Dark-Haired British Doctor Chapter 146

Episode 146 Let's reduce the amputation [4]

I thought that since Sir Jude's surgery went well, it would be easy to persuade the other nobles, but it was not.

Not everyone accepted my opinion as coolly as this nobleman.

Those who saw it and dealt with it directly had an uneasy look on their face and agreed, saying, “Maybe that’s why…”

I had no choice but to treat people with acupuncture.

What can I do?

They said the carriage was full so I couldn't ride.

'I have money too… … I should have saved it in advance… … Did I?'

It's not that I didn't have money.

But I'm still living at Senior Alfred's house, right?

If you buy a carriage, you need to have a place to put it, and you also need a coachman and horses… … .

'I don't think they wouldn't do it if you asked them to.'

Of course, both Senior Alfred and his father had good personalities.

In addition, I have saved my son's life several times, and I have also made a lot of money thanks to you.

I heard that they were planning to start selling condoms in Paris soon, so I couldn't even imagine how much money they would make this time.

‘Ah… … I should have done it in advance.’

I scratched the back of my head in regret, but soon decided to do what I could do now.

“Joseph.”

"huh?"

“There will probably be an old man standing in the hallway with a look on his face that says he doesn’t understand English.”

“What are you talking about?”

Joseph looked at me with a puzzled expression at my words.

In the past, that is, before my reincarnation, I would not have been able to get used to this kind of thing.

Why?

Because I'm the kind of person who only says the obvious.

But in this era, I am a human being… … .

He was a mysterious man.

“Ah, if you tell me to call you, then call you. If I leave you alone, you’ll either die or have your arm cut off.”

“Cut off your arm? We’re good at cutting it.”

"that……."

no.

I need to correct my words.

It's not that I'm mysterious, it's just…

These kids are going too far.

You said you could cut off my arm? Are you good at cutting it?

Is that what you fu*king idiot is saying?

“Why are you frowning? If you have something to say, say it.”

“First… … bring him. Bring him!”

“Oh, oh, oh. What’s wrong? Are you mad?”

Joseph still looked like he didn't know what he did wrong, but he headed out like a good listener.

Then, just as I said, he brought in the patient who had been waiting with a look of ignorance on his face.

This was a patient we had tried to catch but lost due to Sir Jude's visit, but fortunately, he seemed to have returned as soon as we told him to come back.

“Why me.”

“Oh, I told you to come in first.”

"no……."

“Humid.”

“That… yes.”

Joseph is actually a big guy too.

Besides, wearing a white coat in a hospital was pretty special even in the 21st century.

As a patient, it was difficult to refuse the requests of these guys in white coats without a very good reason.

This was the case even for guys like Nana and Joseph who looked young.

Anyway, the patient was dragged in, almost forcibly, and stood in front of me.

Only then could I properly look at the patient's wound.

‘You’ve done a great job of spoiling it… … .’

It was such a mess that you couldn't even guess where or how the injury had occurred.

First of all, this bandage was a mess.

Even when I just looked at it, it seemed like a mess, but when I took it off, everything became clearer.

‘No… … If you’re going to use the same bandage… … At least suck it… … .’

Is it really because I used the same thing I had wrapped before…?

The bandage was so worn out that it had rotted away.

The colors of the farm were so varied that it seemed like secondary and tertiary infections had occurred inside.

“Oh, that.”

“Don’t even look at me. You shouldn’t wear something like that.”

Without realizing it, I threw it into the trash can.

Surprisingly, the trash can still contained pencils and paper that looked usable.

‘No… … Don’t throw away things like that, throw away things like this… … .’

I sighed in despair and looked at the patient's wounds again.

fortunately…….

It wasn't completely too late.

It wasn't to the extent of cutting, but it was close.

'Should I feed him some bread?'

Bread meant rotten bread, that is, bread with blue mold.

'No, no… … .'

That damn bread had to be saved as a last resort.

Because of that, there are bound to be people who die.

I thought that a 19th century doctor would have to make that kind of sacrifice, but I thought that a challenging spirit was important for a scientist…

'What should I do?'

While the thought continued in my head, I poured water first.

Since it was the same water that had been used on the nobleman earlier, it had cooled down considerably, so the patient seemed to feel more refreshed than in pain.

I was quietly and well.

It was a good thing.

“Hmm.”

“Hmm.”

Only then, as the pus began to drain away, did the wound begin to come into full view.

The wound wasn't very deep.

Perhaps the wound was at most in the dermis, or in a shallow part of the muscle?

So, if I had come to the emergency room, they would have washed and disinfected the wound right away and stitched it up, and it would have healed already, but now the area around it was rotting away.

It would have been better than this even if I had just left it alone… … .

'If I cut all of this… … what will happen?'

Cutting off all rotten parts was a rule of thumb.

It was said that the basic principles of debridement had to be followed, but it seemed that if I were to follow them now for this patient, it would be no different from cutting him.

“Oh, this.”

At that moment, Joseph, who I thought was looking at the patient's wound with me, picked up something in a completely different place.

It was a maggot.

White… … .

A maggot wriggling around.

I can't believe something like that came out of a patient's bedding.

“Hey, Diler.”

And to think that it's treated like nothing happened.

If it were me in the past, I would have been so surprised that my mind would have gone blank, but not now.

It's not that I didn't notice, but just now one passed by the back of my hand as I was lying on the bed to look after a patient.

It's too much to confuse my mind with something like this.

'Stay still… … Stay still.'

Instead, I was thinking about something completely different.

'Maggots… … Maggots… … Have you ever asked for them?'

You may think this is crazy, but there have actually been cases where maggots have been used for medical purposes.

Maggots only eat rotten flesh, they can't eat living flesh.

That meant it could be used to remove rotten flesh.

Of course, the maggots used in this way are very clean ones that have been raised in sterile conditions… … .

How can we expect something like that in this day and age?

'But what would happen if I picked up a maggot right now and placed it on the patient's wound?'

Are you going to get cursed at?

That could be true.

These people's hygiene standards are quite variable.

'But if you say you came in by chance… … .'

While thinking that way, I continued to pour water and wipe the wound with a relatively clean cloth.

I tried rubbing it lightly on purpose, but no blood came out.

There was just a little bit of rotten flesh falling off.

“It’s matured well. What else can I do with it?”

Joseph chuckled as he watched that.

crazy…….

You crazy guys.

'Somehow… I felt like there were too many amputations.'

In a world without cars, how often would someone suffer an injury so severe that they would need an amputation?

Well, since we live in a world where there are no laws or regulations related to factories and such, the number of industrial accidents is likely to be higher…

The story was that it was difficult to injure a person beyond a certain level because of technology.

However, the reason that amputation could become a major surgery, or almost the only surgery, was because the concept of wound treatment was so dog-like.

“Is there anything else I can do? It looks like I’m going to cut off your arm.”

“It’s better than dying. Otherwise, I’ll die.”

no?

No?

That crazy guy.

I shook my head desperately.

“I’ll try not to cut it. You… … remember, Senior Alfred.”

“Ah… … Oh, I remember. Oh, now that I think about it, you did it a little differently. Is it because the miasma that comes out of the corpse is a little more toxic?”

Haha.

Should I kill him?

Kill?

No matter how much I think about it, I want to kill you?

I opened my mouth, shaking and barely able to shake off the anger that was welling up inside me.

“Patient.”

"yes yes."

“I saw that the patient had miasma attached to him. This is not an ordinary poisonous one.”

Ah, my tongue keeps getting tangled when I try to say a word I don't like…

Still, I had to endure it.

“Uh… … Yes. Then shall we go home?”

“Are you working now?”

"of course."

“I see.”

Although I would like to hospitalize him and treat him, it is true that workers in 19th century London were treated worse than slaves.

I couldn't take a break from work unless I was seriously ill.

No, it's quite painful to this extent…

Anyway, I didn't let him rest.

“Then I will give you some treatment right away. And… … I will bandage you.”

“What… what treatment? Now that it’s matured, isn’t it over?”

Oh, it's over.

The life of your arm… … .

No, maybe your life.

“I said it was poisonous. We have to do more. We can’t leave it like this. You know I’m Dr. Liston’s disciple, right? The only person who knows more about amputation than I do is Dr. Liston.”

“Hmm.”

They sell Miasma and Liston.

I'm doing my best to save people's lives.

“Okay… … I see. It doesn’t hurt, right?”

“It’s been a little painful so far, right? It won’t hurt more than this.”

Since most of the exposed areas had lost sensation… … the pain seemed to be less.

Even if you press lightly on the swollen area, it will hurt so much that you feel like you're going to die… … .

"scissors."

“Oh. But is it okay to cut the flesh like this?”

“It’s rotten. It’s not even bleeding.”

“Oh… … I guess it’s the power of maturation.”

If I make Joseph sick enough to die, will he feel any better?

Anyway, I cut out the rotten part.

Not all of them.

If I do that now, it'll probably feel like I'm cutting off my arm.

So, I just cut out the parts that wouldn't really bleed…

Talk.

He dropped the three maggots he had been collecting with his other hand into the wound.

"uh?"

"what."

“No, no. You saw something wrong.”

Then, in an instant, he covered it with a bandage.

I covered it gently because I was afraid it would burst and kill me if I wrapped it too tightly.

“Come back tomorrow. I won’t charge you any extra money… … .”

“Oh. Really? Is that okay?”

“Oh, I won’t take the money. So come.”

If the maggots died, I was planning to refill them with more.

If you do that for about a week, the rotten flesh will naturally disappear… … and only the raw flesh will remain, so wouldn’t it be possible to talk about a complete recovery then?

'No… … Maybe the maggots are dirty and cause another infection… … No, let's not think like that.'

I tried my best, but decided not to take the money.

Why?

I'm sure what I'm doing now is much better than what other guys are doing, but I still can't tell if it's a good thing or not.

-Do no harm.

The most important principle in medicine is do no harm to the patient.

Since I was not confident in front of this, I had no intention of accepting the money.

Of course, it was also because there was so much money being made selling condoms.

Anyway, after sending the patient off like that, I headed to the library.

This was to find out if there had been any previous treatment using maggots.

Long ago, I gave up the idea that if there was such a wonderful treatment method, I would have used it all.

These guys have been partying with anesthetic gas for decades.

Could it be because it's this time?

'Anyway, if we have evidence, we can act more confidently. Let's look for it… … .'

It was okay if I couldn't find any evidence.

Because you can use this incident as a basis.

At least then Liston and Blundell would be convinced.