Chapter 44: Preparations

After coming out of Professor Osler's office, John looked at the time and simply went to the obstetrics and gynecology building again.

Howard today? Of course, Kelly's prestige cannot be compared with John, Osler, Thomas and Ehrlich, after all, these people have a certain influence in the world because of their previous achievements, but with John's strong support, he has now completely controlled the obstetrics and gynecology department, and has faintly become the fifth big man of Heinz General Hospital.

Today is the first day of July, the first day of the second half of the year, and John is naturally going to come and see.

β€œβ€¦β€¦ The wards are finally not so empty. ”

After seeing John, Kelly looked happy and said excitedly: "There has been an obvious increase in the number of pregnant women who have been admitted in the recent period, and many of them have been introduced by the previous mothers!" ”

For a physician, the patient's affirmation is of course the most gratifying thing.

"Hehe, that's good!"

After listening to Kelly's words, John also breathed a sigh of relief.

For the obstetrics and gynecology department, John also invested a lot of money, not only to build an independent small building, but also to allocate twice as many nurses, which can be said to be very important. But again, because of such a huge investment, the cost of obstetrics and gynecology is naturally quite high, at least twice as high as other hospitals, if you want to stay in a luxurious single room and enjoy the same thoughtful service as a private hospital in later generations, it will cost hundreds of dollars to give birth to a child, which is almost the same as the cost of an appendectomy.

In this day and age, this charge is considered ultra-luxurious.

Kelly actually had a lot of opinions on this point, and the doctor, who had gone to see the poor in the first place, was a little unaccustomed to it, but after a deep discussion with John, he could only accept the fact that the investment in the hospital was there, except for the single wards, and even if the general wards were full, they were only the same as the monthly investment.

Ultimately. The Obstetrics and Gynecology Building has transcended its entire era.

The windows are bright and clean, spacious and comfortable, which is the most basic, John also set extremely strict regulations for the obstetrics and gynecology department according to the system of the later hospitals: special personnel to clean, daily disinfection, pregnant women's hospital gowns and mattresses are special, and they are removed for cleaning and disinfection when discharged. All instruments and weapons are also sterilized once......

This kind of investment is absolutely unique in the world.

And all the people who are staying in the house to give birth, John does not allow them to use their own items, such as the baby's quilts, diapers, etc., all of which are disinfection supplies provided by the hospital, which must be included in the cost......

"Fortunately, New York is New York after all."

After the relaxation, John couldn't help but sigh: "If such an obstetrics and gynecology department appears in a small city, I'm afraid the final result is only a dead end." But if it were in Manhattan, even if it was Manhattan more than a hundred years ago, those rich people would be enough for Kelly and them to sustain themselves. ”

In these years, the most important task of the obstetrics and gynecology department is to attract women from home to the hospital.

Until disinfection technology was perfected, maternal mortality rates in hospitals were higher than at home. In fact, more than 20 years ago in Vienna, Semmelweis discovered that the high mortality rate of pregnant women in the delivery room under the supervision of doctors was frightening, and after investigation, it was found that the main cause of puerperal fever was the hands of obstetricians and gynecologists, who directly helped pregnant women to give birth without any cleaning after dissecting the dead bodies. It's just a pity. At that time, there were still very few doctors in Europe who were willing to accept Pasteur's germ theory, and everyone would only frantically criticize this guy who "pushed" the responsibility on the doctor......

So for most people. Having a baby at home seems like a matter of course.

It's just that in recent years, surgical disinfection technology has developed by leaps and bounds, especially after John re-entered the ranks of physicians, surgical disinfection technology was suddenly forcibly advanced, gloves, hats, masks and isolation gowns and other utensils were out of the line in advance, and various disinfection supplies and specifications were also released. All at once, it has increased the level of sterility in surgery and obstetrics and gynecology by a decade or two, or even more!

In large hospitals that have implemented aseptic disinfection technology, the maternal mortality rate has naturally dropped dramatically.

This change is finally beginning to gradually reverse the unfavorable situation of decades, and the importance of hospitals is slowly becoming apparent. After all, the level of professionally trained doctors and midwives is still much higher than that of "stable women......

It was at this time that the obstetrics and gynecology department of Heinz General Hospital opened.

If compared with the obstetrics and gynecology department of the future hospital. Kelly, of course, there is nothing special to write about, but if you compare it with the obstetrics and gynecology departments of other hospitals in this era, this small building and the people inside are much better! It may not be technologically advanced, but don't forget that the luxurious and comfortable wards in this small building, as well as the neat and clean personal image of the doctors and nurses, give pregnant women more security......

"How's the preparation for the blood transfusion and uterine otomy going?"

After chatting a few words about the changes in obstetrics and gynecology, John finally turned his attention to the two new technologies that he was most concerned about.

"One more month at most!"

At the mention of the two new technologies, Kelly's eyes suddenly lit up: "The animal experiments are going well, and according to the information you provided, we have made a complete clinical plan, one is to carry out clinical blood transfusion, and the other is a new type of uterotomy...... But John, the difficulty of the uterine surgery is too great, can you ...... it then?"

The last sentence still exposes the uneasiness in Kelly's heart.

In fact, it is no wonder that he lacks enough confidence, and the blood transfusion technique is okay, after all, in recent years, with the support of John's blood type and other theories, many surgeons have conducted relevant research, and successful examples abound, as long as the problem of blood clotting is solved, it is enough to make the safety to a higher level. But in the case of uterine otoctomy, it is really a bit troublesome. You must know that although this kind of surgery did not appear late, because the development of basic surgical theories has not been reached, it has only recently really entered the formality - the surgeon no longer opens the uterus and squeezes it to let it heal naturally, but uses needles and threads to suture!

The mortality rate of surgery is still scary!

Under such a premise, even if John proposed a new surgical method, after dozens of autopsies, Kelly was fully aware of the advantages of this surgical method, and this Mr. Huntelaar also provided "packaged" services such as sterilization, suturing, and hemostasis, Kelly was still extremely uneasy in his heartβ€”he really valued this new type of surgery too much in his heart.

John also understood Kelly's mood, and immediately nodded and smiled: "No problem, Howard, if I am in the hospital at that time, I will definitely appear on the operating table!" ”

It is not every day that pregnant women need to undergo uterine otobactomy, and now is not the era of the future when caesarean sections are rampant, and if there is no real way, neither pregnant women nor obstetricians and gynecologists can choose this extremely dangerous mode of delivery. And in the absence of antibiotics and other drugs, even John did not dare to rashly expose pregnant women to this risk, so when the first operation will be carried out depends on Kelly's luck.

And......

Even though he wasn't an obstetrician and gynecologist, John was confident that he was better than anyone else in his time, including Kelly, of course. After all, he was born in general surgery, and in his previous life, when he was rotating in the obstetrics and gynecology department, he had seen an unknown number of uterine tobactomys, and he had even been on the stage as an assistant a few times. If in the future, of course, he would not dare to be arrogant in front of any obstetrician-gynecologist, but in New York in 1889......

"But before you do it, be sure to prepare for the blood transfusion technique!"

After thinking for a while, John said solemnly.

"This must be fine!"

Kelly hesitated for a moment, nodded and said, "All the technical preparations have been completed, as long as you solve the problem of blood clotting, I believe that the risk can be minimized!" ”

"Hmm......"

After a moment of silence, John nodded slowly and smiled, "Don't worry, I promise you, give me another week...... For a week at most, the problem of blood clotting will no longer bother us......"

……

Approaching the Chinese New Year, the moving company is scary, this is the rhythm of being slaughtered. (To be continued.) )