Dark-Haired British Doctor - Chapter 124



Only Noblemtl

Episode 124 Officially a doctor [3]

Oh my gosh, just because the road is blocked, you just break through it.

This… … .

Isn’t this actually torture?

If you think about it, there are actually a lot of different types of torture using this area, that is, the urethra, so it wasn’t an unreasonable idea.

what… … .

If I pierced it, I might be able to urinate for a while.

“But does this have any effect?”

Since I had already found all the materials a long time ago, and the good thing about the 19th century was that it used a lot of space, I was huddled together with Joseph, Alfred, and Colin, looking through the materials.

Coincidentally, in my hand was something that our late professor had probably written… … .

There was a stick with a needle on the end.

It wasn’t just a needle attached.

The acupuncture needles and the outer cylinder were separated in their own way, so only the acupuncture area could be moved back and forth while leaving the cylinder in place.

Otherwise, I could have turned it around… … .

In any case, it could be considered a very primitive form of drill.

“Shouldn’t it be effective if we do it this way…?” … ?”

It was Joseph who asked first, and Alfred who spoke next.

In fact, it had been quite a while since everyone had looked at the data, but it was the shock of the data that made them open their mouths now.

It wasn’t that we were weak-hearted, it was just that anyone with a prostate could not help but feel solemn at this place.

Wouldn’t it be?

“I guess I continued because it was there… … .”

Among the four, Colin, who had the most valuable status and was therefore in charge of politeness, also stuck out his tongue.

Then the three of them looked at me as if they had made a promise.

Well, from the beginning, they would look at me whenever something difficult happened, but now, perhaps because I became a professor, I felt like they had stronger expectations.

It seemed like he wanted me to say yes.

Unfortunately, I had no choice but to disappoint their expectations.

‘The prostate… … It’s an area that continues to grow… … Of course, this is quite thick… … ‘It’s impossible to do something like this.’

Instead of answering, I looked down at the instrument I was holding.

In its own way, this could be said to be quite advanced for a 19th century medical device.

It looks a bit scary, but… … .

Still, if I had inserted it properly, I would have been able to urinate properly for some time.

of course… … .

The surgery will involve destroying the entire urethra, so if it seems to be blocked, it will be blocked very quickly, and if a stricture occurs, it will be the end… … .

And now I think this situation would happen very often… … .

“No, it was probably only temporarily open.”

“Huh… … .”

“How… … .”

“I put this in here… … .”

Naturally, everyone looked shocked.

It had to be that way.

Any human being would have no choice but to react this way.

I had to show it too.

Isn’t the minimum ability to empathize a virtue that a doctor should have?

When I saw it, it seemed like the reason they were doing this was because of the instinctive pain in their lower abdomen, but whatever.

“Look at the data. The professor also pointed out the limitations. Once you insert a straight stick like this… … .”

Due to anatomical factors, there was a very high probability of being stabbed somewhere else.

because?

The urethra… … It breaks once inside.

This was especially true for men who were old enough to suffer from prostate problems.

In the 21st century, where I lived, such accidents were less likely to occur because the cystoscope was used to enter the bladder. Also, when inserting a Foley Catheter (indwelling urinary catheter), it was made of rubber, so even if it was inserted, there was no chance of it going into the wrong place.

‘But there’s nothing like that here. then… … You have to take anatomy into consideration when making it. If you bend the end a little bluntly… … I think it will fit right in… … Lubricant is the problem… … I think you just need to find something that is soft and non-toxic.’

While I was searching for alternatives in my mind, I also pointed out the problems with my mouth.

I also thought that if I had met this professor before he died, I would have really liked him.

No, if you’re stubborn, will there just be a fight?

anyway… … .

“There will be a hole like this. Look at it in action. Is there a report that there was only blood, not urine? So now, it says that when you go in and feel resistance, then lower it down. Even so… … ah. It is said that there was a time when urine came out but it was pierced incorrectly. How can this… … ah.”

The professor’s records were very detailed.

There were even some pretty accurate points.

A long-standing tradition from this time… … .

In the case of people who die during surgery, doesn’t the dissection begin once the settlement amount is paid?

This person was no exception, and dead people seemed to have been dissected.

Thanks to this, I experienced the joy of urinating for a while by piercing the bladder through a place other than the original urethra, but I observed and wrote that this inevitably leads to death in many cases because the urine does not come out but accumulates in the abdominal cavity. It was worse.

“ah… … Then this… … It just hurts… … .”

“But if you stab it properly… … ?”

“That’s right. If you hit it right… … “What would it have been like?”

Hit it right… … .

Honestly, it wasn’t easy.

First of all, the problem was that the ends were jagged.

It’s also a problem that it’s stretched out too straight… … .

But what if we say that we succeeded despite all the difficulties?

Still, it wasn’t that good.

Okay.

First, I drew a picture.

I don’t know if it’s anatomically complete.

This is actually not my specialty.

If it was the anus, I could draw it with my eyes closed, but does it make sense to lump it all together just because it’s in the lower part in the first place? There is no connection at all anatomically or physiologically… … .

This is the urinary system, and the anus is located at the end of the digestive system.

“oh… … .”

“and… … .”

“also… … .”

It seems like it was drawn haphazardly, but the three guys couldn’t keep their mouths shut because it looked so incredibly realistic.

what… … .

Since I am from 200 years later, it would be even more strange if I couldn’t make it like this.

Anyway, after drawing a rough picture, I pointed to the round structure pressing down on the urethra with tremendous force.

“This is the prostate… … “I’ll show you in person when I get a chance later during the dissection.”

“Oooooh.”

It was probably my first time seeing it diagrammed like this.

It had to be that way.

Actually, this dissection is really difficult.

First of all, the bladder and other places deteriorate quickly, and the prostate is a place that changes with age, so it was especially difficult to build up proper knowledge in the 19th century, where most people only accumulated one piece of knowledge and then criticized it.

In addition, there are so many people who have wild imaginations about this and other areas… … .

“Anyway, this is too big. Let’s say you make a hole. Then it will start to come out right away. But do you think a lot of the pressure has been relieved?”

“ah… … Pressing it like this… … ?”

“ah… … .”

“Huh… … then… … These patients… … ?”

Colin happened to find a list of patients.

The professor must have really put all his effort into the treatment and saw a lot of patients.

For each name, there were some that were just left and some that were hatched, and I was sad because I felt like I knew what they meant.

So many patients have died that it is hard to put into words… … .

If what I’m saying right now doesn’t it mean that I was dying for a treatment that wasn’t particularly effective?

It was no wonder that everyone forgot what they were talking about again for a while, but surprisingly, it seemed that our professor was also aware of this problem.

The remaining stack of documents suggested ways to solve this problem.

It was in the form of a letter.

-Dear Dr. Harry.

It seemed like he was trying to send it to Dr. Harry.

No, I see that there are some typos and traces of lines… … .

I sent the letter and I think it was just kept, but the contents were really unusual.

-As you know, the number of patients with benign prostatic hyperplasia that I have seen is in the thousands. However, the number of patients who were actually resolved is less than ten.

I see some marks. Is this a tear stain?

It seemed right.

What was unclear was the professor’s emotions when he shed these tears.

Was it self-destruction or guilt?

It seemed like a righteous person should have felt guilty.

Even if you did your best, it doesn’t justify why so many people suffered.

– While I was thinking about it on the road… … I’ve heard rumors of retired sailors who have no trouble urinating despite their age.

uh?

This also intrigued me a bit.

Actually surgery… … .

Isn’t surgery a treatment that should be done last, like the final boss?

Even though I’m a cancer surgeon, I don’t go out of my way to cut off patients who don’t care.

If you are a sailor, there is a chance that you picked up something new somewhere and ate it, so what if by chance it was something that suppressed male hormones?

It’s medicine.

approximately.

-At the end of the question… … Over the past 10 years, I’ve met over 20 retired sailors or soldiers, and they all have absolutely no symptoms.

Hmm.

This was a bit ambiguous.

I don’t know if you had selected any retired sailor, but if you had searched for people without urinary symptoms… … .

Umm.

The technical term for this is ‘bias error’, or ‘Bias’… … .

-They all had one thing in common.

oh?

Do you have something in common?

If there was something else in common other than the absence of symptoms, this could be quite meaningful.

It is unlikely that our professor would have accumulated the knowledge necessary for basic research design even though it was the 19th century, and it must have been just a coincidence.

what… … .

There is a saying in our country that a cow catches a mouse while backing up.

Looking at the data, there is no one who took a hard step backwards like our professor, so wouldn’t it be possible that one of them took a good step somewhere?

“Hmm.”

I felt a surge of anticipation and turned my eyes to the next sentence.

-They all had testicular injuries. Whether you were shot, stabbed, or hit by a ship’s structure while working… … The cause is different, but I suffered an injury to my testicles.

I don’t know why… … .

I didn’t really want to read the next sentence.

But my eyes were reading voraciously, driven by interest in new knowledge.

– Could it be that there is a connection between testicular loss and urinary discomfort? So, I searched through the literature and found that castrati (castrated singers) also had no discomfort in urinating no matter how old they got. I had the opportunity to obtain and dissect a castrato’s body, and found that his prostate was small. Well, I got an idea from here.

no… … .

no… … .

do not do that… … .

Don’t get ideas… … .