Paris has a unique romance that is different from other cities, but after peeling off this ideological surface, its inner structure is still the same.
Just like big cities such as London, Berlin, Vienna and New York, Paris is also composed of various "worlds". Each "world" is wonderful in its own way, but does not interact with each other, and is independent of other "worlds".
They are like bright gems set in a crown. While they make this 1,500-year-old crown dazzling, they also make it extra heavy.
The biggest among them is undoubtedly art, mainly painting, followed by the increasingly powerful politics, fashion, finance, food and other sectors that can demonstrate France's strength. But if the time goes back to more than 20 years ago, science will definitely be ranked in the top three.
In the huge scientific community, medicine is a very prominent presence.
The medical community in Paris is so famous that it once became the medical center of the entire world.
A complete medical education system and the pressure brought by absolute involution have spawned a huge number of hospitals and countless outstanding doctors, medical technicians, nurses, interns, and tens of thousands of patients who come here to see doctors.
In Paris, the number of people working in medicine is equivalent to the population of a small city. The scarcity of people creates fierce competition, and jealousy and suspicion are as prevalent as in any performance company.
Unlike the modern United States, which excels in the medical field, the medical level of the United States, an emerging country in the 19th century, is not comparable to that of the established European powers, and it is not even qualified to be beaten.
"During the cholera epidemic more than 30 years ago, 12 hospitals in Paris treated more than 60,000 patients. In comparison, London only had 40,000, Berlin less than 30,000, Vienna only 10,000, and Moscow may not even have 5,000. .”
Kawei sat in the carriage, looking at the scenery outside the window while listening to Edward talk about Paris: "What about New York?"
Edward didn't understand why Carvey mentioned that humble city, but he still behaved decently: "New York? Oh, yes, there is New York... But, Dr. Carvey, that was 1830, no Now. At that time, the hospitals in New York were not large, maybe even 2,000 people were not enough."
In fact, if I want to put it bluntly, most of the so-called New York hospitals are actually left by the British, and hospitals opened by the British always seem petty in the eyes of the French.
This is how the Contempt Chain was born.
"Mr. Ambassador, you really know a lot about these things in the medical field."
"Isn't it just to send you here as a temporary fix..."
Kavi originally wanted to mock him, but thought he didn't care about those things so he gave up. After all, he is a little-known doctor in the eyes of the French medical community. He has not even undergone systematic medical study. He must have talent, and the success of the operation is probably just a rumor.
In the eyes of everyone, it was just a show that such a doctor, who should not be a doctor, made such a big show of going on a surgical tour.
Naturally, down-to-earth French medical workers would not waste time for a show, so there were only three people to greet him at the train station, two of whom were clerks from the Ministry of Foreign Affairs.
"I didn't expect that Dr. Albaran would greet me at the train station. I was flattered."
Alba just smiled: "It should be."
Seeing him like this, Kawei still couldn't hold it back and asked, "I heard that you are a student of Mr. Mosier?"
"right."
Albaran looked less than 30 years old, but he seemed very reserved and did not even dare to speak much. The status gap between a general surgeon and an ambassador abroad is clearly reflected in this carriage.
"Also doing prostate research?"
"Um."
"It seems that Dr. Albaran is very knowledgeable about urethral stricture caused by the prostate."
"No, no, no, you are exaggerating." Alba waved his hands repeatedly, and his face suddenly turned red, "When it comes to prostate, how can I possibly be better than Mr. Mosier, and I heard that Dr. Kawei's treatment of the prostate is also very good. have to."
Kawei is far less modest, but he still has to keep a low profile when he first comes here: “I haven’t done much research.”
"I heard that you just performed a tumor resection on Mr. Edem in Vienna?" Albaran tried to ask a question, "Did the operation go well?"
"Everything is going well for the time being." Kawei's only worry now is Edem's physical condition. "Logically speaking, I should stay in Vienna within a week after the operation. Now I can only rely on telegrams to convey the news. I hope Edem Mr. Mu can successfully complete his recovery period."
Albaran actually had no idea about Edem's tumor, and the previous consultations were not something that a small person like him could participate in. The purpose of talking about this matter was to increase the topic and interaction.
But who knew that as soon as Kawei opened his mouth, he finished talking about everything he knew, leaving no room for him to answer the question.
Ask about cancer-related content?
Surgical approach?
Or the details of the next treatment?
Albaran is still somewhat self-aware. Even if Kavi is young and has no theoretical knowledge, he is still a doctor who can share the stage with Mr. Mosier.
Just like American students who came to Paris for further study in previous years, even if you don't have a medical undergraduate diploma, you can still attend classes at the school. As long as you get a university pass, you can visit the anatomy classroom, specimen display room and surgical theater at any time.
The seemingly unreasonable teaching system can discover many geniuses. Now most of the chief doctors and professors in the United States have come to France. At first, they were just apprentices following the doctors.
Maybe the young man in front of me is like them...
"Dr. Albaran, let's talk about your and Mr. Mosier's hospital." Seeing that he was not interested in surgery, Kawei took the initiative to change the topic, "I have to go there today to give a report, and I want to know more about it first. Condition."
"Oh well."
The Palais-Dieu Hospital should be one of the oldest hospitals in Paris and even Europe. It is located next to Notre Dame Cathedral and is a large five-story building. The hospital has 1,800 beds and serves nearly 20,000 patients every year. Like other Paris hospitals, treatment is free.
"The surgical department in our hospital is among the best in France." Albaran's smile was full of pride, "Dr. Kavey will definitely learn a lot this month."
"I am looking forward."
In fact, there were far more major hospitals in Paris than just the Palais-Dieu. There were nearly 20 large and small hospitals, including Grande, Sabot, and Mercy Hospital. Their number almost exceeded that of medical schools in the United States at that time.
Among them, the main palace, the Mercy and Charity hospitals are not far from each other, and the School of Medicine of the University of Paris, which is responsible for transporting talents, is nearby, which jointly creates the medical core of Europe.
This time when Kawei went to the Main Palace Hospital to give a surgical report and demonstration, the other two hospitals would also send people to observe, which was a good opportunity.
"The original time should be one hour later, but we just got off the train, so why not wait until early tomorrow morning..."
Edward wants to change the time, hoping that Carvey can face those French doctors who are extremely picky about medicine in the best spirit.
Albaran on the side also meant the same thing. The Cathedral Hospital is not just any other casual medical institution. The morning rounds here alone are full of the smell of gunpowder: "Doctor Kawei, you'd better rest for the night first and go back tomorrow." .”
However, Kawei disagreed: "Tomorrow? No need. I had a good rest on the train. Let's just go there."
Although Edward had always wanted Carvey to perform a cesarean section, in fact, Carvey did not clearly show what kind of surgery he wanted to do when he came here, because it was impossible for those obstetricians to hand over a woman in labor to an 18-year-old young woman. in human hands.
The so-called conference report only used a small conference room, with a few medical students sitting there. They all came when they had no time, which was equivalent to being let go.
Kawei casually talked about some cases and surgical treatment methods, but his enthusiasm was quickly dissipated: "What time is it now?"
"3:18." Albaran, who accompanied him, said.
"Thank you very much for coming in and being my audience. I really can't go on with this report." Kawei apologized to the medical students. "No one seems to care whether I come to Paris or not. I guess the scheduled surgery will also be delayed." In vain…Dr. Albaran.”
"exist!"
Kawei closed his notebook, picked up the surgical instrument box and prepared to leave: "I'm going back to the hotel first."
Albaran also has seven or eight years of medical education and is very aware of the weight of the report just now. If you take out a single case and place it in the Main Palace Hospital, it will attract the attention of more than a dozen doctors.
Only now did he know what the "genius" Mosier had written about in his letters meant. 【1】
It's such a shame to let such a character go like this.
"Doctor Kawei, how about..." Albaran hesitated for a while, then said, "How about going to the surgical ward to have a look? I will take you there and see the patients we have admitted directly."
Kawei knew that he was only a half-intern and half-working surgical assistant and could not have real power in the ward. It is obviously against the rules to bring outsiders into the ward to obtain basic patient information without the permission of the director.
So he had to confirm again and again whether he was really willing to do this: "I'm afraid this is not good."
"It doesn't matter. Teacher Mosier mentioned you repeatedly in the letter. If it were him in his place, he would definitely take you to the ward." Albaran finally gave up. "Besides, you were the chief surgeon who performed the surgery on Mr. Edem." Doctors are fully qualified to enter the ward."
Kawei smiled and nodded: "Okay, I'll listen to you."
...
In the ancient palace hospital, every ward is like a castle hall.
There are shiny oak floors on the ground, and huge windows ensure lighting and ventilation. There are hundreds of beds lined up on both sides of the ward. Each bed will have a separate white curtain hanging from a high place to provide privacy for patients and their families.
It was already past three o'clock in the afternoon when Kawei arrived at the surgical ward, but dozens of St. Augustine's nuns in the ward were still busy with their nursing duties.
Compared to what the Municipal General Hospital looked like before, this place is obviously much more professional. Compared with modern hospitals, there is no leisure here. Ward rounds at six o'clock every morning may cost the lives of many doctors.
And they get off work at six o'clock, six o'clock in the afternoon.
Sometimes a surgery is slow, or there is an accident, and surgical assistants and other cleaners may have to work overtime to clean. The only thing that didn't appear was the evil duty system, a system that consumes doctors' lifespan to save more patients' lives.
"Adele, send the medical records of beds 13, 24, 62 and 97 to the office."
Albaran was asking for a medical record from a nun, but was immediately stopped by Kavi: "No need for now, I'll look around."
He was not dissatisfied with the surgical beds reserved in advance, but he was not confident in their diagnosis. According to Kawei's surgical principles, patients who go to his operating table must at least undergo their own examination. Reading medical records as soon as they come up is not in line with his style.
I have to say that the Department of Surgery at the Main Palace Hospital is really powerful, and is at least twice as big as the Municipal General Hospital.
"There are currently 25 patients waiting for surgery, and the others are resting after the surgery." Albaran said, "The four just now are typical patients who were carefully selected and left to Dr. Kawi. The diagnosis is clear and they should be able to Perfect display of your technical prowess.”
"Is the diagnosis clear?"
Kaweike followed the master's instructions, without looking at the others, and just went to the four bed numbers.
The four patients had different diagnoses, hemorrhoids, bladder stones, cutaneous cysts, and appendicitis. However, in his eyes, except for the cutaneous cyst, the diagnosis of the other three patients needs to be questioned.
Bed 13 is over 60 years old and has had no problems with sex for most of his life, but now he suddenly developed hemorrhoids; Bed 24 is a man in his 40s who had frequent urination, urgent urination and painful urination for three days, but no hematuria; and finally Bed 97 who just arrived , a girl of the same age as Kawi, had abdominal pain, but only abdominal pain...
Every symptom is very vague, and there is no way to pinpoint the type of disease.
Moreover, with decades of experience in emergency surgery, Kawei can smell some strange smells from them: "Give me bed 97 first, I want to see it."
"Appendicitis?" Albaran nodded and asked the nun to bring the medical record. "You came here last night. I was planning to have surgery today, but the surgery theater was full. Teacher Juyong heard that you can perform appendectomy, so he gave it to you. The chief of surgery recommends that you perform this surgery."
"When did your stomach start hurting?"
"Just yesterday morning." The girl spoke in a low voice, "It's actually fine now, but I feel a little sore."
"Um."
Kawei glanced at the medical record, shook his head slightly, and was about to do some necessary examinations when he suddenly heard shouting from outside the door: "Albaran! Where is Albaran???"
"I-I'm here!"
"Go to Theater No. 2 quickly, Teacher Iyong is looking for you!"
