Nineteenth Century Medical Guide

Chapter 59 57. Small business

There is a lot of soft tissue accumulated in the groin, which is also an important node for leg activities, and it is very easy to become a nutrient for bacteria.Even in modern times, hernia surgery often encounters wound infection that is difficult to heal.

Moraso's groin was a large open wound, and the operation had touched a severed intestine, so serious infection was inevitable.Careful debridement is required during treatment, and there are certain requirements for subsequent disinfection.

If there is no alcohol, it is difficult for Carvey to guarantee that the wound will heal.

But Laszlo's throat is less troublesome.

There was only a thin incision of about 2cm, and the suture was done by Kavey himself, so the possibility of infection was much lower than that of Moraso.So Carvey didn't rush to get alcohol yesterday, but chose to check the situation first today.

"Mr. Laszlo, the wound looks good." Carvey took the clean gauze from the butler, folded it into a small square and pressed it on the wound, "I think the stitches will be removed in a few days."

"Really?"

Laszlo originally wanted to habitually touch the place with his hands to see what it felt like, but suddenly remembered Kavey's warning just now, and immediately stopped his hands: "Don't touch it without washing your hands, and you must not touch it. If you touch it, you will be with Mora Sir Earl Sow."

"Habits like washing hands have to be developed slowly, and it will be a bit awkward at first."

Carvey smiled and sorted out his things, and said to the housekeeper beside him: "The bandages are still according to my requirements that day. Wash them first, dry them in the sun, and keep them dry. They can be fumigated with steam before I come next time, and then they can be used."

"Yes, Mr. Carvey."

Laszlo was in a good mood, got up and looked in the mirror, and suddenly asked: "By the way, I heard that you went to see the count yesterday. How is he doing now?"

"Earl Moraso? The wound is quite serious and has suppurated." Carvey said, "I did a thorough debridement with the teacher, and it depends on the situation tomorrow morning. If it can heal this time, the problem should not be too big .”

"It's not a big problem?" Laszlo buttoned up his shirt. "I heard people say he's dying."

"It should be that the rumors are not true."

"Why does it feel like the newspaper reporters are messing around again? I was the same that day. They are all lords who fear the world will not be chaotic. I still hope that the Earl can recover as soon as possible. The empire still needs him." Laszlo put on his coat and pulled up a chair Come here, "Sit down, let's have a good chat."

Still talking?

"Mr. Laszlo, there are many things in my hospital."

Kavi wanted to leave, but Laszlo didn't give him the chance: "Just chat for a while, after lunch, I'll ask the driver to take you back."

It's hard to turn down others' hospitality, so Kavey can only sit down.

"Listen to Naya, you rejected my invitation."

"It's really because I'm not good at learning, and I'm afraid I won't be able to do this job well." Carvey had already made preparations, and said modestly with a smile, "I still hope to learn more from Mr. Ignatz."

Laszlo didn't expose him, just sighed again and again: "I'm 38 years old now, I want money and connections, so I want to live for two more years and contribute to the empire. Of course, I won't force others , it is really unreasonable to lock you in this manor."

"Mr. Sheraslow understands."

"So I bought you an apartment in the residential area next to my manor." Laszlo smiled and took a key from the table, "All the furniture is there, and the decoration is not bad according to the housekeeper. , can live in anytime.”

Carvey:? ? ?
"It's for you, the title deed is here."

With short hands, Carvey looked at the land deed and already guessed his request: "If Mr. Laszlo has something to do, do I have to report to you as soon as possible?"

"Huh? Aren't you unwilling?"

Carvey was taken aback: "Is it another request?"

"A request? Why do you have to ask for something to send?" Laszlo wanted to laugh, laughing at Kavita's shabbiness, but considering that his throat is not good, he forcibly endured it, "I don't force others, and I don't have any demands. Just listen Said that you have no place to live, so I bought it for you as a reward."

To be honest, Carvey really did not expect to receive such a big gift.

It's just a simple air cut, and a traditional air cut in modern times costs only a few hundred dollars.If percutaneous tracheostomy [1] is used, the price is only four digits, which is nothing more than the cost of the equipment, and the operation is not difficult.

Now send the room directly, this operation Kawei has never seen before.

"By the way, where is Mr. Ignatz?" He still maintained the humble attitude that an assistant should have. "In fact, more than half of the entire operation was performed by him. If I didn't faint in the end, I would have no chance."

"Don't worry, your teacher has one too. He was going to give him an apartment, so it would be closer to the hospital. But he seems to prefer corpses, so I helped a little. Don't worry about it, it's just an apartment. As far as my life is concerned, it is nothing at all."

Laszlo explained him a few words and asked, "By the way, do you have any other requests?"

"How dare I make any demands. Only."

"But what?"

Carvey suddenly thought of the oxytocin that he had been tinkering with these days. He always felt that he would suffer a loss if he did it as a person who didn't understand business.

However, the tradition of small workshops was still preserved in the middle of the 19th century, and the fledgling industrial production did not cover the pharmacist industry that had lasted for thousands of years.Most medicines are still in the era of single-handed operation, and there is no concept of sales and wholesale of medicines.

There are not many decent pharmaceutical factories in the world, so Carvey had some bold ideas: "I heard that Mr. often invests. I wonder if you are interested in investing in pharmaceutical factories."

Laszlo's business territory spans the continent, but there is little involvement in "medicine".

"Pharmaceutical factory? Can this kind of factory make money?" After entering Laszlo's field, his attitude immediately changed back, "Pharmaceutical factory is not a hospital. There has to be a profit."

"The benefit is nothing more than the efficacy of the drug." Carvey explained, "The efficacy depends on the results of the drug experiment and the reaction of the medical community after the results are released. As long as the effectiveness of the results is guaranteed, the patent can be used by the pharmaceutical company. Bring in a steady stream of income."

After hearing this, Laszlo nodded slightly, and had a new orientation towards the young man in front of him.

Carvey is probably not just a surgical assistant with outstanding talents, but also a businessman's mind.It's just that Laszlo is not very interested in medicine, and his reason is very simple: "Did you just talk about patents?"

"Yes, patents, as long as the new drug is patented."

"Mr. Carvey." Laszlo interrupted him, "I'm not questioning your professional ability, it's just that the land under your feet has not promulgated the Patent Law."【2】

Carvey did not think of this, because it is common sense in modern times: "There is no patent law?"

"I'm pretty sure, no."

"In this way, once I publish the formula of the medicine, all Austrians can make it themselves?"

"Not at all." Laszlo said, "I remember that both Austria and Hungary have relevant patent systems. You can apply for a patent to protect your rights and interests, and you can be regarded as protected by law."

Carvey:? ? ?
He didn't understand what the other party meant by going around such a big circle, so he could only continue with doubts: "As long as you have a patent for a new drug and get the production line, your income will never be less."

Laszlo didn't answer, but in the next half hour, he told him a story from the United States on the other side of the ocean.

Twenty years ago, such a drug was discovered to treat patients. The discoverer, like Carvey, was an assistant in the surgical clinic.

In order to prove that the drug is practical, he specially entered Harvard Medical School to study medical skills and pharmacology with his tutor, and finally found the possibility of drug use.In a subsequent live demonstration, the discoverer showed the audience the actual effect of the drug, which was a great success.

Everyone believed in the efficacy of the drug, but many accidents occurred when applying for a patent. 【3】

"Do you know what are the accidents?" Laszlo asked tentatively.

"Someone competes with him for patent ownership?"

"You are really smart. The first person to grab a patent was his mentor at Harvard Hospital." Laszlo took a sip of water and continued, "If there is the first one, there will be the second one, and the second one is when he discovered the drug. A doctor friend of mine."

".Is there a third one?"

"Yeah, there is a third one. The third one came out of nowhere. He came and said that he had discovered the medicine before, and the four of them went to court."

Laszlo continued: "You should understand what I mean, I don't doubt your professional ability, because I don't understand it, but I doubt your ability to apply for a patent, because I understand it.

You must know that this is the United States. The patent law has been implemented for more than half a century, but the patent of this drug still has no answer.What you have to face now is Austria, which has not promulgated laws. I need to put a question mark on whether it can defend its own patents. "

Patents are a bit far away for ordinary doctors, and they don't have much contact with them at ordinary times.But for a surgeon like him who has been fighting on the front line, there is a patent on surgery.Not just surgical methods, but many improved surgical instruments around new methods, which can be patented.

So Carvey knows exactly what it takes to patent a drug.

The difference between him and the discoverer is that when others are still standing on the starting line, Carvey is already waiting at the finish line: "Mr. Laszlo, don't worry, I can guarantee that the drug will be creative and practical." sex, and even guarantee its uniqueness.”

"Can you guarantee the only one?"

"Drug patent protection is the only one."

Laszlo could see that Carvey was not lying, but his rationality told himself that there was no way a 17-year-old child could be proficient in surgery and at the same time be proficient in pharmaceutical preparation.

The key is that he is still a commoner who has not received much education at all.

"You have to know that many materials need to be prepared before applying for a patent, including drug preparation, experimental protocols, experimental results and all data, and finally related paper materials." Laszlo asked, "Are you sure you can write?"

"no problem."

"You know Latin?"

"meeting."

"Who taught you this?"

"My father."

"This is unbelievable." Laszlo did not hide his surprise, and sighed, "I knew a Hungarian doctor before, but because he was not proficient in Latin and Austrian German, he was unable to express himself. the opinion of."

"Like a surgeon who loses his scalpel."

Laszlo looked at Carvey with a serious expression: "He has a weird temper, but you and him should be able to become good friends, because he often reminds me to wash my hands."

"Oh?" Carvey became interested, "What's his name? I may have heard of it."

"Semmelweis." [4]

Carvey has indeed heard of this name, and he is familiar with it, but he can’t remember it for a while, because he is not very interested in medical history: “Which hospital does he work in? If there is a chance in the future, I might be able to go there. Visit him."

"Centrocus Hospital, Hungary."

"Well, I'll make a note, if I have time"

"This is now. Two years ago, he was working at the Municipal General Hospital."

"City.Vienna's City General Hospital?"

"Yes." Laszlo nodded, and finally added, "He is an obstetrician."

Carvey received the title deed, and heard that the house still needs some transfer procedures, and it will take two days to hand it over to him.

The matter of the pharmaceutical factory was just a proposal on his whim, and Carvey's self-confidence also brought some interest to Laszlo, but there was still a long way to go before it could be implemented.At least he needs to prepare the experimental data and related papers, and wait until he obtains the drug patent before proceeding to the next step.

In the end, this is just a small business for Laszlo, but it is indeed a very important step for Carvey.

Carvey sat on the carriage back to the hospital, all he could think about was Dr. Semmelweis.

It wasn't until Laszlo pointed out his obstetrics and gynecology specialty that he remembered the doctor's deeds.When I was young, when I was just studying surgery, my teacher mentioned something, but didn't elaborate. Now it seems that the mess in the maternity ward of the Municipal General Hospital only appeared after he left.

Maybe Carvey is from the 21st century, and he has a lot of understanding of the chaos of medicine in the 19th century, and he is also psychologically prepared.He was not like Semmelweis, who was against all doctors because of washing his hands, and denounced their behavior as tantamount to killing.

Because he knew that the doctors at that time were killing people, and tapping through them would break their defenses, and he was outnumbered. In the end, he was the one who broke the defense.

What happened to Semmelweis is a perfect example. Even if he was right, no one accepted it.These doctors have long fallen into the sweet trap of saving all mankind, and their exuberant self-esteem made them ignore the mistakes under their noses.

And the way to break the game can't rely on words, it has to use experimental data to speak.

"Mr. Carvey, the hospital will be here soon."

At this time, the voice of the carriage driver came from outside the window, and Kawei hummed, and opened the window to look out.Under the scorching sun, there was a lot of traffic at the entrance of the Municipal General Hospital, and patients and their families could be seen entering and leaving from time to time.

His eyes slowly focused on the entrance of the hospital. There were many people standing there, wearing dark green overalls, with several cages at their feet.

"The experimental materials have arrived."

(End of this chapter)