Dark-Haired British Doctor Chapter 404

Episode 404 Retinal Detachment [1]

I thought about the retina for a long time on the way home and after I got home.

The first thing that comes to mind is what the professor who was studying hard said.

-You can do ophthalmology, but don't do retina surgery.

-why?

-If I tell you not to do it, don't do it, you son of a bitch.

I don't usually know about residents, but there are very few professors who curse at students, so it's hard to forget…

There is a reason.

The retina is literally a vast field of vision.

First of all, the problem lies deep inside the eyeball.

And it's too thin… … .

-They say that it's also a problem that it's too fatal to your eyesight. The anterior segment is really good. Do the anterior segment.

Professor Retina also told me this story.

Of course, there is a legend that the professors who were watching the whole thing got angry as soon as they heard it, but after hearing more, they started to feel comforted.

why?

Cataracts, LASIK, and LASEK are all done on the anterior segment.

This is a surgery with a relatively high level of satisfaction, so much so that there was a time when ophthalmologists were the doctors who received the most thank yous from patients among all doctors.

In contrast, the retina… … .

It seems that the stress was quite high, as it was a matter of doing well to break even.

'In that respect, I am… … much better than you, professor.'

It doesn't mean that I'm good at it.

That doesn't make sense.

but…….

The patient pool is different.

They performed surgery here, but did the patient survive?

Then, first of all, a thank you message comes out.

And the opponent is me?

It comes out even before surgery.

'Even if I die… … I probably won't say anything, actually.'

19th century London… … .

It is truly a magical realm, but I think that is why there was such rapid development during this period.

I'm not defending it, but something…

Ugh.

Before I knew it, I had become a 19th century person.

“Hey, what are you doing?”

While I was thinking like that, Joseph came in.

Even though I had my first eye surgery today, I already felt like an ophthalmologist at heart.

He even snatched another pair of ophthalmoscopes from Theodore and held them in his hands.

what…….

There probably wasn't much he could do.

It's not that it wasn't, but even if Joseph was alone, it would have been taken away.

If it weren't for Liston, this guy would have gone somewhere and displayed incredible power.

“Oh, no. I’m thinking about what I heard earlier.”

“Actually, I do too. But nothing comes to mind.”

“If it came to mind easily, then… I would have already done it.”

“Yeah. Hmm.”

The guy naturally sat down on my bed.

Since this has been the case since I was little, I naturally sat next to him.

And then he continued talking about this and that.

Most of it was just useless talk.

So, what I'm saying is, I had my first surgery today and it was like this, it was like that, etc.

But as we talked, I began to think that this guy wasn't just working under me.

I was assigned to the disinfection task, but from the perspective of an actor, wouldn't it make a difference just to watch and listen from the side?

'Besides… …even if you take away all my boasting, my teachings have completely transcended their time.'

This knowledge is almost 200 years ahead of its time, so it says it all.

Moreover, isn't it true that the developments made over the past 200 years can be seen as dwarfing all the developments made in previous history?

Rather than saying that modern people are superior, it would be more correct to say that human civilization has passed a certain threshold.

Anyway, it looks like this guy has gained quite a bit of ability.

“Retinal detachment means that water accumulates behind the retina, right?”

"yes."

“But… um. Normally, if you made a hole in the retina and drained the water, it would get better… but you said it got worse?”

“That’s right.”

It seemed like they did all sorts of things to someone else's retina.

Even though the retina is a nerve, if it is damaged, the supply of nutrients is cut off and eye atrophy inevitably occurs, it was the same.

Ocular atrophy… … .

It might be hard to tell, but just think of it as your eyes narrowing.

If this happens, your eyelids will roll inward and your complexion will become dark.

This looks a bit scary, though… … .

'I guess that's not something you'll know.'

What was the impression in the 19th century…?

If you're a little scared, it might actually make life easier.

You can't live if you look too innocent? Well, then you usually don't live long.

“So I thought about this.”

“Yeah. Tell me.”

I acknowledge that Joseph's skills are great, but honestly, I didn't think I'd hear anything worth learning from him, so I was thinking about something else.

That doesn't mean I was sitting there indifferently.

The conversation is ongoing, that's what was said.

Thanks to you, I was able to hear Joseph's story.

“Isn’t this… a hole is made first, and then the vitreous humor flows in, causing detachment? You did that when I had my nose done before.”

"huh?"

“You had it peeled off with water. You were having surgery for a deviated septum or something.”

“Ah, ah, that’s right.”

I asked if he had ever tried to peel it off with water, and he said yes.

It looks like I've really done some crazy things since I came back here.

Well, it's natural since I have to lead all the fields by myself.

What a tough world this is… … .

Still, it was rewarding to see my disciples growing up while watching me teach them.

“Anyway, if water has that kind of power, then shouldn’t the vitreous humor have that too? If you dissect the eyeball, you’ll see that there’s a lot of water inside.”

“Um… yeah, that’s right. No, I think so?”

I'm realizing it now.

I had a rough idea of what it was like, but when Joseph told it to me, it felt like it was completely accurate.

'Yeah, definitely… …the mechanism is reversed.'

When I was a student, I wondered why they put so much effort into teaching the pathogenesis of diseases in medical school.

I had the disloyal thought that if I just knew the symptoms and treatment, I could see the patient.

But that's the kind of thinking only a student who knows absolutely nothing would have.

Looking back, I think there is nothing as important as the mechanism.

Because we need to know that to create the right treatment.

“If what Doctor Theodore said was true, then at least one of the cases should have gotten better if we had done that treatment.”

“That’s right. It doesn’t make sense for a patient to die because they’re weak.”

“No, I guess there are weak people… but if it doesn’t work after a few tries, you should change the treatment method. But rather than just changing it, I think we should think about the mechanism again. What do you think?”

"her."

I looked up at the sky without realizing it.

Even though all I could see was a thick fog, or rather, smoke, that made it difficult to see the moon, I felt like I could see something beyond it.

He really was a being I had a lot of resentment about.

Especially in my previous life… … .

Huh? I was just barely able to survive after suffering so much, but you killed me.

I'm sure there are few people who are as bad at balancing as I am at gaming.

'But they sent us back to the 19th century with a balance patch.'

19th century… … .

I can't say that this is a good time to live, even in empty words.

Of course, if you think about it, there has never been a better time to live in than the 21st century modern society, and it may have been much better than ancient society, but I think I also had some resentment during my immature days.

I think that's what it was, but now I see that it wasn't.

oh my god.

Are you watching?

Here is Joseph, now in the 19th century, saying:

'This guy too… is he originally a great man?'

At times like this, I regret my lack of humanities knowledge.

But even among doctors, I am proud to say that I have lived with a certain degree of interest in other fields, so what do I do?

It is no exaggeration to say that I know nothing about war history and art.

Anyway, if this guy is a great person too… … .

I already have three people around me, John Snow, Liston, and Joseph, so I thought I could consider myself given a status window.

“What? No? Why aren’t you saying ‘huh’ or anything?”

As I was feeling a little overwhelmed, Joseph asked me this, seeming anxious.

I patted the guy on the shoulder.

“No, I think that’s right. It definitely makes sense. Let’s think about it the other way around. It’s not that the retina detaches first, but that a hole is created in the retina somehow and the vitreous humor fills up inside.”

“In that case… hmm. What kind of treatment should I do?”

Since I had come up with the correct mechanism, it was a situation where I could have been praised rather than just praised.

However, there were limitations.

That's because remembering the mechanism doesn't mean the treatment will follow right away.

I had to think about that from now on.

“Umm…….”

“Hmm.”

As always, wouldn't it be better to hold a blank sheet of paper?

It's not like I didn't have any colleagues, so I didn't need the two of us to be agonizing over it, so I called the group together the next day.

The original plan was to go to the Brontë sisters and ask them to write my autobiography, but I had no choice.

Even as the second hand ticks, the patient's eyes will be damaged.

To come up with, practice, and implement a cure… … .

Honestly, I feel like no matter what I do right now, it won't be enough.

“If the hole is the problem, why don’t you just sew it up?”

Blundell spoke first and was defeated by Liston.

“I heard something yesterday. You said that it was ripped while you were sewing it.”

“No… that person’s hands might be dirty. I’m good at surgery.”

“I said it wasn’t even fair, so what can you do?”

“Oh, that’s true.”

In fact, it was the first thought that came to mind when I said I wanted to fill the hole, and it was also a reasonable thought.

It wasn't a good thing for me or Liston to sink it.

Naturally, a sigh followed.

I also sighed as if the ground was collapsing.

Then, Liston suddenly felt a sense of responsibility and started to wrap his head around it, and I told him that if he did that and his hair fell out, he would be the only one who would suffer.

"ah."

So Liston virtually emptied his head.

Rather than emptying the outside and filling the inside, he chose to fill the outside and empty the inside. It would be difficult for anyone to throw stones at him like that.

Even a lion loses its mane and becomes unsightly, so why should humans be any different?

"for a moment."

At that moment, the director who had been listening silently stepped forward.

I was looking around to see if there was anything that was a little bit off.

In the 21st century, you shouldn't expect much from someone who does this, but in the 19th century, it was actually good.

That's because we live in an age where surprises shine.

“Do you remember that I was your doctor when you guys were away?”

“Oh, okay.”

“Well, it’s a treatment I’ve done before… but if it gets bitten somewhere or something, it’ll burn.”

“You lost again?”

“No, I told you not to support it. I have eyes and a brain. I wouldn’t do something like that when there is a better treatment.”

"ah."

“I did it once.”

"ah."

“The patient died, but anyway, thinking back on my experiences so far… wouldn’t it be painful if I supported him?”

Strictly speaking, it should be said that it is pressed down rather than stuck, but it can be seen that it is stuck no matter what.

So I was nodding my head when the director came out with a truly terrible treatment.

“What if I burn my retina?”