Smoking, of course, is a very normal thing.

People in the 19th century were really pitiful, even aspirin didn't appear until a decade later, there were almost no really effective drugs on the market, and yapian became almost the first choice of internal medicine doctors! It depends on it for pain relief, and it also depends on it for curing diseases, as if all problems can be solved by prescribing yapian to patients. If it weren't for the fact that Kekayin's production is still relatively low and the price is relatively expensive, I am afraid that it will soon replace Yapian as a more in-demand drug! And in the near future, the future pharmaceutical giant Bayer will withdraw from the more powerful hailuoyin and become another "artifact" for people to resist diseases......

For John, who had been in Berlin for more than two years, this should have been something he would have taken for granted, but the truth is that when a patient actually smoked yapian in front of him, John still found it difficult to accept!

"This is a goddamn time!"

The fall of China in the 19th century began with the two Yapian wars, so John had an instinctive aversion to this kind of thing. If it weren't for his status as a physician, he would almost have wanted to get out of the door when he saw the clouds of smoke coming out of Mr. Miller's mouth.

Thomas's face was also a little ugly.

Perhaps in the past, Thomas, like many physicians, was neutral about this kind of thing, neither supporting frequent use, but also not averse to using it when medically necessary, but after spending so much time with John, he is now a staunch opponent!

However, the two of them looked at him with some disgust, but it did not affect Mr. Miller who was enjoying it in the slightest. With a few puffs of cigarette in his stomach, his expression suddenly became better, and the hand that had been pressing his right lower abdomen gradually loosened. The originally gray face turned out to be as if it had been glazed and waxed, exuding a frightening luster!

It's clear that what you just sucked in had an effect.

Getting up and walking to the window, John looked at the patient with a gloomy face.

A patient who has just had a YAPIAN draw is obviously not suitable for a physical examination, because the effect of YAPIAN on the nervous system will affect Maitreya's judgment of pain. Caused errors in John's inspection. In other words, if John wanted to get a sufficiently accurate result, he would have to wait until Maitreya's body had returned to normal!

How could John not be depressed?

And if you are serious, it is not even appropriate to ask about the condition and medical history later, because the patient's spirit will be in a relatively abnormal state, and John is not sure that the other party will be able to answer his question clearly.

But......

"What else can I do?

Shaking his head helplessly, John couldn't help but sigh heavily in his heart.

It was impossible for him to refuse this patient, and he could not even tell him to temporarily suspend the use of yapian, and fully cooperate with his own consultation and physical examination. After all, it was a prescription prescribed by Mr. Wolfgang, a professor of internal medicine, at least John is not qualified to deny it now, let alone that the patient himself was introduced. And judging from the attitude of the other party just now, it is not easy for me to keep him here, if you really provoke him, pat your ass and leave, John really has no way at all.

"Damn it!"

Cursed again in his heart, John got up and went to the window to breathe.

Thomas walked over and asked in a worried whisper, "John, what should I do?" His sucking can affect the results of the examination. It has a very negative impact on our judgment. ”

After a slight groan, John could only say helplessly: "I'll figure out a way later." Try to prolong the consultation as long as possible, and try to wait until the effects of opium have disappeared or weakened......

John has a stomach full of future medical knowledge, which must be used on patients to be valuable, just as he knows that he has a high chance of solving the pain in his right lower abdomen, and if he wants to prove it, he must have a successful surgical example. So no matter what, John didn't want to miss a chance. At least judging from the characteristics of the pain just described by Maitreya, it is still relatively likely to be acute appendicitis.

Moreover, doctors themselves do not have the right to choose their patients......

Soon, after Miller finished taking the last sip, he reluctantly put away the "spear". He sat back with the displeasure in his heart and asked in a deep voice, "Mr. Miller, may we continue the inquiry just now?" ”

"Absolutely."

Leaning back in his chair a little lazily, Miller said with a look of satisfaction, "But Mr. Huntelaar, I think you should have seen that the potion that Mr. Wolfgang prescribed to me is very useful, at least it doesn't hurt so much now......"

I don't know if it's a psychological factor, but after sucking yapian, this Mr. Miller seems to be a different person than when he first came in, not only is his attitude much kinder, but he also begins to cooperate with John's request.

"Uh......"

Seeing Maitreya's appearance, John could only be helplessly silent, and after a while, he squeezed out a smile and asked patiently: "Mr. Maitreya, I would like to ask, have you been tired, nauseous and vomiting in the past few days?" ”

"No, I just have a stomachache, there's no such thing as you say."

Maitreya replied simply, without any hesitation.

"Then the next question is a little embarrassing, how have you been passing gas and defecating in the past two days?"

……

"Mr. Maitreya, I know that your job is a tailor, so you should rarely go to other places...... Oh? Been there? So where have you been? Have you ever eaten any raw food or drunk raw water in your local area? ”

……

"You should be working in a good environment, right? And what about where to live? Are there any chemical factories in the vicinity that are often exposed to unpleasant gases and dust? ”

……

Before he knew it, John had opened the conversation.

Originally, in John's plan, many questions were not going to be asked this time, because he knew very well that the other party was probably not particularly reluctant to come to see the surgeon, and it was only because of Professor Wolfgang's persuasion that he came with the idea of giving it a try. If you ask questions that are too much for people to understand. It is easy to cause disgust to patients.

But the current situation forced John to be prepared to ask more questions.

To put it simply, he must try his best to delay the time until the effects of opium disappear or weaken, and then start the physical examination, otherwise it is easy to cause a serious error in diagnosis!

Fortunately, John's actual mental age was definitely not twenty years old, let alone sixteen. His rich life experience allowed him to find the topics that Mr. Maitreya was interested in very easily, and interspersed these topics with asking about the important information he wanted to get, and gradually perfected the medical records in his hands......

Perhaps because he was too excited to smoke Yapian just now, Mr. Miller didn't care if John's questions were a little strange, and basically answered them happily, and it seemed that as John deliberately opened up the topic, he seemed to have a chatty posture of getting happier and happier the more he talked, but the eyes of his wife next to him widened more and more, and the eyes that looked at John became strange.

She didn't understand. What exactly is the purpose of the young physician's questions?

Her husband has a stomachache, and Mrs. Miller can understand that John asks some questions such as nausea and defecation, but what is the use of asking if he has been to a foreign country, has he been in contact with sewage or something?

On several occasions, Mrs. Miller tried to interrupt John.

Thankfully, however, Mr. Miller did not seem to be a good-natured man, and Mrs. Miller was very reserved by her husband's side, with her eyes focused on Mr. Maitreya almost all the time. I didn't dare to interject at will. Therefore, seeing that her husband seemed to have a good conversation with the doctor, Madame Maitreya could only wait quietly, even if she was a little impatient.

John's office. It completely turned into a chat room.

After about half an hour, John had asked all the questions and stuffed the table on his desk to the brim.

After briefly looking at the records and finding no omissions or ambiguities, John turned his head and whispered, "Thomas, it's almost." Now for a physical examination of him, you go and get the bed ready......"

"Good!"

With a raised brow, Thomas, who had already stared a little impatiently, immediately stood up.

John's office was no match for Professor Bergman's, and it was small, except for a desk and three or four chairs. It's just enough to put down a bed. However, in order to save limited space, John designed a single bed that can be put away according to his memory, which is usually hung on the wall and can be put down when used......

When Thomas stepped forward to prepare, John walked up to the Millers and smiled and said, "Mr. Miller, I will give you a specific physical examination below...... There are also a lot of items to check, so I hope you can cooperate. ”

"Haha, no problem!"

Mr. Miller, who was in high spirits, waved his hand and immediately agreed.

But at this time, Mrs. Miller, who had never dared to speak out, finally couldn't help it, and asked with a frown: "Sir, I don't quite understand, didn't Mr. Wolfgang check on him?" Why do you have to do it again when you come to you? ”

John was slightly stunned, and quickly explained with a smile: "Sorry madam, I didn't make it clear to you in advance, Mr. Wolfgang is an internal medicine doctor, and we are surgeons, and the contents of the examination are different......

"But I don't think it makes a difference......

Before John could finish speaking, Mrs. Miller cried out loudly!

"What are you yelling about?!"

At this moment, Mr. Miller suddenly glared at his wife, and said, "Shouldn't I have a doctor do a check-up when I'm sick?" ”

Unexpectedly, although Mrs. Miller's face was a little frightened this time, she still whispered: "But we have just done an examination at Mr. Wolfgang's, and we have spent a lot of money to buy medicine......"

"Money?!"

When they heard the word, Mr. Miller and John were stunned at the same time.

The momentum just now disappeared without a trace, and Mr. Miller's face showed obvious hesitation. Although his love is still affected by Yapian at this time, after all, more than half an hour has passed, and the effect continues to weaken. His wife's words suddenly made Mr. Maitreya suddenly sober up from the excitement just now. Just glanced at John, who was stunned, this middle-aged man wanted to open his mouth to refuse and felt a little embarrassed, and he was a little embarrassed for a while.

John was also a little confused. For a moment, he didn't understand the meaning of Lady Maitreya's words.

"John, they should be worried about the cost of the inspection!"

Seeing that his young colleague's expression seemed to be a little dazed, Thomas smiled secretly and hurriedly stepped forward and whispered.

"Huh?"

After listening to Thomas's words and looking at the expressions of the Millers at this time, John's heart suddenly dawned!

Since they chose to come to the hospital instead of inviting a doctor to their home, the financial situation of the Miller couple is naturally not very good. And looking at the clothes of the two, although they can be regarded as neat and clean, the style of the clothes is very old, and Mrs. Miller lacks the jewelry common on upper-class women, which can be said to be shabby.

To them, even a single thaler is quite precious.

Looking at Mr. Maitreya, who was a little embarrassed, John immediately understood one thing, that is, although he seemed to be technically ready to become a surgeon, but in essence. In many ways, he still uses the experience of his previous life to deal with things!

In the hospital in the previous life, in addition to the registration fee, the pure manual examination of the body did not cost money, which has formed a kind of thinking habit in John's heart, and he completely forgot that in the Charlotte Hospital in this era, doctors also charge for examining patients! And if you compare it with the income of ordinary people, this cost is really not low!

After knowing the reason, John naturally hurriedly explained: "The two of you have misunderstood, our surgery ...... Belch. There is no charge for the two of us to do the inspection, please rest assured! ”

"What? No charges? ”

The Millers listened. I couldn't help but be stunned.

The doctor didn't even need money to do the examination, which was something they had never heard of, and Mrs. Miller opened her mouth in surprise and said, "Sir, are you sure that there is no charge for the examination?" Can you call the shots? ”

"He can call the shots!"

Just as John smiled and was about to answer the question, a deep voice suddenly came from the door.

John was startled and quickly turned his head to take a look. Seeing Professor Bergmann push open the door and walk in, he said with a smile: "This lady, I am a professor of surgery at the University of Berlin, and I can tell you for sure that there is no charge for an examination in this room!" ”

"Thank you. Mr! ”

Mrs. Miller breathed a sigh of relief, and quietly stepped aside. Mrs. Miller wouldn't mind having someone check on her husband again if it didn't cost her. However, Mr. Miller's expression suddenly became slightly cramped, perhaps because he was a little nervous about facing a university professor, and he no longer had the casualness he had just faced John.

After Bergman entered the house, John hurriedly stepped forward and asked with a smile, "Professor Bergman, why are you here?" ”

"I'm going to take a look at your diagnosis...... Go ahead! ”

Standing aside consciously, Bergman said with a smile. Naturally, he knew that the patient introduced by Professor Wolfgang would come over today, and he was also very curious, wanting to see John see for himself one of his patients with pain in the right lower abdomen.

You know, when Bergman saw what John wrote, his eyes lit up, and he secretly pondered for a long time. It was precisely with this plan based on anatomical and pathological anatomical results and a large number of cases, coupled with his own face, that Bergman reluctantly persuaded Professor Wolfgang, the big man in internal medicine, that John would not know when to meet the first patient with pain in his right lower abdomen......

John wasn't nervous about Professor Bergman's arrival, but when Thomas signaled that he could start, John hesitated.

What had just happened made him feel that he had thought things too simply, so in less than a minute, John thought of many things. The question of money may be just a small obstacle, but what about after the check? If you are really lucky today and meet a patient with acute appendicitis, how can you convince him to accept his own surgery?

In any case, that's going to be an opening in the stomach!

Although in recent decades, although the emergence of surgical disinfection and anesthesia technology has given surgeons more room for development, it has also promoted the prosperity of surgery. But after all, the time is too short, the accumulation of all aspects is far behind, and the success rate of slightly more complicated surgeries will be relatively low, such as appendectomy, which must open the abdominal cavity, on the one hand, doctors have not done it at that level, on the other hand, the mortality rate is too high......

Even gloves and masks have just been brought up by John, and with the lack of antibiotics, you can imagine how risky it is to open the body cavity!

Therefore, it is impossible for ordinary people to choose surgery unless they have no choice.

In fact, most of the physicians of this era would not approve of this kind of surgery, and those who dared to do it were either a leading figure in surgery, such as a master like Bill Roth, or a bold and stunned person! It was for this reason that Bergman would initially be adamantly opposed to John's request, and it was not until later that he changed his mind.

"John Huntelaar, don't you measure the people of 1885 by the thinking of the 21st century!"

Looking at Professor Bergman, who was looking at him with interest in the corner of the room, and then at Mr. Miller, whose expression had become a little apprehensive, John admonished himself in his heart. It occurred to him now that even if he could roughly diagnose appendicitis after a detailed examination, why did this Mr. Miller agree to him having surgery on him?

John's brain spun rapidly, and he pondered, "What can I do to make this Mr. Miller believe in himself and follow my arrangement......

……

The two chapters were a bit wordy, so they were simply combined into one big chapter and released. (To be continued......)