Dark-Haired British Doctor Chapter 484

Episode 484: Breast Cancer [2]

Breast cancer surgery was actually fully established in the early 20th century or late 19th century.

In fact, it was a time when such a thing was impossible, but it was possible thanks to a genius.

It's a name most surgeons know, and one that American surgeons should know…

There is a man named William Halstead, who is called the father of American surgeons.

I heard he had a bad temper.

'That's… … a genius's special.'

It's a sad story, but judging by my good personality, I don't think I'm a genius.

Actually, what… … .

I actually think so.

I was good at studying and doing surgery, but isn't it a bit too greedy to want to be called a genius to that extent?

I think it was just a talent.

“Are you done? Huh? Watch till the end!”

"yes yes!"

“These kids… are out of their minds. Don’t you know what day it is today?”

“Oh, I know!”

“But is this what you want? Huh? Shouldn’t you be working hard?”

“I’m sorry, I’m sorry.”

Compared to that, Liston, who is making a fuss over there, is a genius.

I'm not saying this to be sarcastic and say, "Oh my, you've got a genius," but it's true.

In fact, when you teach something, its ability to absorb it is no joke.

In addition, it is good to flexibly modify it to suit the times.

“Me, brother?”

"huh?"

“Since the main surgery today is for Brother Blundell, please don’t act like that.”

"You keep doing that, so these kids are falling for it. Do you know what I went through for this surgery?"

embrace.

I caught a chicken too.

I couldn't bring myself to tell the director…

I confirmed that the shaman was also present.

'If I bring that up for no reason… …it'll be a bit weird, right?'

Liston is now in a state of flux.

You may still consider yourself a very strict Christian, but where in the world are there any Christians who talk about receiving the Holy Spirit?

The world is wide, so it might be there somewhere, but it probably won't be there.

“I know, but still.”

"Okay. I'll make sure not to interrupt your concentration. I know I'm just a substitute, but there's a process, right? I'll make sure it flows smoothly."

“That’s great, right? Especially the blood transfusions, you know?”

“I know. There’s someone I’ve already seen.”

“What are you looking at? Ah… among those kids over there?”

“Yeah. There’s this kid who seems to have particularly healthy blood.”

How did you know that?

No, how do you think you know?

I didn't open my mouth because I thought asking would only hurt my feelings.

In comparison, Liston seemed eager to explain, but fortunately, I guess.

Knock knock.

Soon, his wife came in.

The director and other family members were next to him, but despite this, his face looked very tense.

It was a natural thing.

That's how surgery is.

No matter how big or small, it is inevitable that you will have worries.

That ENT friend's best friend had his head implanted…

If you say you're going to implant hair, it might seem like nothing, but this isn't an ordinary surgery.

So, depending on the situation, there are times when the surgery takes much longer than expected, and I have seen him get very anxious at that time.

If even a doctor who performs a hair transplant surgery feels that way, how would an ordinary person facing breast cancer feel?

“Madam.”

“Uh… yes.”

I definitely went there yesterday and talked to him for a while, but he was gone in just one day.

It's just a face that looks like it's dying from pain.

“I have no energy at all… Is it because of cancer?”

Actually… … no.

Early stage cancer doesn't cause that much trouble.

Rather, that is why cancer is so scary.

It stays quiet and symptoms appear later, but in the 21st century, it may not be so, but in the 19th century, it can be said that there is no way at all.

'Cancer pain… … If that happens, I'll just have to ask my brother to send it away right away.'

Pain is more of a problem than anything else.

You can think of it as being eaten alive by cancer cells…

Naturally, most painkillers have no effect at all.

So, even though it is terminal and there is no hope of survival, there are cases where chemotherapy is used.

It's about suppressing the cancer's activity to some extent and thus reducing the pain…

You can think of it as palliative care provided in a hospice ward.

“That’s true. Cancer is a very scary thing.”

While I was thinking that way inside, I was outwardly blaming the cancer.

I thought that maybe this is why I came.

Honestly, I wonder if the famous Lee Soo-hyuk or Baek Kang-hyuk came.

They can't do this kind of joke, can they?

You're not a doctor who touches people's hearts.

“Oh my…….”

“Don’t worry too much, everything will be fine after the surgery.”

"thank you."

“What’s the point of thanking me? You can do it later. You’ll get better soon.”

After I healed my wife's heart like that, I moved her onto the operating table.

At the signal Alfred stepped forward.

The senior could now be called a full-fledged anesthesiologist.

First of all, it was important that I started to think that way.

Usually, when you think, 'This is my job,' you end up doing your best.

“Okay, take a deep breath.”

"yes."

"You don't have to answer. Just think about breathing. Yes, just breathing."

Doesn't the sight of someone holding a stethoscope and setting it up look pretty realistic?

Just looking at him now, I would believe he is a real 21st century anesthesiologist.

-Why are you breathing?

Considering he was just a few days ago making this noise, he's a pretty stubborn guy.

Considering that I didn't give a very plausible answer, I wonder if flexible thinking is the greatest talent.

-No matter how much you blow into it, will it go in as much as you normally breathe? It would be better to expand your lungs before that.

-Open your lungs?

Oh, no.

Come to think of it, I did show it.

This is because I remembered what Liston said, seeing is believing.

This is me.

He is a person who actually puts into practice the teachings of others.

Anyway, after dissecting the body, they injected ambu to show how the lungs changed.

-Oh… …It’s not fully unfolded?

Actually… …it wasn’t a very accurate experiment.

When a person dies, wouldn't their lungs naturally rot?

No, in fact, you can think of it as the one that rots the fastest.

Then, even if a hole opens and it breathes on its own, it won't fully open.

If the corpse were to breathe on its own, that would be a pretty serious thing in its own right, but anyway.

Kirik.

Anyway, while his wife was concentrating on breathing, Alfred turned the valve, which seemed to be smoother than before.

As the gas leaked out, the wife's consciousness soon became clouded.

Joseph came running with him.

It was for disinfection.

To begin with, the clothes my wife was wearing were custom-made patient clothes that we made ourselves, so they would flutter just by pulling the string.

Swish swish.

Joseph mechanically cleaned the area that had been revealed.

Because a milder disinfectant had not yet been developed, it was still necessary to clean with strong disinfectants.

In an instant, the wife's skin turned red.

The director turned his head and went outside, as if he couldn't stand seeing that sight any longer.

Since the family had to leave anyway, they all ended up leaving like that.

One of my sons tried to hold out, but how could he hold out when Liston was there?

I understand the family's feelings, but in the operating room, it was a law that you had to listen to the doctor unconditionally.

"good."

I pushed Joseph, who had just finished disinfecting the area, aside and stood in front of the patient with Blundell.

Then he placed his hand on the area where he had made a mark with ink, but which had now been almost erased by the disinfectant.

A small tumor was palpable, though still not well demarcated from its surroundings.

It's not completely connected to the skin, though…

“It’s going as planned.”

“Oh, I see. So you’re saying we should cut a little bit of the skin as well?”

“Yes, that will be safe.”

“But if it looks like that, it’s a bit…….”

“It’s not a disease that you have to consider appearance.”

“That’s right. Okay, let’s go as planned.”

Aren't we living in an era without chemotherapy or radiation?

You can see that the only thing you can trust is the scalpel held by the surgeon.

If that's the case, then we'll have to do our best here, but in the end, that means we'll have no choice but to cut a lot.

Of course, I'm not saying that we'll just cut everything out.

A mastectomy is actually a surgery that both the surgeon and the patient want to avoid as much as possible.

Ji-ik.

Anyway, I put in an incision line.

Blundell was the first assistant and Colin was the second assistant.

I thought Joseph might be a little upset, but he seemed to have already made up his mind to go to the ophthalmology department and didn't seem to have any particular thoughts.

'Definitely… this kid has a sense.'

To properly place the incision line, the skin must be spread apart on both sides.

To be precise, you must pull in the direction perpendicular to the incision line.

This way, not only can you make an incision line in the area you want to insert it into, but you can also make a vertical incision so that the suture is done straight later.

Colin wasn't just doing that, he was also wiping the flowing blood cleanly with gauze.

So Blundell is a noob?

Of course not.

Chiik.

He was using small tweezers heated by a mini brazier set up nearby to support the bleeding area.

It is not an easy task because if it touches the skin, the skin will cry, and if it touches too many areas, it will cause great damage.

The fact that he can do this so familiarly proves that Blundell has the ability to become a professor.

Well, that's only natural, since he already has a lot of surgical experience.

“Okay… can you feel it inside?”

“Oh, I can feel it.”

“Yes. I can feel it.”

Anyway, after safely cutting through the skin and entering, the breast tissue, which is mainly fat, was revealed.

Fortunately, my wife had a lot of breast volume, so even though the amount of tissue to be removed was considerable, the remaining breast was expected to be considerable.

“There’s going to be some bleeding, so get ready.”

"yes."

Simply removing an organ or the appendix would not actually cause that much bleeding.

Because we will be inserting the knife along the anatomically distinct compartments and also pre-seating the blood vessels leading to them.

But breast cancer resection is a different story.

This is because the breast organ has to be cut out regardless of its anatomical divisions.

As a result, the large and small blood vessels that travel inside are bound to break.

In the 21st century, for areas like this, you would use an ultrasonic knife like the Harmonic Scalpel or even a Bobby (electric knife), but isn't that all nonsense these days?

Bam.

It was inevitable that a lot of blood would be shed.

Chijik.

Blundell was getting that busy, but I had to consider that cutting and stopping the bleeding at the same time and cutting first and then stopping the bleeding were two completely different levels of difficulty.

Because blood itself obstructs vision.

Colin also worked hard, wiping himself with gauze and sometimes acting as a bio-suction device…

'It was good that you prepared the blood sacrifice in advance.'

At this point, I was bleeding so much that I thought I might need a blood transfusion.

Looking back, I saw, fortunately, a line of Jewish children being examined under Liston's direction.