The manager of the restaurant is the head chef, who used to serve the French royal family full-time. Now that he is suddenly asked to cook for a commoner, it is inevitable that he will be concerned.

When faced with Kawei, faced with the rare situation of taking out food, although he was unforgiving with his words, he still did his best in terms of follow-up service.

The restaurant uses a set of gold-plated silver tableware that is imitated from a set of gold-plated silver tableware commonly used by the royal family, similar to cooking pots and lunch boxes for daily food. In order to facilitate use and portability, and to reduce costs, the craftsmen changed the material to silver-plated.

Many of the original decorations and unnecessary carvings have been removed, making it look simple, natural and more approachable.

Because airtightness is not guaranteed, a waiter needs to accompany you home when taking out food.

Of course, Ignatz still paid the huge deposit of 4 kronor.

...

There is not much light on Basinger Street after dark. For most people who live here, night means darkness and is the rest time after a hard day's work. They need to seize the rare opportunity to sleep and conserve their strength for the next day.

Be prepared for two days of long work.

What's more, light is not free, and wasting candles is quite a luxury.

A carriage came from the west, accompanied by the sound of horse hooves in a fast rhythm. The carriage stopped at the gate of No. 73. Using the kerosene lamp next to the carriage, a young man quickly got out of the carriage and took it from the carriage.

lunch boxes and bread bags.

"Mr. Kawei, I will retrieve these things at this time the day after tomorrow. Please make sure that the cutlery and lunch boxes are not damaged."

"I see."

In the late winter and early spring, as long as they are stored properly, three dishes, one soup and a bag full of baguettes are enough to keep him fed for two days. By the time these foods are finished, he should have become a municipal president.

For working meals in the hospital, at least you no longer have to worry about food.

Kawei slightly looked forward to the rest of his life, and went upstairs with a lunch box and a large bag of bread in both hands.

Only after he returned home did he realize that after he left, the police had sealed off his home, just like Room 302 next door. It seemed that Detective Witte had no intention of letting him back in the first place, even if he was really innocent.

The other party also wanted to keep him for a while.

If he hadn't happened to meet Ignatz, he might have stayed at the police station for several days. Now that even Witte has decided not to cause trouble anymore, the matter basically has nothing to do with him, and Kawi doesn't need to worry about it anymore.

The man in black named "Mick" appeared in his mind again. He couldn't help but curse a few words, tore off the seal, opened the door and entered the house.

After entering the house, Kawei tidied the room a little, put away the paintings and clothes scattered on the floor, and made the bed clean. Then he moved a vacant seat by the window, put the lunch box there, and tried his best to rely on the constant blowing.

The cold air entering the window keeps the temperature low.

In the days before refrigerators, covering the food immediately after it was prepared could isolate airborne bacteria. The air inside would also be relatively sterile due to the continuous high temperature of the steam.

Anyway, it’s always a good idea to wait until you’re eating.

Since traveling here, Kawei's mind has been running at high intensity and he has never stopped to rest. Now that he finally has some free time, he needs to plan his future carefully.

Medical care in the nineteenth century was very chaotic.

This kind of confusion is not only about the medical treatment itself, but also the fact that the medical system that matches it is also extremely confusing.

In fact, the word "chaos" is not appropriate here, because there is no complete system to support medical development.

Kawei is a modern person. Although he has studied medicine for half his life, he doesn’t know much about medical treatment more than a hundred years ago. In addition to painting and gardening work, the original owner’s memory did not leave anything related to medical treatment. Until just now

After meeting Ignatz, he became more or less clear about some details.

The occupations occupied by the entire medical system can be roughly divided into internal medicine, surgery, medicine and nursing.

Among them, physicians have the highest status, high requirements, and naturally the smallest number.

Physicians need to go through formal medical school training, with at least a bachelor's degree. In Vienna Municipal General Hospital, physicians are often master's degree graduates and have undergone at least one year of clinical work and training.

In comparison, the status of surgery is much lower, and surgery is not included in orthodox medical services, but is preferred to be an entertainment item for the public.

Surgery was born out of barbers. The operation itself is rough and the fees are low. You need to perform operations in theaters to make money.

This setting seems outrageous to modern people, but it actually had certain advantages at the time. Because compared to directly sawing off a leg, using physical anesthesia to make people comatose, and then sawing off a leg is obviously more attractive to the audience.

.If it is accompanied by well-designed commentary, it can also increase a lot of immersion.

When a surgeon who is just an ordinary surgeon seeing his colleagues making a lot of money, he will try his best to improve his surgical procedures.

This has undoubtedly played a certain role in promoting the surgery itself. Even if sometimes the new surgeries introduced are useless or even counterproductive, surgeons are still happy to do them...

No matter what, the status of surgeons will not be comparable to that of internal medicine in a short time.

Surgeons like Ignaz are definitely a minority among the few and need to meet several conditions at the same time. Including a hereditary baronetcy, completing their undergraduate and master's studies at the University of Vienna Medical School, and having the best qualifications in Austria.

surgical techniques.

This made him a big figure like a star. While bringing a lot of wealth to the hospital, he also gained himself the right to speak in influencing the hospital's decision-making.

Kawei has technical and theoretical knowledge of modern medical treatment, but these things are deeply tied to modern science and technology.

In the 19th century, there were no blood analysis instruments or X-ray CT machines. Surgical instruments were limited to crude tools such as metal knives, saws, scissors, pliers, and hammers.

Kawei can rely on the most modern medical equipment and one or two assistants who only understand human anatomy to directly perform the most complex surgical operations. But if the age of the types of equipment is locked, the scope of the operation will become very narrow.

.

In addition, the ether anesthesia that had just begun to become popular was not low in risk, and the poor hemostasis technology basically relied on the pressure of assistants to stop bleeding. There was not even a hemostatic forceps. Kawei even once doubted how those amputation surgeries were done.

Does it really rely on vascular contracture produced by physiological reflexes after blood vessels are severed to stop bleeding?

As for the problem of infection after surgery, it is even more troublesome. The compiler of pharmacology will not write how to make medicine in the textbook. Kawei can use antibiotics and knows when to use which antibiotics, but he does not

There is no way to create antibiotics out of thin air. At most, you only have a little dabbling in this area.

What was in front of him was actually a mess that was completely contrary to modern medical theory, and the conditions were worse than the simplest health clinic.

And these simple conditions cannot be improved with simple money, and Kawei has to do far more than he imagined when he first traveled here.

The difficulty of a clever woman making a meal without rice is vividly demonstrated at this moment.

"First of all, we need to familiarize ourselves with the surgical procedures..."

He picked up Ignatz's anatomy book and read it carefully for the first time with a learning attitude.

The first 2/3 of the album is a pure anatomy map, including explanations of all named anatomical terms. Many anatomical terms have been used until modern times, and only the internal organs of the trunk have a lot of ambiguities. But in the current medical environment,

The abdominal cavity is still a restricted area for surgery, and these differences can be made up for by time.

The last 1/3 of the album is a schematic diagram of some surgical procedures, divided into four parts: eyes and ears, limbs, maxillofacial surface, and external genitals.

Judging from the process, the purpose of a small number of surgeries is actually very close to modern understanding, but it is difficult to make breakthroughs due to the precision of the instruments.

For example, cesarean section when the mother has dystocia, and incision and drainage of perianal abscess. Although the success rate of both is not high, and intraoperative bleeding and postoperative infection are common, there is no problem in the reason and principle of the operation.

In many surgeries, because the diagnosis is unclear and medical treatment cannot be performed, surgery can only be used as a "one-size-fits-all" approach.

The most representative ones are direct amputation after open fracture and eye muscle amputation to treat strabismus.

Amputation is because if an open fracture is not strictly debrided, even if it is fixed and reduced, it will cause wound infection. Even if infection is avoided by chance, it is very difficult to fix it in this era. Without fixation, it is difficult to break.

to establish a stable blood supply to the bones, eventually leading to necrosis of the distal limb.

Necrosis will lead to secondary infection. In the end, not only the limbs will not be saved, but also the life will be lost.

But it is undeniable that the original amputation surgery had already preserved part of the muscle and skin flap for stump embedding, and the understanding was quite good.

The essence of eye muscle amputation is similar to the method used in modern treatment of strabismus, but the real reason behind the strabismus is not clear, and the method is too crude. Anyway, there are quite a lot of eye muscles, and cutting off one or two can indeed be done.

Relieves strabismus to a certain extent.

The current approach is to target the part of the eye muscles where the problem occurs, and do precise muscle shortening and retraction. (1)

Surgeries that are truly contrary to modern surgery and completely counterproductive are rare. The only ones that made Kawei exclaimed that he couldn't stand it were some negative pressure suction devices specially made for bloodletting...

What awaits him the next day will be the apprentice recruitment test at the city's general hospital, as well as some medical-related written assessments. Although Ignatz has long regarded him as his real student, and his admission has been settled, but for many years

The habit he developed still allowed Kawei to read through the entire album.
Chapter completed!