Dark-Haired British Doctor Chapter 482

Episode 482: Before Going on a Long Journey [3]

“Let me take a look.”

“Is this okay to be like this…?”

“There's no gender in medicine. Don't worry.”

"that……."

In contrast, the director's wife was not a doctor.

She was a conservative noblewoman of the 19th century.

of course…….

It's a much more chaotic time than you might think.

Cheating was something I could just let go of.

‘There was even a celebrity nicknamed ‘Rape Master’… … .’

Colonel Chartris… … .

After earning a lot of money, he sent servants to the countryside to lure innocent and pretty women, brought them home, and raped them…

This resulted in a not guilty verdict.

In the private sector, he was mockingly called a rapist, but would that be punishable?

But on the other hand, there were many truly virtuous people, such as our director's wife.

"It's okay. It's a medical procedure. We need to treat it quickly. Besides… this could be the path to advancement in British medicine."

So, the director personally stepped in to persuade them.

I wondered if that was something a couple should say.

While I'm sick, I should contribute…

I thought I would have nothing to say even if I got slapped, but surprisingly, it worked.

I think it's because even in the West, we still live in an era where the whole is valued much more than the individual.

Well, if you think about it, fascism (totalitarianism) was established in the West in the first place, right?

“Yeah… if I can sacrifice myself to do that.”

"It's not a sacrifice. He said it would be curative. I'll have to see for myself to know."

“Yes, then… please, Sir Tiepyeong.”

So I went back to see my wife again.

Actually, since I majored in surgery, I had a lot of experience treating patients' breasts.

The department that treats breast cancer is surgery.

There was even a center that did reconstruction in one go, and that was our center.

This is what I experienced during my residency, but my actual specialty was trauma surgery…

"hmm……."

No matter what, I'm used to it, that's what I'm saying.

Maybe your wife felt it too.

I'm saying that it's not a teasing gesture, but a gesture of examining something.

So maybe that's why the wife seemed embarrassed at first, but now she was sitting with a more relaxed expression.

In the meantime, I was able to find the tumor that Nightingale had found.

Since my wife has quite large breasts, I thought it was a good idea to take her seriously since I might have missed it if I wasn't careful.

‘Certainly… … great people who leave their names in history are different… … .’

nightingale…….

I thought I should give him something to take care of since I'd have to take care of the entire ward while he was gone.

He lived his entire life relying on a sense of mission without any of that, but wouldn't it be better to add something in return?

Anyway, unfortunately, the tumor found that way did not seem to be benign.

“It’s stuck to the surrounding tissues and… it’s not detached well. It’s most likely breast cancer.”

"ah."

"this."

The director, who had become a guardian in an instant at the word cancer, let out a sigh.

There was no question as to how one could know cancer just by touching it.

Because I already did it once in Paris.

Besides, isn't the director someone who believes in my reception even more fiercely than Liston?

‘If you believe that, you can believe that the Lord will actually cure cancer… … .’

I think it's a bit of a convenient belief.

But there is something inherently irrational about faith.

In fact, if you look at it from the perspective of survival alone, people trust other people… … .

This doesn't seem that advantageous.

What on earth does that person know and believe?

However, people often trust others, perhaps because they are designed that way.

'There are some who use that belief to do bad things, though.'

It's easy to see this when looking at the 21st century Republic of Korea, which is being branded a republic of swindlers.

Maybe that's why there are so many scammers…

Voice phishing, rental fraud, multi-level marketing, coins… … .

But if we broaden our perspective, we can see that even South Korea was a society built on trust.

Without trust that each professional will do the work that suits them, and trust that cars on the road won't suddenly veer onto the sidewalk, society wouldn't function.

“Then what should I do?”

“I need surgery. There is no other way.”

“I have to cut off my breasts… is that what you mean?”

“Total mastectomy… hmm. That’s something I need to think about.”

Likewise, our hospital cannot run without trust in me.

The amount of trust that people show in me varies, but isn't the director almost like a believer?

It's only natural when you think about all the money I've made so far.

This gentleman has now made more money than the inheritance his ancestors had to leave behind in France.

'The problem is other people.'

The director is clearly showing blind faith.

Even if the treatment fails, I don't think I will lose that faith.

but…….

If that happens, other people will never want to get breast cancer treatment.

"Professor Blundell. Please tell us what we were talking about before."

“Uh, uh uh.”

Maybe I'll try to get it.

But I think that a surgery that only one person can perform is ultimately no different from a surgery that no one can perform.

Shouldn't all treatments be universal?

It's not just my opinion… … .

That's how 21st century medicine works.

There is no royalty even for the surgical method or treatment method.

It is completely free and open to the public at conferences, in papers, and even in books.

"The technology for breast cancer is actually quite old. It's been around for hundreds of years, as you well know."

“That’s true. It’s also known as an incurable disease.”

At Blundell's words, the director nodded with a darkened face.

There are more than one or two diseases that cannot be cured, but the reason they do this specifically for breast cancer is because they think that something could be cut out, but that doesn't work.

Isn't it true that things that seem like they'll work but don't work out are what really drives people crazy?

“However, there are reports of people surviving a complete mastectomy.”

"These are just inaccurate descriptions. At least in the official records… there's only one case where Dr. Pyeong performed surgery in Paris."

"That's right. But from a researcher's perspective, we have no choice but to use it as a reference. We can't just blindly extract everything, right?"

“That’s… I guess so.”

There are also female prisoners.

However, breast cancer is not a common disease like diabetes.

It is a fairly rare disease, at least in this day and age.

Well, I don't know if it would be possible to diagnose it by doing an ultrasound…

There are bound to be limits to the areas that can be diagnosed with bare hands.

“If we look at it, it certainly seems that a total resection has a better prognosis.”

“I see…….”

“But before that, there’s something we need to address.”

“What is that?”

“What kind of disease is breast cancer?”

“Ah… well, that’s true. Um… it’s just… isn’t it a tumor? Or isn’t it?”

This time, I stepped forward at the director's words.

To begin with, Blundell still lacks a concept of benign and malignant, so this is inevitable.

This is something that cannot be simply divided into two types.

Some benign tumors remain benign, while others become malignant, and depending on the type, some become malignant quickly while others become malignant slowly.

Even this varies depending on the organization it originated from, and there are often multiple types even if they originated from the same organization.

Just because it's the same type of tumor doesn't mean it always moves in the same way.

It splits again within it.

This is why medicine is like X.

"You're right about tumors. A tumor is a general term for a lump that develops inside our bodies where it wasn't there before. But some tumors don't kill people and just sit there quietly, while others do. What's the difference?"

I know.

There are histological differences.

Cancer cells can be thought of as cells with broken brakes.

If the damaged cells continue to divide, even at a rapid rate, what other option is there for the host patient to do but die?

“Um… I don’t know about that. If it grows on the breast, can it kill a person?”

Unfortunately, to understand the simple truth I mentioned, we need to study the very microscopic unit called telomeres.

And that is a truth that was discovered only after the mid-20th century, and the immunological aspect was discovered only in the 21st century.

Considering how quickly and vastly science and technology have advanced over the past 200 years, it would be absurd to expect such a thing in the 19th century.

"The location doesn't matter. You saw my endoscopy, didn't you? Didn't that diagnose stomach cancer?"

“Ah… that’s right. Half of them died.”

I'm going to die more.

Cancer has a 5-year survival rate, but now half of our patients are already dead after just one month of surgery.

There is a very high probability that some patients would have lived longer if left alone.

anyway.

“If you look at various reports, it appears on the skin as well… I think it can be seen as appearing all over the body.”

“Oh really… Is this the Lord’s punishment?”

It's a bee.

Even after going through the plague, this is what happens.

I don't know if they would have killed only those who didn't believe in Jesus at that time…

Half of Britain's population died, right?

It's a country where almost 100% of people believe in Jesus.

'Well… … even in 21st century Korea, there is a saying about divine punishment.'

Even after committing evil deeds and living a long life, and even after seeing countless people die in luxury, they say such things.

It's human nature, I guess you shouldn't expect too much from the 19th century.

So instead of correcting the director, I just talked about malignancy and benignity.

"I've been relying on my reputation to treat a ton of cancer patients over the past two weeks. They come from all walks of life. Many even came with abscesses, and my students treated them."

“Ah… well, I guess that’s the level of understanding in the private sector.”

“Anyway, after observing it like that, I can see that this cancer is clearly different from tumors that don’t kill people.”

"which……?"

"First of all, decent guys don't invade other organizations. They're clearly distinguishable, right? They're probably docile. I don't know why, though."

“Aha… and?”

"Cancer tends to bleed easily. It can even rot during the process. It doesn't just grow in one place; it spreads wildly."

In fact, what I am saying now is not a story that was derived from just two weeks of observation.

I'm just reciting what I already knew.

But what always matters is who the messenger is and whether the message is supported by a plausible basis.

From that perspective, I could say I'm the most plausible person in the world.

"Certainly… it's exactly as the reviewer said. I agree with that, too. It doesn't require that much skill. Anyone can tell the difference."

Blundell intervened.

Then the director's expression brightened more than before.

It must be because I have a feeling that these guys didn't just happen to be curing patients in Paris.