Dark-Haired British Doctor Chapter 57

Episode 57 Sinusitis Surgery… … How was it done? [4]

and…….

I stopped my hands and went up towards the patient's head.

When I looked at where Alfred was pointing, I saw that indeed, part of my brain had collapsed as if it had been eaten away.

This is my first time seeing anything like this.

'They told me not to make fun of ENT surgery… … It really is.'

We open our stomachs and do it, but at best, it's just the words of those who pick their noses, so I tried to ignore them, but they had brains.

and…….

My brain was dug up.

I thought it was a joke and threw it away.

‘If your vision is bad, you’re bound to have accidents… … .’

It would not be an exaggeration to say that vision is everything in surgery.

It was a law that no matter what was shown, no matter what was done, it was done.

I just did it because I thought it was a place I couldn't pull, but it was clearly my mistake.

“I guess I shouldn’t be greedy, after all.”

"huh?"

“No, I just have to make a hole. I can’t just stick my brain inside and then rip it out.”

I thought of the two patients who survived my screening process, or rather, who were determined to need surgery.

Those two were in a situation where they had really bad headaches no matter how hard they tried.

First of all, I tried washing it and got an otitis media.

I also need to figure out how to do that… … .

I just thought that maybe if I opened my nose, things would get a little better.

'The ear canal is narrower, so why would I have surgery?'

Two patients came in with a headache and then their ears started hurting.

I had a plan in my head about what to do.

Isn't the reason why your ear hurts in otitis media because the inflammation that occurs inside is putting pressure on the eardrum?

The best thing would of course be to relieve or remove the inflammation inside, but in this day and age when there are no antibiotics or anti-inflammatory drugs, puncturing the eardrum would be effective.

Then the inflammation inside will leak out.

Of course, there would be a hole in the eardrum… …but I heard it's easily blocked.

The problem was that I simply did not have the confidence to puncture the eardrum through these narrow ear holes.

'First of all, there are no tools for that.'

It would be better if we just knew what kind of tool they used.

Since ENT is a minor department and only gets 0.5 points, I only looked at it during practical training and only studied the family register.

Me, the kid from the past… … .

Why didn't you study more broadly?

If only I had died and come back to the 19th century with less suffering… … .

“For now… let’s try the next cadaver.”

I pushed away all useless thoughts and moved towards the next body.

Then he took away the paper that had been placed over his face.

Then again a young face came into view.

Why is it in this damned city of London that so many young people are dying every day, and being sold to the autopsy rooms?

'When will this be resolved?'

It was such a terrible situation that I was worried, but it was useless to worry without knowing anything.

I, who was trained to be a science major to the bone, shook my head and looked back at Joseph.

“Uh… … yeah.”

Joseph was still looking into the patient's head, nose, and mouth.

He had a look on his face that said he didn't quite understand.

It wasn't a crowd.

Aren't we still lacking in anatomical knowledge?

I can close my eyes and draw a 3D image of what a head looks like, bone by bone, but it was unreasonable to expect someone with that kind of ability in this day and age.

I probably have no idea how and where everything came together to make this happen.

Ji-i-ik.

Anyway, Joseph pulled up the corpse's upper lip as he had done before, exposing the gums.

I made a small incision there with a knife that I had designed myself.

Then, using something like a scraper, he scraped the gap between the gum tissue and the bone.

Then, with a clicking sound, the bones inside began to reveal themselves in wider and wider sections.

It's so exciting that you shouldn't just pierce the bone here.

'I saw that before… … the root of the upper tooth.'

oh my god…….

At that time, I pulled out three of them.

Unintentionally.

Dr. Liston, Alfred, Joseph, and other 19th century barbarians said that jaws could be broken during surgery, so what's the big deal about these three? Why make a fuss?

‘Don’t get swept away… … .’

I was really surprised when I thought for a moment, "Is that so?"

no.

No, it won't work.

I'm different from these guys.

“Just give it to me.”

In the 21st century, I was born in a country with the most advanced medical education, and I went from being a specialist to a fellow, clinical assistant professor, and then a full-time assistant professor. How could I not think about my patients like these guys?

So I proceeded with the peeling upwards sufficiently before I drilled a hole into the bone.

Bang! Bam!

As I was doing this, it was increasing in real time.

What should I say?

Should I say that I feel it when I put my heart on my bones?

Anyway, as soon as I felt the hollow inside, I swung the hammer with more force, and the bone broke, and at the same time, the inner space became visible.

"hmm."

As expected, the inside was not normal.

“Is this how it originally looked?”

Joseph, who had been pulling at his lips, tilted his head.

Coincidentally, all three of the corpses we opened had inflammation in the maxillary sinuses, so it would not have been unreasonable to have this misunderstanding.

“No, I don’t think so.”

“Really? But why is it all like this?”

“That much… … um.”

I was about to say something about the problem with London's air, but then I bit my lip.

Scientists at the time, and it's annoying to even call those guys scientists, weren't particularly interested in air.

I thought it was because there was no concept of gas, but that wasn't the case.

These kids… … surprisingly, they even know what oxygen is.

Anyway, since they don't know much about air pollution, it must have seemed strange for them to be talking like this.

“There must be something irritating your nose in London.”

But I didn't intend to stay still until later, so I spoke ambiguously.

Naturally, we 19th century people who heard me had no particular thoughts.

“Anyway, I’ll try scraping it all off. The more I look at it, the more I think I can do it.”

Surgical nerd Liston was just twiddling his fingers.

In my head, I would have already had a few noses cut off.

That wasn't all.

It was the same for Alfred and Joseph.

His hands were itching as if he was afraid someone might think he was an aspiring surgeon.

‘Well… … If you look at it, it all seems easy, and it seems like I can do it too… … .’

There was such a pitfall with standardized surgery.

The technique I am using now is… … .

If you look closely, it may not be exactly the same, but it was a guy with an official name.

Was it called the Caldwell-Luc procedure?

It's not done that often these days because we have endoscopy, but I heard that in the past, they used to do sinus surgery like this.

Even if we say it was old, we are talking about the latter half of the 20th century, and before that, it was a technique that was born after a great deal of trial and error.

In other words, this means that there is no better surgery than this one that can be performed without an endoscope, and it also means that it is a surgery that can only be performed once.

'But if you guys actually do it… … it'll be incredibly difficult.'

It might have seemed like I was just doing it.

“Okay… … Good. It’s out.”

But it wasn't.

To say that would be so unfair and discouraging, but I was doing my best.

First of all, we had to keep in mind that the ceiling of this maxillary sinus is the floor of the eye.

You might be thinking, “What does that have to do with anything?”

If you've never seen a patient come in after being punched in the eye, you shouldn't be saying something like that.

The bones on the outer and upper sides of the eye were stronger than I thought, but the lower and inner sides were very thin and easily broken.

What this meant was that it could break just by scratching it.

This means that the eyes can sink down… … When this happens, the field of vision of each eye becomes different, causing objects to appear double.

“Then let’s go inside now. Pull it a little closer.”

“Uh huh.”

“Senior, you’re done holding my head now, so pull here.”

“Oh, oh. But you won’t dig into my head this time either, right?”

“I won’t do that… …so just catch it.”

"huh."

The area we're entering now, the saggolli area, was more dangerous.

From here, the outside was the inside of the eye.

The bone is so thin that its name is Lamina Papyracea, but isn't papyrus like paper?

That meant it was thin.

It could break at any moment and cause the eyes to roll inward.

"after……."

Not only that, the ceiling of the saggol-dong was the floor of the head.

What a mess, the bones here aren't that thick so they could break if you're not careful.

To make matters worse, visibility was also poor.

Same. Same.

There's a reason why you have to carefully break things with pliers, that's what they said.

If you keep poking yourself with something like an awl because you're frustrated, you'll end up becoming a truly great murderer.

If these kids are making progress in surgery or something, we should take them away.

"after……."

After so much patient pliers work, I finally saw a slightly smooth bone.

I just went through it like that earlier, but since I had an accident, I was a bit more careful.

So I gave it a try.

'Hmm… … That doesn't really mean anything.'

I thought it would feel different since it was hollow inside.

It didn't make sense whether it was because of inflammation or what.

Is there no difference?

So I broke through it for now.

Are you practicing now?

The person lying down looked like a real person since he had not been treated with formalin, but in fact, he was not.

width.

So I pierced it and pus started gushing out.

I thought this gentleman must have had a headache just like anyone else.

But I still couldn't get treatment…

'It must have been because he didn't want to die.'

Aren't there too many doctors like our Jemel?

Robert was also a problem.

It's a world full of people who are obsessed with the idea that their heads hurt because they're bleeding, but would anyone in their right mind go to those kinds of people?

“Aren’t you selling any more?”

Anyway, I just made a hole and looked into it.

Then Dr. Liston opened his mouth, as if he was frustrated.

He already had an awl in his hand.

It was really interesting.

Don't you pick up something that looks dangerous at the wrong time?

“No. Because I had an accident earlier. I thought about it and thought it would be okay to just get rid of the boil.”

“Here. There was a lot of inflammation in the walls of the maxillary sinus, right?”

“Ah… … I can see it well here, but I can’t see anything inside.”

“I do it by feeling.”

"ah……."

no.

You shouldn't have surgery by feeling… … .

If you complain that even a place with a good view like a ship is good, the patient will die…

“I have no confidence.”

“You are good at everything, but you lack courage. Learn from me.”

no…….

If doctors are too brave, patients die… … .

Something like this occurred to me, but I couldn't dare shake my head in front of Liston, so I just stayed still.

Anyway, I plan to see my patients however I want, so it should be okay for the time being.

Even though Liston said that, he was a person who knew how to respect the title of 'Doctor'.

“Okay… … Then lie down.”

After practicing with a few more corpses, I was finally able to face a real patient.

The patient was shivering.

It was worth it.

It would be scary to have your limbs cut off, but this guy needs to get his nose operated on.