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Episode 70 Absence [1]
“Eww!”
“Hey, save me!”
“I, I’m not! I’m not a patient!”
“Come to work! You’re a patient!”
The place I got off at was the hospital entrance, riding in a luxurious carriage prepared by my senior's father.
Joseph and Alfred still had to go to class as students, but I was effectively Doctor Ping, so I did that.
In fact, these two are like my personal assistants, and I was using them here under the pretense that Dr. Liston or Blundell would give the necessary lectures.
“It’s a peaceful ward today too, yes.”
I made my way through the crowd of patients running around, not wanting to know what they were doing, but clearly wanting to receive treatment that would be painful, and headed toward Dr. Liston.
No, to be more precise, that's what I was trying to do.
I don't really have any plans… … .
Anyway, mirror therapy is in progress in that treatment room.
I was thinking of talking about the name Fantasy Tong today or tomorrow.
“Ugh, euaaaaaaah!”
But one patient caught my eye.
To be honest, it would not be an exaggeration to say that almost everyone here was screaming in agony.
But that man's scream had a power that focused attention.
There was no particular reason.
It just looked the most painful.
'That's… That's real?'
In fact, would you be able to come to the hospital unless you were seriously ill?
In Korea, if you go to the countryside and the doctor asks, "Why didn't you come in yesterday?", the answer you get is that you were sick yesterday.
There was absolutely no one here who came every day except for a doctor.
Among them, the patient was in so much pain that it felt real.
"wait for a sec."
"huh?"
“Hey! We’re still students… … .”
“Shut up, idiot. We’re treating patients here, Inma!”
“Oh, yes, yes. But still, the rating is… … I’m seeing that patient for the first time.”
So I asked for their understanding… without really asking for it, and just went to the patient.
Although this may not always be the case, in most cases, isn't it a condition that requires surgery?
So, what I was saying was that if you see a doctor other than me, you're definitely going to get screwed.
I don't know if it's a disinfection problem or something else…
Anyway, they didn't do surgery on my stomach, they just drained my blood.
Those crazy guys… … .
Why are you drawing healthy blood?
If you take blood when you're already in pain, you'll die. How can you survive?
“Patient.”
Anyway, I spoke to the patient.
“Ugh, euaaaah!”
As expected, no proper answer came back.
I didn't expect it either.
It won't hurt.
Instead, I decided to just observe it up close.
'Back… … a little bit behind. Ah… … if there's this kind of pain there… … .'
As soon as I looked, the answer came out.
It wasn't a particularly difficult disease.
It was a disease that could be diagnosed like a doctor after just one month of emergency room internship, without being a specialist.
But at the same time, it was also a very painful disease.
as soon as…….
Urinary stones.
“Patient, it hurts more when you urinate!”
If it were normal, the first priority would have been to give her a cup and tell her to go pee.
If you bring back urine, we will prescribe painkillers and conduct a urine test to check for hematuria.
next?
Next is… … .
I don't know either.
Usually, you just refer it to a urologist and forget about it.
'I'm going to do lithotripsy… … There's no way that's possible here.'
Ultrasonic lithotripsy.
If there was such a thing, wouldn't it have been written already?
Honestly, given the times, it seems like it could have been in a corner of some mad scientist's basement laboratory, but it would have been in the 1900s that it would have come to the forefront.
“Oh, oh, oh! It hurts! Euaaaah!”
Anyway, the patient answered my questions very enthusiastically.
It was much more severe than the patients I usually see with stones, and I thought I knew why.
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If it had been a little more serious, wouldn't they have tried to solve it on their own instead of going to the hospital?
Even at this time, you know that it comes out more than you urinate, right?
“Excuse me, am I absent? No way? Am I absent?”
"oh?"
As I was thinking that, surprisingly, the patient told me the diagnosis.
It was a proper diagnosis, not an absurd diagnosis for this era.
“It seems to be absent.”
“Oh, no! Oh no! No!”
That's just what I said, honestly, I almost fell to the floor.
It was that amazing.
Anyway, the patient started yelling that he must know something more than I did.
Could that have been a signal?
A crowd of people came rushing out.
"absence?"
“I see you’re absent.”
“Okay, then this way!”
It was a group I had met face to face with a few times.
However, I was on Dr. Robert Liston's side, so I couldn't get into much detail.
It seems like the absence is being seen from that side… … .
“Hey, no! Save me… … Save me!”
As soon as they saw them, the patient started waiting for the game.
Then they also started shouting.
“It doesn’t hurt if you have anesthesia!”
“Yeah, the anesthesia is working!”
The anesthetic I discovered just happened to be their excuse.
Damn… … .
I felt a sense of responsibility.
So I mustered up my courage and stepped forward.
To be honest, it was thanks to Dr. Liston who showed up behind the scenes.
No matter how noisy a hospital is, it must have been especially noisy today.
“Wait, wait. This patient… … is the patient I saw first?”
"huh?"
“What are you talking about? It’s obvious that we’re absent! We’re the ones absent.”
“More than that, this kid… … who is he?”
The three of them looked at me and made unpleasant faces.
You're Asian, don't say anything unpleasant.
I would have done the same thing.
“Who are you? The person who discovered the anesthetic you mentioned is none other than Dr. Pyeong.”
Without even going to Dr. Liston, Joseph stepped forward.
Since he was a big guy and had a good one-punch record in Upton, the guys were intimidated.
Aren't you the one who discovered anesthesia there?
I thought you only knew that I was an Asian doctor, but am I the only one like that here?
“Uh, uhm.”
“Still, the absence is from our professor… … .”
“What’s going on, you guys?”
Just as a scuffle was about to break out between those slightly dispirited guys, Dr. Liston intervened.
Even though I didn't say anything special and just asked them what was going on, they started to back away slowly.
I get it.
“No, that.”
“What’s going on?”
“I… I’m sorry!”
But running away like that is a bit… strange.
Anyway, it was a good thing for the patient.
“Ugh. Ugh. No… … .”
Of course, the patient didn't think that way either.
Perhaps in his eyes, it would seem that the oriental monster and the Liston monster have secured themselves?
Death looms before your eyes, that's what it was saying.
“What’s going on? Why are you running away? What’s going on?”
Dr. Liston looked at the men running away with their tails pulled out, then turned to me.
I explained the whole story.
Then Dr. Liston tilted his head slightly.
“Um… … It’s true that they should be looking at the absences… … Anyway, since it’s come to this, let’s take a quick look.”
“Uh huh.”
“Why? Is there something wrong?”
“No, it’s not.”
Dr. Liston said this and placed a hand on the patient's shoulder.
Surprisingly, the patient shook his head hastily, forgetting even the pain due to fear.
If it were normal, I would have screamed in pain instead of answering… … .
Less loud.
As I entered the examination room and closed the door, the patient's face became even darker.
That was bound to happen.
Come to think of it, isn't this an era without painkillers?
How else would hospitals treat stones?
'I wish I didn't know that it comes out in urine… '
Unfortunately, it seemed like he knew that it would come out in urine.
‘Wow… … What on earth… … What kind of surgery did they have… …?’
Shit… … .
I didn't even want to imagine it.
It's so horrible… … .
No matter how I thought about it, the only thing that came to mind was the fear of death.
Dr. Liston opened his mouth, perhaps reading my expression.
“I don’t know if this is something I should say as someone who mainly performs amputations, but… … In my view, lithotomy is not surgery, but a murder technique. It’s so horrible that I’ve never even thought about doing it.”
"ah……."
If Liston is that terrible… … .
Isn't that all there is to it?
“They say they’ve developed anesthesia, but… …they’re still performing the same surgery. I’m in the same situation, so I guess I shouldn’t be saying this either.”
“Hmm.”
“Oh, you don’t know how to operate? Where did you put it? Oh, right. Here it is. Let me take a look.”
Liston handed me a booklet.
It wasn't that thick.
"ah."
However, the book was mainly comprised of pictures, so I was able to read it quickly.
In other words, I was able to quickly realize that the surgery was a ridiculous surgery.
'Are you guys crazy…?'
In fact, although kidney stones are a terribly painful disease… … .
Although it is a disease that is considered one of the three major pains among doctors… … .
Whatever it was, the absence itself wasn't small.
No matter how big it is, it's probably only the size of a fingernail, but you cut it all like this?
That's why the mortality rate exceeds 50%…
'No, but you're saying that you're doing a surgery with a mortality rate of over 50%… …?'
By the time my doubts began to arise, the patient's pain was slowly overcoming his fear.
He had been quiet for a moment, but now he was screaming loudly.
“Ugh, euaaaah!”
Looking at that, I can understand this mortality rate.
‘Well… … if you don’t get treatment, you’ll be in pain like this until you die.’
Wouldn't you rather try something and then die?
It was the 19th century, after all.
At this time, I felt inexplicably sorry for the patients, but I felt that I could not push them to undergo this type of surgery.
“Patient.”
"yes yes!"
“I’ll think of a way… … Could you wait just one day?”
“Huh, one day?”
Wow, shit.
When I look back, my eyes are bloodshot.
Even a murderer wouldn't glare so terrifyingly.
'Well… I understand.'
It hurts so much, but didn't you tell me to just endure it for a day?
I think it was a bit too much.
If you think about the emergency room, the medical staff gets beaten up just because you waited for a few minutes.
I don't have to go far; I've been hit by it too.
He was drunk, and at the time, the medical law did not protect medical professionals, so it was swept under the rug… … .
'There's nothing more here.'
I felt like if I kept going like this and got stabbed, no one would come to help me.
Didn't some medical schools even teach horseback riding?
If something goes wrong, just get on your horse and run.
“Then tonight. I’ll look for a better surgery than this.”
“Uh… … Uh-huh!”
The patient tried to say something but then fainted.
I decided to accept it as my consent.
“Then shall we get ready?”
“What are you talking about? Do you think you can do it after reading that book? As a human being, I don’t think you should perform such a surgery on the same person.”
“That’s why. We need to change it.”
“If the surgical method is so obvious… … .”
Dr. Liston looked at me with a look of bewilderment on his face.
Common sense tells you that it's correct.
But I'm from the 21st century.
I knew how the most advanced forms of surgery were performed.
All that had to be done was to transplant it to fit the times.