Dark-Haired British Doctor Chapter 187

Episode 187: More Advanced Surgery [4]

“fu*k… … .”

“Are you feeling better then…?”

“Yes, sir.”

He also taught me how to curse.

It wasn't entirely my idea.

Liston told me.

Strangely enough, I feel a little better when I say this.

I told him that if he was going to squeeze someone like that without anesthesia, he should have at least squeezed something like that.

'Actually… … I was kind of like that too.'

Squeezing pus out of a person without anesthesia… … .

There's something they do at dermatologists.

You can think of it as being 100 times more painful than that, but doing it without any equipment… … .

It was truly painful to see people do this to each other with good intentions.

So I taught it with the mindset of grasping at straws, and surprisingly, it was effective.

“Okay. Today is the last day… … .”

I muttered as I looked at the wound that wouldn't come out no matter how much I squeezed it.

okay.

It's already been a week.

I've been telling him to die, but he hasn't even formed a drop of water.

“You really messed up.”

Liston hid to the side, unable to see it directly.

Then, after all the screaming and cursing had died down, he appeared.

“Yes. It definitely seemed to have an effect, right?”

“That’s right. He said he slept well from the very first day. The pain subsided completely. Miasma can cause pain in that way… … There must be a lot to study.”

“Research?”

“Yeah. When I get back, I’m thinking of taking a quick walk around to see if there are any people with pus.”

And I'll break it.

If it were before, I would have been really worried… … .

Not anymore.

I've kind of gotten the idea.

Well, other than the fact that we should call germs miasma… … .

Hasn't it become somewhat modernized?

The chances of doing something absurd have been greatly reduced.

“Okay. Anyway.”

“Is it today?”

“It’s today.”

“It’s going to be a very busy day. I have to do surgery and… … anatomy lectures.”

Anatomy lecture.

It was supposed to be a lecture, but it was actually supposed to be a show.

I…….

Even if you're not an anatomy major, isn't that incredible compared to people of that time?

I don't think the Parisians think that way, but I was just going to spread it all today.

Actually, we should have done it a few days ago, but our group stopped us.

-You want to cut open a corpse with cholera? How many miasmas would there be there!

-What are you talking about… What are you talking about?

-You ignorant bastards. You still think of miasma as poison… … Miasma is a real microorganism! Invisible! So naturally, the bodies of dead people will have a lot of miasma!

-no…….

-What the hell are you doing? Are you going to die?

It wasn't a very peaceful process.

It was almost like a semi-threatening thing.

It probably felt like the outfit was going to burst.

To be honest, I felt a bit disappointed when I saw Liston back then.

These people have been making my clothes explode for more than a day or two.

Anyway, it took some time to find other bodies that weren't those that died from cholera.

How they found them, and how they brought in the bodies they had purchased, were kept secret.

I wasn't particularly curious.

No, I was curious, but I kept my mouth shut because I was afraid that if I found out, I would feel like I was being implicated in a crime.

“Right. You must be really busy today, right?”

“Well… … I guess we’ll have to see. There’s no way a single surgery would take more than 30 minutes, right?”

Haha.

Did you say there's a mountain beyond a mountain?

It was certainly Liston himself who did so.

With the advent of anesthesia, the amount of time our surgeons can devote to their patients will increase dramatically.

In fact, it was a huge increase of about 30 minutes.

The cut itself was done in 30 seconds.

By simple calculation… … how many badges is this?

'Dr. Liston… … In less than 200 years, we will see surgeries that take over 30 hours.'

I didn't go in.

He said it next to me.

It was an ENT clinic… … .

That's when I realized how difficult it was to resect and reconstruct head and neck cancer.

“I don’t know how long it will take, but it will take longer than that.”

“Is that so…? Can’t we just cut it, open it, and close it?”

Liston now looked at the patient lying down, his wound patched with clean gauze, and said:

At first glance, he looked so old and worn out that it was hard to believe he was in his fifties, but after having the abscess removed from his back, he seemed much better, probably because he had slept well and rested.

“It’ll take a long time. I can’t just do it.”

“Is that so…? The prostate didn’t take that long either, did it?”

“That was true.”

I wanted to ask if a prostatectomy and a mastectomy were the same thing, but… … .

I wanted to ask if simple hypertrophy was the same as cancer, but… … .

I endured it for now.

why?

In fact, with the anesthesia technology we have now, one hour is the limit.

Even if we try our best, it probably won't take more than two hours.

First of all, capacity control doesn't work well.

You don't know how much actually goes into your body.

Our skilled assistants were just doing it by feeling while observing the patient's reactions.

'and…….'

I feel like I'm under anesthesia.

We need to conduct extensive research on this as well.

This means that the dose and duration of anesthesia that can be administered must be considered based on the patient's gender, age, and weight.

Will it be easy?

It will be a clinical trial… … .

'Let's start by taking care of the patient in front of us.'

My head is getting complicated.

This shouldn't be happening.

I shook my head to collect my thoughts.

Fortunately, it didn't take too long.

It is no exaggeration to say that living in the 19th century, when problems were rife, made us skilled at simplifying our thoughts.

“But this… I don’t know. Anyway, it’ll be a lot better since you’re here too, hyung.”

“Yeah, I guess so.”

“Professor Blundell.”

"uh?"

“Since it is a gynecological disease, the professor will also assist.”

“Ah… … Okay, that’s right. But I’m a bit.”

Thanks to this, I was able to focus solely on the patient.

I was able to move the patient onto the prefabricated operating table while simultaneously having the conversation.

Rather, in London, I used to stick desks together in the classroom, but here at home, I was able to make use of the excuse that there was no such thing.

It's not that there was no backlash.

-There's a bed… …Why is it so special?

It's so unusual… … .

It could have been seen that way because it was something the surgeon did for his convenience.

But it should soon become common sense that the person who has to put a knife into a patient's body should be comfortable.

And then there was confidence.

Why would there be an operating table?

Once you try it, you'll be using it again.

“Because it’s cancer?”

“Yeah. Cancer is incurable… … I’ve never felt good about messing with it.”

I moved the patient onto the operating table, which looked like a cross, and secured his knees, arms, etc.

At the same time, I thought of Blundell's dark-faced words.

'cancer…….'

It would not be an exaggeration to say that it was the nemesis of mankind.

Of course, in the 19th century, cancer accounted for only a small proportion of all diseases.

It was truly a blessing.

There are few real methods at this time.

This is also something I say is small, but it would be right to think that it is not there for others.

When I looked at the related literature, there really was no answer.

“It’s because I messed with the dishes. If you do it properly, it’ll work out fine.”

“Is it like that in Joseon…?”

“Um. Yes.”

I don't know anymore.

You guys are just going to assume it's like that anyway, right?

“As expected, Joseon… … .”

“A fantasy land… … .”

“I have to ask my father to take me there sometime later.”

They seem a little different, but the two professors were like that.

“Okay… … Bring me the distilled stuff.”

Anyway, I looked down at the patient tied to the operating table and exposed the affected area first.

Then, he poured some relatively pure alcohol, obtained by distilling whiskey, into the wound.

It would be a shame if the wound were completely exposed… … .

'That's how many times it's happened. The patients screamed and… … .'

Alcohol makes me really sick.

In reality, organizational destruction does occur.

Anyway, this patient's breast didn't have any wounds yet, so it was something that could be done.

"scary……."

“As expected… … .”

“I definitely won’t go to Joseon.”

The disciples hesitated back, perhaps because the sight seemed a bit scary.

It was okay.

Because this is right.

If you're going to disinfect, you have to do it right.

It's right to tie it up so that it doesn't fall off after anesthesia.

“Colin, anesthesia.”

“Oh, yes.”

Of course, the disciples had been listening for a long time now, so the patient soon lowered his head.

“Just breathe into it. If anything seems strange, tell me. I’ll have to cut it out.”

"yes."

Colin began to gently blow air into the patient's mouth using a modified version of an ambu-like device.

Because the patient was still breathing spontaneously, we had to not fight it.

This is a delicate task, but Colin is really good at it.

Even a clumsy guy like Joseph or Alfred could do well under short anesthesia… … .

This surgery will take at least an hour.

Colin had to go through some hardships.

"knife."

"huh."

What is Alfred doing?

It's auxiliary.

Not only that, everyone else was standing close to the patient on both sides, looking down at him.

Unlike before, he wore a hat and a mask.

If you ask me whether the hat and mask are sterile, I can't give you a clear answer… … .

Anyway, it is a great development.

Ji-i-ik.

I went in and cut the patient's wound with the knife.

“Huh? Why didn’t you cut it in the middle?”

He also answered Liston's question.

“I don’t want to touch cancer.”

“Wasn’t that a surgery to remove cancer?”

“I’m just going to expose it completely.”

“Ah… … You’re saying you’re going to completely remove your breasts… … ?”

"yes."

“So that’s why you called it a resection? Now I understand the picture. But… … Is there a reason why it had to be done that way?”

It seemed inevitable that the conversation would remain parallel.

How can we possibly know that cancer can relapse immediately if even a little bit of cells remain?

Moreover, the concept that cancer should not be touched is actually a relatively new concept.

Iatrogenic Metastasis.

In other words, an artificial transfer.

It was said that cancer cells on a knife could spread to other places.

“Look at the literature so far. Has there ever been a time when you touched cancer directly and it was good?”

“It’s horrible. That’s why I didn’t touch it. I thought you had some kind of sharp way.”

“Don’t touch it, just remove everything.”

“What are you talking about… I’ll just shut up and watch for now.”

"yes."

The good news was that Liston now recognized more than just my genius.

I honestly don't know if this is a good thing or not.

Aren't you a witch hunt target?

what…….

I don't think they'll come and report me now and burn me to death.

Ji-i-ik.

Anyway, I made an incision under and above the patient's breast.

I wanted to keep the nipple, but the location made it impossible.

The only good thing was that there was a lot of fatty tissue inside.

This way, the surgeon has some leeway.

Even if a lot is removed near the tumor, a lot remains.

Knock knock.

Anyway, I cut the tumor with a scalpel and cleaned it with gauze every now and then to remove the entire tumor.

Bam.

When he put it down on the stand, everyone's eyes turned towards it.

“Hmm.”

Despite the fact that it took an incredibly long time compared to conventional surgery, no one lost focus.

It was a surgery, but dissections are done all night long.

Anyway, the reactions of those who watched my surgery with rapt attention were truly peculiar.

“You didn’t really touch the tumor… …?”

“You’re saying you’re taking this much?”

“Umm… … .”

Because I didn't understand cancer, I couldn't help it.

It was okay.

As far as I remember, the first mastectomy with a decent survival rate was introduced in the 1890s.

It may be a few decades early, but it won't take Liston that long to figure it out.

First of all, there are radical doctors all over the place who are trying to perform mastectomy.

They are all failures, but if you put them together, I believe you will find out why I am right.