Dark-Haired British Doctor Chapter 458

Episode 458: A Reckless Challenge [3]

As I remained silent, Liston, who already felt a sense of camaraderie with James Hope, simply listened to James's story.

Thanks to this, James Hope is one of the few doctors standing before us who can speak calmly about his theories.

Normally, I would get hit here and there and hear confessions under duress, but this was my first time doing something like this, so it felt different for me.

"When a sore throat like that comes on, it's usually fine, but then arthritis sets in a few weeks later. It's not always like that… I think it depends on the nature of the sore throat symptoms when they first appear."

“Hmm…….”

I didn't mean it to be different in a bad way.

This guy was different.

This is different from the average British doctor who just tries things and sees what happens.

I felt like it was being thoroughly analyzed and classified.

Even so, the treatment is electrotherapy, but it is more correct to view this as a limitation of the times rather than this person's problem.

Honestly, even in the 21st century, there are cases where modern medicine has its limitations and only provides one or two treatments, right?

Electrotherapy is different in that it can be harmful, but I think we should move on since we are not in an era where we can consider such things.

"I looked into it and found that the odds of developing a sore throat when the tonsils first appear are different depending on whether or not they have yellow inflammation. Those with yellow inflammation are significantly more likely to develop arthritis. The problem is, I don't know how to prevent it… I think it's this yellow inflammation that's the problem."

I'm really impressed right now.

The concept of miasma is also a mess, and among them, the concept that individual miasmas, that is, different types of bacteria, can cause different infectious diseases in the same area, is something that even I cannot even think of spreading… … .

Doesn't this person already have some idea of what that means?

Even the direction was accurate.

The problem is the bacteria that causes the yellow inflammation, Group A Streptococcus.

“So I tried to remove that inflammation.”

"huh?"

Of course, I couldn't just stand there in admiration.

The mention of removing inflammation made me feel uneasy.

I said I wasn't talking about taking medicine.

"how……?"

A question popped out of my head without me knowing.

James, satisfied with the lively interaction, chuckled and replied without knowing my pace.

“I have to scratch it. With this.”

He was showing me a tool that was placed carelessly on the table.

Although there weren't any blood stains, it didn't seem like they were paying any particular attention to sterilization.

If Joseph had been there, he would have run towards me and said, "Go!"

James added, perhaps noticing that my gaze had become a little fierce.

“Oh, I think… I think the inside of a person’s mouth is dirty to begin with. I just wash it with water.”

“I guess so. Haha.”

Liston agreed to the plausible nonsense.

It is truly regrettable that the current reality is that we want to say something but cannot.

'Actually… … Don't ENT doctors make it a bit simpler when they do tonsil surgery?'

I'm not saying full drape is not allowed.

But all equipment is disinfected.

It's natural to get hurt and bleed.

Even since they insert a tube under general anesthesia, they also disinfect the tonsils.

So, that's why disinfecting equipment makes sense…

In an era where that wasn't possible, it seemed like cleaning the equipment wouldn't be of much use.

“Anyway, I tried that… but it didn’t help much.”

“Is that so? I removed it?”

"Yes. It seems to be blooming from quite deep inside. So I cut the tonsils in half, and the patient died from the blood choking his throat."

“Oh, that’s too bad.”

Even while I was silent, the conversation continued.

There was talk of someone dying, but the atmosphere didn't become gloomy or anything.

At this time, it was not right for people who didn't need to die to die in the hospital.

“After doing that with one or three people, I realized this wasn’t the answer.”

“You give up quickly.”

Even if there are only three people?

It's really nothing special.

The guardians won't say anything either.

Of course, morally, we should compensate them with money, but no one wants more than that or feels burdened by it.

“So I took some medicine.”

“Oh, medicine.”

Yes, if physical removal is not possible, then it is right to move on to medication.

The very idea of physically removing tonsillitis is experimental.

Of course, those living in the 21st century are benefiting from having done all these things in previous eras.

“I tried arsenic… I tried mercury… I tried the recently popular nitro.”

“Nitro?”

"Oh, you didn't know. The research institute you two are running is being spurred on by many European aristocrats and businessmen. They're investing heavily in it. All sorts of things are coming out."

“So what is it?”

Nitro… … .

I feel like I've heard it somewhere.

It seems that it was not a substance that could be used by the human body.

It feels like something is going to explode, right?

'Ah, it's from the Need X Speed car game.'

Wasn't it a booster item?

Considering that making a game is not something that can be done carelessly, I'm sure it was all researched and made.

“That… is something new, isn’t it? I heard it came from Italy.”

“Really? Is it new? Then I can try it.”

If you were even a little shocked by the conversation just now, you're still far from done.

Wasn't the 19th century the age of science?

When a new material comes out, it is 'common sense' to try it out everywhere.

In particular, it was most active in the medical field where there was no specific medicine.

What if it's poison?

So aren't arsenic and mercury poisons?

“Yes, but it didn’t help much.”

“I see… hmm….”

Anyway, Nitro.

I must remember that.

I think I should find out what it is and use it if it's really useful.

It's not that it's not, but it's really hard because there's no medicine that can really be used…

“So, in summary, you’re saying that treatment for sore throats and prevention of arthritis are still being studied?”

“Yes, that’s right. Right now, we’re just observing the situation.”

“So, how did that go?”

“I should tell you, of course.”

As expected, the treatment didn't seem to have much effect.

It's okay.

It was quite predictable.

There is absolutely no need to be disappointed, that's what I'm saying.

“You said that once you have a sore throat, after a few weeks you will develop arthritis?”

"yes."

"My wrists, ankles, knees, and elbows are the most painful. Feeding them willow bark water helps a little, but it doesn't completely cure them. And… the biggest problem is my heart, my heart."

“Yeah, that’s the problem.”

"It seems that the younger you are, the more likely you are to develop heart problems. It seems that more than half of children develop them."

“That… that’s not a very good thing.”

And this gentleman… … .

The classification and analysis seem to be top-notch even by 21st century standards.

Honestly, I don't even remember all these diseases anymore.

It's been a few years since I was a student, but I still remember.

Since I majored in surgery and not even internal medicine, I haven't looked into it even once since graduating.

It would probably have been similar even if I had studied internal medicine.

This kind of disease is hard to find, at least in 21st century South Korea.

"Yes, first of all, my heart usually beats a little faster. If you listen to this, you can clearly feel the difference."

“Kids tend to run fast, don’t they?”

“It gets even faster than that. And this is a rather unusual discovery.”

"which……?"

“Irregular heartbeats are also observed.”

“Huh… Are you saying that you run fast and then slow?”

"yes."

“And then suddenly stop and go…?”

“That could be the case.”

I now know that it can also cause arrhythmia.

I guess I learned it but forgot, so I guess it's okay to say this.

There's nothing more ugly than getting a test question wrong and then saying, "Oh, I got it right!"

This Kim Tae-pyeong is a person who has always lived with integrity.

“I see.”

“Huh? Did you know?”

“I figured that would be the case. Have you ever listened to an old person’s heart?”

Anyway, I thought it was rude to leave the two of them alone to talk, so I took a quick look at the situation and intervened.

I had to show that I had been listening intently, so I had no choice but to pretend to know.

But I honestly don't think it's true at first.

Anyway, James Hope nodded readily to my question.

"Of course. I think people who showed those symptoms as children tend to develop these symptoms as they get older. Well… someone has expressed that opinion before."

"okay?"

"Yes, of course. What a terrible disease this is. Suddenly, one after another, you start dying."

“Well… that’s the kind of disease it is.”

I nodded too.

Why wouldn't there be cases of children dying from heart disease in the 21st century?

Although it has become very rare, there are still cases where the heart is damaged due to rheumatic fever.

A complication of a childhood fever called Kawasaki disease can also damage the heart.

I've heard that this progresses so quickly that there are cases where children who haven't even started school suddenly die.

“If you listen to the hearts of those people, you can hear a hissing noise.”

"noise……?"

“Yes. At first, I wondered why it was like this.”

"Do you understand now? You reasoned with your anatomical knowledge?"

“Yes? I did an autopsy.”

“Ah, an autopsy.”

In cases like rheumatic fever, it can lead to myocarditis, and over time, the heart valves are usually damaged.

A valve is a kind of automatic door that closes suddenly when blood is squeezed out of the ventricle to prevent it from flowing back in that direction, and conversely, the valve on the aorta side opens to allow blood to flow in that direction.

When this narrowing occurs, the ventricle has to exert more force to pump blood, which puts a strain on the heart and causes the heart to enlarge, which ultimately leads to heart failure.

On the other hand, if it becomes loose, blood will keep flowing backwards, so the heart will have to work hard to properly send the same amount of blood, which will eventually lead to damage.

"When we performed an autopsy, we found that the valve leading from here to here, the mitral valve, was damaged. The heart was also significantly enlarged compared to other people."

"What's the chance of not dying after this? You've seen it so many times, you should know."

Liston asked, looking at a painting by James Hope.

Then James Hope shook his head with a bitter expression.

“No. You’ll definitely die.”

“Unconditionally?”

"Yes. That's why I was thinking about getting surgery, but honestly, how can you put a knife to your heart? But seeing you present at this conference gave me courage. I've already gathered several people who want to undergo surgery."

"okay……?"

"If it's possible, would you mind coming in with me for the surgery? I think the patients would appreciate it."

This is… … .

It was an offer that there was no reason to refuse.

I need to practice some anyway.

I also thought that it would be better if the subjects were patients who were destined for an unavoidable death and were prepared for immediate death.