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Episode 454: Academic Conference [1]
institute.
This is a place where academics and researchers publicly present their research results and discuss their scientific validity.
It is also an organization that provides a venue for research results to be presented through review, research presentations, lectures, academic journals, etc., and also plays a role in facilitating exchanges between researchers.
No matter how you look at it, it seems like an institution that is somewhat distant from the 19th century… … .
Surprisingly, there are already quite a few active academic societies.
Of course, there are medical societies among them.
"The next speaker is Professor T.P. Lee Young Kim of London College Medical School. Please give him a round of applause."
It's not that I didn't know it existed.
I just didn't go.
I'm afraid I'll get stabbed.
If you think, 'If they're doctors, they're educated people, so why would they do that?' then you're crazy.
Aren't we already killing enough people?
Even the swords they mainly wield are Liston-style swords, and their power is comparable to a 21st century machete.
“Hello. This is Kim Tae-pyeong.”
“Wow!”
So what should we do?
You just have to swing a bigger sword.
When I think about it, only scholars or independence activists are prepared to die for what they believe to be right.
Everything else is supposed to bend.
It was much easier, even though what those kids believed wasn't that romantic.
-I heard he's finally coming to this conference…
-That guy? Oh, Kim Tae-pyeong?
-Okay. What should I do?
-What should I do? I have to shoot a gun!
-Gotcha, you bastard.
-What, what?
That doesn't mean I actually used force.
I started with the easier money.
Money is the best way to weed out the ambiguous guys, right?
Those who planted spies and crossed the line like that have already been sent to prison.
Well, I'm thinking of releasing it little by little.
Then wouldn't that make you hold a grudge and hate them even more?
There may be some such people, but I think the majority will be defeated.
The human mind is more fragile than we think, and when the body gets sick, it quickly breaks down.
“What do you think about the organ called the heart?”
Well, it's time to put these thoughts aside for a moment.
Now is the time to open your mouth.
Shouldn't I make this great achievement of mine known to all the world?
"The heart is an organ that beats tirelessly, 24 hours a day, circulating blood through the blood vessels of our body. Some people say it 'supplies,' but that's a misconception. The heart simply pumps blood."
But that's not that easy either.
Anatomy has developed quite a bit.
One reason is that since I discovered that formalin can be used as a preservative, many people have been able to perform dissections with a little more peace of mind.
Another reason is that doctors during this period were so passionate that, even before formalin existed, they were already robbing and even producing countless corpses to dissect. Thanks to that? Or blame? Anyway, there's this.
'Compared to that, physiology is at a miserable level.'
You can just look at it to see what it looks like.
Of course, since people are not block toys, if you just keep picking them apart, it's difficult to the point where you'll end up asking, "What did it originally look like?" rather than, "Where was this?"
However, it can be seen as a much easier problem than what this long-term thing is.
In comparison, the function is on a different level.
"In fact, in this situation, my bones are making blood? How can I even think like that?"
bone?
No matter how you look at it, it's just something solid.
It's not easy to think that this thing is alive and breathing.
Of course, we already know that blood flows through it, but we still don't know why.
In such a situation, it could be said that believing that the heart supplies blood is as natural as breathing.
I wish I could tell you exactly what this is, but unfortunately, that's impossible.
I learned what it does and what it looks like, but I didn't learn how I found out.
"I'll swear on every person who has ever bled to death as proof. If the organ that produces blood is the heart, and if that blood only circulates once and then disappears, how could anyone die from bleeding?"
I ignored all that and just shouted loudly.
If I were confident, I would have shouted like Steve Jobs, but isn't what I'm doing now bordering on incitement?
So I just waved my hands around like some future testicle mustache would, and mumbled a little when I said something a little unfavorable.
To be honest, I felt anxious when I practiced alone in the corner of the room.
I was wondering if this would work…
But history has proven it.
This works.
Even those cold-hearted Germans, united in one mind and heart, killed Jews in gas chambers, opened an Eastern Front following the Western Front to kill more Jews, and waged a war that would lead to the deaths of millions, if not tens of millions.
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“Wow!”
“This is right!”
Even the reaction was enthusiastic, as there were spies I had planted here and there.
We haven't even gotten to the main point yet and it's already like this, haha.
I continued with a smile that only a villain would wear.
"Because the heart is a pump, cutting it has long been taboo. I don't think anyone has ever actually cut it outside of an autopsy, right?"
It's quiet now.
I said that because it was true.
Since it wasn't an incitement, I was able to return to a serious attitude instead of making a fuss like before.
After all, people shouldn't lie.
How comfortable it is to tell the truth.
Not only my body but also my mind is at ease.
“Even I did. It would be madness to put a knife to a beating heart.”
Here and there, you can see people nodding their heads and saying, "Yeah, right."
Yeah, that's crazy.
It goes without saying that only a very small number of things, even in the 21st century, can do such a thing.
There is a reason why thoracic surgeons, and cardiologists in particular, are looked down upon.
“But the doctor said, ‘There are times when you have to resort to the knife.’”
In my previous life, it was really… … .
I thought it was an area I couldn't dare to enter.
Even though it was a trauma surgery department that only saw terrible patients, it was like that.
But not anymore.
Stand shoulder to shoulder.
This time I realized that I was a much greater doctor than I thought.
“People are dying right before your eyes. Shouldn’t you do something?”
I never thought I would say these words with my own mouth.
That's a nice statement, but it's not realistic.
In real medical settings, anything can go wrong, right?
Then you will be sued.
It is so unfair to the person being treated.
Because that's what happened when I tried to save someone.
I also cursed a lot back then.
Doesn't it look a bit too evil?
'But… … when I look back at it in the 19th century, I understand the context, right?'
The will to save people.
This is clearly well-intentioned.
But we must always keep in mind that there is also this saying:
-The road to hell is paved with good intentions.
Whether it's the wild healers or the butchers who graduated from regular medical schools, they all have a genuine desire to save people.
But instead of saving people, they are killing them.
So are 21st century doctors upright in every way?
There is a saying that the more rice ripens, the lower it bows its head. In reality, as I study and study, there are times when I wonder if this is really for the benefit of the patients.
In fact, based on my own experience, the time when I felt the strongest sense of self as a doctor was during my third year of residency.
Back then I thought I was the best.
But the more I tried it, the more I thought it was a bit retarded.
'If you let people do anything in the 21st century, accidents will probably happen. But that doesn't mean you'll have to sue them… '
When I look at it like this, I feel like I've actually grown more since the 19th century.
If I were sent back to the 21st century, I'm confident I could do much better than before.
Well, I'll probably die of a brain tumor before I can do it.
“A patient came to the hospital a week ago with a heart stab wound.”
Anyway, I am a 21st century person who knows how effective audiovisual aids are in making presentations.
So this time I made him draw a picture again.
To William Turner.
It was originally a very expensive treatment, but since it also treats cataracts, it is now cheaper.
Of course, he wasn't at the scene.
So to speak, it is an imagination, that's what I mean… … .
"her……."
“There’s so much blood….”
“Oh my gosh…….”
I told him to draw it a bit extreme on purpose.
Draw a lot of blood and cover the wound? Draw a big one.
Actually, if you look at it from a medical standpoint, it's a picture where he should have already died, but what can you do?
In the original announcement, there was a bit of exaggeration and such.
"At the time, my blood pressure was around 60/40. There's still a lot to learn about blood pressure… but most healthy adults seem to maintain it at around 120/80. Anyway, anything lower than that is probably a bad sign, right?"
“Hmm…….”
“Hmm.”
Maybe it's because I've been selling stuff at various lectures lately, but I hear people quietly saying, "Are they trying to sell blood pressure monitors?"
It's unfair.
Unlike something like Taepyeongtang, this is real.
What can I do?
This is the limit of the times.
He continued speaking with the thought, 'Those who don't understand me are the ones who lose out.'
"Anyway, her complexion was pale, her lips were parched, and her eyelids were almost white. This usually indicates severe bleeding."
“There was a lot of blood…?”
"uh?"
Moved to the next picture.
Unlike before, there was no blood on the patient, but he was extremely pale.
Since they were all treated so cheaply, the other medical staff were portrayed as being dark, except for the patients.
Still, I wondered where this was.
Because we live in a time when other people can't even think about things like this.
"After wiping everything off, surprisingly, there was no new bleeding. Nevertheless, the patient's complexion was becoming increasingly pale. This is a description of the probe used at the time."
The next picture was of a probe.
There was only a little blood on the side, but the end was clean.
Do they even know what this means?
To do this, you must not only master the anatomical structure, but also have a thorough understanding of the function of the heart and the circulation of blood.
And you'd have to be a genius to do that.
Because in this day and age, the diagnosis of pericardial tamponade is not yet commonly used.
You can think of recalling an existing concept from memory and creating a concept in your head that didn't exist before as two completely different tasks.
“Hmm…….”
"what……?"
“There is no bleeding, but it looks like there is a large amount of bleeding…?”
As expected, everyone was just muttering and not answering at all.
It was time for me to step up.
"The heart is surrounded by a sac called the pericardium. Surely… I'm sure there's no one here who doesn't know this anatomical structure, correct?"
“Oh, I know.”
“Okay, okay.”
Some people were nodding their heads with awkward expressions, but I decided to just let it go.
"Now, let's say there's bleeding coming from the heart, but the pericardium is relatively intact and collecting inside. The pressure built up there would prevent the heart from beating properly. This would disrupt circulation. The mechanism is a bit different from bleeding, but the result would be similar."
I did that because I knew I would stutter most of the next sentence.