Nineteenth Century Medical Guide

Chapter 38 37. Controversy
Hungary, like Austria, is not facing the sea on all sides, and seafood needs to be transported long distances from fishing grounds before it can be delivered to the table.Not to mention the high cost, the quality of the food cannot be guaranteed. When you enter a big inland city like Vienna, things will already stink.

So people here don't eat seafood very much, and it didn't change a little until the train appeared.

Laszlo is a typical Hungarian. He hardly touches food in the water. He drinks river fish soup at most. Odd-shaped species such as oysters and scallops are forbidden on the menu.

It's a pity that God didn't give him a matching body, and Laszlo was severely allergic to oysters.

This is not something difficult to understand in modern times, but in the 19th century, there was no concept of allergy in medicine.

If the right to speak is given to the maids, they will say some explanations similar to "allergies", such as "Master's body reacted too strongly to tonight's food" and the like.

If they were asked to recall Laszlo's daily diet carefully and eliminate those things that are often eaten, they might get the same result as Ignatz: oysters.

Because food allergies are not uncommon and have existed since ancient times [1].

But now Laszlo's bedside stands several of the most famous physicians in Austria, and they have the right to speak.It is obviously too clichéd to just say something that women and children know, and it is not in line with their identities.

When it is difficult to explain with existing medical knowledge, doctors will put on Hippocrates and Galen's "Four Fluids Theory", saying that: people are incompatible with specific foods, and this food is harmful to Lars. Luo's body has increased a lot of not-so-good humors.

Since it is a problem caused by excessive body fluid, subtraction must be done to get rid of it. The most commonly used and simplest subtraction method is bloodletting.

Logical and self-consistent, perfect.

"Mr. Laszlo, you have injected nearly 200ml of blood." Dr. Poza from Graze Hospital was the first to speak, "We have effectively curbed the swelling on your face, but if you want it to subside further, I guess we have to let some more go.”

If Kavey heard his name, he would definitely recall the panacea he had seen at Loma Pharmacy before.

His name is on the label of the medicine bottle, and it is a safe endorsement for scammers to make black money.But here he is the leading figure of the younger generation of internal medicine in Vienna and heir to the baronetship.

"Dr. Bossa has a good point."

On the other side of the bed, also looking at Laszlo was the vice president of the Municipal General Hospital, the chief of the Department of Internal Medicine, Earl Fattolad, a leader in the field of internal medicine in Austria: "It seems that bloodletting is the only effective and must I don’t think you should hesitate to continue using the method.”

Several other people also echoed after hearing such a speech.

Laszlo was in pain, and the bloodletting made him a little weak, but the swelling, pain and itching on his face did not relieve much.And just as Ignatz was away, his tongue swelled further, making his not-so-fluent German even more strange.

Now it is the daughter Naya who expresses it on her behalf: "Are you sure that my father has a humoral disorder and mucositis caused by a special food?"

Several doctors looked at each other and nodded one after another: "We are sure."

The tense relationship between doctors and patients is not an exclusive item in modern times, it also existed in the 19th century, and girls like Naya, who cannot inherit their father’s real estate, are more concerned: "But you have never checked his body, only simple inquiries, and repeated bloodletting will cause harm. Is there anything inappropriate?"

Fattolad explained with a smile: "First of all, we don't need any examinations at all, those are tricks only used by quack doctors to improve their medical attainments in front of outsiders.

Please rest assured, Miss Naya.We are all well-known doctors at home and abroad, and we can make a correct diagnosis through simple conversation. Any diagnostic behavior that touches the skin is an insult to our title of famous doctor. "

Bosa also said: "The amount of bloodletting is indeed a data indicator that needs to be closely monitored, but it is not necessary for Mr. Laszlo."

"Indeed, his blood is too much."

"I have never seen a patient with such congestion and swelling. The inflammation may have spread all over his mouth, and even his tongue is exposed. It is necessary to let go of another 200ml."

With her father in such a healthy state, Naya couldn't feel better. She couldn't hear the doctor's words and asked with a straight face: "You mean my father's face and the German blood sausage stuffed with pork tongue and ox tongue? Same?"

"Well, you misunderstood Miss Naya, I didn't mean that."

"what does that mean?"

The profession of doctors is very strange. If there is no patient present, they can fight each other to the death.But once a patient stood up and criticized, they would burst into amazing solidarity.Of course, this all requires a premise, that is, the things discussed must be within the scope of medical treatment that meets the norms.

Repeated bloodletting is generally recognized as the most reasonable way to deal with it, which is in line with the norms, and there is no one.

There is nothing wrong with the objection or incomprehension of the patient's family members, but it will be different if they question their professional ethics in practicing medicine.Regardless of seniority, title or professional achievement, Fatorade has the responsibility to defend these juniors with reason:

"Miss Naya, his words are indeed a bit straightforward, but I can guarantee that it is all out of concern for patients. Bloodletting has served Europeans for thousands of years and is the most classic therapy. If you still have grudges, Maybe Mister Laszlo's face will turn into blood sausage."

Facing the old doctor's beating, Naya's words were too thin to refute directly: "Then what about the surgeon just now? Didn't he say that bloodletting might not work if you persist?"

"You mean Ignatz? The surgeon who wanted to step in?"

"Hehe, the surgeon is actually just a barber hired by the Municipal General Hospital."

Fattolad agrees with this statement, but he still has to be as tactful as possible out of the friendship of colleagues: "He is a baron, even if he is engaged in an unrefined profession, he is still an authentic baron of the empire. What right do you have to say that about him?"

"But he said Mr. Laszlo was a surgical patient."

"Be sober, children. Bloodletting is originally the work of surgery. In terms of choosing reasonable blood vessels and knives, surgery must be more proficient."

"No, I think he wants to try a more dangerous technique, right on Mr. Laszlo's bed."

"They are rude and reckless, and they are even more proud of it, which will naturally appear ignorant in our eyes." Dr. Posa has a very indifferent view of surgery and chooses to mediate, "But the 'barber' is not a good one. Words, Mr. Ignatz would be angry if he was there."

"Okay ok, I repent and hope God will forgive me for my insistence on caring for my patients"

At seven o'clock in the morning, when the ring road was already full of workers and everywhere was in full swing, the affluent area of ​​Central City was peaceful and peaceful.The private carriage of Laszlo Manor passed through the beautiful and clean Whitegreen Street, and directly entered Laszlo's manor with a sound of hooves.

The sudden fall of the host brought the ball to an imperfect end. The nobles and celebrities chose to leave one after another. The hall was empty, leaving only a few servants still cleaning around.

Carvey carried Ignatz's suitcase and trotted up to the master bedroom on the third floor with him.

"I'm back." Ignatz stepped on the last step panting heavily, "How is Mr. Laszlo?"

"I heard it's not very good." Alina had been waiting outside the door for more than three hours, shaking her head sadly, "Bergett said it was still very swollen."

Bergett attended the ball with his parents, and finally danced half a Gallup with Naya and was thrown on the dance floor as the "unlucky guy".The sudden change made Elena see an opportunity. Although the intern doctor couldn't compare with those big shots, this strong mother still kept him here.

Seeing Ignatz, he finally cheered up: "Teacher, they kicked me out not long after you left."

"When?"

"About half an hour ago."

"Bleeding again?"

"Yes, they insisted on bloodletting as soon as you left, but I think Mr. Laszlo's face is indeed quite pale."

"Nonsense! If you are continuously drained of hundreds of milliliters of blood, your face will turn white!" Ignatz hated iron for steel, and of course he was more worried about Laszlo, "Now people How's it going?"

Bergett loosened his tie and said helplessly, "His tongue has also started to swell, and he has difficulty speaking."

"I knew it."

Ignatz's mood is complicated, with mixed feelings.

The good news is that the entire course of the disease is under his own control, and those pedantic and conservative physicians are as useless as wooden stakes in the face of this acute disease.

What is worrying is that Laszlo's symptoms have reached a very dangerous point. Although he has learned the corresponding treatment methods, the experience of his failures keeps reminding Ignatz that this situation is not far from death. , Whether it can be saved depends not only on the technique, but also on luck.

You have to fight.

Seeing that he was going to knock on the door, Alina suddenly stopped the way: "Fatorad said that no one should disturb him at this time."

"Just kidding, if the bloodletting continues, people will die!" Ignatz is now full of saving people, and he can't control that much, "Bergett, Carvey, you two go in with me to save people!"

Alina knew that he was going to mess around again, so she quickly stopped in front of the door, and said in a low voice, "Have you ever thought about the investment that was finally negotiated? If Fatolad didn't nod, the surgical ward would not be eligible for expansion." !"

Ignatz hesitated for a moment: "As long as I save Mr. Laszlo, I have a chance, he can't"

"What if it fails?"

Alina didn't know what her husband was going to do, but she could easily hit his sore spot: "You said you can't use a scalpel for eight hours after drinking, and it's only been four hours now, and you haven't rested yet. .You are not omnipotent! With your current physical condition, what if you fail?"

"You do not trust me?"

"It's you who doesn't believe you! Otherwise, why make these rules?"

alcohol
About three years ago, Ignatz messed up a lithotomy due to drunkenness. The patient not only ruptured the bladder and urethra, but also permanently lost his penis.Since then, he has stipulated that after drinking, he must take a break for a period of time, and has conducted several controlled experiments for this purpose, and finally set an interval of eight hours.

缺眠
About two years ago, Ignatz stayed up late to perform an amputation. Because of inattention, the wrong blood vessel was ligated, and the patient bled to death.Since then, he has stipulated that he will never go to the operating table when he lacks sleep or is overtired.

These were all failures that stayed in the back of Ignatz's mind.

It's not that he didn't think about failure this time, but the benefits brought by success are too attractive, and his brain keeps stimulating him to take risks with the fantasy pictures of success again and again.Therefore, Elena poured this pot of cold water very timely, which made him hesitate whether to enter the door to challenge his limit.

After all, he poured a whole bottle of wine down his stomach to negotiate these investments a few hours ago, and his head is still dazed.

Carvey was standing right behind him and Bergett, who had already guessed what was in the box and what Ignatz wanted to do.Laszlo's neck was definitely more of a challenge than Morazo's groin.

It's a pity that whether he can enter the door is not up to him, no matter how you look at it, it's best to wait and see.

Fortunately, this opportunity will not slip away easily.

Because from their description, Laszlo's allergic symptoms are very serious, and according to the development of allergies, as long as the allergen is still in his body, it is only a matter of time before the airway becomes blocked.

Soon someone will help to "relieve the siege", and the nature of re-entering the door will completely change at that time, it will no longer be a spoiler but a complete rescue.

So when Ignatz was struggling and hesitating, Carvey cooled him down again: "Ms. Alina's words are indeed reasonable. Yesterday, the teacher performed an operation first, and then dissected two corpses one after another. , followed by another operation. I went to the dance non-stop at night, and I haven’t closed my eyes until now.”

Having said that, he rubbed his shoulder against Bergett beside him.

The young Bergett was admitted to the Municipal General Hospital because of Elena. Now that it was time to show his loyalty, he naturally understood: "Yes, teacher, you are too tired. Let's rest outside and wait for the results."

The three people around him were persuading him. Ignatz would be discouraged no matter how confident he was. What's more, he didn't have much confidence. Take a break."

Elina let out a sigh of relief, and smiled at the two young men who stood up to help her at this moment.

Especially Kavey, as an outsider or an assistant outside of interests, he could have ignored these and just done his duty.But he still stood up immediately at the risk of being reprimanded by Ignatz, which is enough to show that he is a good person.

The door of the master bedroom was quiet again, except for some scattered conversations of the servants, there was no other sound.

Time didn't go slowly, and things quickly ushered in changes as Carvey expected.First, a tea bowl was broken inside the door, and then Naya's voice came out: "Father, what's wrong with you, Father?"

(End of this chapter)