It should be emphasized that although Charlotte Hospital is the largest hospital in Berlin and one of the largest hospitals in the whole of Germany, it is undoubtedly still very shabby compared to any hospital in later generations.

The factors of the times once again prevailed.

In this era, wealthy people are still accustomed to inviting doctors to their homes to see themselves. Places like hospitals must be visited by poor people, and because of economic reasons, many people will wait until they can't survive to come to the hospital, and coupled with the backwardness of medical technology, it is understandable that hospitals are regarded as special areas waiting for death to come.

Therefore, by the end of the 19th century, although more and more hospitals had begun to appear, they were generally not very large, and the Department of Surgery at Charlotte Hospital had a small building on its own, but the area of this building was small, as small as John's office was also his reception room.

At this moment, there are four people in this office.

Naturally, Thomas was present to see the first patient with pain in the right lower abdomen, while the other two were patients—a Caucasian man in his forties and his wife.

It's just that less than a minute after the patient came in, John and Thomas looked at me and I looked at you, both with helpless expressions.

In front of them, the middle-aged patient held his abdomen and continued to nag indignantly: "I don't understand, didn't I come here to give me bloodletting treatment?" Why are you being cross-examined? I just had a stomachache and Mr. Wolfgang had diagnosed me...... Don't think I don't understand, you are the ones who use knives on people, then I won't do it......"

"Mr. Miller!"

In the end, John had to think about the other party's chattering dissatisfaction, and said with a smile: "I know you are very dissatisfied now, but can you spare a little time." Shall we hear our explanation? ”

"Hmmm......"

After stopping his chatter, he glanced at John with a gloomy face, and the Mr. Miller hesitated for a moment, and said in a deep nasal voice: "Okay, I can listen to your explanation, but state it beforehand." I don't undergo any other surgical procedures other than bloodletting! ”

It's bloodletting again!

Hearing the patient's words, John couldn't help but roll his eyes.

Whether in Europe or the United States, phlebotomy has long been deeply rooted in the hearts of the people, although many doctors have begun to question this popular treatment method for hundreds of years, but at least for now, it still has an extremely large market, and has survived tenaciously until the 20th century......

"Of course, it's up to you to choose what treatment you want!"

After confirming the patient's thoughts, John raised his eyebrows and continued, "But what I want to tell you is." We've been studying right lower quadrant pain for quite some time and have a lot of knowledge about it, so if you agree, maybe we can give some useful advice...... As far as I know, you came to the hospital yesterday, but your condition doesn't seem to be in remission, so it's always good to come again today, and it never hurts to listen to other people's opinions so much. Mr. Miller, think about it, right? And I just want to ask you to cooperate with the examination first. May I? ”

"This ......"

After hearing John's words, Mr. Miller was visibly hesitant.

Naturally, he didn't want to stay here for long because of his fear of surgery, and the yapian that Mr. Wolfgang had prescribed him was really good, and it made the pain much less after each use. However, there seems to be some truth in the words of the young doctor in front of him, and the other party did not force himself to undergo surgery. I just wanted to get it checked, and I didn't seem to have much to lose by myself!

Remembering what Dr. Wolfgang had said to himself, Mr. Miller glanced at his wife, then nodded, "If only it were a check-up...... I think so! ”

"Hoo ......"

Seeing Miller nodding in agreement, John suddenly breathed a sigh of relief. He smiled and said, "Thank you, Mr. Miller!" ”

What he is most afraid of is that the other party directly refuses, and he doesn't give himself a chance at all, but since he agreed to cooperate with him to do the inspection, then things will be much easier!

After seeing John's eyes, Thomas immediately understood, took out the pen and paper that he had prepared a long time ago, and put it in front of John. This is a table designed by John himself, and when Thomas first saw it, he was shocked, and the details of the entries even made him feel that it was too complicated and unnecessary! However, after John's patient explanation, he finally barely understood, but now he began to worry that the patient in front of him would be difficult to accept......

John smiled and said softly: "Mr. Miller, we may be a little different from other doctors, asking more questions and more miscellaneous, of course, there may be more items to be examined, I hope you can understand!" ”

"It's okay, you ask."

Now that he had promised John, Mr. Miller seemed to have no intention of confrontation, and nodded.

"Thank you for your cooperation!"

John nodded at Miller encouragingly, and began today's consultation: "Mr. Miller, may I ask what time is your date of birth?" Also, were you born in Berlin? ”

"Huh? Why are you asking this? ”

After hearing John's first question, Miller suddenly asked with some vigilance. When I saw Professor Wolfgang, I didn't ask these questions.

Smiling, John patiently explained: "I'm sorry Mr. Miller, we just need to leave a more detailed file for future inquiries!" You can rest assured that all your information is kept strictly confidential and cannot be seen by anyone but us, the doctor, you and your family! ”

There may be many things that are not necessary for the physicians of this era, but John knows how important it is to have a complete medical record. Some details of many diseases are sorted out from these medical records. So he didn't think too much about it at all, he directly used the usual recording method before, and of course some things that were too out of date still had to be removed. For example, screening for certain disease histories, inquiring about travel history, and so on.

Looking at John's extremely sincere eyes, Mr. Miller thought for a moment, nodded and replied: "I was born on July 1, 1883, a native of Berlin......"

"Can you tell me about when you started having abdominal pain?"

After bowing his head and taking notes, John asked.

"Five days ago!"

Miller thought about it for a moment and replied in the affirmative: "At three o'clock that afternoon, I didn't do anything, and suddenly my stomach started to hurt, and it hurt very much!" But after resting for a while, it didn't hurt so much, so I didn't come to the doctor......"

"May you ask, which part of the pain is exactly? Has the location of the pain changed since then? ”

When he heard this, John asked.

"This is the piece from the beginning!"

Miller roughly drew a circle on his abdomen, and said seriously: "Later, I slowly moved this way, and finally moved to this piece and it didn't change again, and it hurt a lot...... Ouch! ”

As if his movements were involved in the painful area, Mr. Miller couldn't help but scream, and a look of pain appeared on his face.

Nodding, John lowered his head again and recorded in the form: "Five days ago, the patient had epigastric pain for no obvious reason, the pain was severe and tolerable. After resting, the pain was slightly relieved, but it was not treated at that time, and then the pain shifted to the periumbilical and fixed in the right lower quadrant ......"

"Very typical symptoms of acute appendicitis!"

As he wrote, John secretly gave his own judgment. However, acute appendicitis is the most common acute abdomen, so if it is finally diagnosed, John will not be too surprised!

"Damn it, hurry up!"

Just as John was looking down and writing hard, Mr. Miller turned his head and glared at his wife fiercely, and scolded in a low voice.

Under her husband's scolding, the lady, who looked quite honest, changed her face, and hurriedly took out a familiar-looking long rod from the bag she was carrying, and then took out something from a small paper bag and stuffed it into the groove of the long pole, and stuffed the other end into Miller's mouth, striking a match......

"Smack!"

Of course, when Mr. Miller exhaled his first cigarette comfortably, John, who raised his head, was stunned, and the pen in his hand fell on the table with a click!

After a long while, John glared and asked, "Mr. Miller, are you......?" What is this doing? ”

"You're a doctor, don't you understand?"

Glancing at John suspiciously, Miller said naturally: "Of course I'm sucking yapian!" ”

Yapian？

After hearing this familiar term, John opened his mouth but could not make a sound, and the expression on his face became dull...... (Want to know more about "Doctor 1879"?) Open WeChat now, click on the "+" sign in the upper right corner, select Add Friends to add an official account, search for "Qidianzhongwenwang", follow the official account, and never miss every update! (To be continued......)

PS: I thought about it for a long time before writing this chapter.

Regarding the cases in this book, in fact, many of them are copied from the inpatient medical records of the hospitals I found, but I found a headache, writing too much detail will be very boring, and the length will be very long. Therefore, the cases in this book will be somewhat blurred and will not be written in such detail.

Hehe, of course, one of the more important reasons is that I really can't find information from more than 100 years ago, and some details don't know if the doctors found them more than 100 years ago, so I don't know how to write them......

Forgive me, forgive me!