Dark-Haired British Doctor Chapter 445

Episode 445: Darwin [1]

As we all know, Darwin attended Edinburgh Medical School.

In other words, I have studied medicine.

If it were the 21st century, there would have been some level of trust in doctors, even if that wasn't the case.

To be more precise, it is trust in medicine, but anyway, it is difficult not to trust, especially for someone who has been baptized in modern medicine.

It was said that it was a study that was built on an enormous basis with an extremely cautious attitude.

“Why is this kid like this?”

“Well… it’s embarrassing to say, but isn’t that obvious?”

“Of course……?”

“We’re a little different, but look around. Are you starting to trust me?”

“That’s… not true.”

However, in the 19th century, it is possible that trust in mainstream medicine may have fallen significantly because of the medical education.

It turned out later that Darwin's decision to leave Edinburgh Medical School wasn't solely because he dissected rotting corpses.

I heard it's also because of the surgery without anesthesia.

Well, that was something they did all over London, but Darwin's professor happened to be a pediatrician.

'Oh my… … Shit… … .'

Soarani.

If you think about it, children are also candidates for surgery.

Even in the 21st century, this was no exception.

Of course, I was under anesthesia at that time.

In addition to that, we gave painkillers… …we gave various sedatives and did everything we could.

This can be attributed to advances in medicine, but also to advances in awareness of children.

You're not a small adult, are you?

-Stay still!

-Eu …

-puck.

-Ugh.

-You'll die if you do that!

It's obvious even without looking, it's obvious.

Corporal punishment has almost disappeared from South Korea in the 21st century, but it is no exaggeration to say that Europe was an empire of corporal punishment during this period.

Why would there be talk about how you can't live without your dad or how you're spoiled?

It was because I thought that my mother's physical strength had its limits in defeating me.

'At this point, there's no cure for ADHD.'

Just between us, but no matter how I look at it, one of the director's sons seems to have ADHD.

The director is treating the child by really beating him up.

No, I think you have to believe that it is being treated.

The only thing that can usually be corrected is hyperactivity disorder.

In contrast, the new problems that can arise from being right are endless.

Depression, obsessive compulsive disorder, and various other mental disorders follow.

I said that I was hitting him too hard because he was not a stranger, and I almost got hit too.

-I heard that they also use whistles in Joseon!

At this age, I almost broke my calf.

“Even so, that’s still the case…….”

“That’s right. What are you doing?”

“This time, let’s treat him as well as we can and make a big profit.”

“Oh, yes. That’s right.”

Our Darwin is receiving treatment that is not only better, but also better than that.

So the two of us went out to solve that problem.

Of course, it's not free.

It doesn't really matter whether the other person didn't want it or not.

How can we just ignore this guy who is on his way to becoming a doctor when it's so obvious he's going to die?

Since I had bothered them, no one would have said anything if I had asked them to pay me a little more in return.

“By the way, it’s so damn far…….”

“That’s right. Over 180 miles?”

"Yeah. If you take your time, you could probably get there in a day, but I don't know. Maybe I should have just taken the train."

“Train… I didn’t think of the train.”

"Well, let's take it easy now. Surely you won't just hold on until now and then suddenly give up."

“That’s true. He’s a pretty healthy guy, so he could have endured that long voyage.”

Even Shrewsbury, where Darwin is, is very far away.

It's so far away that you have to go even further than Birmingham.

'Come to think of it, I've never traveled around like that in England.'

At best, it's all from Upton to London.

Of course, I had been to various places around London, but they were all within a couple of hours by carriage.

In comparison, this is… … .

'The scenery is quite nice, even in England.'

I thought to myself, I've really been living a busy life.

I thought that in my previous life, I lived a hectic life and died without ever having a proper domestic trip, and that I was doing the same this time.

So I guess there is something to be said about human nature.

A country that only thinks about patients, whether they are awake or asleep… … .

Chief Medical Officer Kim Tae-pyeong.

Personally, I think I would have no other wishes if only the truth remained on the wiki.

'You look so pretty once you get out of London.'

Anyway, with that mindset, I decided to do some sightseeing since I was already here, and it turned out that this country called England had a lot to see.

In some ways, London was a place with quite a few rare sights to see.

Where in the world would you see such miserable streets and such extravagant streets coexisting?

If it were Joseon, I think I would have picked up a bamboo spear right away.

It may be the same here or there, but our ancestors were probably better off than the British.

No matter what, it has to be better than a hate country.

“Are you also thinking about the treatment Darwin received?”

As I was looking at the scenery and thinking about random things for a while, Liston, who was sitting across from me, asked me a question.

It stung a little, but I nodded as if nothing had happened.

"of course."

“For something like that, you’re looking outside too intently.”

“That’s what it looked like. I guess I was too focused.”

“That… yeah.”

If you go out confidently, people will usually accept you.

Especially if you are someone with outstanding achievements like me, it would be a good idea to refer to it.

People tend to value the messenger more than the message.

It's not for nothing that scammers do pre-work and say things like, "I earned this much money," "I'm such a great person," and "I know someone."

If you instill in them the perception that you are that great, they will believe anything you say from then on.

“Anyway, our Darwin… you said your heart hurt, right?”

"Yeah. That's a bad sign. People with heartache usually die early."

If we do it our way, we can say that we have chest pain.

They often tell you to hold the patient's heart when you go in if you want to get treated quickly in the emergency room, right?

I'm not kidding, it's true.

Of course, it can be quite difficult the moment it is revealed that this was a trick to get you to the hospital quickly.

It is not recommended because it can also cause other really urgent patients to die.

I say this over and over again, but the emergency room is not a place to go for quick treatment, but a place to treat urgent illnesses.

“Surely it’s not a bad form of chest pain, is it?”

“Aren’t all chest pains the same?”

"Some people go straight there, and some don't. After all, there are several organs inside the chest, so wouldn't it be difficult to see them all as one?"

“Oh, I see… Well, my stomach hurts a lot.”

Liston nodded with a bitter smile.

I felt sick to my stomach because I knew exactly why he was doing that.

-Huh? No?

It is safe to say that most abdominal organ diseases that can be treated surgically at our hospital are currently limited to appendicitis.

Amazingly, the success rate for appendicitis treatment is well over 95%, which is why every surgeon who follows my guidelines prays before opening the abdomen.

The prayer was that it should be appendicitis, but if this was wrong, the success rate would be close to 0.

-Oh, what should I do?

-Please close it for me.

-What's next?

-Next? There is no next time… … .

So, if that wasn't the case, this kind of conversation would have happened.

Of course, since the diagnosis is made by pressing the lower left abdomen before opening, the probability of this happening is less than 50%… … .

It's half the story, but it's a better chance than playing Russian roulette.

Well, it's said that it's difficult to diagnose with just a physical examination, but too many people are dying to be able to console yourself like that.

I'm a little better off because I know the right answer and I know that this is the best thing to do in the current situation, whereas the pure doctors of this era, including Liston, were shocked every time a patient died like that.

“But the treatment Darwin is receiving now will probably not be of much use for chest pain caused by other causes, not just heart or lung problems.”

"That's the point. There's a difference between trying a treatment that might work and one that seems completely useless. But… after hearing that, I wonder if we, too, have a way."

It is natural and necessary to be shocked.

It's strange to be a doctor and not care if a patient dies right in front of you.

Of course, it is also a problem to be shocked too much every time.

People like that usually can't handle their vitals.

A guy I know eventually gave up and went to a different department, but now he writes web novels.

Looking at the fact that the main characters are either internal medicine, surgery, or vital medicine, it seems like they have a great sense of guilt about not being able to do vital medicine.

They donate here and there, but I personally wonder what it would have been like if they had donated to me.

“I thought about it, I guess.”

"Oh, really? I haven't thought about the heart yet, so I thought you were missing something."

“Haha, who do you think I am? I’m Kim Tae-pyeong, Kim Tae-pyeong.”

“Yeah, you idiot. Tell me quickly, idiot.”

These days, this gentleman's Korean pronunciation has gotten better and better, so there are times when he speaks in a strangely unpleasant way.

By the way, I started talking based on what I said earlier.

Naturally, the truth is that there is no intention of talking about it at all.

What good would it do to talk about angina, myocardial infarction, pleurisy, or anything like that here?

I am ready to distort the facts as much as I can for the sake of education at eye level.

As an expert, I dare say that this is a talent.

Because of their pride, they can't joke around in their own area of expertise.

“First of all, it’s probably not a lung disease.”

“Why?”

“What do the lungs do?”

“Don’t breathe. Ah… Ah!”

How did we know that the lungs were breathing organs?

Fortunately, we haven't done any experiments where we open a living person's chest and see if their lungs move in and out every time they breathe.

I just knew this much from experience.

There are records from thousands of years ago that say you can't breathe and die if you're stabbed in the chest.

“Yeah, if it’s a lung problem, the main symptom is not pain, but difficulty breathing!”

“Yes. And the heart side….”

“I guess the blood can’t flow.”

"sure."

Of course, that's not necessarily the case.

To begin with, the lungs don't have any sensation inside, so it only hurts when the membrane becomes inflamed?

So, it's just pleurisy and all that hurts.

Of course, even if pneumonia is very severe, it can still hurt, but at that point, the pain is not a problem.

Even in the 21st century, there is no answer to severe pneumonia, so what's the point of talking about it now?

'The heart is the same.'

What if Darwin's chest pain was due to his heart?

Then I have to go.

I can't help it.

But as far as I know, Darwin… …lived quite a long time.

"It's most likely muscle pain or stress-related pain. If that's the case, then the treatment you're currently receiving isn't a cure, it's a murder technique."

“I guess I should go quickly.”

It'll probably be okay.

And this is probably how it was treated throughout history.

But why are you going?

You have a lot of money.

And I think this would be a good opportunity to touch on the treatment of chest pain.

I really only think about the patient like this.