Nineteenth Century Medical Guide

Chapter 66 63. Broken
Carvey thought of this method a week ago, and managed to get the news that Ignatz was out from one of the coachmen.

In fact, the places where Ignatz went every time he took the carriage were not fixed. From the map, the locations were deliberately scattered among the three blocks.

If there are not many times, these location points will appear very scattered, and it is difficult to find a common point.It's a pity that Ignatz has been there too many times, and because of some habits, he is particularly fond of certain points, so Carvey quickly outlined a general range.

The distance between the points is about 1-2 kilometers. This is a suitable distance that seems not close but not tiring on foot. In the middle of these points is the destination of Ignatz.

"Hoinz"

Carvey looked at a map in Ignatz's office, and didn't know how to tell Elena about it: "That place is not very serious."

The unscrupulous places are nothing more than the three major items, pornography, gambling and drugs.

It's definitely not a bet. More than half of Ignatz's money is eating interest in the bank, and the rest is used for work.Buying cadavers, making equipment, studying medical publications and surgical atlases all require money, and the amount of disposable money is not high.

If it is poisonous, it is actually the norm because of the age factor.

With the current level of pharmacology, even if there are voices of doubt, medical textbooks, medical journals, and almost everyone who has studied medicine cannot deny its curative effect.Ignatz is under so much pressure, it's normal to come a little bit, there's no need to lie to others.

There was a bottle in his desk drawer, locked, but the last time Carvey had seen it. .

All that's left is yellow.

Staying outside and not going home has already proved some problems. It doesn't matter which one it is. Anyway, there are too many such places on the entire Hoinz Street, so there is no need to study it carefully.

Of course, Carvey can't completely deny Hoinz Street, after all, Mick has been there, and Bergert, Hans and himself have also been there.Just going to the same area over and over again, even at night, is quite suspicious.

Kavi didn't want Ignatz to have an accident. Anyway, after coming here, he relied on this teacher to take care of him. He is not a person who does not repay his favor.

But judging by Elena's attitude, I'm afraid she won't give up until she finds out his old bottom.Paper can't contain fire, and it seems that it has reached its limit after hiding it for so long.

Now Carvey only hoped that this trivial matter of daily life would not affect Nora's cesarean section. This operation not only related to the life and death of Nora's mother and child, but also related to the honor of the entire Department of Surgery of the Municipal General Hospital.

If both mother and child can be safe, it will be a great success that has caused a sensation throughout Europe, and the so-called innovation that Varela has been stuck on Ignatz's neck has to be sidelined.

However, the probability of this kind of success is very low. Kavi is originally an assistant, and he can only be ranked behind Hills and Herman in major operations such as cesarean section. His role is limited, and he does not expect this kind of success.

In his opinion, even if only Nora survived, it would be considered a success. At least it could make Marcus next door misfire and maintain the status quo with peace of mind.

Even if the operation really failed, it had to fail beautifully, at least to be able to exit the stage as a person who tried his best, instead of being caught by his wife and making people laugh at the end.
He has seen too many cases of failed operations due to "fire in the backyard" at home, some of which were his own fault, those with parents, wives and children, and various relatives.But when it comes to the final identification process, these mistakes will only be counted in the technique of the chief surgeon.

Kavi folded the map as it was, and stuffed it into the drawer: "I should hide it or I should hide it. Fortunately, I coaxed her back. Let's talk to Ignatz in the evening."

No matter how messed up Ignatz is outside, Carvey can't control it, and he doesn't bother to control it. He can at most mention a few words to let the other party pay attention.

All he can manage is the postoperative care of those patients in the ward and his own laboratory.

The effect of oxytocin is obvious, and Savarin did record the experiment process in its entirety.Except for the observation group 1, the suckling mice in the control group and the observation groups 2 and 3 received different degrees of care.

"The suckling rats in Group 1" Savarin couldn't face the reality, "Four suckling rats died and one was disabled. Casey was too irritable."

Carvey glanced at the cage, and his reaction was quite flat: "Oh."

Savarin's eyes were full of sadness: "They are dead, they were bitten to death."

"Beasts, it's normal." Carvey gave him a look back, almost enough, "Didn't you find that the injected reagent can stimulate their motherhood?"

"...It can be seen." Savarin had to admit that oxytocin is quite miraculous, "Rachel and Mary's maternal behaviors are all recorded in my notebook, and they will put the children in the nest and take care of them carefully, and I will breastfeed them They will try to attack me from time to time."

Carvey looked at the contents of the standardized experiment record and nodded repeatedly: "I took the record away, you can continue the experiment below."

"Do you want to do it?"

"Of course." Carvey didn't have the time to chat with him, so he said directly, "All the remaining suckling mice will be taken care of by the mothers who have given birth to minimize their mortality. Rats are in the same cage, so they have to continue to give birth.”

"Kathy, Rachel, and Mary all have to live?"

"...Isn't this nonsense." Kavi frowned and looked at him, and couldn't help complaining, "It's not your fiancee, why are you uncomfortable here?"

Savarin couldn't say no to him, so he could only nod his head: "Okay, the same cage is the same cage."

Carvey carefully inspected the three female rats that had undergone the last round of experiments, and asked: "You gave Mary 1ml, right?"

"Correct."

"1ml"

Theoretically speaking, 1ml of modern oxytocin is equivalent to 10 units (there are also 5 units, with different specifications), and it is mixed with vasopressin, which is fatal to animals of the size of voles.

Therefore, the oxytocin used in Carvey’s experiment has been diluted, and Savarin used 30% stock solution. Considering the preparation method, it is already very good to have 1 units in 2ml.

Carvey carefully speculated on the ratio of vasopressin and oxytocin, and said solemnly, "Give Rachel and Mary 2 and 0.5ml of oxytocin every 1 hours, and carefully observe their daily life."

Savarin hadn't thought about the dangers of the medicine, so he just recorded these contents: "The experiment is okay, I will do it, but the medicine is running out."

"Run out?"

"You just gave two tubes, which is definitely not enough according to this usage."

Nora is about to give birth, and it is impossible for Carvey to spend all the medicine on the experiment at once: "You do the experiment first, and stop when you run out. I will take care of the medicine, probably in the next two days."

"Row."

If placed in the 21st century, Carvey's experimental process is really a bit messy.

In order for the operation to be performed safely, he should first test the safety of oxytocin, then test the effect of oxytocin and postpartum hemostasis, and then consider analyzing the maternal behavior caused by oxytocin.

But it's the 19th century, and voles aren't sterile guinea pigs, they're not clean.In order to do a good experiment on puerperal infection, external factors need to be eliminated, and each one needs to be cleaned with a lot of alkali soap.

They were understaffed, and the experimental materials were also seriously insufficient. Doing safety experiments directly would easily lead to the death of a large number of samples, so Carvey made some changes to the experimental process.

According to his plan, after finishing the maternity behavior test, the next step should be mass production. Frequent mating will produce more than a dozen pregnant mice at a time.The effect of oxytocin can be roughly seen by injecting oxytocin during delivery, and the infected bacterial fluid can be used after delivery to make a rough model of puerperal fever.

After having the control group of the puerperal fever model, the same infection bacteria solution can be mixed with high-concentration alcohol and bleach to become a new observation group.

But these are things for later, and it depends on the effect of the same cage.

And the most critical thing now is the problem that Savarin emphasized just now, the production of oxytocin needs to keep up.

Thinking about it now, the amount of rabbit brains is still too small, and Kavi can no longer go to Alphonse for rabbit brains in an attempt to save money, but has to find a way to get some pig brains.It happened that Fernan was in the business of slaughtering pork and beef, which was much more convenient than a chef.

"You want pig brains?"

Carvey quickly emphasized: "Fresh pig brains!"【1】

Fernan was a little embarrassed: "This is not easy."

Carvey is not afraid of his embarrassment: "It's really not easy to get it, but I want a lot, let's get ten first."

"That much?"

Fernand is tasting the tincture of crow (anti-harmony) flakes handed by the nurse, mixed with some wine
"If Mr. Fernan can get it for me, the price is negotiable."

"Fresh pig heads are indeed not cheap, but the money is second. The problem is that no one has cut the pig's head seriously. If you chop it off with a knife, the brain will be scattered."

"The specific process is actually not difficult. You are proficient in swordsmanship, and you will learn it once you teach."【2】

"There are two of my guys in the butcher shop, they are skilled workers, you can go to them directly." Fernan took the paper and pen from Kawei, "As for the price, the pig's head is cheap in the first place, including processing Three crowns a head. I'll write you a note, and you just give it to them."

"Okay, thanks."

Fernan was in a good mood. Who would have thought that he could negotiate such a large amount of business while lying in the ward: "Doctor, when will I be discharged from the hospital?"

"It depends on the recovery of the wound." Seeing him pouring "medicine" into his mouth, Carvey couldn't help reminding, "Drink less, wine is not very friendly to wound recovery."

"Huh? Is that so?" Fernan put down the bottle reluctantly.

Since coming here, Carvey has not seen many patients with good compliance. Seeing that he is so obedient, he can chat a few more words: "If you are in a hurry to leave the hospital, it is not impossible, let your family take you away. But you have to Make sure to come back every other day to change the bandage, and the wound cannot touch anything, including water."

Fernan thought about it for a while, then shook his head: "It's so troublesome, let's forget it and go to the hospital."

"Alright, drink more water. The filtered and boiled water is very clean." Carvey put the freshly boiled kettle beside his bed, "Don't keep thinking about drinking."【3】

"Thank you doctor."

Carvey has now completely taken over nursing on the surgical ward.

He knew that his status was not high enough, and he would definitely encounter resistance when conveying his requirements to the nurses.Therefore, Carvey incorporated his experience into some nursing rules written by Nightingale, which reduced the resistance of nurses when they were learning.

After these days of practice, they have mastered the technique of changing bandages, and learned some basic disinfection techniques, and the modern nursing work has begun to slowly unfold in the ward.

Carvey just needs to wait quietly for his efforts to bear fruit.

"These postoperative patients change their bandages routinely. If there is any ulceration, come to me again. Don't change the bandages in Eston, who is in bed 11. The wounds are fine; Mrs. Gail will be discharged from the hospital tomorrow, remember to remind me before leaving She will come back for a follow-up visit in half a month. As for Fernan's wound, which is more sensitive, the thread may break if you go there, so I must come."

Carvey ordered the next work: "The trouble now is Mr. Alphonse's ass, you need to do more work."

"We've talked to him many times, but it's useless." The nurses didn't feel that there was anything embarrassing about the nursing work. On the contrary, their faces were more displeased. It's not a matter of gender, he just doesn't trust us."

Nursing also requires practice and experience.

These nurses are available to Carvey, and there are not many who are willing to perform hemorrhoid surgery, so he can only bite the bullet and let them do it: "Forget it, if he still insists, come to me again. Let's talk about that first." A new patient here just transferred from internal medicine, Mr. Schmidt, bed 9."

"His abdominal pain is severe again," said a nurse.

"Well, I know, judging from the painful part, there should be something wrong with the appendix." Carvey looked at the medical records sent by the internal medicine department and said, "I will check with Mr. Ignatz when he returns to the hospital. Before that, don't feed him crow (anti-harmony) tincture."

"I can see that he is almost speechless in pain."

"For the sake of diagnosis, there is no other way but to let him endure as much as possible."

While talking, suddenly there were some noisy voices outside the door.

Carvey went out to look, and it turned out that there was something wrong in the maternity ward next door. Several nurses were busy working together, and a midwife could be seen inside.Seeing someone in the surgery department, an elderly nurse ran over soon: "Is Dr. Ignatz here?"

Carvey shook his head: "The teacher is out, not in the hospital."

"When can I come back?"

"I don't know either, probably at night."

"Why are you missing at this time?" The old nurse was a little anxious, "What about Hills and Dr. Herman?"

"The two teachers are not here, and they are both undergoing surgery in the theater. The time should be fast." Carvey asked, "What happened?"

"Bed 24, the girl named Nora, her water broke!"

(End of this chapter)