Dark-Haired British Doctor Chapter 123

Episode 123: Officially a Doctor [2]

“Oh, I have a leg to cut today.”

“I should go pick up the baby too.”

"yes yes."

Dr. Liston and Blundell returned to their respective seats.

Those were also things that needed to be taken care of on a large scale at some point.

Cut the bridge… … .

'We had it cut at the orthopedic clinic, right?'

Even in modern medicine, amputations were not completely eliminated.

Aren't there bound to be unavoidable situations?

Not only diabetic foot, but also amputation of limbs due to traffic accidents was something that was unavoidable.

My friend explained that there was nothing he could do in a situation where all his bones were crushed.

but…….

huh?

Cutting it here is a bit much.

'Yeah… … Since Dr. Liston is also thinking about advancing the surgery anyway, I guess I should help him out.'

Originally I was going to leave it at that.

Since Liston was a genius, did you have faith that he would be able to develop it on his own?

But when I thought about it carefully, I realized that actually creating a new surgery…

In martial arts terms, isn't it no different from a great master?

Is that something that is common?

What if that's the case?

They'll all create a sect.

When I thought about how it was impossible for me and how it was impossible for my teacher, it definitely didn't seem right to leave it like this.

“What should I look for…? Can I just talk comfortably?”

Anyway, now was the important time to look into the professor's research materials that were originally in this room.

“Huh? We’re close friends, but I only call him professor when I see other people.”

“Oh… … As expected… … Peace… … .”

It may be my job to look through the data, but isn't searching a chore?

What about chores? They were supposed to be done by the subordinates.

Of course, in 21st century South Korea, if you were to give out such chores without compensation, there would be chaos… … .

Here, students were the ones who had to have their teeth pulled out if the professor ordered it.

“Can I find something like this?”

“Yeah, right. Something like that.”

"good."

So, at best, asking for information was a waste of time.

Rather, he even looked cheerful.

My friend is a professor, so… … .

Wouldn't that be fun?

If they are really messy people, they might be consumed by jealousy.

Joseph is a guy who has respected me for a long time, and Alfred is my savior.

“Can this be done too?”

“Oh, yeah. But feel free to talk.”

“How can you be a professor…? … I’ve been learning a lot these days anyway.”

“Well… well. If that’s convenient, then do whatever you want.”

"yes."

Colin, who had been the most troubled, had long since become nothing more than a loyal servant.

Anyway, thanks to that I was able to receive the materials quickly.

First, I looked into hemorrhoids, which can be said to be my area of expertise.

Actually, I didn't do the section on colon and rectum… … .

Haven't you been learning this stuff really boringly since your residency?

-If you guys leave, this is your livelihood, your livelihood.

It was a bit odd to point at a patient's asshole, and an unclean asshole at that, and talk about it as a way of making a living… … .

That was certainly true.

When I look at seniors who are opening their own practice, 90% of them have seen hemorrhoids.

'Let's see… … .'

I put my hand on my head and started looking through the old professor's materials.

The pictures were drawn in quite a bit of detail.

Some of it was so detailed that it almost made me want to swear.

Well, it wasn't that bad.

The fact that there was this much sincerity means that they did their best for the patient.

The only problem is that during this time, even the best doctors don't necessarily get the best results…

'They say even Napoleon suffered from hemorrhoids… … .'

That era of the Yangban was a little before now, but do you think things have changed much in just 20 or 30 years?

If even those in power had to suffer, it would be enough to say that.

'Oh my gosh, what is this?'

Among the illustrations drawn like that, there was one that had some color or a picture in it.

Judging from the lack of brush strokes, it appears to be a print… … .

The patient's posture was shocking.

She was standing with her lower body exposed and her arms propped against the wall in front of her.

This might seem like it would show the anus really well, but in reality it didn't.

If that were the case, everyone would have done it in this manner… … .

'Wow… Are you sure you're not going to burn the hemorrhoids with fire?'

Of course, it would be too hasty to be surprised just by looking at the details.

The human butcher, no, the surgeon was holding a soldering iron.

What he's after is… … .

It's hard to tell from the picture, but it was definitely a hemorrhoid.

It has to be hemorrhoids.

Isn't it a bit scary to support someone else?

'But if I apply it at a low temperature, won't my blood burst out? …? Oh, is that thing next to me a blowtorch?'

The assistant was holding a blowtorch to raise the temperature of the soldering iron as high as possible.

In other words, this patient… … .

In fact, the point was that the anus was burned with an iron while assuming a position where the hemorrhoids were not even visible.

and…….

Could it be that this professor was like this too… … Oh, there is an additional explanation.

– In cases like this, it is common for the flesh to burn along with the operation, and there were even many cases where the anus was blocked and the patient died. So we must refer to the method of Sir Felix, who operated on Louis XIV.

Fortunately, it seems that this did not happen.

As I sighed in relief and started rummaging through the pages, this time I came across a much cruder version of the painting.

Judging by the similar handwriting, this must have been a drawing by a professor.

Unfortunately, the patient was still in the same position.

'Well… … The importance of patient positioning has become established… … In a way, it was after anesthesia.'

In modern medicine, adjusting the patient's position for the convenience of the surgeon has been a basic of the basics.

I know you might be complaining if you only think about the doctor, but… … .

If the person performing the surgery is comfortable, wouldn't the results be better?

In particular, as surgery developed, the demand for precision became greater, which inevitably led to an increase in surgical time, making this even more so.

But in fact, for this to be possible, the patient had to be unconscious and their muscles had to be relaxed and flexible.

Ultimately, the point was that this could only be considered if anesthesia technology developed first.

'Anyway… … Oh… … Tying the hemorrhoids with thread… … ? That means clotting the blood, right? No way.'

I don't think it has any other magical meaning.

Hoping for that, I read the material the professor left behind.

Certainly, it was.

He said he waited for more than an hour to let the blood clot.

And then it looked like it had been cut off with scissors.

'Hmm… … well… … it's not bad, but… … .'

It was unclear whether the hemorrhoids had been properly identified.

In addition, there are external and internal hemorrhoids, but it seems that they were not clearly distinguished.

There was not even any encouragement for stage 4 hemorrhoids.

Well… …I guess it was because I didn't know.

Wouldn't that be so?

If I knew, I wouldn't have done it.

'It must have hurt so much. And you didn't even have anesthesia for this?'

and…….

this…….

Isn't hemorrhoids a really painful disease?

The reason it hurts is because the anus is a really important area and the sensation is very sensitive.

But without anesthesia… … .

"her……."

A sigh escaped me.

I closed my eyes and expressed my condolences before the sigh had time to disperse and disappear.

Of course, it would be much better than the days when you had to support your anus with a soldering iron… … .

I don't think I was particularly happy during this time.

Moreover, the procedure that inevitably accompanies surgery was, of course, missing.

Disinfect right away.

'Common sense tells me that if I wanted to have surgery here, I should have cleaned it a bit, right?'

What on earth were you thinking, cleaning this place with your bare hands… … .

Just huh?

No, that's right.

In a time when even proper toilet paper wasn't available, there's no way this place could be clean.

So I wipe it with water?

Once you try it, you'll understand why Indians wash with water.

Probably, this is just my guess, but the prevalence of hemorrhoids among Indians is quite low.

In fact, hemorrhoids are somewhat related to anal hygiene.

'Anyway, I think it would be good to start from the basics. This is it… If you want to do it, get the surgery. If you don't want to, don't.'

As I looked at the data more, more and more problems became apparent.

They were basic problems, well… … .

It couldn't be helped since it wasn't the time to have the basics down.

No, but I didn't think it would be this bad…

Is it really because the part is the part?

Despite being such a common condition, it felt like it wasn't really getting anywhere.

This isn't really a problem, even in the 21st century, hemorrhoid surgery is looked down upon, right?

He doesn't really talk to other people.

'No matter what, it's still like that. Which patient should I operate on… … They haven't even organized things like that.'

This is called an indication for surgery.

It would not be an exaggeration to say that nothing is more important to a surgeon than this.

My teacher too… … .

He was not a good person, but he was a good doctor. This must have been one of the things he always said.

-How to do is a later problem. When to do, What to do. You have to decide this first.

In other words, what kind of surgery to perform is a later issue, and what is important is when and what kind of treatment to perform.

That was right.

Aren't there many non-surgical treatments for hemorrhoids?

In fact, performing surgery in stages 1 and 2 was in some ways an overtreatment.

Especially in a situation like now where there are so many limitations to surgery, surgery should be avoided even more.

I know it's a bit odd to say this to a surgeon, but what can I do?

That's for the patient's benefit.

'Starting with a sitz bath… … I'll teach you. Okay. Let's do that. Let's start with the surgical technique and look at the posture… … The director said he'll postpone the patients who have scheduled appointments for a while… … Okay.'

Anyway, I made up my mind about hemorrhoids.

Meanwhile, my assistants… … .

No, my disciples and friends were doing their best to find the materials I mentioned earlier.

In fact, since there can be as much information as the depth of knowledge, I had already looked up information on hemorrhoids a long time ago, and now I was looking for information on benign prostatic hyperplasia.

Actually, I was a bit surprised.

How on earth did they figure out that an enlarged prostate is the cause of urinary difficulties as we age?

'Well… … I guess it's more likely that I found out intuitively while doing the dissection… …?'

As you age, doesn't your prostate become enlarged?

If we had dissected it and confirmed it, we would have been able to make intuitive inferences.

The only thing I was curious about was how they treated it.

These days, things have gotten a lot better thanks to the development of new medicines and surgical techniques… … .

What kind of surgery was done in the past?

With a slightly pounding heart, I looked down at the instrument Joseph had found and placed on the desk.

“Oh… … This… … Is it an endoscope… …? No, it isn’t?”

There was no lens to look through, as it was an endoscope.

It looked like it could be put in somewhere, but it didn't have a lens.

If you look closely, the tip looks like a blade… … .

It was ominous.

“With this… … just… … pierce it… … and pierce it?”

“I think so?”

“Because it’s blocked and I can’t get out.”

"ah……."

Huigu… … .

It was so scary just to imagine.

No, it hurts.

It seemed like it hurt.