Chapter 17: Tetanus
The so-called non-profit hospital has never been as good as the name.
For example, the hospital where John worked in his last life was a non-profit hospital, like most public hospitals, but in reality? Every department should be engaged in income generation, and the salary income of doctors is all linked to the income of the department, and the amount of money you earn is directly proportional to the amount of money you make for the department. If they only rely on salaries and bonuses, most doctors can barely survive in the capital, let alone buy a car or a house. So there was excessive medical treatment, there was indiscriminate use of drugs, and there were kickbacks for taking red envelopes......
Foreign physicians are basically no exception.
For example, the United States, which is the envy of many domestic people, actually has the most irrational medical system in the world, with expensive medical expenses flowing into the pockets of multinational companies, and the income of doctors is enough to make their counterparts in other countries jaw-dropping. It's okay if you have a high income and can afford insurance, if not......
It is not groundless for Chinese people to do transoceanic airliners returning to China to prescribe medicine.
By contrast, the hospitals of 1889 must have been much purer, and many of them were built with the intention of providing a cheap place for the poor to see a doctor. To put it bluntly, it's the same place as Shantang. And a few decades ago, hospitals cost almost nothing, just build a house and open it. Physicians rely on their own knowledge and hands to prepare medicines, and most of the tools used have to be made by themselves, such as surgeons, hammers, long saws, scissors, scalpels and other small boxes can be fit, and there is no need for any preparation for surgery, it is not impossible to gently use strong liquor to get patients drunk, and it is not impossible to give a stick directly to the rough one......
But with the development of technology, everything is slowly changing.
For example, let's take surgery as an example, now the requirements for a surgical operation are much higher than before. Especially after John proposed a new concept of surgical disinfection, the operating room should be kept clean all year round, and many supplies need to be used before, during and after surgery, such as disinfectant, such as alcohol, such as sterile gauze. Another example is the high cost of anesthetics, and all the instruments are sterilized once, and the cost of consumption rises sharply!
The cost of Heinz General Hospital is undoubtedly the top of the list.
Coming from later generations, John could not tolerate the crude hospitals of this era, he built buildings that were ordinary in later generations but are now luxurious, he paid hundreds of dollars a month to keep people clean, he paid doctors at least twice as much as his peers, and the drugs used in his hospital were the latest products of this era, especially in the field of surgery in his profession. The requirements of sterility have reached the point that peers think they are harsh!
These investments are supported by large sums of money!
So from the first day of Heinz General Hospital's opening, the fees here are among the most expensive hospitals in New York, and if it weren't for the attraction of appendectomy, half-price drugs, free diagnosis and treatment of vitamin deficiency diseases, and diphtheria antitoxin serum, how could it reach hundreds of outpatient visits a day?
Now it's really remarkable that it's starting to make a profit!
But Thomas's concern is that many of the people who come to Heinz General Hospital may not be able to afford the high cost. For example, those who need sulfonamides, a few dollars a bottle is too expensive. And an appendectomy can cost more than $100 for treatment, which is almost equivalent to a man's total income for several months!
But......
"The hospital can't afford to lose money no matter what!"
After Thomas left, John thought about it for a long time in his office. In the end, such a meaningless conclusion was reached. Now is the time for the Huntelaar family to use the money, John can't afford to come up with the money for it, and he didn't invest in the hospital for charity, at least not in the United States......
……
When Thomas left, it was already past three o'clock in the afternoon.
John didn't rest easy, though, because Ehrlich came to John's office shortly afterward. As the director of the institute independent of the hospital. Ehrlich is now a giant on the same level as Thomas, and the meeting with John certainly can't be mixed up.
"Mr. Huntelaar, I have decided to continue my research on the antitoxin serum!"
After greeting at the door, Ehrlich said straight to the point: "Since diphtheria can be treated with antitoxin serum, what about the other diseases?" Isn't that okay? ”
When it comes to it. Ehrlich's face lit up with excitement, and he said loudly: "For example, pneumonia, plague, cholera, and other diseases, if we can also use the same method to prepare antitoxin serum......"
Speaking of his vision for the future, Ehrlich's face turned red.
"Uh......"
Looking at the frothing future bull, John's face darkened.
Ehrlich's performance is similar to that of the most miserable people in history, who rushed to discover more new drugs after discovering an antitoxin, but the results were extremely disappointing - except for a few antitoxin serums such as diphtheria and tetanus, most of which were useless.
But......
Scratching his chin, John didn't know how to convince Ehrlich for a moment. He was a time-traveler, and naturally knew very well that some work was futile, but it was impossible to convince Ehrlich with such reasons.
But after thinking about it for three or four seconds, John took a deep breath and said in a deep voice, "Then go ahead and try it!" But Mr. Ehrlich, I personally advise you not to get your hopes up too much. ”
"Huh? Why? ”
Hearing John's words, Ehrlich was stunned for a moment.
"Because the same method may not be effective for other diseases."
Squinting his eyes slightly, John said softly and meaningfully. This has been proven many times in the history of medicine, and John naturally didn't want Ehrlich to do too much useless work, but fortunately, bacteriology is still in its infancy, and there are so few bacteria discovered by medical scientists that even if Ehrlich goes to research, it won't take much time and money, so John doesn't need to bother with it.
However, Ehrlich obviously didn't think so, and he immediately shook his head and said: "Mr. Huntelaar, I don't agree with your idea, in fact, during your trip to Europe, we have already tried to prepare antitoxin serum for tetanus bacillus, but for the time being, there are not enough experiments to prove the effect. ”
"Oh? You've made a tetanus antitoxin serum? ”
John's eyes widened and he asked in surprise, "Have you isolated tetanus bacilli?" ”
"Yes, Mr. Huntelaar."
Nodding, Ehrlich said with a smile: "I know Professor Koch's student Kitasato Shibazaburo, and we have been communicating a lot some time ago, and we have thought of a solution together......"
Kitasato Shibazaburo!
After hearing this name, John couldn't help but pat his forehead, he forgot that the originator of Japanese bacteriology - Robert? One of Koch's most outstanding students. Behring, Ehrlich, and Kitasato all had a deep relationship with Koch, and all of them made great contributions to medicine. It's just that ten or twenty years later, three other Germans have won the Nobel Prize, but Kitasato, a Japanese, has never been recognized.
Of course, John won't be upset about Kitasato. He just lamented that Ehrlich's luck was so good, there were very few bacterial species that were discovered in this year, diphtheria was discovered only five years ago, and tetanus was discovered in the same year, but the discovery did not mean that it could be used by scientists to prepare antitoxin serum. Pure culture strains are not so easy to isolate. So Ehrlich's targets are not many, and tetanus is one of the diseases in which antitoxin serum is effective......
"Hmm......"
Touching his nose, John pondered for a while before smiling and saying, "Mr. Ehrlich, since you have prepared a new antitoxin serum, it is better to continue the test for a long time." However, I must remind you that the same approach may not solve all problems, and I personally recommend that you do not focus on this and find a few students to continue to repeat these experiments......" (To be continued. )