Nineteenth Century Medical Guide

Chapter 68 65. Difficult 10 Minutes, Difficult Decisions
6:33 p.m., Theater an der Wien, patient lounge
Nora was lying on a wooden hospital bed in the lounge, with Marcus and two midwives beside her.

Marcus knew in his heart that since he agreed to the operation, he, an obstetrician, was useless. The only thing he could do was to try his best to keep Nora and the child before the operation.

He kept a careful record of the course of labor, while the midwife was in charge of both mother and child. One took Nora's pulse, and the other used the most fashionable fetal heart rate stethoscope【1】to keep an eye on the baby in her womb.

"What's your heart rate now?"

"It's about the same as usual, between 85-90."

"Where's the child's?"

The earpiece has always been placed on the midline of Nora's umbilical cord: "It dropped to 120 before, but now it is 140-150 beats per minute."【2】

"It's okay, okay, keep listening, listen carefully! Tell me immediately if there is any change!" Marcus sighed, looking at Nora anxiously like a middle-aged woman nagging, "child How is it? Do you feel movement?"

"I moved twice just now, and it's quite powerful."

Nora looked relaxed, and she didn't feel nervous about going to the operating table at all.

The annoying husband was away, and the nurse helped to change the clothes soaked in amniotic fluid. Now the only place she feels uncomfortable is her stomach.The throbbing pain caused by uterine contractions appears rhythmic. As time goes on, the duration of pain is slowly extended, and the interval will be shortened.

But Nora didn't take the pain seriously, all she thought about was the child: "Dr. Marcus, can I name the child right now?"

"Choosing a name is a big deal. After the birth, you and your husband should make the decision together."

Marcus didn't react at first, and suddenly saw her eye circles were slightly red, and then realized how much pressure the 19-year-old girl was under.

With reference to the caesarean section for so many years in the past, very few women survived.Fulfilling what may be her last wish in life, Marcus is not hesitant: "What name do you want? I'll talk to that guy then!"

"The boy will be called Silvio after his grandfather, and the girl will be called Renice after her grandmother." Nora had already thought of the answer, and she waited for Marcus to agree, "You will be sure when the time comes." To convince him."

"Well, they're all good names, I've written them down, so don't worry."

6:35

The door of the lounge was pushed open, and it was Herman who came in a hurry: "Mr. Marcus, here I come!"

Marcus looked up at the clock, and finally heaved a sigh of relief. Herman was in place and Carvey, at least it showed that the surgeon did not choose to escape when Ignatz was not there.But he still had to lose his temper. After two hours of fear, Marcus had to vent his anger: "Why are your surgeons so hard to find, what about Sears?"

"He left earlier than me, and his home is farther than me. It should be almost time."

They are also unlucky.

Because of the lack of communication equipment such as telephones and telegraphs, the two just left the theater around five o'clock, and when they arrived home, they would meet the postman sent by Carvey for payment, and then rushed back.It took an hour to come and go on the road alone. 【1】

"Who would have thought that Miss Nora's water would suddenly break, and all the original plans would be ruined."

"Don't talk nonsense, where do you have any plans?" Marcus vented his anger, "It was agreed at the beginning that the due date was March, and you performed the operation at the end of February. But Ignatz delayed If you procrastinate any longer, you have to procrastinate until now the amniotic fluid breaks, are you willing?"

"The operation is too difficult, the teacher also wants to prepare more." Herman could only help to calm down his mood.

Marcus knows that surgery is the chief surgeon of iron and the assistant of flowing water.Herman is just a mere second aid, as long as the real chief surgeon doesn't come, even if Hills is in place, it's useless: "Where's Ignatz? Why hasn't he come yet?"

Herman didn't dare to ask about Ignatz's private life at all: "I don't know."

"Why can't you find anyone in the surgery department, only that Kawei can see him a few times in the ward."

"I'm usually doing surgery."

"What about after the operation? Don't you go back to the ward?" Marcus was a little angry, "If you guys are willing to go back to the hospital after the operation, you will definitely be able to catch up with Nora's broken water, and you won't be here Wait."

Herman could only stand by the door and smile foolishly.

That's what Ignatz usually does, throw away the scalpel, take off his gown, leave the theater and go about his business.He and Hills have already started to do some minor surgeries by themselves. They must have followed suit. If we really want to investigate, it is not taught by Ignatz.

"Didn't I come here? Let Nora bear with it, and she will be on stage soon."

"The key is Ignatz. He's not here. How can we have a cesarean section?" Marcus stomped his feet anxiously, but Nora was in the room, so he had to lower his voice and whisper to Herman, "Nora's palace The contraction has been going on for a long time, and the strongly contracted uterus will increase the difficulty of the operation, does he understand it???”【4】

"I see."

6:38

The host in a bright dress ran in through the long aisle. He didn't look at anyone when he entered the door, but asked, "How are you, can you go on stage?"

"Get on the stage? No one is here, how can you get on?" Marcus pointed to Herman and said, "It might not be possible to let him on."

The host glanced at Herman: "Ignatz hasn't come yet?"

"I can't find anyone." Marcus looked at Nora, who was suffering from contractions, and was really anxious. "At first, he asked him to drive earlier, but he said he wanted to practice again. Now he has practiced for so long , Is it proficient enough, who knows that people are gone."

The host works part-time for the theater. What he has to do is to coordinate the operation time and supervise the operation to be carried out on time. It is impossible to consider the relationship between doctors.

For them, postponing and canceling surgery is also common, which is not uncommon, as long as the division of responsibilities and interests is done well: "The tickets are all sold out, if you can't do it, then it will be your brand that will be smashed." , about money."

As soon as Herman heard that something was wrong, he immediately interrupted: "We didn't instruct you to sell surgery tickets."

"Huh?" The host pointed in the direction of the gate, "The newsboy and the ticket booth said it was Mr. Carvey."

"Kavi asked that newsboy to instruct you to sell tickets?"

The host was a little confused. This sounded very unreliable. How could it be a newsboy who could decide whether the operation would be successful or not.

Herman often goes to and from the theater, and he has a clear understanding of the transaction process inside: "Kavi is just an assistant. At most, he conveys the message to let you set aside a surgical theater so that the cesarean section can be performed in a timely and effective manner. He has no possibility Instructing you to sell tickets, let alone instructing you, after all, the chief surgeon of the operation is Mr. Ignatz, understand?"

When the two were at a stalemate, Hills also arrived: "Has the operation started?"

"No." Herman passed the door of the preparation room. "Nora's water broke and she needs immediate surgery. Now I'm waiting for Teacher Ignatz."

Seeing that it was a help, the host couldn't help but turn up the question just now and ask it again.Unfortunately, neither Hills nor Herman knew Ignatz's whereabouts, and no one could decide when the operation would take place.

"Listen to the voice next door. There are 118 seats and more than 2 kroner in the account. If the operation fails, you have to take full responsibility!"

"I told you just now that this is caused by you selling tickets privately. What does it matter to us?"

"I don't care about this, you can talk to the boss yourself then."

The two came back and forth, arguing so that Hills looked solemn: "If you want to argue, go out and close the door. The mother needs absolute rest and rest before the operation."

Everyone knows what it means to give up surgery now.

Nora died in childbirth, the reputation of the theater collapsed, and the hospital had to pay a large amount of compensation, which was not beneficial to anyone.But these things are all tied to the chief surgeon, Ignatz, and no one has considered how to remedy it if the chief surgeon is not there.

Forced termination of pregnancy?

Leaving aside Fleurney's attitude, the cross on his chest made it hard for Marcus and the other midwives.What's more, Nora herself didn't agree, and now with the pressure from the theater, the operation must be carried out.

"Sills, if Ignatz doesn't show up again, I think you should go." Marcus suddenly threw out a suggestion, "You have worked under him for so many years, and you have practiced with him repeatedly for so many years." The first cesarean section should have this ability."

"This"

"Ignatz has always valued you very much. This time, he specially raised your salary to keep you. You should perform well." Marcus said earnestly, hoping that his encouragement could give the pending surgeon a final decision. Alternatives to, "What do you think?"

Hills certainly wanted to take advantage of the opportunity.

He returned to the first assistant position by relying on the threat of resignation like a killer's trumpet. It can be regarded as getting back what should belong to him, but the distrust brought by the threat is difficult to eliminate.He desperately needed a chance to prove himself, but it was a pity that this opportunity came a little earlier.

"No, I'm not qualified for cesarean section yet, and what I've been doing all along is the work of an assistant." Hills refused, "The operation is too difficult, and I will definitely fail if I take over."

It was useless for Marcus to curse secretly, and then looked back at Herman, who knew that Herman slipped faster, and immediately opened the door and ran out: "I'd better go outside to have a look, maybe Mr. Ignatz Already here."

At 6:41, Herman walked out of the preparation room
The cheers inside and outside the theater could be faintly heard as soon as the door was opened, and when he came to the aisle, this sound became more obvious, as lively as a festival.

Heman didn't want to seize this rare opportunity, but like Hills, he also lacked the skills and courage to take the lead.

Herman was depressed.

The appearance of Carvey not only impacted these intern graduates like Bergett, but also impacted him and Hills.

Originally, when Hills resigned, he would be able to sit in the first assistant position, but Hills withstood the pressure by threatening to leave, completely blocking this road.His energy can hardly exceed Hills' car, and there are not many hospitals that can invite him to go.Not only is there no source of disease there, but it is also difficult to guarantee the position of the chief surgeon.

It would be better to make a chicken head than a phoenix tail, but if you only give a chicken neck, you have to think carefully.

At this time, Carvey finally appeared in front of Ignatz with the cesarean section operation box: "Mr. Herman, you are here."

"Well, where is Mr. Ignatz?"

"When the water just broke, I asked several drivers to look for it, but I haven't found it yet." Carvey shook his head, and then easily gave the same suggestion as Marcus, "If you don't come again, I think it's up to us Let's go up to three. Mr. Hills will be the surgeon, and as soon as you help, I will stand by the side and shake the pump to draw blood."

"It's not that simple." Herman rolled his eyes at him, and didn't know whether the words came from the bottom of his heart, or he was trying to make things up. "What if I fail?"

Carvey is a staunch surgeon, but also a staunch power grabber. He not only has the skills but also enjoys the pleasure of being the chief surgeon.So no matter what the situation is, he will try his best to find Ignatz out of his duty, but he sincerely does not want him to come back: "My theater tickets are all sold out, and I can get in if I don't."

"You also know that the tickets are sold out, how did you let the newsboy spread the word before?"

"I asked them to keep an operating theater, and we'll use it."

"that's it?"

"That's all, how could I let them sell tickets privately."

Herman didn't know what to do either,
"Just wait."

6:43

With a yell, Ignatz quickly crossed the aisle and directly entered the door of the lounge, but this time it was not his two legs, but a stretcher bed.

It was two coachmen who sent him in. Regardless of where they were found, the operation would definitely be impossible, at least not today.

"We tried our best. When we first found him, he was like this. He couldn't be woken up by barking nonsense." A coachman said, "But thinking that Mr. Carvey gave the order to die, so after we discussed it, we decided to put him to death." Pull it over first and then talk."

Ignatz was covered with a blanket. Although his eyes were closed, he was not completely unconscious: "It's so bright here. Where is this?"

"Nora's going to have a cesarean," Carvey replied solemnly.

"What to do, it's not time yet!"

"She broke her water."

"The wine bottle will break if it breaks, drink it up! What are you afraid of?"

Those present were all from medical school, and I knew something was wrong when I saw Ignatz's appearance: "I can't even recognize my old friend. Guess how much he drank?"

"At least a whole bottle of brandy, and half a bottle of crow (anti-harmony) tincture."

"almost."

"I can't wake up for seven or eight hours."

"What should we do now?"

Marcus doesn't care about Ignatz's life or death, what he wants is for the operation to proceed normally: "Nora can't wait until tomorrow morning for the operation, and even if he really waits until tomorrow, seeing how he is now, whether he can go on stage is still a matter of debate." Let Sears be the chief surgeon, hurry up and get on stage!"

With these words and the host's push, the trio had no choice but to bite the bullet and walk into the surgery theater.

"Ladies and gentlemen, Nora, an obstetric patient at the Municipal General Hospital, was in labor two hours ago. What she has to face is a full-term baby and a narrow birth canal. She was judged to need a cesarean section early on, but the operation time has not been fixed. Sure.

Today, the goddess of luck came to the shore of Lake Wien.

Today is destined to be an extraordinary day,
Today, it is destined to be recorded in history. "

The host was impassioned: "Let us warmly welcome the surgical team of the Municipal General Hospital, which represents the top level of surgery in Austria, to officially enter the venue!"

(End of this chapter)