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Episode 116 Confirmation of Death [1]
We live in a time when the police casually contact us to threaten to kill someone.
It's the 19th century.
I felt a little uneasy, but… … .
What can I do?
Tracheostomy may have been the only true airway procedure, at least in this era.
'Tracheotomy… … That was really difficult… … .'
When I was working at a university hospital, tracheal intubation was something I saw almost every day.
Why don't we see that in dramas or movies?
Inserting a plastic tube into the mouth of an unconscious patient during surgery.
The purpose is to maintain breathing, but sometimes it is also inserted to prevent blood from flowing out from above from blocking the airway.
Well… … Now that I think about it, it's just a way to maintain breathing.
The reason why this was mainly used was simple.
It's safer, and best of all, you don't have to use a knife.
'But… … In order to do that, there are some prerequisites?'
But, coming here, there were a few things I could learn.
To make that happen, the plastic tube needed to be… soft and flexible, but at the same time strong enough not to lose its shape when you breathe in.
I think I might be able to make some rubber… … .
It was a distant thing right now.
'Gastrointestinal reflexes… … It's hard to do this with just laughing gas.'
There was another hurdle to overcome: the gag reflex.
People who drink a lot of alcohol may know that people tend to feel nauseous when the base of their tongue is stimulated.
And this tracheal insertion surgery, due to its structure, was bound to induce a gag reflex.
How can something that is inserted into the airway through the mouth not touch the root of the tongue?
So in the intensive care unit, they put patients to sleep using tranquilizers, anesthetics, or very strong painkillers… … .
In this fu*king 19th century, the only thing you had was laughing gas or opium.
Such a powerful and dangerous drug can't be used just to suppress the gag reflex, can it?
'So… … it's just a tracheotomy, for now.'
How about a tracheostomy in comparison?
It is a very invasive procedure that requires making a hole in the neck… … .
First of all, since it didn't touch the base of the tongue, there was no gag reflex.
Of course, since it involves putting something in prayer, it is not entirely comfortable… … .
Even in the 21st century, tracheostomy was performed on patients who needed long-term respiratory assistance, which was a more tolerable procedure than one might think.
In addition, with just a little anatomical knowledge and a reasonable amount of training, it was actually easier than tracheostomy.
'Yeah… … So, let's make up our minds.'
I was barely able to recall the justification for doing this.
Meanwhile, our proud 19th century people, without a shred of guilt, were chatting in a carriage.
“It seems the police are also in trouble since they can’t hang him.”
“It’s all good though. They all deserved to die.”
Blundell and Liston were talking about someone's death.
I don't think this is a conversation that doctors should be having, but… … .
The police officer riding with me also agreed, so it would be right to assume that my thoughts were wrong.
“That’s right. They all deserve to die. If they can be of help even after they die, wouldn’t that be a good thing for them?”
no…….
I don't think so.
Have you received consent?
It seemed impossible.
“The problem is that it uses poison… … Well, this poison is sometimes a bit weak… … What if you don’t die and come to the hospital?”
“He’s on death row anyway, so what can’t he do there?”
“That… … Professor. That’s a bit… … For someone other than an executioner to slap another prisoner… … .”
“I’m sorry. Our Professor Liston… … .”
“If you do it without anyone knowing… … .”
“I just heard that. If that happens, I have no choice but to prosecute you, Professor.”
The conversation is… … .
The more it continued, the more it became a miracle.
That crazy guy… … .
uh?
Are you going to sweep it away there?
Even if you go somewhere and say it as a joke, it would be extremely inappropriate, but to say something like that in front of the police… … .
Is it because I don’t have many connections…?
There were only these guys around, so I was confused as to whether the entire 19th century was like this or just these guys.
“After all, I guess we’d better go and make sure.”
“Ugh.”
“Why are you looking so disgruntled…? It’s something that a doctor should check!”
“Because that’s not a given. Isn’t that difficult?”
“It’s difficult, but… … .”
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“Hmm.”
The two stopped talking and looked at me.
To be exact, I was looking at them alternately, including the stethoscope I was holding.
These kids seem to think I'm some kind of Doraemon…
'That's almost right, right?'
From their perspective, it was true and there wasn't much to say.
What can I do?
That's true, really.
“I’ll try to do something about it.”
“Okay. Please.”
So I nodded, and Blundell spoke again with expectant eyes.
“Just in case, bring the police to the scene.”
"ha."
In contrast, Liston said something unpleasant, and the police sighed deeply when they realized the hidden meaning in his words, that if he were alive, he should be killed.
The carriage reached its destination anyway, even as it listened to the chaotic conversation.
“Kill him!”
“Death to the wicked!”
square.
It was a square.
As I see it, at least in this period, the British were not supposed to badmouth the Romans.
What's the difference between the Colosseum and this now?
'That's right… … You said that over 30,000 people gathered when William Hare was executed?'
Was that last year?
Not only did they steal corpses, they even produced corpses… … .
So, since they were the ones who committed serial murders and sold the bodies to Dr. Knox, the crowds would have gathered even more, but anyway, that's the kind of country this is.
So, today's chaos was not something to be considered strange.
“Kill him!”
“Where is the gallows!”
“Hang on!”
That's true, but… … .
Even so, I wondered if it was really necessary to get angry and yell like this every month.
Coming from the 21st century, a fairly civilized world, this seemed a bit odd to me.
The chief was also shivering, so I thought he might be like me, but it didn't seem to be the case.
“Today’s execution will be carried out by poison.”
“Wow!”
“Put it away!”
“How much did you get paid?”
When the police chief announced in front of a crowd full of people who expected him to face death that he would kill him by poison rather than hanging him, boos suddenly began to pour in.
I guess I was shaking because I was scared… … .
I thought it was either hanging or poison, but I couldn't understand why they did it that way.
So I looked to the side and saw Blundell shrugging his shoulders and opening his mouth.
“I guess… … the poison is inaccurate. There are quite a few people who are surviving just fine. So… … it’s no coincidence that people are asking how much they received.”
"ah……."
“There are actually quite a few cases like that. There must be quite a few wealthy people who escape to Asian colonies and change their status. I’ve even received a request like that.”
"request……?"
“In the case of execution by poison, the rule is for a doctor to conduct an autopsy. They determine whether the person is dead or alive… … .”
“Ah, so it’s about judging a living person as dead.”
“Yes. Of course, Blundell is a man who never does anything that would be abhorrent to his conscience, so he has never done anything like that.”
"yes yes."
I think he must have done it at least once because he said it like that, but I decided to believe him for now.
Besides, what was important right now wasn't them.
no…….
It really looks like a riot is about to break out.
“Now, now, calm down! It is true that these men’s crimes are so heinous that they deserve to be hanged. But! Now, Dr. Liston, Dr. P. Young! Come forward.”
Here, I thought that if the chief speaks out, something will happen… … Then, that crazy guy suddenly turned his arrows on me.
Liston, who was supposed to deflect the arrow, instead stepped forward, laughing heartily as if he had become obsessed with attention.
“Okay. What are you doing, Pyeong?”
“No… … If this continues like this… … .”
“Hahaha! The police are watching, what’s going on? And isn’t it because of us that they changed the method of execution?”
“No, don’t say that so loudly… … .”
Then he stepped forward and pointed at me.
We also shouted out loud that we were responsible, and the attention of those around us turned to us.
Starting with that, others' eyes turned towards us as if we were playing dominoes.
I thought it was fortunate that I was short.
If I were tall… … .
Not only do I have to receive all that attention, I also have to face it, right?
“Isn’t that a good reason? It’s to save people.”
“Yes, yes. That’s true. But it’s so scary.”
“It’s scary. They’re like a flock of sheep.”
"that……."
I'm weaker than that sheep, Professor.
I don't know if the build is similar, but…
Those guys are so vicious that they could steam and eat a person or two if they were really angry.
“Come on, come on.”
Trembling, I was led by Dr. Liston's hand as I walked, and before I knew it, I was in front of the chief.
Only then did I realize.
and…….
Who threw the tomato?
Were you so nervous that you didn't even realize you were getting hit?
“Haha.”
Meanwhile, Dr. Liston had blocked it with his hand, so the tomato was only on his hand.
The chief smiled wickedly at the two and gave them the right to speak.
“Don’t you two have a legitimate reason? Considering the crimes these guys are accused of, it seems like a very reasonable reason… … Please speak directly.”
"gladly."
So the two of us stood in front of the crowd.
I didn't notice it when I was standing at the back, but when I got up on stage and looked, it seemed like there were almost ten thousand people gathered.
And all ten thousand of them were looking at us with angry eyes.
This was because he chose poison instead of hanging himself to kill people.
Of course I felt wronged and angry, but the only emotion I could express was fear.
“What is that yellow thing!”
“Again… … They’re trying to take the money, eat it, and smuggle it back to Asia!”
“An obvious trick… … .”
It's scary just to look at, huh?
That's what I hear too.
At this point, even the world's best Liston…
"haha."
Are you laughing?
Are you crazy?
But he started to open his mouth with a confident face.
“Those who know will know. I am Doctor Liston. I think there are one or two people here who have had their lives saved thanks to me… … .”
It was a clear stream.
He seemed a bit like a drug dealer, but everyone was listening well anyway.
“The doctor here is the one who developed the anesthetic. I think there are many more people I should thank.”
Since I hadn't missed a beat, the commotion was dying down a bit.
Of course, there were some who grumbled and asked, “What should we do about it?”
That was when.
Liston grabbed the hair of a death row inmate, the leader of the gang.
“It is true that in order to save a person like that, you need to have anatomical knowledge. That doesn’t mean you should buy a corpse that has been stolen, but these guys are exploiting our noble needs. So! We are going to use their corpses to dissect them! The reason we can’t hang them is because we need to look closely at the anatomy of the neck!”
It was so scary.
Even the gang leader, who was already scheduled to die, peed himself to death.