Dark-Haired British Doctor Chapter 152

Episode 152: Pear [3]

Stomach checkup.

You might think, "This is nothing."

If you go to a hospital on the street, isn't it better to press the stomach?

but…….

I had to always keep in mind that even the simplest of check-ups involves a tremendous amount of knowledge behind the scenes.

“Does it hurt?”

“No… … It’s okay.”

The patient was initially quiet.

Why?

There was a person next to me who had a stomach puncture earlier.

It didn't actually break through, but… … .

Even thinking back, it was a speed and intensity that made my stomach churn.

Surely Liston should have been born earlier than now.

If that had happened, the British royal lineage would have changed.

“Here?”

“Here too… … .”

“No, flat. You have to press here. The patient says he’s in pain.”

As Liston said, I was just pressing the hard part now.

Of course, it wasn't like I, a genius equipped with 21st century knowledge, was doing something in vain.

Rather, I did that because it was better to press the area that was expected to hurt when pressed later.

It could hurt here too, right?

But if you press on the painful area first, the patient has no choice but to tense their stomach because of the pain itself and the memory of the pain.

This meant that it would be difficult to examine other areas.

This is also a fairly difficult concept, so it was difficult to explain… … .

“Oh, your mother is truly a wise person. After all, how could an ordinary person give birth to a genius like you?”

I don't know about the future, but today I decided to push through with the mom joke.

Luckily, Liston and the others were all too decent to make a Talullah joke, so they kept quiet.

I don't know what he was thinking inside, but what was important right now was literally 'now'.

What's important is to just gloss over it like this.

“Okay, then. What about here?”

“Ugh.”

Anyway, I pressed the navel, left lower abdomen, left upper abdomen, and right upper abdomen before pressing the right lower abdomen.

Then a rather dramatic reaction came out.

It was accompanied by screams.

I didn't even press that hard.

No, I pressed it exactly the same way as before.

“Do you know the difference?”

“Oh, yeah. Certainly… … Hmm. So that’s how it is.”

I think Liston is being like this because he lacks knowledge, not because he's stupid.

It was a look that I recognized at first glance.

It seemed like the other guys were like that too.

Well, if you can't tell the difference between Liston's atrocities and my diagnosis, wouldn't it be better to find something else to do instead of going to college for nothing?

“Look carefully.”

“Is there still any left?”

“Okay, patient. How about taking your hand off?”

“Eww.”

The pain I felt when I pressed it earlier was pressure pain.

Pain also suggested inflammation in the area.

But the pain that occurred when I just removed my hand, that is, rebound tenderness, was a more significant finding in the abdomen.

The fact that inflammation occurred while the compressed peritoneum was relaxing definitely meant that there was an abscess, pus, or a fairly severe inflammation in that area.

'Actually, ultrasound is the most accurate… '

Of course, this alone was not enough to make a diagnosis.

There are many cases where a healthy appendix is removed even after going in for an ultrasound, so what would it be like if you went in only believing this?

'Still… …It's better than just opening it. It's definitely better.'

I looked back at Liston for a moment.

I just remembered that Liston had made the sign of the cross on the patient's stomach earlier.

He is really crazy.

It's absurd to even think about opening it with a cross…

Who would have thought anyone could open that without a second thought?

“Why is it like this? Why does it hurt when I take it off?”

Liston was fixated on something entirely different.

It wasn't a strange direction.

He had been pressing and releasing his stomach all this time.

Of course, it wouldn't have mattered.

If there is no stimulation to the peritoneum, it cannot hurt just by relaxing.

‘I can’t use my mom’s excuses for this too… … .’

No matter how shameless our country is, how can we make excuses for something like this?

Of course, that doesn't mean I had nothing to say.

Kura Master Kim Tae-pyeong.

It's not an empty promise.

“When dissecting… … .”

“Oh, oh, tell me.”

“Not the ones brought in by suppliers, but the ones produced in hospitals… no, when the autopsies are performed on people who pass away in hospitals.”

“Uh huh.”

Oh, shit.

Living in the 19th century, I also seemed to change.

Corpse production?

“Among those people, if you look inside their stomachs, aren’t there cases where there is a lot of pus?”

“Most of them are like that.”

To my words, Liston, of course, as well as the others, nodded as if it was obvious.

'No! It shouldn't be like that!'

If the inflammation has spread to the inside of the peritoneum, doesn't that mean the infection has literally spread throughout the body?

Of course, there were people who died like that even in the 21st century.

It was the same even with antibiotics.

And not something like penicillin, but an antibiotic that was developed over generations.

So, this place, where the only proper antibiotics are stale bread that you have to rely on luck for, was bound to be poor.

'But does it make sense that most of them are like that?'

This was the clearest evidence of hospital-acquired infection.

Why?

Corpses delivered from other places don't behave like that…

Even in these times, the majority of people do not die from sepsis, that's what I was saying.

“If you think about that pus-like thing folding and then unfolding, wouldn’t that hurt too?”

“Oh… … I guess that could be true. It would hurt if the pus got caught, you know.”

“That’s why.”

“That’s where the inspiration came from.”

“You are definitely a genius.”

I feel a little embarrassed when I say that I created the concept of backlash pain, even though I have no idea who developed it.

So I looked down, and that's when I saw the patient's face.

Perhaps because he said something that seemed plausible, his expression had improved significantly compared to before.

I don't think you could understand what I was saying.

But it's reassuring to see someone as talented as Liston talking about himself.

‘If it’s like this… … I guess we should go for the super genius meta, not the genius meta.’

It's never for my own selfish desires.

It's all for the patients.

really.

“Anyway… … Even after doing this, the fact that it still hurts means there’s definitely something here.”

“I see. Then I guess I’ll have to open the boat.”

I listened to Liston's words and checked the patient's face again.

Even though they said they were opening the ship, the response was better than before.

Of course, I guess I'll have to go with the super genius meta.

They say that the ship is going to open at this time, but what kind of reaction is this?

Considering that it was a strange age where superstition and science combined, it could be said to be half a miracle.

“Let’s go.”

“Go? Aren’t you doing it here?”

“No… … here?”

When I tried to do it while I was at it, Liston expressed his doubts.

No, not just Liston, everyone did that.

“Why would you need to take a sick person somewhere? You can just bring the supplies.”

“Yes, this makes sense.”

If you had given me some reason, I wouldn't have been this upset.

But is it reasonable?

Joseph… … .

This kid is secretly pretending to be a scientist… … .

I looked around for a moment because I felt like if I opened my mouth right away, I would just blurt out curses instead of saying anything meaningful.

It didn't help much.

'and…….'

how…….

How can a hospital be this dirty?

Pus, maggots, flies – these were now constants.

I think it would be really disappointing if there wasn't something like that in a hospital.

But maybe because this was a ward for patients with stomach aches, there were places where shit had been smeared.

When you see something like that, doesn't it usually make you want to clean it?

“You know I’m surprisingly timid, right?”

Maybe it was because I saw something so extreme, but my anger subsided and I became afraid instead.

I'm so scared of 19th century barbarians.

So I came up with a plausible excuse.

Fortunately, since he is a Kura Master, the idea came to mind as soon as I tried to think of it.

“Oh, right. When there seems to be no reason to do so.”

“It would be better to have the surgery in a familiar place. I’m afraid of making a mistake.”

“Ah… … That’s right. You need to fix that. You can’t even do that to a patient.”

When will it ever be possible to tell these people that performing surgery in a dirty hospital room is truly absurd?

It's not that I'm timid, it's just sterilization… … .

No.

Sterilization?

It is absurd to dream of such an impossible high level.

When did I realize that I only had a very small wish to have the surgery in a place that was clean when I saw it with my own eyes… ?

“Wake up. You have to do it. Or I can do it.”

While I was thinking about something else, Liston, as usual, used shock therapy.

Are you doing it yourself?

You mean open with a cross?

In a situation where disinfection is already incomplete and negative pressure (pressure used to prevent contamination) is out of the question, what would happen to people if the door was opened that wide?

'It's murder. It's murder.'

Actually, it was nothing new.

I don't know, but wouldn't Liston have killed several truckloads of people?

“Oh, yes. I came to my senses. I’ll do it. I’ve come up with a few ideas while dissecting it.”

“Really? Then I’ll try it. Since this is my first time opening a ship, I have a lot to think about. I think I should open it like this because I need to show it well. I also open it like this when I dissect, so I’m used to it.”

That's because it's a dead person's stomach, bro.

A normal person would never think of opening a living person's stomach like that.

But since he was a smart person, he had his own reasons.

Familiar and has good visibility.

Is there anything more important than this when undergoing surgery?

There were certainly times when I got to the point.

So, it must be famous in London.

“Well, that’s true. But then again… … I wonder if it’s really necessary to open up everything that hurts here.”

“It’s what it is, it’s what it is. How on earth are you going to open it? If it’s shaped like a cross, it looks good.”

"that……."

You even considered the shape.

Lord.

If you are there, lightning strikes right now… … .

“Okay, everyone’s here.”

I don't know if he wasn't there or if he left it to me, but lightning never struck from the clear blue sky.

No, absolutely nothing happened and we were able to walk straight into the small lecture room I use as an operating room.

This is the place where I had prostate surgery before, including Damien Sir, and I had been taking care of it consistently.

Even though it was only to the extent of closing the windows and sweeping and wiping to keep bugs out, it was still the cleanest place in the hospital.

“Okay, come here.”

Anyway, I moved the patient onto the bed.

Considering that it is usually done right on the stage, this patient was receiving VIP treatment.

“Colin?”

“Yes, I’m ready. For the next surgery… … .”

“Oh, then you take care of it, Senior Alfred.”

"yes!"

As soon as I laid him down, Colin came carrying a gas can.

Then he turned the patient around and put him to sleep.

In the meantime, I washed my hands with soap, put on my gloves, and rubbed them with lime chloride.

It may be far from sterilization, but it's better than not doing it at all.

After I and the other people finished washing their hands and gloves, I picked up the scalpel.

'after.'

Maybe it was because it had been a long time since I had had this simple surgery, but I was a little nervous.

No, rather, it would be more correct to say that I was excited.

okay.

I missed my stomach surgery.