Dark-Haired British Doctor Chapter 54

Episode 54 Sinusitis Surgery… How was it done? [1]

Sinusitis.

Sinusitis is a more medical term.

It means that the sinuses are inflamed… … .

Just think of it as inflammation in the space next to your nose.

If it causes a headache like the patient's, it probably means that the paranasal sinuses are quite deep in the body…

'Ah… … I really don't want to do it… … ?'

Aren't there any antibiotics?

Antibiotics… … .

Blue mold… … .

I had an idea to leave the bread somewhere.

But my only knowledge about penicillin was that it was a blue mold.

Is there only one blue mold in the world called penicillin?

There will be more bad guys.

Feed that to the patient?

'It's murder… … It's murder.'

So what should we do first?

"ah."

A brilliant idea occurred to me.

There's no law that says you have to have surgery, right?

When you have sinusitis, the first thing you should do is wash your nose.

“Patient.”

"yes?"

“First of all, there is some inflammation in the nose. That is likely to cause a headache.”

Besides, this might not have been the cause.

After thinking about it carefully… … .

Rather, when I looked outside… … .

The sky is dark.

Is this about to rain?

No, it was just like this in the London sky.

The fine dust in South Korea in the 21st century was no joke… … but it was nothing compared to this.

This place was just hell.

'Isn't sinusitis something that everyone has as a basic condition? Of course, if you lower your head, your head will hurt more… … It seems more likely that inflammation in this area is the cause… … .'

If this makes you break your nose.

I was lucky I survived.

But it wasn't sinusitis.

wow.

How can I bear that guilt… … .

“Then, will you… …remove my nose?”

“No, no.”

Is it okay in this day and age?

If something causes it, you try to get rid of it first, right?

It's not just doctors who are like this, but also patients…

'No, no.'

I shook my head with all my might to clear the cloud in my mind.

Then he said the right words.

“Let me wipe my nose.”

“Huh? You want me to wash my face?”

“No, I want a nose.”

“Nose… … inside?”

“Ping, are you crazy?”

“What are you talking about all of a sudden?”

I was talking about a very accurate and safe treatment based on medical advice, but people around me were criticizing me for not being common sense.

Well, I guess you don't really get what it means to wipe your nose.

These kids don't even clean the outside of their noses properly.

I don't know why… … .

There are quite a few people in this era who think that they should not wash.

If people value cleanliness, they wouldn't have left the Thames River in that state.

“No, look carefully. Bring me just one kettle. Oh, since you’re bringing it, boil it.”

“Boil water and… …? Oh, you treat it by pouring it into your nose?”

“No… … That’s… … That won’t do… … . The patient will die… … .”

Joseph clapped his hands, thinking of an idea that only a torture technician would come up with, and then, when I told him it wasn't me, he looked inexplicably disappointed and disappeared into the kitchen.

In a normal hospital, there should be something to boil in the ward or at least close by for treating patients, but our proud London College was a hospital that had never been touched before I came, so everything was far away.

So we had to wait for a while, and in the meantime Alfred asked us.

“But can your nose cause a headache?”

"ah……."

It was a question I could have asked if I didn't know anatomy.

Isn't that obvious?

For most diseases, understanding the physiology requires knowledge of anatomy.

And surprisingly, anatomy was not fully understood even in the 21st century.

There was still some controversy over whether this was a type of diversity or a deformity.

So, what about these times?

It was safe to say that everything was a mess.

“Just take a look. We’ll dissect it later and take a closer look.”

“Ah… … Right. You’re a genius at anatomy, after all.”

“That’s true, though.”

It's true that I felt a bit reluctant when I thought about dissecting a face.

Doesn't formalin treatment make a corpse look a bit like a doll?

However, when doing dissection practice, the face was covered as much as possible.

Originally, people felt the greatest fear, or at least a sense of reluctance, when the part of the body that allows them to recognize other people was damaged.

However, I had to go there to learn about the anatomy around the nose.

There, I also… I forgot a lot.

'If I have surgery, I guess I'll have to practice too… … ?'

Fortunately, for the same reason, most of the bodies had their faces intact.

Anyway, since this is an era where the face is not a subject of surgery except for some bumps, I didn't even think about touching it.

No matter how curious a person was, he could not overcome his instinctive hesitation and look into it.

“Oh my, it’s hot.”

Meanwhile, Joseph came over with a kettle of boiling water.

White steam was rising from the spout.

“Patient. Over there, near the snout… … .”

“Oh, hot!”

“No, don’t get so close. It’s steamy. Yes. Put your nostrils in there.”

“Uh… … yes.”

I looked at the patient's nose, which was so damaged that it was turning red, and put it in the right position.

Steam was constantly flowing inside.

“This seems like a bit of a mystical cure… … ?”

“No, Inma.”

“No? It feels like I’m inhaling something… … .”

“That’s not it.”

It seemed like the white steam going into my nostrils was a bit magical.

Well, I guess I felt that way even more because I'm Asian.

Don't Native Americans, whom we call Indians, also do something magical?

Even though they and I look different, it seems like there is still that kind of prejudice.

Especially, the image you just showed me was certainly plausible when I imagined it from a prejudiced perspective.

“Okay, patient. How’s your nose?”

“Huh? Ah… … Yes. That… … Strangely, it feels much easier to breathe?”

“It’s a magical cure!”

Since it was said to be effective, it was not surprising that Joseph and Alfred had seizures.

Of course I felt wronged.

“No, that’s not it.”

“Then what is it!”

Why do people need to breathe through their nose?

That was easy to see by looking at the structure of the nose.

Looking inside the nose, there were no less than three winding structures called turbinates.

Not only does this increase the surface area of the nose, but the nose also has a lot of blood vessels.

These allow the cold, dry air outside to pass through the nose and become warm, moist air, facilitating gas exchange in the lungs.

Since the brain is the most active user of the oxygen obtained here, breathing through the mouth can cause various problems.

Even mouth breathing has been linked to ADHD.

'I can't tell you this story with ease.'

After a moment of sighing, I opened my mouth.

“Have you ever blown your nose while showering?”

"huh?"

“Huh?”

Since it is a world that cannot be solved theoretically, I guess we have no choice but to approach it empirically.

“Especially with warm water. Since your family is wealthy, they always do that. They also bathe often.”

“Uh… … Now that I think about it, it seems like I only blow my nose then… … ?”

"me too."

“If you blow your nose then a lot of mucus will come out?”

“Uh… … I’m embarrassed, but.”

“It really comes out.”

Two wealthy children, one from a merchant family that would be considered a luxury even in London, the other from a devout Quaker family, who had made a fortune brewing liquor, blushed as they talked about their broken noses.

It wasn't something to be ashamed of.

The air in London is absolutely horrible.

“That’s when I realized it. The warm steam… … was probably widening my nostrils, making it easier to expel whatever had built up inside. That’s what I was thinking.”

"oh……."

“Now that I think about it… I think I was able to breathe better back then too.”

“It’s a simple fact, but if you don’t think about it, it’s hard to notice.”

“Wow… … You are truly a genius.”

“Seriously… … you are truly a genius.”

The Kim Tae-pyeong genius theory started to circulate again unintentionally, but didn't it end up being a good thing?

If these misunderstandings and prejudices pile up and pile up again, it would be understandable if I revealed some excessive information later.

Even if that's not the case… …these two will be absolutely loyal to me.

In addition, Blundell had recently changed his attitude towards Liston, so my position was somewhat strengthened.

“Anyway… … Okay, this is the patient. Would you like me to blow your nose a little?”

“Uh, yes.”

As I was solving the story, I looked back at the patient.

The face was already impressed.

It was only natural since I saved the one who was in the coffin.

In addition, wasn't the appearance I showed you just now truly brilliant?

Haha.

Yeah, he goes to the 19th century genius.

“Pang!”

The patient blew his nose with his bare hand.

It couldn't be helped since we live in a world without toilet paper.

Rather, it turned out well.

I wanted to see the nose too.

“Wow… … It’s yellow.”

“Is it too yellow? I also get this kind of thing sometimes… … but to this extent… … .”

It's not a nose, it's a pus, guys.

A runny nose… … isn't like that.

That's just a joke.

It's so sticky that there are yellow lumps in it.

“How’s your headache?”

“Uh… … It’s better than before. My head hurt so bad, didn’t it? It’s been like this for 24 hours… … It gets worse especially when I lay down to sleep, but now… … Oh. This… … This.”

In addition, the symptoms also improved.

At this point, I thought it would be okay to make a perfect diagnosis.

Although it is a diagnosis made without even the most common X-ray, it is the best we can do in this day and age.

“It’s definitely because of the pus in my nose… … It’ll only feel better temporarily for now. For now, just blow your nose repeatedly until the water cools down… … Once it’s all cooled down, I’ll show you how to wash it out.”

“Oh, yes. Thank you! How can I ever repay this favor… … .”

“Let’s just get some treatment first.”

How do you really repay kindness?

No matter how you look at it, he's a poor person.

But if this treatment could be proven, it would certainly be rewarding.

‘In this period, there will be both nobles and commoners… … .’

Aren't there people who endure headaches?

Because air is equal to everyone.

If we find out that there is a simple treatment that does not require surgery… … .

'I wonder if I'll get rich!'

and!

As I was dreaming, the water cooled down.

In the meantime, the patient had a lot of pus in his nose.

Is it enough to fill one small paper cup?

There's probably some steam mixed in there, but whatever.

“Now, I’m going to rinse my nose with this water. It’ll be more effective than anything I’ve done before.”

Now it was time to demonstrate the nasal irrigation.

It may look a little ugly, but… … .

The results will be nothing short of miraculous, you guys.