Nineteenth Century Medical Guide

Chapter 442 438. The Difference Between Vienna and Paris

On the same afternoon of the 19th, half an hour before the Austrian Emperor's special train entered the train station, an American young man wearing a baseball cap walked into the gate of the Dieu Hospital.

After watching the anoplasty performed by Kawi, he looked for his teacher and thought about it for a long time, and finally decided to try his luck here. He wanted to see if Kawi was in the hospital, and if so, he wanted to ask if he had the opportunity to specialize in surgery with him.

"The nurses outside said that Dr. Kavi is not here these days. Why do you have to come to see me? Go back."

Landreth waved his hand and wanted to continue studying his surgical notes, but the other party did not leave at all: "What's wrong? He won't come today. He has to pick up his emperor to Paris today, and there is a banquet to be held in the evening. He will not come tomorrow, the day after tomorrow, or even this week, because he has experiments and aortic aneurysm surgery waiting for him."

Holmes had heard about these things a long time ago, but he didn't know the exact time. Now that he knew he had come to nothing, he felt much calmer.

Now that he was here, he would not leave so easily just because "Kavi is not here". He took out his prepared resume from his bag and handed it over respectfully: "If possible, can you let me stay here and work?"

Landreth looked at his sincere desire to learn and had an indescribable strange feeling. "You don't think that as long as you work here, Kavey will take you in and keep you by his side, right?"

Holmes:
"Stop dreaming."

Originally, there was no need for the chief surgeon to waste time talking to the young doctor in front of him, but when it came to Kavi, there were some things he had to say.

Landreth closed his notebook and pointed at the chair under his buttocks and said, "Do you know the original owner of this place? He is the most proud student of Teacher Dupont Itron, and he is also half of my senior brother.
He was tricked by Kavi last winter! He went to Vienna and became a surgeon at their main hospital. A surgical authority over 50 stepped out of his comfort zone in pursuit of the future of medicine and the limits of surgery. It looks beautiful and touching, right? But the question is, what about Kavi? Did Kavi take him to the surgery? Kavi is enjoying himself in Paris!!!"

Landreth became angrier and angrier as he spoke, and in the end he was like a frustrated old woman, throwing hysterics there, expressing his unwilling yet helpless emotions to the fullest.

But in Holmes's view, these are just his unilateral guesses: "I think it's not bad to stay in Vienna."

Landreth: ???
"I heard that Kavi lent him all the surgical atlases he had left in Vienna, including cesarean section, inguinal hernia, appendicitis, cleft lip and palate. I heard through the grapevine that there was also a spinal surgery and a craniotomy. It's too exaggerated. He drew the atlas himself. Well, this may not mean anything to you, but I am not very capable."

Landreth could no longer hear what was said afterwards, as his mind was now filled with thoughts about the map.

Graph? Is there a graph? ? ?
its not right.
Landreth looked at him, his Adam's apple trembling slightly, and his saliva rolled around there before he finally swallowed it. He was still restrained, and when he stood up and looked through the pile of books on the table, he still maintained the minimum elegance of a chief physician.

Quickly he pulled the letter out of an anatomy book.

This was the letter I wrote to Sediyo when I hastily took over as the chief of surgery at the Hospital Main, out of basic courtesy and a little bit of friendship as a fellow student. It described his life and work during these days. Although it was not so straightforward, one could still see the other party's loss between the lines.

Where is the atlas? Where is the atlas?
There's no diagram.
He muttered "atlas" and glanced at the lower right corner of the letter. The signature was indeed the name of the senior brother. Landreth seemed to have received an electric shock, and he sat back in the chair.

It was not known whether Holmes had noticed something or had already made plans, but the young man kept the topic fixed on himself from beginning to end, and broke the silence, or rather the embarrassment, of the office at a very appropriate time:

"If Dr. Kavi really rejects my request, I will continue to stay here. After all, I need to complete my studies here, and I also hope to learn more surgical knowledge from you. Studying while working is also the way of learning I have always pursued. I hope Director Landreth can agree."

Landreth folded the letter and threw it aside, his thoughts still not coming back: "You mean as long as Dr. Kavi accepts you, you will give up your studies at the University of Paris?"

Holmes smiled. "If you were an intern fresh out of Harvard, would you choose between the University of Paris and Dr. Cavey? I think the answer is obvious."

Landreth didn't reply. After a moment's silence, he picked up his resume: "Graduated with a master's degree from Harvard Medical School in 1866, from the Love Hospital. It turns out there is also a Love Hospital in New York. After working there for half a year, he applied to the Paris Medical School to pursue a doctorate degree."

His resume was not luxurious, but it was quite good among a group of international students. After all, the fact that the old scholars at the University of Paris Medical School recognized his master's degree from Harvard Medical School showed the value of his master's degree.

What's more, he even specially made up for the undergraduate course content at the Paris Medical School. He is calm and tough on himself, and is a good candidate.

For Landreth, a degree is important, but he is still willing to accept international students who have the passion and determination to learn.

But the crux of the matter is not here at all: "Have you ever thought that you did heart and blood research at Harvard University, and you worked as an internist at Aixin Hospital. Don't you think it's strange that you, an internist, come to me to find a job?"

Holmes knew that the ultimate challenge he was going to face was coming. How to convince him became the key to staying: "You don't know, I have always been interested in anatomy. I was able to successfully enter Harvard Medical School because of my strong interest in anatomy. However, Director Landreth, you may not be able to imagine my working situation and learning environment at that time. I had no choice but to choose internal medicine."

"Oh? Tell me."

Holmes clenched his fists and looked out the French window behind Landreth, tears in his eyes: "There is no system in surgery in New York. They just explore blindly, looking for some possibility that may exist without considering the safety of patients. No one summarizes and summarizes to help future generations avoid difficulties."

"and then?"

"This is certainly not a bad thing. At least anesthesia originated in the United States. However, anesthesia is only an accessory to surgery. To truly perform surgery and complete treatment, it still requires the accumulation of technology." Holmes said firmly, "At least for now, I can't see the future of American surgery, let alone the future of Harvard Medical School!"

He didn't mention Europe or France, but everywhere he spoke of his admiration for Paris, the world's surgical center. This made Landreth feel a little embarrassed: "So you want to abandon your research in internal medicine and switch to surgery?"

"I said before that I am very interested in anatomy, but..."

"Answer my question directly."

"Yes, Mr. Landreth." Holmes gave his answer without hesitation. "I am also disappointed with internal medicine. Now that the four-fluid theory is about to be abandoned, the strange idea of ​​'homeopathy' has appeared. This in itself shows the decline of internal medicine."

Things were indeed just as he said. The development of surgery had far surpassed that of internal medicine, and it even gave him a strange feeling that he could "open and take a look" at anything.

Surgery has developed so rapidly since that guy came to Paris.
Landreth's mind reappeared the image of the man and a thick stack of surgical atlases, and he quickly stopped thinking: "Oliver Holmes, that's a good name. If you insist on working in the surgery department, I have no problem. The surgery department of the Hôtel-Dieu is extremely short of staff anyway. However, I must remind you that this is not a place where you can come and go as you please."

"What if Dr. Kavi really wants you? Although it is highly unlikely, if he really wants you, I will not object. No other circumstances will be allowed." Landreth took out the surgical ward work manual from the drawer. "The probation period is one month. If you don't make any big mistakes during this period, you can stay."

"I see."

"Be in the ward before 7 a.m. tomorrow, and then..."

Landreth wanted to say a few more things to note when he heard a low, muffled sound coming from outside the window. The sound was not loud, perhaps not as loud as the sound of a coffee cup falling to the ground, but it made him feel uncomfortable. Then smoke rose in the distance, and both the distance and direction seemed to point to the train station.

"What's going on here?"

"I don't know."

Landreth knew very well that this was an explosion, but it was an explosion beyond his understanding. The power of ordinary black powder after being piled up and detonated was never so exaggerated. This was obviously the nitroglycerin used to blast the mountain in the mine.

"Your name is..." Landreth glanced at the name on the resume again, "Holmes. Looks like today is the day to get familiar with the ward."

Ten minutes later, his guess was confirmed.

The telegraph station that Kavi had suggested setting up after the theater fire brought a message from the railway station patrol booth to all medical staff at the Hôtel-Dieu: someone had opened fire and detonated explosives at the railway station, and many people were injured.

At this time, the surgical ward had already been evacuated, leaving a total of 30 beds, each of which was equipped with a patient gown and mattress. In addition, sufficient clean water, disinfectants, and surgical instruments were also prepared.
"Which door did Kavi refer to as the emergency passage?" Landreth had never taken this to heart, but now that he was in real trouble, he immediately flipped through his manual, "Side door, yes! Side door, the one near the public carriage line! Clear the passage from that door to the surgical ward, and move all the stretchers over! Cancel all subsequent surgeries in the operating theater to make room for the injured!"

Half an hour later, the first public carriage requisitioned by the police arrived at the side door.

There were three seriously injured people lying in the back of the car, but the person who jumped out after opening the door was not Kavey or a patrolling sheriff, but a young man in a bright red uniform. He had three shining medals on his chest and a golden cape behind him. Although his movements were awkward, he was still eye-catching.

"His Royal Highness the Prince of Wales?"

Landreth really didn't expect that the first and most important carriage would be in such a situation, and he really couldn't understand what Kavi was thinking.

No! Kavi???
He immediately thought of Kavi. Others would be injured by the bomb, but Kavi was not a machine made of steel, so of course he would be injured.
"Don't worry, Doctor Kavi is fine. There are too many injured people at the scene, so he has to stay a little longer." Bertie brushed the dust off his trouser legs, and after letting the medical staff and the stretcher pass, he did not forget to stretch. "Viscount Lytton served as a medical soldier when he joined the army, and he also helped carry a stretcher. He knows simple first aid methods, so I asked Kavi to let me come over first."

"Forehead"

"Please take a brief note of the situation." After helping to carry off a wounded person, Litton immediately rushed in front of Bertie and said, "The person who just came down has an open fracture in his right upper arm. He must have been hit by a heavy object. The wound is quite large. Doctor Kavi said to check vital signs and give him an infusion. Then he should disinfect it and cover it with wet gauze. Wait for him to come over and take care of it."

Landreth pulled Holmes over and said, "Where's your notebook? Please help me write it down first."

"The second one has an open fracture of the right lower leg, as well as fractures of the clavicle and ribs. The wound is not as big as the previous one, but the dislocation is very serious. The treatment is the same as before."

"the third"

The man was seriously injured. Litton couldn't help but frowning when he looked at his face. "This guy was hit in the left eye by the flying wooden spikes and suffered a severe blow to the head. He was unconscious and unable to speak all the way."

"How to deal with it?" Landreth also found it very difficult.

"It's still the same." Litton said, and walked to Bertie. "Your Highness, Paris is very unsafe now. I don't think it's necessary to stay here. Go back to the hotel and pack your things and go back early tomorrow morning."

Bertie's expression changed instantly: "Go back? Where to go?"

Lytton was unimpressed by his response: "London, of course."

"Are you kidding me? This is an explosion! An explosion targeting the Emperor of Austria! Things are just getting interesting now, and you want me to go back to London?" Bertie kept saying no, "That's impossible. I can't go back to see my mother's face, let alone take care of the children!"

Litton knew he couldn't win, but he still wanted to struggle: "The mission given to me by Her Majesty the Queen is to keep an eye on you. If you blame me, I can't take the responsibility."

"If you can't afford it, then go back. If you see my mom, tell her that I got lost along the way."

Bertie threw off his cape and walked back to the ward. He looked around and found a nurse who was carrying equipment. He approached her with a smile and asked for directions: "Excuse me, which way is the operating theater?"

"."

"I'm so sorry, this is my first time here, can you take me there?"

"."

"It's okay, the one doing the surgery is my friend, he'll let me in."

"."

"You are so thoughtful and pretty. Do you want to have dinner together after get off work? There is a restaurant next to here."

(End of this chapter)