Nineteenth Century Medical Guide

Chapter 67 64. Opinions are unified, but people haven't come yet
The calculation of the expected date of delivery in the 19th century was not rigorous, and Nora's expected date of delivery was roughly determined to be in March [3].

According to the previous plan, as long as she enters the expected date of delivery, once abdominal pain (uterine contractions) occurs, she needs to undergo a cesarean section in time [2].But now Ignatz, the first assistant, and the second assistant are not there, and even Dr. Marcus, who is in charge of the ward, doesn't know what to do.

"Where are the Ignacians?"

"I just finished a set of lithotripsy + circumcision, and now I'm going out to do some errands." Carvey could only bite his tongue, "Teacher, it's useless to be anxious now, you can only wait for him to come back before going to the operating table." .”

"Wait?" Marcus questioned the obstetrics knowledge of the young man in front of him, "Her water broke, do you understand what a broken water is? The broken water in the head and basin must be operated immediately, otherwise not only the child will die In the stomach, it will also affect the life of the mother."

"Of course I know about broken water. These are the basic knowledge of obstetrics." Carvey didn't want to talk nonsense with him, "But now that Mr. Ignatz is not here, what can I do?"

Marcus looked at Nora who was in a daze, and asked, "How do you feel now? Is the child still moving?"

Nora covered her stomach with both hands, with a blanket under her waist, and amniotic fluid-soaked sheets and dressings between her legs: "It was still moving just now, now."

"How is it now?"

"I, I can't feel it."

Husband Fleurney appeared in the ward for the first time, and now he is sitting beside her, holding a cane in his hand, very angry at his wife's ignorance: "Such a big child is in your belly, don't you know? "

Nora is only 19 years old and can only rely on her hospital experience these days: "He doesn't move much usually, maybe he is resting now."

"Is your stomach still hurting?"

"Well, it hurts every now and then."

"The contractions have begun"

Fleurney couldn't understand these words and asked, "Doctor, when will the child come out?"

"How can it be so fast to have a baby?"

"But there is so much water coming out."

Marcus knew that this kid never cared about his wife, and he never listened to the conversation carefully, and now he was too lazy to explain these things to him: "Okay, okay, these things have already been explained to you when you were admitted to the hospital, Now, can you wait for me to finish asking you first?"

Fleury could still understand human speech, so he temporarily shut up.

Marcus on the side kept thinking of ways in his mind.

In the 19th century, infant mortality was very high, and the probability of 5000 newborns surviving the first year was about 60%.In the absence of informed consent, when encountering life-threatening troubles, doctors will basically suggest to keep the big ones and abandon the small ones.

It's just that women don't have autonomy, and it's not up to them to decide whether to give birth or not.

"Doctor, I've already said before that she is definitely going to have a baby." After a few minutes of silence, Flenny poked the ground with a walking stick to vent her dissatisfaction, "If you can't let her have a baby, then I'll take her back!"

go back?

The suggestion made by a scumbag who slapped his head became the focus of the game between the beds again, and an extremely delicate balance was formed between Carvey, Marcus, Flenny and Nora.

Since the income was cut off, Fleurney didn't want Nora to give birth in the hospital, and no one would take care of her when she went home, so she lost the meaning of marrying a wife.As for the life and death of mother and child, it seems to be a matter that is very far away from him. If something happens, it will be a big deal to be alone.

Marcus, as the director of obstetrics, originally opposed Nora's return, but the premise was that Ignatz would help him out.Now that Ignaz is not here, he doesn't want to watch the child in Nora's belly die due to lack of amniotic fluid and hypoxia caused by uterine contractions.

It is not easy to induce labor for such a large stillbirth, and if it is not dealt with for a long time, it will in turn stimulate the mother's body【3】, rather than waiting, it is better to get the baby out first.

But the baby in Nora's womb was in a transverse position and the birth canal was narrow, so a normal delivery was impossible.Forcibly assisting in childbirth, the child will almost certainly die, and it will also cause irreparable damage to Nora's birth canal.So from the very beginning, Marcus suggested not to have children and keep Nora.

In that case, the question returned to Fleurney.

He definitely wants a child, even if he gives up this time, there will be another time.The birth canal is a rigid indicator. If a natural delivery is not successful this time, it will definitely not work next time. The end result is endless pregnancy termination or cesarean section.

With such a headache patient, and without Ignatz's help to take over, Marcus hoped that Flenny would take Nora away forcibly and die at home. mortality rate.

Evasion is shameful but useful.

And Kavey on the side is of course a firm stickler for retaining people + cesarean section. Ignatz is just going to release the pressure and will definitely come back. The carriage is going to find Mr. Ignatz, and I think he will be found soon, just wait a little longer."

"Still waiting? It's been an hour."

"I think it's better to go back, anyway, home is no different from here."

"Actually, Nora's abdominal pain is not very severe. We still have time."

"You said it lightly, in case something happens"

The three had a full and friendly discussion about whether to leave or stay, live or take, except that no one cared about Nora's own thoughts, and no one cared about her words.She has always been a swinger. When a man says to go to the hospital for childcare allowances, she goes to the hospital.The man said that no one at home took care of him, and it cost money to stay in the hospital, so she was going to go back.

But when it was time to give birth, the girl suddenly became stronger: "I want to give birth, and I will give birth here."

This is the first time she has expressed her thoughts resolutely, but it is a pity that only Kawei can listen.

"The chief surgeon, Dr. Ignatz, is not here. No one knows when he will return to the hospital. Do you want to stop thinking about it?"

Although Marcus once fell into the vortex of fighting between obstetrics and surgery, he was also a doctor, and he didn't want to see his mother go to the operating table and die in the hands of Ignatz, because he had seen too much: "No La, I still hope you will consider my previous suggestion."

Nora immediately recalled the content of the conversation that day, and shook her head again and again: "No, no, no! I don't agree!"

"It's for your own good. There is a high probability that you won't survive on the operating table."

"Doctor, what frustrating words are you talking about!?" Fleury heard something, "I definitely want the baby, and she has to survive! If you can't do it, then all the hospitalization fees you gave me before will be lost." Give it back to me, and I'll take him away now."

"I don't want to go!" Nora refused uncharacteristically, "I want to stay and wait for Dr. Ignatz to come back!"

Although deep down in his heart, Marcus wanted to keep out of sight, but after seeing Nora's insistence, his heart softened again.Seeing that Fleurney was getting in the way here, she asked the nurse to invite him out: "Stay outside the ward with peace of mind, and I will call you if there is anything to do."

"Hey, what do you mean by something?"

"Just wait!"

"I am her husband, and I have the right to make decisions for her. Why do you let me out?"

Accompanied by the nurse, Flenny limped out, cursing: "I don't agree with telling you to go home, what are you doing here, waiting to be used as an experiment by these doctors? What if it happens to you?" The operating table is useless, and I can't even get any money! Let me go, I will go."

Without the leaver, Carvey, Marcus and Nora quickly reached a consensus.

Marcus and two experienced midwives accompanied Nora to the operating theater first, and Carvey made preparations for the operation. At the same time, people had to stop Hills and Herman who had just got off the operating table and were about to leave.

All that was left was to wait, until Ignatz returned.

According to the usual time plan for the surgical theater, five o'clock in the afternoon is a rather embarrassing time period.The operation in the afternoon has basically ended, and the operation in the evening has not yet started.

Today's tickets are all sold out, and the ticket office at the door is about to close.The conductor hummed a ditty, counted the tickets in his hand, and prepared to take back the surgical posters that had been hanging all day, and get off work as soon as possible to go home.

At this moment, a child squeezed through the bustling crowd and rushed towards him from a distance, pressing his backpack.He didn't bother to stop, he raised his hand to grab the conductor's arm, and then slammed his whole body into his arms: "Wait a minute"

The conductor was in pain, took a few steps back, and pulled the brat to the wall: "What are you doing, kid? You don't have eyes when you walk?"

"Wait off"

"What are you waiting for? The tickets are all sold out!" The conductor didn't make things difficult for him, but just said, "Children can't see surgery, they are not yet old enough!"

"I don't look at it, and I don't look down on me. I just want to tell you that I will collect the cards later."

He is a kid who often sells newspapers at the entrance of the Municipal General Hospital. Just now, Carvey gave him 1 kroner to let him take the last minute to help deliver the message: "The hospital is going to have a cesarean section soon, right here!"

"Cesarean section?"

The conductor immediately smelled the banknotes, but rationally told him to remember to avoid pits while being excited.He grabbed the child by the collar and asked sharply, "Are you sure?"

"Sure! Mr. Carvey told me himself!"

卡维
Now Kavey's name has its own weight, at least not much worse than Hills and Herman.

The name is the reputation, and the conductor and Kawei are also acquaintances, so it is impossible not to believe his words.But the operation schedule in the theater is made the day or even two days before, and the poster also needs to be produced. Usually, the newspaper office helps to print it, but now the time is tight, and it is impossible to make a new one.

He quickly thought of a way, opened the door and went into the ticket office, and asked while searching, "Who will do the surgery?"

"I don't know that. Mr. Carvey didn't say."

"Cesarean section is a major operation, and the mortality rate is very high. Since it is a patient in the Municipal General Hospital, it must be performed by Ignatz." The conductor found out the operation posters related to Ignatz during this period , "Sills and Herman are both here in the afternoon, so they should be the assistants. Oh, by the way, Mr. Carvey should also be on stage"

He used scissors to cut off Kavey's upper body from the leftover poster, and then took the cesarean section poster before Kavey's crossing as a base, and put him on it.

[Leading by Ignatz, the best of the best, the new generation of Kavi Hines joins in!Municipal General Hospital is facing the most dangerous cesarean section! 】

The conductor looked at the cheesy title and shook his head: "Just write whatever you want, it's just a gimmick anyway, and it's up to God how many people you can attract!"

Five minutes later, the carriage with Nora stopped at the entrance of the theater, and Marcus and the two midwives who got off confirmed the authenticity of the operation.Immediately, the conductors and newsboys became human tweeters at the entrance of the theatre, and the crappy posters that were improvised attracted the attention of many passers-by, many of whom were spectators who had just left the theater from the previous operation.

"Another operation?"

"This is a newly added emergency cesarean section! The patient has already been sent in, and it will start in a while!"

"Cesarean section, exciting! Give me two~"

"How do you sell tickets?"

"How much is the VIP?"

"50 basic tickets, 25 kroner a plus, 300 kroner for a VIP seat!"

The price is set randomly, because the number of cesarean sections is very rare, and basically end in failure, the price is not easy to set.But things are rare and expensive, and the more they fail, the more they can arouse their desire to win. The enthusiasm of the audience is beyond the conductor's imagination.

The price of tickets for ordinary seats couldn't stop the heavy money in their wallets, and even the unprecedented 300 kroner VIP seats were sold out.In just half an hour, hundreds of tickets were sold out.

Compared with the bustling surgery theater, Hoinz Street, which is six kilometers southward, is still peaceful and peaceful after crossing the busy ring road.The bustling here is after nine o'clock, and before that is the rest time of various small vendors and entertainment venues.

But this is just the appearance to the outside world, real regular customers have their own ways, and there will not be such a strict time limit.

For example, an alley in the street looks like a simple residential area from the outside.The door and wall decorations are extremely simple, and even the only house number that can be decorated is just a simple number, which has no aesthetic feeling at all.

But there are many special service practitioners living here. They provide the most comfortable service and refuse most requests, just to earn the afternoon tea money of those celebrities.

For them, the best customers are repeat customers who can automatically come to their door.Everyone knows each other well, and it is not awkward to do things, and sometimes even seek some kind of spiritual resonance.
"Doctor Ignatz~"

"."

"Doctor Ignatz, wake up~"

".Um"

"The alarm clock you set has rung, you should go back to the hospital."

".what time is it now?"

"It's almost six o'clock, Dr. Ignatz."

"Six in the morning?"

"No, it was night, and you only slept for more than an hour."

"Oh"

Ignatz sat up, his eyes lingering around the girl for a few times, and finally raised his hand to pinch the half bottle of wine placed by the bed, and drank it down with his head raised.

"It's still early, let me sleep a little longer"

(End of this chapter)