Dark-Haired British Doctor Chapter 465

Episode 465: Advances in Anesthesia [6]

As time passed, everyone woke up.

It means that he died and came back to life.

"oh……."

"and……."

“That is…?”

There were significantly fewer onlookers than before.

Compared to shoving a metal piece down someone's throat, breaking their teeth, and then suddenly slitting their throat and shoving another piece of metal into it, it was a boring spectacle to see them making a hissing sound and injecting air into it.

In 21st century terms, it would probably feel like a bullying attack.

Okay, this is called a breather.

In other words, it's not a sight worth seeing at all, but considering that, it's surprising that there are even this many.

'Well, what am I going to do when I get home?'

No, it might not be that surprising.

It's a different story for the wealthy.

It's delicious, no, because it's England, there's food to fill you up, there's a place to invite people over and chat, or you can indulge in some lovey-dovey fun with your lover.

But for the vast majority of London's lower classes, the story is completely different.

These people often don't even have a home.

Most of the people who came up from the countryside to find work are strangers to having houses.

It's not that there are no homes for the poor, it's just that there is an absolute shortage of homes.

‘I’m not doing that much, so… … .’

In 21st century Korea, they would come up with a novel solution called apartments, but this is 19th century London.

To the vast majority of politicians, the wealthy, and the aristocrats, the lower classes are not people, but something else.

franchise?

It's still too much to hope for something that romantic, so you can just think of it as a tool.

A tool that allows the factory to run smoothly.

But since it's not a machine at all, it needs to be fed and put to sleep, so there are facilities for that.

'There's a four penny lodging.'

It's literally a place where you can go and sleep for just 4 pennies.

I'm embarrassed to say, but I've been there to see it too.

I didn't go alone, I went because Liston suggested I go.

I'm not that evil of a person.

Anyway, in my opinion, it is the first capsule hotel, to put it in the best possible way.

To put it badly, it's a coffin, but in reality, there are real coffins lined up and you sleep in them.

If even fourpence is too expensive, there are also twopence lodgings, which are places where you sleep with a rope stretched out and your shoulder draped over it.

I think it would be much better to see such a novel spectacle on the street than to go there and spend money and be worked to death.

“They all survived.”

“Is this the end?”

The police officers looked at the prisoners who had just woken up and asked them with a look of regret.

It was definitely painful, but wasn't it actually anesthetized?

You might be wondering, is this a punishment?

I'm not a member of the judiciary, so I'm wondering if I really need to punish them myself.

The only problem is that there is still a lack of experimentation.

“No, let’s do it again tomorrow.”

“Oh…? With these guys?”

“They’re not even dead, are they? And don’t they deserve to die?”

“That’s true. I wrote down everything I confessed earlier.”

It's not that it's not night now.

The amount of pufferfish poison was excessive, that's what I'm saying.

Maybe if I have to have a longer surgery later on… … .

There is no need to do muscle relaxation like this yet.

No, it's not that it's not necessary, but you shouldn't do it.

"eww……."

“My arm hurts…….”

That's because the ventilator is 100% manual.

Fortunately, today only 5 people were anesthetized at once, and many of my students as well as the onlookers wanted to try it, so it somehow got over. But if it were to continue like this on a regular basis, would it be sustainable?

Even when changing people, you have to look at each angle.

Otherwise I'll just lie down.

I think the scariest person in the world is the one who just refuses to do anything.

It's easy to think of 21st century South Korea without going too far.

I'm not having a child.

There was no use in making a fuss about the country being ruined if children were not born.

‘What… … If I tell you to give birth without creating an environment for it, what’s the point?’

Even if you call it a low birth rate countermeasure committee, if it's just old people coming out all the time and saying this is the problem and that is the problem and it doesn't seem to work out, then in the end, it's because young people these days are selfish. Are we going to have children when this is happening?

This problem is the same.

What if I said that medical students these days are selfish and don't want to sacrifice an arm?

Those who have no intention of making sacrifices will all run away.

Then who loses?

grow.

"Yes, they're extremely evil. I suppose I could punish them a little more. But tomorrow will be a little shorter."

“Ah… yes, yes. That’s good. What is this… how many hours has it been today…?”

"Yeah, that's a bit much. I'm thinking of making this last an hour."

“An hour… that would be appropriate.”

I intend to do my best.

This means that we plan to adjust the muscle relaxation time due to pufferfish venom to about one hour.

You might think that an hour is too short.

In modern medicine, only really simple surgeries can take an hour.

Even the one hour I set is not the surgery time, it is the anesthesia time.

Excluding the time spent disinfecting the front and back and such, the actual time you can actually use the knife will only be about 40 minutes.

'But what can I do? The anesthesia technology can't handle anything more than that.'

To be honest, I've never really thought deeply about anesthesia.

Even if you call it anesthesiology, from the perspective of the surgery department, it feels like a built-in closet in the operating room, like interior decoration.

Of course it was there.

If the patient asked for anesthesia, he would give it to them, and no matter how many hours the surgery took, he would make sure the patient's body could endure it.

But when I try to do this myself, it doesn't work.

-Ah… …He died again.

-The surgery went well, but he died. This is really bad.

In the current situation where the drug is unstable and the rest of the system is failing, anesthesia is extremely dangerous.

One hour is the max.

If it's more than that, problems arise exponentially.

Oh, what happened to the prisoners now?

“Please… please save me!”

“I’ll do it tomorrow too……!”

“Tea, Larry… I’d rather kill you….”

The anesthesia probably wore off a while ago.

If you can't move because your muscles aren't relaxed, you must have felt pain.

Well, even if you call it pain, it's not the kind of pain that cuts you with a knife.

I'm a doctor, not a killer.

It's just a pain like having a lump of iron stuck in your throat.

It's not exactly the kind of pain I want to experience, but I wonder if it was so painful that I would die.

“Tomorrow is shorter than today.”

"no……."

“That… is that what you want to say?”

“Not even a human……!”

"You're the ones who aren't human. Don't you remember what I said earlier? This isn't even torture."

“What we did wasn’t torture!”

“This is… this is…!”

“Eww! Turn it off.”

Liston gently put the seizure-stricken man to sleep.

I looked down at the guy lying there and thought about how he had been about 30 minutes ago.

It was quiet.

There was only a hissing sound.

If you look at it from the outside, it looks like he was anesthetized.

But in fact, it was only a state of muscle relaxation.

There is a significant difference between the two, one being the presence or absence of pain, but the bigger difference is the presence or absence of consciousness.

'Is it a bit like waking up from anesthesia…?'

Awakening during anesthesia means, simply put, that you are conscious during anesthesia and feel pain and pressure from the tube inserted into your throat.

It is not a ghost story, but something that can happen extremely rarely even in anesthesia performed in modern medicine.

Especially in cases like the trauma surgery department I was in where we perform very large surgeries, we are able to directly encounter actual cases.

I saw a case too.

Of course, rather than feeling the pain, he said it was more like, "Oh… am I awake?"

That alone could be a possibility of PTSD, so you should see a psychiatrist.

‘I guess the technology is a bit lacking now… … so it must have been more vivid, right?’

Actually, there's nothing to say.

Their eyes were moving, but they couldn't breathe.

It's going to feel like you're being held down by scissors, that's what I'm saying.

The only difference is that the ghost has a lump of metal shoved down his neck.

‘This is going to be really scary.’

The more I thought about it, the more I understood why they were doing this.

“Ugh, euaaaah!”

One of them must have had a pretty intense experience because he acted like the patient we saw on the screen during class.

It means that even if you raise your hand, you will start trembling and screaming.

If someone saw me, would they think I had been to war?

In fact, he was dragged to the police station after stabbing and drowning helpless people.

“What, are there worse guys? If there are, let’s do it with them.”

"doesn't exist."

Of course, I'm human too, so I felt a little bad thinking about doing that to the same guys again.

But what if it doesn't exist?

“Well, well… it’s more accurate to experiment with adjusting the dosage on the same person.”

“That’s great. You didn’t look that tired, but I’m annoyed by all the fuss.”

Besides, if you think about it, this is better if you only consider the experiment.

The police officers seemed very willing to cooperate with me, as they had no idea about the concept of awakening while under anesthesia.

Of course, my group was no exception.

“What the hell are they talking about.”

“Yes, I did. I was given anesthesia.”

“If you’re sick, tell me.”

“I guess it was bearable.”

There is no need to ask the doctor whether this is okay.

Does the doctor's knowledge just come down from heaven?

You have to learn to know.

Even so, it was a bit much to say something like that when there was a lump in my throat and I didn't say anything…

'What is that…? It's a mistake that even internal medicine students often make.'

This has been brought up several times, but I remember that among my close friends, there was a kid who was an ENT specialist.

Honestly, I laughed every time I complained about minor surgery, but there were some funny stories.

The internal medicine department keeps sending me to the collaborative clinic to check the vocal cord movements of patients who are intubated.

Intubation is inserting a tube into the windpipe through the vocal cords, so how can you possibly see the movement of the vocal cords?

'It's not a problem if they do this.'

If 21st century internists can do that, wouldn't it be even stranger if 19th century kids could take that into account?

My heart suddenly broadened, and I smiled and left work.

Then, he instructed the research institute to select the most similar tubes, including the one that had been successfully intubated today, and to prepare them with a slightly lower dose of pufferfish venom.

Despite this, I didn't reach my target time the very next day.

It took exactly 5 days.

People who don't understand the body well might think that if they go for 4 hours, they can just put in a quarter of it, but it's not that simple.

All drugs work only when their concentration is above the optimal level.

In other words, even if it is the same poison, if the concentration is low, it will not cause any harm.

So, it was very important to determine the concentration at which the target effect would be achieved, but this was not an easy task.

“Lord, kill me…….”

“Just kill him…….”

It wasn't our intention, but after the prisoners' minds were completely destroyed, we were able to determine the correct concentration.

Fortunately for them, the investigation based on their confessions resulted in a death sentence.

If possible, we would have tried to spare their lives in return for their contributions to the advancement of medicine, but these prisoners were simply too good to be true, so this is how it turned out.