Dark-Haired British Doctor Chapter 467

Episode 467: Mitral Stenosis [2]

There was an advantage to conducting experiments on people who had been in prison rather than those who had just been arrested by the police.

The supply and demand were very stable.

We weren't the only ones who were satisfied.

-Hey… … After seeing that, all the other guys confessed too?

Those who just got intubated and left probably didn't feel anything special on the outside.

Of course, even those guys would have an experience similar to awakening from anesthesia if their calculations went awry, and they would have been trembling because of it… … .

In fact, the 19th century was full of places to experience something similar.

Especially the East End, which boasts such a heterogeneous environment that it could almost be called the end of the world, can be considered the entire world as such.

But it must be quite frightening to see children who have lost their front teeth due to intubation or even have holes in their throats.

'Is this a win-win?'

We advance medicine, they rehabilitate prisoners… … .

It's something I do, but I think it's really great.

I don't know what direction it will take, but I think the three letters of my name will probably… …become quite famous even in the 21st century?

“So… have you organized the capacity?”

"yes!"

Another advantage of prison is that it has a wide range of resources.

First of all, you can also pick women.

In addition, there are elderly people.

There are no children… … and I have no intention of experimenting with children, so that's a good thing.

“Let’s see…….”

"here."

The data thus obtained is being organized by our epidemiologist, Dr. John Snow.

As expected from someone who created a cholera epidemiological study from scratch, he is producing quite good results with just a little guidance.

Well… … I guess it would be a stretch to say that it’s a perfect result.

No matter how many experiments you do with prisoners, the number of results is still small.

Moreover, the method itself is problematic.

The standard way to conduct experiments is to check the concentration in the blood through a blood test, but we can't do that.

'What… … In this day and age, this is pretty amazing.'

Nevertheless, I still think that great people in history are great people.

First, we calculated an approximation of the minimum dose that causes muscle relaxation and an approximation of the dose that can be maintained for more than an hour.

That's because it's called an approximation, not a very accurate one.

Inevitably, you will need to use a slightly darker concentration than this.

If it were the same, it would have been safer to go… … .

Here is an exception.

If you say 'safe, safe' and are not careful, the pain may increase.

“How are you?”

"very good."

"thank you."

“What’s the thank you for? You did the work. Why don’t you go to a bar with the kids later?”

“Oh…… thank you.”

How can you use such a great person for such a cheap price?

Long live the 19th century.

Even I am grateful.

It's possible because you don't know how great a talent you are.

In addition, society as a whole does not value people at all.

'This is just like Korea.'

You might think that I'm daring to compare 19th century London with 21st century South Korea… … .

I agree that South Korea doesn't give people the same value.

Even if you pay a price for machines and equipment, people… … .

If you go to a repair shop and get your car inspected and there's nothing wrong with it, they barely pay you anything, right?

On the other hand, when replacing something, the cost of the machine is added and it becomes very expensive, but I think that if the inspection cost is sufficiently paid in the first place, such a thing will not happen.

Medical care was the same.

The basic consultation fee is very cheap.

So, we had a system where doctors who had to treat patients with words and their heads didn't make money, while doctors who could do tests or operate machines made money.

'Apart from everything else, it's not fair there.'

I was upset that he died as soon as I became a professor of trauma surgery, but when I thought about it, it wasn't really like that.

I can't do trauma surgery for long anyway.

That's because the distribution of medical expenses in Korea is a mess.

Medical professionals who do difficult, challenging, and even dangerous work, in any case, receive greater financial compensation and even have a much better quality of life than those who do not.

I also got gaslighted by my professor and ended up getting surgery. If not, I would have gone down the right path, which is cosmetic surgery, plastic surgery, or pain management.

Would you do that because the people who do that are bad?

The system is making it that way.

‘Well… I guess I don’t really need to fix this here.’

I think I would have tried harder if I were in Korea.

Actually, the medical facility there… …needs to undergo major construction.

It is true that it was somehow the best in the world until the 2020s, but the problem is that it is not sustainable.

The birth rate is 0.65, so the productive population is extremely low, but the aging population is progressing rapidly, right?

People criticize the National Pension Service as a Ponzi scheme, but the health insurance premiums are on the verge of depletion.

This means that it is absolutely impossible to provide medical services of the same scale as they are now.

This is why the increase in the number claimed by the medical association is an empty cry.

How much money did you raise it with?

Even the number of people that exist needs to be revealed.

'Hey, if I were the Minister of Retribution… … I would have reduced the income of private practices and diverted that income elsewhere… … .'

How do you do it?

Why am I worrying about that?

I am a 19th century British person.

“So, when do you want to start?”

Besides, my nose is now three inches long.

As Liston said, heart surgery is awaiting.

“I would like to postpone it as much as possible, but…….”

“That can’t be.”

By the way, Liston is not the only one in this room.

James Hope is here too.

I didn't call it.

I'm here.

While being cheerful.

“One person has already passed away.”

I can't say anything about coming here without permission.

Because one of the people who declared that he would risk his life and get the surgery instead of just going passed away.

In a time when so many people are dying, I wanted to ask, "Did you really die because of your heart?" but I thought that would make me the biggest son of a bitch, so I kept my mouth shut.

The fact that the deceased was so young also played a part.

No matter how crazy the times are, it's rare for someone who survived into their 20s to suddenly get sick and pass away.

No, it's more common than you'd think, but anyway…

“What the hell.”

“What’s the problem, Sir Tiepyeong? Aren’t you the best doctor?”

As I realized that I couldn't put it off any longer, I started cursing.

Then James Hope urged me on.

Go quickly and cut out the heart, this is it.

They're saying that he's trying to lure me by saying he's the best doctor…

'Actually… … no. I'm not the best doctor… … .'

If I were the legendary Baek Kang-hyuk, I would have probably already done it.

The time limit is only 4 minutes?

So what.

Just do it.

But I am Kim Tae-pyeong.

I pride myself on being a pretty good doctor, but the problem is that it falls into the realm of humans.

"Yeah, what's the problem with being a cripple? Just hurry up and kill them. They're already prepared to die anyway."

I'd like to crush it more if I could.

But that's difficult to do, since not only James Hope but also Liston is coming forward.

No, these two alone can be crushed, now.

"please……."

“Please start with me.”

But that became difficult because this cunning James Hope brought in one patient after another.

This Kim Tae-pyeong… … .

To be honest, I didn't have a sense of mission when I first entered medical school.

To put it bluntly, a guy who only studied for the college entrance exam until he was 19 years old has a sense of mission and knows nothing about the world.

If he does, then that kid is weird.

However, as you receive medical education, no matter how cold-hearted you may be, you will inevitably develop a little bit of love for your patients in your heart.

If you learn that for a hundred days and a thousand days and go to a hospital for internship, how could you not see people suffering from that disease?

“Okay. I will… do it.”

Then, if you lose your mind, you end up going to the avoidance department.

This is not someone else's story, it's my story.

'under…….'

I really don't want to do it.

A sense of mission is not something as solid as steel.

Even professors doubt whether this path is right several times a day.

Some people just work out of inertia.

Many more people leave because they are worn out by the harsh reality.

It's not just because of things like silk treatment and quality of life.

Doctors are people too.

It is certainly not easy for a person to take full responsibility for another person's life.

“Look here, sir. Why are you acting so uncharacteristically?”

“That’s because this is a really difficult surgery.”

So, even though I said I would operate on the patient, I couldn't go into the operating room right away and stayed outside.

Liston followed me out like that.

He offered me a cigarette, and I couldn't dare refuse.

'Fuck… nicotine.'

Yeah, it's brave of you to have held out until now.

In these stressful times with nothing to enjoy, I should at least smoke a cigarette… … .

Cigarettes in the 21st century may be completely useless, but in the 19th century, they were, in a way, a kind of welfare.

"after."

“You smoke well. Do you smoke normally?”

“I guess I’ve grown a bit since I’ve been around the idiots.”

"Ah. Haha. That's a good thing. Did you know that smoking also prevents the plague?"

Look at it now.

How can you endure such nonsense with your wits about you?

Whatever it was, maybe it was the nicotine kicking in or maybe it was Liston standing next to me, but I felt a little more relaxed than before.

“This… I’ve told you this many times, but it’s a difficult surgery. People could die on that table.”

“Look here, sir.”

“Yes, brother.”

“Everyone dies.”

“But we are the ones who save that person.”

“Haha. Who says that? Doctors save lives?”

So when I told him my worries, Liston laughed heartily.

"It's Heaven that decides whether a person lives or dies. Doctors merely temporarily alter the course of events. Isn't that right?"

In the past, I would have thought, "What the heck are you talking about?"

but…….

Now I understand.

Yes, when I was a resident, I was convinced that doctors save people.

But as experience accumulates, we inevitably come to see that people die even when everyone has done their best and all treatments and care are reasonable.

They say that hopeful people died due to the limitations of the times, but well.

Will humans live indefinitely as times change?

I don't think so.

"Besides, those people are on the brink of inevitable death. They'll die even if you don't draw your sword, that's what I'm saying. If you do, there might be a chance. There might be even a slight chance of survival…"

Liston patted my shoulder as I sat lost in thought and exhaled a puff of cigarette smoke.

'hmm.'

Although we were all different in race, age, and appearance, I somehow found myself thinking of my teacher.

Come to think of it, there was a time when he also went into the operating room to save someone who seemed certain to die.

Most of the time I failed, and it hurt every time… … .

Even though I was sued.

There was a time when someone told me with a regretful face that there were indeed rare cases where people survived and were able to live until retirement.

“Let’s go.”

“Yeah, that’s why you’re an idiot.”

It occurred to me that there are times when surgeons have to go in even though they know they're going to die.