28. Uncle's ledger
At 6 o'clock in the evening, Kawei got on the carriage home.
In his hand were two pieces of letter paper, with some experimental ideas and collected data scrawled on them. What he saw and heard in the ward in the afternoon was still flashing through his mind.
If the need to wear sterile gloves when touching a patient's wounds still belongs to the medical category, then washing hands frequently should be a habit that has been developed since childhood. Kokawi observed in the surgical ward for an afternoon, and went to the hospital.
Trainees like Gnatz, down to Berget, don't wash their hands when entering the ward.
It can’t even be called a habit. Strictly speaking, the entire society does not have the concept of handwashing.
In the first step, they were exploring the possibility of cesarean section in Rosa and Andre's corpses. In the next step, they casually wiped their hands and walked into the ward door, exposing all the patients' wounds to those that had touched the corpse tissue.
The hand made an intimate contact.
This is no longer a matter of probability, but a real man-made disaster.
In the 19th century, when medical theory was chaotic and semi-open, doctors thought they had jumped out of the circle of metaphysics and theology, and had taken off the hats of witchcraft and alchemy. However, they did not expect that they were still playing the role of accomplices of death, accepting every
Surgery patients are pushed into the abyss of infection.
It was impossible for Kawei to impose the hand-washing regulations more than twenty years later on them, and those were not his patients, so he said nothing during the ward rounds.
But when Ignatz and the others arrived at bedside 11, the boy with a fractured tibia and fibula became the only exception. For him, the injured leg of the boy Eston was his way to improve the environment of the surgical ward.
The first step is to never give in.
"Once other people come into contact with Eston, then the conservative treatment I advocate may be mixed with uncertain factors, and the final result will be inaccurate!"
This was the reason given by Kawei at the time. It sounded a bit reluctant, but the result was not bad. Ignatz did not check the wound. Considering that the patient did not need surgery for the time being, he simply assigned the 11th bed to Kawei.
People handle it.
The transfer of responsibilities gave him face on the surface, but in fact it secretly put pressure on him.
Moreover, verbal expressions have no effect. Kawei knows very well that Ignatz still retains the final power.
Once the wound on bed 11 begins to fester, he will probably intervene without hesitation and ask the mother and child to immediately choose between "amputation" and "pack up and get out", just as indifferent as when he was the director of surgery.
It is impossible for social welfare hospitals to provide benefits without any lower limit, and sometimes trade-offs must be made.
Fortunately, the wound on the boy in bed 11 has been closed and there is very little leakage. As long as he continues to maintain it, healing will happen sooner or later. With this foundation, Kawei thought about the difference in mortality between the first and second obstetric wards.
While at work, he consulted several obstetric nurses and found out that the vast majority of women died after giving birth [1]. The time of death was about 1-4 weeks after delivery, and rarely more than 4 weeks. The cause of death was nothing more than swelling of the birth canal.
Pain, chills and high fever.
There is no need to do any examination. The answer is definitely puerperal fever [2], and the cause is infection.
We all belong to the same hospital department, so surgeons don't wash their hands, and obstetricians have no reason to waste water, not to mention students entering and leaving medical school.
Dissecting cadavers is not just for doctors. Students studying in medical schools have more opportunities to come into contact with cadavers. Anatomy is not only a compulsory subject in medical schools, but also takes up a lot of class hours in order to allow students to participate personally.
After removing the common items between the two wards, what remains are corpses and medical students. The answer is readily apparent: "The difference lies in the students!"
There is no place for "microorganisms infecting the human body" in doctors' theories. If they want to blame the causes of maternal deaths for more than ten years on the hands of medical students and instill the concept of frequent hand washing, Naqavi must give everyone a reasonable
reasons.
Kawei kept tapping a set of data on the paper with his fingers, and murmured: "The maternal mortality rate in the first ward does follow a certain cycle... But during the winter and summer vacations [
3], how come the maternal mortality rate has increased? Don’t they take holidays? Was it so high in the 19th century?”
His mind was a little confused, and he pressed his forehead hard. He could only put aside the obstetrics matters first, and then thought about the rabbit head he had ordered from Alphonse before.
Rabbit heads are used to make oxytocin, which has long been recorded in ancient Chinese medicine [4], but it would take about half a century for Western medicine to start using the posterior lobes of animal brains to extract oxytocin. Kawei is standing on the shoulders of giants, and
Same as disinfectant alcohol.
It goes without saying that the effects of the two things are effective, but the key is to have rigorous experimental processes and data. With the increasing self-confidence of Western medicine today, any innovation needs to be demonstrated through a series of experiments to be recognized by all doctors.
Kawei sighed: "First make achievements, then strive for in-hospital experiments, and then publish papers. It would be best if you can enter medical school. There are a lot of research institutes there that you can use..."
...
The evening carriage quickly stopped on the side of the road. Seeing that there was no movement inside the carriage, the coachman gently knocked on the window: "Sir, we have arrived at Basinger Street."
"...Well, okay, thank you." Kawei rubbed his eyes, got out of the car and paid.
Thinking of the 15 Hellers that he had given to the coachman before, he felt a little unhappy. But when he thought that he could move it tonight and no longer need a carriage to go back and forth, Kawei felt relieved.
He walked into the door of No. 73 again, and the familiar long wooden ladder carried him to the third floor with a creaking sound. The first room upstairs was his room 301. Kawei reached into his trouser pocket and took out
Door key, ready to enter the house.
Suddenly there was a soft knock on the door from behind: "Is it Mr. Kawei from Room 301?"
Kawei looked back: "Well, it's me."
The person who opened the door was Room 303. A thin, wrinkled old face poked out from the dark door: "Did Mr. Andre come to see you last night?"
He had only heard this man's name a few times from Andre's mouth. Kawei couldn't remember it clearly, and he didn't have much interaction with him. Thinking that he had seen Mick walk into his room before, Kawei was too lazy to say more: "Well
, I saw him last night."
"Oh, I didn't expect that Mr. Andre would have such an unexpected incident. It's really...sigh..."
The old man lamented and seemed to want to express his grief. However, seeing that Kawei was unmoved and even inserted the key into the keyhole, he quickly said: "Wait a minute, Mr. Kawei, don't worry.
Let’s go!”
"I'm very tired and need to rest."
"Before resting, I think you should meet the new landlord, Mr. Shaden." The old man pushed open the door and welcomed a young man less than thirty years old from the door. "He is An
Mr. Andre's cousin, he hurried over from Medling when he saw the obituary in the morning."
Kawei knew that Andre had always been single and had no children, so there seemed to be nothing inappropriate about his cousin inheriting the house. But he had no intention of continuing to rent a house, and he didn't want to get to know him, so he refused very simply: "Oh.
, I asked Mr. Andre to cancel the lease last night."
"Return?"
"The new job is too far from here, and there is no way I can continue to live there."
"I have never heard Cousin Andre talk about such a big thing as renting out." The young man named Shaden didn't let the old man in Room 303 interrupt, and walked straight over with a smile on his face, "And last month
You didn't pay the rent, and the money wasn't recorded in his ledger."
"I gave him the money last night."
"It's empty talk. I only rely on my cousin's records."
Shaden was no easier to deal with than Andre. He quickly took out the account book from the inner pocket of his suit and skillfully turned to Kawei's blank record. His eyes were full of greed for krona: "'Payment before February 28th
218 Helles, the rent will be raised to 250 Helles next month,' it is written clearly in black and white.”
Kawei didn't expect that the fat man would be so troublesome after he died: "I have already given the money to Mr. Andre, a whole 50 Heller copper coin, five coins in total. Haven't you gone to the police station to see his body? The wallet should be
Just put it in his vest pocket."
"I drove the carriage for three hours and just saw him for the last time this morning."
"Where's the wallet?"
"Already lost."
Kawei sighed, he really didn't expect the new landlord to come so quickly. If he had known this, he should have packed up and left here as soon as possible last night.
Misstep...
"If you don't admit it, then you have to go to the police station. I have not only physical evidence but also witnesses." The young man shook the account book in his hand, pointed to the old man in Room 303 behind him, and continued, "If it were different,
It's me, I will definitely pay the money, it's better to have less than more."
Of course, Kawei had nothing, so he had no choice but to take a step back and keep quiet about the 250 Heller rent, and then asked: "What about canceling the rent?"
"After settling last month's rent, you can choose to quit the lease, but you need to pay me one more month's rent in accordance with the provisions of the new contract before quitting."
"What's the point?"
"You must notify the landlord one month in advance when you want to cancel a lease. This is the rule."
"Rules? Mr. Andre never mentioned such rules."
"I am the new landlord. These are the rules I have set. Please abide by them."
Of course, Kawei is unwilling to go to the police station. No matter how good his relationship with Werther is, the man in black is always a fatal topic. He is also unwilling to stay at No. 73. It is unrealistic to go back and forth by public carriage every day, but staying in the hospital is equivalent to paying for it in vain.
250 Hellers, and he felt extremely distressed...
"Let me think about it again." Kawei thought twice and chose to delay.
Chapter completed!