Dark-Haired British Doctor Chapter 220

Episode 220 Caesarean Section [1]

Time attack.

It would not be an exaggeration to say that this was almost the worst thing one could say when it came to surgery.

Sometimes in dramas, there are doctors who like to finish surgeries quickly… … .

That's really pointless, that kind of thing.

why?

Even if it's the same surgery, each situation is different.

Just as people have different facial features, their stomachs are also shaped a little differently, so simply comparing them is… … .

“Hurry up, hurry up!”

I say this in hopes that you will realize that my actions right now are anything but normal.

“Hey!”

"knife!"

Normally we don't do it like this.

That won't work either.

But there's nothing I can do.

Because trust in anesthesia is at rock bottom.

If this is just a fear based on my thoughts, I'll try to take it slow somehow…

'The average number of limbs that Brother Liston cuts off per month is about 150… … Out of those, about 30 people die, and more than 10 people pass away because they can't wake up from anesthesia.'

These are just ridiculous statistics.

Because no variables were controlled.

but…….

What can I do?

That's not possible.

Ji-i-ik.

I once again reminded myself that it was right to hurry, and at the same time I cut my stomach with the knife.

That was Blundell's way.

Vertical cut.

That was quite a long incision too.

‘The view is really good… … .’

Even though I was in a hurry, it didn't feel like I was panicking.

My OR schedule is too long to do that.

I said I didn't send it away in vain.

“Pull.”

“Uh huh.”

There are five people participating in the surgery right now, including me.

Alfred is administering anesthesia, and Blundell is acting as first assistant.

So now it was Joseph and Colin who were pulling the incisions to the sides.

Both of them are hard workers who are second to none, and their concept of disinfection is more firmly established than that of 21st century doctors, so it wasn't difficult to entrust them with this kind of work.

"good."

The view was good before, but it got even better when I pulled it.

A large, swollen uterus was visible through the gaping incision.

“What should I do with this? Is it a cross after all?”

“Yes, I think so. But it’s dangerous to cut it open right away because there’s a fetus inside.”

“I used to do that.”

“I guess… …because there was no anesthesia.”

Every time I do this type of surgery, I feel that whether there is pain or not is a really big issue.

It's still hard now… … .

What kind of difficulty would it have been to open the abdomen, uterus, and take out the baby while the patient was kicking and struggling in pain?

I thought that perhaps it was because of such experiences that even the seemingly gentle Blundell occasionally showed signs of incredible wit.

Well, now that things have completely changed, we can open the uterus calmly.

That too in the shape of a cross.

“It is visible.”

“Wow… … .”

“It’s a baby… … .”

“It’s so small.”

There was a baby inside the womb that was opened so carelessly.

It was a baby girl who appeared to weigh approximately 2.7 kilograms.

The four of us, including me, except for Blundell, gasped for a moment because this was our first time seeing something like this, or at least it was unfamiliar.

‘This is the mystery of life… … .’

It wasn't all good.

Rather, I suddenly got scared.

Dude. You almost died.

This isn't just a cliche, this was 100% a near-death experience.

When I heard that the maternal mortality rate was high during this period, I thought it was a miserable thing, but seeing it with my own eyes made me feel miserable.

"hurry!"

What made me sadder than anything else was that I wasn't even given time to feel these emotions.

“I’ll do it from here on out.”

“Oh, yes. Please.”

Instead, Blundell pulled the baby out and cut the umbilical cord.

Then another nurse who had been waiting nearby took the baby.

“Aaaaaaaaaa!”

I was scared because it was so quiet until then, but luckily the baby was crying loudly.

That doesn't mean there was any time to look away.

Liston opened up about how many times he'd done it, but this was actually his first time.

I've never done it even once in my past life.

Obstetrics and gynecology… … .

I've never even wanted to do it.

"line!"

“Uh, uh.”

However, the anatomical structure was almost completely in my head.

In addition, I ran a lot of simulations.

Above all, we practiced with corpses.

While offering a prayer of thanks to the nameless poor man's body, I tied off the area around the patient's ovaries and also all the blood vessels leading to the uterus.

"scissors!"

"here!"

Then I cut it with scissors.

These are scissors that Sophie Germain gave me, saying they were made in Germany.

The craftsmanship of our Germans, past and present, is definitely better than that of the British.

It was to the point where I wondered if the fact that they were so good at making things but had no colonies and no place to sell them was what caused World War I.

If you felt like I was rambling on and on, you're right.

"phew."

“Okay.”

It was taken out all the way to the uterus.

It doesn't look like blood is flowing out at all.

In fact, the structure that causes the most bleeding in dystocia is the placenta.

But we just took it out with the uterus, without even touching the placenta.

So, naturally, the bleeding had to be less.

'The hope circuit is really burning… … .'

Of course, it could be coming from somewhere.

I miss the spotlight in the operating room.

It was really bright… … .

It was now barely lit by gas lamps.

I'm telling you, it's not for nothing that some of the surgery is done outside in the plaza.

It's dark so I can't see…

Ji-i-ik.

What's the use of worrying when you can't see it?

You have to close it while praying.

If you mess around for no reason and end up using more anesthesia, it could be a big problem.

So I continued to suture while praying to the Lord at the same time.

Even though the uterus was not sutured, there was no time to worry because there were stitches tying off the blood vessels.

Because the moment anything goes wrong, the patient will die.

‘Should I just tell them not to do it… … No, I shouldn’t do that… … .’

I only did it once, but it really sucked.

It was a really risky surgery.

It must have gotten a lot better in the 21st century as developments continued, but not now.

There are risk factors scattered everywhere.

It might be easier to understand if I say that it almost felt like stepping on a minefield.

"phew."

“Wow… … Professor Pyeong, you’re sweating.”

“This… … I’m sweating like crazy. Is it that hard? From the side, it looks like you just have to open it, pull it out, take it off, and close it.”

After I finished everything, my legs were shaking.

Colin and Joseph chattering on both sides made me feel even more depressed.

It makes me even angrier because it's not entirely wrong.

Yeah, opening, pulling, removing, and closing it is all there is to it.

It would be correct to say that they opened the stomach, took out the baby, removed the uterus, and closed the stomach.

“Patient, are you okay?”

I would have liked to just sit there and do nothing, but I couldn't do that.

Because our anesthesiologist, Alfred, the epitome of a kind doctor, was already waking up the patient.

It was a good thing.

Oh, I'm not being sarcastic, really.

They rushed to try to reduce the anesthesia time, that is, to reduce the amount of anesthetic administered.

In return, it seems like I gave someone a few minutes of my life… … .

“Ugh… … Ugh.”

“The baby was born safely. Don’t worry too much.”

As soon as Alfred finished speaking, the nurse showed him the baby.

Since the amniotic fluid and everything else were not properly cleaned, the baby did not look like what we usually imagine.

Something is a bit… should I say wrinkled?

Actually, it's late to say this now, but when I first saw the baby, I thought of The Curious Case of Benjamin Button.

That's an old man's face.

“She’s a pretty baby girl.”

“Ah, ahh… … Thank you! It’s really pretty.”

But it didn't seem like that to my mom.

In fact, my mother was a person who had suffered without taking proper care of herself, and she had just had surgery, so she looked very unsightly.

And yet, seeing her smiling brightly at the sight of her baby… … .

For now, I thought it wouldn't be a bad idea to shave a few minutes off my lifespan.

“Thank you very much! There is a famous doctor in London… … and I dare say that!”

My father was also very happy.

It was almost like a riot.

Actually, it was a natural thing.

I heard that after I went into surgery, the midwives and other obstetricians talked about this condition, which is called breech presentation or breech presentation.

Perhaps it meant that if a problem occurred, it was inevitable, so don't even think about doing anything about it.

It may sound bleak, but this is what 19th century London was like.

Did someone die?

There's nothing I can do.

This is the routine.

“Ahhhh, my kid is alive! My wife is alive aaaaaaa!”

Even people who lived in such resignation seemed to be able to be just as happy as I was when their families came back to life.

As I looked at that sight, my heart grew warmer and warmer.

When I was having surgery, I was going to quickly hand everything over to Blundell and do something else… … .

“That’s great. My patients are at a loss when they see amputated legs or arms.”

"ah."

Now that I look at it, Liston seems to have similar feelings.

No, your feelings are probably much more complicated than mine.

It's not that I'm not, but Liston's hair has been falling out a lot lately.

In fact, in 19th century London, if you were over 30, you weren't a bachelor, what on earth would you call that?

I really needed to get married quickly.

Otherwise, rather than seeing you as someone with a flaw, you might be labeled as a problematic person.

-It is a truth universally acknowledged that a single man with property absolutely needs a wife.

Besides, doesn't Liston have quite a bit of wealth now?

The first sentence of <Pride and Prejudice> didn't come to mind for nothing.

“I’m jealous. I should go soon too.”

“Yeah, that’s right.”

“Stop looking at my hair. Should I make it exactly the same?”

“Oh, no. Please spare me.”

“Anyway, ah. Right.”

“What's wrong?"

Liston must have had the same thought as well, clapping his hands and looking at me.

“By Joseon standards, aren’t you an old bachelor?”

“Huh? Oh, that.”

yes.

Because Joseon was a country where early marriage was prevalent.

A country of Neo-Confucianism where succession is more important than anything else… … .

huh?

“How did you know that?”

“Oh, well, I know everything. It’s not someone else’s country, it’s your country. Shouldn’t you study?”

No, don't study… … .

Don't try to find out… … .

Then they all die.

“So, what are you going to do for this party?”

“Party?”

“It’s an anatomy party.”

“Oh, that. Are you really doing that?”

“I have to. I know how much you are expecting.”

“Hmm.”

Fortunately, the topic changed, but that didn't mean there was any hope.

An anatomy party… … .

what…….

It was said that if there was no dissection show during the festival, our nobles were considered incompetent, and it was not unreasonable.

At least in the 19th century, dissection was a kind of sport, a sport.

“If we do well, we will become incredibly popular.”

"oh……?"

I am a professional player.

Aren't sports stars always popular?

Thinking about it that way, the future felt really bright, but the next day I realized that in London, you can't see even an inch ahead.

“Sir Jamie… … ?”

“My daughter-in-law is in labor, and you are so brave.”

“No, I’m an obstetrician and gynecologist… … .”

“Don’t make me laugh. If I had known what you were going to say, this wouldn’t have happened.”

Sir Jamie came to see me.

I was so out of my mind that I couldn't even put on a fake beard.

When I saw that sight, my heart became weak.

“Besides, this isn’t a normal situation. The pains have been going on for a long time already… … and there’s still no sign of it.”

okay…….

The gentleman who cut off his body parts asked me to do something, so shouldn't I go?

"All right."

And what's more, this guy is a great nobleman.

The saying was that if you give grace, it will help you in many ways.