Dark-Haired British Doctor Chapter 426

Episode 426 Emergency [1]

The word "emergency" is annoying no matter where it is used.

Isn't it a magical word that makes you feel more X-rated when you use "urgent" instead of "emergency" not only in hospitals but also in other places?

But the root is still the hospital.

The word emergency in the hospital means… … .

'Wow, I feel bad.'

It refers to a situation where a person's life is at stake.

And a situation where life comes and goes is bound to be shitty, even if it's not necessarily my life.

That's why university hospitals are doing their best to avoid that situation.

It may seem like that from the outside, but it's true.

But if the situation is avoided, is it an emergency?

Ultimately, how to deal with emergencies was bound to be the most important thing.

Dagdak.

First of all, the most important thing is to respond as quickly as possible.

As I sat in the carriage, thinking about such things, I couldn't help but sigh.

'Let's exclude anything that needs to be dealt with quickly.'

In an emergency, you have to think about leaving out the most important thing.

This is it, even if I take off the cannon and play chess, it seems easier than this.

Even the opponent's disease is a strong opponent that does not easily give in to the 21st century modern medical method of keeping two more cannons on our side…

'Still… …I guess it's right to focus as much as possible on what I can do.'

Perhaps my previous self, the weak 21st century me, would have given up, making excuses.

But the current Kim Tae-pyeong is strong.

It may be the strongest.

'If the patient dies, it means he is weak.'

I felt comforted by the thought of what may be the only truth in medicine, an imperfect discipline that relies on probability for everything.

Yeah, that's right.

This is correct.

'Phew.'

What about Sir Jamie?

Because I'm already weak…

Maybe this crisis will be the last.

It's a bit strange that a doctor is prepared to break up with a patient before even seeing them, but that's the reality.

"Ping, do you ever do this? Come down. We've arrived."

“Oh, yes, brother.”

While I was lost in my thoughts, I found myself in Sir Jamie's mansion.

It was a magnificent mansion built to match his power, wealth, and dukedom.

The walls of this mansion were once painted a cursed green, but since no one wants to die, they were just a normal color now.

Even so, it was only arsenic that turned into lead, but since it was nearly impossible to avoid lead in those days, it had to be accepted as 'lead'.

“Where are you?”

“Oh, this way! Thank you so much!”

Anyway, we were led from the lobby by someone I don't know if he was a butler or not, and headed to Sir Jamie's bedroom on the second floor.

As I entered, I saw Sir Jamie, whose face alone made me wonder if he was in critical condition.

It was natural, as I was diligently treating my diabetes and even started exercising recently.

But as I got closer, I could feel death drawing near.

“Would you like to find out?”

"eww……."

First of all, my consciousness was not clear.

What is the reason?

As dozens of diseases and situations came to mind, I was starting to get a headache.

Considering his age and underlying medical conditions, it would not be an exaggeration to say that anything was possible.

'Cerebral hemorrhage or infarction… … or heart failure due to myocardial infarction… … .'

If I were to think of the most serious ones among them, they would be like this.

If things were as they were, it would have been better to treat this disease.

But how do you do it?

Open your head?

It's not that I didn't open it.

Craniotomy is a surgery that has been around for thousands of years, and it is safe despite its gruesome appearance.

'But what do you do when you open it?'

But simply raising your head doesn't mean much.

If it's external bleeding like last time, I'll survive… … .

Sir Jamie, even if he were bleeding, it wouldn't be that way.

You were with me until a few days ago, but seeing you suddenly like this, I think things are progressing quickly.

Epidural hemorrhage usually occurs much more slowly than this.

First of all, there must be trauma.

However, Sir Jamie's head, visible through his much thinner hair, shows no signs of trauma.

'Let's just say no for now and move on.'

You might think that I'm just spinning my wheels of hope, but surprisingly, in the 19th century, prayer was still the most effective treatment.

That's because in most cases, they install it under the pretense of treating the patient, only to end up causing the patient to die a more horrific death.

Of course, Nana and my group are a bit different… … .

The placenta is also thanks to my good patient selection.

If it doesn't seem like it will work, then giving up is also a way.

'Heart… …? I hope not.'

For the same reason, the heart also passed.

It's not something else, but the heart? I think so… … .

So are you going to open your chest?

Open-heart surgery is considered a major surgery even in the 21st century.

There's a chance the patient will die just by opening and closing it, and you're going to touch the coronary artery in the meantime?

There is a reason why there is a guideline that thoracic surgeons must undergo several more years of training after becoming specialists to perform full-scale cardiac surgery.

Seriously… …it’s a really, really difficult surgery.

I am a surgeon who has been trained for quite some time, but if I mess with someone carelessly, I will just end up killing someone with their heart broken instead of just dying quietly.

‘If it had been for another reason… … .’

For this reason, as I was praying and looking up at the sky, it suddenly occurred to me that the smell coming from Sir Jamie was quite terrible.

It was a bit different from the smell I get when my liver or kidneys are damaged.

This is… … .

'Gyun… …?'

When I get infected with a fungus, I smell.

Among them, Staphylococcus is the one that gives off this smell the most, and since it seems that infection is easier on the brain or heart, I felt a little relieved.

Then I started sniffing to figure out where the smell was coming from.

“Plain?”

“What are you doing… What are you doing?”

“Wait… Is this some kind of sorcery?”

"ah……."

The people next to him also had serious expressions on their faces and started sniffing.

Judging from the conversation that just took place, I don't think it's for the reason I'm thinking of.

But since the way he smelled was no different from me, something slowly started to pop out.

"huh?"

“Hmm.”

“Oh my.”

Everyone, including myself, who had been sniffing the air all over my body, stopped at the Duke's mouth.

An indescribably foul smell was coming from our Duke's breath.

really…….

“Excuse me. How long has it been since you brushed your teeth, Duke?”

So I asked the servant next to me, and the servant tilted his head.

It seems that the concept of brushing teeth itself was unfamiliar.

‘No… … This gentleman… … .’

Sir Jamie is a bit lacking in humanity, but anyway, he's part of our group.

Even though he was a nobleman with both power and wealth, he was one of my targets of close monitoring.

So when they came to our hospital, we personally taught them to brush their teeth and even had them gargle with real fluoride water instead of holy water… … .

I guess I didn't do it at home.

“You didn’t brush your teeth, did you?”

“Ah… brushing my teeth…?”

The attendant, sensing that the atmosphere was not good, was trying to cover it up.

It was of no use.

Because my intuition is 100-level.

If it weren't for that, how on earth would I have survived in this era and come this far?

Because I was picking on someone better than me… … .

No, that's not it.

“Give me some gloves.”

“Oh, yes.”

Well, isn't the important thing now not to pressure the innocent servant?

Even if it's better than the heart or brain, if we leave it like this, it's obvious that he'll die today or maybe tomorrow.

So I took the gloves from Joseph and opened Sir Jamie's mouth.

“Oh.”

"hey……."

"crazy……."

Then, an even more serious smell than before began to fill the entire room.

The servant, who had been holding on with a loyal face, secretly opened the window.

Honestly, I wanted to ignore it, but I couldn't.

It was the law that doctors had to face the problems of their patients, whether they liked it or not.

"fire."

“Burn it?”

“No, a lantern.”

"ah."

Some people are talking crazy, but anyway, I held up a flashlight and started to look around the smelly area.

It wasn't that easy.

It wasn't just that my mouth was inflamed, but my mouth was so pus-filled that I couldn't open it very wide.

It was fortunate that Sir Jamie was unconscious. If he had been sane, he would have screamed in pain by now.

“Ugh, ugh.”

Judging by the way he's groaning, it looks like he's in pain, but there's nothing I can do about it.

Who said not to clean this?

“Oh, over there.”

Fortunately, I was able to detect the lesion before it was too late.

It was so swollen that I couldn't even tell if it was a wisdom tooth or a molar.

I pressed it lightly and it was soft and had a good amount of fat.

"hmm."

First of all, you have to cut it.

However, apart from that, the patient's consciousness was a problem.

Don't most people spit out anything that goes down their throat?

But an unconscious person cannot do that.

It would be nice if I just swallowed it, but what if it goes into my airway… …?

'It would be nice if I got sick and coughed… … but I don't think that'll happen.'

It may be uncomfortable to be caught in a sare, but in reality, there is no defense mechanism as powerful as it.

It's a device that prevents aspiration pneumonia.

In an age where even young people can suffer from pneumonia, an elderly person… …and not just the usual pneumonia, but aspiration pneumonia?

I'm dying, for real.

“I need to wake up first.”

"how?"

“Oh, I’ll give you some pain.”

First of all, I had to wake him up.

Liston proposed a fairly intuitive method, but it was rejected.

That's true sometimes, but…

When hypotension due to sepsis is strongly suspected, it is nothing short of torture.

It is right to exclude it as it is a form of torture that only destroys the body without any meaning.

“No, let’s check your blood pressure first.”

“Blood pressure…?”

“Why does that guy’s blood pressure keep going up…?”

It's quite frustrating to see doctors objecting to the idea of measuring blood pressure…

If you think about it positively, you could say that this is a rare scene that you would never see again.

Besides, it's not like he's just saying things like that and not doing anything.

Even measuring well, now.

“Huh…? Your blood pressure is low?”

“Isn’t it healthier the lower it is?”

Jamie Sir's blood pressure is 80 over 40.

It's very low, but it's a miracle that it comes out this high.

Doesn't that mean you're in great health?

In this day and age, it's not for nothing that I'm alive today.

Even though I didn't just grow old gracefully, I did all sorts of things and survived, so I guess that says it all.

“Don’t you think it’s too low?”

“Too low? I don’t think so.”

"Is there such a concept? The higher the better, right?"

Anyway, I thought it would be difficult to explain the concept of normal blood pressure right away.

That can't be helped.

We memorized high and low blood pressure before we understood it, so I guess it's just like that. But is it meaningful to say that blood pressure is low or high when you don't even know what normal blood pressure is?

“Ugh…….”

So I received it again.

“I am the way, the light, and the life… Give the patient fluids.”