37. Internal and external disputes

Style: Romance Author: West windWords: 4137Update Time: 24/01/12 01:27:24
Hungary, like Austria, is not surrounded by the sea, and seafood needs to be transported long distances from the fishing grounds before it can be delivered to the table. Not only is it expensive, but the quality of the food cannot be guaranteed. By the time you get to a big inland city like Vienna, the food will already smell bad.

So people here don't eat seafood very much, and it wasn't until the train came that things changed slightly.

Laszlo rarely touches seafood, and odd-shaped species such as oysters and scallops are forbidden items on the menu. This time he feasted on it entirely because of the atmosphere. Unfortunately, God did not give him a matching body. Laszlo was severely allergic to oysters.

This is not something difficult to understand in modern times, but in the 19th century, there was no concept of allergies in medicine.

If the power of speech is left in the hands of the maids, they will give some explanations similar to "allergy", such as "the master's body reacted too strongly to tonight's food" and so on.

If they were asked to carefully review Laszlo's daily diet and eliminate those items that they often eat, they might come up with the same result as Ignatz: oysters.

Because this situation is not uncommon and has existed since ancient times [1].

But now several of the most famous physicians in Austria were standing beside Laszlo's bed, and it was obviously too vulgar to just say something that everyone knew about women and children, and it was not in line with their status.

When it is difficult to explain with existing medical knowledge, doctors will resort to Hippocrates and Galen's "Four Liquids Theory" and call it: the incompatibility between people and specific foods. This kind of food gives Las Luo's body gained a lot of not-so-good bodily fluids.

Since it is a problem caused by excess body fluid, it must be removed by subtraction. The most common and simplest subtraction method is bloodletting.

The logic is self-consistent and perfect.

"Mr. Laszlo, we have given you nearly 200 ml of blood." The first person to speak was Dr. Posa from Graz Hospital. "We have effectively controlled the swelling on your face, but if you want it to subside further, I guess I have to let go of some more.”

If Kawei hears his name, he will definitely recall the panacea he saw at Loma Pharmacy before. His name is on the label of the medicine bottle, and he is an endorsement for scammers to make money. But here, he is a leader of the younger generation in Vienna's internal medicine community and the heir to the baronetcy.

"Dr. Posa makes a good point."

On the other side of the bed, also looking at Laszlo was Count Fatorad, deputy director of the Municipal General Hospital and director of the Department of Internal Medicine, a leading figure in the Austrian internal medicine community: "Now it seems that bloodletting is the only effective and necessary I don’t think you should hesitate to continue using this method.”

Several other people also echoed after hearing such speeches.

Laszlo was in pain, and the bloodletting made him a little weak, but the swelling, pain and itching on his face did not relieve much. And during the time that Ignatz was away, his tongue further expanded, making his already not very fluent German even more strange.

Now it is his daughter Naya who expresses on his behalf: "Are you sure that my father has a humoral disorder caused by special food?"

Several doctors looked at each other and nodded: "We are sure."

The tense doctor-patient relationship is not a modern thing, it also existed in the 19th century. Girls like Naya who cannot inherit her father’s real estate are even more concerned about it: “But you never checked his body, only made simple inquiries, and kept repeating bloodletting. Isn’t there anything inappropriate?”

Fatolad explained with a smile: "First of all, we don't need any examination at all. Those are just tricks used by quacks to improve their medical attainments in front of outsiders.

Don't worry, Miss Naya. We are all famous doctors at home and abroad. We can make a correct diagnosis through a simple conversation. Any diagnosis that comes into contact with the skin is an insult to our title of famous doctors. "

Posa followed up and said: "The amount of bloodletting is indeed a data indicator that needs to be closely monitored, but it is not necessary for Mr. Laszlo."

"Indeed, he had too much blood."

"I have never seen a patient with such congestion and swelling that even his tongue was exposed, and another 200ml had to be drained."

With her father's health in such a state, Naya's mood really couldn't get better. She didn't hear the doctor's words clearly and asked with a straight face: "You mean my father's face and the German meat jelly blood sausage stuffed with pig tongue and beef tongue?" Same?"

"Um...you misunderstood Miss Naya, that's not what I meant."

"what does that mean?"

The profession of doctors is very strange. If there are no patients present, they can fight to the death with swords and guns. But once a patient comes forward to make accusations, they will burst out with amazing solidarity. Of course, this all requires a premise, that is, the matter discussed must be within the scope of standardized medical treatment.

Repeated bloodletting is recognized as the most reasonable treatment method, and it is in line with the standards. There is no one.

It is understandable to object or not understand the patient's family members, but it is different if their professional ethics in practicing medicine are questioned. Regardless of seniority, title or professional achievements, Fatorad has the responsibility to defend these juniors with reason:

"Miss Naya, his words are indeed a bit straightforward, but I can guarantee that they are all out of concern for the patient. Bloodletting has served Europeans for thousands of years and is the most classic therapy. If you still have a grudge, Maybe Mr. Laszlo’s face will really turn into blood sausage.”

Facing the old doctor's beating, Naya's words were too weak to refute directly: "What about the surgeon just now? Didn't he say that bloodletting might not work if he persists?"

"You mean Ignatz? The surgeon who wanted to step in and help?"

"Haha, the surgery department... is actually just a barber hired by the Municipal General Hospital."

Fatorad agreed with this statement, but out of friendship with colleagues, he still had to be as tactful as possible: "He is a baron. Even if his profession is not elegant, he is still an authentic imperial baron. What qualifications do you have to say that to him?"

"But he said Mr. Laszlo was a surgical patient."

"Wake up, kid. Bloodletting is originally the job of surgery. When it comes to selecting reasonable blood vessels and knives, surgeons must be more skilled."

"No, I think he wanted to try a more dangerous technique, right on Mr. Laszlo's bed."

"They act rudely and recklessly, and they are even more proud of it. Naturally, they will appear ignorant in our eyes." Dr. Posa had a very indifferent view of surgery and chose to mediate, "But the 'barber' is not a good person." Words, Teacher Ignatz would definitely be angry if he were here.”

"Okay, okay, I repent, I hope God can forgive me for the sake of my persistence in thinking about the patients..."

...

At seven o'clock in the morning, when the outside of the Ring Road was already full of workers and everything was bustling with activity, the wealthy area of ​​Central City was quiet and peaceful. The private carriage of Laszlo Manor passed through the beautiful and clean Whitegreen Street and entered Laszlo's Manor directly with the sound of horse hooves.

The master's sudden collapse brought the ball to a less than perfect end. The nobles and celebrities chose to leave one after another, leaving the hall empty except for a few servants still cleaning around.

Kawi carried Ignatz's suitcase and followed him up to the master bedroom on the third floor.

"I'm back." Ignatz panted and stepped on the last step. "How is Mr. Laszlo?"

"I heard it's not very good." Alina had been waiting outside the door for more than three hours, shaking her head with a sad face, "Beget said it's still very swollen."

Berget attended the dance with his parents, and he was the "unlucky guy" who ended up dancing half a gallop with Naya and was left on the dance floor. Unexpected changes allowed Elena to see an opportunity. Although the intern was completely unable to compare with those big guys, the strong mother still kept him here.

Seeing Ignatz, he finally cheered up: "Teacher, they kicked me out not long after you left."

"when?"

"About half an hour ago."

"Bleeding again?"

"Yes, they insisted on bleeding as soon as you left, but I saw that Mr. Laszlo's face did look a lot whiter."

"Nonsense! If hundreds of milliliters of blood were drained out of you, your face would turn white!" Ignatz hated iron for not becoming steel. Of course, he was more worried about Laszlo. "Nowadays, people how's it going?"

Berget loosened his tie and said helplessly: "His tongue has also begun to swell, and it is a little difficult to speak."

"I knew it......"

Ignatz's mood was complicated, mixed.

The good news is that the entire course of the disease is under his control, and those pedantic and conservative physicians are as dull and useless as wooden stakes in the face of this acute disease.

What is worrying is that Laszlo's symptoms have reached a very dangerous level. Although he has learned corresponding treatment methods, his previous failed experiences constantly remind Ignaz that this situation is not far away from death. , whether the person can be saved depends not only on technique, but also on luck.

It has to be a fight.

Seeing that he was about to knock on the door, Alina suddenly blocked the way: "Fatorad said that no one should disturb him at this time."

"You're kidding, if you continue to bleed people, they will die!" Ignatz's mind is now full of saving people, and he can't care about that much. "Beget, Kawei, you two go in with me to save people!"

Alina knew that he was going to mess up again, so she quickly stopped in front of the door and said in a low voice: "Have you ever thought about the investment that you finally negotiated? If Fatolad doesn't nod, the surgical ward will not be qualified to expand. !”

Ignatz hesitated for a moment: "As long as I save Mr. Laszlo, I have a chance. He can't..."

"What if it fails?"

Alina didn't know what her husband was going to do, but she could easily hit his sore spot: "You said you couldn't operate a scalpel within eight hours after drinking. It's only been four hours now, and you haven't had a rest yet. . You are not omnipotent! With your current physical condition, what if you fail?"

"You do not trust me?"

"It's you who doesn't believe you! Otherwise, why would you set these rules?"

Alcohol......

About three years ago, Ignatz messed up a lithotomy because he was drunk. Not only did the patient's bladder and urethra rupture and bleed, he also permanently lost his penis. From then on, he stipulated that a period of rest must be taken after drinking, and he conducted several controlled experiments on this, and finally settled on an eight-hour interval.

Lack of sleep...

About two years ago, Ignatz stayed up late to perform an amputation. Because of his lack of concentration, he ligated the wrong blood vessel. The patient bled to death. From then on, he made it a rule not to go to the operating table when he was sleep deprived or overtired.

These are all cases of failure that have always been hidden in the back of Ignatz's mind.

It's not that he didn't think about failure this time, but the benefits brought by success were too tempting, and his brain kept stimulating him to take risks with the fantasy images of success again and again. Therefore, Alina's cold water was poured in very timely, making him hesitate whether he should go in and challenge his limits.

After all, he had poured a whole bottle of wine into his stomach a few hours ago in order to negotiate these investments, and his head was still feeling groggy.

Kawei was standing behind him and Bergt. He had already guessed what was in the box and knew what Ignatz wanted to do. Compared to Morazo's groin, Laszlo's neck is definitely more challenging.

Unfortunately, whether he can get in or not is not his decision, but he is not worried about losing this opportunity to showcase himself.

Because judging from their descriptions, Laszlo's allergic symptoms were very severe, and according to the development route of allergies, it was only a matter of time before respiratory obstruction occurred. Soon someone will help "rescue" the situation, and then the nature of the entrance will completely change. It will no longer disrupt the situation but will completely save the situation.

So when Ignaz was hesitating, Kawei cooled him down again: "Teacher Elena's words are indeed reasonable. Yesterday, the teacher first performed an operation and then dissected two corpses one after another. , and then underwent another operation. I also attended the dance party non-stop in the evening, and I haven’t slept a wink until now..."

Having said this, he rubbed his shoulder against Berget beside him.

Young Berget relied on Alina to get into the Municipal General Hospital. Now that it was time to show his loyalty, he naturally understood: "Yes, teacher, you are too tired. It is better to rest outside the door and wait for the result."

The three people around him were trying to persuade him. No matter how confident Ignatz was, he would be discouraged, not to mention that he didn't have much confidence in the first place: "Okay, I'll listen to you, just rest outside the door for a while."

Alina breathed a sigh of relief and smiled at the two young people who stood up to help her.

Especially Kawei, as an outsider or an assistant with no interests, he could have ignored these and just done his duty. But he still stood up immediately despite the risk of being scolded by Ignatz, which shows that he is a good person.

The door to the master bedroom became quiet again, except for some scattered conversations among the servants, there was no other sound.

Time does not move slowly, and things soon change as Kawei expected. First, a tea bowl was broken inside the door, and then Naya's cry came out: "Father, father, what's wrong with you?"