Dark-Haired British Doctor - Chapter 123
Only Noblemtl
Episode 123 Officially a doctor [2]
“Oh, I have a leg to cut today.”
“I have to go get the baby too.”
“yes yes.”
Dr. Liston and Blundell returned to their seats.
These were also measures that needed major attention at some point.
Iron the ruler… … .
‘We were cut by an orthopedic surgeon, right?’
Even though it is modern medicine, it does not mean that amputation does not exist at all.
Aren’t there bound to be situations that can’t be helped?
In addition to diabetic foot, limb amputation due to traffic accidents was something that could not be avoided.
My friend explained that there was nothing I could do in a situation where all my bones were crushed.
but… … .
huh?
It’s not a good idea to cut here.
‘okay… … Anyway, Dr. Liston also thinks that surgery needs to be improved, so I’ll give him some help.’
Originally I was going to leave it alone.
Since Liston is a genius, was there any belief that he would be able to improve on his own?
But after thinking about it, I realized that actually creating a new surgery… … .
In terms of martial arts, isn’t it the same as a major general?
Is something like that common?
If so, huh?
Everything will turn into a faction.
When I thought about the fact that it was impossible for me, and the fact that it was impossible for my teacher as well, it certainly didn’t seem right to leave it like this.
“You just need to find something… … ? “Can I just talk comfortably?”
Anyway, now it was important to look into the professor’s research materials that were originally in this room.
“huh? What are you doing? “You only say ‘professor’ to other people.”
“oh… … also… … Taepyeong… … .”
It may be my job to look at the data, but isn’t searching it a chore?
What about chores? The following things had to be done.
Of course, in 21st century Korea, it would be an uproar if such chores were performed without compensation… … .
Here, students had to have their teeth pulled out when the professor ordered them to do so.
“Can I find something like this?”
“Okay. something like that.”
“good.”
So, at best, asking for information was meaningless.
On the contrary, it even seemed gleeful.
Is your friend a professor? … .
Wouldn’t it be fun?
If they are people with really bad personalities, they might be consumed with jealousy.
Joseph is someone who has respected me for a long time, and Alfred is my lifesaver.
“Can I have this too?”
“Uh, yes. But please speak comfortably.”
“You’re a professor, so how can you…” … “I’ve been learning all this time.”
“that… … what. “If it’s comfortable for you, do what you’re comfortable with.”
“yes.”
Colin, who was the one who caught me the most, has long since become just a loyal servant.
Anyway, thanks to that, I was able to quickly receive the materials.
First, I looked at hemorrhoids, which is my area of expertise.
In fact, the department was not designated as colo-anal… … .
Haven’t you really been bored with learning since residency?
-This will be your food line when you leave.
It was a bit weird to point to a patient’s asshole, and even an undeveloped asshole, and talk about providing food… … .
It was definitely true.
If you look at seniors who open their own clinics, 90% of them have hemorrhoids.
‘Let’s see… … .’
With my hand on my head, I began to look at Professor Noh’s materials.
The pictures were drawn in quite detail.
Some of the details were so detailed that it made me cringe.
Well, it wasn’t a bad thing.
The fact that he was this sincere means that he did his best for the patient.
However, the problem is that doctors who do their best during this period do not necessarily produce the best results… … .
‘They say Napoleon also suffered from hemorrhoids… … .’
The era of noblemen was a while ago, but would it have changed much in just 20 or 30 years?
If even such a powerful person went through hardships, then everything was said.
‘Oh my gosh, what is this?’
In the middle of the illustrations that I drew myself, there was a picture or a color of its own.
Judging by the lack of brush strokes, it appears to be a print… … .
The patient’s posture was shocking.
He was standing with his arms resting on the wall in front of him with his lower body removed.
It might seem like the anus would be very visible if you did this, but in reality, it wasn’t.
If that were the case, everyone would do it like this… … .
‘and… … Is it really possible to burn the hemorrhoids with fire?’
Of course, it was too hasty to be surprised just by looking at the posture.
The human butcher, no, the surgeon was holding a soldering iron.
What he is aiming for… … .
You can’t tell in detail from the picture, but it was definitely hemorrhoids.
It has to be hemorrhoids.
Isn’t it a bit too scary to lose to someone else?
‘But if it’s beaten to an awkward temperature, the blood will just burst out… … ? Oh, I wonder if that next door is a bellows.’
The assistant was holding a bellows to raise the temperature of the soldering iron as much as possible.
In other words, this patient… … .
In fact, he was in a position where hemorrhoids could not be clearly seen and his anus was pricked with his pharynx.
and… … .
Could it be that this professor was like this too… … Oh, there is a further explanation.
-If you do this, it is common for the flesh to burn, and there are even many cases where the anus becomes blocked and the person dies. So we must refer to Sir Felix’s method of operating on Louis XIV.
Fortunately, it didn’t seem to be like this.
I rummaged around with a sigh of relief, and this time I saw a drawing in a much cruder form.
Judging by the similar handwriting, it seemed like this was a drawing the professor had drawn.
Unfortunately, the patient was still in the same position.
‘what… … The importance of patient positioning has also become established… … In a way, it must be after anesthesia.’
In modern medicine, adjusting the patient’s posture for the surgeon’s convenience has been a fundamental step.
There may be complaints that I’m thinking too much about the job, but… … .
Wouldn’t the results be better if the person performing the surgery is comfortable?
In particular, as surgery developed, more and more precision was required, which inevitably led to an increase in surgical time.
But in fact, for this to be possible, not only did the patient have to be unconscious, but the muscles had to be relaxed and flexible.
In the end, this could only be considered if anesthesia technology developed first.
‘Anyway… … oh… … Tie the hemorrhoids with thread… … ? Does this mean it hardens the blood? no way.’
It probably doesn’t have any other magical meaning.
I hoped so and read the material the professor left behind.
Sure enough, it was.
He said he waited for more than an hour for the blood to harden.
It looked like it had been cut off with scissors.
‘Hmm… … what… … Not bad, but… … .’
It was unclear whether hemorrhoids were properly checked.
Moreover, there are two types of hemorrhoids: external hemorrhoids and internal hemorrhoids, but it seems that no distinction was made between them.
There was even no guidance on the 4th stage of hemorrhoids.
what… … It must have been because I didn’t know.
Wouldn’t it be?
I wouldn’t have done it if I knew.
‘It must have hurt so much. This was even done without anesthesia, right?
and… … .
this… … .
Isn’t hemorrhoids a really painful disease?
The reason it hurt was because the anus was a really important area and my senses were sensitive there.
But without anesthesia… … .
“her… … .”
A sigh came out of my mouth.
I closed my eyes and expressed my condolences before the sigh disappeared.
Of course, it would have been much better than the days when the anus was used with a soldering iron… … .
I don’t think I was particularly happy during these times.
Moreover, the procedure that inevitably accompanies surgery was omitted.
Disinfect immediately.
‘Common sense tells me that if I want to have surgery here, I should have cleaned it up a bit, right?’
I didn’t even think about cleaning this place with my bare hands… … .
Just huh?
No, that’s right.
There’s no way this place could be clean in an era where even proper toilet paper wasn’t available.
So I wipe with water?
After trying it, I understand why Indian people wash their hands with water.
Perhaps, and this is just my opinion, the prevalence of hemorrhoids in India is quite low.
In fact, hemorrhoids are related to anal hygiene to some extent.
‘Anyway, it would be better to start with the basics. This is it… … ‘If I wanted to do it, I did the surgery, and if I didn’t want to do it, I didn’t do it.’
As I looked at the data further, more and more problems became apparent.
These were basic problems, but… … .
Since it was not the time to establish the basics, I had no choice but to do so.
No, I didn’t think it would be like this… … .
Is it because it’s definitely a part?
Even though it is such a common disease, it felt like it was not well established.
This is not a problem to say. Even in the 21st century, there is a feeling of neglect when talking about hemorrhoid surgery, right?
I don’t speak well to others.
‘No matter what, it is. Which patient should I have surgery on? … ‘I haven’t even sorted this out.’
It is called an indication for surgery.
It is no exaggeration to say that there is nothing more important to a surgeon than this.
My teacher too… … .
Although he was not a good person, he was a good doctor. One of the things he always said was this.
-How to do it is a question later. When to do, What to do. I have to decide on this first.
In other words, what to do with the surgery is a later issue, and what is important is when and what kind of treatment to use.
That was right.
Aren’t there many non-surgical treatments for hemorrhoids alone?
In fact, performing surgery in stages 1 and 2 was, in some ways, excessive treatment.
Especially in a situation like now where there are so many limitations to surgery, surgery had to be avoided.
It might be a bit weird to say something like this on the topic of surgeons, but what can I do?
That’s for the patient.
‘From a sitz bath… … Let’s teach. okay. Do that. The surgical method starts with a little bit of tweaking… … The director said that patients who have reservations will be postponed for now… … good.’
Anyway, that’s how I made up my mind about hemorrhoids.
Meanwhile, my assistants… … .
No, my students and friends were doing their best to find the materials I mentioned earlier.
In fact, since there can be as much data as there is depth of knowledge, I had already found out about hemorrhoids a long time ago, and now I was looking for data about benign prostatic hyperplasia.
Actually, I was a bit surprised.
How on earth did they pinpoint an enlarged prostate as the cause of discomfort in urinating as one gets older?
‘what… … There is a high possibility that I came to know it intuitively while doing the dissection… … ?’
Doesn’t the prostate enlarge as you age?
If we had confirmed it by dissecting it, we would have been able to make intuitive inferences.
The only thing I was curious about was how it was treated.
Things have improved quite a bit these days as medicines and surgical techniques have developed… … .
What kind of surgery was done in the past?
With a slightly pounding heart, I looked down at the instrument Joseph had found and placed on the desk.
“oh… … this… … Is it an endoscope? … ? “No, isn’t it?”
Although it was an endoscope, there was no lens through which to look through.
It looked like it could be put somewhere, but there was no lens.
If you look closely, the tip looks like a blade… … .
It was ominous.
“With this… … just… … Drill it… … Are you going to pierce it?”
“I think so?”
“Because it’s blocked and won’t come out.”
“ah… … .”
Hey… … .
It was too scary to even imagine it.
No, it hurts.
It felt like it hurt.