Dark-Haired British Doctor Chapter 46

Episode 46 Sap [2]

In conclusion, I don't think I'll be using the angry and slapstick thing very often.

The two of them were grumbling so much.

Joseph expressed such intense doubts that he would not have been surprised if I had not been the one who had inspired him to become a doctor, and Alfred would not have been surprised if I had not been a kind of lifesaver.

'Still, what… … .'

I was watching over the patient.

In the meantime, the kids boiled some water.

While it was cooling down, that is, while I was waiting, I grabbed the vein.

“Uh… … But is it okay… … to grab such a large blood vessel?”

I couldn't just wrap a tourniquet around his arm and hold him like I was drawing blood.

First of all, since it was a time when new materials such as rubber and plastic did not exist, there was no concept of lines.

No, there was no concept of holding a line before that.

Anyway, isn't this an era where there is nothing?

rather…….

In fact, a central venous catheter seemed safer.

“The needle is too big… … .”

"ah……."

The needles were literally huge.

If you look at alternative history, you'll see that even Joseon Dynasty craftsmen could make anything in minute detail if they just ordered it, but the Londoners of the 19th century were in a state where they couldn't understand how it was like this.

The needle was so thick that I thought it was for killing, not for injection.

Ji-i-ik.

Anyway, I found the jugular vein of the patient who was losing consciousness and put a needle in it.

“Ugh, ugh.”

pain?

Pain was bound to be there, of course.

The patient moaned loudly even while not fully conscious.

“Hey, can’t you put me under anesthesia?”

Alfred, who couldn't stand to watch, spoke up.

His gaze wandered between the patient and his fingers.

It seems that since he had personally experienced immense pain, it was not like someone else's business.

'You can't say that your blood pressure may drop or your breathing may be suppressed… right?'

The only anesthetic I've checked out so far is nitrous oxide.

I didn't know much about that gas.

At first, it seems to awaken the patient somewhat, but then it anesthetizes them, and if it goes on like that, it can lead to death through respiratory depression?

This patient is in a situation where you can't say he's healthy even if you just look at him, so why are you using that here?

In the 21st century, do surgeons really check whether it is okay to use anesthesia before performing surgery?

Even though anesthetics have advanced so much, what would happen if we were to use them indiscriminately now?

“It’s just one stab, so what?”

“It’s almost like a knife… …? If you stab me with a knife and say it’s one time, will that work?”

“Well… … Okay, that’s it for now.”

So, we couldn't use anesthesia.

The excuse was a bit inhumane, but… … .

Anyway, I managed to stab it in.

If you do it wrong, you might end up stabbing the carotid artery instead of the jugular vein. I guess I'm a genius surgeon.

In a time that could be called a split second, such a thick blood vessel was inserted into a gap in the blood vessels that were so blood-lost that the walls of the blood vessels were almost stuck together.

“Has the water cooled?”

“Huh? No? It’s still hot.”

“Hey! Don’t put your hand in there!”

"why?"

“It’s… it’s hot.”

The crazy guy tried to stick his finger in it after boiling it for a long time.

No, it could have already been put in.

Come to think of it, I didn't see how you brought it in.

But I couldn't tell him to boil it again.

'I can't help but hope that the patient is really strong… … .'

Can this really be called a sterile procedure in the first place?

At best, they cleaned the skin with lime chloride and inserted a needle that had been soaked in boiling water.

Moreover, other parts of the patient's body were still covered in dirt.

'It's not just a problem now… … .'

I thought about it.

It's not just blood that's being shed, is it?

Surely you wouldn't have sterilized something that was meant to draw blood… whether it was a needle or a goose feather?

There was no way that could happen.

If there was going to be an infection, it had already happened.

But it never occurred to me to mix it with unboiled water.

'The Thames… … that shit water… … .'

No matter how much I thought about it, it seemed like London's water and sewerage systems weren't properly developed.

If that were the case, then huh? Would the water smell like this?

I boiled it once and it's fu*king crazy, so why didn't I boil it…?

That was a great way to kill.

'From now on… …Should I make some distilled water so I can use it in an emergency?'

As I continued to write down all sorts of random thoughts, thoughts that could be read as laments, I began to feel the water cooling down.

I didn't say I touched it.

That was the temperature transmitted through the iron bowl.

“Oh, oh! The patient is having a seizure!”

At that moment, the patient's whole body began to convulse.

It wasn't something you see often, but it wasn't rare either.

It was a situation that would be familiar to anyone who had ever seen a trauma patient.

This can sometimes happen when there is a lot of bleeding, reducing blood flow to the head.

Then what should we do?

They had to either find the cause of the bleeding or give blood.

Since both were impossible now, I had to give them water.

Even if it's thin blood, shouldn't it be circulated throughout the body no matter what?

“Hold on to them. Don’t let them slip away.”

“Uh, uh!”

"huh!"

Anyway, Joseph and Alfred were not stupid, they just didn't know anything.

Even while holding the body of the patient who was suddenly convulsing, I was careful not to lose the needle I had just inserted.

Whatever it was, it seemed like he had figured out that this was something that was quite difficult to put in and that he couldn't leave it out now.

"ha……."

Does that mean the situation has improved a lot?

It wasn't like that either.

First of all, there was no line.

The needle that went in is just a needle, so how could there be a rubber band?

'In many ways… … If condoms are made, there will be too many things to make separately… … ?'

For a moment, I thought of the long, dark things strewn about in a place that I couldn't tell if it was a factory or a lab, and then slowly poured water into the funnel.

Even though I poured it carefully, it seemed like there was quite a lot.

The blood vessels were too clumpy to begin with.

"and……."

The jugular vein was visible bulging.

‘This… … If air gets in there, it’ll get clogged right away, right?’

Air embolism.

It's something that happens when too much air gets mixed into the blood vessels, but it's something you probably haven't heard of before.

Because that rarely happens.

Think about it.

Whether there was any space for air to enter.

Aren't the sap and the lines all just empty space?

Besides, the person putting it in is a skilled nurse, so how could an accident happen?

'fu*k… … .'

But this place was an exception.

Since water was just being poured into the air, it was an environment that was perfect for an accident to happen.

If you pour in too much water, air bubbles will bubble up, and if they get in, you'll die no matter where it blocks you.

Because right now, this patient is not in a state where he can solve even the smallest problems on his own.

“Uh… … It stops.”

Separately from that, the water that was poured in was restoring the patient's shrunken plasma volume in real time.

Even though it was thin blood, it was said that blood could be transported to various places including the head.

If this was blood, it would have been perfect… … .

"good."

“Wow… … How is this… … ?”

“How can this really happen?”

Just looking at the two faces, this result alone was a great achievement.

Wouldn't a convulsion at this time mean imminent death?

In an age where blood transfusions are not possible and there is no concept of volume, how can we treat cramps caused by low blood flow?

There would not have been any treatment that could even have a short-term effect.

It was only natural that these two looked as if they had seen a miracle.

“From now on… … .”

These two are okay though.

Because he's not the kind of person who would snitch on me.

But I was worried about what might happen if word spread.

Especially Jemel.

Isn't this a situation where he blatantly saved the patient he killed?

Even our Dr. Robert was back home.

“Let us pray.”

"huh?"

"pray?"

So I decided to demonstrate my amazing faith.

‘From now on, it’s up to the heavens anyway… … .’

If you think about it, it wasn't that surprising.

Since there's nothing I can do, I guess I'll just pray.

In this situation, I'll either give you antibiotics or I'll give you blood.

I had to give him water or a sling, but I couldn't even tell the exact amount of bleeding.

That's because blood tests are impossible.

'I don't know, but I think the hemoglobin level is below 5 (normal level is 13-17)… … .'

There were also grandmothers who got by without any symptoms even at level 5.

When we drop slowly, due to reasons such as nutrition or chronic illness, our bodies do something called adaptation.

But what if a healthy adult, a man whose only symptom was a headache, fell so low?

It wasn't that he was mistaken for dead and put in a coffin and then came out.

“Yeah, yeah. Let’s pray.”

“As expected, Pyeong-i’s faith is really good.”

The other two, with faces that didn't understand English, took my hands and began to pray.

Although the prayer started suddenly, both of them did well.

It was natural, since I had been a Christian since I was born and raised there.

Squeak.

At that moment, the classroom door opened again.

It was noisy and noisy, like, "What should I give you when you have a seizure?" Then it became quiet, so wouldn't you be curious?

Of the three, I was the only one who believed in nylon the most, and I kept my eyes wide open and watched the guys coming in.

Since I was born with small eyes, it helped me in times like this.

It's like I can't even imagine what I could see with my eyes wide open like this.

"ah……."

“I wonder if you will pray for his soul to rest in peace.”

"oh……."

“Oh, really. What are you talking about, you idiot, when you have such devoted students?”

Blundell was involved.

Perhaps Colin meant to call Jemel, but ended up calling Blundell instead.

That man is a man who would not feel wronged if he were called Robert Liston's subordinate, so it wouldn't be difficult for me, who became the professor's sworn brother.

Since you saw me praying, you had no choice but to take my side.

"no."

“What? Do you have any disrespectful thoughts about a scene of prayer?”

“No, that’s not true. But that patient… … .”

“Is there any evidence that he was taken from the grave? And he just moved his fingers. Are you saying he was buried alive? Do you think a medical student would be so obsessed with urban legends that this would work?”

“Really… … It’s true.”

“Oh my! Trusting your family and acting like a fool is only going to happen for a day or two. Stop it.”

Colin looked aggrieved.

Well, it couldn't be helped.

Look at what's been done so far.

I got hit with laughing gas until I almost died, and the next day I had my teeth pulled out, but no one even noticed.

It's clear that the body was dug up, but it wasn't.

Even the scenes that seem sacred are being staged.

'Huh… … It's not like your face only looks wronged… … ?'

It's a bit embarrassing for me to say this, but… … I'm a genius.

Since ancient times, geniuses have been people who unintentionally hurt those around them.

Especially when I was young, I had an undeveloped personality, so I showed it.

They say that they lived a life of inflicting narcissistic wounds on others, and some of them caused accidents while making such expressions.

In other words, Colin's face right now looked like he was about to have an accident.