Nineteenth Century Medical Guide

Chapter 60 58.0% Mortality Rate
At 7 o'clock in the morning, Alina arrived at the hospital.

She quickly got out of the carriage as usual, went straight through the first and second wards, and came to the surgical ward of the third ward under the jurisdiction of her husband.There was no one else in the ward except the nurse, so she quickened her pace and knocked on the door and walked into the dissection room.

Ignatz was sitting at his desk writing, but Alina was not in a good mood, it could even be said to be quite bad.

She knew her man wasn't here last night, because she had been here at eleven o'clock in the evening, and the lights were on in the autopsy room, but Ignatz was not there.It was impossible for Alina to stay with the dead body all night, so she waited until 11 o'clock to meet and then went home.

She knew that there must be something wrong with her husband, but she still kept restraint and didn't want to quarrel: "Where did you go last night?"

"I've been here the whole time." Ignatz looked up at her and continued writing his autopsy notes.

Facing her husband's usual routine, Alina was not satisfied, and kept staring at him until Ignatz realized that the matter was not simple, and then explained: "You know I will go shopping in the middle of the night, and I need a hair dryer. , calm down. I have an operation this afternoon and I need it.”

"Surgery, you only know surgery!" Alina lowered her voice, "Who told me back then that I would go home and sleep as much as possible?"

"I said I would go home the next day. On the day I don't go home, I need to prepare for the surgery."

"Go home the next day." Alina closed the door of the dissection room, and finally began to vent her dissatisfaction, "I want to ask you, who did you marry? Did you marry these gutted corpses? Or were you thrown away?" A dead pig going to a slaughterhouse?"

"You're here again." Ignatz put down his pen and emphasized, "I want to work!"

"Okay, work." Alina was already prepared, "Even if we agreed to go home the next day, what about the night before? Where are you?"

Ignatz habitually wanted to say that he was in the anatomy room, but suddenly thought that Carvey had been staying in the ward with Alphonse that day, so he could only change the reason: "I went to see Sears to discuss the cesarean section. process issues."

"Heh, Hills was having dinner with the vice president of Grosz Hospital that night." Alina reprimanded, "Because he didn't think he could get the chief surgeon position he wanted here!"

Ignatz shook his head: "Sills is not good enough to take on the job of the chief surgeon."

"What about your assistant position?" Alina continued to retort, "Since you think he is lacking, then you have to teach him, but you gave the assistant position to a tree feller who has never experienced medical education !"

"Kavi is more talented than him."

"I'm not targeting him, I know he's very talented. But Kavey is only 17 years old, and he can learn slowly from Hills and Herman. Hills is 28 years old, if he doesn't get another chance He can only go to Groz Hospital, where you have the final say!"

"Ok ok, I see"

Alina stepped forward, waved away the stench from the corpses around her, and sniffed her husband's shirt carefully: "This time I changed to rose perfume."

Ignatz was a little surprised, but quickly regained his composure: "It's the alkali soap that Kawei got from somewhere, and there's rose essential oil in it, so that's why."

"I don't know what the smell of alkali soap is?" Elina asked regardless of these reasons, "Who is it?"

"I don't have any other women."

Alina has no patience with him, and she also trusts her intuition: "I don't care which woman you have outside, I will give you one last chance. Break off the relationship, go home on time every day, or... I don't want to say this word , so don't force me."

"I really"

"Remember, this is the last time!" Alina closed the door heavily.

Ignatz's lifestyle has been going on for a long time.

Alina wasn't inconsiderate, on the contrary, her world revolved around her husband from the very beginning.She hoped to be by Ignatz's side and watch him grow into the best surgeon in the world, so she took the position of director of the personnel department based on her own conditions.

But as time passed, Elena found that her efforts did not have any real returns.The applause belonged to Ignac, the flowers belonged to Ignac, and even the photos posted were of his surgical assistant on the same stage.

I have paid so much, but the life I longed for has not come, but it has become more and more fragmented, and I can't even meet the most basic requirement of "going home".

Who can bear the fact that her husband doesn't come home every now and then?

At nine o'clock in the morning, after finishing the meeting in the dean's office, Elena locked herself in the office, replaying the clip of the confrontation with Ignatz just now in her mind, trying to find some reason to deceive herself.

Perhaps all of this is the same as what Ignatz said, he is indeed preparing for the operation, and he is indeed adjusting his state;
Maybe it's just my own misunderstanding, and this kind of dialogue between husband and wife is not beneficial;

Maybe he is really under too much pressure and needs some release;

perhaps
The exhaustion of a sleepless night made her fall asleep quickly, until a clear and rapid knock on the door came in.

dong dong dong~
Alina quickly sat up straight, and quickly arranged her hair and makeup: "Please come in."

"Teacher Alina, it's me." Carvey smiled and opened the door, showing half of his head, "I have something I want to discuss with you."

"Oh, come in. What is this thing?"

In a sense, Alina still likes pets very much.It's just because of the work of myself and my husband, and because the family didn't hire a servant.

But pets are pets, animals are animals, and home and hospital are two completely different concepts, so when she saw the five large cages of voles behind Carvey, Alina almost sprayed the coffee in her mouth on his face .

"What are you doing? Are you holding a field mouse barbecue meeting like an African?"

"I want to talk to you about Mr. Ignatz."

"No. This."

Carvey knew what he meant and said, "Let's talk about this after we finish talking about the teacher."

His request is very simple, he has already left No. 73, no matter whether Laszlo's house can be obtained, he can easily and happily follow Ignatz's side.He could satisfy Elena's previous request, and the matter about Laszlo's family doctor had already disappeared, so Elena should also give herself some other benefits.

Carvey is indeed changing the focus of Ignatz's training, which is an important reason why Hills wants to leave here.Alina knew very well that although her husband didn't take care of the family, he was still very accurate in judging people. Karvey's talent and ability were indeed stronger than Sears'.

Of course, the most important thing is that Elena needs him to keep an eye on her man.

"what do you want?"

"I see that there are some vacant rooms next to the dissection room, can you use them for me?"

"What do you want a room for?"

Carvey pointed behind him: "I need to do some experiments and give them some room to move."

Alina looked at the voles jumping around in the cage, and felt hairy in her heart: "Can you move back to the hospital now?"

"No problem, I can stay in the hospital 24 hours a day." The experiment is about to get on track, and Carvey is in a good mood, "And the laboratory room is very close to Mr. Ignatz, so I should be able to complete your task. "

Although Alina holds a lot of power, it is limited to personnel transfers, and she can't guarantee that she will be able to handle it with such a big mouth like Kawei: "It's too difficult to ask for the right to use two rooms at once. .”

Carvey originally wanted to wait for the time to go to university, but Ignatz disagreed.Considering that his status was too different from the professors, he had to be careful and arrange the experiment process of oxytocin by himself.

But he has only been here for a week, so it is really outrageous to directly apply for a private room allocation.If you don't show the importance of the experiment at this time, I'm afraid you won't be able to get your own laboratory.

Ten minutes later, Alina took Carvey to the director of the General Hospital.

But the two were stopped by the secretary at the door: "The dean is talking to Dr. Marcus, please wait a moment."

Carvey is not familiar with people outside of surgery, and naturally does not know Marcus.But judging from the voice leaking from the door, the three sentences are all about surgery, it should be the doctor in the maternity ward next door: "Teacher, who is this?"

"Marcus Drake, your teacher's deadly enemy." Alina said with a sigh, "I'm afraid I'm here again for the assignment of the ward."

"Aren't there a lot of maternity wards?"

"Not enough. The two wards of the obstetrics division, east and west, are full." Alina said, "And he is facing your surgery department in the third ward. How many people are there in the surgery department? Many wards are not full, and sometimes there are vacant rooms. Case."

The status of a hospital's departments is often linked to the number of disease sources and income, and the types of surgical operations are limited, which is still too weak no matter how you look at it.

Looking at it now, if it weren't for the support of Ignatz and Elena, the surgery department of the Municipal General Hospital would have been reduced to a marginal department long ago.

Of course, in addition to this, there is also the cesarean section that surgery has been pinching in its hands.It was only after several consecutive failures that Marcus could hardly sit still, so this conversation came about.

The door opened, and the dean and he came out one after another: "Dean, cesarean section can't be the reason for the surgery to take up so many wards."

"Surgical operations are accidental. Cesarean section has a high mortality rate. Now we are the only ones in Vienna that are still doing it. This can be regarded as providing a source of disease for your obstetrics department."

This is a fooling word, how can it be possible to provide a source of disease for the hospital to carry out an operation with a mortality rate of more than 60%, Carvey couldn't help shaking his head when he heard it.

Marcus has worked in the obstetrics department for many years, and he has heard this sentence no less than ten times. Now that the problem of ward allocation has reached the point where he cannot make progress, he can only put down his harsh words:
"Dean, no matter how you look at it, obstetrics accepts patients in accordance with the new national policy, which is the basis for the hospital to stabilize the source of disease, and surgery can only be regarded as icing on the cake. If in the next cesarean section, if Ignatz If you mess up the operation again, I can only bring my colleagues to see you."

"Then let's wait until the cesarean section is over."

Marcus glanced at Alina who was not far away, and could only leave indignantly.

This can be regarded as forced palace in disguise, but Marcus has such capital.

The obstetrics department has quietly surpassed the tepid surgery department and became the second largest department in the Municipal General Hospital. Both the number of patients and the cure rate are much higher than those of the surgery department.It is obviously inappropriate for such a department to allow patients to squeeze extra beds, and even share the third ward with surgery and gynecology.

"Elena, why are you here?" The dean quickly recognized Carvey with sharp eyes, "This is Mr. Carvey, who has been very popular recently."

Elena didn't know how to bring this up, but Kawei didn't have any scruples, and instead raised the volume: "We want to apply for the two empty rooms next to the dissection room as laboratories."

Marcus had just left, and before he went downstairs, he immediately reacted when he heard this sentence from a distance: "Wait! Those two rooms are mine, and they will be used as an intensive care unit for postpartum patients with high fever. pregnant women."

"Why do you have to say that, why don't you just say it's a pregnant woman in the first ward?"

Perhaps because of the influence of Semmelweis' dismissal, Carvey became eccentric: "After all, 10 out of 9 patients with high fever come from the first ward, and the mortality rate is 10%."

Marcus was poked at the pain point, and began to avoid the crux of the problem and instead attacked Carvey's identity: "Who are you?"

"An obscure surgical assistant."

"Surgical assistant?" Marcus said angrily, "And the surgical death rate is much higher than ours, Ignatz has to be polite when he sees me, what right do you have to talk to me like that? "

"Well, the mortality rate in the first obstetrical ward is higher than epidermioma resection, lithotomy, lithotripsy, haemorrhoidectomy, cleft lip repair, most rhinoplasty, strabismus correction, some hemangioma resection It's just high, it's really low."

The same sentence completely changed in Kawei's mouth.

Marcus couldn't speak to him. After all, these are facts, so he could only scold: "Dean, it is a disaster for such a person to stay in the hospital!"

The dean shook his head again and again: "No, no, Marcus, he is now Ignatz's first assistant, and several operations have been performed very beautifully. Even among the patients he personally managed, there was not a single death."

These words are obviously helping Carvey, because Carvey is only one patient in Eston.But as long as the number of patients is blurred, this 0% mortality rate is quite bluffing.

"No way." Marcus shouted in disbelief, "How could an assistant do this?"

Carvey once again sorted out the evidence chain he had prepared [1]. Although it was a little earlier than the original plan, in order to win the laboratory, he still needed to solve the problem of the ward: "I finally understand, it turns out that Semel That's how Dr. Weiss left the hospital."

The name seemed to be a blockbuster, and the three of them, including the dean, cast strange glances.

"Since Dr. Marcus is willing to ask the director for a ward for the febrile mothers in the first ward, I think it's better to start from the root cause and solve the chronic illness that has persisted for decades."

(End of this chapter)