In Kawei's eyes, Fernand was just a loyal and honest butcher. He was a little tired from work, but the money he earned was enough for food and clothing.
The series of changes in his body caused by Gaowan cancer made him feel a little ashamed. In addition, he had a good reputation, so he was always in a bad mood. But it is limited to this, because most men who have lost a pill and have breast hyperplasia will have this idea to some extent.
Who could have imagined that things would eventually evolve to this point...
Kawei followed the patrol officer next to Witte to the police station. He needed to submit all the medical records from Fernand's first admission to the hospital to the present, and he also needed to show his relationship with Fernand.
Witte was going to Hoints Street to join his patrol team and capture Fernand. Although he is still a suspect legally and has not been convicted, all the clues have converged on him. No matter what the final facts are, he needs to be arrested and questioned.
Time passed by, and after all the details were explained, Kawei hurriedly left the police station.
Fernand is just one of his patients. Years of surgical work have allowed Kavi to see the warmth and coldness of people, which also made him develop a more indifferent mentality. "Saving a murderer and causing other innocent people to die in vain" is a tangled emotion that only newcomers can have, and it can never exist in his mind.
But when he left the police station and met Fernand, who had just been captured, Kawei was still a little sad.
He was still wearing the dirty black leather skirt, which was stained with minced meat from who knows where. He was wearing a greasy shirt stained with blood and sweat. It seemed that he hadn't changed it for several days. As soon as he leaned close to it, he could smell the stench it gave off.
The mask that had originally been used to intimidate people was torn off, and there was no evil spirit underneath, but a familiar, yet somewhat yellow and haggard face.
Edward's fear was well conveyed to the patrol team through Werther's dictation, but Fernand was far from being as strong as they thought. After a group of patrol officers rushed into the basement, they easily took down the murderer without any fierce conflict.
"Doctor Kavey." After not seeing anyone for several days, Fernan didn't change much. When he saw Kavey, he still forced a smile, "Why are you here?"
After not seeing each other for many days, Fernan's eyes were yellow and his belly was bloated. Considering the previous diagnosis of cancer and the palpation of the liver, Kawei speculated that his liver might not just be cirrhosis but a more serious tumor metastasis. .
He originally wanted to ask about the current situation of Chijie and Fernan, but he didn't know how to speak.
Witte asked Fernand to be taken to the interrogation room, then walked to Kawei and said: "He did it all! A total of 11 people died, including the two girls in the restaurant, the clerk, and the old marshal's son Al Bert also had his wife. Some of them were hidden in the ice cellar in the basement, some of them were thrown into the Danube River by him, and some of them were buried."
Kawei sighed: "Did he tell you the motive for committing the crime?"
Looking at Fernand going away, Werther said with emotion: "The reason is quite complicated. For the time being, it can be understood that his wife met Albert by chance. The two hit it off immediately, and Fernand himself has The problem couldn’t be that big, so I finally felt relieved..."
After saying that, Fernand made a gesture of wiping his neck: "The problem is that he was still not satisfied after killing his wife. He cut the man and woman into pieces and showed them off. Now most of the body parts in the old marshal's house can be put together. Here comes a man. The most important thing is that he has to make up for what he lacks. It doesn't matter if he makes up for it. He can eat cattle and sheep, but he insists on eating humans..."
After hearing this, Kawei explained: "It should be that he wants to use the pleasure generated by insulting others to fill the mental void left by being insulted."
Werther didn't understand. He calmed down for a while and automatically skipped the sentence: "It's really hateful and pitiful."
Kavi sighed again: "Thank you, Sheriff."
"Well, it's not hard work, it's just annoying. I have to interrogate all his crimes in a surprise interview, and it seems I won't have to sleep tonight." Witte patted his shoulder and said, "By the way, you still have to go St. Mary's Hospital, why don't you let the police station carriage take you there?"
"No need." Kavi shook his head, "I can just go there myself."
...
All doctors hope that their patients will be healthy and not come back to them again. However, life, old age, illness and death are all uncertain events, and many patients will meet their own end. In most cases, doctors can only send them away without being able to stop them.
There are not many people who make mistakes like Fernand. Even Kavi, who is used to seeing wind and waves, couldn't help but think about it for a while on the carriage.
The death penalty is unavoidable. Even though Austria today prefers not to execute it, the French embassy secretary and the old marshal's son were carrying two lives, and the whole case was closely connected by the act of "cannibalism". The plot was extremely heinous. , so Fernand must die.
Judging from Witte's brief description of the disease process, Fernand should have suffered from bladder stones.
His ability was reduced due to pain, and he was criticized because of the hyperplasia of his double breasts. In the end, he was cuckolded by his wife. There may be various stimulations and cold violence behind it. Fernand's nerves were like a steel wire. It was already thin enough, but it had to be bent repeatedly, and finally slipped from the edge of collapse into the abyss step by step.
Although Kawei is indifferent, the patient's crime is the patient's business, and the doctor will definitely not take the blame. But he also inevitably wants to learn some lessons from it and reduce the occurrence of such things as much as possible from a medical perspective.
Sitting in the carriage, he began to reflect on his diagnosis and treatment process.
There is nothing wrong with the treatment itself. Surgical treatments for bladder stones, breast hyperplasia and breast cancer are all pretty good. In today's surgical environment, we are already better than 40% of doctors.
The reason why it is 40% is because 40% of surgeries cannot relieve the pain. Unable to relieve his pain, Fernand could only stay at home and die in depression, with no chance to take action.
The remaining 60% will cause Fernand to die directly on the operating table. As long as the person dies, there is no possibility of committing the crime, and this crime can be fundamentally prevented from happening. So judging from the results, their handling may be better than Kawei's.
But Kawei is a surgeon, and all measures must be based on the success of the operation.
In fact, if you look into it more deeply, it is an obvious flaw that Fernand's family members have not been waiting for him. Although the inconvenience of communication in the 19th century was cited as the reason, Carvey still felt that there were still some aspects of this small matter that could be improved by medical treatment.
It is the best choice for family members to be present and work with doctors to help the patient recover. If the family members never come, we need to take into account the disharmony in the family. At this time, we need to pay attention to the patient's mental state.
The second is the lack of postoperative health management.
It is not outrageous in itself that Fernando believes in taking whatever supplements he takes, because many people will have such an illusion. If you give him professional advice in advance, you might be able to help him out at the last moment...
Thinking of this, Kawei gently rubbed his forehead with his hand and couldn't help but shake his head.
The more I thought about it, the more I seemed to be caught between the overlap between modern medicine and 19th century medicine. In fact, now that medicine has not yet developed, there really isn’t much room for dealing with humanistic care.
Wouldn't it have been better if we had taken him to the church in the hospital?
Unfortunately, this is all Kavey's assumption. Even if some regulations and measures can be devised, it will be difficult to implement them in municipal general hospitals with insufficient staff. On the contrary, it will increase the burden on doctors themselves and risk reducing the quality of medical services.
Kawei felt it was a pity, but reality gave him very limited time to reflect. Within half an hour, the carriage arrived at St. Mary's Hospital.
He had to change his mood and give all his attention to the next patient.
The main reason why I came here was that after the Countess' surgery, I accepted the invitation of a St. Mary's doctor and decided to take time to discuss the surgical treatment plan for a breast cancer patient with the surgeon here.
The discussion took place in Massimov's office. In addition to Massimov and Kavey, six surgeons participated in the discussion.
Four of them are surgical assistants, and the other two are Massimov's students and are also excellent surgeons who can perform the surgery. From the staffing structure, it is similar to the previous Municipal General Hospital.
Breast cancer removal is still new to Carvey, and there are many things that could be fine-tuned, but the surgery itself is not dangerous.
He is confident that he can teach Massimov and other doctors the main points of attention in surgery. After all, the surgery itself is already very mature. The difference lies in confirming the tumor spread boundary and the scope of incision.
So at first, Kawei thought it was just a "flying knife" after a clear diagnosis.
But after seeing the medical records, he was really surprised by the complexity of the patient's condition.
"The patient's breast cancer on the left side has been progressing for one year." Massimov was sitting at the desk, holding a pipe in his hand, his expression showing helplessness. "Considering postoperative recurrence and mortality, in order to continue job, so she has always refused surgical treatment."
"Refuse to have surgery?" Kawei took the medical history record from his hand, "Why are you still admitted to the hospital if you refuse surgery?"
"She was not hospitalized because of breast cancer." A doctor to Massimov's left said. "Originally, she had a headache, so she went to the internal medicine department to dispense medicine. She fell and fractured her left arm, so she was admitted to the surgical ward. .”
Just one sentence made Kawei tense up.
Patients who can tolerate breast cancer for one year naturally have much stronger endurance than ordinary people. But she went to the internal medicine department to get medicine for her headache, which meant that the pain was beyond her tolerance. Coupled with the fracture of his left arm...
The more Kawei thought about it, the more outrageous it became, and he always had a very bad feeling.
But to other doctors present, it seemed that what needed to be solved was simple breast cancer: "We put splints and plasters on her arms, and then repeatedly persuaded her that she should remove the cancerous breasts while she was unable to work."
"So she agreed?"
"I did agree," Massimov replied, "but the size of the tumor exceeded my expectation, and I have been unable to accurately judge the extent of the resection. It happened that you had performed a breast cancer resection for the countess, so you wanted to Come and discuss it."
"It's a pity that Mr. Massimov was not present at the time."
"You still have the nerve to say that?" Massimov was furious when he heard this. "You only announced the time the day before the operation. I happened to have an operation scheduled that day, so I couldn't go even if I wanted to."
"The patient's situation is special, and there's nothing I can do about it." Kawei explained simply, and then immediately brought the topic back to the new patient. "Now that I'm here, I will naturally help to complete the operation. But Before deciding on a surgical plan, I had a different perspective on the patient's condition."
"What do you think?" Massimov was a little curious.
Kawei did not express his opinion directly, but looked at the medical records and raised his own questions step by step: "Does the patient have a severe headache?"
"It's really powerful. Sometimes even yam tincture can't suppress it." An assistant replied.
"Where is the headache?"
Another assistant covered a spot above her right temple with her palm: "When the pain is severe, she usually presses the right side of her head."
"feel sick and vomit?"
"I have, but it's not serious."
Kawei let out a long sigh, then nodded, seeming to have his own diagnosis: "Not only does the breast cancer need to be treated, but her headaches also need to be treated. It will be very dangerous if allowed to develop."
"Don't worry about this." Massimov picked up his pipe and took a puff. "As for the evil spirit in the skull, our hospital's internal medicine department is the authority and is already treating it."
Evil spirit?
Kawei thought he heard wrongly: "Internal medicine? How to treat internal medicine?"
"Bacon patch + shock therapy." Massimov said a very strange set of terms. "If it doesn't work, they will try hypnosis and exorcism. Anyway, we don't need to worry about headaches, physicians. It will be taken care of."
It doesn't matter if you don't say it. This statement made Kawei more and more curious: "Bacon patch? Shock therapy?"
"Wrap a whole piece of bacon with garlic, apply it to the painful area, and then tie it with a bandage." Massimov took a piece of paper and pressed it tightly against his scalp. "After doing this, let the patient lie down On the ground, put the head into a large iron pot and hit it with a hammer. This method can force the evil spirit inside the skull to escape, if the evil spirit is not powerful."
Kavi: "..."
"The development of internal medicine is also changing with each passing day. At first, we wanted to introduce electric current bathtubs to treat headaches, but unfortunately the hospital had insufficient funds and had to give up." After finishing speaking, Massimov said with emotion, "Compared to our simple cutting of skin and flesh, their treatment methods are always It seems so magical."
Everyone agreed: "Yes."
It’s a p!
!
Kawei wanted to use modern neurosurgery theory to refute, but felt that it was too difficult. After all, the span from "Evil Spirit Theory" to "Breast Cancer Tumor Metastasis Compression of Brain Tissue Causes Increased Intracranial Pressure and Causes Severe Headaches" is really big. some.
After much thought, he decided to use magic to defeat magic: "The exorcism method of internal medicine may seem brilliant, but in the face of "precisely positioned skull drilling", it is just a bunch of little tricks played by children playing with each other. Not worth mentioning. "
We provide you with the fastest update of Da Shen Hao Xifeng's "Medical Guide in the Nineteenth Century". In order that you can check the fastest update of this book next time, please be sure to save the bookmark!
179. Beat Magic with Magic Free Reading.
