Nineteenth Century Medical Guide

Chapter 8 8. The Fourth Person

Chapter 8 8. The Fourth Person
In the nineteenth century, when industry was booming, in beautiful Europe, social and humanistic thought did not really keep up with the pace of scientific development.The status of women during this period was still similar to that in the Middle Ages. Most of them could only stay in their own homes to do housework and take care of children, or go to other people's homes to do housework and take care of children.

The former is called a housewife, while the latter is called a "maid".

In order to keep women at home, all-male "scientists" also classify women's excessive emotional expression caused by sensibility into the category of mental illness.

Because according to the "scientific" method, it can indeed be proved that whether it is excessive physical labor or complicated knowledge research, it can stimulate the "fragile" nerves of women and cause hysteria.

It seems ridiculous now, but at the time it was the iron rule that all men scrambled to maintain.

Just like her husband Ignatz, Elena is not an ordinary woman who is content with the status quo, she is an exception in the whole of Austria.

This exception must also meet several conditions.

Her status as an aristocrat and her wealth of wealth enabled her to receive a good aristocratic education since she was a child; her status as an only child allowed her to be favored by the whole family, especially her father; Embarked on the road of the strongman elite.

Although she couldn't go to university, the tutors her father invited made her proficient in Latin, Greek, various literature and history classics, opera, painting appreciation, riding, economics and the latest personnel management. (1)

And the professor of Latin was Ignatz, who was still studying in medical school at the time. (2)

The right family makes the love between the two pass smoothly to the stage of marriage, and the waves in the middle are all trivial things.

After marrying Ignatz, Alina once wanted to find a suitable job for herself, but failed in the end.It wasn't until her father invested a lot of money in the city's general hospital that she relied on her knowledge to become the vice president here.

In the first half of her life, Elena's studies, love, and work all broke through the shackles imposed on women by this era.

But such a person who is always at the forefront of history, when he saw the list of new hospital employees, he still showed a more conservative side. "Who is Kavi Hines?"

"Oh, it's my new apprentice."

Ignatz was sitting in his office flipping through the new issue of "The Lancet". When his wife asked about Kavey, he looked up at the time on the wall clock: "It's 8 o'clock. He should come soon The hospital reported."

"Yesterday you still refused to accept people, why did you suddenly increase the number of people by one more?"

"Those three were forced on me by you."

"They are the best graduates of the medical school and have a great passion for surgery!"

Elena wanted to repeat her point of view again, but Ignatz was already tired of hearing it, shook his head and said: "Okay, okay, I understand, I agreed to your request yesterday and accepted them what?"

"Then why did you charge another one?"

"Yesterday you said that I charged less, why are you still not satisfied that I charged one more today?"

"I just find it weird."

The husband who shared the same bed stood against her again: "He met my requirements for a surgical apprentice, so I recruited him, that's all."

"Well, as long as you are satisfied, you can talk about it." Both public and private, Elina was happy to see the development of the hospital's surgery department, and did not ask further, "But it is still the same, even if you pass the assessment test, you can I have to fill in his resume. These personnel files can solve a lot of trouble, we mentioned it at the meeting."

"CV?"

Ignatz thought it was just a formality to get Kavela into the hospital, but he forgot about it.

He put down the medical journal he just bought, picked up the coffee on the table instead, moved it to his mouth and blew two puffs of hot air, and replied lightly: "He came in a hurry, and he has no time to write this kind of thing, and you know I don't really like doing that kind of paperwork."

Alina didn't notice the complexity of the matter at all.

Thinking that the other party is her husband, she has to face the patient's life and death every day, and the pressure is huge. Her wife can do such trivial things as resume writing.So Alina quickly adjusted her mentality, pulled out a blank paper from the side, and said:

"It's okay, let me write how old is he now?"

Ignatz's mouth was full of the aroma of coffee, but his head was a mess. When he recalled the dinner last night, he always had a particularly severe feeling: "Probably in his early 20s."

"Probably?" Alina frowned, "I want specific numbers."

"He is an orphan, he doesn't even know his birthday, how can he know how old he is."

This is a good reason, and Elena has no way to refute it, so she can only continue to ask: "Which university did you graduate from? University of Vienna? Or Graz University of Technology?"

Knowing that he couldn't hide, Ignatz replied directly, "He didn't go to college."

"Never read it?" Alina finally realized that something was wrong, and put down the pen and paper in her hand, "It doesn't matter if you haven't read university, anyway, you are an apprentice. What about middle school?"

Ignatz shook his head, and then began to choose words and sentences, hoping to describe Carvey's identity as tactfully as possible: "He was previously employed by the Royal Forestry Service, and he is a diligent and excellent gardener."

Alina sighed, and edited the answer like a gardener pruning a branch: "Is he a tree feller?"

"That's right, in layman's terms."

"I don't have a deep understanding of medicine, and my understanding of surgical work is superficial." Alina sighed, "Professor Ignatz, I would like to ask, is cutting a tree and cutting a leg the same thing? "

"of course not!"

"Then why hire him?"

"Actually, the surgical apprentice is not that tall. He is just a hired worker, just like a factory worker." Ignatz played word games with her.

"Then he works in the surgical ward?"

"of course."

Alina found a point of rebuttal: "'Surgery is also medicine, and surgeons are also doctors!' Who told me that at the beginning?"

"I said."

"What about 'doctors should go to medical school and study hard'?"

"also me."

"It's fine if your opinions were confused a few days ago. I didn't expect you to be incoherent today. So, why did you let a lumberjack who didn't even go to middle school come in as an apprentice?"

The more Alina thought about it, the more she felt a little strange: "And when the hospital wanted to abolish the medical apprenticeship system, you also voted for it."

Ignatz drank the freshly brewed coffee. After thinking about it, there was no good reason, so he could only try his best to argue:

"Carvey is not a doctor now, but just an assistant of mine. From his understanding of anatomy, he can participate in surgery even if he doesn't go to medical school, and I didn't say that he won't have the opportunity to go to medical school in the future. "

"Can he use a scalpel? Can he use a bone saw? Will he compress the blood vessels with the force you want on the blood vessels you marked?"

"Is this?" Ignatz's face gradually showed unconfidence, "I will teach him these things, and those students who graduated from the so-called orthodox medical schools can't do these things in the first few months when they first come to the hospital."

The confrontation between the husband and wife finally came to an end, and the differences in employment tended to be balanced in repeated confrontations.After a short break, the focus of the next wave of confrontation quickly slipped from Kavi to Ignatz himself.

"You didn't come home last night, where did you go?"

Elena's question had no warning, and there was no transition. It was like a sudden shot from the dark that made Ignatz's heart skip a beat: "Where are you going? I've been staying in the hospital, and the stone bed in the anatomy room is still there." A dead pig carcass."

"Is that so?" Alina felt more and more strange, "I saw you were so confused, I thought you were going to drink."

"Drinking? No! How can I drink?"

Ignatz's defense was too simple and unconvincing, and Elena didn't say much when she saw this, but walked up to him slowly, and sniffed it carefully: "Why do you have a faint smell on your body? White wine smell?."

"No, no, that should be the whiskey used to soak the corpse." Ignatz continued to excuse himself, "I went to the police station in the evening to find Musil, hoping to get some corpses, but unfortunately it didn't work."

As a qualified noble lady, Alina is proficient in tea art and wine tasting.

Austrian white wine is famous far and wide, how could she mistake the smell of two wines.

But considering that Ignatz will have surgery next, she silently pressed the matter and didn't ask further: "The hand-cranked suction device you want has been fixed, and it will be sent from Berlin in a week, Germany. latest models."

"Really?"

"It cost the hospital a lot of money, so how should the salary of the extra fourth person be calculated?"

Alina's finger hit the name of "Kavi Hines": "I personally suggest that it is enough to pay him 7 crowns a month. If there are serious mistakes or late and early departures, additional wages need to be deducted."

Ignatz didn't expect his wife to be so cruel. The novice nurse who just arrived can earn 15 kroner a month, but Kavi doesn't even earn half of it.It would be fine if she knew how much she had eaten as a treat last night.

"Don't look at me with such eyes. You should know how difficult it is for the hospital. I am also cutting costs, and there is no other meaning."

Seeing that he was in the wrong and there was not much room for discussion, Ignatz chose to avoid the edge: "If he does a good follow-up job, can he increase his salary?"

"That's natural."

"All right, seven crowns."

Ignatz's office is on the third floor of the main administrative building of the hospital, but Carvey, who had agreed to go to the office to report first, went to the ward first.

If the temporary medical station established by WHO on the African savannah is compared to a hospital ward, then the so-called ward here can only be called a vegetable market.

The cramped room was full of beds, and the voices of family members and nurses communicating with each other could be heard endlessly. The floor was full of food scraps and garbage left over from daily life.

Theories of airborne cholera still prevailed, and the closed windows filled the room with an indescribably putrid smell.The bacteria, which are invisible to the naked eye, are trampling on the patient's wound and reveling recklessly under everyone's noses.

Carvey couldn't believe that the wards looked like this more than 100 years ago. The hospital wards probably need reform more than surgical operations.

At this time, a young nurse ran over to him: "Is there anything I can do for you?"

"Excuse me, is this the surgical ward?"

"Yes." The nurse continued to ask, "Who are you looking for?"

Carvey shook his head: "I'm not here to find someone, I'm a doctor."

 (1) The first university to accept female students was XN University in 1881, and it took more than ten years for those prestigious universities in Europe to admit women.

  (2) Latin was originally a dialect in Italy. Later, because of the expansion of the church and the Roman Empire, Latin was widely spread throughout Europe and had a profound influence.Since then, Latin has become the lingua franca of European aristocracy and high society. Although its popularity has declined in modern times as the aristocrats became lonely, it has found new life in natural science and philosophy.In order to distinguish the same words from different meanings, and to avoid the ambiguity brought about by translation, modern scientists and philosophers will use Latin.Latin was also widely used in modern medical education and practice in China. Later, because it was difficult to popularize, the scope of Latin use was reduced to medical records and doctor's orders.In the 21st century, Latin has basically withdrawn from the stage of history, and some abbreviations are only used in medical procedures for brief medical orders.

  
 
(End of this chapter)

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