Dark-Haired British Doctor Chapter 474

Episode 474: Progress in the Heart [3]

Although it was manual, it was not that difficult to open the chest because it had a relatively advanced type of saw.

If there was a liston, it would have been much faster since it could have been opened with just a quick swipe of the knife… … .

Liston is quite a busy man.

Actually, I'm busy too, but I make time to do this.

It's truly a service to humanity, since opening the chests of dead bodies is no easy task.

Gagagagagak.

Gagagagagak.

On the other hand, my disciples still lack skills, so they have to study hard.

So, under the supervision of Nana Liston, Blundell, and the director, we do dissections almost every week or two.

I hope you put aside the question of whether it is necessary to become an anatomy professor.

Even in 21st century medical schools, anatomy is taught for one year.

That's 6 credits per semester.

Of course, 6 credits in medical school is not 6 hours a week.

It will be implemented for a much longer period of time than that.

Isn't that what practical training is all about?

'Oh my, it opens well.'

As you can see, the number of children has increased a lot.

It opened up really well, that's what I'm saying.

The sternum is not usually this hard, but it took less than 10 minutes to grind it open with a hand saw.

Oh, you can't compare it to Liston.

Because that person is not human.

"after……."

"flaw……."

Dissection is usually thought of as the product of great agony, but that is only possible in very limited areas.

It's usually close to manual labor.

Dismantling a human body is no easy task.

Moreover, it is even more difficult to open it while leaving the inside intact to see what it originally looked like.

If the equipment had been well-equipped, it might have been different, but since that wasn't the case in the 19th century, complaints were heard here and there.

You could say it's a good thing.

'When things are tough, you don't get distracted.'

Dissecting a corpse is not just physically difficult.

It is obviously mentally difficult.

Could it be that a person could be so casual as to cut a human corpse with a knife, a saw, or tweezers?

If you focus too much on this noble act itself, it will become a truly difficult task.

But when the body is so tired, noble acts often become work.

And often times, work is done without thinking.

“Professor, over here!”

As we waited longer, Joseph raised his hand first.

He's not a guy with exceptional dexterity.

but…….

In addition to being meticulous, he is also very strong and shows exceptional talent in anatomy.

Well, I think it suits my personality better to do surgery on small areas like the eye, but anyway.

“Look where.”

"here."

“Yes, you found it well.”

He was pointing to the blood vessel that jutted out from the aorta, which rises upward from the heart.

Strictly speaking, there were two, one on the right and one on the left.

Not all of them look like this.

Because there are variations in anatomy.

This can be a real headache for many people, especially when it comes to surgery.

Blood vessels emerge from places other than those expected, and those blood vessels branch out strangely… … .

Well, I was a trauma surgeon, so I rarely had to deal with blood vessels themselves, but in thoracic surgery, aren't the coronary arteries actually the most important?

-Fuck. Why is my body like this?

Often, after surgery, I would hear people swearing in the locker room while showering.

Actually, there are many cases where you get cursed at when you work as a surgeon, and it's not like I've never done it myself, so it's hard to say, but if you look at the frequency, it seems that thoracic surgery and neurosurgery were overwhelmingly high.

Coincidentally, it was in the order of difficult surgeries and emergency surgeries.

Anyway, after confirming that this patient's case looked like this, I picked up a scalpel and tweezers.

“Look carefully.”

"yes."

After calling the other students around me, I first grabbed the left coronary artery with forceps.

Since it is on the left side, it is naturally a blood vessel that goes to the left atrium and left ventricle, and since the left ventricle is the part that sends blood to the whole body through the aorta, it can be said to be the main blood vessel in the heart.

If you hold onto it like this, even medical students in the 21st century will flinch.

It is natural, as it is the most important blood vessel along with the cerebral blood vessels.

But our brave 19th century students were simply at peace.

It is inevitable that the mentality will be much stronger from the start.

‘These guys didn’t bring the body back… … .’

These guys met the bereaved family, paid for the body, dragged it in on a cart, and set it up on the autopsy table.

It's strange to think that those kids are the same as kids from a softer era like the 21st century.

Besides, dissection in this day and age is not only dirty, but also dangerous, right?

Now, at least our school requires us to wear very strong gloves, gloves that reach up to the wrists, so it's safer, but Alfred, who was just finding a heart and enjoying it, almost died while dissecting it.

'But it's probably bigger because we don't know how important this blood vessel is.'

I also think it's a bit strange.

Since blood is flowing freely into the heart through such large blood vessels, why can't the blood be supplied from the inside?

Why do we supply blood to the heart through thin blood vessels called coronary arteries?

So isn't that why there is a terrible disease called myocardial infarction?

If the blood supply to the heart were internal, as people in the 19th century believed, there would at least be no myocardial infarction.

'But what do you want me to do?'

In medicine, what's important is the phenomenon that occurred, not whether it's understandable or not.

This is what happens because law is a discipline based on logic, while medicine is a discipline based on observation.

Medicine is not rational.

Humans are just born that way and learn and get used to things that happen.

Jiik.

Anyway, I separated that important blood vessel from the heart.

It wasn't that difficult.

Because it is not planted anywhere, it is just passing over it.

Moreover, there was no need to completely separate the entire body, as long as the blood vessel walls were intact, there was no particular burden.

This is not surgery, it's dissection.

Bam.

However, the blood vessels were quite long and complex, so it took some time to completely separate them.

In the meantime, Alfred and Colin were also instructed to find the coronary artery and slowly separate it.

It would be nice if the blocked blood vessel came out right here, but that might not be the case, so that's why I did it.

First of all, is it really an accurate statement to say that he died with a broken heart?

That can't be true.

I don't know if it's someone who died in a hospital…

"knife."

"yes."

Anyway, I cut the blood vessels that I separated into 1-inch pieces.

Then I checked the cross section.

Fortunately, there was.

The plaque.

“Do you see it here?”

“Oh, yes.”

To be precise, it is a calcified lesion.

It can be seen as a lesion that has hardened after becoming inflamed and filled with oil.

To prevent this, you must diligently treat diabetes and high blood pressure, which are diseases that can damage blood vessels, and also receive treatment for hyperlipidemia.

All we can do now is treat diabetes… … .

Even the capacity and other details are not accurate.

It is a treatment that only the wealthy, no, only very, very wealthy people can receive.

'What should I do?'

It's useless to be greedy when you can't do anything about it.

Rather, if you overdo it, you may end up doing something bad to the patient.

Do you know what actually happened when I said that high blood pressure was a disease?

That damn bloodbath has become more popular.

I have heard that those who call themselves disciples of the late Lord Tiepyeong are active not only here in England but also across the sea to mainland Europe.

I need to clean it up sometime, but anyway, let's talk about this later.

"What does this mean? These patients were heartbroken before they died."

Now I am trying to make progress in medicine.

The students here will be living witnesses to that.

There are disciples, though… … .

-They are your limbs… … .

-If you tell me to die, I could die, so what do those guys say mean?

It was clear that I would hear things like this if I only had disciples.

So we mobilized students.

Saying that you are doing too much is meaningless.

There are kids all over the place who would do anything to learn from the great Teacher Tiepyeong.

“Isn’t this blood vessel useless?”

“Yes. That’s why it seems to be blocked.”

“Certainly… yes, that seems right!”

I thought they would be considerably better than the others since they are the kind of guys who can go anywhere there is teaching.

It was my mistake.

Those damn guys.

What the hell are you talking about now?

“This is… a bit cautious.”

Then John Snow spoke.

Yeah, this kid was definitely going to be something different.

So I nodded and allowed him to continue.

At the same time, by looking at the other guys with an intimidating gaze, he set the stage for them to speak alone.

“This is… the opinion of those baguette guys.”

I guess they did something in France without me knowing.

Well, isn't the director I respect also French-British?

If you think about it, the population is larger, and it would be better for those on the mainland to do research.

It's true that there's a problem with his personality…

What's wrong with theory?

It's the people's fault.

“It’s okay. Try it. I’m not a closed-off person.”

“As expected, Professor…….”

If it were Liston, he would have been absolutely furious.

That person is the kind of person who thinks of killing someone if you call him a baguette.

But I'm a much better person than that, aren't I?

“That… was claimed by a man named Jean-Baptiste Pierre Antoine Chevalier de Monet de Lamarque.”

“His name is Gine. Are you a high-ranking person?”

“I heard that he was a high-ranking person, but after the revolution, he lived in poverty.”

"That's how it is in France. The better the person, the more they suffer."

Lavoisier, who is called the father of modern chemistry, was beheaded during the revolution.

As I was saying 'tsk tsk', Jon Snow got more courage and started talking more excitedly.

“What that person claimed is a useless theory.”

“Theory of use and disuse?”

I remember hearing it.

I don't think it had any particular meaning.

“The idea is that organs that are frequently used develop, and organs that are not used deteriorate.”

"ah."

At first glance, this sounds very correct.

If you actually factor in exercise, it might sound correct.

Muscles that are used frequently develop, while those that are not used deteriorate.

You've probably seen it happen many times, with casts thinning significantly after just a few months.

“They say this trait is inherited… isn’t that what it is?”

"ah."

I keep sighing.

One problem is that sighs and exclamations are often confused.

“Hey…….”

“As expected of Mr. John Snow!”

“You’re so young, you’re amazing!”

Plus, the problem was that I was always yelling at Jon Snow.

These kids… … .

no.

No!

'This won't work. I have to show you right in front of your eyes that if your coronary artery is blocked, you will die… '

It's not my fault.

The times have forced me to come this far.