Dark-Haired British Doctor Chapter 460

Episode 460: Advances in Anesthesia [1]

I returned home feeling overwhelmed with emotion for the first time in a long time.

Not alone.

In the first place, it was thanks to Liston's suggestion that we put our heads together today, not to mention living together with Joseph and Alfred.

My team isn't that big, but half of them decided to hold a meeting, so the rest just followed along.

'I don't know how much help they'll be, but… … .'

If it were me before, I would have told them all to get lost.

When you think of the 19th century, you think of barbarism.

But not anymore.

Because in the end, whether it's the 21st century or the 19th century, we've come to realize that we're all the same people.

Besides, right now, we really need a bracken hand.

Yes, as Liston said, we should take it as a lesson.

“I’m sure you heard something on your way here, but I think I’m going to have to have heart surgery now.”

“Oh my.”

“Oh…….”

Fortunately, since it is a part of the body, everyone is careful.

This is especially true for people who have seen hearts pounding.

If you don't know at all, that is, if you are ignorant, you will be brave, but that is not the case in this situation.

“Tell me, even if it means forcing yourself.”

Normally, I would have taken the lead.

But today we want to adopt true democracy.

It's not that I don't know for sure.

Now… … I think their level has risen that much.

"hmm."

Of course, if I were an ordinary professor, no matter how much I said this, no one would really raise their hand and express their opinion.

The saying, “The West is free,” is something that only makes sense in the 21st century.

The West in the 19th century can be seen as being similar to the East.

Ah, the story might be different in China or Joseon, where absolute monarchs still wield absolute power and the class system is also strong.

But compared to 21st century South Korea, this place is a real old fart paradise.

But who am I?

This is Kim Tae-pyeong.

The youngest professor!

Since I wasn't called here from somewhere else to study, the kids here are my classmates or seniors and juniors.

“Oh, senior. Tell me.”

“I don’t know if this makes sense…….”

“It doesn’t matter if it doesn’t make sense, just tell me.”

Thanks to that, Alfred can open his mouth like this.

If it were in front of another professor, I would have been put under anesthesia right away.

Whether by drugs or physical assault.

“Aren’t I in charge of anesthesia?”

But our team is more than just a teacher and student; we are comrades who actually work together.

Among them, Alfred is in charge of anesthesia for our team.

It's because my hands are a bit dirty…

Whatever the reason, when it comes to anesthesia, not only Liston and Blundell, but even I am inferior to Alfred now.

"yes."

Knowing that, Liston simply nodded and showed no reaction.

Alfred, who had to ask permission from the scariest person in the place, continued speaking with a face filled with courage.

“These days, I’m checking my blood pressure while I’m under anesthesia… This is definitely true, if there’s a lot of bleeding, my blood pressure fluctuates a lot.”

“Oh, that’s right. That’s why I connected the blood transfusion system.”

“Yes, that’s right. I did feel a little better after doing that… but there’s another problem. It’s my breathing, my breathing.”

"breathing……?"

I listened to Alfred's words.

There was also the case of James Hope, and what Alfred was talking about now was quite plausible.

'Breathing… is important.'

Wasn't it one of the vital signs in the first place?

In order for a person to survive, blood pressure must be maintained, but above all, breathing must be maintained.

Despite this obvious proposition not being properly adhered to, the reason why so many people do not die in our hospital is because we only perform surgeries that are worth performing.

Amputation is a pretty big surgery… … .

Liston finishes so quickly, right?

So, the bleeding is less than expected.

It seems to me that there are fewer amputations than in 21st century orthopedic surgery.

There, it was flowing out in buckets and such.

Well… … Of course, the amount seemed much larger because the sap and disinfectant water were mixed together.

“Every time that happens, I lift my mask and catch my breath… This isn’t easy.”

“I guess so. It seems so.”

Of course, there were times when one had no choice but to undergo risky surgery.

Surprisingly, Nana Liston would not have had to undergo such a dangerous operation if she had not become so entangled in such a dirty matter.

The one undergoing the most difficult surgery was Obstetrician Blundell.

If it were before, I would have gone in there and seen if there was anything I could do to help, but I've been too busy lately, so I've put it aside for a while.

From what I've heard, it seems Alfred isn't like that.

Well, senior, you said you were a disciple, but in reality you were a slave, so it was understandable.

“Yes, so I came up with something.”

“Ah… you mean that front tooth breaker?”

“If I could break my front teeth and survive, wouldn’t that be beneficial?”

“I think so too. But it’s true that it’s a bit violent.”

No, the slave seemed to have escaped.

Don't you think it's a bit much to call someone who voluntarily improves something a slave?

It was quite surprising, even though I didn't know what I was doing.

“What is it?”

So when I asked, Alfred took out a stick from his bosom with a look on his face that said he had been trying to show me anyway.

I'm not trying to disparage it by saying it wasn't something I was involved in, but it was a real stick.

To be more precise, it was a thin pipe with a hole in it, like a metal bar.

“You put this around your neck.”

“On the neck……?”

Liston's expression darkened as he remembered the unpleasant sight.

I did the same, but everyone except for those two had a 'what' look on their face.

Now that I think about it, it seems like everyone except us has used this.

"like this."

"ah……."

"You can blow air directly into your lungs. That makes it much more stable. The only downside is…"

"My front teeth keep breaking. And the back of my neck often gets torn."

Blundell, who had been adding a few words to Alfred's words, shook his head.

It was terrifying just to hear about it, but it was even more terrifying to see it in person.

Well, that was to be expected.

I've seen something similar when I was at a university hospital in the 21st century.

Of course, I didn't mean to poke a stick like that in, but I tried to put in a plastic tube like the one we often see in dramas and cartoons, and an accident occurred.

This is quite possible when the airway is almost blocked and vision is obstructed.

'In the end, I slit my throat.'

In such cases, emergency tracheostomy may be necessary.

There will be complications if scars remain and adhesions develop later, but it's better to not die right away.

“I think heart surgery… it’s not going to be easy, but I think we should definitely consider it.”

"But I do need to make some adjustments. If you lose all your front teeth, there are cases where it bleeds and you can't put them back in."

“Oh, yes. Then I’ll die.”

"Yeah, he's dead. There was a case like that. I followed the instructions from before and slit his throat, but he died."

Since they are still unfamiliar with performing emergency tracheostomy, it seems that there have been several accidents.

It is said that an accident occurred in the obstetrics and gynecology department, and both the mother and the baby died.

It's a tragedy, a tragedy.

‘Once I solve this, I’ll have to take a good look at the obstetrics and gynecology department… … .’

Since we live in an era with such a high maternal mortality rate, it's probably rare to find someone who thinks as deeply as I do.

But I am a 21 year old person from South Korea.

This means that we come from a country where the maternal mortality rate was at best 4 or 5.

This means that about 4 to 5 people per 100,000 people die.

Of course, right before I died, the mother's age was increasing and she was running towards 6 or 7…

Even that number pales in comparison to the maternal mortality rates of the 19th century, which soared into the hundreds and thousands.

'The weight of death doesn't get lighter just because many people die.'

I looked down at the stick-shaped iron pipe, thinking that I should do something later.

If we could just round this down to a certain degree, it would be better than before.

Also, if you make a separate device that can press down the tongue, you will be able to secure a safer field of vision.

Since we are still in an era without electric lights, it would be unreasonable to expect a view like that of the 21st century, but still, looking at something tilted back and looking at it normally are not the same.

“Oh, now that I think about it, I also have some issues that I need to improve on.”

As I was thinking about that, Liston opened his mouth.

It was clear that this gentleman's words were worth listening to.

He's already undergoing more surgeries than me.

It's not just a matter of skill, but also of physical superiority.

He cuts people's legs and arms with a knife, but he doesn't get tired.

Even though I followed him and had stomach surgery, it was still the same.

It's become a bit less common these days, but there are still quite a few circumcisions that are done.

“I mean the arms and legs.”

“Oh, yes.”

“That must really hurt, right?”

“You call that… talking?”

So I listened closely and found out that he was saying something strange.

If it weren't for Liston, I would have hit him in the back of the head.

If I could hit Darwin on the back of the head, why can't I hit someone else?

‘Really… … You have to console yourself with the fact that you are stronger than me… … .’

As I was thinking about this, Liston continued.

“As a result, there are people who wake up or move even after being anesthetized.”

"ah……."

After listening to it, I thought it was a good idea to stay quiet.

Certainly, our anesthesia system is currently in a vulnerable state.

They're putting people to sleep with laughing gas, chloroform, ether, etc… … but how effective will that be?

Even the side effects are so serious that they are using the minimum dose that causes anesthesia to a person.

This means that depending on the person and the surgery, there are bound to be people who wake up.

“There was no accident?”

“I caught it and cut it. I couldn’t move it. It felt strange to hear a scream after such a long time.”

“I… I see.”

Fortunately, my surgery was relatively painless.

Otherwise, I would have had to catch it.

Well, it wouldn't be impossible, since there's a formidable businessman named Joseph.

Still, if the patient screams with his stomach open, it seems like it might be a bit much.

“But is your heart okay? Here too… I think it’s going to hurt like hell.”

"ah……."

"We have to split the bone, too. To see inside the heart, not just the shell. Will this… completely anesthetize?"

"ah."

I imagined it.

A patient with an open chest jumps up and screams… … .

It's the kind of horrible thing that makes your heart skip a beat and you end up dead at the table.

'Wow, then I guess I won't be able to hold a scalpel again… … ?'

I'm human too, so I worried about myself first, but the patient is actually a bigger problem.

It's a risky surgery, and there's a high chance of death, so does it hurt?

Is it okay to do something like that?