Dark-Haired British Doctor Chapter 468

Episode 468: Mitral Stenosis [3]

"ruler……."

The patient was already lying on the operating table.

Of course, it wasn't a dissection lab like when we were doing experiments.

You could say that this is the operating room with the best facilities in our hospital.

'Is this the best we can do?'

I actually had no complaints when making it or when doing other surgeries.

These days, the surgeries I do are mostly circumcisions, cataract surgeries, and appendectomies, so what could I possibly complain about?

If it was lacking, then just do what you have.

But as I was looking around ahead of the difficult surgery, there were more than one or two things that caught my eye.

First of all, the lights are dark.

It seemed impossible for gas lights to reproduce the brilliant light of a previous life.

-Are you going to increase the output? Are you going to make a bomb?

When I asked for improvement, the response I got was amazing.

There was no other way.

What should I do?

“Are you ready?”

“Yes. I’m ready.”

“Did you tell them what you wanted to say?”

“Yes. I will tell you what I couldn’t say in a letter….”

“Yes. I will do my best.”

Meanwhile, Alfred performed a final check on the patient and turned on the gas valve.

Inevitably, the atmosphere was much heavier than usual.

I said that because I was confused as to whether this was surgery or an autopsy.

Even though Liston and his disciples are considered to be closer to the surgical side… … .

“Plain.”

“Oh, yes.”

The patient quickly fell asleep due to the higher purity of the gas.

I wrapped a tourniquet around the patient's arm, who had become so quiet, and injected the puffer fish poison in a dosage appropriate to the patient's weight.

I don't need to explain what it feels like to inject a patient, not a prisoner.

It's very strange.

“I… I’ll do it.”

"okay."

Intubation wasn't my thing.

After some trial and error, Alfred also mastered intubation, apparently convinced that this was something he could make a living at.

How hard do you practice… … .

The prisoner in Alfred's hands was almost in shambles.

The guy may have disappeared like the dew on the execution ground, but if his spirit were to remain and see this scene, it was obvious that he would think, 'Ah, at least my sacrifice was not in vain,' and attain Buddhahood.

Sigh.

Look at me.

Those soft hand movements.

There appears to be no difficulty in inserting a metal tube into the patient's throat.

"phew."

Of course, it's going to be dirtier than it looks.

Alfred sighed deeply without realizing it, then connected the ambu and began to squeeze it.

It was much slower than normal breathing.

It's not that I'm doing this because it's annoying, it's just one of the things I found out while doing this experiment.

If you squeeze your lungs to match your spontaneous breathing rate, your lungs will burst.

How did you know?

That's right.

"good."

“Okay… then.”

As soon as the anesthesia wore off, Liston, Blundell, and Colin came out.

There was no need to do anything else since Joseph had already done all the disinfection.

Joseph took charge of the operating table.

What is Ttol-Ttol Jon Snow doing?

Since this is an internal medicine case, there is nothing to do directly in this case.

I'm just watching with the painter William Turner, who was called in early today.

It wasn't just that he came in, but rather than suddenly burning his soul as an artist and trying to paint beautifully, he was also there to stop him and guide him to paint properly.

"knife."

"yes."

Anyway, I made an incision along the patient's sternum, completely exposing her upper body.

I thought about making a small incision like they do in 21st century South Korea, but no matter how I looked at it, it seemed impossible.

Wouldn't it be a hundred times better to live with an ugly scar than to die with a pretty scar?

Until your drinking skills improve considerably, you'll just have to cut it big.

No, I don't know if it would be different if the lights were brighter…

'When did Edison invent the electric light? Where was he and what was he doing?'

I finished my incision while chewing on the great people of unfortunate history.

Blundell wiped the flowing blood with gauze.

"top."

"yes."

Meanwhile, Liston took over the saw from Joseph.

When I say saw, I don't mean a saw that actually cuts wood.

It is a circular saw, and the saw turns when you turn the handle on the side.

What I've seen is just a button that spins when you press it, but it's still a long way from being able to make an electric device that does that.

whiz.

Plus we have Liston.

I don't know how a person can turn a handle and make that sound…

In the 19th century, you had to think of something as good and move on, but if you kept digging, it usually resulted in bad results.

Not only me, but everyone else just stayed quiet.

Ga Ga Ga Ga.

While everyone remained silent, Liston began to cut away at the bone that had been exposed through the incision I had made.

Of course, it wasn't just going to happen.

A metal plate was inserted into the incision above the sternum to prevent the saw from grinding away at the organs within the bone.

This isn't an idea that just popped up; I just figured it out while watching what thoracic surgeons do.

-also…….

-genius…….

Of course, I'm the only one who knows that, and everyone else just thinks it's their opinion.

I hope you will put aside the idea that you should be honest no matter what.

How do you say you're from the future?

It's much more convincing to just say I'm a genius.

"phew."

Actually, the real genius, no, the monster is Liston.

Is this a human being who can split a human's chest bone in less than a minute, let alone a human's limbs?

"and……."

“This is… the heart.”

It's not that I haven't practiced heart surgery.

Even though we are crazy about the spirit of challenge, we don't open our hearts and say, 'Can't we just do it like this?'

Naturally, they practiced a lot with the corpse.

However, the heart inside the corpse was not beating.

This is the first time I've seen a heart beating like this.

“Wait, just a moment.”

Everyone, without exception, was momentarily lost in thought and looked down at their hearts.

Then, a person who had been silently behind me slowly approached.

He wasn't a peddler.

He was clearly a man worthy of seeing a beating heart with his own two eyes.

“Yes, James. This way.”

Since he was wearing clothes, a hat, a mask, and gloves under Joseph's supervision, it was okay to come close.

Of course, if you put your hands below your waist there, you'll be kicked out right away… … .

Thanks to Joseph's rants and raves, he was following our operating room guidelines very well.

Even if you don't say anything, I think you'll do your best to be careful.

How would you feel?

I've spent my whole life looking at hearts, but this is probably the first time I've actually seen a beating heart.

“Huh… So this is it, the heart.”

“To be exact, it’s a sore heart.”

“Even a heart that hurts can be this strong… This is truly amazing.”

When I look at your face that I like like a child, I want to tell you to look at it a little longer.

But that's impossible.

It is dangerous to open your heart and waste time in a place where the facilities are not sterile.

"now."

“Oh, yes.”

So we left James Hope behind.

That doesn't mean I picked up the knife right away.

I did it because I knew that if I put my knife to it, something truly irreversible would happen.

‘I feel like I’ll live longer if I delay… … .’

I must confess that going back to the 19th century was the most confusing moment.

"Plain. This guy came in prepared. Shouldn't we do our best too?"

So, as I was hesitating, Liston opened his mouth.

I thought it was truly the era of gentlemen.

The patient is the one who doesn't understand the most.

Since I'm going to die anyway, I want to die with my heart open…

It's surprising that even the guardians agree to it.

'Yeah… It's funny how the doctor hesitates when the patient is doing this.'

There is no need to recall the proverb that says, "If you rescue someone, they will ask you to hand over your bundle."

It's unlikely that the population density of 19th century London was higher than that of 21st century South Korea.

It's just that no one dares to do anything to me.

Isn't this an era where people are above people?

Over there in France they talk about liberty, equality, and fraternity… … .

Frankly, I don't think we need to pay too much attention to what those bastards say about sending their kings, queens, and nobles to the guillotine.

The person at the bottom may not know, but the person at the top should not necessarily be interested in such private thoughts.

'Besides, I'm a little different, right?'

Here we go, a true Ubermensch, not a fake testicle.

"clam."

"yes."

“Give me some too.”

"yes."

Even if you are an Uberman, there are things that are impossible.

This is the case when a beating heart is operated on.

Crazy guys like Baek Kang-hyuk and Batista even dared to do things like this… … .

It is right not to do things that are not common sense.

None of their disciples, not even their best disciples, could do something like that, right?

'Yes… … That's exactly why I came.'

Compared to him, I am a person with moderate talent, so I am good at teaching.

hey…….

The more I think about it, the more I realize I'm the best?

It's crazy, really.

God's vision is truly amazing.

“Well, what is it?”

“Oh, no.”

Yes, to live up to those expectations, the surgery must be completed successfully.

So I pulled myself together and, working with Liston, clamped the aorta and veins that ran above and below the heart.

The vein was ligated first.

The goal was to minimize the amount of blood remaining in the heart.

"zone!"

"yes!"

With that, Jon Snow turned over a large hourglass that had been set to exactly four minutes.

Sssss.

The sound of falling sand began to fill the operating room with eerie silence.

From now on, there was no time to waste.

So I put my feelings and such things aside and grabbed the knife first.

Ji-ik.

It ripped my heart right out.

Inside, blood that had not been able to escape suddenly flowed out.

The scene of blood spurting from the heart was as violent as ever, but Liston didn't panic and just silently blocked the blood with gauze.

I looked inside through the field of vision I had thus secured.

'It's a narrow space.'

It's better than being loose.

The worst has been avoided.

but…….

The heart is the heart.

“Give me that.”

I took the lump of iron I had prepared in advance while maintaining my tension.

It was a device that looked like a small morning star.

It was heavy enough to be used as a weapon.

But this is clearly something designed to save people.

Support.

I slowly pushed it into the constricted area, starting from the head.

Because it was oval in shape, it was able to tear the mitral valve slowly rather than suddenly tearing or blocking.

I don't know what the mitral valve is, but I think it's something that shouldn't be torn.

That's true.

It's right not to touch it.

But what can you do now that it's broken?

Jijik.

I quickly pulled out the iron because I thought it was making a bad sound at the end.

Anyway, the time in the hourglass is almost running out.

“Let’s close it.”

“Okay. Let’s do that.”

“Let’s do everything and pray.”

"Yes, there are Puritans and Catholics outside. I called a monk too, just in case."

“Are you crazy?”

“The monk is chanting upstairs, so no one will know.”