In the 19th century, the calculation of the due date was not rigorous, and Nora's due date was roughly determined to be in March [1].
According to the previous plan, as long as she entered the range of the expected delivery date, once abdominal pain occurred, she would need to have a cesarean section in time [2]. But now the surgeon, Ignatz, the first assistant, and the second assistant are not here, and even Dr. Marcus, who is in charge of the ward, doesn't know what to do.
"Where are the Ignats?"
"I just finished a lithotripsy + circumcision, and I'm going out to do some errands now." Kawei could only bite his tongue and not let go, "Teacher, it's useless to be anxious now. You can only wait until he comes back before you can go to the operating table. .”
"Wait?" Marcus questioned the young man's knowledge of obstetrics. "Her water broke. Do you know what breaking water means? If the water breaks in the cephalopelvic disproportion, surgery must be done immediately, otherwise not only the child will die. In the belly, it can also affect the mother’s life.”
"Of course I know about water breaking. These are the basic knowledge of obstetrics." Kawei didn't want to talk nonsense with him, "But now that Teacher Ignatz is not here, what can I do?"
Marcus looked at Nora in a daze and asked, "How do you feel now? Is the child still moving?"
Nora covered her stomach with both hands, with a blanket under her waist, and the sheets and dressings soaked in amniotic fluid between her legs: "It was still moving just now, now..."
"How is it now?"
"I, I can't feel it."
Her husband Fleny appeared in the ward for the first time and was sitting next to her, holding a cane in his hand. He was very angry at his wife's ignorance: "You don't know that such a big child is in your belly? "
Nora is only 19 years old and can only rely on her hospitalization experience these days: "He doesn't move much at ordinary times, maybe he is resting now."
"Your stomach still hurts, right?"
"Yeah, it hurts from time to time."
"Contractions have started..."
Fleni couldn't understand these words and asked: "Doctor, when will the child come out?"
"How can a child be born so fast?"
"But there's so much water..."
Marcus knew that this boy never cared about his wife and never listened carefully to any conversation. Now that he was short of time, he was too lazy to explain these things to him: "Okay, okay, these things were already explained to you when I was admitted to the hospital. Now can you wait until I finish asking you before asking?"
Fleni still understood human speech, so he kept his mouth shut for the time being.
Marcus on the side was thinking of solutions in his mind.
In the 19th century, newborn infant mortality was very high. The probability that 5,000 newborns would survive their first year was about 60%. In the absence of informed consent and life-threatening trouble, doctors will basically recommend preserving the child while preserving the child.
It’s just that women don’t have autonomy, and it’s not up to them to decide whether to give birth or not.
"Doctor, I've said it before, she's definitely going to give birth." After only a few minutes of silence, Fleny poked the ground with a cane to vent his dissatisfaction, "If you can't let her give birth, then I’ll take her back!”
go back?
The suggestion that a scumbag came up with has become the focus of the game between the hospital beds. An extremely delicate balance is formed between Kawei, Marcus, Fuleni and Nora.
Since his income was cut off, Fuleny didn't want Nora to give birth in the hospital. If there was no one to take care of him when he returned home, he would lose the meaning of marrying a wife. As for the life and death of mother and child, it seemed to be a matter that was very far away from him. If something happened, he would have to live alone.
As the director of the obstetrics department, Marcus was originally opposed to Nora going back, but only if Ignatz helped you to find out. Now that Ignaz is away, he doesn't want to watch Nora's child die due to lack of amniotic fluid and lack of oxygen caused by uterine contractions.
It is not easy to induce labor for such a large stillborn fetus. If left untreated for a long time, it will in turn irritate the mother's body [3]. Instead of waiting, it is better to directly take action to get the baby out first.
But the baby in Nora's belly was in a transverse position, and the birth canal was narrow, so a normal delivery was impossible. Forcibly assisting in the delivery will almost certainly kill the child and cause irreparable damage to Nora's birth canal. So from the beginning Marcus suggested not having children and keeping Nora.
In this case, the problem comes back to Forni.
He definitely wants a child, even if he gives up this time, there will be another time. The birth canal is a hard indicator. If you can't give birth naturally this time, it will definitely not work next time. In the end, there are only two options: endless pregnancy termination or cesarean section.
With such a troublesome patient, and without the help of Ignatz to take over, Marcus hopes that Fuleny will take Nora away forcibly and die at home. If he is blind, he can also reduce the number of patients in the first obstetric ward in disguise. mortality rate.
Escape is shameful but useful.
Kawei on the side is of course a firm believer in keeping people + caesarean section. Ignatz is just going to relieve the pressure and will definitely come back. All he has to do is wait for the surgeon to come on stage: "I have already called several cars. The carriage has gone to find Mr. Ignatz, I think we will find him soon, just wait."
"Still waiting? It's already been an hour."
"I think it's better to go back. Anyway, home is no different from here."
“Actually, Nola’s abdominal pain is not very severe, and we still have time.”
"You said it lightly. If something happens..."
The three of them had a full and friendly discussion about whether to leave or stay, whether to live or take, but no one cared about Nora's own thoughts, and no one cared about her words. She has always been a swinger. When the man told her to go to the hospital for child care allowance, she went to the hospital. The man said that no one at home took care of him and it would cost money to stay in the hospital, so she was ready to go back.
But when it was time to give birth, the girl suddenly became strong: "I want to give birth, and I will give birth here."
This was the first time she had firmly expressed her thoughts, but unfortunately only Kavi could listen.
"The surgeon, Dr. Ignatz, is not here. No one knows when he will return to the hospital. Do you want to stop thinking about it?"
Although Marcus was once caught up in the vortex of fighting between surgical and obstetric departments, he was also a doctor and did not want to see his mother walk on the operating table and die in the hands of Ignatz, because he had seen too much: "No. La, I still hope you will consider my previous suggestion."
Noila immediately recalled the content of the conversation that day and shook her head repeatedly: “No, no no! I don’t agree!”
"This is for your own good. There is a high chance that you won't survive on the operating table."
"Doctor, what are you talking about that is depressing!?" Fleurney heard something. "I must have the child, and she must survive for me! If you can't do it, then all the hospitalization fees you paid before will be lost." Give it back to me and I will take you away now."
"I don't want to leave!" Nora refused uncharacteristically, "I want to stay and wait for Dr. Ignatz to come back!"
Although Marcus wanted to turn a blind eye deep down, but after seeing Nora's persistence, his heart softened. Seeing that Fuleni was causing trouble here, he asked the nurse to ask him out: "Anxin, stay outside the ward. If anything happens, I will find you."
"Hey, what do you mean something is wrong?"
"Just wait!"
"I am her husband and I have the right to make decisions for her. Why do you let me out?"
Fuleny limped out accompanied by the nurse, cursing: "I told you to go home but you don't agree. What are you doing here, waiting to be used as a guinea pig by these doctors? What if you get it?" The operating table is all in vain, and I can’t even exchange it for any money! Let me go, I will leave..."
After removing the leaver, Kawei, Marcus and Nora quickly reached a consensus.
Marcus and two experienced midwives accompanied Nora to the surgical theater first. Kawei made preparations for the operation, and at the same time, someone had to stop Hills and Herman who had just gotten off the operating table and were about to leave.
All that's left is to wait for Ignatz to come back.
...
According to the usual schedule of the surgical theater, five o'clock in the afternoon is a relatively awkward time period. The afternoon operation has basically ended, and the evening operation has not yet started.
Today's tickets are all sold out and the ticket office at the door is about to close. The ticket seller hummed a tune, counted the tickets in his hand, and prepared to take back the surgical poster that had been hanging up all day and go home from get off work as soon as possible.
At this moment, a child, carrying a backpack on his body, squeezed through the bustling crowd and ran quickly from a distance. He didn't even bother to stop, he raised his hand and grabbed the conductor's arm, and then his whole body ran directly into his arms: "Wait a minute..."
The conductor was in pain, took a few steps back, and pulled the naughty kid to the wall: "What are you doing, kid? Don't you have eyes when you walk?"
"Wait a minute..."
"What are you waiting for? The tickets are all sold out!" The ticket seller didn't embarrass him, he just said, "Children can't have surgery, they are not old enough yet!"
"I don't look at it, and I don't look down on it... I, I just want to tell you, I will collect the cards later."
He is a child who often sells newspapers in front of the Municipal General Hospital. Kawei just gave him 1 crown and asked him to take advantage of the last moment to help carry the message: "The hospital is about to have a cesarean section, right here!"
"Cesarean section?"
The conductor immediately smelled the money, but reason told him that while he was excited, he had to remember to avoid pitfalls. He grabbed the child's collar and asked sternly: "Are you sure?"
"Sure! Mr. Kawei told me personally!"
Kawi…
Now Carvey's name has its own weight, at least not much worse than Hills and Herman.
Name is credibility, and the conductor and Kawei are both acquaintances, so it is impossible not to believe his words. However, the surgical schedule in the theater is made one day or even two days before, and posters also need to be produced. Usually newspapers help print them, but now time is tight and it is impossible to make new ones.
He quickly thought of a way, opened the door and got into the ticket office. While searching, he asked: "Who will perform the surgery?"
"This...I don't know, Mr. Carvey didn't say."
"Caesarean section is a major operation with a very high mortality rate. Since it is a patient of the Municipal General Hospital, Ignatz must be the one to perform it." The ticket seller dug out a poster about surgeries related to Ignatz during this period. , "Hiles and Herman are both here in the afternoon, so the assistants should be them. Oh, by the way, Mr. Carvey should also be on stage..."
He used scissors to cut off Kawi's upper body from the leftover poster, and then used the poster of the cesarean section before Kawi's time travel as a base and put him on top.
[Led by Ignatz, all the best are out, and the new generation Kawhi Hines is eager to join! Municipal General Hospital faces the most dangerous cesarean section! 】
The ticket seller looked at this tacky title and shook his head: "Write whatever you want. It's just a gimmick anyway. It's up to God how many people it can attract!"
Five minutes later, the carriage carrying Nora stopped at the entrance of the theater. Marcus and the two midwives who got out confirmed the authenticity of the operation. Suddenly the ticket sellers and newsboys became the human loudspeakers at the entrance of the theater, and the poor improvised posters attracted the attention of many passers-by, many of whom were spectators who had just left the theater before the surgery.
"Another surgery?"
"This is a new emergency cesarean section! The patient has been sent in, and it will start in a while!"
"Caesarean section, exciting! Give me two."
"How to sell tickets?"
"How much does VIP cost?"
"Basic ticket is 50, plus 25 crowns, and VIP seats are 300 crowns!"
The price is set randomly, because the number of cesarean sections is very rare, and they basically end in failure, so the price is difficult to determine. But things are rare and valuable, and the more they fail, the more they stimulate their desire to win. The enthusiasm of the audience exceeded the imagination of the ticket seller.
The price of ordinary seat tickets could not stop the heavy bills in their wallets, and even the unprecedented 300 kroner VIP seats were sold out. In just half an hour, hundreds of tickets were sold out.
...
Compared to the bustling surgical theater, Hoints Street, which is six kilometers south through the bustling Ringstrasse, is still quiet and peaceful. The bustle here starts after nine o'clock, and before that it's rest time for various small vendors and entertainment venues.
But this is just an external appearance. Real regular customers have their own ways and there will not be such strict time limits.
For example, an alley in the street looks like a simple residential area from the outside. The door and wall decorations are extremely plain, and even the only door number that can be decorated only has simple numbers written on it, which has no sense of beauty at all.
But there are many special service practitioners living here. They provide the most comfortable services and refuse most requests, just to earn money for afternoon tea from those celebrities.
For them, the best customers are repeat customers who come to their door automatically. Everyone knows each other's ins and outs, and there is no embarrassment in doing things. Sometimes we even find some kind of spiritual resonance...
"Doctor Ignatz"
"..."
"Doctor Ignatz, wake up quickly"
"......Um"
"The alarm you set has gone off. It's time for you to go back to the hospital."
"......what time is it now?"
"It's almost six o'clock, Doctor Ignatz."
"Six o'clock in the morning?"
"No, it's night, you only slept for two hours."
"oh......"
Ignatz sat up, his eyes lingering around the girl, and finally raised his hand to pick up the half bottle of wine placed by the bed, and drank it down in one gulp.
"It's still early, let me sleep a little longer..."
