Nineteenth Century Medical Guide

Chapter 459 455. Plan 3
The Gabiadini family can be traced back to the end of the 15th century, when a young Englishman named Delaford sailed across the ocean to France with only 50 pounds.

Originally, he just wanted to obtain the right to use a shipping warehouse in a certain port town from a bishop in Marseille, and ship cheap smoked fish, wine and other goods from the warehouse by sea to do some small business.

As a result, within a few years, the ship that Delaford rented sank in a storm, and he lost all his money. Just when he was at his wit's end, the bishop pointed out the direction of his life. The next year, Delaford gritted his teeth and became the son-in-law of a wealthy Italian.

In addition to the ownership of the warehouse, the daughter's dowry also included two ships and an old castle that no one cared about. The castle had been in a semi-collapsed state due to the war and had no name. After it was renovated into a large manor, it was named after the daughter and was called "Castello Gabiadini" from then on.

Delaford did not change his surname to marry into the family, nor did he continue his shipping business. Instead, he handed it over to his woman and resolutely embarked on a more chivalrous military career. Ironically, his first battle after joining the army was in Italy. His loyalty and fighting were commended by Francis I and he was awarded the title of "Lord of Gabiadini".

The middle-aged man standing outside the gate of the Hôtel-Dieu is the descendant of the Gabiadini family, the current Minister of Economy, Danai Gabiadini.

His sister, Dana Gabiadini, was the employer of the coachman Fisher.

In fact, compared with other nobles, the siblings have done very well. After Fisher was injured, Dana paid his salary for the next three months. In the past ten days, she also paid for nutrition and convalescence.

Whether it is out of obligation, kindness, or the unique appearance of the nobility, it is difficult for people to find fault with the financial compensation. He is absolutely a conscientious employer.

But they never came to the hospital once, at least not in person. Even though the general's wife, Shelly, had been injured and stayed here for more than a week, Dana only sent a postcard to express her condolences and never set foot in the main palace hospital.

“Finally it’s here!!!”

Darnay watched the carriage slowly approaching the gate from a distance, and at a glance he recognized the emblem of the Galliardini family, a blue castle with a spear on a flagpole. He hurried over, and before the new driver got off, he opened the door himself: "Sister, the show has been going on for more than half an hour, why are you here just now?"

"I'm not here for surgery." Dana, wearing a loose light green dress with a goose yellow shawl on the outside, took her brother's hand and got off the carriage, then told the driver, "Pull the car anywhere at the door. Danai and I will be out in a while."

The new driver nodded: "Okay."

Watching the carriage leave, Dana took the handkerchief handed to her by the maid and gently covered her mouth and nose, then walked into the hospital reluctantly: "This newcomer has good skills. At least he won't take the path that Fisher likes. I thought he would be late, but he arrived in more than half an hour."

"As long as you like it." Seeing her like this, Danai reminded her, "Your expression is a bit too much. It doesn't matter whether you smile or not. Can you relax your brows a little?"

"This is a hospital, a civilian hospital!" Dana couldn't help but reply, "It's one of the dirtiest places in the entire city. When cholera was rampant, I heard that the vomit and excrement in the hospital could fill up the entire sewer. Although there is no plague now, there is still a strange smell everywhere."

After saying that, she couldn't help but snatch her folding fan from the maid's hand, and quickly opened it to fan away the air around her, as if she would faint if she took one more breath.

"It's been so many years, why are you still thinking about it?" Danai stroked her back with his hand, and then said slowly, "You didn't stay away from the hospital just because of such a lame excuse, did you?"

"What do you think? Isn't this reason enough?" Dana panted lightly, her face looked very ugly, but her voice was much softer than before. She had to get closer to her brother before she spoke, "Besides, this place is full of dirty civilians. It's disgusting to look at them for too long."

In fact, Danai was not willing to come, but Fisher's condition had changed, and this change was firmly in the hands of Kavi.

"Whether it's for your coachman, public opinion, or our noble character, you have to come for this operation." Darnay advised, "You still say you want to climb up, how to climb? Rely on me to climb? You didn't even come when General Valente's wife was hospitalized. Do you know how bad the impact is?"

Dana didn't say anything else, just followed her brother and listened. The two walked around the courtyard garden until they saw the sign for the surgical theater and stopped.

The theater was not very big, a four or five-story building surrounded by flowers and plants. There were two gravel paths leading to the general ward and the observation ward. Because there was an operation going on inside, the main door was closed and no one was allowed to enter without the permission of the surgeon. There was only a small opening to communicate with the guard to inquire about the progress of the operation.

There were not many people outside the door. Apart from some medical students and reporters who were not qualified to enter, there was only a mother and son standing blankly in the corner of the garden.

Danai glanced around and immediately spotted them, and walked over with Dana: "Mrs. Fisher, it's me."

The woman was short and stocky, her face was tanned dark pink, there were several tear marks on her cheeks, and she exuded the cheap amber scent that only laundry workers would use. She looked at the well-dressed middle-aged man in front of her who stretched out his hand. Just as she was about to shake it, she couldn't help but retract her slightly swollen right hand: "You, you are Baron Gabiadini?"

Seeing that the man still raised his hand, she rubbed her palm on her clothes embarrassedly and shook it solemnly.

Only then did she see Dana, who was walking behind her, not only bowing repeatedly, but also holding her son's head to make him bow with her: "Ms. Gabiadini, why are you here?"

"I've been busy since the explosion and haven't had time to come to the hospital." Dana's expression eased a little. After listening to her brother's words, she finally closed the fan, but the handkerchief sprayed with perfume could not leave her nose. "I heard that today is the day for Fisher's surgery, so I came with my brother to see him."

"Thank you!"

Dana looked a little lonely. After a long while, she finally said two words: "The new driver's skills are really not good enough. It's only been a week and I miss Mr. Fisher."

"Thank you, thank you so much!!!"

The woman's thanks came from the bottom of her heart. Regardless of whether Dana really cared about her man, at least she gave the money generously: "The man was pushed in at around one o'clock, and he has been in there for almost two hours. I heard that the operation has already started. I hope, I hope it will be successful."

"Don't worry, that's Dr. Kavi Hines, the best surgeon in Europe," Danai consoled him. "Even if His Majesty the Third Emperor wants him to perform surgery, we have to follow his instructions."

"Yes, yes, I heard about it. Thank you so much!" The woman said, clasping her hands together, looking up at the blue sky with tearful eyes, "Thank you kind Miss Gabiadini, thank you Baron Gabiadini, oh, thank God!!!" At this time, the originally quiet operating theater suddenly became noisy. The voices of people kept surging out like the rising tide, hitting everyone's ears.

After a while, a young man wearing a mask and a shirt rushed out of the operating room with two nurses: "You go get some warm water, I'll go get the rubber tube from the preparation room of the observation ward, hurry up!"

Time waits for no one. Plan 3 requires saline solution that is close to human body temperature. Neither too cold nor too hot will work. The two nurses turned around and ran away. Holmes was about to leave when Danai stopped him: "Doctor, you are also Dr. Kawi's assistant, right? How is the operation going?"

Holmes ignored him without even glancing at him. He simply made a detour and ran to the observation ward. "Don't ask. I'll let you know when the surgery is over."

"you"

The other party's attitude was beyond Danai's expectations. After all, he was the Minister of Economic Affairs, so he didn't need to be too respectful. He wanted to go up and argue with him, but when he thought that he was Kawi's assistant, he held back and thought that he would go up and reveal his identity and ask him properly when he returned to the theater.

Five minutes later, he regretted it.

"I'm not the surgeon in charge. It's no use asking me. How would I know?" Holmes was about to walk in with the rubber tube.

Danai finally exploded: "I am the Minister of Economy, a French baron. Can't I ask what happened during the operation? I understand that you don't know the specific procedures of the operation, but you should at least have the most basic etiquette."

The United States does not have an aristocratic circle with such deep roots in Europe, and Holmes himself is not considered to be of the lower class, otherwise he would not have the money to study in Paris. He was deeply influenced by American medical education, and he did not have such a clear concept of the noble and the humble. He even sneered at the etiquette in emergency treatment: "They are in a hurry to get things for surgery, and they still talk about etiquette?! Make way!!!"

He was really anxious and pushed Danai away before he could finish his words.

6◇9◇Book◇Bar

The push was perhaps too strong, causing the Minister of Economic Affairs to stumble back several steps, and he happened to bump into a nurse who was rushing over with several large jars. Suddenly, the sound of glass breaking could be heard outside the theater, even drowning out the discussion inside.

"Ah! What are you doing?!" The nurse didn't know Danai at all. She only knew that the bottle was broken and the freshly prepared saline solution was spilled all over the floor. "It's over! This is for surgery! It's over!!!"

The water spilled on the ground and on Darnay's body. He fell completely into the small puddle, his light yellow breeches were soaked, and his thin blue coat was also half wet, making him look particularly embarrassed.

Plan 3 was originally Kavey's last resort, and there was no other way. The whole process not only required maintaining Fisher's vital signs, but also required preparing a lot of things. The time was tight and the task was heavy. If the speed was slow, Fisher might die on the operating table at any time.

Now this collision messed up all the tight preparations, and Holmes suddenly lost his temper. After comforting the nurse, he said to the guard in a bad mood: "Uncle Jon, kick this guy out!!!"

The doorman, Jon, had worked here for more than ten years, so he must have known Danai and his identity, but Holmes' request was also in line with Kavey's theater rules. There was no need to be polite when encountering people who were causing trouble, making trouble, and thus affecting the progress of the operation.

After weighing the pros and cons, Jon, who was nearly 2 meters tall, walked up to Danai and said, "Mr. Baron, I'm sorry, but once you enter here, you have to abide by the rules. Well, these are the rules set by Dr. Kavi, and no one can break the rules. Not you, not me, and not anyone else."

"What do you mean?"

"I'm sorry, please stay outside. This is my job." Jon picked him up and looked at his wet butt. He suggested, "If you feel bored, you can go back and change into clean clothes. It's uncomfortable to be wet."

Kavey had thought about this situation after Fisher decided to have surgery. Maybe even earlier, after Kavey put Option 2 on the list of options.

Now Fisher faced not complications from surgery, but complications from the methylene blue used in Plan 2.

Methylene blue itself can damage nerve cells, and even if the damage to some people is not serious, it can still stimulate the central nervous system. This stimulation can be large or small, and it would be fine if it only stimulated other nerve tissues, but now it happens to stimulate the brain stem that controls breathing and heart rate.

From the moment Kavi put the cotton pad in, the nurse began to nervously measure his blood pressure and heart rate.

The sphygmomanometers of the 19th century were difficult to use and took time to measure blood pressure, but it was easy to measure heart rate. Fisher's heart rate had soared from around 90 to 112, and the blood pressure just measured was lower than before.

Although Kavey asked Holmes to prepare a remedy, which was what was needed for Plan 3, he was unwilling to give up the methylene blue test, at least not yet, and had been using volume expansion fluids and adrenal extracts, hoping to stabilize Fisher's blood pressure before reaching a conclusion.

"There are still 10 minutes left. What's your blood pressure?"

"The results haven't come out yet."

"What about heart rate and breathing?"

"Heart rate 115, breathing a little weak, probably 20."

"Why hasn't Holmes come back yet? Forget it, we can't wait any longer, let's adjust Fisher's position first." Kavey asked Landreth and others to put Fisher back to the side-lying position just now, and then stopped the discussion on the field, "Everyone, stop for a moment! Stop for a moment, Mr. Fisher is in shock!!!"

Suddenly the whole venue fell silent.

"Unfortunately, the side effects of methylene blue inevitably appeared. It overwhelmed Mr. Fisher's body, and I had to end the staining and tracing early."

Kavi touched Fisher's wrist, stared at the clock and calculated the time, then asked the nurse to add another dose of adrenaline: "116118 is almost there, give me warm saline! Rinse out all the methylene blue."