Chapter 84: The Orphan of the Fog (36)
Time passed minute by minute, and a morning passed quickly, and as soon as 11 o'clock passed, Mrs. William had already beckoned Zhou Daoan to prepare for lunch. At that time, people's brunch time was slightly earlier than in modern times, and Aaron had said before that he would have to go back to the academy in the afternoon to go through some formalities, and the next time he came to see the teacher, it might be before leaving.
In other words, this time Aaron left the cheap clinic, and the police wanted to find him again, but it would be difficult.
Just when Zhou Daoan was anxious, the door of the clinic was suddenly pushed open from the outside, and a burst of anxious footsteps appeared loudly in everyone's ears, accompanied by a roar:
"Dr. William, save people!"
Seeing the people rushing in, Zhou Daoan almost didn't bare his eyes out - Frank took the lead, and there were several detectives he knew at the police station, and at the back, Fred, who was unable to move with a cane.
Of course, it is impossible for such a group of people to come to the door "empty-handed". Frank, along with three other agents, carried an improvised stretcher on which lay a pale child.
The child was only six or seven years old, his hands were on his lower abdomen, and beads of sweat the size of beans kept rolling down his forehead, but he had no strength to roll and shout.
"Dr. William, this is a patient we met on patrol, his parents are both working at the docks, and there is no one at home. If it weren't for the fact that the neighbors heard the child crying in the room, they wouldn't have known that he had an emergency......" Frank quickly introduced the situation, and then directed everyone to carry the child from the stretcher to the long table in the hall.
The long table has always been used by Dr. William as half of the examination table, and he has even undergone minor surgery on the table. The kid was small, and he was perfectly fine lying on the table. And Zhou Daoan, who is quick-eyed, has already ripped off a white linen sheet and spread it on it.
Obviously, the position of the child's hand, coupled with his age and symptoms, is likely to be acute appendicitis.
"Don't be afraid, child! The old man wants to ask you a few questions, just nod and shake your head......" Dr. William didn't talk nonsense, and immediately entered the state of diagnosis, and said to the child with a pleasant face.
Then, he pulled up the child's patched coat, exposing his entire chest and abdomen, and then pressed his index and middle fingers together and pressed lightly around his navel, asking from time to time, "Is it painful here?" Or is it here? Does it hurt the most here? ”
The child probably knew that he was in great danger, so he nodded and shook his head quickly according to Dr. William's movements.
"When did you start hurting? Morning, morning? After breakfast? Are you playing around at home? Have you ever felt this pain before? ”
After a few questions, Dr. William had completely concluded that the child had an acute appendicitis attack.
Appendicitis is not an uncommon condition, but it is relatively easy to control and treat at a relatively mature age. Children between the ages of 6 and 10 are the peak age for appendicitis, and more than 10% of all patients with appendicitis are more severe than the average person. Because children are at this age, the cecum is relatively free, the wall of the appendix is very thin, the lymphatic tissue in the ileocecal region is very rich, the omentum is immature, and the surface area of the peritoneal cavity is relatively large compared to that of adults...... Therefore, once you develop appendicitis, it is easy to perforate. Once the appendix is perforated, it will cause a series of abdominal inflammation, poisoning symptoms, and complications, and the mortality rate is naturally higher than that of adults.
At present, according to the child's expression, his onset time is after dinner in the morning, his parents go out, he is alone at home, and when the illness is discovered, there is a short gap between the time he is found by the neighbors, and it is estimated that it has been 3 hours since he was sent to the clinic. Theoretically, surgery should be done right away.
The child's parents were not around, and although someone had already been called, it was obvious that waiting for relatives to come and have another operation would delay the condition. At this time, it is much more convenient to have the police present – either as objective witnesses or as a substitute for their families to agree on the treatment plan. After all, at that time, the level of education of citizens was generally very low, and there was not so much legal awareness in later generations. Therefore, no one thinks about the fact that the child is operated on first, and the parents are held accountable afterwards.
"Old dean, since you have been diagnosed, let's treat it quickly! Don't worry, I'm here just to prove it! You don't have to worry......" Fred calmed down his breath and interjected to Dr. William.
Dr. William nodded, and immediately set it up.
Mrs. William and Zhou Daoan are naturally the best helpers, but Aaron Kosminki is an excellent student, and Dr. William will not be polite to him. What's more, Aaron himself was at a stage where he needed to translate theory into practice, and as soon as the kid entered the door, he immediately came up and took a closer look. Now, after confirming that the operation was going to be performed, he even asked if he could be the main surgeon.
Probably because appendectomy is not a particularly difficult operation, plus Aaron's own solid foundation, and it is said that he has had a lot of practical opportunities recently, and he has dissected several corpses, as evidenced by drawings...... So Dr. William hesitated and agreed to Aaron's request – of course, he would be watching the overseer himself.
Here you may have a question: the era is 1888, the end of the 19th century, and appendicitis was only proposed in 1886 by the doctor Fitz in the United States, so did it have a surgical application so soon?
Similarly, we may all know a story of "Edison saves his mother", which was once selected as a Chinese textbook in Huaxia primary school, which was questioned in later generations, because of the appendicitis case demonstration in 1886, when Edison was nearly 40 years old (Edison was born in 1847), and the time is not right at all.
In fact, although the term appendicitis was only coined by Dr. Fitz in 1886, the record of this condition has long been known, but the name has not yet been "officialized". It is said that as early as the era when Bian Que practiced medicine, Huaxia had a record of treating appendicitis. The operation to remove appendicitis in human history has been mentioned in Dr. Fitz's report for 151 years.
In other words, as early as 1735, the excision of appendicitis was practiced. So, at the end of the 19th century, as the chief surgeon of the former Royal College of Physicians, Dr. William was no stranger to the operation. And Aaron, as his proud disciple, also knows quite a bit about this—at least on a theoretical level.
Soon, the operation was set up with the help of everyone, and it was ready. Dr. William and Aaron, who had changed into white sleeved aprons (surgical gowns from those days), had already stood in front of the makeshift operating table.
Zhou Daoan put the sterilization utensils that had been soaked in boiling water on a small square table, pushed them in front of the temporary operating table, and Mrs. Wilhelm also lit the "shadowless lamp" composed of multiple light bulbs (the light bulb was invented in 1879, which was already widely used at this time). The officers scattered and stood, nervously watching the scene.
But Zhou Daoan knows very well that the focus of the detectives led by Fred at the moment is definitely not this sick child! Saving children is one thing, but they will definitely pay more attention to Aaron's behavior! Because Fred and Zhou Daoan looked at each other when he was stealing the air, it already said everything-
If you asked Frank to bring it, I've received it! So I came in person to confirm if this person was a suspect or not!
And Fred's methods are indeed amazing! In such a short period of time, I actually found a real case that needed surgery! Zhou Daoan estimated that it could not be a coincidence, maybe Fred used his "foresight" ability to sense that there was a sick child somewhere, so he immediately sent someone to pick it up, pretending to meet it by chance and then enthusiastically sending it...... Although the use of this sick child is a little ruthless, but more of it is also a matter of taking advantage of the situation - the child does need treatment, and when it is sent to the hands of Dr. William, a "great hand", the cure rate is undoubtedly much higher than that of ordinary doctors, even if it is a blessing in misfortune!
And coming up with this idea, not only has an excuse to come to the door to observe, but also can take the opportunity to witness the suspect's "on-site operation", which is undoubtedly better to judge the possibility that he is the murderer - this is still a hasty way to think of in a short period of time......
Fred Ebolin is truly amazing!
At this time, Aaron, who was standing still in the position of the attending doctor, had completely entered the state. He did have a fanatical passion for medicine - such a man who was always vigilant at this time ignored the quiet gaze of the police and focused on the patient.
It didn't take Dr. William to give him an encouraging look, and Aaron had already picked up the scalpel—this was Dr. William's scalpel, of course, a long-handled knife with a very ordinary style, but with a faint metallic sheen. Unlike the scalpels with detachable blades in later generations, the scalpels at this time were recycled, just like the puncture needles used in traditional Chinese medicine. As a result, the handle and blade are integrated, and the willow blade is thin and firm, with a glittering edge of the blade.
Effortlessly, Aaron had already cut the skin of the anesthetized child's abdomen with a scalpel.
Zhou Daoan immediately noticed that Aaron's posture of holding the knife - when cutting the skin tissue, he used the bow holding pose, which is the most common knife holding posture, using the index finger against the back of the knife, and the thumb and middle finger pinching the knife body.
Judging from Aaron's calm and even "freehand" movements, this is indeed a performance of a skilled anatomy. What's more, Aaron's hand with a knife at the moment is his left hand!
Accord with! It's so much in line with the characteristics of a ripper! Zhou Daoan believes that Fred, who is also watching this operation at this moment, must have paid attention to this!
If there are no accidents, it can be determined that Aaron Kosminki is the murderer they are looking for!