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"Mr. Miller, are you sure you've thought it through?"

Looking at the Millers in front of him, John's gaze fell directly on Mr. Miller's face, and asked again in a low and solemn tone.

Although he was worried that the other party would suddenly regret it, John still asked again according to the rules he had set.

"I've thought about it!"

Biting his lip vigorously and hesitating for a while, Mr. Miller finally gritted his teeth fiercely, nodded heavily, and said, "Mr. Huntelaar, I am willing to accept your arrangement for surgery!" ”

The Jianyì obtained yesterday from Professor Wolfgang became the penultimate straw that broke the camel's back.

In John's mouth, the mortality rate of acute abdomen was too high to be believed by the Millers, but when Professor Wolfgang made it clear that the internal medicine physicians had no good solution to the problem, they almost plunged them into the deepest despair! So after leaving the hospital yesterday, Miller gave up on using yapian to ward off the pain under the strong advice of his wife, and as a result, one of his hearts suddenly became extremely cold: without the anesthetic effect of the drug, his abdomen hurt last night as if someone was cutting back and forth on it with a saw, and he almost stayed awake all night......

Mr. Miller, who was completely crushed by the last straw, immediately thought of the surgeon John? Huntelaar.

Mr. Wolfgang, a professor of internal medicine, admired and recommended John, so that Miller's original firm refusal was already a little light, and after such a long and painful night, he finally made up his mind after suffering a lot!

"Thank you for trusting me, Mr. Miller."

I got the results I wanted. John took a deep breath and nodded solemnly: "Here I also hope you can rest assured, our doctors have been studying your illness for a long time, and we are very sure, as long as you have your appendix removed, you will have a good chance of regaining your health......

"What are the odds of success, Mr. Huntelaar?"

Don't wait for John to finish. Mrs. Miller asked, nervously. Mr. Miller

"Eighty percent!"

After a moment's hesitation, John gave a figure he had estimated himself.

If it was those appendicitis surgeries he did in later life, this number would be 100 percent, but now, although he has done as much preparation as possible, and believes that he will definitely not be worse than in his previous life, but the lack of one key factor is enough to reduce the success rate by 20% - the lack of key antibiotics!

Without antibiotics, no one can guarantee the problem of infection after surgery!

Therefore, John did not dare to boast of any 100 percent, but objectively reduced the probability to 80 percent, believing that with his own experience and complete disinfection and anesthesia. Absolutely no problem.

"Eighty percent? It's true? ”

After listening to John's words, the Millers were surprised and delighted!

Although he ultimately chose Mr. Jianyì Miller for surgery, Professor Wolfgang's attitude was clear, even if he was more optimistic about John's surgical plan, he did not think that the success rate would be more than half...... Of course, in fact, in the mind of the professor of internal medicine, this probability is lower, but it is just to comfort the Millers and his wife deliberately said it higher.

Mr. Wolfgang's words made the Millers very anxious, but now they heard 80 percent of what John said. The surprise is big - no more than half means that Miller's chances of surviving are small, but 80 percent is another concept!

"Of course it's true."

Smile slightly. John said with a look of course: "If it were another doctor, the success rate would not be too high, but now that you agree to operate with us, and the condition is not too bad, the chance of failure will definitely not be too great......"

……

"I'll leave it to you, Mr. Huntelaar!"

The Millers both stood up at the same time and bowed deeply to John.

For an entire hour, John was explaining the operation to them. While listening to a lot of terms that they didn't understand, the Millers inexplicably settled down a lot.

"Don't worry, it's my job!"

John also stood up and smiled pleasantly, "If possible, I hope Mr. Miller will be able to move in this afternoon." This allows us to make a thorough assessment and examination of your condition and then arrange the surgery as best we can......"

"Do I need another test?"

Hearing this, Mr. Miller couldn't help but ask.

"Yes, a more detailed examination is needed."

Nodding, John patiently explained: "Yesterday was a diagnostic examination, but if you have surgery next, you will definitely have to have a more detailed examination before that, so as to judge your physical condition and provide a detailed reference for anesthesia and surgical incision selection, so it is definitely a must." ”

"Oh, I see."

After listening to John's words, Mr. Miller nodded thoughtfully.

To be honest, he didn't understand what John meant by this, but subconsciously he felt that people seemed to attach great importance to his surgery, so he felt a little more at ease.

However, at this time, Mrs. Miller's face showed a trace of worry, and she couldn't help asking, "Mr. Huntelaar, I would like to ask you, how much will it cost for my husband to have surgery?" ”

"The cost of the surgery? Well, it's about 500 marks. ”

After frowning and muttering for a moment, John gave an approximate number.

"What?! Five...... Five hundred marks?! ”

After hearing this number, the Millers were shocked at the same time!

Both of them knew that the cost of this operation would definitely be expensive, but they didn't expect it to be expensive! You know, under normal circumstances, surgeons don't do a phlebotomy for more than three marks, and a hernia or stone operation is only more than a hundred marks, but this Mr. Huntelaar is five hundred marks when he opens his mouth?!

It's just too expensive!

Both of the Millers opened their mouths wide at the same time. Mrs. Miller's expression was even more desperate at this time!

As a purely traditional woman, Mrs. Miller's daily job was to serve her husband and take care of her children, so she knew more about the situation at home, knowing that her family would not be able to afford such a large operation!

That's five hundred marks!

Now the annual income of an ordinary person in Berlin is only a few hundred marks, and a thousand marks is considered a pretty good income, and for the Miller family, who only one person earns money. It is impossible to save so much money on the premise of feeding a family! Before she came, Mrs. Miller had calculated in detail that if the total cost did not exceed three hundred marks, the family could still support it by borrowing a little money, but after hearing the figure of five hundred marks......

After seeing the Millers' expressions, John's brows furrowed, and he asked, "What, are you two in trouble?" ”

"Yes sir, we can't afford this surgery!"

Swallowing hard, Mr. Miller replied with a trembling voice.

John was slightly stunned when he heard this. Then he immediately came to his senses: he had not seen patients independently for too long, and he had almost forgotten about the fact that the poor could not afford to see a patient.

"It seems that five hundred marks is indeed a little more expensive."

Frowning slightly, John pondered secretly.

Of course, the whole cost of 500 marks is not only for the operation, but also for almost two weeks' hospital stay, the cost of drugs such as lidocaine, the doctor's remuneration, the hospital's profits, and so on...... Actually, for a late 19th century appendectomy, and by John ? For the appendectomy presided over by Huntelaar, the price of 500 marks is really not very expensive!

The preparation of lidocaine can now only be carried out in the chemical chamber. The cost is extremely high, and the cost of disinfection has skyrocketed after standardization. Coupled with the "luxurious" wards and so on, in John's opinion, 500 marks is not too high, but it can only ensure that the hospital's profit is at a satisfactory level.

Of course, even so, the cost of this operation would not exceed three hundred marks, but John had no idea of lowering the fee!

John had his own plans for the fee.

Actually, when I was thinking about the cost at the beginning. John struggled for a long time. If it is for his own sake, he naturally wants to set the cost lower, for example, after removing the cost, he can earn more than ten percent, so that the burden on the patient can be much easier. But after being reminded by Professor Bergman, he gave up on this naïve idea. The high price of 500 marks was directly set!

To put it bluntly, doctors in this era are just a profession.

Making money is the driving force for people to become doctors, and when the development of human society has not yet reached a certain stage and the country has not invested a large amount of money, the pursuit of making money is the main purpose of doctors.

So by setting the fee higher, John can kill two birds with one stone.

The first is to raise the incomes of surgeons, because these people are now so poorly paid. In fact, not only surgeons, but all physicians have very low incomes and are simply unable to maintain a relatively decent life. Of course, this is also related to the fact that the overall level of medicine is very backward, and doctors are basically helpless for most diseases, unable to cure diseases, unable to save people, how can they get high income?

Even if he is as high as Professor Bergman, his annual salary will not exceed two thousand marks per year!

Therefore, from the very beginning, John decided to raise the income of surgeons, especially surgeons who can standardize the "advanced surgery" of appendectomy in the future, and the income must be raised to an ideal level! Only in this way can we attract more outstanding young people to join this industry, so that surgery and even medicine can develop rapidly.

For the second purpose, John is to promote his surgical skills as much as possible!

Although there were many hospitals in this era, most of them were very small, and there were very few hospitals like Charlotte Hospital. Moreover, most of the physicians are still independent, and their technical skills are completely dependent on the experience accumulated after studying and working at the university. John wanted to promote his technology purely by magazines, training courses, etc., which was undoubtedly very inefficient.

But if there is a monetary stimulus, the effect is not the same.

A surgeon who can save acute appendicitis may earn tens or even hundreds of marks for a single operation, which is worth a month's salary for others. Can the other surgeons be greedy?!

With desire, there is naturally the motivation to learn.

The more surgeons take the initiative to implement strict aseptic sterilization techniques and learn from John's various procedures, the more patients they will treat, which is more realistic than the low fee.

And maybe. At that time, the cost of surgery will be reduced due to the fierce competition......

But now, looking at the desperate Miller couple, John pondered for a moment and then smiled slightly: "Two, do you think this is good, because Mr. Miller is my first patient, so in order to thank the two of you for their trust in us, I can lower the fee appropriately...... No matter what the whole cost is, I only charge half of the price in the end! ”

"This ...... May I? ”

Her eyes widened, and Mrs. Miller asked in surprise.

"Absolutely. Mrs. Miller. ”

Smiling slightly, John nodded and said, "If the two of you have no objections, then please go back and prepare for it, and move in in the afternoon......

……

"Gotta get it!"

Within seconds of the Millers' exit, there was another knock on the door to John's office.

"Please come in!"

Roughly guessing who it was, John exclaimed with a laugh.

Sure enough, Thomas pushed the door open and walked in, followed by Paul, who had nothing to do today. Only Robert was in charge of receiving the three guests from London, and he didn't come with him.

After entering the door. Thomas immediately asked, "John, what happened?" ”

"Haha, they'll be in the ward in the afternoon."

Haha, John said very happily.

Although he had already guessed the meaning of the Millers' coming today, John was still a little apprehensive until he was confirmed, and now he could finally say with confidence: "Gentlemen. We're going to get busy! ”

"When are you going to have surgery?"

Not surprising to the two of them, who had already guessed the result, Paul immediately asked.

After thinking about it for a while, John said, "The operation is tentatively scheduled for the morning after tomorrow!" ”

"The day after tomorrow morning?!"

Hearing that John had set the time for the final surgery lifted everyone's spirits!

Not only John, but others were also a little impatient waiting for this operation. Started with John's normative training last month. The trio, including Thomas, had suffered enough, and none of them could have imagined that an operation would require so many and be so strict: John had infiltrated almost every detail of the operation of the three men into the norms of the operating room of later generations.

After putting in such a huge effort, they naturally can't wait to show their talents!

"Yes, the day after tomorrow!"

Blinking, John smiled happily, "So from the time Mr. Miller was admitted to the ward this afternoon, each of us will have to take care of our respective work...... Gentlemen, I don't think I need to say anything more about the importance of this operation, right? ”

"Haha, of course!"

"Don't worry, John!"

Naturally, the two of them didn't have anything to say, so they almost patted their chests as a guarantee.

Nodding with satisfaction, John continued: "I will be the operator of this operation, and Thomas will be my assistant to the operation." In addition, Paul, you and Robert are responsible for monitoring the patient's intraoperative condition and the other is responsible for the surgical instruments, how about it? ”

In this era, there were no full-time anesthesiologists and instrument nurses, and John had to leave the corresponding tasks to his assistants.

"No problem!"

This arrangement is basically the same as before, and the two naturally agreed without hesitation.

"Tomorrow day, all the preparations must be made!"

After a slight pause, John raised his eyebrows and said loudly: "Thomas and I will start a comprehensive preoperative physical examination of patients tomorrow morning, excluding unsafe factors, Paul and Robert are responsible for preparing the operating room, surgical instruments, lidocaine and other supplies, and they must all be prepared before leaving work, ......" (The novel "Doctor 1879" will have more fresh content on the official WeChat platform, and there will also be a 100% lottery gift for everyone!) Open WeChat now, click on the "+" sign in the upper right corner to "add friends", search for the official account "qdread" and follow, hurry up! (To be continued......)

PS: It's more hesitant to write like this, mainly about the charges, personal thoughts, haha.