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Episode 476: Progress in the Heart [5]
I called together not only the students, but also Liston and Blundell, who had just finished their surgery and were resting.
Blundell was also blaming himself for the death of his mother.
I thought, "Oh no."
Obstetrics and gynecology also needs overall improvement… … .
Actually, since it's a field I don't know much about, I keep putting it off.
‘Even when I was a student, it was the hardest… … Obstetrics and gynecology… … .’
Men and women are different.
First of all, the anatomical structure is like that.
Because of this, there are some differences when treating trauma.
At that time, I wondered why I had to study this much and why I was born differently, but now that I'm here, I can't believe how fortunate I am.
At least, there is almost no need to study anatomy separately.
'What… this place is miserable.'
Although there have been many improvements now, it is an understatement to say that female anatomy in medieval Europe was atrocious.
I never understood why people said the Middle Ages were the Dark Ages.
I'm also a bit of a picky eater, so I've only seen videos that say things like, 'The Middle Ages were the Dark Ages.'
But when I came here, it was indeed the dark ages.
First of all, the problem is that the Middle Ages were too heavily dominated by Christianity.
-Huh? Are there no female doctors?
-Did you eat something wrong?
-Haha… … There’s no such example even in Joseon. Look, Pyeong. Women are fundamentally inferior to men.
-Don't you know hysteria?
This is Liston and Blundell's answer to a question I once asked.
For reference, both of them were quite open-minded people among 19th century intellectuals.
But the perception is like that.
It was even worse in the Middle Ages.
At that time, women were seen as unclean beings.
Studying was also the exclusive domain of men, especially monks.
Research on medicine was also done by monks, but monks basically don't know women, right? They shouldn't know.
'Wow, I saw that dissection and I was really dumbfounded.'
If you look at the drawings that claim to be female anatomy, it's just a male genitalia inserted upside down into the body.
He then argued, 'Seeing that women are such unbalanced beings, we can see that they are unclean beings.'
“Huh? Why are you looking at me like that?”
“No. After this job is over, let’s do something together.”
“Uh… yeah, that’s right. But it doesn’t seem like such a good thing….”
“Have I ever made a situation worse by doing something I said?”
“It’s not like there isn’t any…….”
As I was looking at Blundell with that thought in mind, Blundell spoke to me with a rather daunting expression.
So I patted him on the shoulder and said I'll see him later.
It might have been different in the old days, but Blundell no longer has any other choice but to join me.
If you feel wronged, why don't you become a noble too?
Or you could try putting a curse on it.
“Okay, is everyone here?”
“Yes, Professor!”
Anyway, I stood on the demonstration podium.
What this means is that it is a space set up to show surgery, dissection, or experiments in front of others.
To put it more simply, it's just a theater, a theater.
This is a theater that does something special instead of just putting on the usual theatrical performances.
'There are a lot.'
The London Medical School is actually a pretty good place.
But if you ask me if it was number one, it was definitely not.
If it had been like that from the beginning, Nana Joseph wouldn't have been able to come in.
No, it does come in, but I should have paid more.
Anyway, there were quite a few universities that were in a close race, but now this one is simply number one.
I don't know about mainland Europe, but at least in London, this is the first place.
'It's definitely gotten a lot more popular.'
Of course, most of them are aiming for internal medicine.
This is because Hippocrates was basically an internal medicine doctor.
No, for over a thousand years after that, surgery was not even considered a medical specialty.
Surgery was barely able to be reinstated into the medical school thanks to its merit in performing surgery on Louis XIV's hemorrhoids.
This is the most noble way to say it, and to put it vulgarly, it means that you became a doctor by fucking the king's asshole.
'Is that why…?'
I heard at an academic conference that even in the 21st century, in England, internal medicine doctors are called "Doctors" and surgery doctors are called "Misters."
Anyway, it's typical of people who still maintain the caste system in the 21st century.
The phrase 'Your grace' comes from reality, not a historical drama?
Oh, now that I am one of them and also Grace, let's not criticize anymore.
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Besides, all the kids who are flocking in front of me right now are aspiring to be surgeons. Isn't that about as many as internal medicine?
"Teacher, are you watching…? Here is a world where surgery is not looked down upon."
This is a task that has not been accomplished even in 21st century South Korea.
In fact, it is not easy for surgery to be more popular than internal medicine.
Internal medicine is a department that turns heads and opens its mouths, but we actually have to do the work, right?
If I say it like this, it may seem like internal medicine is a popular department, but in reality, it is hand in hand with other departments that are becoming undesirable.
Surgery is much faster, so internal medicine is also slowly coming along.
“Come on, bring him.”
"yes!"
But this is a completely different world.
In this world, when you think of doctors, the only things that come to mind are internal medicine and surgery.
To call him a doctor, he seems like a butcher who kills people… … .
Nevertheless, anyway, yes.
“Boom boom.”
At my words, my assistants brought two dogs.
I heard they were abandoned children in the East End.
Maybe it's because I've done so many dog experiments, but I tremble like a dog in front of a dog trader.
Actually, I peed in the carriage earlier.
'That's right.'
I even wondered if it would be better to kill people than to kill children who can't speak.
But people are people and dogs are dogs.
I was already thinking that human experimentation should be reduced a bit.
Of course, I know that history won't always turn out that way just because I think like this.
Human experimentation wasn't limited to Unit 731 (Maruta) or Auschwitz.
Even the United States, which prided itself on being the guardian of freedom in the 20th century and which in many ways appeared to be, conducted quite a few human experiments on its own citizens.
'Yeah… … We have to stop that from happening.'
I pulled myself together, but I couldn't help feeling sorry.
In many ways, the history of medicine seems to be a history of piling blood upon blood.
People living in the 21st century must live with gratitude.
Because all the treatments they take for granted are made possible by someone's sacrifice.
“No anesthesia.”
"yes."
At my words, Alfred turned the gas valve.
It was after putting on a mask made specifically for dogs.
The dog struggled as if it sensed its fate, but it was of no use.
It was because the capacity was high, as it was not intended to wake up in the first place.
“Ugh…….”
In just a few seconds, the dog became quiet.
Then, under Alfred's guidance, several other students tied the dog's limbs and secured it on an operating table set up on the demonstration stage.
Well… it didn't seem like it would move even if I didn't fix it.
I felt like I would lose my mind if I just smelled something new.
"knife."
"yes."
Anyway, I opened the dog's chest with Colin.
It seems that dog bones are thinner than human bones, so they are easier to open.
Even so, it's still not as good as what Liston did, but anyway.
I searched through that open chest to find the heart.
What's really amazing every time I open it is that mammals all look the same.
There is a heart and lungs on both sides.
The aorta emerges above the heart, and the coronary arteries emerge from the aorta.
"Okay, this is the coronary artery. You all know it, right? If you can't see it, come closer and take a look."
Usually in Korea, when you say this, the few kids in the front just hang around and leave.
However, you can just assume that all the passionate kids in the British Empire are coming out.
In no time, the stage became a flea market.
“I think this blood vessel is the one that supplies blood to the heart.”
"to?"
"no way……."
“I don’t think that’s true, seeing as John was talking about the useless theory earlier.”
Among them, there are many young chicks.
Why didn't Darwin go to Edinburgh Medical School at the age of 15?
You might wonder if it's okay for teenagers to go to college, but in an era where the average life expectancy is only in the 40s, it's the right thing to do.
In 21st-century South Korea, people enter society after their thirties, right? So, you should start when you feel like, "Wow, I finally understand what social life is like."
Well, you can't become an adult at a young age.
Culture, customs, bullshit, hormones don't leave people like that.
"For the theory of use and disuse to be valid, we must first prove whether it is actually used or not. Look carefully."
I just sever the dog's coronary artery.
I intentionally turned my gaze towards the face of the student who had just asked the question.
“Ugh, whoop!”
The dog was healthy, so its blood pressure was fairly normal.
Moreover, the coronary arteries are very thin, so blood travels far.
The guy's face was covered in blood, that's what I'm saying.
If it were South Korea, I would have probably been sued for assault or something.
but…….
"ha ha ha!"
“You were being a troublemaker!”
“There’s a retard here!”
Here, we just burst out laughing.
Even the guy who got hit by blood was laughing.
“Okay, let’s stop the bleeding…….”
Anyway, isn't the point of this show to just splatter blood on that guy's face?
So I tied off the blood vessel.
And he continued speaking.
“This dog is going to die because his heart has stopped.”
"no……."
“Blood flows through the heart, right?”
“Just look at it.”
“Hmm.”
“Hmm…….”
For reference, what I have tied up now is the left coronary artery.
This is the main branch, but the blood doesn't go here, right?
Then, it only takes a few minutes for a person or a dog to die.
“Uh huh.”
And then, in an instant, an excruciating pain strikes.
The dog shivered for a moment, even though the anesthetic gas was leaking out.
Liston was the most surprised of all.
Since I perform a lot of surgeries, I know very well what it is like to see someone like this while under anesthesia.
“Pain…?”
If you accidentally cut off a swollen area with a knife when amputating a rotten leg or arm, this could happen.
That really hurts.
Of course, even if something like that happened, Liston could just catch it and strike it down, but inexperienced beginners would often panic and end up killing the patient.
If you call it anesthesia, it can be said that the limitations of the era are anesthesia gas and ether.
"uh……."
“My heart…….”
After the dog started shivering like that, its heart started beating fast for a while.
It wasn't very good, but I ran anyway.
But in the end, it stayed at the level of shaking and soon stopped.
So, what you're saying is that the dog died.
"really……?"
“If a coronary artery is blocked, a person dies?”
“Ugh…….”
While the students were milling about, Liston opened his mouth.
“No, wait a minute.”
I don't mean to sound stupid.
“Well, as you know, the academic society is conservative.”
“Yes, that’s right.”
“I think that’s why you brought two dogs… Is that right?”
"Yes, that's right. We won't touch that dog's coronary artery. Instead, we'll anesthetize it with the same amount of gas and open its chest."
“Yes, if that doesn’t happen, we’ll all be your witnesses.”
Rather, advice came from someone who knew this era all too well.