Dark-Haired British Doctor Chapter 457

Episode 457: Reckless Challenge [2]

Rheumatic fever.

In English it is called 'Rheumatic fever'.

When I looked at it, it didn't seem like a particularly well-made name.

Usually, when you look at the name of a restaurant, you can guess what it sells, right?

A well-named business is one that is predictable. If you don't even know if it's a restaurant or what, it's doomed to fail. Will that work?

'How do you know what disease it is? Just by hearing the name.'

There is a department called rheumatology, so the name rheumatology itself is probably familiar.

In fact, rheumatoid arthritis is a fairly common disease.

Among the famous painters, there is Renoir. Everyone probably knows that he suffered from severe rheumatoid arthritis in his 50s, which even changed his painting style.

A typical autoimmune disease, simply put, is a disease that occurs when the immune system, which is supposed to protect our body from the outside world, goes crazy and attacks the body.

Nowadays, you can use medicine properly, but back then, there was nothing, so it must have been really painful.

'But this is an infectious disease.'

The problem is that rheumatic fever is not an autoimmune disease.

Well… it's an autoimmune disease that occurs after infection, but the mechanism itself is very different.

But why is it named like this?

That's because the symptoms are similar.

What tests could doctors of the 18th and 19th centuries do?

You can see that this is something that happened because we had to guess based on just the symptoms and opinions we saw and heard.

I tried to fix it later, but it was strange to change the name now for a disease that had been called that for hundreds of years, so we still call it that in the 21st century.

'Anyway… there'll be a ton of them. I have to be careful not to spread them.'

It's not caused by a rare fungus either.

It is caused by a bacterium called Group A Streptococcus, and if you have ever suffered from severe tonsillitis, it was most likely caused by this bacterium.

Is the yellowish color visible? Then it's almost certainly this one.

It's no exaggeration to say that there are no aftereffects if you just take antibiotics on time, but there are no antibiotics here.

As a result, complications often arise, one of which is myocarditis.

“What are you thinking about again?”

“Oh, I’m thinking about rheumatic fever.”

“What comes to mind when someone who didn’t even know they had such a disease thinks about it?”

"that……."

It's unfair.

At this point, it's clear that no one knows more about the disease than I do.

Who knew that this could happen because of an antigen-antibody reaction?

But this is an advanced process.

It is still too early for the world to accept this.

“Still, I can get a rough idea.”

"Well… yeah, that's free. Anyway, the guy we're meeting now seems to be quite the expert. He said he's organized it quite systematically."

“Really? How do you know that, hyung?”

“There is a saying in Korean, ‘Tasanji Seok.’”

"ah."

"What I'm saying is, even those who seem so lacking to us can all have something to learn from. Do you understand, you idiot?"

"that."

There was a nuance to it that just now it really felt like that idiot.

This kid… … .

How can someone who knows the basics not know a retard?

When learning a foreign language, the first thing you learn is swear words…

There's no way a smart guy like Liston wouldn't know that he's a retard.

But it's a bit awkward to ask.

So I just sat there and before I knew it, the carriage had stopped.

“Um. Here…….”

“I don’t like the feeling. It kind of reminds me of a butcher.”

This may be a prejudice, but in this day and age, it's hard to shake the idea that the better a hospital is, the better it is.

It's not that I think our hospital is in the best neighborhood.

Harry the Butcher and the wild healers too… … .

The crazier they were, the more they were on the outskirts.

But when I arrived, I realized that this place was also on the outskirts.

“There are a lot of patients.”

“It must be a stone dealer.”

Plus there are a lot of patients?

That saying bewitched people at that time.

I know it might make you feel really bad if I say this… … .

There is something called the level of the times.

My conclusion is that any doctor who was popular in the 19th century had to be a quack.

Just how many hardships and adversities have I had to endure to get to where I am today?

I even had to pretend to be a stonemason.

There are still some areas where compromises have been made.

“Yes.”

“Shall we go in first?”

“I wonder.”

"after."

After we had finished grasping the situation to some extent, we quietly headed to the hospital.

It was literally packed.

Everyone was clutching their chests, and it seemed clear that I had actually started the rumor that I was the first cardiologist.

Otherwise, there would be no way that so many heart disease patients would have gathered here.

It didn't even occur to me that I should have come to our hospital.

'Well, it's something that happens a lot in the 21st century too… … .'

I think the most striking feature of true experts, mainstream medicine, is that we have a clear understanding of where we can and cannot go.

It is said that metacognition has been achieved, and thanks to that, I have been able to gradually improve.

This is an undeniable advantage, but it does have its drawbacks.

There was no ready answer to the question, 'Where should patients abandoned by modern medicine go?'

Hospice wards have emerged as an alternative, but perhaps because of differing perspectives on death, they have not yet found a foothold in Korea.

These patients were deceived into believing that they could be cured by various charlatans, who took their money, time, and even their lives.

“Oh, oh… It’s Poet Piyeong….”

“Your expression… you came here to kill me.”

“Harry… like Harry?”

“That guy was such a good guy. You damn bastards.”

“Shh. Do you want to die too?”

“No… because they keep killing the doctors….”

As I thought about that, my expression naturally darkened.

Liston is a scary person even when he's smiling, so it was even stranger that there were people on the road we were walking on.

People were torn apart to the left and right, just like Moses parted the Red Sea.

I'm not saying that I only listen to what I like, but I don't think it's wise to pay attention to what people say when they come to entrust their hearts to a quack.

“The door is open, isn’t it?”

“You’re less careful than Harry.”

“I guess he’s more honest. He’s not your average crazy guy.”

“It can’t be helped.”

heart…….

Are you still touching on a 19th-century organ that is burdensome even in the 21st century?

It's too much for someone who's only done one or two laps.

"hmm."

“Hmm.”

The moment I entered the building, I felt surprised.

The slaughterhouse, or rather, the hospital that Harry ran, smelled bloody.

Unsanitary tools, testicle pieces scattered on the floor, and blood stains everywhere… … .

Even though quite some time has passed, I can't forget it at all.

I think it would have been exactly the same feeling if I had played the game <Division 3> in VR.

Well, Harry was caught helplessly and hanged, which didn't live up to his reputation as a butcher.

“It’s clean?”

“Right. First of all, I don’t smell any blood. So you’re not going to do any bloodletting?”

“I guess so.”

“I’m getting more and more anxious. What on earth are you doing?”

Oh, Liston and I have quite different opinions on bloodletting.

Liston still sees the bloodletting as meaningful.

That's because the surgery I performed was to remove the blood that had accumulated inside the placenta.

This is the result of painstaking efforts to identify diseases that can be cured with current technology, but I am afraid that the belief in bloodletting itself is becoming more and more entrenched.

'I'll have to fix it little by little later.'

Anyway, we walked through the relatively clean interior of the hospital and headed inside.

“Ugh, ugh!”

"also."

“I guess you’re doing something.”

Naturally, groans began to flow out.

This is the 19th century.

No matter how normal they may seem, you can always assume they are doing something shady.

Rather, I'm more afraid of places with such a plausible appearance.

Even when patients die, their guardians just accept it and say, 'Oh, our family was weak!'

Bulkhead.

What need is there for a navigation system?

Just follow the sound and you're done.

So we were able to go right into the examination room.

The doctor who appeared before us was a middle-aged man with a bald head.

He was middle-aged, but he didn't look that old compared to Brother Liston.

You can think of it as looking similar to Liston before the hair was planted.

'Certainly… it's better to plant it.'

I waited for a while with these thoughts in mind.

It was the same in Darwin's time, and Liston was the one who came forward first in such situations.

Now, with the sharpened Liston knife, no longer used in surgery, I cut the tool that the suspicious bald man was holding… … .

“It’s an intellectual view, so let’s put it into words.”

"huh?"

“Let’s not say it. Aren’t we all… intellectuals?”

The prediction that it would be abandoned was wrong.

I guess this is what it means to be in the same boat.

Also, Liston seems to have gotten a little older.

It's definitely less fiery than before.

“Ah… Sir Liston. Sir Piyeongsiin.”

The other person introduced himself as James Hope and briefly dismissed the patient he was treating.

Now I see that the patient who was receiving electric torture through his hands is heading outside with a somewhat relieved look on his face.

He came because he was called a doctor, but he was so shocked because it hurt so much.

I don't think I'll come back like that…

That's because the 19th century was a time filled with suffering.

Of course, it is true that among them, the hospital is hell.

Where in the world can you go and pay for electric shock torture?

"I'd already heard about it at the conference. Heart surgery… I'm impressed, James."

“Oh, was that you there?”

“How can someone who calls himself the world’s first cardiologist skip a cardiology conference?”

“Well, that’s true.”

Regardless of my thoughts, their conversation continued smoothly.

I'm surprised at how good the atmosphere is.

"Anyway, we have some circumstances. It looks like we'll be undergoing some pretty difficult surgery. Are there any of your patients who you feel like need surgery?"

“Ah. Hmm.”

James sat up for a moment.

Then I went to the window and looked outside.

Now that I look at it, it looks like some of the patients waiting outside the examination room are visible.

"There are many. There are many patients who are just waiting for the day to die. I've tried various things, but honestly… I don't think electrotherapy will be particularly helpful."

no…….

While thinking like that, you were shamelessly taking money and doing that?

When I opened my eyes wide in surprise, James laughed.

Then he continued speaking.

"First, let me talk about rheumatic heart disease. This disease starts with a very unusual sore throat. It's so severe that you can't even swallow water, but it usually gets better within a week. Of course, some people die… but that's inevitable, isn't it?"

At those words, I opened my ears instead of my eyes.

‘This kid… … It looks like he’s seen a lot?’

It was because the course of events seemed plausible.

I thought it might definitely help.