Dark-Haired British Doctor Chapter 469

Episode 469: Mitral Regurgitation [1]

I looked up at the ceiling for a moment.

It seemed as if the sound of a wooden fish was coming from somewhere.

'This crazy guy… … .'

Now, are you going to catch the monk Ha Da Ha too?

I thought that one day I should catch him and rob Liston's house.

Do you know?

Is there even a potter?

Then it's a jackpot.

These British Buddhists just think that fancy Chinese or Japanese porcelain is the best, but if you look into it, isn't it true that even in China and Japan, Joseon white porcelain is considered the best?

As I was talking, the conversation flowed as if I were sucking the blood of my fellow countrymen, but of course that is not the case.

'Wouldn't it be a good thing if we could share the beauty of Joseon white porcelain with these European country bumpkins?'

Even as I thought that, I quickly closed my heart.

“Plain. Don’t harbor bad thoughts while you’re closing your heart.”

“I’ve never done that before.”

“I wish that were the case.”

“Anyway, now… let’s go?”

"okay."

I glanced at the hourglass.

Even though we were in a really hurry and proceeded without any problems, the sand was almost gone.

A cold sweat ran down my face.

'This… this is almost like Russian roulette.'

No matter how you look at it, this patient was lucky.

No, I guess I was lucky.

Because the patient only had stenosis in the first surgery.

Thanks to this, it was possible to solve the problem with just the most basic techniques.

No, if you say it's resolved, it seems like everything is better…

I think it would be correct to say that the attempt is over.

'But time has passed…?'

ha.

A sigh escapes me.

Click.

Whatever it is, what needs to be done must be done.

As soon as the clamp was released, blood rushed into the heart and then spurted out powerfully toward the aorta.

If there had been an ultrasound machine at a time like this, we could have immediately seen if the stenosis had improved… … .

There is no X-ray, let alone ultrasound.

What are you doing, Roentgen!

What is Marie Curie doing!

‘I guess I wasn’t even born… … .’

I don't even want a status window, so I think it would be nice if they gave me a summoning spell.

If that doesn't work, then at least give me a drink.

Use it whenever you need and then send it back to the afterlife.

“I guess we’ve overcome one hurdle.”

"Yes. He's not dead. At least not here."

I was depressed, but Liston seemed cheerful.

It was a natural thing.

Because this was truly impossible.

I cut open his heart, did something to it, and closed it again, but he didn't die.

Even without looking through the records, this would be the first.

In other words, this is a moment when something that has never happened before in the long history of mankind has happened at our fingertips.

“Still pessimistic.”

“I don’t know if it’ll really get better or not. But still….”

“Isn’t this patient the one with the best prognosis among the cases you mentioned?”

“Yes, I will probably live much longer than I originally did.”

But that's all there is to it.

Completely cured?

The surgery we performed was too crude to expect such a thing.

It may seem like a big deal, but all it does is bang a piece of metal on the mitral valve.

Of course, even in the 21st century, it's still all about pushing and deflating balloons.

The difference is that it is done without opening the heart, by simply inserting a catheter into the blood vessel, and by looking at it through a video from outside, it is possible to dilate it just enough and then check whether the mitral valve is functioning properly.

'Damn… … what a huge difference.'

What happened in the next 200 years?

How did you get to this level?

Have we actually made contact with an alien civilization?

"after……."

The surgery isn't even over yet, so why is the main surgeon thinking about something else?

That's because it's not the main anymore.

It's not like I skipped it because it was annoying.

I can't heal bones without a drill.

It's not my problem, it's just the limitations of being human.

"awl."

"yes."

But Liston does.

That's because they're not human.

It wasn't even that I could barely do it, it was that I could do it so easily.

Sigh.

that…….

Those of you who have been around for quite some time will know the comic book called <Wind's X-Heart>.

There's a swordsman named SaXto Hajime who appears there, and he'll probably take Liston as his teacher if he sees him.

Sigh.

It's almost magical, making holes in bones with an awl.

Even if it's called an awl, it should be considered a slightly thicker needle since its purpose is to make a hole for the wire to pass through, so it's not close to being a miracle, it's just a miracle.

‘No matter how I look at it… …it’s internal energy, right?’

London's ironmaking technology is world-class.

I'm not denying that.

But it's the best of the 19th century.

If you look at the steel being made at the Pohang Steel Mill, you'll all be amazed.

In other words, it's not that strong of iron, but it can't stop human bones…

Sigh.

It's not even like you're grinding it out.

Just look at the bone and then poke the awl.

Then there is a hole in the bone.

I've seen it done to corpses hundreds of times already, but it's still surprising.

The disciples and Blundell are also amazed, but probably not as much as I am.

I know what they originally used to pierce that.

'The standard way to drill is with a drill with a diamond burr… '

Human bones are strong.

It's a bit odd to say this on the topic of the X-heart of the wind, but you can consider samurai manga to be a joke these days.

Unless you're a skilled swordsman, it's difficult to cut through human bones with a single stroke.

That's why killers don't even try to cut through the bones in the first place.

But ironically, doctors who have to save people sometimes have to manipulate bones.

So what did you do?

I put the stones in.

So, I barely managed to make a hole and do it… … .

“Phew. I’m done.”

Is it true that when the body is weak, the head suffers?

Liston made 14 holes in the bone, one on each side, with a rather thick needle that was hardly excellent, even in vain.

They are even lined up exactly in a row.

This is possible because I made a small scratch before sawing it… … .

Being able to stab into that flaw without a single inch of error is something that only Liston can do.

"line."

"yes."

Anyway, we have to close it now.

Since this was a difficult task to do alone, Liston and I took on the task at the same time.

Ji-ik.

Jiik.

It's too thick to be called thread.

At the same time, it's also a damn expensive thing.

It's silk, silk.

I was trying to use thread extracted from cotton, but no matter how I looked at it… … .

Not only was there concern about infection, but there was also a difference in the expected strength when the thickness was the same.

'The silkworm is a fraud.'

I thought that there was a reason why King James I of England, who was the king at the time, told people to raise silkworms when they were pioneering in America.

Of course, that was a stupid thing to do.

How cold is it in the eastern United States that you're asking people to raise silkworms there?

They say that they all died while riding the boat.

But silk is a really crazy thing.

Ji-ik.

Since it is much thicker than what is usually used, it does not have the characteristic silk feel.

But that's what makes it so awesome.

I'm pulling and tying a knot on my sternum, which has been torn apart on both sides, but it doesn't even show any signs of breaking.

“Surely… this is really good?”

“There’s a reason silk is expensive.”

“I just thought it was expensive because it was expensive…….”

“In the East, it has probably been used in various ways since long ago.”

“Seeing this, I think I understand why our British Empire is so determined to swallow up the Qing.”

“Well… it does look delicious.”

Thanks to the silk, we were able to close the sternum in no time.

What happened next was nothing short of spectacular.

If you can suture bones, what could be difficult about flesh?

All you have to do is just poke it and close it.

“Huh… How long did it take in total?”

“It takes about 50 minutes.”

John Snow responded to my question.

Only then was I able to smile faintly.

I wonder if it is okay to do heart surgery like this, like roasting beans in a flash…

Isn't it true that there are different drinking styles that suit each era?

The very fact that I can think like this is proof that I have improved a lot compared to before.

'Probably… …the others won't work.'

It's possible because you have a flexible head.

"under."

“You look happy.”

“Because I’m still alive.”

“Yeah, still alive.”

As I sighed with that thought, Liston smiled as well.

As the saying goes, the patient is still alive after regaining consciousness.

I don't know how much longer I will live, but… … .

Blood pressure is also more stable than before surgery.

'I wish I could do this 100% with my own skills… … .'

good night.

It's a good thing, but the sad thing is that I can't just say it's good.

That's because I don't know if it can be reproduced.

'Perhaps… it might be possible if it's just a case of mitral stenosis.'

Yes, simple mitral valve stenosis cases can be solved.

but…….

The problem with rheumatic fever is that the main case is not stenosis but occlusive insufficiency.

'It's not that I haven't thought about it. But… … will that… … really work?'

It is relatively easy to widen something that is narrow.

You can also use a lump of iron like I did earlier.

Humans are not such weak animals.

I think the fact that we can survive without going extinct even in these times is proof of that.

But narrowing something that has already expanded is… … .

“It ended better than expected, so how about doing one more case?”

“I have to.”

"Even I thought the case just now was easy. I'm afraid I might become complacent."

“Yes, statistically… there are probably more difficult cases, but I was lucky.”

“The Lord loves you.”

“I guess so, really.”

I looked up at the sky for a moment and then got up.

Actually, I still don't know if there is a God or not.

The fact that I came to this era means that there is something special about me… … .

Does that being have a will?

I don't know about that.

“I will pray.”

However, I have no intention of disturbing the mood of a patient lying on the operating table, prepared to die.

So I prayed with the priest who had been called and proceeded with the surgery as before.

It means that you are faced with a beating heart that splits open your breastbone.

"after."

With a sigh, I matched the signal with Liston and clamped it on.

The blood flowing into the heart stops with it, but that doesn't mean the heart stops.

Because 19th century technology wasn't there yet.

No, it was like that until the late 20th century.

So, what I'm saying is that grumbling is useless.

"knife."

"yes."

I calmed my mind and tore my heart apart.

"ah."

"ah."

And then I found out that I had a sagging aortic valve.

It looked like it had melted away and become fibrotic due to long-standing inflammation.

“It’s come.”

“Yes. But still…….”

“I guess I’ll have to try.”

"yes."

It's the worst situation.

But it is not an unexpected situation.

Even if it was an unexpected situation, there was no time to worry.

Because the given time is a maximum of 4 minutes.

"line."

"yes."

Do your best.

If you think about it, it was the same in the 21st century.

Yes, how can there be 100% success in fighting the irresistible enemy called disease?

Even if it's like hitting a rock with an egg, you have no choice but to give it a try.