Nineteenth Century Medical Guide
Chapter 73 70. Postoperative
Chapter 73 70. Postoperative
The "Times" and "Free Press" did not have professional surgical columnists like Varela. Writing about the operation process and describing the strength and weakness of surgical skills were not their strong points, and they were not even part of their work.
Originally, when Varela was in the theater, they had no sense of presence. Even if they were faced with a rare cesarean section, they probably only took a few strokes.Anyway, surgery news is not the main business of the two newspapers. They are also small reporters running errands, and what they write is scraps of news.
But now that Varela was kicked out of the theater, and the cesarean section was inexplicably successful, two things that should not have happened happened at the same time.
This rekindled their fighting spirit.
It's just that they are laymen when it comes to surgery, so they can watch the fun at most.The lack of surgical anatomy vocabulary made it impossible for them to remember the main points of the operation, and they couldn't even take a pen to make a simple record.
So now that the stage is set, the success of the cesarean section is indeed an explosive news, and tomorrow all the Austrians who care about this operation will be excited about it.But if you want to get the right to write a large-scale report, you need to dig out a less "surgical" material.
And this material is Ignatz who did not attend.
"Mr. Ignatz is not feeling well, he should have gone home to rest now."
What Carvey said was the truth. Ignatz was indeed unwell, and he was sent home by the driver before the operation began: "As for why he feels uncomfortable and where he feels uncomfortable, I still have to ask Mr. Fatolad, who is treating him , I'm not a physician."
"Can you disclose some uncomfortable details? Like what are the symptoms?"
In the 19th century, when life could be lost at any time, Ignaz was regarded as a public figure, and it was not offensive to ask.It's just that Carvey doesn't want to answer any more, and it's also a way to avoid lightning for Ignatz: "I think this is the baron's personal privacy. Unless he announces it himself, we shouldn't ask about it."
"So, you just don't know?"
"Does Dr. Herman and Dr. Hills know?"
Herman was packing up the equipment, shook his head and said nothing.
"It seems that I don't know." Another reporter asked suddenly without giving a chance to explain, "Mr. Carvey's surgical knowledge, surgical ability and attitude towards the two teachers are not like an assistant at all. Have you ever become a formal surgeon?"
The question was a bit strange. Carvey was well aware of the power of the media, so he chose to avoid it before knowing the details of the two newspapers: "Let's wait for Nora to go through the dangerous period of cesarean section."
"Did you sign any hard contract with the hospital?"
The two knew that the problem was a bit biased, and quickly explained: "Please don't mind, Mr. Carvey. After all, you can successfully solve the cesarean section. It is definitely something worth showing off, and I heard that you helped the hospital to bring Laszlo to the hospital. Don’t tell me that the hospital didn’t show you a salary increase for your sponsorship?”
The problem is getting more and more biased, and the content seems to be touting Carvey, but in fact there are deep pits buried.
Carvey still chose to avoid: "Let's ask something related to the operation."
The two were very obedient, and immediately chose a question related to the operation, but the starting point of the problem was not the operation itself, but the person who performed the operation: "You seem to have some conflicts during the operation. Isn’t there some grace, little friction?”
"Yeah, I think his complexion is very ugly, and he left the theater alone before the operation is over. This should be rare."
The problem became more and more acute, and Herman also noticed something strange. Seeing that colleagues in other hospitals also wanted to read gossip, they wanted to explain in a hurry.But before he could speak, he was stopped by Kawei: "You two, don't maliciously speculate about things that don't exist."
"What we state is the truth, and everyone sees it"
Carvey suddenly leaned forward and glanced at the notebook in the hands of the two who were too late to withdraw.
Good guys, they are all high-achieving students who have studied at the BBC.
Although some simple notes and phrases were also written on it, more of them were written in the corners, which should be the few news headlines to be selected just now.Carvey didn't read it all, but from some key words, many disgusting things that only know how to sow discord can be derived.
"Students don't care about the teacher's life and death, just to get the right to take the lead in important operations?";
"Three Disciples Fighting for Power! Ignaz retired, afraid of becoming a ladder?";
"Ignatz disappeared mysteriously! Was he attacked? Was he seriously ill? Or was he a deserter before an important operation?";
"Ignatz was hidden in the snow? Hills returned in a big defeat! Carvey was in danger and was promoted smoothly?".
Surgery has always been a team game. Anesthesia, assistants, instruments, tours, and even retractor trainees are an important part of surgery.As long as people are creatures with two arms and ten fingers, surgery will not become a stand-alone machine.
There is a lack of equipment in this era, and manpower is the key. Dismantling the team is equivalent to paralyzing the department, and Kawei is not willing to do this.
Faced with this situation, his attitude must be tough: "You said Mr. Ignatz escaped? It turns out that this is what journalists do. They can write news by just fabricating facts."
Ignatz's prestige is very high, and his words finally resonated with others, and immediately aroused fierce opposition from colleagues and students around him: "Nowadays, there are not many journalists who write news seriously. They are all for sales. Look at the daily news. It’s shocking to belittle Dr. Ignatz recently.”
"Although Mr. Varela's mouth is a bit stinky, at least he can objectively comment on the surgical operations and professional ethics of the doctors, and what they want is to attract attention!"
Seeing that the situation was not right, the two quickly confessed: "It's all just scribbled drafts."
"Don't worry about it, it's all guesswork before the questioning, so naturally I won't write it like this when I officially write the manuscript."
"Even if it's guesswork, it's the most basic respect for medicine!" Carvey is not that stupid, he doesn't listen to these explanations at all, "Can't there be academic debates within medicine? Doctors are not human beings who can't rest when they get sick? The development of Austrian medicine You are already behind Britain and France, don't you feel ashamed to do so?"
Just after the operation, Carvey still held the absolute right to speak, and colleagues and students around him all stood up and accused them of being despicable.
"With the testimony of so many honest gentlemen present, if the "Times" and "Free Press" make some unrealistic remarks tomorrow, the City General Hospital will never agree."
The two were far less stubborn than Valila, and they could only confess under the heavy siege: "Yes, yes, definitely not."
"Definitely not."
9:30 p.m., Municipal General Hospital
A pain in the abdomen caused Nora to slowly open her eyes. In front of her were the familiar white walls and white curtains. She returned to the familiar first ward of the obstetrics department again.
Her head felt a little dizzy and swollen, her stomach hurt as if it was wide open, and she couldn't move, but other than that, she was fine.She couldn't believe the picture in front of her eyes. Could it be that the operation was successful?
For this delivery, Nora had already prepared for the worst. The cash box and keys were entrusted to an old friend for safekeeping, and the child's name had already been given.As long as he dies, the child will be sent to a friend's house, and the money he has saved should be enough to pay for his support.
But the surgery was a success.
Nora touched the quilt at hand and her thighs, and the sense of touch quickly entered the brain through the rich nerves in her hands.
did survive.
"Nora, you're awake." It was Marcus who came to the bed. Although his face was as rigid as ever, his eyes were the same as those of the pregnant women around him, "Congratulations, you're a boy."
"Really." Enduring the pain, Nora turned sideways to look at the child, "Where is the child?"
"In the office, the midwife is coaxing her." Seeing that she was anxious, Marcus comforted her, "Don't worry, the baby is also hungry, and it will be delivered later. It's just that you need to accept someone's intentions before seeing the baby." The extra treatment you prepared."
"Treatment? What treatment?"
"Press the belly."
It’s a post-operative uterine recovery “therapy” that equals pain grading and childbirth, and pops up on all primiparas just when they think they’ve got rid of labor pains.Especially after the cesarean section, the wound has just been sutured, and even with an analgesic pump, the pain can still make them want to die.
Nora was even more miserable.
The effect of ether had faded, and she couldn't afford the tincture of crowbar (anti-harmony), and the wound was already painful, but this press was equivalent to stabbing her stomach several times.
Hearing Nora's heart-piercing cry, Marcus was not relentless at all: "I don't know why I tortured you like this, but you are already a surgical patient. The surgeon is the chief surgeon, and this is your chief surgeon." The doctor took special care of me, I have to do it, whoever made the operation successful, blame those barbarians in the surgery.”【1】
"This is. What is it doing?"
"Don't shout, don't use force, otherwise it won't work."
"Ah, it hurts so much"
Marcus locked her body and kept pressing hard: "Don't worry, Dr. Herman's suturing skills are not bad, and the stitches won't break."
Nora didn't know how long she was pressed, but she only knew that the pain was mixed with severe incision pain, which lasted until the next day without relief.Immediately afterwards, she ushered in the second and third times
1:19 AM, 2 Helen Street [[-]]
There was a muffled sound in the living room, and Ignatz, who accidentally rolled off the sofa to the floor, opened his eyes reluctantly: "What time is Alansha?"
After habitually asking, he suddenly found that the surrounding environment was a bit different.This was not the dingy little apartment on Hoynzstrasse, with the musty smell coming from the corners, and the familiar smell of alcohol and cheap perfume.
There are only the handmade carpet under him, the sofa beside him, and a blanket covering his body.
home?
Ignatz thought it was a dream at first, but when he realized that he had indeed gone home, his head buzzed and he was immediately filled with question marks.
Who sent me back?Why send me back?How did they find me?
Is it Aranza?Certainly not!
I gave a lot of money, and Alansha has always been obedient. Without her own instruction, she would never do such a thing.
Could it be that Alina found out?Bring yourself back while drunk?
It shouldn't be either.
Ignatz has been going home every day recently, and he would not have gone to Alansha if he hadn't had repeated failures in operations.Mariani[3], Aranza's consolation and enough sleep will restore his energy.
But now it seems all over.
Ignatz carefully recalled the recent route of the carriage and the driver of the carriage. The route is not fixed, and the drivers are all different, so it should not be revealed.
Who the hell is messing with me?No one should know where I went!
Facing the dark and empty living room, he lit the candles on the table, and blankly picked up his pockets.The wallet is still there, and there is still 314 crowns that I brought when I went out, and I haven't even lost the change, obviously it is not for money.
What is that for?
No, these are not important now, the important thing is Alina!
Is Elena at home?
At this point in time, Alina must have gone home.Maybe you'll go to the hospital to find me, but you'll be home soon.Did she already know that she had been to that kind of place?Or did the person who sent him back cover up these things for him?
Ignatz's mind was a little messed up, looking at the clean dining table and still feeling lucky, he needed to find his wife and have a good talk.
However, there was no Elena in the whole house.
The living room was extraordinarily tidy. The stairs, dining table, sofa, and bedroom had all been cleaned, and the bathroom and kitchen showed no signs of being used. Alina was not at home.
At this time, Ignatz regretted a little, why didn't he hire a housekeeper, even a servant could at least tell him what happened before.
Unfortunately, there is nothing now.
Ignatz has a headache, the effect of Mariani still remains in his head, leaving only the endless emptiness and this empty house: "Forget it, if you know it, you should go to the hospital to practice first. cesarean section"
Workaholics will always choose to escape when facing housework, and work is an important way to escape.
Carvey is also considered a workaholic. Ignatz was expected to go back to the hospital to continue working after waking up, because that was the original plan.So Carvey has been waiting for Ignatz in his office while he was looking at the results of the field mouse experiment.
Everything that happened before needs to be explained. In order to accurately convey every detail and prevent the facts from being deliberately distorted, it is best for him to explain this by himself.
And have to say it right away.
"teacher."
Ignatz took off his coat. "You've been doing experiments here?"
"Savarin is in charge of the experiment." Carvey sighed, and closed the "Illustrated Cesarean Section Anatomy" on his desk, "I want to talk to you about something else."
"Let's talk about the cesarean section. The surgical incision and uterine suture method you discussed with me before, I think it is very useful."
Ignatz regained his energy and quickly got away from family affairs, and now his mind is full of cesarean section: "However, I still think that hemostasis needs to be strengthened, and the clamping force of the crow's beak forceps is not enough. We need to find a more powerful surgical forceps."
"Before talking about the operation." Carvey took out an envelope, "Ms. Alina entrusted me to give it to you, please take a look."
Fight for two updates tomorrow, usually in the afternoon and evening
(End of this chapter)
The "Times" and "Free Press" did not have professional surgical columnists like Varela. Writing about the operation process and describing the strength and weakness of surgical skills were not their strong points, and they were not even part of their work.
Originally, when Varela was in the theater, they had no sense of presence. Even if they were faced with a rare cesarean section, they probably only took a few strokes.Anyway, surgery news is not the main business of the two newspapers. They are also small reporters running errands, and what they write is scraps of news.
But now that Varela was kicked out of the theater, and the cesarean section was inexplicably successful, two things that should not have happened happened at the same time.
This rekindled their fighting spirit.
It's just that they are laymen when it comes to surgery, so they can watch the fun at most.The lack of surgical anatomy vocabulary made it impossible for them to remember the main points of the operation, and they couldn't even take a pen to make a simple record.
So now that the stage is set, the success of the cesarean section is indeed an explosive news, and tomorrow all the Austrians who care about this operation will be excited about it.But if you want to get the right to write a large-scale report, you need to dig out a less "surgical" material.
And this material is Ignatz who did not attend.
"Mr. Ignatz is not feeling well, he should have gone home to rest now."
What Carvey said was the truth. Ignatz was indeed unwell, and he was sent home by the driver before the operation began: "As for why he feels uncomfortable and where he feels uncomfortable, I still have to ask Mr. Fatolad, who is treating him , I'm not a physician."
"Can you disclose some uncomfortable details? Like what are the symptoms?"
In the 19th century, when life could be lost at any time, Ignaz was regarded as a public figure, and it was not offensive to ask.It's just that Carvey doesn't want to answer any more, and it's also a way to avoid lightning for Ignatz: "I think this is the baron's personal privacy. Unless he announces it himself, we shouldn't ask about it."
"So, you just don't know?"
"Does Dr. Herman and Dr. Hills know?"
Herman was packing up the equipment, shook his head and said nothing.
"It seems that I don't know." Another reporter asked suddenly without giving a chance to explain, "Mr. Carvey's surgical knowledge, surgical ability and attitude towards the two teachers are not like an assistant at all. Have you ever become a formal surgeon?"
The question was a bit strange. Carvey was well aware of the power of the media, so he chose to avoid it before knowing the details of the two newspapers: "Let's wait for Nora to go through the dangerous period of cesarean section."
"Did you sign any hard contract with the hospital?"
The two knew that the problem was a bit biased, and quickly explained: "Please don't mind, Mr. Carvey. After all, you can successfully solve the cesarean section. It is definitely something worth showing off, and I heard that you helped the hospital to bring Laszlo to the hospital. Don’t tell me that the hospital didn’t show you a salary increase for your sponsorship?”
The problem is getting more and more biased, and the content seems to be touting Carvey, but in fact there are deep pits buried.
Carvey still chose to avoid: "Let's ask something related to the operation."
The two were very obedient, and immediately chose a question related to the operation, but the starting point of the problem was not the operation itself, but the person who performed the operation: "You seem to have some conflicts during the operation. Isn’t there some grace, little friction?”
"Yeah, I think his complexion is very ugly, and he left the theater alone before the operation is over. This should be rare."
The problem became more and more acute, and Herman also noticed something strange. Seeing that colleagues in other hospitals also wanted to read gossip, they wanted to explain in a hurry.But before he could speak, he was stopped by Kawei: "You two, don't maliciously speculate about things that don't exist."
"What we state is the truth, and everyone sees it"
Carvey suddenly leaned forward and glanced at the notebook in the hands of the two who were too late to withdraw.
Good guys, they are all high-achieving students who have studied at the BBC.
Although some simple notes and phrases were also written on it, more of them were written in the corners, which should be the few news headlines to be selected just now.Carvey didn't read it all, but from some key words, many disgusting things that only know how to sow discord can be derived.
"Students don't care about the teacher's life and death, just to get the right to take the lead in important operations?";
"Three Disciples Fighting for Power! Ignaz retired, afraid of becoming a ladder?";
"Ignatz disappeared mysteriously! Was he attacked? Was he seriously ill? Or was he a deserter before an important operation?";
"Ignatz was hidden in the snow? Hills returned in a big defeat! Carvey was in danger and was promoted smoothly?".
Surgery has always been a team game. Anesthesia, assistants, instruments, tours, and even retractor trainees are an important part of surgery.As long as people are creatures with two arms and ten fingers, surgery will not become a stand-alone machine.
There is a lack of equipment in this era, and manpower is the key. Dismantling the team is equivalent to paralyzing the department, and Kawei is not willing to do this.
Faced with this situation, his attitude must be tough: "You said Mr. Ignatz escaped? It turns out that this is what journalists do. They can write news by just fabricating facts."
Ignatz's prestige is very high, and his words finally resonated with others, and immediately aroused fierce opposition from colleagues and students around him: "Nowadays, there are not many journalists who write news seriously. They are all for sales. Look at the daily news. It’s shocking to belittle Dr. Ignatz recently.”
"Although Mr. Varela's mouth is a bit stinky, at least he can objectively comment on the surgical operations and professional ethics of the doctors, and what they want is to attract attention!"
Seeing that the situation was not right, the two quickly confessed: "It's all just scribbled drafts."
"Don't worry about it, it's all guesswork before the questioning, so naturally I won't write it like this when I officially write the manuscript."
"Even if it's guesswork, it's the most basic respect for medicine!" Carvey is not that stupid, he doesn't listen to these explanations at all, "Can't there be academic debates within medicine? Doctors are not human beings who can't rest when they get sick? The development of Austrian medicine You are already behind Britain and France, don't you feel ashamed to do so?"
Just after the operation, Carvey still held the absolute right to speak, and colleagues and students around him all stood up and accused them of being despicable.
"With the testimony of so many honest gentlemen present, if the "Times" and "Free Press" make some unrealistic remarks tomorrow, the City General Hospital will never agree."
The two were far less stubborn than Valila, and they could only confess under the heavy siege: "Yes, yes, definitely not."
"Definitely not."
9:30 p.m., Municipal General Hospital
A pain in the abdomen caused Nora to slowly open her eyes. In front of her were the familiar white walls and white curtains. She returned to the familiar first ward of the obstetrics department again.
Her head felt a little dizzy and swollen, her stomach hurt as if it was wide open, and she couldn't move, but other than that, she was fine.She couldn't believe the picture in front of her eyes. Could it be that the operation was successful?
For this delivery, Nora had already prepared for the worst. The cash box and keys were entrusted to an old friend for safekeeping, and the child's name had already been given.As long as he dies, the child will be sent to a friend's house, and the money he has saved should be enough to pay for his support.
But the surgery was a success.
Nora touched the quilt at hand and her thighs, and the sense of touch quickly entered the brain through the rich nerves in her hands.
did survive.
"Nora, you're awake." It was Marcus who came to the bed. Although his face was as rigid as ever, his eyes were the same as those of the pregnant women around him, "Congratulations, you're a boy."
"Really." Enduring the pain, Nora turned sideways to look at the child, "Where is the child?"
"In the office, the midwife is coaxing her." Seeing that she was anxious, Marcus comforted her, "Don't worry, the baby is also hungry, and it will be delivered later. It's just that you need to accept someone's intentions before seeing the baby." The extra treatment you prepared."
"Treatment? What treatment?"
"Press the belly."
It’s a post-operative uterine recovery “therapy” that equals pain grading and childbirth, and pops up on all primiparas just when they think they’ve got rid of labor pains.Especially after the cesarean section, the wound has just been sutured, and even with an analgesic pump, the pain can still make them want to die.
Nora was even more miserable.
The effect of ether had faded, and she couldn't afford the tincture of crowbar (anti-harmony), and the wound was already painful, but this press was equivalent to stabbing her stomach several times.
Hearing Nora's heart-piercing cry, Marcus was not relentless at all: "I don't know why I tortured you like this, but you are already a surgical patient. The surgeon is the chief surgeon, and this is your chief surgeon." The doctor took special care of me, I have to do it, whoever made the operation successful, blame those barbarians in the surgery.”【1】
"This is. What is it doing?"
"Don't shout, don't use force, otherwise it won't work."
"Ah, it hurts so much"
Marcus locked her body and kept pressing hard: "Don't worry, Dr. Herman's suturing skills are not bad, and the stitches won't break."
Nora didn't know how long she was pressed, but she only knew that the pain was mixed with severe incision pain, which lasted until the next day without relief.Immediately afterwards, she ushered in the second and third times
1:19 AM, 2 Helen Street [[-]]
There was a muffled sound in the living room, and Ignatz, who accidentally rolled off the sofa to the floor, opened his eyes reluctantly: "What time is Alansha?"
After habitually asking, he suddenly found that the surrounding environment was a bit different.This was not the dingy little apartment on Hoynzstrasse, with the musty smell coming from the corners, and the familiar smell of alcohol and cheap perfume.
There are only the handmade carpet under him, the sofa beside him, and a blanket covering his body.
home?
Ignatz thought it was a dream at first, but when he realized that he had indeed gone home, his head buzzed and he was immediately filled with question marks.
Who sent me back?Why send me back?How did they find me?
Is it Aranza?Certainly not!
I gave a lot of money, and Alansha has always been obedient. Without her own instruction, she would never do such a thing.
Could it be that Alina found out?Bring yourself back while drunk?
It shouldn't be either.
Ignatz has been going home every day recently, and he would not have gone to Alansha if he hadn't had repeated failures in operations.Mariani[3], Aranza's consolation and enough sleep will restore his energy.
But now it seems all over.
Ignatz carefully recalled the recent route of the carriage and the driver of the carriage. The route is not fixed, and the drivers are all different, so it should not be revealed.
Who the hell is messing with me?No one should know where I went!
Facing the dark and empty living room, he lit the candles on the table, and blankly picked up his pockets.The wallet is still there, and there is still 314 crowns that I brought when I went out, and I haven't even lost the change, obviously it is not for money.
What is that for?
No, these are not important now, the important thing is Alina!
Is Elena at home?
At this point in time, Alina must have gone home.Maybe you'll go to the hospital to find me, but you'll be home soon.Did she already know that she had been to that kind of place?Or did the person who sent him back cover up these things for him?
Ignatz's mind was a little messed up, looking at the clean dining table and still feeling lucky, he needed to find his wife and have a good talk.
However, there was no Elena in the whole house.
The living room was extraordinarily tidy. The stairs, dining table, sofa, and bedroom had all been cleaned, and the bathroom and kitchen showed no signs of being used. Alina was not at home.
At this time, Ignatz regretted a little, why didn't he hire a housekeeper, even a servant could at least tell him what happened before.
Unfortunately, there is nothing now.
Ignatz has a headache, the effect of Mariani still remains in his head, leaving only the endless emptiness and this empty house: "Forget it, if you know it, you should go to the hospital to practice first. cesarean section"
Workaholics will always choose to escape when facing housework, and work is an important way to escape.
Carvey is also considered a workaholic. Ignatz was expected to go back to the hospital to continue working after waking up, because that was the original plan.So Carvey has been waiting for Ignatz in his office while he was looking at the results of the field mouse experiment.
Everything that happened before needs to be explained. In order to accurately convey every detail and prevent the facts from being deliberately distorted, it is best for him to explain this by himself.
And have to say it right away.
"teacher."
Ignatz took off his coat. "You've been doing experiments here?"
"Savarin is in charge of the experiment." Carvey sighed, and closed the "Illustrated Cesarean Section Anatomy" on his desk, "I want to talk to you about something else."
"Let's talk about the cesarean section. The surgical incision and uterine suture method you discussed with me before, I think it is very useful."
Ignatz regained his energy and quickly got away from family affairs, and now his mind is full of cesarean section: "However, I still think that hemostasis needs to be strengthened, and the clamping force of the crow's beak forceps is not enough. We need to find a more powerful surgical forceps."
"Before talking about the operation." Carvey took out an envelope, "Ms. Alina entrusted me to give it to you, please take a look."
Fight for two updates tomorrow, usually in the afternoon and evening
(End of this chapter)
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