27. Blitz Poland
The city general hospital originally had only two wards, one and two. At first, the surgical patients and obstetrics and gynecology patients in the three wards were scattered among them, and the management was quite chaotic. At the end of the last century, the professionalism of obstetrics and gynecology and surgery was gradually rising.
The number of patients was increasing day by day, and the hospital had to build three new wards to separate all their patients.
The internal medicine wards in the first and second wards are planned uniformly, with rooms for 6-10 people.
The third ward wanted to continue this style, but Ignatz, the head of the surgery department, had a weird temper and was a strong person, so in the first few years there were frequent conflicts with the obstetrics and gynecology department over ward allocation.
The Department of Surgery chose to encroach step by step, and roped in the higher-ups of the hospital to occupy a room for its own use from time to time. The Department of Obstetrics and Gynecology couldn't bear it, and finally, in order not to be disturbed, they simply opened up all the rooms, thus forming large wards on the east and west sides.
At this point, Ignatz was willing to give up.
In fact, the Department of Surgery at the Municipal General Hospital has always been a weak point, and Ignatz liked to work alone. Many colleagues could not stand his temper and ran to other hospitals. Therefore, the Department of Surgery has always been in a very strange position. The person who performs the surgery
Although it is very strong, the number of patients admitted has never increased.
Obstetrics and gynecology are different.
After the expansion of three wards, the Department of Obstetrics and Gynecology of the Municipal General Hospital has formed a very good scale and has become the largest diagnosis and treatment area for female diseases in Austria.
Leaving aside the gynecology department, the two major wards of the obstetrics department are now jointly managed by doctors, midwives and nurses. The processes of ward rounds, delivery and postpartum care are exactly the same. Although the operators are different, it is actually a random probability for the individual.
question.
Kawei couldn't think of the reason at first and couldn't find the difference between them. But now it seems that the difference seems to have appeared...
...it seems like he didn't show up again.
There were a total of 11 medical students who came for internship. Both the leader and other noble students after entering the ward were very obedient. Or to put it another way, they all paid great attention to the distance between men and women. Even if they started to operate,
He would also try to keep his distance when moving, which seemed very cramped.
Some students even hid behind the crowd because they were shy and gave up the opportunity.
At first glance, these people are exactly the same as those doctors and midwives. They also wear formal clothes, do not wear masks and gloves, and operate with bare hands. In Kawei’s eyes, the first obstetrics ward only has more quasi-doctors than the second ward.
That’s all.
And they just started practicing last fall, but the difference in mortality between delivery rooms 1 and 2 started more than ten years ago.
"Yeah, it's been a long time, and the obstetrics department has always been pretty weird."
Ignatz was carefully stuffing a pig's bladder filled with water into Andre's stomach, but he was recalling: "So when I bargained with Marcus for the ward, I stopped in time.
, I’m afraid that there is something unclean in that place that will affect the success rate of my surgery.”
Andre's smashed corpse turned out to be an advantage here. After removing some unnecessary parts, it successfully became the best carrier for simulated cesarean section.
Kawei stood by the anatomy room and watched Andre's chest and ribs being easily removed and his internal organs hollowed out. He couldn't help but sigh in his heart: "So many years have passed..."
Ignatz still stared at his bladder and asked: "So, you came back late because you went to the maternity ward?"
"I went to check on Nora's condition."
Kawei did not hide that he paid for her bed in advance, nor did he hide that he went to the drug store to chat with the French chef about the "tasting" taste of Hungarian leeches: "When I left the police station, I didn't expect them to deliver it so fast.
I ran to the drug store next door to have a look, and happened to meet Mr. Alphonse, so we chatted for a while."
"A drug store?" Ignatz asked casually, taking the scalpel handed by Herman, "Why are you going to the drug store?"
"Mr. Alphonse's vegetable oil is too expensive, and I used half of the bottle the next day. I wanted to go to the drugstore and ask about alternatives." Kawei began to explain randomly, "Later I found that wine is also quite good.
, that fragrant smell will definitely resist the miasma in the air."
The vegetable oil is very fragrant and the wine is also very fragrant, nothing wrong with it.
Ignatz glanced at him and was unmoved: "Wouldn't it also be a perfume?"
"Perfume? Perfume is too expensive." Kawei continued to explain, "My suggestion is to completely cut off the air and change it every day."
Ignatz thought about his proposal carefully and found that it made sense. Then he thought about his old friend who often ridiculed him, and he couldn't help but feel happy: "Musil's face will probably turn green with anger when he meets you.
"
"So I finally gave him another 5 crowns."
"Yes, it is a talent to be able to bargain like this. But..." Ignatz waved to Berget in the distance, "Bring the crow's beak pliers behind you, yes, the remaining ones
Two handfuls, take them all!"
"But what?"
"But I still need the police station to send the body, and I can't have a stalemate with them."
Ignatz faced Hills, gently drew a mark on the bulging pig bladder with his finger, and continued: "Of course I don't mean to blame you. This mission was completed beautifully, but I just have to go there next time."
You don’t need to be so harsh on the price.”
Kawei nodded cooperatively: "Yes, I understand."
Ignatz and Hillman each held a pair of crow's-beak forceps and clamped the two ends of the serosa layer of the pig's bladder tightly, and then used a knife to cut a slit. Herman used both hands to insert the tube of the suction device.
While in the bladder, the other hand kept shaking the operating lever.
The three of them cooperated well, at least there was no problem with the smoothness, but Hills was still not satisfied: "It can still only simulate the appearance of amniotic fluid, not the viscous blood flowing out."
Ignatz is not worried and is very confident: "The uterus of the female corpse just now gave me a lot of inspiration. I have mastered the key bleeding points..."
"But......"
Hills wanted to say something more, but when he reached his lips, Ignatz looked in his eyes and backed away: "What's wrong with you today? Why do you have to contradict me everywhere? Do you think I'm not doing a good enough job?"
"No."
"Does that mean you think you're doing better than me?"
"No, no!" Hills knew his temper and quickly denied, "I'm not refuting, nor am I arrogant. I just think that cesarean section is of great importance, and we should consider more possible disadvantages."
"You just think that the operation will be out of control like the last time! You are afraid! You don't like losing control!" Ignatz said his thoughts to the point, "But you should know that it is inevitable that the operation will be out of control!"
"That's why I hope..."
"Hope is useless! Your so-called hope is meaningless on this cold operating table!" Ignatz raised his voice again, "You said you want to simulate all the situations you will encounter during surgery? You ask
Can I do it by myself? The blood still flows... Do you want me to bring a pregnant woman from the maternity ward to try the knife? "
Hills:...
"I have tried dead pigs, including the previous ones, I have used three of them. Now I have also tried this female corpse. She has only been dead for two days. Her body is well preserved, but she is not a pregnant woman! Her uterus is still intact.
It’s not as big as my fist, and there are no children inside!”
Ignatz sighed, expelled the last bit of good mood about the dissection, and directly threw away the scalpel in his hand: "I have also been to a pig farm. The anatomy of sows is different from that of humans. If you want
To perform a cesarean section on a sow, you not only have to buy the pig, but also borrow their binding tools, and spend a lot of ether.”
Herman, who was squatting aside, nodded and whispered: "I asked last time and it cost 100 crowns."
"So, how much do we have to spend to perfectly reproduce all the situations that may occur during a cesarean section?" Ignatz picked up the wet rag beside the operating table and wiped off the blood and blood on his hands.
Greasy tissue fragments, "It is impossible for the hospital to put all the expenses on one surgeon."
Herman drained away the remaining water, took the pig bladder from Hillman, and began to carefully clean the dissecting table.
Hills also packed up his things, but he still wanted to say something: "Teacher Ignatz, I made a mistake just now, but my point remains the same. I still feel that since I'm on the operating table,
We should make complete preparations, we still have time."
"So you have said so much, do you have any good suggestions?" Ignatz threw the rag into his hand, "I remember saying it before, all the guys who only rely on words to refute without giving any opinions are
coward!"
"We can buy some blood," Hills said as he wiped his hands.
"Blood will coagulate immediately after leaving the human body. This is unrealistic."
"You can use leeches. The wounds opened by leeches can continue to bleed out."
"That's too little." Ignatz kicked the bucket, "How many leeches do you think it would take to suck out such a bucket of blood?"
"One stick is about 30ml, 50 sticks?"
"You pay?"
"If it can really be done, it doesn't matter if I pay."
"How much is your monthly salary..."
...
The future of surgery has unlimited possibilities. They are standing at the starting point of rapid development and cannot shrink from moving forward because of some small setbacks.
If Morasso's hernia operation failed yesterday, Ignatz might be sad for two days, but he would still carry the same patient to his operating table next time. If Nora really died in the near future,
In his hands, even if he kills two people again, he will still continue to try cesarean section.
"It's almost noon." Ignatz patted Hills on the shoulder, "Hurry and finish checking the ward, and then have dinner together."
The brief quarrel did not affect the master-disciple relationship between the two. Hills nodded and said: "I have to persuade Mr. Daniel again. The ulcer on his foot has spread upwards and the leg needs to be amputated as soon as possible."
"And that cleft lip."
"Well, cleft lip surgery has to be put on the schedule."
The three interns on the side, including Bergt, saw a peaceful department atmosphere. At the same time, they took into account surgical academic debates and daily work arrangements. Although it was very hard, as long as they kept pushing forward, they would always gain something.
Incomprehensible happiness.
But Kawi on the other side is different.
What he saw were three pairs of hands that had just touched the cold corpse and rushed directly into the ward without even washing them with water. It was just as shocking as when the Germans attacked Poland.
Wait, corpse?
Chapter completed!