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Episode 219 Obstetrics and Gynecology [5]
"eww……."
The obstetrics and gynecology ward was actually more like a prison than a ward.
what…….
At that time, all hospitals were like that.
If you lock them in a small space with a few dirty beds and give them only poor food, that's a prison.
Of course, the obstetrics and gynecology ward was the first place to introduce hand washing, and it was also a place that Joseph was obsessed with, so things have improved somewhat.
It was clean.
“Does it hurt?”
“It must hurt. You’re moaning.”
“It means, ‘Are you in a lot of pain?’”
“Don’t you look very sick?”
“But I still have to ask.”
“That’s true.”
Other than that… … .
It was a 19th-century ward, with windows in out-of-reach places, beds crammed close together, and patients who were not classified at all.
First of all, it was also a problem that the doctor asked the patient in such a nonchalant manner, "Does it hurt?"
Are you torturing me?
Even if I were to deliberately hurt someone and ask them questions, I would rather ask them sincerely than do this.
“Come on, touch it.”
“Yeah, yeah.”
There were some attitude problems, but I didn't have time to go into depth about each and every little thing.
And I don't have any time to spare.
I felt like I was going to die if I didn't go in right away.
Although I am almost a complete novice when it comes to obstetrics and gynecology… … .
'My water already broke… … .'
If that mysterious colored liquid soaking through the sheets isn't amniotic fluid, then what is it?
It would be fortunate if the fetus' head was facing downwards, but unfortunately, the patient's upper abdomen was very hard.
Since this was an era without X-rays, let alone ultrasound, it was impossible to confirm in more detail, but this feeling was definitely a headache.
So… … that means the foot that is facing towards where the amniotic fluid broke is the fetus’s foot.
They say that one of the worst types of dystocia is breech presentation.
“What do you think?”
“It looks like the head is on top.”
“Yeah, that’s right. Usually in cases like this… … I wait, and if my mind still doesn’t work, then I’ll go… … .”
“What do you do when you get there?”
I'm not asking to quarrel, I'm just genuinely curious.
Surely you didn't do anything?
You're a doctor by name.
“Don’t pray.”
“Oh, prayer. And?”
“And if that doesn’t work, I try pulling it out, but it doesn’t work very well.”
Haha.
Should I just hit one?
Looking at his appearance, it seemed like he had already killed several people, so it seemed like he could probably hit him once.
“I even had a C-section… … I don’t even want to think about it.”
But the moment he clenched his fist, Blundell's expression looked so miserable that he couldn't do it.
Yeah, where would you find a doctor who would kill someone on purpose?
That's because I don't know.
The problem is that there are too many of them and the period of time is too long… … .
Given the times, this was something I personally couldn't help doing.
“At that time, there was no anesthesia or anything. The patient kept screaming… … Then, when it became quiet, I saw that he had not fainted but died. I barely managed to get the child out, but by then it was already.”
"ah."
Blundell was in agony as he recalled the death he had suffered.
In fact, even in the 21st century, there is probably no doctor who witnesses as many tragic moments as obstetricians and gynecologists.
Wouldn't that be so?
Because the obstetrics and gynecology department is a place where both the mother and the baby can die at the moment when life is born, which should be a moment filled with joy and blessing.
This would be especially true in 21st century hospitals, where difficult birth cases are bound to increase in number.
I gently patted Blundell on the shoulder and then turned to the patient.
The guardian who was called in late was also standing next to him.
“I need to have a cesarean section.”
"yes?"
“This crazy bastard! Save my wife!”
He seemed to have a very good impression, but as soon as the topic of a cesarean section was brought up, he suddenly broke out in a rash.
When I think about it calmly, it was my fault.
Because at this time, we didn't consider that a cesarean section was synonymous with death.
But still, grabbing someone by the collar and shaking them is a bit too much.
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“Oh, it hurts.”
“My wife is dead!”
“I’m trying to save you, I’m trying to save you!”
“Don’t make me laugh!”
I thought I would really get hurt if I stayed any longer.
Fortunately, Liston was among our group.
“Ugh.”
He was a little late because he had cleaned up the body he had been practicing on and also washed his hands thoroughly. As soon as he arrived, he grabbed his guardian's wrist.
As soon as that happened, the guardian's face began to distort.
It's going to hurt.
No, I think I'm going to die.
I know that Liston can bend even an iron bar that way.
“Ugh.”
“It’s true. I’m trying to save you.”
“Eww! This wrist!”
“If I let go, will you listen quietly?”
“That, that’s right!”
“Okay, then.”
“Phew.”
The guardian instinctively examined the wrist, which had dark marks on it, as if it had been caught in a press machine.
Perhaps, at this moment, neither my wife nor my children will come to mind.
It can't be helped.
That has nothing to do with love or anything, it's purely a pain-related behavior.
Anyway, I was released and Liston had time to explain.
“The days when a cesarean section meant death are long gone.”
As those who know know, Liston is now a famous doctor in London and there are long lines of people waiting to have surgery from him… … .
Until just a few months ago, he was a man who had to work hard to solicit customers in the square.
Isn't it not easy to cut off a person's limbs without anesthesia?
It was something everyone was reluctant to do, and Liston had to somehow convince them to cut it.
It may have been to save people, but it was also necessary to make a living.
As a result, Liston was a remarkably good speaker for his looks.
“It’s happened before. But there was no anesthesia then.”
“Ah, anesthesia.”
“Yes. The professor you just grabbed by the collar is Dr. Pyeongil, the one who created that anesthetic.”
“I’m sorry. But you’re suddenly having a cesarean section… … Opening up my stomach? Doesn’t that have nothing to do with anesthesia?”
“Just listen. I’m talking.”
“Oh, yes.”
Looking at it this way, I get confused as to whether he is good at speaking or good at using his body.
Aren't you just making people listen to you regardless of whether they understand?
That skill is… … .
'I can't learn.'
Should I call it coercion?
Anyway, because of that similar thing, the patient and guardian just listened to Liston in silence.
“We have already performed more than ten successful abdominal surgeries.”
That's a lie.
If you count exactly, there are 8.
I opened three of them, but there was nothing in them, so I closed them again.
Two of them are now dead.
Oh, he didn't die because of the surgery.
Such deaths are counted separately.
maybe…….
The cause of the abdominal pain must have been something else.
'There would be a lot of things like pancreatitis, arterial dissection, … infarction, etc. There could also be cancer… … .'
If we had been able to look at it more closely, it might have been possible to diagnose it… … .
Then what should I do?
Let's say that pancreatitis can be cured somehow, even if we make a hundred concessions.
What about arterial dissection?
Just looking at it makes my heart ache.
Stiff? Same thing.
cancer?
What can I say?
Even in the 21st century, cancer has not been conquered.
'Fortunately, Madame Germain seems to be still alive and well… … She will probably relapse someday.'
If it was a protruding structure like breast cancer, it would have been possible to attempt resection.
It is not for nothing that breast cancer was the first cancer to be resected…
Even that final treatment was impossible.
First of all, it is not even certain whether a safety margin has been secured, and there is no anticancer radiation therapy, right?
Cancer of the abdominal organs, which is bound to be much more difficult, cannot be touched, at least for now.
“In the past, someone who would have died lived well, that’s what I mean. Your wife is the same. I see that the baby is upside down. Do you know what the chances are for the mother to survive in this case?”
Anyway, Liston was still talking furiously.
Nana Blundell also listened to him when he said probability.
“0%! 0%!”
And of course, the lie came out and I thought it was typical of Liston.
Isn't Liston a man who will do anything for the sake of his purpose?
It's a good thing he's not a villain.
If that were the case, London would already be a hell.
“But if you have surgery, nine out of ten people will survive.”
“Ah… … Have you already done this a lot?”
“Well, then.”
Another lie.
This is your first time!
He stuttered slightly, as if he had any conscience left.
But when talking to Liston, it became clear that no one could be in their usual state of mind.
Absolutely, unless you encounter someone as often as Nana Blundell.
The guardians were the same, so they could only sigh in relief.
“Ah… … That’s fortunate.”
“Yeah, that’s good. So leave it to us.”
“Yes. Please… … .”
“Yeah, that’s right.”
When it was just me and Blundell, I thought that rather than surgery, I might just get beaten up… … .
As soon as Liston joined, things went smoothly.
Not only the guardian, but even the patient who was listening along with him was convinced and kept saying thank you.
So we moved the patient onto a stretcher and headed to the operating room.
Since carrying the stretcher was the job of the disciples, Nana Blundell and Liston, who should have been at the forefront of moving the patient, stayed slightly behind.
“Hey guys.”
Liston said to the two of us who were following him.
It was while we were putting our arms around each other's shoulders.
I remembered my middle school days when I met a gangster at Moran Station, and after listening to the end, I realized it wasn't a mistake.
“Do well.”
"huh?"
“I always try to do my best, but… … you know, it’s a difficult surgery.”
“No, I have to live today no matter what. My reputation is at stake.”
“What, what are you talking about? We’re the ones doing the surgery, so why are you concerned about your reputation?”
“That’s why.”
I was embarrassed.
We're the ones doing the surgery, so why are you delaying it?
“I promised my guardians. I told them many times already.”
“Why did you lie, that’s why.”
"ah."
“If not, would I have been able to have the surgery now?”
“That’s not true.”
“That’s true, but… … .”
When I heard it, it really fit the bill.
I don't like the logic, but it's convincing.
why?
The arm of Liston, who had been putting his arm around my shoulder, is getting stronger.
I felt like if I made a single mistake here it would break.
“You must save me. This is not a request.”
“Oh, I see.”
“I will do that.”
Is this persuasion: a physical skill?
Blundell and I were only able to practice with corpses, but we were fired up with the will to survive.
As soon as we made eye contact, we quickly wiped our hands, put on gloves, wiped them again, and headed inside.
Alfred, who was no exaggeration in saying that he was an anesthesiologist, was waiting first.
"should?"
“Well, do it.”
"let's do it."
The gas valve turned with a hissing sound, and the patient was soon put under anesthesia.
Is that anesthetic gas safe?
There was no way that could happen.
Maybe it will be delivered directly to the fetus?
It may not be the case, but in many ways, it was right to assume the worst in medical terms.
“Let’s hurry.”
“I absolutely have to save you?”
“Well, let’s hurry. That anesthetic gas often kills people.”
“Is that so?”
“After all, isn’t it true that children are weaker than adults?”
“What the hell.”
Blundell also swore because it was so true.