The Municipal General Hospital originally had only two wards, one and two.
At first, surgical patients and obstetrics and gynecology patients were scattered among them, and management was quite chaotic. Since the end of the last century, the professionalism of obstetrics and gynecology and surgery has gradually increased, and the number of patients has gradually increased. The hospital had to consider over and over again and 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, attracting the hospital's senior management and newly admitted patients who were in urgent need of surgery. From time to time, it swallowed up a nearby obstetrics room for its own use in the name of borrowing accommodation. The obstetrics department couldn't bear it and finally opened up all the rooms.
Even someone as unreasonable as Ignatz at work would at least have some residual gentlemanly nature in his daily life and would not put his male patients in an embarrassing ward full of women.
This is disrespectful to women and irresponsible to their patients.
At this point, the obstetrics department was consolidated from several small wards to one large ward on the east and west sides.
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. Although the surgeons are 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 cause at first and couldn't find the difference between them. But now it seems that differences appear...
But...it seems like he didn't appear.
There were a total of 11 medical students who came for internship. Whether it was the leader or other noble students after them, they all obeyed the rules after entering the ward. Or to put it another way, they all pay great attention to the distance between men and women. Even if they start to operate, they will try to keep the distance as much as possible, which seems 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 are also wearing formal clothes, without masks and gloves, and operate with bare hands throughout the process. In Kawei's eyes, the first obstetrics ward has more quasi-doctors than the second obstetrics ward.
And they just started practicing last fall, but the difference in mortality between wards 1 and 2 started more than ten years ago.
"Yeah, it's been a long time. The obstetrics department has always been quite 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 am afraid that there is something unclean in that place that will affect the success rate of my operation."
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?"
"Got 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.”
"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 on the second day. I wanted to go to the drugstore and ask for 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 isolate the air and change it every day. If you really use perfume, you will consume a bottle every time you change the lint cloth."
Ignatz thought about his proposal carefully, and it seemed to make sense.
The matter at the drug store was revealed, and the topic returned to the police station. When he thought about his old friend who often ridiculed him being tricked by a child, he couldn't help but feel happy: "When Musil meets you, I'm afraid his face will turn green with anger."
"So I finally gave him another 5 crowns."
"You can be considered a talent for being able to negotiate prices. But..." Ignatz waved to Berget in the distance, "Bring the crow's beak pliers behind you, yes, the rest Take those two handfuls!"
"But what?"
"But I have too few corpses to use right now. I still need help from the police station and I can't have a stalemate with them."
Ignatz faced Hills, used his fingers to lightly draw a faint cutting mark on the bulging pig bladder, and continued: "Of course I don't mean to blame you. This mission was completed beautifully. It's just... If you go there again, you don’t need to be so harsh on the price.”
Kawei understood what he meant and 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. Hermann used both hands to insert the tube of the suction device into his bladder, and at the same time, he kept shaking the operating lever with his other hand.
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 point..."
"But......"
Hills wanted to say something more, but when he reached his lips, Ignatz looked at him and stepped back: "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."
"So 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’s no child in it!”
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 you also have to borrow their binding tools, and it costs 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 need to be fully prepared, 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, which 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 tube is about 30ml, 50 tubes?"
"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 back 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 his hands in the near future, or even killed two people again, he would 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 temporarily put aside the burden of cesarean section, nodded and said: "I have to persuade Mr. Daniel again. The ulcer on his foot has spread upwards. He needs to do it as soon as possible." Amputation will do."
"And that cleft lip."
"Yes, cleft lip surgery has to be put on the agenda."
The three interns on the side, including Bergt, saw a peaceful department atmosphere in front of them, taking into account the fierce debates in surgical academics and the harmonious arrangement of daily work. Although it is hard, as long as you keep pushing forward, you will always gain happiness that ordinary people cannot experience.
But Kawi on the other side is different.
What he saw were three pairs of dirty hands that had just touched the cold corpse. They rushed directly into the ward without even washing them with water, just like when the Germans pushed thousands of iron tanks into Poland. People were shocked.
etc......
Corpse?
Kawei looked back at Rosa and Andre, then looked at the surgical ward outside the door, lost in thought...
