The disparity in mortality in the maternity ward intrigued Carvey. This should be due to his own innate curiosity, which has remained unchanged after so many years. But time has to take something away, and what was taken away from Kavi was the drive to turn curiosity into action.
To put it nicely, it means being calm and cautious; to put it worse, it means being too lazy to meddle in those nosy things.
Just as those obstetricians thought, the mortality rate of patients in the surgical ward was much higher than that of pregnant women. Many people would even die directly on the operating table and in the hands of surgeons. If he doesn't take care of even one-third of an acre of his own land, how can Kawei, a little assistant, find the energy and power to take care of other people's affairs.
Under the control of this complicated emotion, he took the opportunity to see the pregnant woman who was about to have a cesarean section and entered the first obstetric ward.
There were hundreds of hospital beds neatly arranged in the large and spacious room. Most pregnant women ran outside the ward to talk to the doctor. Those lying sparsely on the bed were basically lying still waiting for delivery, while a few were struggling fiercely with the help of nurses to fight against the abnormal fetal position that had not yet entered the pelvis.
"This is ice water, now put your belly in it..."
"so cold."
"Yes, this is the place. When the child's head is cold, it will find a way to move away, so that the fetal position will become normal."
"Is this really possible?"
"It's Dr. Simpros's order. Please believe us..."
Kawei walked through the hospital beds and finally found Nora. She was lying alone on bed No. 24, with her name written on the patient ID card: Nora, no surname. She was 19 years old, two years younger than the legal age of marriage in Austria at the time, which was 21.
But the additional clause of "parental consent" can give the green light for underage marriage, and this is how Nora should be married.
She is not tall and has a slender figure. She is really thin, much thinner than Kawei who eats black bread and polenta every day. The large hospital gown that covers her body and the light blond hair that covers her head and shoulders make her Looking more haggard.
She was just an ordinary poor woman, her beautiful face had been ruined by life, and even if she was walking on the street with all her makeup on, no one would take a second look at her.
The bed fee of 1.5 kronor made Nora remember Kawei completely. When she saw the person coming, she sat up with difficulty and forced a smile on her face: "Doctor, thank you just now for helping me stay here." here."
"You're welcome." Kawei glanced at the pregnant women around him, and finally his eyes fell on Nora, "How do you feel now?"
"fine."
"I just came over to take a look..."
Kawei was not an obstetrician and gynecologist and had little understanding of the scope of knowledge involved in obstetrics in this era [1]. However, many years of clinical experience have made him familiar with the process of cesarean section and also understands the basic abdominal examination techniques in obstetrics.
While internal medicine was still learning traditional Chinese medicine and still using medical dolls [2] to make diagnoses, obstetricians had already relaxed their hands as early as the last century, not only allowing male doctors to conduct examinations, but also allowing the existence of male midwives.
Of course, this also reflects the extreme objectification of pregnant women at that time.
Surgery in the 19th century is very similar to modern surgery, that is, no surgery can be done without surgery. In modern times, it is to reduce the damage caused by surgery, but at that time, it was to reduce unnecessary mortality.
Nora was clearly classified as a patient who needed surgery.
Judging from the judgments of Ignatz and several obstetricians, she had obvious bony birth canal stenosis [3], and the baby was still in breech position. Although she had not yet entered the pelvis [4], she could already foresee the difficulty of normal delivery, which gave the surgeon the opportunity to perform a cesarean section.
According to Kawei's custom before his time travel, when encountering a major operation, the patient must undergo two complete physical health assessments.
Once on admission and once before surgery.
Kawei didn't trust these doctors, so he had to come and do a four-part palpation test in person [5]. If the stenosis is not serious and there is a chance to restore the fetal position, then skilled use of forceps and appropriate delivery techniques can completely avoid this life-threatening cesarean section.
To Nora, this was no shady inspection. Kawei's hands just pushed back and forth on her swollen belly a few times, and the examination was over.
"it's over?"
Nora was surprised because Kawei's speed was much faster and more stable than those doctors and midwives.
"Well, it's over."
Kawei was also surprised because many scars could be found on her belly. Most of them are bruises, ranging from minor to severe, and you can see that the old and new are changing very frequently. A few of them were burns. With Western cooking habits and Vienna's weather, it shouldn't be possible for the belly to be exposed.
To be honest, it's a miracle that this child can survive to this day.
Kawei is not interested in the patient's family disputes. In his eyes, the patient's current physical condition is the first priority.
Judging from his hand test, Ignatz and the obstetricians had no problem with Nora's judgment. The child is in breech position. Although only part of the pelvis can be measured, and the data are all extrapolations, Nora's pelvis is small enough to be visible to the naked eye [6].
If it were placed in the 21st century, it would still be necessary to do an internal pelvic measurement, that is, an internal examination, so that we can comprehensively evaluate whether the birth canal is really narrowed, but it is obviously impossible to do it now.
In this case, it is difficult for Kawei to draw an objective conclusion.
Since Nora can be operated by surgery, Kawei naturally happily accepted Ignatz's diagnosis: "You do have a narrow pelvis and an abnormal fetal position. Now Teacher Ignatz is doing all the surgical practice, and we are all here I will help you find a way and will do my best to complete this operation."
Noila nodded, not having any objection to the number of the maternity ward: “Thank you, thank you very much.”
"You should, let's rest..."
Just as Kawei was about to leave, Nora suddenly reached out and pulled his sleeve, with embarrassment written all over his face: "Doctor, I still want to ask a question."
"Just ask."
“Is a cesarean section dangerous?”
"It is indeed dangerous, but difficult labor is also very dangerous." Kawei said it tactfully and helped her make a decision from her own perspective. "Compared with the pain caused by difficult labor, I personally feel that cesarean section is more comfortable. , after all, we now have the greatest invention of our time: ether anesthesia.”
"It doesn't matter whether it hurts or not..." Nora hesitated for a moment, then asked, "If I go home now, will I definitely die?"
Kawei didn't quite understand what she meant: "You want to go home?"
Nora was grateful to the young man in front of her for helping her block the man's fist. She also hoped to stay in the hospital. The free meals here were even better than those at home. But after the man left, and after more than two hours of calming down, she seemed to have changed her mind, feeling that her previous decision had been a bit hasty.
"He doesn't know how to cook. I'm afraid he won't have anything to eat at home alone."
Kawei sighed. Seeing that she was like this, he could only continue to give strong medicine. "Intimidation" has always been his regular skill: "If you go home to give birth in this situation, you will be waiting to die. Then he will still have no food."
"But......"
There was a fierce battle going on in Nora's mind, and the consequences of disobeying men often turned out badly. What's more, after giving birth, she still has to protect the child, and life will become more and more difficult, but this is not the reason for Kawei to let her go back.
Now that the person has been handed over to the surgeon, Kawei will not let go as long as the indications are right.
"I advise you to stay here with peace of mind. The bed fee and operation fee are all free of charge. The surgeon who performed the surgery is the best surgeon in Austria. He just cured the count's hernia and made the headlines in the newspaper. He is very popular. Respect."
Kawei's only purpose was to keep this woman. "Such good treatment is rare in the whole country."
Norah touched her swollen belly and weighed it for a long time before making a choice: “Okay, then I’ll stay first.”
"That's right, just rest here and prepare for the operation." Kawei breathed a sigh of relief, "I still have to go find Teacher Ignatz, so I have to go first."
"Um......"
...
There was still a lot of chatter in the corridor outside the first ward.
After seeing the persistence of the doctors, the pregnant women had no choice but to hug each other for warmth with sad faces, and then accept their fate together.
Kawei bypassed the scattered crowd and was about to go to Ignatz to explain about Andre's body. He never thought that a group of people would pour in at the gate of the third ward behind him. Wearing black suits, stylish hair, ties and bow ties, they walked straight to the first obstetric ward as soon as they entered the door.
"Who are they?" Kawei asked a random nurse.
"A student from the medical school of the university next door."
"The momentum is really strong." Kawei thought of Berget who made a fool of himself in the surgical theater before. In terms of temperament alone, his temperament was not even the slightest bit worse. "I thought he was a big shot from somewhere."
The nurse looked at Kawei like a country bumpkin, and said jokingly: "Of course they are big shots, with noble births. Especially the leader, he is the eldest son of Uncle Karl, and his aura is certainly different from ordinary people."
"Border Count, his rank is higher than that of an earl."
"Who knows, but it also depends on the status. For example, although Morazo is only a count, his status as the king's cousin is a plus, so Dr. Ignatz can make the headlines."
This is indeed the capital of Austria, and even the little nurse has a deep understanding of the levels of noble titles. Kawei didn't want to have anything to do with the nobles, so he just stood aside and just listened to the story: "What are the medical students doing here?"
"Of course it's an internship, you don't even know this?" the nurse mumbled and said, "Hey, I just came here at this time, and it's already 12 o'clock after the ward check."
"Forehead......"
Kawei really didn't know that medical schools in this era had hospital internship programs, and this was the first time he saw medical students coming for internships. He glanced at the wall clock in the corridor and said casually: "It's almost 11 o'clock. The two wards together have 200 beds. Can we check it in an hour?"
"Huh? What two wards?" The nurse said without responding for a moment, "They only do rounds here and never go to the next door."
