November 10, 1866 is an ordinary day in history, but the night of this day is destined to be difficult for many people.
Most of the oil lamps in the surgical ward of the Palais-Dieu Hospital in Paris were extinguished, with only the last quarter still on. The girl in bed 97 covered her belly button with one hand and pulled the quilt over her head with the other hand. She just stayed on the bed and refused to say a word.
My parents sat on both sides, one still scolding the other secretly sobbing. Although the methods are different, all they want is the truth.
Dr. Peang, who was in charge of the bed, was less than 1.7 meters tall and could not speak at all in front of the family, making him look extremely small. He didn't know how to make the news he just delivered clearer, nor how to keep them quiet. After all, there were more than a hundred patients here who needed to rest.
"Tell me, have you ever had this?"
The girl's hand holding the quilt tightened: "Stop asking..."
"This is related to your health. How can you not ask?" The father followed suit and asked, "Is it the guy from the pharmacy on the street? Is it him? I've already seen that there is something wrong with him, so you just tell me if it's him?? ?”
"..."
"You only earn less than 100 francs a month, but you dare to touch my daughter!"
The father was really angry and was about to get up and go back to argue with the man. The daughter reluctantly pulled down the quilt and said, "What's wrong with him? He works very hard! Mr. Tyrese said that next year he will Let him take care of the store before returning to the countryside to retire."
"rhetoric!
!”
"Where is that!" The daughter began to complain uncontrollably, "I am already 18 years old. I love him and he loves me too. What's wrong with this? I've already asked Mr. Tyrese, why do you say this? Is it rhetoric?"
"That bad old man who just sits on a recliner and reads newspapers and drinks all day long? He's drunk every day. Maybe he's just talking nonsense."
"What is nonsense?" My daughter was also angry, "Why do you always dislike him? Why do you always feel that others are lying to me?"
"because......"
"Because your father was like this." The mother, who had been silent until now, finally spoke.
She came forward and sat on the edge of the bed, rolled her eyes at her man and continued to look at her daughter: "How can he say he loves you if he doesn't even take protective measures? Now that something like this has happened, even if you are not pregnant, you still have to He's doing surgery. How can he say he loves you when he doesn't even look at you?"
The daughter finally couldn't help but sit up, threw herself into her mother's arms and cried loudly: "Mom, I don't want to have surgery, I don't want to die..."
Although the family of three in the ward had disputes, they would eventually compromise with each other for the sake of harmony.
But it is not that simple outside the ward. In addition to respect, there are more reputation disputes, personality frictions and even more pure ideological discord between doctors. Sometimes they cannot be reconciled in a lifetime.
Kawei and Hugier, the current director of obstetrics and gynecology, fall into this category.
An hour ago, Kawei judged through palpation that the 97-bed patient was not suffering from ordinary appendicitis. After questioning, he found that the girl was probably pregnant, so he thought it was an obstetrics problem. Sediyo invited director Hugill to discuss the condition, and the latter also held a conservative view on appendicitis, but did not agree with Carvey's judgment.
"Maybe it's just some inflammation in the abdominal cavity. It's not as exaggerated as you said. Try using some medicine for external application first."
Hugier looked at the medical record and reminded: "Dr. Carvey has just arrived in Paris. If you don't want to rest, you should still focus on the previous patients with rectal tumors."
"She has admitted that she has engaged in sexual conduct, and now she has been suffering from abdominal pain for two days, which is not serious..." Kawei said, "I can't give an accurate judgment. I just feel that an abdominal exploratory examination is needed. If possible If so, I hope Professor Hugill can share the stage with me."
"Stop joking, you open your abdomen for exploration at every turn." Hujier didn't show any dignity at all and said in front of Cedieu, "You surgeons know how to cut and cut, regardless of the consequences. What if you die on the operating table? Do it? Who is responsible?"
Kawei knows that surgery is a double-edged sword, but now he has persistent severe abdominal pain, and there must be a big problem in his stomach: "If there is no surgery, it will only be more troublesome if the disease develops further!"
"Your reason doesn't convince me."
Hujier refused to take any advice and said: "You said the disease, what kind of disease is it? You said it will develop, but how will it develop? You said it will be more troublesome, what kind of trouble is it? And to what extent is it troublesome? I have never seen abdominal pain. The case that died within two days was not infected with cholera, so what are you worried about?"
"The professor may not know that there is a kind of pregnancy that can occur in the fallopian tube!"
Kawei said the answer in his mind: "The embryo will slowly grow in the fallopian tube, but the fallopian tube does not have the thick muscles of the uterus. Professor Hugill should understand what I mean. This outward expansion force connects the uterus to It can’t be stopped, it will tear off the fallopian tube together with the surrounding blood vessels!”
At a time when the whole world has not really understood the entire process of pregnancy, this is undoubtedly a very novel point of view, so novel that it is difficult for people to understand and believe it.
Doctors' understanding of the anatomy of intrauterine embryos has just begun, and the chance of ectopic pregnancy is low. Even if it is discovered, it will be misdiagnosed as a fallopian tube tumor.
Only by the end of the 19th century did obstetricians truly discover the existence of ectopic pregnancy and pay attention to the bulging mass in the abdomen during physical examination. If you want to make a clear diagnosis of ectopic pregnancy, it will not be possible until the urine hcg test appeared in the early 20th century.
Now let alone Hujier, not even Cediyo believes it.
However, Cediyo at least still has some confidence in Kawei and will further consider this possibility: "Developing in the fallopian tube? If it really enters the fallopian tube, the situation you mentioned is possible. But the problem is..."
"The question is why in the fallopian tube?"
Compared with the more neutral Serdieu, Hugier belongs to the group of completely disbelievers: "There must be a limit to random speculation. What is your basis? Is it just that the belly is not big after pregnancy? By the way, you have How did you know she was pregnant?"
The relationship between menstruation and pregnancy, which is well known to everyone in modern times, was indeed a mystery at the time.
In the 19th century, we only knew that menstruation had cycles, and the deep relationship between menstruation, endometrium, and pregnancy, like the urine hcg used in pregnancy tests, would not be discovered until at least the next century.
Now that the other party has asked, there is no need for Kawei to hide it. It is much better to answer directly than to lie to the other party: "I found that once the menstrual cycle is interrupted, pregnancy will come."
Hu Jier didn't want to intensify the conflict, but the reason given by Kawei was too subjective and had no reference value: "This kind of speculation is meaningless, what I want is empirical evidence!"
Kawei had just done a palpation, and it was really difficult to identify the fallopian tube mass by hand when she was only two months pregnant: "I really only have a guess, but if the guess comes true, it will kill her!"
"Please, young man, medicine is not speculation. Have you ever studied medicine?" Hujir became more and more disgusted with Kawei's operation. Seeing that he wanted to argue, he had to use his own identity to suppress him, "Stop talking. Now! Since you think this is an obstetric patient, let me take care of it."
Seeing him like this, Kawei had to say: "Forget it, let's treat it as appendicitis."
"Don't, don't do this with me!" Hujier snatched away the medical records that had just been taken away by Cediyo, "What's mine is mine. Obstetrics and surgery have been separated for a long time. This is not yours." The patient who deserves care."
"Professor Hugill!"
Just as Hujir was about to leave, he suddenly remembered something. He turned around, glanced at Kawei, and warned: "Don't keep thinking about your cesarean section. A natural birth from birth is in line with the laws of nature. Artificially cutting open the stomach and uterus is against the laws of nature." Your behavior will be punished by God!"
"I'm saving lives."
"Is disembowelment considered life-saving?"
...
Hujier, who is the same age as Sedieu, is far more stubborn than Kawi thought, but his attainments in medical history are still profound.
If there were no 97 beds, but instead they used the other party's research projects, such as uterine pelvic measurement, ovarian cysts and cervical resection, to communicate, maybe the relationship between the two would ease a lot. Of course, it will take a while to solve the problem of understanding of cesarean section.
In this regard, Kawei could do nothing but temporarily change the surgery schedule. He scheduled the urethral exploration on bed 24 for tomorrow morning, and the rectal cancer surgery on bed 13 in the afternoon.
In order to complete this rectal cancer resection, Kawei and Cediyo had to stay to discuss the approach and specific procedures of the operation, and strive for correct cooperation.
As for bed 97, if you want to regain control of treatment, you have to rely on Edward who has returned home.
But what Kawei didn't know was that Edward was actually having a hard time tonight.
He is still single, and when he returns to Paris, he is always thinking about his identity, which is far less comfortable than in Vienna. At the same time, in addition to making arrangements for Kawi's next surgery as soon as possible, he also had to face an annoying fly that often hides in the dark.
"Thank you, no need to look for it."
After paying the fare, Edward saw a dark figure emerging from the distance as soon as he got off the carriage. With the rare kerosene light on the street, he realized it was Mick: "Mr. Mick, you scared me to death!"
"Mr. Edward is really slow. I've been waiting here for two hours." Mick lit his pipe and walked forward and said, "It's not convenient for me to go to the hospital, so I can only come to you to understand the situation. Ka Can Dr. Wei tell me his schedule for the next week?"
"I only know about tomorrow's for now." Edward was not prepared at all. "The rest will have to wait until several hospitals discuss it before deciding."
Mick frowned, blew out two puffs of smoke rings, and complained: "Why are the French so inefficient..."
"What can I do? These are all things you mentioned temporarily." Edward shifted the responsibility to Mick. "When the Emperor of Prussia came to Paris to see His Majesty the Emperor, although there were many guards accompanying him, they were not as many as you requested. high."
Mick shrugged, disapproving of this: "I'm just following orders... Where to go tomorrow?"
"Still in the surgical theater of the Diocese Hospital."
"I see."
Mick received the news and left Edward's residence without any hesitation with a cane.
You really can't blame him for this. According to the original plan, Mick was going back to Vienna to continue working. Unexpectedly, the order changed temporarily. Franz was worried about the security work of France, and he had learned from the experience of the small town of Otaka, so he was designated as the person in charge of Kawei's personal security.
It's a pity that ever since he got on that train, Edward has been led by this sinister guy all the way, even when he arrived in his own country.
This feeling of grievance, coupled with the heavy burden on the relationship between France and Austria during the previous war, made Edward breathless. He felt like a bladder whose urethra was completely blocked by an enlarged prostate and could explode at any time.
He needs to decompress!
"No...I can't help it!
! "
As soon as Edward took off his coat when he got home, he felt uncomfortable all over. He had to put the coat back on and hurried out of the house.
When it comes to decompressing, especially for a true Parisian like Edouard, it’s all about sex.
When it comes to sex, his choice is different from that of the liar who fled to Paris. The dark alleys of the Pigalle district are not popular places. The ones that can truly show off one's money and power, while also satisfying one's own selfish desires, are the luxurious theaters on Montmartre Boulevard.
"carriage!
! "
Edward stopped a taxi and put 5 francs directly into the driver's pocket: "Take me to the Grand Theater on Montmartre Avenue."
Seeing the banknotes, the coachman felt happy, raised his whip and hurried towards the destination.
...
At this time, the comprehensive theater has already reached its busiest time every day.
The Grand Theater is by no means the largest theater in Paris, and its architectural style is not that artistic. But in terms of fame, it will never be inferior to any theater. Celebrities put down their tableware, walked out of the restaurant, and began to gather here.
They do come here to pursue art, but while pursuing art they can also find a soul mate.
In order to cater to this demand, those high-priced women who are waiting for the price will also bring their maids and come here specially to wait for the business to come. Usually as long as you send a bouquet of flowers, put a coat on the person, or even just kiss the back of the hand, you can close the deal with simple eye contact.
Li Ben originally wanted to try his luck here, but the rules here were still too advanced for him who was new here.
After wandering for a while, he gave up and soon found a carriage that had just arrived at the theater.
Li Ben limped to the door of the carriage and happened to meet Edward who got off the carriage. He got on the carriage with difficulty and said in broken French: "Coachman, hurry up and take me to Pigalle."
