Dark-Haired British Doctor Chapter 242

Episode 242: Nose Reconstruction [3]

“Okay, stand in line.”

Practicing with a corpse shouldn't take long.

In fact, if you look at the technique alone, it wasn't that difficult of a surgery.

-I don't like the shape. I know I can't do it, but still, hmm.

If we consider the shape as Liston said… … .

The difficulty level will increase dramatically, but it is absurd to think about such things at the level of 19th century medicine.

People can die if you try to make something look good.

No, no.

I assert.

asleep.

Everyone dies.

"where……."

So we decided to jump right into the real thing after learning only the concept of a really simple local flap technique: turning the forehead skin to close the defect, pulling the resected forehead skin back and suturing it.

'Oh, my hand hurts.'

Of course, I washed my hands before seeing the patient.

Lime chloride has now been phased out.

I have personally proven through many experiments that even if you don't do that, you will all die.

why?

Because it hurts so much.

It's not that it doesn't hurt, though, because you have to wipe it with phenol and soap…

But it doesn't get as sticky as before.

“You go first.”

“Uh, uh. Yes, yes!”

Even though my hands were so sore, I examined the patients with eagle eyes.

It's not like I did anything special, I just chose a patient who seemed like he could be reconstructed without any problems with his current level of skill.

First of all, wouldn't it be better if the nose defect was smaller?

At the same time, I had to choose someone whose forehead was likely to stretch a bit.

And yet, he is young.

The overall appearance is that of a person who would be okay with a slightly odd nose… … .

'Honestly, this is much more difficult than surgery in the 21st century.'

Even after doing that, the defect in the nose was not small.

I think plastic surgeons would be shocked if they came and saw this.

Even the people who taught me couldn't even imagine something like this.

That's right.

Who would have thought there would be so many people in the world without noses?

If someone who doesn't know saw this, they would think that there was a British punishment called nose cutting.

'There isn't any? There isn't any, right?'

I can't say for sure that there aren't any.

I've seen mounted police beat up people, either criminals or innocent civilians, and it's really scary.

If you hit like this, you don't even worry about whether the opponent might die.

“Okay, this way.”

With that in mind, I led a patient into the operating room whose nose was probably lost to syphilis.

It is called an operating room, but until recently it was used as a research lab, so it had many shortcomings.

Still, I can proudly say that it is much better than other places.

First of all, everything, from the operating table made of smooth iron… … .

“Ugh, it’s cold!”

“Just bear with it. It won’t take that long anyway.”

This is done because of infection.

If the surgery is going to take a long time, then of course you have to be concerned about your body temperature… … .

In fact, in the current situation where unreliable anesthetics are being used, a surgery that will take a long time should not be performed.

“Oh, you’re giving me money, right?”

“Yes, of course. Have you ever heard that our hospital is embezzling money?”

“No, no. Then, then.”

"ah……."

Alfred, the anesthesiologist, was starting to get annoyed.

It's annoying when a doctor gets annoyed with a patient…

Actually, it makes no sense.

This is what it was like in the 21st century. It was discipline.

No, I just can't even think about doing that.

Maybe it's just that I only work in hospitals like that, but these days, doctors are all so friendly.

Isn't it strange to act strangely towards someone who is already sick?

In an era where you can expect at least a minimal level of friendliness even when you go to a convenience store, it was natural for standards to become higher.

“Yes, I can buy it, right?”

"ah."

But this is the 19th century.

It's a place where there aren't any particularly friendly people.

Even if you go to church, it's the same.

It's a place to scold instead of comfort.

“Why… … are you saying… … .”

But now the patient has encountered a kind person.

Why?

I can't guarantee your life.

People tend to become kind when they feel sorry.

“I can live.”

Alfred… … .

It's still a long way to go.

What I'm saying is that doctors need to become a little more confident.

If you hesitate in front of the patient when you need to treat them, you won't be able to cure the disease!

'Well… … I guess you have to actually try to put these kinds of thoughts into practice.'

Modern medicine… …sorry.

I'm sorry for always opening my mouth and swearing that modern medicine has limitations and that we still haven't conquered cancer!

When I told them the mortality rate was 10%, everyone was shocked.

In fact, it's not a serious illness with a 90% chance of survival!

If you bring that exact same disease here, the mortality rate will be 90%.

The remaining 10% will have to be truly… …unbelievably strong to survive.

It's really hard to tell someone to be confident in that situation.

'Even so… … A doctor must be confident. Look at me.'

Even without that, I can see that Alfred is looking forward to my confident words.

patient?

The same goes for patients.

“I, really… … uh.”

In an age where it is virtually assumed that you will die after undergoing surgery, where on earth would you see a doctor so shamelessly saying that you will live?

Even doctors who have mastered horsemanship properly tend to prepare for disasters in most cases.

"uh?"

“Come to think of it, this is my first time having this surgery.”

“So you’re going to turn the gas canister right away?”

“I had no choice.”

But when I actually thought about it, it seemed like even Master Gura Kim Tae-pyeong would have a hard time talking nonsense in front of a patient.

Nothing came to mind.

So I decided to end the conversation.

"crazy……."

“Anyway, I’m anesthetized. Okay! Let’s begin!”

Gaston turned, that's what I'm saying.

Alfred and the rest of them seemed to have a lot to say, but… … .

What can I do?

The anesthesia has already been applied.

If it were the 21st century, it would be okay to take it easy, but not now.

Everyone had to move as if they were flying.

If you have an anesthesia accident, it happens to you.

“Joseph!”

"okay!"

First of all, disinfection is Joseph's job.

I tried it too, and this one is the best.

Of course, since it was my face, I couldn't wipe it as vigorously as I usually do.

It's not because I'm afraid my skin will get damaged.

How on earth would you… … perform surgery in the 19th century, worrying about such small things?

The problem is the eyes.

What happens if you get phenol in your eyes?

I hate to even imagine it.

“Colin, Carl.”

"yes!"

So Joseph used a tool that looked like a cotton swab to quickly, thoroughly, and safely disinfect the area.

Maybe it was because I cleaned it so much, but it was fast even though the tool looked like that.

Thanks to this, I was able to cut the patient's forehead with a knife almost as soon as the anesthesia took effect.

Ji-i-ik.

We are all familiar with the structure of blood vessels.

In fact, this is something I already knew before learning surgery, that is, when I was learning anatomy.

I don't think the curriculum of medical schools in Korea is that easy to avoid repeating a year without even knowing this.

Ji-i-ik.

Since I was only thinking about creating a nose that wasn't there before rather than focusing on the shape, the process was incredibly fast.

"already?"

Alfred put his hand on the gas valve and exclaimed in admiration at the same time.

I was impressed too.

Even though I'm holding a knife in my hand, it's only in my mind.

'Sure… Alfred is a thoughtful person. He's perfect for anesthesia.'

If he's the guy who's trying to do this, he's probably imagining himself doing it in my place right now.

Like Liston, Joseph, and Colin next to him.

Of course, Colin is a very restrained guy, so he's giving me a hard time…

However, Alfred is controlling the speed of anesthesia while watching the same surgery.

This is really great.

This is especially true now, when anesthesia itself is dangerous and must be kept to a minimum.

“Suture!”

"yes!"

How could I just sit still when a 19th century doctor does this for me?

I had to do my best too.

However, it was not sewn up with sutures very carefully.

Of course, the thread I'm using now has been thoroughly disinfected.

I just finished adding iodine to phenol!

So can you believe it?

-Well, it doesn't work after all.

Our Liston, who has a natural curiosity, has already tried it.

Oh, I didn't do it to a person, I did it to a dog.

And the dog died of sepsis.

Inflammation appeared at every sutured area…

Oh my.

Just thinking back on it is horrifying.

The only good thing is that the surgery was not performed on a healthy dog, but on a dog that was already injured on the street.

'Here and there… …but not too tightly.'

Anyway, since then we have decided on a policy among ourselves.

The sutures should be kept to a minimum.

It will also reduce the force applied to the suture.

Otherwise it will rot.

"end!"

“Okay, patient!”

"eww……."

It probably won't look as pretty as the original.

But it wasn't all bad.

fast.

Haha.

Somehow I feel like it's being done hastily and hastily…

Anyway, since Alfred has been my assistant for quite some time now, the anesthesia was also completed perfectly.

“Okay. You must never touch your face.”

“Yes, yes. The money… … ?”

“I’ll give you the money when I get home.”

"ah……."

“Of course, I will pay all the expenses for your stay here.”

"ah!"

They decided to cut off that ugly thing that runs from my forehead to my nose in three weeks.

That way it can settle down.

-It's worth spending this much… If word gets out that we've defeated that bastard Joseph, where will the Jews come from?

Naturally, all five people undergoing surgery today will be hospitalized for three weeks.

They also feel bad about seeing each other's faces, so they are admitted to a private room.

Well, even if you call it a private room, it feels like a prison cell… … .

“Wow… … I’m alone here!”

I'm glad the patients like it.

Anyway, after finishing the practice and confirming that the patient was still alive the next day, the director came to see me.

“According to what you said, I came here considering the defect in my nose, the extent of the forehead swelling… and my age.”

“What did it look like?”

“You’re ugly. I hate to say that, but even if you had a nose, you’d still look the same.”

“Which patient should we send over there?”

“Only the nose defect is similar. The forehead… … doesn’t stretch very well.”

“What did it look like?”

“As expected, he’s ugly. How many good-looking people can you find on the streets of London?”

"but."

That's because it was the day of the final battle.

What are the odds of quality?

does not exist.

I am 100% sure I will win.

But where did you hear that?

They say that lions do their best even at catching mice.

I, Kim Tae-pyeong, who can clearly be called a lion… … have decided to do my best to catch that rat named Josef.

Aren't we living in an era where we don't really understand how important patient selection is in surgery?

‘Well… … I don’t know if I should do it on my forehead or not.’

You probably don't know this method either.

If that's the case… … I win.

“Okay, let’s go.”

“Do we have to do it in the square?”

“I also learned the importance of disinfection after hearing what you said. But… … What can I do? The citizens of London are really angry because of that. There’s one less thing to see.”

"ha……."

“But that’s all in the past. With your fame rising like crazy, an open showdown with a German… I don’t know, but I’m sure the council would be happy about it. It’s the first spectacle like this since the executions.”

"ah……."

Although I didn't like everything about it, I went with the director to Trafalgar Square, which was said to be much larger than the place where the surgery show was usually held.