Medical treatment developed rapidly in the 19th century. Although it was still in a state of semi-ignorance, the life span of the people was still increasing. Doctors themselves are descendants of nobles and capitalists, and they do the noble work of treating diseases. Their status is much higher than that of ordinary civilians.
Breaking into a hospital and killing a doctor with a knife in broad daylight was enough to cause a sensation in the whole city.
Graz Hospital is located in the city center, some distance away from the east side of the city where Nora lives, but it happens to be within the area that Witte is responsible for.
When he received the patrol report, he had just planned to have dinner with Musil, but now the dinner was in vain.
At 8 o'clock in the evening, the sun had already set. The police carriage hurriedly arrived at the gate of Graz Hospital with the oil lamps on both sides lit. The place has been cleared, there are no patients, and even the lights in the medical ward that should have been on are much less bright.
Werther jumped out of the car, glanced at the door of the hospital, and couldn't help but complain: "He actually came to kill the doctor. That guy must have lost his mind."
"Everyone is here these days." Musil held a piece of bread in his hand and gnawed on it. "Hurry in and finish early. I have to go to the restaurant to make up for this meal."
The two of them had already listened to the patrol officer explain the details at the police station. The knife stabbed directly into the stomach, and it was basically hopeless. Werther came here just to see the scene, and then take the murder weapon and the murderer back together to write a transcript.
Musil was more troublesome. After checking the condition of the body at the scene, he had to move it back for an autopsy.
So when he learned that the victim, Dr. Orji, was still alive, the forensic doctor was the happiest: "No one is dead? If no one is dead, can I leave?"
Werther grabbed his sleeve: "Just because he's not dead now doesn't mean he won't be dead later. We're just rescuing him inside. Who knows if he can be rescued? What if he dies in the end? Then we can get you out of the restaurant?"
The risks of surgery are inherently high, and now the number one patient injured is still Graz Hospital, and there are only a handful of doctors who can really take the stage. After calming down, the more Musil thought about it, the more uncertain he became. He always felt that Olgi lying in bed was in danger:
"Who is rescuing him now? Lockard? Or Hills, who just came from the Municipal General Hospital?"
"Both doctors are inside," the nurse said, "but someone else is actually doing the surgery."
"Someone else? Who?"
Although Musil has been away from clinical practice for many years, he does not distinguish between anatomy and surgery. He is still involved in the surgical circle and still understands the structure of doctors in various hospitals. Neither Lockard nor Hills had the ability to perform abdominal surgery, and there were no more than one person in Vienna who could bring them to power.
Ignatz? Or Waterman? Or...
"It can't be Kavi."
"Yes, that's him." The nurse said with a smile, "Dr. Carvey specifically asked him to wait outside the room for a moment if he sees Detective Witte coming to handle the case. The operation has been going on for more than an hour, and there is still 30 minutes left at most. It’ll be over.”
[Why is it him again. ]
[Why is he everywhere? ]
Although their minds were filled with questions, they felt inexplicably relieved after hearing Kavi's name. Orgi's life should not be lost. Werther secretly breathed a sigh of relief and patted his old partner on the shoulder: "I'll go see the idiot who used the knife first."
"what about me?"
"You haven't died after so long. It seems that you have no chance to appear."
...
Orgi, who is now lying on the desk, is out of danger. The bleeding has been stopped, and the lost blood has been replenished with saline. At least the heart rate that has gradually dropped does not lie.
The operation was about to end, and the three began to discuss the cause of the whole thing.
In fact, the right to know has always been a relative paradox in the medical field. Instead of repeatedly jumping between the two sides, it is easier to directly set a standard and make people abide by it. So there were provisions for protecting patient privacy, which came from Hippocrates' "Hippocratic Declaration", an old friend of Western medicine.
Although it is the basic ethics of doctors not to disclose personal privacy, if this kind of thing really happens, many doctors will feel empathy, and in the end it is very likely that they will step on the red line.
Orji did violate professional ethics, and the main reason was Linette's identity.
She is not married to the writer, so she cannot be considered a family member. Since they are not family members, they should not have the right to informed consent [1]. However, in the 19th century, there were not many doctors who could actually do this, and patients turned a blind eye.
"Personally, I think what Dr. Orji did was really wrong." Kawei tilted his head and pulled out the colon from below the spleen, and found the tear on it. "It's very broken here, give me wet gauze."
"What's wrong? Should Miss Linette be deceived?"
"First of all, she is not a family member, she can only be considered a friend."
The gauze was soaked with salt water and was quickly handed to Kawei's hand: "Secondly, I just said that Dr. Orji's approach was inappropriate, and I did not say that his original intention was wrong. In that case, if it is really There can be many compromises to convey this kind of message.”
"any solution?"
"Try to minimize the conflict between yourself and the patient, arouse Lynette's curiosity about the outcome of the patient's disease, and turn her initiative to seek the truth. By the way, didn't she come to the hospital together in the first place? She should know the progress of the treatment. That's right..."
Kawei followed his own train of thought and said something, causing silence all around.
When he was about to finish, he realized that what he had said was too clear, and he quickly changed his words with a smile: "Haha, it was just a casual joke. Just pretend you didn't hear it. Don't take it to heart."
What he said is indeed dark and selfish, but for a profession like a doctor, which is caught between legal principles and human feelings, protecting yourself becomes particularly important.
Hills and Lockard were like two wild donkeys running wildly in opposite directions, with a rope pulled between them, and neither could convince the other. But after hearing this, they seemed to have found the middle balance: "Dr. Kawei, can you be more specific?"
"For example, if you two are an unmarried couple, come to me for a review."
Kawei glanced at the two of them and immediately set up a small scene theater: "At this time, based on the writer's understanding of his situation and his exaggerated reaction afterwards, he definitely doesn't want her to know the truth. So he will talk to the doctor before coming Ventilate and try to conceal the truth.”
"Yes, that's how it was at the beginning."
Lockard still clearly remembers what happened: "After knowing that there was no hope of childbirth, he kept lying to Linette and said that the effect of the operation was satisfactory. Although the teacher knew that it was unfair to the woman, he told us that it was professional ethics. Doctors have no right to disclose privacy."
"So you two are here to review now..."
Kawei wiped away the dirt that leaked out from around the intestinal break, and then took a needle and thread to start suturing the colon: "I first checked the vaginal sac after the operation and said that the incision was good. Then what? At that time, How did the guy answer the call?”
"He told Linette that he had recovered his health and was fully capable of having children," Lockard said, "and hoped to get married as soon as possible."
"Shameless!" Hills became more and more angry as he listened, "What bullshit love is just for money!"
Kawei tapped the hook board in his hand with the tweezers in his hand: "You are the woman who has been deceived now, can you join the show?"
Hills had no choice but to sigh and said according to Linette's tone: "It'll be good to be healthy again. My father is still waiting for his grandson to be born. So doctor, how many more times does he need to come back for check-ups?"
"This is the last time."
Kawei did not deny the writer's deception, nor did he take the initiative to tell the woman the truth. Instead, he chose another method: "Here is a discharge summary that records your condition, operation process and results, and prognosis. According to hospital regulations , I need to leave it in your hands. If you have any questions after reading it, you can come back to me."
Two people: "This..."
Kawei took away the needle from the thread and handed it to the nurse: "After saying this, I handed the thing into the man's hand, but it was the woman who looked at it. Pay attention, your face should be solemn, at least not Smile. If the woman still doesn’t have any doubts or even asks questions after doing this, then there’s nothing we can do about it. This can be considered a test from God to her.”
Hills shook his head: "No, I'm already interested."
"Why didn't the teacher think of this before?"
Kawei quickly tied a knot in the intestines, and then cut off the thread: "The result is that Dr. Orji rescued Linette with kindness, but God threw the test into his arms."
"Yes, he has been suffering for the past half month."
"What's wrong?"
"The writer took him to court," Lockard said. "The trial just started two days ago. Fortunately, the judge and the teacher have a good relationship, and what the writer did was too despicable."
"The result is that we won?"
"Um."
Kawei snorted lightly, but felt that it was inappropriate to do so: "If you pay some money, maybe this farce will not happen. Not only has his marriage been ruined, but he has also worked with the judge to harm himself. What would you do if it were your situation? "
The contradictions in the whole matter have been revolving around Dr. Orji. This is a very dangerous thing in modern times and can explode conflicts at any time.
Therefore, Kawei's compromise solution is to change the power holder and forcibly hand over the power of notification originally held by doctors to patients. Let the woman force the patient to tell her condition in person. If she doesn't, it has nothing to do with the doctor.
To put it bluntly, it is a blame-shifting behavior to avoid danger. It is not glorious but it can reduce one's own danger at critical moments.
It was rare in the 19th century to give a medical history of hospitalization, but it was a good thing and would not leave any clues.
Kawei looked at his sutured colon and nodded with satisfaction, "Here comes a basin of salt water."
"Everything in the basin was finished just now."
"Oh, then prepare a new basin." Kawei pointed to the box containing the salt and said, "Put 1 liter of water and a spoon and a half of salt in it is enough."
"Where's the baking soda?"
"No need for that."
A large amount of saline was poured into Orji's abdominal cavity. This not only cleans the abdomen, but also plays a role in detecting other bleeding points in abdominal trauma to prevent omissions. Hills held the suction device and kept pumping away the salt water after flushing, but what he was thinking about was still the matter just now.
Because there are still many loopholes in Kawei's setup.
"What if I don't want the medical history information you gave me?"
"It's okay if you don't want it. Anyway, if I look at the woman, she can say yes."
"She is not a family member, so we can't have her."
"Yes, of course she can't ask for it. But she can ask for medical history, and I just refuse." Kawei explained, "The statement at this time is very particular. Generally, it is necessary to clarify the scope of the patient's privacy disclosure and emphasize that she It’s not that the family members can’t tell. If you want to know, you can ask him.”
Lockard immediately understood: "Because the writer has said before that there is no problem with her fertility, and now it is normal even if she says it in front of her, so there must be something wrong behind this vague statement."
But Hills still felt something was wrong: "What if the writer insists that you take a positive stance?"
Kavi looked at him and made a sign of the cross on his chest with his bloody right hand: "I am a devout Catholic, (I can't lie)."
"It's so obvious."
"It's obvious." Kawei also has a bunch of other messy methods in his hands, but they are too destructive and not suitable to be used here. "So you shouldn't have said it from the beginning. If you do, you have to bear such tragic consequences." as a result of."
Kawei has seen too many medical disputes, not only legal and financial, but also violence.
Doctors are the strong side in the medical field, but if you leave aside medical care, the rest are weak. Especially in the face of extremely vicious violence, even an experienced surgeon like Orji had to admit defeat.
"If you are really determined to get money, no matter what method you use, the last unlucky guy will be the doctor himself." Kawei cleaned his abdominal cavity again, "The only way to truly put an end to this situation is to act according to the rules. If you don’t say it, don’t say it.”
Hills shook the handle of the suction device in his hand vigorously and watched the salt water pouring into the glass bottle at his feet. His mood was like Orgi's abdominal cavity, which had just been ravaged, and was in a mess.
At this moment, there was a knock on the door.
"There is an operation going on inside." The nurse near the door opened the door and whispered, "If anything happens, please wait outside for a while."
"I'm looking for the surgeon who performed the surgery."
"This..." The nurse looked back at Kawei and hesitated for a moment, "Dr. Kawei, there is someone looking for you outside the door."
"Wait until I finish."
"Brother Kawei, it's me." Musil squeezed forward half a step forward with a smile, "I heard that you are doing resuscitation for Dr. Orji, and I wanted to come in and have a look. Do you mind?"
"Swallowing the Starry Sky: Sign in to Become a God"
Kawei heard a familiar voice and looked back: "It turns out to be Teacher Musil, what kind of wind brought you here."
Musil smiled awkwardly, and while answering the conversation, he also took the door handle and entered the office: "It's not this case. If the patrolman had told me earlier that it was you who was rescuing me, I wouldn't have come. .”
After all, Musil still stepped forward and looked at the table curiously.
It's a pity that the operation has already ended, and the sutures are running back and forth on Orji's belly. After his reminder, Kawei remembered the real purpose of coming here, and then asked Lockard and Hills in front of him: "Teachers, do you know if there are any women in labor here who are suitable for cesarean section?" ?”
