NOTICE: Many of the novels have been removed because they might cause violations, which we were not aware of earlier.
Episode 169: Sailing [2]
“I thought you were sleeping on opium tincture.”
“That’s why. Why are you sleeping so soundly… … .”
“It’s because our body is weak.”
As I came to my senses late, Liston, Alfred, and Joseph talked about this and that one after another.
"eww……."
Colin?
Colin was still lying down.
I was startled when I saw him groaning and thought he was the one who got hurt, but that wasn't it.
“It’s not called Noble Kim for nothing, is it?”
“That’s true.”
“It’s a family history. Looking at this, it seems like he’s a noble.”
“What are you talking about?”
“I heard that the nobles of Joseon don’t have to do any physical work at all?”
“You don’t do things like hunting?”
“Yes. On the contrary, they say that doing that is shameful. So… … .”
“The weaker the body, the more noble it is?”
"yes yes."
“That’s right.”
Even as I got closer, Liston and Joseph were still chattering.
I feel weak in front of people, what should I do… … .
It was true that I felt bad, but I had nothing to say.
I don't know about their bodies, but they can't beat 19th century people in their minds.
How can you possibly defeat people who just say, "If I die, I'll die."
“Anyway, this isn’t good.”
Alfred was looking down at the patient.
“Ugh… … Ughhh… … .”
The patient with the strong face was obviously a sailor.
It looks like he got hurt while doing something outside during a storm or a blizzard.
Well, I guess it was okay since the rest of the passengers were all in their cabins.
Looking at the first class situation, it doesn't seem like the second and third class seats would have been made so messy.
'No, no. It might be a hasty judgment… … .'
I hate the Communist Party.
I don't like it… … But when I saw workers sitting in a row on a rope, resting with their arms crossed, and talking about it as welfare, I could understand why such a thing appeared in world history.
After the Industrial Revolution, mankind began to amass unprecedented wealth, but that wealth was being distributed to only a very small number of people.
What this means is that we are developing solely through greed, without even the bare minimum of welfare… … .
Isn't this truly a time of revolution?
“Dude, do something quickly!”
Anyway, that wasn't something I would think about.
As a noble Kim from Joseon and the youngest professor at a medical school in London, wouldn't he be the first target to be stabbed with a bamboo spear if a revolution breaks out?
Besides, the patient was in front of me now.
His face was pale, and when his vital signs were checked, it seemed highly likely that his blood pressure had dropped.
'There's no bleeding for something like that.'
It would be more correct to say that there was no visible bleeding, but at least in this era, if there was no visible bleeding, it was safe to say that there was no bleeding.
Why?
No one thinks of wiping the blood away.
I looked into his stomach to see if it was intra-abdominal bleeding, but it was just a dry body.
It's not a body that's slim enough to look good, and it looks like it might have a bit of chronic pancreatitis… … That's the kind of body it is.
'Then it's pain… … ?'
Blood pressure doesn't have to drop just because you're bleeding.
Isn't there also clearly shock due to pain?
In this era where there are no real painkillers, it wasn't that uncommon.
“Here!”
“Eww!”
Then the sailor who was nearby tapped the patient's arm, and the patient literally screamed.
Only then did I realize.
That it was broken.
'No, if someone is injured, you should first tear off their clothes and observe them… This is really the most basic of the basics.'
If it were before, I would have probably grumbled something like this.
But now?
Haha.
I'm talking about Dr. Inmar Liston and I, huh? We eat together, we don't go to the sauna, we just talk about brother and sister.
This is what it means to be a 19th century person.
It's been a long time since I painfully learned that the most basic of basics are rarely followed.
"scissors."
"huh?"
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“Where are you going to cut it? If you want to cut it, I can just take out the knife.”
Anyway, I tried to use a little force to tear the clothes, but it was too much force and it was impossible.
I knew that if other people noticed, they would think I was weak, so I gently pulled at her clothes as if I had been trying to pull her, and extended my other hand.
Then, Joseph, the assistant who was supposed to move, remained still, and Liston, who was supposed to remain still, walked towards his sword.
“Oh, no. Clothes. Clothes.”
“Oh, not your arm?”
“Why did you suddenly cut off my arm?”
“Haha, this guy. Anyway… … There are times when I wonder if I gave him the professorship too early.”
Liston stood there, stunned, before the scabbard.
It was even more frightening when a creaking sound like a wave or something came from the boat.
Now that I think about it, I was so out of it because of the storm earlier that I just passed out… … .
Why did you board our sailboat?
“Fractures, you know. They can’t be treated.”
"hmm."
The thought of a sailing ship suddenly disappeared.
The fracture is not curable.
What on earth does that mean?
Honestly, in Korea, if it was just a broken arm, wouldn't they have been able to fix it right away by calling 119?
With that thought in mind, I looked at the patient's arm, but it was still wrapped in clothes so I couldn't see it well.
'Oh, no… … there's no… … x-ray.'
It was only then that I realized that there was no X-ray in this era.
I had known from the beginning that not only would X-rays not be used much for abdominal surgery, but I couldn't even dream of a CT scan, so it was okay…
“Well, we are on our way to the Paris Medical Society.”
“You’re lucky, patient.”
“Haha. That’s right. This is Dr. Liston!”
While I was so stunned that I couldn't think of anything, Liston was moving busily.
And the rest was the same.
Both Joseph and Alfred were pulling out the anesthesia gas canisters as I had trained them to do, and were attaching the anesthesia connection devices to the canisters.
Liston?
Liston drew his sword from its sheath.
What was quite encouraging was that learning about miasma made me pour the alcohol I had in first class.
That sight made me look even more like a rascal, but I kept my mouth shut because I knew that if I said something like that, I would really end up seeing a rascal.
No, it didn't shut up.
“Okay, wait a minute!”
“Something.”
“Why are you interfering?”
“That’s right. Professor, you’re going too far.”
I am Kim Tae-pyeong.
If there's something to be said, he's the kind of person who can say it inside a tiger's mouth.
Although most of the difficult situations have been overcome by jokes… … .
No, it's still like that now.
I couldn't just cut off the arm without even checking the wound.
“We, in our Joseon!”
First of all, it's a Joseon drip.
"huh?"
"shipbuilding?"
“Ah… … That country of medicine?”
Unlike Alfred and Joseph, who continued to do whatever I said or did, Liston simply put his sword back in its sheath.
That signaled them both to stop their actions.
In this situation, anyone who could move without notice would have already lost.
“In Joseon, fractures are treated very effectively.”
"oh."
“Oh.”
“Is that so? How?”
If it's an open fracture, meaning the bone is poking through the flesh, I'm sorry, but there's nothing you can do.
Starting now and feeding him rotten bread will probably give him a higher chance of survival than any other treatment.
Oh, no.
That's when Liston needs to step in.
You have to cut it to survive.
but…….
Crunch.
First, I cut the patient's clothes with the scissors I had in my bag.
This would have to be considered contaminated, but it was okay.
If surgery is needed anyway, the patient will die.
Open fractures are a very difficult disease to treat, and were only conquered in the mid-20th century.
It is also a well-known fact that it is not unrelated to the fact that the traffic accident death rate used to be extremely high.
"phew."
Anyway, when I cut it open, the patient's arm was just broken.
He said that it didn't come out through the flesh or anything.
Of course, there were some strange directions that came out a bit… … .
'My humerus is broken. Is it broken cleanly?'
It's unknown.
but…….
'What will happen if I cut here?'
It's a bit sad that I found out about this in such detail, but anyway, I could clearly see what would happen if I cut off at least my forearm.
But this one is too high.
It's so close to my heart.
As if he had read my gaze, Liston opened his mouth quietly.
“Honestly, if you cut this, you should assume that there is a 70% chance of death.”
"ah."
"ah……."
I wasn't the only one who sighed.
Naturally, the most desperate ones were the patients.
You're still young, so of course you'd feel despair if someone told you that you were going to die right in front of them.
“How, is there a way?”
Anyway, listening to Liston, it seemed like he didn't put the knife in for nothing.
If the mortality rate is 70%… … .
Even if it's Liston, it's still a bit scary.
Anyway, since I had been thinking about it since a while ago, I was able to shake off the joke right away.
“In Joseon, there is a sport called Ssireum.”
"wrestling?"
“If the professor goes, he will probably do best.”
“Oh, are you cutting with a knife?”
“Oh, no. If you knock your opponent down, you win.”
"aha."
It's quite strange that the doctor would agree with such words, but the sailors didn't seem to have any complaints at all.
“But since you’re holding on to it and throwing it like this, sometimes your bones break. Even if that’s not the case, one of the things that’s popular in Joseon is rope climbing.”
"tether?"
“Yes, like this. In the air.”
“Wow… … The more I hear about Joseon, the more mysterious it seems!”
Liston exclaimed in admiration, as if he were about to hijack a ship and head for Joseon at any moment.
If that really happened, many people, including me, would be in trouble, but Liston, being a civilized man in his own right, also had the virtue of self-restraint.
“If you do that, it will break easily. That’s why it was developed… … First, turn on the gas.”
“Huh? Are you playing?”
"uh."
The reason bones break and become misaligned like that is because the muscles are stretched.
We have to somehow overcome the contraction of those muscles.
In other words, the first principle of treatment for fractures is traction.
But if the patient were conscious, would he be able to endure this pain?
First, I had to put it to sleep.
But I wonder how effective this amount of gas will be… … .
'I believe, 19th century sailor.'
The gas turned on with a whoosh sound.
Maybe it was because the ship was a completely sealed space, but even the slightest leak was enough to make me lose my mind for a moment.
In the midst of all the difficulties, I said to Liston:
“The professor is important.”
“I’m always important. Okay, what should I do?”
“Here with the cloth, yes. Pull it like that. Joseph, you and I will pull the patient’s hand.”
“Uh… … Did this person do something wrong to you?”
“So. To torture… … .”
Come to think of it, this doesn't look all that great.
You have to pull the arm of someone who is already in pain just by touching them, right?
Perhaps that is why the secret of this towing was not revealed… … .
There's nothing I can do.
“Yes, something bad happened.”
“Haha, how dare you bully my little brother. That’s not right.”
“You dare to be so flat?”
Appeal to loyalty.
Whatever it is, it just needs to be treated.
Even though the patient had just been gassed, he had a look on his face like he was being treated very unfairly… … .
It was obvious that I would end up expressing my gratitude later.