Dark-Haired British Doctor Chapter 124

Episode 124 Officially a Doctor [3]

How can you just break through a road that's blocked?

This is… … .

Isn't this practically torture?

If you think about it, there are actually a lot of different types of torture using the urethra, so it wasn't such a far-fetched idea.

what…….

If you leave it open, you might be able to urinate for a little while.

“But does this actually work?”

It had been a long time since I had found all the materials, and since the 19th century was a time when space was at its best, I was huddled together with Joseph, Alfred, and Colin, looking through the materials.

By the way, I have in my hand a book that was probably written by our late professor… … .

A stick with a needle at the end was heard.

It wasn't just a needle that was left there.

Since the needle and outer cylinder were separated in some way, the cylinder could be left alone and the needle area could be moved back and forth.

Otherwise, I could have turned it around… … .

Anyway, I think it could be seen as a very primitive form of drill.

“Shouldn’t it be effective if we do it this way…?”

It was Joseph who asked first, and it was Alfred who spoke next.

In fact, it has been quite some time since everyone started looking at the data, but the reason they are only now opening their mouths is because of the shock the data gave them.

It's not that we're weak-hearted, but anyone with a prostate would be forced to be humble in this place.

Wouldn't that be so?

“I guess I continued because it was there… … .”

Colin, who was the most noble of the four and therefore in charge of manners, also stuck out his tongue.

Then the three of them looked at me as if they had made some kind of promise.

Well, he used to come to me whenever he had a difficult time, but now that I'm a professor, I feel like he has stronger expectations.

I guess that's what he wanted me to say.

Unfortunately, I had no choice but to disappoint their expectations.

'The prostate is… … a part that keeps growing… … of course it's quite thick… … but this is too much.'

Instead of answering, I looked down at the device I was holding.

In its own way, it could be said to be quite advanced for a 19th century medical device.

It looks a bit scary though… … .

Still, if I had just inserted it properly, I would have been able to urinate properly for some time.

of course…….

Since it would be a surgery that would completely destroy the urethra, if it were to become blocked, it would happen very quickly, and if stricture occurs, it would be the end…

And now I think this situation has happened quite often… … .

“No, it must have only been open temporarily.”

“Ugh… … .”

“How… … .”

“I put this in here… … .”

Naturally, everyone had shocked expressions on their faces.

It had to be that way.

A human being would have no choice but to react this way.

I had to show it too.

Shouldn't a minimal level of empathy be a virtue that a doctor should have?

When I saw them, I thought they were the only ones who did this because of the pain they instinctively felt in their lower body, but anyway.

“Look at the data. The professor also pointed out the limitations. If you put in a straight bar like this… … .”

Due to anatomical factors, there was a very high chance that it would end up stabbing somewhere else.

Why?

The urethra… … bends once inside.

This was especially true for older men who suffered from prostate problems.

In the 21st century when I was there, accidents like that were rare because they were done by looking through a cystoscope in the first place, and also, if you were to insert a Foley Catheter (indwelling urinary catheter), it was made of rubber so even if you just poked it in, there was no chance of it going wrong.

'But there's nothing like that here. If that's the case… … we have to take anatomical considerations into account when making it. If we make it by slightly bending the end… … it seems like it'll go in… … The problem is the lubricant… … I think we just need to find something that's soft and non-toxic.'

While I was looking for alternatives in my head, I was also pointing out the problem with my mouth.

I also thought that if I had met this professor before he died, he would have really liked it.

No, if you were stubborn, would a fight have just broken out?

anyway…….

“There’s going to be a hole like this. Look at it for real. There were reports that only blood came out, not urine. So it says to go in now and when you feel resistance, then push down once. Even so… … Ah. It says that there was a case where urine came out and it was pierced incorrectly. How is this… … Ah.”

The professor's notes were quite detailed.

There were even some pretty accurate points.

The age-old tradition of this era… … .

In the case of people who die during surgery, doesn't the autopsy begin as soon as the settlement fee is paid?

This person was no exception; it seemed that the dead people had been dissected.

Thanks to that, he experienced the joy of being able to urinate for a while by opening the bladder through a place other than the original urethra, but he wrote about it after observing it firsthand that in many cases, this leads to death because the urine does not come out but accumulates in the abdominal cavity.

“Ah… … Then this… … It just hurts… … .”

“But if I stab it properly… … ?”

“So. If I had stabbed it properly… … what would it have been like?”

It hits hard… … .

To be honest, it wasn't easy.

First of all, the problem was that the end was sharp.

It's also a problem that it's stretched out in too straight a line…

But what if we succeeded against all odds?

Still, it wasn't that great.

Sigh.

I drew a picture first.

I don't know if it's anatomically complete.

This isn't really my specialty.

If it's the anus side, I can draw it with my eyes closed, but does it make sense to group it together just because it's in the lower body in the first place? There's no connection at all, anatomically or physiologically…

This is the urinary system, and the anus is at the end of the digestive system.

"oh……."

"and……."

"also……."

It looked like it was drawn carelessly, but the three of them couldn't close their mouths because it looked so realistic.

what…….

Since I am from 200 years later, it would be stranger if I couldn't make it like this.

Anyway, after I drew the rough outline like that, I pointed to the round structure that was pressing down on the urethra with great force.

“This is the prostate… … I’ll show you when I dissect it later if I get a chance.”

“Ohhhh.”

This was probably the first time I saw it diagrammed like this.

It had to be that way.

Actually, this dissection is really difficult.

First of all, the bladder and other places tend to decay quickly, and the prostate in particular changes with age, so it was even more difficult to accumulate proper knowledge in the 19th century, where most people only accumulated one kind of knowledge and then dabbled in it.

In addition, there are so many people who are imagining all sorts of things about the lower body… … .

“Anyway, this is too big. Let’s say you make a hole. It’ll probably come out right away. But do you think a lot of the pressure has been relieved?”

“Ah… … This is how you press it… … ?”

"ah……."

“Huh… … Then… … These patients… … ?”

Colin happened to be looking for a list of patients.

I saw so many patients that I could tell the professor was treating them with real passion and sincerity.

Some of the names were just left there, while others had a slash through them, and it made me sad because I thought I knew exactly what they meant.

Seriously, it's hard to put into words how many patients have died…

If what I'm saying is true, doesn't that mean they died for a treatment that wasn't really effective?

It was no surprise that everyone was speechless for a while, but surprisingly, it seemed that our professor was also aware of this problem.

The rest of the paperwork suggested solutions to solve this problem.

It was in letter format.

-Dear Doctor Harry.

It seemed like he was trying to send it to Doctor Harry.

No, it looks like there are some typos and traces of scribbling… … .

I sent the letter and just kept it, but the contents were really unusual.

-As you know, the number of patients with benign prostatic hyperplasia that I have seen so far is in the thousands. However, less than ten of them have actually been cured.

I see some marks. Are these tear stains?

It seemed right.

What was uncertain was the professor's feelings when he shed these tears.

Was it a sense of inferiority or guilt?

I think a reasonable person should feel guilty.

Even if we did our best, it doesn't justify that so many people suffered.

-While I was pondering the matter… …I heard a rumor about retired sailors who, despite their old age, had no difficulty urinating.

uh?

This one also piqued my interest.

Actually, surgery… … .

Isn't surgery a treatment that should be used as a last resort, like the final boss?

Even though I am a surgeon, I don't go out of my way to cut up even the most insignificant patients. That's what I meant.

If you're a sailor, you might have picked up something new somewhere, so what if it just so happens to be something that suppresses male hormones?

It's medicine.

approximately.

-After much inquiry… …I’ve met over twenty retired sailors or soldiers over the past ten years, and they all had absolutely no symptoms.

Hmm.

This was a bit ambiguous.

If you had just picked any retired sailor and selected them, then it would have been different, but if you had gone around looking for people who didn't have any urinary symptoms…

Hmm.

In technical terms, this is called a ‘bias error’… … .

-They all had one thing in common.

oh?

Do they have anything in common?

If there were other commonalities besides the absence of symptoms, this could be quite significant.

It seems unlikely that our professor would have had the knowledge necessary for basic research design in the 19th century, so it must have just been a coincidence.

what…….

There is a Korean proverb that says, "If a cow backs off, it will catch a mouse."

Looking at the data, there probably isn't anyone who has been backtracking as hard as our professor, so isn't it possible that one of them has made a good step somewhere?

“Hmm.”

I felt my anticipation rising as I turned my gaze to the next sentence.

-They all had injuries to their body parts. They were shot, stabbed, or struck by the ship's structure while working… …The causes were different, but they all had injuries to their body parts.

I don't know why… … .

I don't really want to read the next sentence.

But my eyes were reading greedily, eager for new knowledge.

– Could it be that there is a connection between testicular loss and urinary discomfort? So I looked into the literature and found that castrati (castrated singers) also did not experience any discomfort when urinating, no matter how old they were. I had a chance to obtain a castrati body and dissect it, and the prostate was small. Now, I got an idea from this.

no…….

no…….

Don't do that… … .

Don't get any ideas… … .