Dark-Haired British Doctor Chapter 47

Episode 47 Sap [3]

“You were Dr. Jemel’s patient?”

"yes."

“Um… … It seems like there’s going to be chaos… … . Have you contacted your family?”

“No, I don’t even know this patient’s name.”

"ah."

After the situation was roughly sorted out, Blundell approached and asked.

I don't know if it was because Dr. Robert Liston had asked me to look after him while he was away, or if he was impressed by the abilities I had shown him, but either way, he took good care of me.

“Then let’s admit him to the hospital first. He won’t know anyway.”

"yes."

I wish there was a computer, and something was organized.

They just managed it through paperwork, but since there was no system for that, it was a mess.

They say that more than ten patients run away every month without paying.

But I didn't even think about catching it.

So, if the patient was admitted to a ward that Jemel did not visit, there would be no need for an admission inspection.

“The problem is… … there is a high possibility that this patient will die again.”

Blundell was still looking down at his pale patient.

Compared to when he was taken out of the coffin earlier, his complexion has improved.

But even if the hematopoiesis is active… … isn’t there a lot of blood shed?

Since the blood itself was not replenished, the patient's condition could not be said to be good even in empty words.

'Your pulse is fast… … It's definitely like Blundell said. But how do you know so much?'

Instead of just looking down, I was holding the patient's wrist.

Earlier, my pulse was so weak that I couldn't feel it on my wrist, but now it's strong enough to measure.

'120 times… … If it's like this in a resting state… … It means the blood flow is still insufficient… … . I don't know if this will get worse as the infection progresses or not.'

heat?

Even if I tried to eat and die, there was no fever.

The body temperature was slightly lower than normal.

But does that mean we can be certain that there is no infection? That is not the case.

After all, isn't fever a defense mechanism for our body to fight against viruses and bacteria?

There was no way that strength would remain.

'But I still need to give you more.'

I looked at the central venous catheter that I had clumsily blocked, already in place.

The horse was still in the coffin, the needle was still in it.

It was so thick that it could be called a sword, so someone had to be there to guard it.

Even if the patient regains consciousness, he won't be completely fine, and if you mess with that then, he could die because you kept him alive with the intention of killing him.

That shouldn't have happened.

"for a moment."

As I was thinking about that, and was picking up the water that had been boiled and distilled in advance, Blundell called me.

When I turned around wondering why, I saw Blundell looking at the sap.

It was so sloppy that I wondered if it could even be called sap… … Anyway, I was watching.

“That's what I'm talking about.”

“Oh, yes.”

“Have you ever thought of putting blood in instead?”

Then he asked a question that seemed obvious by my standards, but was quite advanced considering that it was the 19th century.

“Uh… … yes.”

Blundell nodded helplessly, his face showing that he was moved.

“Yeah, that’s the way… … Huh. Then… … Hmm. But isn’t that causing a problem? Isn’t it that water is circulating in the blood vessels where blood should be flowing?”

And then he continued asking questions, and it seemed like he had been thinking about this issue for quite some time.

Do you know anything?

I don't really know, though.

Yeah, it was a question that wasn't easy to answer.

“Well… … Well. I can’t give blood right away… … So I tried giving water for now.”

“I don’t think you did it without thinking. Isn’t there some reason for it?”

Blundell had a serious look on his face.

I did the same.

The reasons were different.

I was now placing the funnel down and pouring water into the patient's central venous catheter.

It shouldn't be too fast.

There was no reason to hurry.

Because we've overcome one hurdle.

“If there’s a reason… …then in my opinion.”

In the meantime, it was a blessing in disguise that Blundell was there with me.

There's a good chance that it'll be a very rewarding job, so would it be fun for me to become a surgeon and pour water on people?

And that's all while slowly controlling the entire process of pouring water, and I have to do it all?

It was bound to be a tedious and painful time, but my conversation with Blundell made me feel like the burden had been lifted a little.

“After all, isn’t blood a liquid?”

"yes."

“Water is also a liquid.”

"yes."

“If the two are mixed, can’t it be considered blood, even if it is diluted blood?”

“But aren’t there liquids in the world that don’t mix easily, like water and oil?”

"ah."

I need to correct my words.

It wasn't necessarily a relief.

I don't think it was intentional, but I just felt something hit my neck.

under…….

Water and oil.

Then blood is oil… … No, if you think about it, there was oil.

There is a reason why they say hyperlipidemia.

“When blood flows out, isn’t there a time to wash it with water? That’s when I saw it. The two mixed together.”

“Aha. So that was the basis. Yeah, that’s what I was thinking when I put it in… … Instead of replenishing the missing blood… … Hmm.”

However, since I couldn't say something like that, I thought about it and gave an inadequate answer.

Still, Blundell's face remained as one of admiration.

Even if it is a slightly diluted truth, isn't the truth the truth?

For scientists, whose job is to seek the truth, the 21st century's glimmers of knowledge could almost be called a mystery.

“But how much did you put in? Water?”

"ah……."

This question was also pretty good.

This may just be a question, though.

How much water did you put in? Isn't that a question that is often asked even in 21st century university hospitals?

That you have to fill it up as much as you put out.

That is, we need to strike a balance between IN and OUT.

This was a really important concept.

“About 2 liters. If you add more… … it’ll be 3 liters.”

“It’s 3 liters.”

It's been longer than you might think since we've known how much blood the human body contains.

Isn't this an easy task?

Even in the dissection lab, drawing blood was a common occurrence.

It wasn't specifically chosen because of the anatomy.

Humans have been slaughtering animals since ancient times, and they knew very well that bleeding animals could delay decay.

“Even if this patient lost a lot of blood, it doesn’t seem like he lost 3 liters… … Then, isn’t that not possible?”

oh.

This guy keeps surprising me today.

Do you know the concept of giving back as much as you give?

Isn't it?

Is this something that anyone who can think should do?

'No, no… … .'

I shook my head as I thought of Joseph and Alfred.

Even though you were busy exhuming the bodies, you never asked questions like this.

He wasn't there right now.

I went home because I was tired.

Kids… … .

Blundell, who is obviously in his late 30s, is rubbing his sleepy eyes and keeping his place.

“Um… … But since the concentration has been diluted, isn’t it inevitable?”

“Wouldn’t it be worse if I dilute it further?”

“But… … um. This is just my opinion.”

Would it be a bit presumptuous to say that Blundell is so special?

I continued speaking, thinking that was not the case.

A friend like this deserves to know more.

'Even this gentleman Blundell is an obstetrician and gynecologist?'

Are mothers just going to die from infections?

There was no way that could happen.

Because humans are animals with large heads, their maternal mortality rate was bound to be higher than that of other animals from the beginning.

Even if the child didn't turn around, then it was almost certainly death.

The solution to this problem was the cesarean section, but the surgery is not yet widespread.

Anesthesia is now possible, but is it possible already?

'How many people will die from bleeding?'

Come to think of it, it wasn't a coincidence that Blundell had been pondering this issue so much.

Obstetricians and gynecologists were inevitably exposed to massive bleeding, regardless of expectations.

In fact, isn't the placenta a clump of blood?

Problems such as placenta previa could also cause massive bleeding.

At this time, there were no blood transfusions or serious injuries, and it was not necessarily the case that Blundell was the one who saw the most deaths from bleeding in the hospital.

“When we found the patient earlier, we couldn’t get the patient’s pulse at that time.”

“Mac? Oh, you mean this? What is this?”

“What is this Mac…?”

"hmm."

I didn't intend to teach you the concept of blood pressure now.

Not only would that not be possible, it could even be dangerous.

I was just going to throw something out there, a clue.

“I thought about it.”

“Yeah, what did you think?”

“When blood moves through the blood vessels, doesn’t it pound against the blood vessel walls?”

“You’re hitting a wall?”

“Yes. It only beats in the arteries. Think of the arteries in the dissecting room. Aren’t the walls thicker? Did God make it that way for no reason? Isn’t it because the blood keeps surging?”

Of course, I tried to prove my burning faith here and there during the explanation.

I don't know if that worked or not, but anyway, Blundell was listening to me.

“Hmm… … hit… … yeah. Well, you could think of it that way.”

“If you can’t feel it very well… … you could say that it means you don’t have enough blood?”

"yes."

“But how do you feel now? Can you feel it?”

“Hmm. I gave you a supplement. But, still, the medicine… … Ah. So, does that mean I can give you more? That’s weird? Why is it like this?”

Blundell had a look of genuine confusion on his face.

Actually, it had to be that way.

How on earth would that person know the complex structure of blood vessels?

That's something that will only be revealed when microscopic anatomy becomes much more advanced than it is now.

You were probably imagining water flowing through a copper pipe.

Can you imagine that the water we give out is actually flowing back into our body through osmosis?

It wasn't because Blundell was bad, it was just the limitations of the times.

Science during this period was not only lacking in knowledge overall, but was also confined to each field and could not achieve comprehensive development.

“I don’t know about that… … Anyway, shouldn’t this pulse be strong enough to not be too weak, even if it’s not as strong as a person who isn’t sick?”

“Yeah, I guess so. Hmm. You make a lot of sense. Hmm. I wish we could apply this to our patients too… … Hmm.”

Blundell nodded repeatedly.

I added the remaining water and covered the needle with flour dough.

It was far from a sterile procedure, but now that his blood pressure was starting to come back up, if he had just left it alone, blood would have started to leak out through that hole.

But you can't just pull it out and plant it again every time you need to water it, right?

That couldn't be happening.

“Then I will look after this patient all night.”

"alone?"

"yes."

“That’s not right. I’ll be watching. If anything comes to mind, let’s discuss it like we’re doing now. I’m not just saying this. What I just said… …is that I felt like something that I’ve been struggling with for the past several years has been somewhat resolved.”