Nineteenth Century Medical Guide
Chapter 83 80. Puff Puff Puff
Chapter 83 80. Puff Puff Puff
It is said that the management of hospitals in the 19th century was chaotic. In fact, this is a misunderstanding, because there was no management at all at that time.
In an era when the whole population was addicted to drugs, and even Ignatz, the chief surgeon, could drink coca wine as a refreshing drink without any qualms, it was no surprise that nurses came to take two sips.Especially those nurses who need to stay on duty are so boring, how can they get through this long night without some alcohol to stimulate them.
Mariani's effectiveness is very strong, and it only takes a few more sips to lose the ability to judge.Not to mention that there was no professional training at that time, even an extremely professional modern senior nurse could not stand such torture.
"Medicine" can't talk about experience and truth with people.
The obstetric nurse in front of Carvey had just finished drinking, and she could smell a faint smell of alcohol without having to step forward.Carvey didn't know if she had added food to it, but one thing he was sure of, the nurse had no idea where Nora had gone.
"Nora? She was there just now."
"It's gone now." Carvey threw down the medical records in his hand, unable to hide his anger, "including her children!"
Bed 24 was indeed empty, the mattress was lifted, and the snow-white mattress seemed out of place in this overcrowded maternity ward.The simple backpack I had brought with me when I was hospitalized was no longer there, and a glass container used to assist breastfeeding was also put aside, obviously leaving in a hurry. 【1】
But the nurse just sat aside and found nothing.
"Should have gone home secretly." The nurse put away Nora's medical records nonchalantly, and then said, "After all, it costs 5-10 Heller for a night's stay including food, and many people think it's expensive."
"I paid for the ward fee in advance, and just a few hours ago, I just gave her the food fee as well. I hope that the food for her will be better the next day."
"You gave it to her?"
The nurse seemed to be used to this kind of plot for a long time: "Then her man probably took it away. In the eyes of these men, how can a pregnant woman have money?"
The words were so weird that Carvey had to think about the worst: "Man? You mean Fleurney? He left during the cesarean section last night. I haven't seen him since. Did he come today?" ?”
The nurse also fell into the memory, but her memory was much more chaotic than Carvey: "It seems to have come, but it seems not to come, I don't know."
Carvey couldn't help reminding: "He has a broken leg and walks with a limp."
"I know, I've seen it, but I just don't have the impression."
The nurse patted her dizzy and swollen head and shook her head. Later, another expectant mother who passed by told the truth: "Her man came here once at noon, and it seemed that there was a quarrel. She left by herself in the afternoon. That The bastard didn't come."
"Leaving in the afternoon?"
"Yes, Dr. Carvey, you came to see her before. As soon as you left, she packed her things and left."
The life and death of other patients has nothing to do with Kavey. Nora was sent back to the hospital after the cesarean section in person, and he was Kavey's patient before the wound fully recovered.He didn't care what happened to his patient's family, but at least he couldn't leave the hospital until he was fully recovered.
In modern hospitals, patients need to apply in advance, write out leave slips, and sign their names when they are discharged from the hospital. If it is a strictly managed hospital, video or audio evidence needs to be left to avoid problems in the distribution of responsibilities after an accident.
The initiative of hospitalization has always been on the parturient and family members. If you don't give birth in hospital, you can't get childcare allowance.
The Welfare Hospital does not have much money with the patients. Once the child is born, as long as they feel that their bodies have recovered, they will take the child and stay away from this dirty place.Leaving the hospital is as simple as eating and drinking, and no one cares about it.
Nora's situation was special, and it was definitely a miracle that she survived the cesarean section, but she still fit all the characteristics of leaving the hospital after giving birth: the man was a jerk, the family had no money, she was hospitalized for the allowance, and she was still alive.
The nurse was not surprised by this at all: "Why are you so surprised? Isn't it normal for a woman to be taken home by a man after giving birth? Otherwise, who will cook for these men? Dogs?"
Listening to her mouth full of train, Carvey thought of Flenny's shameless face again.
Doctors inevitably have to deal with the patient's family members, and Fleurney is the most rascal kind, who gives everyone a headache.
If, like Ignatz, his head was still framed in nineteenth-century surgical theories, he might not have paid much attention to the woman who had just had surgery.The surgery is done, and the person is gone, and she doesn't need to pay the hospital fee, so why bother so much.
But Carvey is the one who puts more emphasis on the perioperative period than anyone else. After the operation, it is only half of the long march. If the other half is not handled well, it will be fatal.
"Where's Nora's address?"
"Address Why do you want her address?"
"Even if the person is gone, I have to explain to her the specific steps of wound care. Otherwise, in the environment at home, the wound will definitely rot if the dressing is not changed."
The nurse was dizzy, and lowered her head to look for the notebook: "Yes, yes, it is. 155 Tony Linton Street."
Carvey was still unfamiliar with the streets of Vienna, so he turned and ran back to Ignatz's office.
Ignatz came back earlier than him, sitting in a chair drinking coffee alone, thinking about how to deal with the fuzzy relationship with Alina.Unexpectedly, Kawei rushed from outside as if he had entered his own house, and dug out the map regardless of 21 or [-].
Ignatz put down his coffee cup, not knowing what the kid was going to do, and the first thing he heard was "Tony Linton" that Carvey kept chanting.
"Tonny Linton Street?" said Ignatz, who knew the place very well. "It's just a block east of Hoyntz."
"East side. No. 155."
"The coachman at the gate will take you there." Ignatz was puzzled by Carvey's purpose of action, "What are you doing?"
"Nora is gone, and I don't know if she was taken back by her man, or if she was determined to go back, and the child was also taken away." Carvey was very worried, "Actually, I was just afraid that her wound would open. Easy surgery."
Also a surgeon, Ignatz was deeply moved.
But instead of wanting to help, he kept persuading him, "There's nothing you can do about it. Civilians don't have so many choices. I advise you not to go into the muddy water, and stay at the hospital and wait for me." Isn't the appendix pathological result better?"
Carvey also wanted to see the appendix, and the microscope in the dissecting room was indeed tempting.
But he couldn't convince himself: "Teacher, she is the first patient I performed surgery on, and she has special meaning to me. If her wound is open, what is the significance of my operation?"
Ignatz sighed: "Forget it, it's up to you. Remember, don't force it, come back if it doesn't work, there will be cesarean sections in the future."
"okay, I get it."
Carvey responded, and was about to leave the office when he suddenly thought of something, turned around and returned to the office, and took out an equipment box from the corner.This is the old equipment left over from Ignatz's previous use. It contains some of the most basic surgical tools, and it is now placed in the office for public use.
"Teacher, borrow it."
"Aren't you looking for someone, why do you want an equipment box?"
Although Flenny has broken a leg, Nora has just finished the operation after all, and Carvey is still afraid that something will happen: "I am afraid that her wound will open. If I can, I will definitely take her back to the hospital. But I am afraid. I can’t bring it back, so I’ll have to suture it on the spot.”
"Okay, let's go back quickly." Ignatz stretched his waist, "I'll go for appendix pathology first."
"Ah."
Although Tony Linton Street also has the word "street", it is actually no different from an alley, and it is much worse than Basinger Street where Carvey lived before.This is a civilian area expanded after the opening of the Ring Road. It perfectly inherited the atmosphere of its neighbor Hoinz Street. There are dilapidated houses built at will and unscrupulous guys everywhere.
At first the coachman looked suspicious when he heard that he was going to East Neilington Street, thinking that he had heard wrongly, but later he found out that Carvey was going to that place.
"Doctor Carvey, are you just going there?"
"if not?"
"I advise you not to bring too much money, and don't take any other things you carry with you, as it is easy to be targeted by thieves." The coachman warned, "If it is not possible, you should choose dark places and walk low-key. Yi That's what Dr. Gnatz does, or there's bound to be trouble."
Carvey hid the wallet, crumpled the coat, and hugged the equipment box in his arms: "I see, go to No. 155."
The speed of the carriage was not slow. It passed through the bustling ring road, bypassed the square, and then went east all the way into Hoinz Street. It took less than 20 minutes to reach the destination.It was a darker place than Basinger Street, full of ragged poor people.
Compared with those workers who can support themselves, they can only rely on begging and borrowing to survive.
The arrival of the carriage obviously attracted the attention of many people. As soon as the horseshoe stopped, Kawei quickly jumped out of the carriage and disappeared into the night.
No. 155 is in the middle of an alley, deep in an alley. Although there is not much light on both sides, because it is too close, Carvey can clearly hear various sounds in the surrounding houses.There were swearing, there were coquettish moans hidden in it, there were children crying, and the sound of glass bottles and bowls breaking, anyway, everything was there.
Carvey stepped on the wet and muddy ground and finally found where Nora lived.
This is a hut built privately with bricks, with only a half-hidden door visible, not even a window.
Carvey stepped forward, raised his hand and knocked on the door.
"Who?"
Although he hadn't met several times, Carvey clearly remembered his voice, which was Fleurney: "It's me, the doctor of the Municipal General Hospital."
"Doctor? What is the doctor doing here?" Fleury walked slowly with a limp, and waited for a long time before reaching the door. "You and I remember that you seem to be the doctor who operated on Nora?"
"it's me."
"Are you here to refund our money?" The man was still thinking about two months of hospitalization fees.
"You only paid for the first month, and you paid voluntarily, and the hospital will bear all the subsequent expenses." Carvey wanted to reason with him, but he soon lost his patience looking at this face, "Forget it Alright, let’s not talk about that, I want to see Nora’s surgery wound.”
"She has been discharged from the hospital and you still miss her stomach?"
Flenny approached the question from a different perspective than others, and suddenly asked: "You care about her so much, why don't you just buy her. Don't worry, I won't ask you for a lot of money. I'll sell it for 100 kronor. How about giving you a marriage certificate? It's cheap!"
"I'm not interested in buying and selling women." Carvey looked into the room twice, "I just want to see how the wound is doing, and I'll leave after reading."
Flenny saw that he was unwilling to make this one-time deal, so he had to pay in installments: "If you want to see it, it's 10 crowns each time."
"I just look at the wound on her stomach!"
"It's not just looking at it, 10 crowns!" Flenny smiled and patted Carvey on the shoulder, "You don't even go to Hoinz Street to inquire, the price is everywhere."
Carvey gritted his teeth, hesitating in his heart.
He didn't want a woman he had worked so hard to save to live like this, without even the qualifications to be a human being.But at the same time, he also knows that this kind of thing is everywhere in this society. If you buy one, can you still buy the second and third?
"100 crowns is too much, I can't afford that much money at once."
Carvey wanted to stabilize this rotten man first, read the wound first, and then ordered the nursing work.Unexpectedly, Fleurny didn't even plan to give him this little time, and said with a smile: "You don't want to buy it? Then I will sell it to my friend. Although 80 kroner is cheaper, it is enough for me to spend a while It's gone."
"friend?"
Only then did Carvey realize that not only the family of three lived in No. 155, but another buyer was also in the house.
Time was running out, and he didn't have time to think about it. He took out the wallet from the inner pocket: "Okay, 100 crowns is 100 crowns, I bought it."
Anyway, there are few servants in my family, so I can ask Nora to clean the room at home, and pay back to myself after saving enough money: "You have to give me your marriage certificate and people first, and pay with one hand."
"First-hand delivery! I understand, no problem!" Fleury agreed very readily, and at the same time shouted to the friend in the room, "Mr. Li Ben, your wishful thinking may be in vain. This doctor friend bid 100 yuan. !"
Li Ben?
The German jazz who lived in No. 73?
Carvey immediately thought of the little German who had dueled Alphonse.
Soon his guess was answered, and there was a scream in the room. The sound was very long, with some pauses for breathing in the middle. Judging from the tone and timbre, it should be a man with a Berlin accent.
Well, this is all a wild guess by Carvey.
But things changed so quickly, when Flenny was still in a daze and didn't know how to deal with it, Nora rushed out of the kitchen alone.Her face was gloomy, her hair was disheveled, most of her clothes and skirt were torn into pieces, and by the candlelight, she could still vaguely see the blood on her body and the scratches on her arms.
What Carvey was concerned about was her stomach, but fortunately the bandage was not messed up, and there was some blood sprayed on it but not oozing, indicating that the wound was not open.
But Fleury was concerned about the kitchen knife in her hand that kept dripping blood: "You probably won't."
Nora didn't say anything, and rushed over in three steps at a time.
After a while, the blood of the husband and the buyer in the house were mixed together.And the second scream that was added temporarily was much more dull, and was soon drowned in the sound of the knife tip piercing into the flesh.
Puff puff.
(End of this chapter)
It is said that the management of hospitals in the 19th century was chaotic. In fact, this is a misunderstanding, because there was no management at all at that time.
In an era when the whole population was addicted to drugs, and even Ignatz, the chief surgeon, could drink coca wine as a refreshing drink without any qualms, it was no surprise that nurses came to take two sips.Especially those nurses who need to stay on duty are so boring, how can they get through this long night without some alcohol to stimulate them.
Mariani's effectiveness is very strong, and it only takes a few more sips to lose the ability to judge.Not to mention that there was no professional training at that time, even an extremely professional modern senior nurse could not stand such torture.
"Medicine" can't talk about experience and truth with people.
The obstetric nurse in front of Carvey had just finished drinking, and she could smell a faint smell of alcohol without having to step forward.Carvey didn't know if she had added food to it, but one thing he was sure of, the nurse had no idea where Nora had gone.
"Nora? She was there just now."
"It's gone now." Carvey threw down the medical records in his hand, unable to hide his anger, "including her children!"
Bed 24 was indeed empty, the mattress was lifted, and the snow-white mattress seemed out of place in this overcrowded maternity ward.The simple backpack I had brought with me when I was hospitalized was no longer there, and a glass container used to assist breastfeeding was also put aside, obviously leaving in a hurry. 【1】
But the nurse just sat aside and found nothing.
"Should have gone home secretly." The nurse put away Nora's medical records nonchalantly, and then said, "After all, it costs 5-10 Heller for a night's stay including food, and many people think it's expensive."
"I paid for the ward fee in advance, and just a few hours ago, I just gave her the food fee as well. I hope that the food for her will be better the next day."
"You gave it to her?"
The nurse seemed to be used to this kind of plot for a long time: "Then her man probably took it away. In the eyes of these men, how can a pregnant woman have money?"
The words were so weird that Carvey had to think about the worst: "Man? You mean Fleurney? He left during the cesarean section last night. I haven't seen him since. Did he come today?" ?”
The nurse also fell into the memory, but her memory was much more chaotic than Carvey: "It seems to have come, but it seems not to come, I don't know."
Carvey couldn't help reminding: "He has a broken leg and walks with a limp."
"I know, I've seen it, but I just don't have the impression."
The nurse patted her dizzy and swollen head and shook her head. Later, another expectant mother who passed by told the truth: "Her man came here once at noon, and it seemed that there was a quarrel. She left by herself in the afternoon. That The bastard didn't come."
"Leaving in the afternoon?"
"Yes, Dr. Carvey, you came to see her before. As soon as you left, she packed her things and left."
The life and death of other patients has nothing to do with Kavey. Nora was sent back to the hospital after the cesarean section in person, and he was Kavey's patient before the wound fully recovered.He didn't care what happened to his patient's family, but at least he couldn't leave the hospital until he was fully recovered.
In modern hospitals, patients need to apply in advance, write out leave slips, and sign their names when they are discharged from the hospital. If it is a strictly managed hospital, video or audio evidence needs to be left to avoid problems in the distribution of responsibilities after an accident.
The initiative of hospitalization has always been on the parturient and family members. If you don't give birth in hospital, you can't get childcare allowance.
The Welfare Hospital does not have much money with the patients. Once the child is born, as long as they feel that their bodies have recovered, they will take the child and stay away from this dirty place.Leaving the hospital is as simple as eating and drinking, and no one cares about it.
Nora's situation was special, and it was definitely a miracle that she survived the cesarean section, but she still fit all the characteristics of leaving the hospital after giving birth: the man was a jerk, the family had no money, she was hospitalized for the allowance, and she was still alive.
The nurse was not surprised by this at all: "Why are you so surprised? Isn't it normal for a woman to be taken home by a man after giving birth? Otherwise, who will cook for these men? Dogs?"
Listening to her mouth full of train, Carvey thought of Flenny's shameless face again.
Doctors inevitably have to deal with the patient's family members, and Fleurney is the most rascal kind, who gives everyone a headache.
If, like Ignatz, his head was still framed in nineteenth-century surgical theories, he might not have paid much attention to the woman who had just had surgery.The surgery is done, and the person is gone, and she doesn't need to pay the hospital fee, so why bother so much.
But Carvey is the one who puts more emphasis on the perioperative period than anyone else. After the operation, it is only half of the long march. If the other half is not handled well, it will be fatal.
"Where's Nora's address?"
"Address Why do you want her address?"
"Even if the person is gone, I have to explain to her the specific steps of wound care. Otherwise, in the environment at home, the wound will definitely rot if the dressing is not changed."
The nurse was dizzy, and lowered her head to look for the notebook: "Yes, yes, it is. 155 Tony Linton Street."
Carvey was still unfamiliar with the streets of Vienna, so he turned and ran back to Ignatz's office.
Ignatz came back earlier than him, sitting in a chair drinking coffee alone, thinking about how to deal with the fuzzy relationship with Alina.Unexpectedly, Kawei rushed from outside as if he had entered his own house, and dug out the map regardless of 21 or [-].
Ignatz put down his coffee cup, not knowing what the kid was going to do, and the first thing he heard was "Tony Linton" that Carvey kept chanting.
"Tonny Linton Street?" said Ignatz, who knew the place very well. "It's just a block east of Hoyntz."
"East side. No. 155."
"The coachman at the gate will take you there." Ignatz was puzzled by Carvey's purpose of action, "What are you doing?"
"Nora is gone, and I don't know if she was taken back by her man, or if she was determined to go back, and the child was also taken away." Carvey was very worried, "Actually, I was just afraid that her wound would open. Easy surgery."
Also a surgeon, Ignatz was deeply moved.
But instead of wanting to help, he kept persuading him, "There's nothing you can do about it. Civilians don't have so many choices. I advise you not to go into the muddy water, and stay at the hospital and wait for me." Isn't the appendix pathological result better?"
Carvey also wanted to see the appendix, and the microscope in the dissecting room was indeed tempting.
But he couldn't convince himself: "Teacher, she is the first patient I performed surgery on, and she has special meaning to me. If her wound is open, what is the significance of my operation?"
Ignatz sighed: "Forget it, it's up to you. Remember, don't force it, come back if it doesn't work, there will be cesarean sections in the future."
"okay, I get it."
Carvey responded, and was about to leave the office when he suddenly thought of something, turned around and returned to the office, and took out an equipment box from the corner.This is the old equipment left over from Ignatz's previous use. It contains some of the most basic surgical tools, and it is now placed in the office for public use.
"Teacher, borrow it."
"Aren't you looking for someone, why do you want an equipment box?"
Although Flenny has broken a leg, Nora has just finished the operation after all, and Carvey is still afraid that something will happen: "I am afraid that her wound will open. If I can, I will definitely take her back to the hospital. But I am afraid. I can’t bring it back, so I’ll have to suture it on the spot.”
"Okay, let's go back quickly." Ignatz stretched his waist, "I'll go for appendix pathology first."
"Ah."
Although Tony Linton Street also has the word "street", it is actually no different from an alley, and it is much worse than Basinger Street where Carvey lived before.This is a civilian area expanded after the opening of the Ring Road. It perfectly inherited the atmosphere of its neighbor Hoinz Street. There are dilapidated houses built at will and unscrupulous guys everywhere.
At first the coachman looked suspicious when he heard that he was going to East Neilington Street, thinking that he had heard wrongly, but later he found out that Carvey was going to that place.
"Doctor Carvey, are you just going there?"
"if not?"
"I advise you not to bring too much money, and don't take any other things you carry with you, as it is easy to be targeted by thieves." The coachman warned, "If it is not possible, you should choose dark places and walk low-key. Yi That's what Dr. Gnatz does, or there's bound to be trouble."
Carvey hid the wallet, crumpled the coat, and hugged the equipment box in his arms: "I see, go to No. 155."
The speed of the carriage was not slow. It passed through the bustling ring road, bypassed the square, and then went east all the way into Hoinz Street. It took less than 20 minutes to reach the destination.It was a darker place than Basinger Street, full of ragged poor people.
Compared with those workers who can support themselves, they can only rely on begging and borrowing to survive.
The arrival of the carriage obviously attracted the attention of many people. As soon as the horseshoe stopped, Kawei quickly jumped out of the carriage and disappeared into the night.
No. 155 is in the middle of an alley, deep in an alley. Although there is not much light on both sides, because it is too close, Carvey can clearly hear various sounds in the surrounding houses.There were swearing, there were coquettish moans hidden in it, there were children crying, and the sound of glass bottles and bowls breaking, anyway, everything was there.
Carvey stepped on the wet and muddy ground and finally found where Nora lived.
This is a hut built privately with bricks, with only a half-hidden door visible, not even a window.
Carvey stepped forward, raised his hand and knocked on the door.
"Who?"
Although he hadn't met several times, Carvey clearly remembered his voice, which was Fleurney: "It's me, the doctor of the Municipal General Hospital."
"Doctor? What is the doctor doing here?" Fleury walked slowly with a limp, and waited for a long time before reaching the door. "You and I remember that you seem to be the doctor who operated on Nora?"
"it's me."
"Are you here to refund our money?" The man was still thinking about two months of hospitalization fees.
"You only paid for the first month, and you paid voluntarily, and the hospital will bear all the subsequent expenses." Carvey wanted to reason with him, but he soon lost his patience looking at this face, "Forget it Alright, let’s not talk about that, I want to see Nora’s surgery wound.”
"She has been discharged from the hospital and you still miss her stomach?"
Flenny approached the question from a different perspective than others, and suddenly asked: "You care about her so much, why don't you just buy her. Don't worry, I won't ask you for a lot of money. I'll sell it for 100 kronor. How about giving you a marriage certificate? It's cheap!"
"I'm not interested in buying and selling women." Carvey looked into the room twice, "I just want to see how the wound is doing, and I'll leave after reading."
Flenny saw that he was unwilling to make this one-time deal, so he had to pay in installments: "If you want to see it, it's 10 crowns each time."
"I just look at the wound on her stomach!"
"It's not just looking at it, 10 crowns!" Flenny smiled and patted Carvey on the shoulder, "You don't even go to Hoinz Street to inquire, the price is everywhere."
Carvey gritted his teeth, hesitating in his heart.
He didn't want a woman he had worked so hard to save to live like this, without even the qualifications to be a human being.But at the same time, he also knows that this kind of thing is everywhere in this society. If you buy one, can you still buy the second and third?
"100 crowns is too much, I can't afford that much money at once."
Carvey wanted to stabilize this rotten man first, read the wound first, and then ordered the nursing work.Unexpectedly, Fleurny didn't even plan to give him this little time, and said with a smile: "You don't want to buy it? Then I will sell it to my friend. Although 80 kroner is cheaper, it is enough for me to spend a while It's gone."
"friend?"
Only then did Carvey realize that not only the family of three lived in No. 155, but another buyer was also in the house.
Time was running out, and he didn't have time to think about it. He took out the wallet from the inner pocket: "Okay, 100 crowns is 100 crowns, I bought it."
Anyway, there are few servants in my family, so I can ask Nora to clean the room at home, and pay back to myself after saving enough money: "You have to give me your marriage certificate and people first, and pay with one hand."
"First-hand delivery! I understand, no problem!" Fleury agreed very readily, and at the same time shouted to the friend in the room, "Mr. Li Ben, your wishful thinking may be in vain. This doctor friend bid 100 yuan. !"
Li Ben?
The German jazz who lived in No. 73?
Carvey immediately thought of the little German who had dueled Alphonse.
Soon his guess was answered, and there was a scream in the room. The sound was very long, with some pauses for breathing in the middle. Judging from the tone and timbre, it should be a man with a Berlin accent.
Well, this is all a wild guess by Carvey.
But things changed so quickly, when Flenny was still in a daze and didn't know how to deal with it, Nora rushed out of the kitchen alone.Her face was gloomy, her hair was disheveled, most of her clothes and skirt were torn into pieces, and by the candlelight, she could still vaguely see the blood on her body and the scratches on her arms.
What Carvey was concerned about was her stomach, but fortunately the bandage was not messed up, and there was some blood sprayed on it but not oozing, indicating that the wound was not open.
But Fleury was concerned about the kitchen knife in her hand that kept dripping blood: "You probably won't."
Nora didn't say anything, and rushed over in three steps at a time.
After a while, the blood of the husband and the buyer in the house were mixed together.And the second scream that was added temporarily was much more dull, and was soon drowned in the sound of the knife tip piercing into the flesh.
Puff puff.
(End of this chapter)
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