Nineteenth Century Medical Guide

Chapter 314. 310. Chinese staying in Paris
The biggest harvest on the streets of Paris these days is undoubtedly Carvey.

Since the two surgeries on the morning of November 11, there have been reports on Carvey on the streets of Paris.Some were gossip by word of mouth, while others were written up in the press and reported that very evening.

Unlike Austria, the French surgical theater is only open to insiders, and at least one must have a certificate from a medical student to have the opportunity to enter and watch it.However, journalists from major newspapers, including Le Figaro, Progress, and Times de France, ignored this rule and described the operation as if they were there in person. 【1】

It always feels like they are all famous at the University of Paris Medical School.

In addition to these old-fashioned newspapers, popular newspapers for ordinary citizens such as small daily newspapers, news pictorials, and Paris Review also joined them. 【2】

Especially on November 11, many newspapers began to combine the craniotomy the night before to create momentum for Kavey's cesarean section.For a while, apart from chatting about the just-concluded Austro-Prussian War and the two warships that just defeated pirates in East Asia, the streets of Paris were more or less talking about the character Kavi. 【12】

Under the carnival of public opinion, Carvey was not happy.

After waking up, he casually ate some breakfast at the hotel, and then rushed to the main palace hospital.In order to avoid those journalists, he deliberately avoided the main entrance and found a side entrance. After entering the ward, he directly found the obstetrics department where Hu Jier was located.

He needed to do an examination for the mother who had a caesarean section in the afternoon, and at the same time wanted to find any troubles worth noting from the messy medical history of the Parisian doctor.

It doesn't matter if you don't look at it, it makes Kawei frown.Sure enough, going to another hospital for surgery is like picking fruit, and there is a reason not to let it be picked.

"Mr. Hu Jier, this parturient." Carvey touched the position of the parturient's fetal head with both hands, and said, "Have you ever touched your stomach in the second trimester?"

"Of course, I have to touch it almost every few days, especially the fetal position is not correct for more than a month, so I have to try to adjust the fetal position almost every day." Hu Jier is not a half-hearted obstetrician, and he was a little angry at Carvey's statement. "Even the obstetricians in the country know about this. I have been doing obstetrics in the main palace hospital for so many years, why didn't I do it?"

Kawei also knew that the other party was not so bad, but the size of the belly and the fetus were a little bit different.

Is it because there is more amniotic fluid?

It doesn't feel like it.

"Are you sure it's just this baby?" Carvey was still touching his stomach with both hands, wanting to continue to explore, "This belly looks like more than one baby."

"Oh, the doctor is gentle, he kicked me twice again."

"Well, it's okay," Carvey reassured.

"Indeed, there is only one child." Hu Jier said, "Because the mother gave birth to my daughter two years ago, I will do the whole inspection for the second child this time. If you didn't come to Paris, the surgeon on stage It might be me."

This is also the second point that Carvey can't figure out.

As a second-born mother, the pelvic condition is much better than that of the first-time mother. As long as there are no other problems, the difficulty of natural delivery will be much lower.The ten-hour or even 20-hour labor process of primiparous women will be shortened to only a few hours for multiparas, and it is much easier to enter the basin.

Of course, the breech position of the fetus will make it difficult to enter the basin, but this baby is not too big.
Carvey made a simple measurement with a ruler: "The baby's biparietal diameter is estimated to be about 9cm, which is within the normal range. For multiparas, the condition of the birth canal is so good, at least they have to enter the basin."

Hu Jier didn't know what he was hesitating about: "No matter what, a child in this position must have surgery."

"I know that." Carvey could see helplessness in his eyes, which is the look of a person who has witnessed too many dystocias, "Don't worry, I'm just judging the situation, in case there is a problem in the operation, it is better to advance prepare for."

"It's just that my stomach is a little bigger, so there shouldn't be any problem."

It's really hard to say now, the stomach is a blind box, and no one knows what's inside unless you open it.Even with modern imaging technology, sometimes misdiagnosis is unavoidable: "The baby looks fine, and the fetal heart rate is also quite good. Let's prepare some blood before the operation."

"Preparing blood?" Hu Jier was not familiar with the preparations for these operations, "How to prepare?"

Carvey's so-called blood preparation has always been two aspects, one is the mother herself, pre-collecting part of the blood for preservation, and infusing it during the operation to maintain blood volume.The other is to find a person with a matching blood type and give the mother a direct infusion during the operation.

The effect of hirudin is difficult to control, and Kavey will not use it unless it is a last resort, so he prefers the latter.

"Ask someone for a blood transfusion" Hu Jier's reaction was much smaller than when he heard "preparing blood", obviously he understood the concept of blood transfusion, "But blood transfusion is too dangerous, so risky?"

"Danger?"

It was only then that Carvey realized that this was not the Vienna he had been running for more than half a year, and the concept of blood transfusion was still in the period when there was no blood matching: "The reason why blood transfusion is so dangerous is because there is no blood matching. Some people's blood is fine when they meet together. Son, some people's blood won't do."

He tried to keep the blood matching as simple as possible, and gave Hu Jier a buffer of time: "Blood matching? As long as you do what you call blood matching, you'll be fine?"

"It's not completely without danger, but the danger is very low. After all, medicine itself is full of uncertainties." Carvey smiled and comforted, "Don't worry, I have used it many times in Vienna, and only a few patients will respond. , but not fatal enough."

After undergoing yesterday's ectopic pregnancy operation, Hu Jier paid special attention to Carvey's suggestion, and his concept changed quickly: "If blood transfusion is really possible, how much is it needed?"

"Prepare 1000ml first, and five people are needed."

"Where can we find so many people?" Hu Jier was a little puzzled, "From what you said just now, not everyone is eligible for blood transfusion, and more people must come to try."

A hospital is nothing more than doctors, nurses and patients.

Doctors have to work and have a high status, and almost no one is willing to transfuse blood for civilian women.The status of nurses is much worse, but nurses also need to work, and the work intensity of the main palace hospital is particularly high, and it is generally difficult to find nurses for blood transfusions.

As for the patients, it was even worse. They were already in poor health, and they didn't know what other things would be in the blood.

"Paris is the leading bloodletting technology in Europe, just find the patient's family members." Carvey suggested, "If there are really not enough people, there are so many strong young men around the door. It's not a pity. I think they all want to have surgery. Theater."

Hu Jier's mind was fast enough, and he immediately understood what he meant: "You can really try what those reporters said. I will let my students let them in later. Oh, by the way, you just said about blood matching. How to match blood?"

"It's not difficult to do if you know the principle." Carvey looked around and asked, "Where are Mr. Hujill's students? I'll just tell him."

"Good Hope, Good Hope!" Hu Jier said to the young man who was doing examination and recording on the other side of the ward, "Come on, Dr. Kawei wants to see you!"

The pronunciation of the old man is very strange, not an ordinary European name.Moreover, the address from the address to the follow-up dialogue is extremely simple, and the enunciation is also very clear, for fear that the other party may not understand.Carvey was still wondering why this happened until he saw the young man's face:

"This is."

"I'm Chinese." Shanwang didn't have the timidity of meeting strangers, and introduced himself generously in poor French as soon as they met, "I came to Paris with the visiting delegation in April this year, and I worked in the hands of Mr. Hu Jier ”【4】

In fact, Carvey also saw some yellow skins in Vienna, but all of them came from rb to work and study abroad, and there was not a single Chinese.

He was in a daze for a while, and he hadn't seen anyone from the same family as him for more than half a year.

"Doctor Kawei?" Shanwang, who is just over 1.7 meters tall, is half a head shorter than Kawei, but his momentum is no worse than anyone else. "I heard that there is an operation in the afternoon, can I participate?"

Carvey wanted to say that he had high demands on his assistants, and at least he had to be experienced in many surgeries.But after hearing this request, deep down in his heart, he had a bias early on.No matter how objective he is, he can't bear to refuse to the Chinese who are studying abroad at their own expense at this time:

"Have you ever had surgery?"

"I did it once." Shanwang scratched his head and said with a smile, "It's only once."

Hu Jier interrupted at this time: "Dr. Carvey has been to China?"

"Huh?" Carvey shook his head quickly, "No, I just read some related reports from books and newspapers."

"I haven't been there, but I'm not surprised when I see him. It's so rare." Hu Jier walked up to Shanwang, patted him on the shoulder and said, "Many people regard him as a Japanese or other East Asians. They They can’t tell the difference between China and other East Asian countries.”

"Hehe, actually I can't tell the difference." Carvey smiled and returned to the topic just now, "If Mr. Hujill doesn't object to his surgery, I have no problem."

Naturally, Hu Jier would not object, because he introduced Shanwang to Kawei in order to let Shanwang go to the operating table: "He is a serious and hard-working kid, his knowledge is no worse than those young people who graduated from the University of Paris, and he is not bad at anatomy. I have no objection."

Carvey didn't expect the old man to be so forthright, and quickly made a list of assistants for the operation with them.

The chief surgeon must be Kawei, the first assistant is Hu Jier, the second assistant is Shanwang, and the third assistant is another young obstetrician.

Kawei's focus is naturally on Shanwang, but in order to prevent others from being suspicious, he still acts very cautiously.In the end, I had lunch with him on the grounds of teaching French surgical terms and learning about his background by the way.

Shanwang is not very old, he is only 20 years old, and Shanwang is only his first name: "My surname is Zhong, the 'bell' that rings the bell in the church."

Carvey was inexplicably surprised, and sighed decently: "Every country seems to have some similarities in surnames, and we are quite casual here."

"My family is not rich, and my parents are farming in my hometown." Shanwang drank two mouthfuls of cheap red wine in the staff meal of the main palace hospital, and said, "It was the church where Teacher Hu Jier belonged to that sponsored me to study in France, and of course I also accepted it. I took Teacher Huang Kuan's suggestion and thought for a long time before leaving."

Only then did Carvey know why Hu Jier was willing to recommend him to the operating table. This was indeed a top student in China at that time.

However, Kavey, who is called Huang Kuan, is somewhat familiar with this name: "Huang Kuan? Are you also Chinese?"

"Yes, he is a Chinese doctor who went to study in the UK a few years ago. He studied under the Irish obstetrics professor Simpson." Shanwang said, "After he finished his studies and returned to China, he opened a clinic and saved many lives. His medical skills are really good. superb!"

"It's really amazing." Carvey remembered the No.1 modern Chinese medicine. "Speaking of Dr. Simpson, I know him a little bit. He is Dr. Lister's deadly enemy."

"enemy?"

"Haha, it's about disinfection before surgery. He opposes the use of too irritating liquids for disinfection, and prefers clear water." Carvey said about the carbolic acid and alcohol disinfection advocated by Liszt and himself, "Since it is my operation, everything needs Listen to my arrangement. My operation must be thoroughly sterilized, so as to minimize the chance of postoperative incision ulceration."

"Teacher, wait a moment." Shanwang's French is not good, and this passage is not easy to understand, so he took out a pen and paper, "My French is not very good, can you write down what you just said?"

"Can you speak English?"

"English? I can speak English!" Shanwang said excitedly as if he had heard a friendly native dialect, "Ms. Huang Kuan often taught me back then, and the anatomy books he brought back were all in English."

"Well, let's communicate in English." Carvey said with a smile, "Actually, my French is not very good."

The cesarean section was performed at two o'clock in the afternoon. Unlike the craniotomy last night, reporters surrounded the entrance of the theater, and some even carried cameras with tripods, hoping to make up for not being able to take pictures at the train station two days ago. sorry.

For them, whoever can get the first-hand information before others will complete the task, and it would be even better if they can get an interview.

In fact, there are not many opportunities to interview the chief surgeon. Although professors like Cedieu operate with a half-acting interest.But facing outsiders, they have lost the low-level taste of "surgery is to please the audience".

So Parisians are gradually getting used to the way of life without this entertainment.

But today, several years after the surgery theater had left the public eye, a small group of people were suddenly selected as "special guests" to enter the theater, which broke most of the reporters who were blocked outside the gate.

They are not envious of each other being able to enter the theater, but they are envious that they can get the results of the operation in the first time, see Kawei himself in the first time, and even see his operation in the first time, take a photo with him, and even For a special interview.
Falling behind at work drives them crazy.

The guard stood at the door, as if he was guarding the door: "Just wait, I will tell you when the operation is over."

"We're going in! Why can they and we can't?"

"It's not up to me to decide." Seeing that they were getting more and more excited, the guard took out a wooden stick for warning from the kiosk, "If you have any questions, wait for the doctor who performed the surgery after the end. Don't come to me. If you want to force Chuang, I'm sorry, don't blame me for being rough!"

(End of this chapter)