37. Internal and external disputes(1/2)
Hungary, like Austria, is not surrounded by the sea. Seafood needs to be transported long distances from the fishing grounds before it can be delivered to the dining table. Not only is it expensive, but the quality of the food cannot be guaranteed. By the time you get to an inland big city like Vienna, the food will already smell bad.
So people here don't eat seafood very much, and it wasn't until the train appeared that things changed slightly.
Laszlo rarely touches seafood, and odd-shaped species such as oysters and scallops are forbidden items on the menu. This feast was entirely due to the atmosphere. Unfortunately, God did not give him a body to match it, and Laszlo was serious about oysters.
allergy.
This is not something difficult to understand in modern times, but in the 19th century, there was no concept of allergies in medicine.
If the power of speech is left in the hands of the maids, they will give some explanations similar to "allergy", such as "the master's body reacted too strongly to tonight's food" and so on.
If they are asked to carefully review Laszlo's daily diet and eliminate those items that are often eaten, they may come up with the same result as Ignatz: oysters.
Because this situation is not uncommon and has existed since ancient times [1].
But now there were several of the most famous physicians in Austria standing beside Laszlo's bed. It was obviously too vulgar and not in line with their status to just say something that everyone knew about women and children.
When it is difficult to explain with existing medical knowledge, doctors will resort to Hippocrates and Galen's "Four Liquids Theory" and call it: people are not compatible with specific foods, and this food gives Las
Luo's body gained a lot of not-so-good body fluids.
Since it is a problem caused by excess body fluid, it must be removed by subtraction. The most common and simplest subtraction method is bloodletting.
The logic is self-consistent and perfect.
"Mr. Laszlo, we have given you nearly 200ml of blood." The first person to speak was Dr. Posa from Graz Hospital. "We have effectively controlled the swelling on your face, but if you want it to subside further,
I guess I have to let go of some more."
If Kawei hears his name, he will definitely recall the panacea he saw at Loma Drug Store before. His name is on the label of the medicine bottle, which is a good endorsement for scammers to make dirty money. But
Here, he is a leader of the younger generation in the field of internal medicine in Vienna, and he is also the heir to the title of baronet.
"What Dr. Posa says makes sense."
On the other side of the bed, also looking at Laszlo was Count Fatorad, deputy director of the Municipal General Hospital and director of the Department of Internal Medicine, a leading figure in the Austrian internal medicine community: "Now it seems that bloodletting is the only effective and necessary
I don’t think you should hesitate to continue using it.”
Several other people also echoed after hearing such a speech.
Laszlo was in pain, and the bloodletting made him a little weak, but the swelling, pain and itching on his face did not relieve much. And during the time that Ignaz left, his tongue further expanded, making it difficult for him to speak fluently.
German has become even stranger.
Now it is his daughter Naya who expresses on his behalf: "Are you sure that my father has a humoral disorder caused by special food?"
Several doctors looked at each other and nodded: "We are sure."
The tense doctor-patient relationship is not exclusive to modern times. It also existed in the 19th century. Girls like Naya, who cannot inherit her father’s real estate, are even more concerned about it: “But you never checked his body, only made simple inquiries, and kept repeating bloodletting.
Is there anything inappropriate?"
Fatorad explained with a smile: "First of all, we don't need any examination at all. Those are just tricks used by quack doctors to improve their medical attainments in front of outsiders.
Please rest assured, Miss Naya. We are all famous doctors well-known at home and abroad. We can make a correct diagnosis through a simple conversation. Any diagnosis that comes into contact with the skin is an insult to our title of famous doctors."
Posa also followed up and said: "The amount of bloodletting is indeed a data indicator that needs to be closely monitored, but it is not necessary for Mr. Laszlo."
"Indeed, he had too much blood."
"I have never seen a patient with such congestion and swelling that even his tongue was exposed, and another 200ml had to be drained."
With her father's health in such a state, Naya's mood really couldn't get better. She didn't hear the doctor's words clearly and asked with a straight face: "You mean my father's face and the German meat jelly blood sausage stuffed with pig tongue and beef tongue?"
Same?"
"Um...you misunderstood Miss Naya, that's not what I meant."
"what does that mean?"
The profession of doctors is very strange. If there are no patients present, they can fight with each other and fight to the death. But once a patient comes forward to make accusations, they will burst out with amazing solidarity. Of course, this all requires a prerequisite, that is, the matter to be discussed.
It must be within the scope of standard medical treatment.
Repeated bloodletting is recognized as the most reasonable treatment method, and it is very standard and there is no one.
There is nothing wrong with the opposition or incomprehension of the patients' families, but it is different if they question their professional ethics in medical practice. Regardless of seniority, title or professional achievements, Fatorad has the responsibility to defend these juniors with reason:
"Miss Naya, his words are indeed a bit straightforward, but I can guarantee that they are all out of concern for the patient. Bloodletting has served Europeans for thousands of years and is the most classic therapy. If you still have a grudge,
Maybe Mr. Laszlo’s face will turn into blood sausage.”
Facing the old doctor's beating, Naya's words were too weak to refute directly: "What about that surgeon just now? Didn't he say that bloodletting might not work if he persists?"
"You mean Ignatz? The surgeon who wanted to step in and help?"
"Haha, the surgery department... is actually just a barber hired by the Municipal General Hospital."
Fatorad agreed with this statement, but out of friendship with colleagues, he still had to be as tactful as possible: "He is a baron. Even if his profession is not elegant, he is still an authentic imperial baron.
What qualifications do you have to say that to him?"
"But he said Mr. Laszlo was a surgical patient."
"Wake up, kid. Bloodletting is originally a job of surgery. When it comes to selecting reasonable blood vessels and knives, surgeons must be more skilled."
"No, I think he wants to try a more dangerous technique, on Mr. Laszlo's bed."
"They act rudely and recklessly, and they are proud of it. Naturally, they appear ignorant in our eyes." Dr. Posa had a very indifferent view of surgery and chose to mediate, "But the 'barber' is not a good person."
If Teacher Ignatz were here, he would definitely be angry."
"Okay, okay, I repent, I hope God can forgive me for the sake of my persistence in thinking about the patients..."
...
At seven o'clock in the morning, when the outside of the Ring Road was already full of workers and everything was bustling, the wealthy area of Central City was quiet and peaceful. The private carriage of Laszlo Manor passed through the beautiful and clean Whitegreen Street, carrying a burst of horse hooves.
The sound directly entered Laszlo's manor.
The master's sudden collapse brought an imperfect end to the ball. The nobles and celebrities chose to leave one after another, leaving the hall empty except for a few servants still cleaning around.
Kawi carried Ignatz's suitcase and followed him up to the master bedroom on the third floor.
"I'm back." Ignatz panted and stepped on the last step. "How is Mr. Laszlo?"
"I heard it's not very good." Alina had been waiting outside the door for more than three hours, shaking her head with a sad face, "Beget said it's still very swollen."
Berget attended the dance with his parents, and he was the "unlucky guy" who ended up dancing half a gallop with Naya and was left on the dance floor. Unexpected changes made Elena see an opportunity. Although the intern was completely
He couldn't compare with those big guys, but this strong mother still kept him here.
Seeing Ignatz, he finally cheered up: "Teacher, they kicked me out not long after you left."
"when?"
"About half an hour ago."
"Bleeding again?"
"Yes, they insisted on bleeding as soon as you left, but I saw that Mr. Laszlo's face did look a lot whiter."
"Nonsense! If hundreds of milliliters of blood were drained out of you, your face would turn white!" Ignatz hated iron for not becoming steel. Of course, he was more worried about Laszlo. "Nowadays, people
how's it going?"
Berget loosened his tie and said helplessly: "His tongue has also begun to swell, and it is a little difficult to speak."
"I knew it......"
Ignatz's mood was very complicated, with mixed feelings.
The good news is that the entire course of the disease is under his control, and those pedantic and conservative physicians are as dull and useless as wooden stakes in the face of this acute disease.
What is worrying is that Laszlo's symptoms have reached a very dangerous level. Although he has learned corresponding treatment methods, his previous failed experiences constantly remind Ignaz that this situation is not far away from death.
, whether the person can be saved depends not only on technique, but also on luck.
You have to fight hard.
Seeing that he was about to knock on the door, Alina suddenly blocked the way: "Fatorad said that no one should disturb him at this time."
"You're kidding, if you continue to bleed people, they will die!" Ignatz's mind is now full of saving people, and he can't care about that much. "Beget, Kavi, you two go in with me to save people!"
Alina knew that he was going to mess up again, so she quickly stopped in front of the door and lowered her voice and said: "Have you ever thought about the investment that you finally negotiated? If Fatolad doesn't nod, the surgical ward will not be qualified to expand.
!”
Ignatz hesitated for a moment: "As long as I save Mr. Laszlo, there is a chance. He can't..."
"What if it fails?"
Alina didn't know what her husband was going to do, but she could easily hit his sore spot: "You said you couldn't operate a scalpel within eight hours after drinking. It's only been four hours now, and you haven't had a rest yet.
.You are not omnipotent! With your current physical condition, what if you fail?"
"You do not trust me?"
"It's you who doesn't believe you! Otherwise, why would you set these rules?"
Alcohol......
About three years ago, Ignatz messed up a lithotomy because he was drunk. Not only did the patient's bladder and urethra rupture and bleed, he also permanently lost his vagina. From then on, he stipulated that he must take a period of rest after drinking.
To be continued...