Dark-Haired British Doctor Chapter 186

Episode 186: More advanced surgery [3]

Hygiene obsession.

If I had to describe the current situation in one word, I think it would be that.

Since when have these crazy guys been causing such a fuss?

“Ugh… … My hands are hot.”

“Oh my! This is what you have to do to kill Miasma!”

really…….

If it weren't for Liston, I would have hit him once.

'Actually… … I have nothing to say.'

Who is to blame?

Didn't I soak the children's hands in lime chloride?

In the meantime, I only cleaned it with slightly diluted water or soap… … .

This is what happens here.

'When I go back… … I found out that if I wash it with soap, miasma will be greatly reduced, and that I can just disinfect it on top of my gloves… … No, that's not it… … Actually, that's not it… … .'

Is it okay to just accept it?

If it was just soap, it would have been done with soap even in the 21st century.

When seeing a patient, washing with soap is sufficient, but for surgery… … .

It's not surgery.

Wiped with povidone.

And not by rubbing it with your hand, but solo.

'Is that even necessary… … No, no.'

Is it because the brain was pickled in the 19th century?

I wonder if it's necessary to clean it that much.

No, I wanted to.

wee!

“Okay… I need to put on gloves.”

“Where are you going with your bare hands!”

“Huh? Pyeong-ah! It’s so dirty!”

okay…….

That's a good thing.

It makes me mad emotionally that they're doing this, but it's a good thing, right?

A 19th century doctor who cares about hygiene?

Haha.

This is crazy, seriously.

“Okay… …Patient. There will be miasma here.”

“No, no! Wait!”

No matter what, sprinkling lime chloride on the affected area is crossing the line.

It's damaging your skin.

Skin is actually a protective layer.

If that breaks, it's more likely for infection to occur later on…

"why."

“We have to get rid of miasma!”

“Yeah! We have to get rid of this!”

“No, no. Wait a minute… … But that won’t do for the patient. They’re already in pain.”

What should I say?

The skin is a protective barrier… … .

I said something random to think about it, and Liston laughed heartily.

“Haha! Is it a big deal to be sick? Ping. Now we are on the verge of great progress. I got the theory right when I was going through the cholera crisis. If I just go to London and present it… … Hahaha!”

It seemed like the genius was a genius.

It felt like something suddenly entered my head… … .

The problem, if there is one, is that it took more than one or two geniuses to perfect modern medicine.

Modern medicine is the result of countless geniuses and countless trials and errors.

You can't do it alone!

“That… … Professor. Oh, yes! Yes! Senior Alfred!”

“Huh? Why me? I was keeping quiet. I didn’t do anything.”

When you become desperate, a solution appears.

Other people might be like that, but for me, it was Hogurid… no, Senior Alfred that caught my eye.

He was waving his hands around as if he had been through something before.

It was only natural.

I still feel bad about having to have a catheter inserted before.

And now I can be confident because I don't intend to do that kind of thing.

“No, that’s not it. Show me your hand.”

"hand……?"

“Do you see the wound here?”

“I see. It’s pretty big, isn’t it? How did you survive without cutting it?”

A hand that was injured while dissecting something before.

Looking at the hand, Liston wondered.

Actually, if you look at the wound alone, it wasn't that big, but I kept scratching it, so it became a scar.

I think it's okay since I survived in return…

'He's staring.'

At that time, Senior Alfred glared at me with quite a vicious look as if the pain was coming back.

It was okay.

What can I do?

“What did I do? Anyway! So, when you get hurt, the wound rots, right?”

“Yeah, that’s right. Isn’t that common sense? If you’re lucky, you live, if not, you die or get cut off.”

“Why is it rotting?”

“Huh? Why? That’s common sense… … No, wait a minute. It’s rotting… … rotting. That’s… … the miasma causing it, no way.”

Liston's eyes were now fixed on the patient's back, not on Alfred's hands.

A pus-filled wound just widened into view.

“Yes, that’s right. That’s right.”

“Hmm… … Yeah, that could be possible. But?”

“What do you mean by wounded?”

“The skin is torn and bleeding.”

okay.

yes!

As expected, a smart person is fun to teach.

I looked around at Blundell, who had a puzzled look on his face, and the three disciples who were still wondering what was going on, then I continued speaking to Liston.

“Yes, that’s right. Here’s what I think. When the skin is torn, miasma enters through the gap. That’s why people with wounds start to rot.”

“Oh… … Oh… … So it’s okay if it’s on the outside? Oh, right. Right. Hmm.”

“What this means is that if the patient’s skin is damaged, it is that much more dangerous.”

“I see. No, then! Our hands! What are we going to do! Are we going to get cholera now? No, are we going to rot? That’s not right. The fate of London is in my hands.”

Liston literally started having a seizure.

They say that minor injuries are usually okay in healthy people… … What should I do?

I don't know.

I don't think we can sell Joseon.

So I changed my mind.

“We don’t wear gloves.”

“Oh. I see.”

Theoretically, if you look at it deeply, it's a statement full of holes, but since these people's knowledge is full of holes, whatever they say is accepted.

“The bottom line is, we clean it. Let’s clean the patient with something a little milder.”

“Okay, okay. Then what do I clean it with?”

Will a lie work?

“When I distilled the alcohol and wiped it, the miasma was reduced.”

“Alcohol? Then does that mean that the old methods were based on something?”

“Ah… … maybe.”

“I see. If that’s what you’re saying, then that’s what it must be. I understand. Then pour me a drink.”

"yes yes."

It works.

Everything is eaten!

This is probably a white lie.

I poured strong alcohol on the patient's back, feeling that their sense of hygiene and germs were gradually being corrected.

If we only had wine and such, it wouldn't have been of much use, but fortunately, it wasn't that difficult to obtain whiskey in Paris.

Gulp.

Anyway, after cleaning the patient's wound with alcohol, I waited for it to dry and then picked up the scalpel.

I was about to pick up the knife without thinking, but stopped when I heard Liston stop me.

“Oh, oh. You’re doing it without anesthesia… … If you look closely, you really have a wicked side.”

“No, that’s not it.”

I'm just confused.

Usually, if you lie down like this, you've already been anesthetized…

But in this group where my image was somewhat distorted, my explanation had little meaning.

Instead, everyone was just looking at me with faces full of fear.

“I said it before, so it’s okay, is this it… … .”

“You’re telling me to endure evil with brute force. I’ve been through it. I almost lost. Really?”

It's a bit odd for Alfred to do that.

It's true that I almost lost, but it wasn't because of me, it was because of the wound, right?

I barely saved him from death and now he's like this.

Anyway, while I was momentarily flustered, Liston opened his mouth in a rather warm voice.

“Madam, it will hurt a little. It will only be for a little while, so you can bear it.”

“Yes, I will try that.”

I also felt like it was a bit of a twist.

Liston shrugged, as if he had read the meaning in my eyes.

“If you want to be popular, do like me.”

"that……."

“It will be difficult. You are a cold-hearted person.”

"no."

It was unfair.

But I couldn't confess.

Because the opponent is that Liston.

If you look at the face with curiosity, emotions like resentment or anger will completely disappear.

“Okay, patient. It hurts a little.”

“It hurts a lot. This guy is a bit… … haha.”

I tried to ignore Liston's words and cut the patient's affected area with a scalpel.

"eww……."

Then, along with the patient's groans, the pus that was causing the foul odor began to flow out.

“Gauze.”

“Gauze? Oh, this.”

Even if we left it as is, it would be much better than before.

But I had to squeeze it.

Then you can take it all out.

Fortunately, we had prepared several items while dealing with cholera, including something that looked like gauze.

It's just a piece of clean cloth… … .

“Ugh, euaaaah!”

“Plain, plain! What the hell is this!”

I held the piece of cloth in both hands and squeezed the pus from both sides.

Then, the patient's scream burst out along with the pus that had remained inside.

Everyone was taken aback by the sight.

Liston in particular was like that.

This gentleman may look cheerful, but isn't he actually the person in the world who cares most about a patient's pain?

Why would you use a knife like that?

Why would you cut it in 30 seconds?

I told you to be sick only for that time.

“This is how you survive.”

“Is this how you live? What a horrible thing. If I had known it would be like this, I would have given you anesthesia!”

"yes?"

“You were going to do this, so why did you give me anesthesia… Oh my.”

But he was the kind of person who would cut off people's limbs like crazy.

It was a bit odd to see her sighing like that while looking at me.

I'm really doing this to save people… … .

“Okay, it’s okay.”

Anyway, Sophie Germain was steadfast as a member of the Resistance.

“How many more times do I have to squeeze it? Is that okay?”

Sorry, but there's still some joke left.

In this era without antibiotics, I knew that a pest like that could easily kill a person, so I had no choice but to get rid of it all.

"ah."

At my words, Sophie Germain looked dumbfounded, and Liston whispered in my ear:

'If there's anything I need to torture you for, I'll have them call you.'

I wanted to say something in response, but the current situation felt like torture, so I had nothing to say.

Anyway, I squeezed the wound several times after that to get all the pus out.

And then it was time to think.

'Should I suture it?'

If you have antibiotics, honestly, that would be fine.

But in the absence of antibiotics, suturing such a wound could have resulted in the production of yet another abscess.

Above all, isn't the patient also in a situation where she needs to undergo a mastectomy?

If the bacteria spreads due to the weakened body, it will lead to immediate death.

“Let’s leave it like this for now.”

“Huh? You’re opening a wound?”

Fortunately, this time there was enough logic to respond.

This time, it's thanks to our Hogurid.

“My senior said.”

“Alfred?”

Alfred, who received Liston's gaze that seemed to want an explanation, instinctively closed his eyes for a moment, but then opened his mouth when he realized that it was not a threat.

“Ah, that’s it. Now that I think about it… … This miasma wasn’t something that would come out just by squeezing the wound like this.”

It was a horrible face, as if he was recalling that time.

"then?"

“It’s strange… … The pus kept coming out for several days. I guess I’ll have to cut it and squeeze it again after I get it stitched up.”

“Oh no. That won’t do.”

“Yes. So… … that time… … for a week? To be honest, I wanted to kill Taepyeong.”

“I understand. No matter how much treatment you give it… … it’s going to rot again, so there’s nothing I can do. Madam, are you okay… … you passed out.”

Liston looked at me with a somewhat resentful expression.

“Could it be because you were sick?”

“No, it was fine until just now. You’re squeezing me again… … That’s why I think I fainted.”

"ah."

I kept feeling like I was doing something well but doing it wrong.