Dark-Haired British Doctor Chapter 435

Episode 435: A Proper Lecture [4]

“Bleed!”

“No! I have to lose!”

"Oh my… What kind of nonsense are you talking about? What time is it? You should disinfect first! Shouldn't you pour some alcohol?"

“If you think about it, even support is disinfection!”

My one word caused quite a stir.

what…….

It's not that much of a stretch.

Although we live in an era where internal medicine is treated as a true doctor, in reality, the departments that can actually do something are those in the surgical field.

Internal medicine… …Honestly, what can it do?

Even in the 21st century, it seems that all internal medicine can do is just observe.

I'm not saying this because I'm a surgeon, but if you really just ask me something, I think I can watch it a little longer. I thought I was going to die from frustration at all this nonsense.

Since I ended up here after a really bad accident, I guess the internal medicine guys are largely responsible for me ending up like this.

“Sleep, be quiet.”

After a moment of regret, I silenced the noisy room.

In the past, yelling and making a fuss would have been useless, but now I am strong.

This one word could literally silence a packed auditorium.

This is power, this is authority.

The 19th century was more livable than I thought… I barely managed to shake off the thought and opened my mouth.

“When someone is injured, the first thing to do is to see where and how badly they are injured.”

"ah."

"no way……."

Some were impressed, but others responded that it was just that much.

The original principle is like this.

When you hear it, it feels so obvious.

But the problem is that too many people are dying because they don't do the obvious.

Just look at the bridge collapse incident just now.

I've seen too many people die suddenly after being pulled out under the guise of rescue.

“Until then, we have to basically assume that this person doesn’t know where or how much he’s hurt.”

"ah."

"ah?"

When I explained the details a little, I saw that the expressions on the faces of those who had been doing this to me changed a little.

In the first place, the people who called me here and sat me down were people who were considered useful by Nana Liston, or at least by the director, so it couldn't be helped.

The ones with yellow sprouts were the entrance cuts, that's what I meant.

Even if I teach them anyway, I won't have to talk badly in front of those who will kill patients as they please, right?

Of course, if you look at it in the long run, it's right that even those guys need to be fixed somehow…

Fortunately, in this day and age, the methods available for correction and education are not necessarily peaceful.

If words don't work, then defeat is the answer.

"This means that if you move or treat someone carelessly, an undiagnosed wound can become worse. This is especially true if the area is the back, neck, or head. Colin."

"yes."

Colin was lying down, but he still lifted his waist.

"Patients who are unconscious due to injuries like this can't tell where they've been injured. Let's say they've injured their back, something other than the visible area. You probably know that back injuries can lead to paralysis of the lower body."

“Hmm…….”

“That’s true.”

“If we were to touch his back while he was in a precarious position and try to do something to him or move him, and he gets hurt even more and loses the use of his lower body, wouldn’t that be a truly unfortunate accident?”

"iced coffee……."

“I guess so.”

It is a true medical accident to show such a lukewarm reaction…

It is true that the concept of medical accidents is somewhat weak during this period.

Actually, it's not like that because it's the 19th century.

It was the same in the 20th century.

I'm quite a manly person, so I once dreamed of becoming a thoracic surgeon.

But when you actually see a pounding heart in front of you, you are bound to get scared.

What I'm saying is that I can't help but think that it's not a long-term thing that I can dare to touch.

It's a 21st century surgery, but they say they stop the heart for a moment, but back in the old days, until the mid-1900s, they couldn't do that and just left the heart beating, so it would have been even more painful.

‘The real reason for the development of that heart surgery is… … .’

There's a reason they say you need a lion's heart to perform heart surgery…

Anyway, even in ancient times, heart surgery was considered taboo.

Even now, heart surgery is contraindicated.

Of course, there will be people who touch it knowingly or unknowingly, but since they will be killing all the patients, it will not be known.

Anyway, the person who contributed greatly to the development of heart surgery was a man named Charles Bailey, and he killed five people with their chests open. Five people.

If it were the 21st century, it wouldn't be a problem to have a medical license revoked, but rather to go to jail. But until the mid-20th century, people only looked forward to success at the last minute, and that made them heroes.

Well, it might be right to call him a hero since hundreds of thousands of people later survived thanks to him.

"So, you came here injured, no matter what. Then, examine the wound first. Isn't it really strange, when you think about it, to plan treatment without even knowing what caused it?"

I am giving a lecture in such an era.

There are so many difficulties, that's what I'm saying.

But now that I have some authority, everyone at least pretends to nod.

"But to examine that wound, there's a prerequisite. First, you have to clean the blood from the wound. Doesn't blood really obstruct your vision?"

"yes."

“God, I wish you would make it transparent.”

If the blood had been transparent, I'm sure the death toll would have been several times higher.

Because it's a color that stands out, there are more situations than you might think where you can detect injury.

But I decided to skip it because I don't think that's something I should be talking about.

"But wiping it with a cloth can only make the wound worse. Try rubbing it against your skin. It's quite painful, isn't it? If the skin is already peeling off from the wound, it'll be even worse. That's why…you need to spray it with distilled water."

The best one is actually saline solution.

However, with current technology, it is impossible to mass-produce an improved saline solution, so distilled water is simply used.

Of course, making this isn't an easy task, but anything can be improved if you keep doing it, and if you spend money, it can be improved, so now we're also producing a distilled water making kit.

"But it's hard to make distilled water, right? That's when you need this. John Snow."

"yes."

Snow pulled out a tub at my words.

Above it was a still, a device that could make distilled water by simply pouring water in and boiling it.

Of course, there is a downside to having to light a fire, but conversely, the advantage is that all you have to do is that.

Compared to when Joseph was running around here and there on his own, it can be said that there has been a lot of progress.

"You can make it yourself, but for those who find that difficult, we're offering a promotional price for today only. Just write your name down before you leave and pay, and we'll deliver it to you."

It's not something I do to make money.

I'm really not interested in money.

I just think about humanity.

It's true.

No matter how good or necessary something is, if it becomes a bother, you won't be able to do it.

Unless you're an exceptionally thorough guy like Joseph, that's likely to happen.

I think this device will be of great help in that case.

"Okay, now that we've cleaned the wound thoroughly and examined it, we'll need to treat it based on its severity. Now, this is important. Listen carefully."

I have since been talking about the importance of disinfection and suturing techniques.

Unfortunately, it is difficult to produce completely sterilized threads, and in these times, dissolving threads are out of the question, so suturing only the inside is not possible, so we simply differentiate between deep and non-deep stitches depending on the wound.

He also showed me that if the length is short, the wound may be deeper than expected, but it doesn't have to be as deep.

Of course, it would have been better to go deeper, but these days, the more you touch it, the higher the risk of infection, so it seems better to avoid it, which is why I said that.

"Now, what's the most important thing? Disinfection. If a wound becomes infected and rots, you die. You die, absolutely. So disinfection is the most important thing."

"ah……."

“Hmm, is that it?”

I think there was a bit of internet comment villain stuff in the middle, but I'm glad most people responded well.

If it were the same as before, there would have been reactions like, "Why bother?" "Unhygienic?" "Isn't it more dangerous?" But still, London seemed to have become quite enlightened thanks to our efforts.

Still, no one says that disinfection is important or that it is against tradition.

“Okay, let’s stop here for today.”

Anyway, I decided to stop because I couldn't spend the whole day just giving lectures and it was also a time when the higher-ups' concentration was starting to wane.

This wasn't a spontaneous decision, this was the time we had originally planned.

"excuse me!"

So we were about to go home when someone called us.

usually…….

It definitely exists.

People who don't ask questions when asked, but do so later.

It could be because they are embarrassed or because they want to build a personal relationship with the speaker.

Whatever it is, it's annoying, that's what I'm saying, but it's okay.

I have subordinates… … .

“Eww.”

“Ughh …

“What kind of woman has strength…….”

huh.

I looked back because I thought something bad had happened, and it was very… … .

I don't know if it's okay to say this when we first meet, but a stubborn-looking girl or woman of an ambiguous age was walking towards me, pushing aside my subordinates.

At the same time, I stopped walking, wondering if he had some kind of pressure skill.

I don't know if Liston was there, but my brother was still sitting in the theater, so I couldn't stop him.

“Can I call you Sir Tiepyeong?”

The woman who came to me, pushing my subordinates away like reeds, spoke to me confidently.

I nodded because I thought I would become a fool if I said no here.

Whether it's witchcraft or nonsense, it doesn't work on those who don't believe in it, right?

"I see. I was really impressed. I especially liked the disinfection part…"

“Uh, uh uh.”

"What's going on at the hospital? I bet there are a lot of disobedient people."

“With that… force…?”

"also."

It was even scarier when I realized it here.

Shit… … .

They say it's done with strength, but this is the first time I've ever liked someone…

ah…….

for a moment.

I think I know who this person is.

People who don't know her well call her a saint, but if you get to know her, she's more like a paladin or a barbarian.

“What is your name?”

“Florence Nightingale.”

"ah."