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 falls within the medical category, then washing hands frequently should be a lifestyle habit developed since childhood. Kakawi spent the entire afternoon observing interns in the surgical ward, ranging from Ignatz to Bergt, who did not 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 tissues. The hands 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 the accomplices of death, accepting each and every one of them. Surgery patients are pushed into the abyss of infection.
It was impossible for Kawei to impose the hand-washing rule on them more than twenty years later, and those were not his patients, so he said nothing during the ward rounds.
But when Ignaz 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 first step in improving the environment of the surgical ward, and he must not let it go.
"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 Kawei gave at the time. It sounded a little forced, but the result was pretty good. 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 alone.
The transfer of responsibilities gave him face on the surface, but in fact it secretly put pressure on him.
And verbal statements have no effect. Kawei knows very well that Ignatz still retains the final power.
Once the wounds on bed 11 start 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 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, it will heal sooner or later. With this foundation, Kawei thought about the mortality difference between the first and second obstetric wards.
While at work, he consulted several obstetric nurses and verified that the vast majority of women died after childbirth [1]. The time of death was approximately 1-4 weeks after childbirth, and rarely exceeded 4 weeks. The cause of death was nothing more than swelling and pain in the birth canal, chills and high fever.
There is no need to do any examination. The answer is definitely puerperal fever [2], and the cause is infection.
Everyone is in the same hospital department. Surgeons don't wash their hands, and obstetricians have no reason to waste water, not to mention students who go in and out of 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 school, but also takes up a lot of class hours in order to allow students to participate hands-on.
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 the doctor's theory. If he wants to blame the hands of medical students for the cause of maternal deaths for more than ten years and instill the concept of washing hands frequently, Kawi 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 have a holiday? 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 took 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, just like disinfectant alcohol.
It goes without saying that the effects of the two things are good, 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, Basinger Street is here."
"...Well, okay, thank you." Kawei rubbed his eyes, got out of the car and paid.
Thinking of the 15 helers he had given to the coachman before, he felt somewhat unhappy. But after thinking that he could move out tonight and no longer need a carriage to go back and forth, Kawei was 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, took out the door key, and prepared to enter the room.
Suddenly there was a soft knock on the door behind him: "Is this Mr. Kawei from Room 301?"
Kawei looked back: "Well, it's me."
Room 303 opened the door, and a thin, wrinkled old face poked out from the dark door: "Did Mr. Andre come to see you last night?"
This man's name was only heard a few times from Andre's mouth. Kawei couldn't remember it clearly, and he didn't usually have much interaction with him. Thinking that he had seen Mick walking into his room before, Kawei was too lazy to say anything more: "Well, I saw him last night."
"Alas, I didn't expect that Mr. Andre would have such an unexpected incident. It's really... alas..."
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 tired and need some 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 Andrei had always been single and had no children, so there seemed nothing inappropriate about his cousin's inheritance. It's just that he had no intention of continuing to rent the house, and he didn't want to get to know the other person, so he refused very simply: "Oh, I asked Mr. Andre to cancel the rent 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: "'Pay before February 28th." 218 Helles, the rent will be raised to 250 Helles next month', it is clearly written 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 in total. Haven't you gone to the police station to see his body? The wallet should 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?"
"It's been 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 changed to It’s me, I will definitely pay the money, it’s better to do less than to do more.”
Of course, Kawei had nothing, so he could only choose to take a step back and keep quiet about the 250 Heller rent, and then asked: "What about the rent cancellation?"
"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 didn't want to stay in No. 73. It was unrealistic to take a public carriage back and forth every day, but staying in the hospital was equivalent to paying 250 Hellers in vain, and he felt extremely distressed...
"Let me think about it again." Kawei thought twice and chose to delay.
Xia Deng didn't force him, he just nodded and said, "I will come here to find you at ten o'clock tomorrow morning according to the time set by my cousin. I hope you can give me a satisfactory answer by then."
