I Quit My Job and Run a Café - Chapter 457
Only Noblemtl
Episode 457: Reckless Challenge [2]
Rheumatic fever.
In English it is called ‘Rheumatic fever’.
When I looked at it, it didn’t seem like a particularly well-made name.
Usually, when you look at the name of a restaurant, you can guess what it sells, right?
A well-made name is one that can be expected. If you don’t even know if it’s a restaurant or what, it’s doomed. Will that work?
‘How do you know what disease it is? Just by hearing the name.’
There is a department called rheumatology, so the name rheumatology itself is probably familiar.
In fact, rheumatoid arthritis is a fairly common disease.
Among the famous painters, there is Renoir. We all know that he suffered from severe rheumatoid arthritis in his 50s, which caused his painting style to change.
It is a typical autoimmune disease. Simply put, it is a disease that occurs when the immune system, which is supposed to protect our body from the outside world, goes crazy and attacks the body.
These days, you can use medicine properly, but back then, there was nothing, so it must have been really painful.
‘But this is an infectious disease.’
The problem is that rheumatic fever is not an autoimmune disease.
Well… … it is an autoimmune disease that occurs after infection, but the mechanism itself is very different.
But why is it named like this?
That’s because the symptoms are similar.
What tests could doctors of the 18th and 19th centuries do?
You can see that this is something that happened because we had to guess based on just the symptoms and opinions we saw and heard.
I tried to fix it later, but it was strange to change the name of a disease that had been called that for hundreds of years, so we still call it that in the 21st century.
‘Anyway… … There’ll be a lot of them. I have to be careful not to move them.’
It’s not caused by a rare fungus either.
It is caused by a bacteria called Group A Streptococcus, and if you have ever suffered from severe tonsillitis, it was most likely caused by this bacteria.
Did you catch the yellowish lump? Then it’s almost there.
It is no exaggeration to say that there are no aftereffects if you just take antibiotics on time, but there are no antibiotics here.
As a result, complications often occur, one of which is myocarditis.
“What are you thinking about again?”
“Oh, I’m thinking about rheumatic fever.”
“What comes to mind when someone who didn’t even know they had such a disease thinks about it?”
“that…….”
It’s unfair.
At this point, it is clear that no one knows more about the disease than I do.
Who knew that this could happen because of an antigen-antibody reaction?
But this is an advanced process.
It is still too early for the world to accept this.
“Still, I can get a rough idea.”
“Well… … Yeah, that’s free. Anyway, the guy I’m meeting now seems to be quite the expert. He said he organized it quite systematically.”
“Really? How do you know that, hyung?”
“There is a saying in Korean, ‘Tasan Jiseok’.”
“ah.”
“What I’m saying is that even those who seem lacking to us can have something to learn from. Do you understand, you idiot?”
“that.”
There was a certain nuance to it that just now it really felt like that idiot.
This kid… … .
How can someone who knows the basics not know a retard?
When learning a foreign language, the first thing you learn is usually swear words… … .
There’s no way a smart guy like Liston wouldn’t know that he’s an idiot.
But it’s a bit awkward to ask.
So, as I was just sitting there, the carriage suddenly stopped.
“Um. Here… … .”
“I don’t feel good about it. It kind of feels like a butcher’s job.”
This may be a prejudice, but in this day and age, it is difficult to shake off the idea that the better a hospital is, the better it is.
I don’t think it’s because our hospital is in the best neighborhood.
Harry the Butcher and the wild healers too… … .
The crazier they were, the more they were on the outskirts.
But when I arrived, I realized that this place was also on the outskirts.
“There are also many patients.”
“It must be a stone dealer.”
In addition, there are many patients?
That saying dazzled people at that time, that’s what I’m saying.
I know it might make you feel really bad if I say this… … .
There is such a thing as the level of the times.
My conclusion is that in the 19th century, any doctor who was popular had to be a quack.
Just how many hardships and adversities have I had to endure to get to where I am today?
I even had to imitate a stone-thrower.
There are still some areas where compromise has been reached.
“Yes.”
“Shall we go in first?”
“I wonder.”
“after.”
After we had roughly figured out the situation, we quietly headed to the hospital.
It was literally packed.
Everyone was clutching their chests, and it seemed clear that I was the one who started the rumor that I was the first cardiologist.
Otherwise, there would be no way so many heart disease patients would have gathered here.
It didn’t even occur to me that I had to come to our hospital.
‘Well, it’s something that happens a lot even in the 21st century… … .’
I think the most striking thing about real experts, mainstream medicine, is that we have a clear understanding of where we can and cannot go.
It is said that meta-cognition has been achieved, and thanks to that, we have been able to gradually improve.
This is a truly undeniable feature, but it does have its drawbacks.
There was no ready answer to the question, ‘Where should patients who have been abandoned by modern medicine go?’
Hospice wards have emerged as an alternative, but they have not yet found a place in Korea, perhaps because of different perspectives on death.
All sorts of quacks lure these patients into believing they can treat them, while stealing their money, time, and in some cases even their lives.
“Uh uh… … It’s a poet… … .”
“Your expression… …you came here to kill me.”
“Harry… …like Harry?”
“That guy was a really good guy. You damn guys.”
“Shh. Are you sure you want to die too?”
“No… … Because they keep killing the doctors… … .”
As I thought about that, my expression naturally darkened.
Liston is a scary person even when he’s smiling, so it was even stranger that there were people on the road we were walking on.
People were torn apart to the left and right, just like Moses parted the Red Sea.
I’m not saying that I only say things that I like, but I don’t think it’s wise to pay attention to the words of people who come to entrust their hearts to a quack.
“The door is open, huh?”
“You’re less careful than Harry.”
“I guess he’s more honest. He’s not an ordinary crazy guy.”
“It can’t be helped.”
heart…….
Are you still touching on an organ that is burdensome even in the 21st century in the 19th century?
It’s too much for someone who’s only done one or two laps.
“hmm.”
“Hmm.”
The moment I entered the building, I felt surprised.
The slaughterhouse, no, the hospital that Harry ran, smelled like blood.
Unsanitary tools, pieces of testicles strewn across the floor, and blood stains everywhere… … .
Even though quite some time has passed, I still can’t forget it.
I think it would have been exactly the same feeling if I had played the game in VR.
Well, Harry was caught and hanged to death, which did not live up to his reputation as a butcher.
“It’s clean?”
“That’s right. First of all, I don’t smell any blood. Are you not bleeding?”
“I guess so.”
“I’m getting more and more anxious. What on earth are you doing?”
Oh, Liston and I have quite different opinions on bloodletting.
Liston still sees the bloodletting as meaningful.
That’s because the surgery I had involved removing the blood that had accumulated inside the placenta.
This is the result of painstaking efforts to identify diseases that can be cured with current technology, but I am afraid that the belief in bloodletting itself is becoming more and more solid.
‘I’ll have to fix it little by little later.’
Anyway, we headed inside, passing through the relatively clean interior of the hospital.
“Ugh, ugh!”
“also.”
“I guess you’re doing something.”
Naturally, groans began to flow out.
This is the 19th century.
No matter how normal they may seem, you can always assume they are doing something shady.
Rather, I’m more scared of places with such a plausible-looking exterior.
Even when patients die, their guardians just accept it and say, ‘Oh, our family was weak!’
Bulkhead.
Why would you need a navigation system?
Just follow the sound and walk.
So we were able to go right into the examination room.
The doctor who appeared before us was a middle-aged man with a bald head.
He may be middle-aged, but he didn’t look that old compared to Brother Liston.
You can think of it as looking similar to Liston before the hair was planted.
‘Surely… … it’s better to plant it.’
I waited for a while with these thoughts in mind.
It was the same with Darwin, and Liston was the one who came forward first in these situations.
Now, with the sharp, no longer used surgical knife, I cut the tool that the bald man was holding… … .
“It’s an intellectual view, so let me put it into words.”
“huh?”
“Let’s not say it. Aren’t we all… intellectuals?”
The prediction that it would be thrown away was wrong.
I guess this is what it means to be in the same boat as someone in the same boat.
Also, Liston seems to have gotten a little older.
It’s definitely less fiery than before.
“Ah… …Sir Liston. Sir Peiyongsiin.”
The other person introduced himself as James Hope and briefly dismissed the patient he was treating.
Now I see that the patient who had been receiving electric torture through his hands was heading outside with a somewhat relieved look on his face.
He came because he was called a doctor, but he seemed surprised because it hurt so much.
I don’t think I’ll come back like that…
That’s because the 19th century was a time filled with suffering.
Of course, it is true that among them, the hospital is hell.
Where in the world can you go and pay for electric shock torture?
“I heard a lot about it at the conference. Heart surgery… … This James, I’m impressed.”
“Oh, was that you there?”
“How can someone who calls himself the first cardiologist skip a cardiology conference?”
“Well, that’s true.”
Regardless of my thoughts, their conversation continued smoothly.
The atmosphere is so good, it’s amazing.
“Anyway, we have some circumstances to attend to. It looks like we’ll have to undergo a rather difficult surgery. Are there any of your patients that you think need surgery?”
“Ah. Hmm.”
James sat up for a moment.
Then I went to the window and looked outside.
Now that I look at it, it looks like some of the patients waiting outside can be seen inside the examination room.
“There are many. There are many patients who are just waiting for the day to die. I’ve tried various things, but actually… … I don’t think that electrotherapy will be particularly helpful.”
no…….
While thinking like that, you were shamelessly taking money and doing that?
When I opened my eyes wide in surprise, James laughed.
Then he continued speaking.
“First, let me talk about rheumatic heart disease. This disease starts with a very peculiar sore throat. It’s so severe that you can’t even swallow water, but it usually gets better within a week. Of course, there are some people who die during that time… … Well, that can’t be helped, right?”
At those words, I opened my ears instead of my eyes.
‘This kid… … Looks like he’s seen this a lot?’
That’s because the story seemed plausible.
I thought it might definitely help.