Nineteenth Century Medical Guide

Chapter 334 330. "November 11 Outpatient Record of the Main Palace Hospital"

[There are a lot of quotation marks and ellipsis in this chapter, but it is still only counted as a punctuation, so don’t worry about cheating the number of words]

Patient A, female, 26 years old, accompanied by a male

"Dr. Carvey, I didn't expect to see a real person when I came to the hospital."

"Hello, what's wrong?"

"Here, chest."

"Why are you uncomfortable?"

"It's uncomfortable, I can't breathe, I feel my heart is beating very fast, very fast, and I feel panicked."

"Give me your hand, and I'll measure your heart rate."

"Heart rate?"

"It's the speed of your heartbeat."

"Oh, in fact, it's better now, or relieved, nothing happened."

"Relief also needs to be tested. How long does it usually take to relieve?"

"It's about half an hour. Sometimes it starts suddenly and stops suddenly."

"Oh, are you dizzy?"

"No."

"Is there blackness in front of the eyes, or is there no consciousness?"

"No, it's just that the heartbeat is very fast and the chest is tight. It's been several times. I really can't stand it, I just"

"Forget it, let me talk about it. In fact, it's easy for me and her to do that. Every time I start for a few minutes, it suddenly fails, and then I have to rest, and I can stop after a little rest."

".Okay, stop talking."

"Why are you covering your face? It doesn't matter if you talk about it. There are doctors in front of you. In fact, she just had an attack three days ago, and the symptoms are like this. I wanted to see a physician today, but I saw you here. Thinking of coming over and asking."

"Thank you both for your trust in me. This is indeed a heart disease, which belongs to the category of internal medicine."

"Ah, then I'm sorry, let's go first."

"Don't rush away, just because it's internal medicine doesn't mean I can't give advice, of course it's just an opinion. Let me listen to the heartbeat first, come on, you put the receiver on your chest, yes, watch my gestures change positions, yes"

"How about it?"

"It's really okay now, it's quite normal."

"What's wrong with me?"

"It's a not-so-common heart disease."

"Can't you prescribe medicine?"

"I'm not a physician, so I definitely can't prescribe medicine. And as far as my personal experience is concerned, taking medicine for this disease doesn't have much effect, after all, it stops soon."

"Sometimes it's a bit of a delay."

"I understand, I understand. In fact, the heart is controlled by an invisible switch. It will activate after certain conditions are met. All we have to do is to turn off the switch. Taking medicine does not work so fast, and as far as I know There are no drugs that can do that.”

"Can it be cured without taking medicine?"

"It's not a cure, it's just to speed up the relief. Take it, I've written down my opinions on paper, and if I encounter them again when I go back, I will do it. Remember! Do it in strict accordance with the order I gave, don't mess around. "【1】

"Ok!"

"Oh, yes, let me say one more thing."

"You speak."

"Try to choose night when doing things in the future, and the chance of seizures may be lower."

"Good good!"

Patient B, male, 55 years old

"Hello, Dr. Carvey."

"Hello, what's wrong?"

"I'm coughing badly, very badly, almost...cough, cough, almost coughing every few minutes."

"How long has it been going on?"

"Let me think about it. It probably started when you arrived in Paris. It's been about a week. Cough cough cough, I had a cold and a fever at that time. I didn't cough at first, but when the fever subsided, the cough appeared again and again. Cough, cough, cough."

"Are you coughing up phlegm now?"

"A little bit, not much."

"Fever gone?"

"Yes, back."

"Open your mouth, come, shout: Ah~~~~"

"Ah~~~~cough cough cough!"

"The throat is fine."

"Cough cough."

"Turn around, yes, this way, okay, I need to listen to my lungs with a stethoscope."

"Cough."

"Come and breathe"

"Cough cough cough~"

"Better bear it. Come on, keep breathing in. Breathing out"

"."

"All right."

"cough cough cough cough"

"It's nothing serious. You can go to your physician for another look and ask about cough medicine."

"Is there no way for surgery?"

"Surgery for cough? That's too much. I don't necessarily cut your throat and lungs together. And you should be recovering from a cold and cough now. Coughing is a reaction process to clear the lungs of dirt. You need to stop coughing if you cough repeatedly like you and it affects your life."

"Okay then, I'll see a physician again."

Patient C, male, 6 years old, accompanied by another 7-year-old boy
"Don't squeeze, don't squeeze!!! We came first"

"Bullying children, right? Obviously we came first!!!"

"Everyone line up, don't watch if you don't line up!"

".Phew, it's finally our time. Are you the doctor here?"

"That's it."

"I heard that you can see a doctor here for free?"

"But what about your parents?"

"Without parents, can you still get money for seeing a doctor here?"

"As long as it is a patient that I can take a fancy to, you can get a sum of money, which is indeed a lot for you. But the problem is, what are you uncomfortable about?"

"Can you decide? Don't treat us like children!"

"Did you see this one? The director of surgery at the Main Palace Hospital, the vice president of the Surgeons Association, he wrote the sign next to it. So no, you can rest assured."

"Oh, as long as it's not a lie, hey, don't look at him, his face is fine, you have to look at me, I have something to do!"

"Is the face okay? The corner of the mouth is swollen, and the teeth have been knocked? Who hit so hard?"

"It's okay, I'm fine. It's true that he came to see the doctor, his nose."

"Shut up! Let me tell you about my nose!!!"

"."

"Okay! You can say what you want, but don't fight, let alone fight! If it affects my doctor's visit, you all have to get out of here."

"Doctor, I'm sorry, I didn't mean to quarrel with him, it's because he's so disrespectful! I just punched him when I was so angry!!!"

"Fairness?"

"The thing is like this, yesterday afternoon we agreed to stuff peanuts into the nose together to see who can last longer. As a result, he put it next to the nostril and didn't dare to put it in."

"So you put peanuts in there?"

"Yeah, it was put in very deep, and now I can't get it out, I really hate him, I hate him!"

"I didn't mean to. I really did."

"Hey, don't hit people! If you hit me again, I won't care about you!!!"

"Doctor, can you take it out?"

"Try plugging the other side and blowing out."

"Tried it, it didn't work."

"The position is indeed a bit deep, but you should be able to get it out. Give me some tweezers, find the thinnest one, and the pliers head should be a little thinner. That one is very good, just give me that one. By the way, get another one. Come here with the spotlight on your forehead."

"Will it hurt?"

"Be patient, it's been stuffed for so long and the bubbles are swollen. It really takes a little effort to raise your head, yes, look at the clouds in the sky, and point your nostrils at me, candles and spotlights, yes, that's it"

"hurts a little."

"I know you are in pain, if you don't want to have an operation, don't talk!"

"You can get money for surgery."

"I'll give you money if you don't talk"

"."

".Okay, it's finally out."

"It hurts."

"Don't play like this next time!"

"Give money."

"...give it."

Patient D, female, 44 years old

"."

"If you have something to say, just say it. With the level of noise around, they shouldn't be able to hear what you said."

"Doctor, I'm afraid I'm in serious trouble."

"what happened?"

"I felt like I had something growing in my throat, it felt like a really huge thing, I was literally terrified."

"When did it start?"

"Just now."

".emmm, just now?"

"Yes, just now! It was fine when I got up, but I had a problem with my throat before I went out."

"."

"Let's talk about the feeling in your throat first, why is it uncomfortable?"

"There is a feeling of being blocked by something, and I can't swallow it or spit it out."

"Have you eaten anything?"

"Just one breakfast, fried eggs, bread, and milk. Could it be something wrong with the eggs?"

"Apart from these?"

"Doctor, how long has it been since early in the morning? I did have one breakfast. We ordinary people can't afford your morning meal. It would be nice if we could eat eggs."

"Actually, my breakfast is similar to yours"

"Stop joking, impossible, absolutely impossible."

"Forget it, back to the topic, what I'm asking is have you eaten anything else besides breakfast?"

"no."

"Don't rush to answer, think about it again, if you can't remember, just close your eyes, then open them and regard it as morning, and live it all over again."

"Wake up at 04:30 in the morning, I have to make breakfast for the family first, fry eggs, toast slices, and then heat milk for them. The third son just recovered from an illness and needed physical strength, so I fried an extra slice of ham. Everything was placed in the at the table, and wake them up, and I will do it myself."

"Huh? First what?"

"I'm going to take medicine first. It's an anti-nervous and hysterical pill bought at the pharmacy. It's very useful."

"Whether it is useful or not is beyond the scope of our discussion. What I want to ask is, have you taken this medicine?"

"I've taken it, I must have taken it! I can't sleep well without taking this medicine, and I can't work. My mind is full of strange things."

"The effect is not bad?"

"Well, it's actually okay. I think the pharmacy owner is right. Taking medicine is definitely better than not taking it."

"Apart from medicine, have you taken anything else?"

"No, this time I swear there will be no more! After taking the medicine, I left home with fried eggs and bread, otherwise I would never be able to reach the textile factory before 05:30. Alas, I was going to work today, but halfway It was so bad that I came back again in the coach to see the doctor and hope nothing happened."

“Last night was fine”

"Yes, it's good before going to bed, and it's also good after waking up, just before going out!"

"Did you bring the pill?"

"Uh, bring it with you, because I have to take one pill at noon and three pills a day, so I take them all with me. This should have nothing to do with the pills. I think this situation should be treated with surgery. right?"

"The packaging is pretty good."

"The pills are wrapped in tinfoil, which shouldn't be cheap."

"Two francs and ten pieces are really expensive."

"How do you eat?"

"Just peel it off and swallow it. It shouldn't have anything to do with the pill."

"It's true that it has nothing to do with the pills, but it has something to do with this layer of paper. Did you find any tin foil left on it when you peeled it off?"

"I don't know."

"Try to induce vomiting, if it's just tin foil, it's easy to find."

"Isn't it possible to have an operation?"

"You have an operation in this position, and there is a 30% probability that you will not be able to get off the operating table, which means you will die on the operating table."

"But I asked for leave, this money"

"It's not worth it just for a piece of paper stuck in her throat. Come, accompany her to the examination room to induce vomiting, and see if there is such a wrapping paper after vomiting. If there is, I will pay her 1/3 rewards."

"it is good."

"Thank you Dr. Carvey, thank you!!!"

Patient E
"Get out, let's all out! Someone here has passed out, let's all get out of the way, get out of the way!!!"

"Monsieur Alphonse, why are you here? What's the matter?"

"There was a man who ate in the restaurant of the hotel where I was staying for more than three hours last night, and then fell asleep drunk. He woke up this morning and said that his stomach hurts very badly. Then I want to ask more questions, Then he passed out."

"The complexion is wrong, the breathing is very weak, get out of the way!!! Bring the blood pressure monitor!"

"Get out of the way and let people in!"

"Don't stop, keep going, go quickly, and send it to the theater of surgery. Damirgang."

"I'll go find Herman and the others, and prepare things."

"Call Karen and Amor!"

"Ok."

"What the hell is going on?! How did you faint?"

"I don't know, you can only see it when you drive into the abdominal cavity. But the stomach is so big, I feel like I haven't digested what I ate. What did he eat last night?"

"Last night, the owner of the hotel specially launched a 'self-service cold food' event. You can eat cheap cold dishes for 10 francs, which are actually very ordinary cold sausages, salads, and some potatoes. Mud or something."

"This guy doesn't eat these all night, does he?"

"I've been collecting materials outside the hotel, and I'm not interested in this kind of thing, and I didn't pay attention. Oh, by the way, the hotel staff are here, they should know."

"He did eat a lot, he ate all the food we put on several plates."

"Also drank a lot of wine, probably five bottles, yes five bottles of wine."

"I understand"

Patient F, male, 38 years old

"This patient, who was caught off guard, has problems with blood pressure and heart rate. He may have been in shock. He needs to undergo laparotomy immediately to see what's going on."

"What is the reason? Is it because you eat too much?"

"Maybe, anyway, prepare the metal plate, suction device and clean water. Karen, is the rehydration solution on?"

"Up."

"How about the anesthesia?"

"It's fine for now."

"The disinfection is over, come, give me the scalpel."

(End of this chapter)