Dark-Haired British Doctor Chapter 461

Episode 461: Advances in Anesthesia [2]

Our meeting ended there for the time being.

I had work to do the next day, and more than anything, I didn't think anything would come of dragging it out any longer.

That's not to say there were no results.

You have a deep understanding of the need to secure more stable breathing and a more powerful pain relief effect.

I find it very encouraging that not only I, but also 19th century doctors had such thoughts.

‘In the past… … .’

Not only Liston, but also the director and Blundell had something to say as if it were a habit.

-It's a matter of life and death, so is it okay to be sick?

The patient's pain was not taken into account at all in the treatment.

Compared to 21st century medicine, where the principle of looking at a patient's pain as much as their vital signs has long been established, it seems quite primitive…

This isn't necessarily because 19th century doctors were less savage than 21st century doctors.

It must have been because there was simply no other way.

Above all, he would have been anxious to save her.

It literally looks like it's all gone, but what the hell kind of pain is this?

'But that Liston mentioned pain first. That's a really good sign.'

It looks like you have some free time.

This means that we can now look after not only the disease but also the patient.

The only problem is that this time I have no real solution.

In fact, I knew best that the anesthesia was imperfect.

It's not because I'm awake, it's because I've already seen the answer.

No, I don't think modern medicine is the answer…

Anyway, I remember taking for granted answers that were much more advanced than what I have now, every day.

'Stability, durability, analgesic effect, and side effects are all inferior.'

Knowing this and still remaining silent would have been truly evil.

So, I set up a research institute and also pestered the people working there… … .

It's just a shame that all that came out was cocaine.

Of course, our lab banned production… … .

If it's banned, would that be Britain?

'Ahhh… … .'

Of those who own shares in our hospital, everyone except me is probably involved in production.

My brother doesn't really say anything, but judging by the increase in spending these days, it's 100% true.

I even thought about participating rather than just covering my eyes and pretending not to know… … .

Isn't there a world of difference between doing something knowing the ending and doing it without knowing?

Human Kim Tae-pyeong, he hasn't fallen that far yet.

Anyway, cocaine is being distributed.

And it does so with frightening momentum, across a wide range of fields.

'You mixed it with wine.'

Alcohol is an addictive substance, so what happens when you mix it with cocaine?

There's chaos.

It's very trendy, that's what I'm saying.

These days, I'm afraid to even drink wine outside because it's served everywhere.

What if I become addicted to cocaine without even knowing it?

Of course, the people who use cocaine most effectively are doctors.

Even just hearing the name nitro or something makes it sound dangerous, but they give it to you as a medicine, so would you just leave cocaine alone?

'They say it has an anesthetic effect.'

When it is food, it is only consumed, but when it becomes medicine, the usage becomes very diverse.

Of course, most people take it orally, but they also inject it with a syringe developed thanks to me and apply it here and there… … .

As a result, it seems that an unexpected effect was discovered.

I heard that if you apply it to the mucous membrane, it anesthetizes the mucous membrane?

The effect is so significant that there are already reports that dentists apply cocaine to the gums before tooth extraction.

It is difficult to say that it is completely wrong to use general anesthesia to extract just one thing, and given that trust in general anesthesia is still low.

So you use cocaine in heart surgery?

For a moment, I imagined opening the patient's chest and pouring cocaine into it.

Would that be horrible? Or would it be horrible to see a patient with a broken heart wake up and say, "Ugh!"

“Fuck…….”

Both of these things should not happen.

It will be preserved in history and will be taunted for a long time.

In the 21st century, there are these weird guys called YouTubers.

Those guys who are trying to steal the hearts of innocent doctors from history just to suck up the number of views… … .

I don't think it would be strange if the 'History of Medicine: Kim Tae-pyeong Series' came out already, but why are you doing this?

No, this won't do.

“No, wait…….”

As I was thinking that it wouldn't work, I suddenly thought that maybe it would work if I just didn't move.

You might be thinking, what kind of cruel idea is this?

In fact, surgery on a person who is not moving is bound to be less painful than surgery on a moving person, even if the same pain-relieving medication is used.

If things like muscle tension drop, you can cut it twice, but only once.

Since you will need to use much less force to pull the surgical area, the stimulation will likely decrease.

And I know a pretty strong work ethic.

‘Pufferfish poison… … .’

It is a representative neurotoxin.

Why, sometimes when you watch the news, don't you see stories about two people eating puffer fish and both dying?

Normally, you'd think, 'Wow, why are you eating puffer fish?' But an extraordinary doctor like me knows how to look into the reason.

Of course, can anyone become a great person in history?

Why on earth would anyone die?

The neurotoxin causes the muscles to stop moving, leading to respiratory failure and death.

The important thing here is that the muscles do not move.

'It's not like it won't move at all.'

If you watch the news carefully, there are also articles that say, 'He almost died, but was saved at the hospital.'

By the way, there is no antidote for pufferfish poison.

You might think it's strange.

If you read something like a martial arts novel, you get poisoned and if you don't take the antidote, you die for sure.

This is a typical mistake that occurs when we overlook the fact that our body has a liver.

All poisons are naturally detoxified if left to breathe long enough.

Of course, if the liver fails before that, it's over…

'Just keep breathing, and it will survive on its own. And just keep breathing.'

They say that one dances on a moonlit night, but once activated, the mind showed no intention of settling down even though it had been a long time since it had become pitch dark.

This means that new ideas are popping up one after another.

In other words, it means that you have trouble sleeping… … .

That's okay, I guess.

He's not just a worker.

Ah, I'm a little tired. I thought about resting today, but there's no one to tell me what to do.

"good……."

The pain part has been resolved to some extent, although not perfectly.

Even if you wake up in the middle of the night and feel some pain, you won't be able to move.

'This is a bit of a horror… … I have to pray. Lord.'

The more I think about it, the more I think I shouldn't break it.

Maybe it was because I thought about it with that hope in mind, but a reasonable conclusion soon came to mind.

‘Come to think of it, if there’s no spontaneous breathing, no matter how much we blow on them, it won’t be enough, right…?’

Our bodies, of course, are always doing their best to survive.

When you see cells at work, don't you think that you shouldn't treat your body carelessly?

Neither the heart nor the lungs, no, they are all doing their best to the point that listing each organ is meaningless.

Naturally, organs work differently depending on external changes, and one of the many stimuli that causes this is hypopnea or hypoxia.

When that happens, our body naturally minimizes oxygen consumption.

First, consciousness becomes clouded.

This does not necessarily mean brain damage.

Rather, it can be seen as a phenomenon that occurs to avoid brain damage.

'Yeah, then of course… … I won't wake up. I'm a genius after all… … .'

good.

The pain is completely resolved.

Next is breathing… … .

The best thing to do is, of course, insert a plastic tube and turn on the oxygen.

In fact, if you go to a hospital in the 21st century, even a small hospital will have at least one intubation set and oxygen.

It's not only very common, but also cheap.

But now?

'Plastic… how do you make that?'

People say there are a lot of problems with microplastics and such, but do you think humans would create and use them for nothing?

I made it because I needed it all.

It's such a shame because it's not there…

It's a shame I'm so ignorant.

'Oxygen can be made, though.'

Surprisingly, oxygen was already confirmed in the 18th century.

For example, a candle burns better in the gas produced by burning mercury oxide.

The problem is that nothing has really developed since then.

To create oxygen, we still need to burn mercury oxide… … .

It's not that easy.

'But I'm telling you to try anyway, you know.'

Are you going to make money with heart surgery?

Surgeries with a very high risk of death should no longer be considered surgery, but research.

Thinking about making money while doing research is the sign of a thief.

Of course, it would be nice to make money too.

Can you live with this?

Then I think I can earn it then.

And once they figure out that oxygen is money, I'm sure some genius will figure out how to make it cheaper.

From what I see, these kids don't do it because it's difficult, but more often because they don't have money.

'Okay… …Okay. Then there's only one thing left.'

I picked up the long iron bar that Alfred had left behind earlier.

It wasn't that thick, as it was something that had to be put down a person's throat.

But if you wield it well, it seems like it could make your opponent desperately need it.

It's just a lump of iron.

That looks very stupid too.

'This… is put down a person's throat… … .'

This… … .

This… …?

You just put it in without me… … .

I don't know whether to praise this crazy experimental spirit or what to say.

One thing is certain, Alfred is also doing his best where he stands.

This means that in difficult circumstances, you are trying to do something without giving up.

'It's a good thing. It's a good thing, but… … I can't keep putting this in.'

I know that's not the right answer.

But I don't know what to do or how to do it.

This doesn't work well with rubber.

It's too difficult to make it with the right strength.

I made something similar once before and used it, but it broke the second time I tried to use it, so I threw it away.

What if it broke during surgery?

Someone who didn't have to die must have died.

'It has to be done by rail.'

That's why we still have to make the pipes out of iron, that is, out of solid metal.

A curved shape would probably be better than a straight one, but I'm not sure how much it would have to be curved to fit in better and hurt less.

After thinking about this all night, I went to see Liston with dark circles under my eyes, and he was laughing heartily as usual.

And then he gave a very clear answer.

“Why don’t you try it!”

“An experiment?”

"I heard there are a lot of new prisoners. Anyway… isn't this just going to break at best?"

“Ah… well, that’s true. Well, to that extent….”

“Yeah, Colin, I pulled out your teeth myself, so it’s normal for them to break! Let’s go.”