Joseph, and Eugenie can choose not to share a bed with His Majesty Napoleon, but why can't we choose not to have a child?" Elizabeth really didn't understand the inner logic in it. If you want to, you will break the law? This is so strange!!!”
Yeah, Kavi felt weird too.
But there is also no surprise, that is, a storm is coming.
(End of this chapter)
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