Dark-Haired British Doctor Chapter 218

Episode 218 Obstetrics and Gynecology [4]

Our Professor Blundell said that we were all going to die anyway… … .

When I saw it, I thought that kind of talk was just a defense mechanism.

So far… … how many deaths have I witnessed in this damn hospital?

If Blundell had been a careless man, he wouldn't have been hurt.

He probably isn't even hanging out with us.

“Just try a little more. At least before it rots any further.”

Blundell was a man who had been more troubled by the judgment of death than others.

He may not have been the first to invent the Rust Bell, but he was one of the first doctors to introduce it to London, isn't that remarkable?

Blood transfusion… … .

We first need to discuss whether or not we should call it a blood transfusion… … .

Anyway, he was a person who took the lead and sacrificed his own blood to save people.

“Professor, I can’t do this anymore… … .”

“No, no. Do you think opportunities like this will come every time?”

You said that, and now look at it.

It was already dawn.

Joseph and Alfred were already stretched out, and even Colin, the poison itself, was sticking his tongue out, but Blundell was still moving, sweating profusely.

The result is… … .

what…….

Yes, it's just practice, so it's at a level where it can be brushed aside, but in reality, that's natural.

No, I would say that it is quite good.

'I know the general answer.'

Human memory is truly amazing.

When I sat at my desk, honestly, I was so dizzy that I wondered if I had ever actually learned how to perform a C-section.

Since the discipline of obstetrics and gynecology itself is unfamiliar, well… … .

Then, when I came into the autopsy room and stood in front of the corpse, the thought of an incision came to mind.

It was surprising up to that point, but as I practiced the actual surgery, something else came to mind.

Since most of what I learned as a student came first, the academic aspects came first.

'Caesarean section… … It was only in the latter half of the 19th century that this began to take hold. Even then, it was rare for the mother to survive the procedure.'

'Even children are saved' has been maintained for quite some time.

The mother would have wanted that too.

They say that motherhood begins at the moment of conception.

As someone who has never even been married, let alone had a child, this is an emotion that is difficult for me to even imagine, but anyway.

I had no intention of going through that kind of trial and error.

'No matter how good the thread we use is, it's still silk. This kind of thread… … .'

It has long since disappeared from the operating room, or at least relegated to a less mainstream position.

There could be many reasons.

There will be the price, and there will also be issues with obtaining materials.

However, the biggest reason why synthetic polyamide sutures have become mainstream is infection.

'You have to have a hysterectomy. This is an inevitable trend of the times. Considering your ability to have children is a luxury, a luxury, for now.'

Now that abdominal surgery is possible, is there any reason why appendectomy is still performed whenever possible?

Removing something and suturing the area and leaving a lot of stitches to completely repair the existing organ… … Oh my. It’s right to see these as problems on a completely different level.

For now, I've been thinking about the cutting method while maintaining this keynote.

The most commonly used cut in the 21st century is horizontal.

It takes place quite far down… … .

So I tried to do that too?

“Pyeong-ah, what is this?”

“Uh… … No, that’s it. Don’t worry about it.”

It didn't work.

I pride myself on being pretty good with my hands, but it still has its challenges.

I think someone with great talent would have chosen a place with good visibility while considering the scar…

It ended with me realizing that I couldn't do it yet.

So I decided to just open it vertically like Blundell did earlier.

uterus?

The uterus is… … .

'If you're considering removing it, it doesn't matter how big the incision is.'

You can literally open it in the shape of a cross.

The field of vision must be incredibly large, right?

Then, not only will you be able to safely remove the fetus, you will also be able to learn about the location and shape of the placenta, as well as the distribution of blood vessels.

As you accumulate such positive experiences and knowledge… … .

Someday, at least long before the original era, we will be able to make some kind of improvement.

Whatever it was, Blundell was a hard-working professor, and his assistants and other professors were also very passionate people.

“So this is what you ultimately think it will look like.”

"yes."

The blood vessels leading to the uterus were ligated and cut off.

The ovaries were left behind.

It was for female hormones, and of course Blundell's questions followed.

“Why are you leaving this behind?”

There was nothing I could say right away.

why?

You can't talk about hormones here.

Now, why did Sir Jamie wear a fake beard… … .

Why don't people without body parts go bald?

It's an era that remains a mystery.

'If I say I left it without thinking, wouldn't that be a bit much?'

But I couldn't just beat around the bush.

It wasn't just that I was worried about my reputation.

If these guys take it all off, saying they're going to do it frugally, what will happen to the patient?

It could have been distorted to say that if you remove the uterus, you lose your feminine characteristics, so you shouldn't remove the uterus.

No, that's definitely the case.

There are a lot of people who are cautious in strange places and rush into useless places.

“Lord.”

I started to lie with a praying heart.

No, it's not a lie.

Because now I've decided to actually believe this.

“Huh? Suddenly?”

Blundell started looking at me with a face like, "What is this kid doing?"

Should I say that I'm lucky?

Colin was nodding off in his chair as he watched what I had done.

Liston?

I'm confident in my physical strength, but I went to bed early today because I had a lot of limbs that needed to be amputated and I also had stomach surgery.

“We do take the organs that God gave us to save the patient, but… wouldn’t it be better to minimize them?”

“Isn’t that a bit contradictory to what you said earlier?”

“No. It makes sense, since we are taking organs to protect the life that God has given us.”

“Is that so?”

Blundell?

Blundell is also… … He is a gentleman who is good at enduring evil with brute force, but is he good at staying up all night?

Your mind will probably wander.

“Yes, and do you know what other functions this has?”

“That’s true, but… … .”

“If possible, you should leave some.”

“I see. Hmm.”

He nodded in confusion.

After I brushed off Blundell's question, I quickly sketched out our guidelines on a piece of paper next to me.

Although the drawing was a bit sketchy, it was at least drawn to preserve all the anatomical features, so it was a drawing that even a doctor would have to be able to recognize.

In short, the incision was made long and vertically, the uterus was made in the shape of a cross, and the ovaries were preserved during the resection.

I thought that if I set those instructions, I would go into surgery that very night.

But that didn't happen.

It wasn't because there were no mothers, nor because there were no mothers in good condition.

“Isn’t that patient a good candidate?”

I pointed to a mother who had been in labor for over ten hours… … and who, judging by her expression, looked like she might as well have died.

But Blundell shook his head with an indignant look.

“No, you should only do this to people who are really about to die.”

“What about the person who died earlier, then?”

As I said before, there are two obstetrics and gynecology wards.

Each ward has four 20-person rooms… … .

Ward 1 is mainly looked after by doctors, and Ward 2 is mainly looked after by midwives.

That's all I know.

If I had done normal medical student activities, I would have naturally learned more… … .

I'm already a professor and I'm working with Liston, right?

That being said, today is the first time I've seen how things work here properly.

"who?"

You might wonder if it's possible for a doctor to ask who someone died in his ward, but based on what I've observed today, it's quite possible.

In Ward 1 alone, three people died today.

Number 2 is 2 people… … .

“Five people died.”

“Ah… … But that can’t be helped because it’s unpredictable. I have to see you when you’re about to die, but that’s not easy, really.”

I wonder if this is something a doctor should say.

To be honest, I don't really have anything to say about what you just said.

To make a prediction, you need to know the vital signs… … .

I hope you have a proper blood pressure monitor, an electrocardiogram, and a pulse oximeter.

Wow, as we talk, nothing works?

But how do you select a case?

'The indications for surgery are the problem.'

Come to think of it, I had a rough idea about appendicitis as well.

Wouldn't it be realistic to go to Jemel's clinic and have him press your stomach before you die at Jemel's hands and have him rip your stomach open if it looks like appendicitis?

That's it… … .

I'm assuming that since the golden hour is rather long, you can endure it even if the diagnosis isn't done right away, but isn't this not the case?

In case of difficult labor… … .

Unless we find out about the earthquake or something like that before that, I don't think there's any other way.

If I keep making a fuss here, it's not like they're going to invent a blood pressure monitor or anything like that…

So we had to change our methodology.

“Let’s think about it for a moment.”

"what?"

“Why do mothers have difficulty giving birth?”

“Because I’m weak.”

"uh……."

That's right.

It's true that it's weak.

No, no.

Am I crazy?

“Other than that… … .”

“Is there any other reason? Originally, a doctor’s job was to help the weak.”

“No, let me give you a medical reason.”

“Medically?”

"yes."

“Medically… …I’m weaker than other people.”

Should I hit him?

“Uh huh.”

"why."

“It was like Liston just now.”

“No way.”

“No, there was a chance. Anyway, ah, yeah. Well… … I guess it’s because the birth canal is narrow. In reality, if the pelvis is small, there’s no choice but to have a difficult birth.”

I think hitting would be the right thing to do.

Just thinking about it gave me the answer.

If you actually hit me, the answer would probably be much worse… … .

“But why? I’m scared.”

“No, no. Anything else?”

“Umm… … Oh, right. Before. Shit. Before, a patient died because the baby was born feet first. The baby got stuck in the middle, and there was no way out.”

Blunt.

Humans have larger heads than other animals, but aren't babies' heads actually larger than their bodies?

So, it should come out head first, and the head should come down before birth, but it meant that the head was up until the start of labor.

What is this… … Even in the 21st century, it was difficult, so what can I do?

“Isn’t there a way to find out in advance?”

“In advance? Ah… … Well… … You can tell by touching the stomach. People whose heads are on top have a firm upper stomach.”

“So, shouldn’t those people be delivered immediately by cesarean section?”

“Is that so?”

What the hell is that!

I tried hard to suppress my urge to scream and continued speaking.

“Among the cases born that way, has there ever been a case where it turned out okay?”

“None.”

“That’s why.”

“Is that so? Yeah, then that case is already, hm. I remember it even today.”

“Then let’s go. What are you doing?”

“Okay, okay. Let’s go.”