I Quit My Job and Run a Café - Chapter 458



Only Noblemtl

Episode 458: Reckless Challenge [3]

While I was silent, Liston, who already felt a sense of camaraderie with James Hope, just quietly listened to James’ story.

Thanks to this, James Hope is one of the few doctors standing before us who can calmly talk about his theories.

Normally, I would get beaten up here and there and confess under duress, but this was my first time experiencing something like this, so it felt different for me.

“When you have a sore throat like that, you get better, but then a few weeks later, you get arthritis. It’s not always like that… … In my opinion, it depends on the characteristics of the sore throat that first appeared.”

“Umm… … .”

I didn’t mean it to be different in a bad way.

There was something different about this guy.

This means that he is different from the average British doctor who just tries things and sees what happens.

I felt like it was being thoroughly analyzed and classified.

Even so, the treatment is electrotherapy, but it is more correct to view this as a limitation of the times rather than a problem of this person.

Honestly, even in the 21st century, there are cases where modern medicine has its limitations and only provides one or two treatments, right?

Electrotherapy is different in that it can be harmful, but I think we should move on since we are not in an era where we can consider such things.

“I looked into it and found that the probability of having yellow inflammation in the tonsils when you first have a sore throat is different from the probability of not having it. The probability of developing arthritis is overwhelmingly higher in cases where there is yellow inflammation. The problem is that I don’t know how to prevent it… … I think this yellow inflammation is the problem.”

I’m really impressed right now.

The concept of miasma is also a mess, and among them, the concept that individual miasmas, or bacteria, can have different types of infectious diseases occurring in the same area is something that even I cannot even think of spreading… … .

Doesn’t this person already have some idea of ​​what that means?

Even the direction was accurate.

The problem is the bacteria that causes the yellow inflammation, Group A Streptococcus.

“So I tried to remove that inflammation.”

“huh?”

Of course, I couldn’t just stand there and admire it.

The mention of reducing inflammation made me feel anxious.

I said I wasn’t talking about taking medicine.

“how……?”

A question popped out of my head without me knowing.

James, satisfied with the lively interaction, laughed heartily and answered without knowing my speed.

“I have to scratch it. With this.”

He was showing me a tool that was carelessly placed on the table.

Although there weren’t any blood stains, it didn’t look like they had paid any particular attention to sterilization.

If Joseph was there, he would have run towards me and shouted, “Let’s go!”

James added, perhaps noticing that my gaze had become a little fierce.

“Oh, I think… … I think the inside of a person’s mouth is dirty to begin with. I just wash it with water.”

“I guess so. Haha.”

Liston agreed to the plausible rhetoric.

It is truly regrettable that the current reality is that we want to say something but cannot.

‘Actually… … Don’t ENT doctors make it a bit simpler when they do tonsil surgery?’

That means, you don’t get a full drape.

But all equipment is disinfected.

It’s natural to get hurt and bleed.

Even because they insert a tube under general anesthesia, they also disinfect the tonsils.

That’s why instrument disinfection makes sense… … .

In an era where that wasn’t possible, it seemed like cleaning the equipment wouldn’t be of much use.

“Anyway, I tried that… … but it didn’t help much.”

“Is that so? I removed it?”

“Yes. It seems to be blooming from a very deep place. So I cut the tonsils in half, and the patient died because the blood from there choked his throat.”

“Oh, that’s too bad.”

Even while I remained silent, the conversation continued.

There was talk of people dying, but the atmosphere didn’t become tense or anything.

At this time, it was not right for people who didn’t need to die to die in the hospital.

“After doing that with one or three people, I realized that this wasn’t the answer.”

“You give up quickly.”

Even just three people?

It’s really no big deal.

The guardians probably won’t say anything either.

Of course, morally speaking, we should compensate them with money, but no one wants more than that or feels burdened by it.

“So I took some medicine.”

“Ah, medicine.”

Yes, if physical removal is impossible, it is right to move on to medication.

The very idea of ​​physically removing tonsillitis is experimental.

Of course, it is thanks to these practices in previous eras that people living in the 21st century are benefiting.

“I tried arsenic… … I tried mercury… … I tried the recently popular nitro.”

“Nitro?”

“Oh, you didn’t know. The research institute you two are running is being stimulated by many nobles and businessmen in Europe. They are investing heavily in it. All sorts of things are coming out.”

“So what is it?”

Nitro… … .

I feel like I’ve heard it somewhere.

It doesn’t seem to be a substance fit for human use.

It feels like something’s going to explode, right?

‘Ah, it’s from the car game .’

Wasn’t it a booster item?

Considering that game making is not something that can be done sloppily, I’m sure it was all researched and made.

“That… that’s something new, you say? I heard it came from Italy.”

“Really? It’s new? Then I can try it.”

If you were even a little shocked by the conversation just now, you’re still far from done.

Wasn’t the 19th century the age of science?

When a new material comes out, it is ‘common sense’ to try it out everywhere.

In particular, it was most active in the medical field where there were no specific drugs.

What if it’s poison?

So arsenic and mercury aren’t poisons?

“Yes, but it didn’t help much.”

“I see… … hmm… … .”

Anyway, Nitro.

I must remember that.

I think I should find out what it is and use it if it’s really useful.

It’s not that it’s not, but it’s really hard because there’s no medicine that can really be used…

“So, in summary, you’re saying that the treatment of sore throat and the prevention of arthritis are still under research?”

“Yes, that’s right. Right now, we’re just observing the situation.”

“So, how did that go?”

“I should tell you, of course.”

As expected, the treatment didn’t seem to have much effect.

It’s okay.

It was quite predictable.

There is absolutely no need to be disappointed, that’s what I’m saying.

“You said that once you have a sore throat like that, after a few weeks you’ll get arthritis?”

“yes.”

“My wrists, ankles, knees, and elbows are the most painful. If I drink willow bark water, it gets a little better, but it doesn’t get better completely. And… … the biggest problem is my heart, my heart.”

“Yeah, that’s the problem.”

“It seems that the younger the child, the more likely they are to develop heart disease. I think more than half of children develop it.”

“That… that’s not a very good thing.”

And this gentleman… … .

The classification and analysis seem to be top-notch even by 21st century standards.

Honestly, I don’t even remember all these diseases anymore.

It’s been a few years since I was a student, but I still remember.

Since I majored in surgery and not even internal medicine, I haven’t looked into it even once since graduating.

It would probably have been similar even if I had studied internal medicine.

This kind of disease is hard to find, at least in 21st century South Korea.

“Yes, first of all, the heart usually beats a little faster. If you listen to this, you can clearly feel the difference.”

“Kids tend to run fast, don’t they?”

“It gets even faster than that. And this is a rather unusual discovery.”

“which……?”

“Irregular heartbeats have also been observed.”

“Huh… … So you’re saying that you run fast and then slow?”

“yes.”

“And then suddenly stop and go… … ?”

“That could be the case.”

I now know that it can also cause arrhythmia.

I guess I learned it but forgot, so I guess it’s okay to say this.

There’s nothing more ugly than getting a test question wrong and then saying, “Oh, I got it right!”

This Kim Tae-pyeong is a person who has always lived with integrity.

“I see.”

“Yes? Did you know?”

“I thought so too. Have you ever listened to an old person’s heart?”

Anyway, I thought it would be rude to leave the two of them alone to talk, so I took a quick look at each and intervened.

I had to pretend to know because I had to show that I had been listening carefully until now.

But I honestly don’t think it’s true at first.

Anyway, James Hope nodded readily to my question.

“Yes. I think that people who showed such symptoms as children tend to become like this when they get older. Well… … There was someone who expressed that opinion before.”

“okay?”

“Yes, of course. What a terrible disease this is. Doesn’t it suddenly cause people to die one by one?”

“Well… … it’s that kind of disease.”

I nodded too.

Why wouldn’t there be cases of young children dying from heart disease in the 21st century?

Although it has become very rare, there are still cases where the heart is damaged due to rheumatic fever.

A complication of a febrile illness called Kawasaki disease can also damage the heart.

I’ve heard that this progresses so quickly that there are cases where children who haven’t even started school die suddenly.

“If you listen to the hearts of those people, you can hear a hissing noise.”

“noise……?”

“Yes. At first, I was like, why is this happening?”

“Do you understand now? You made that inference based on your knowledge of anatomy?”

“Yes? I did an autopsy.”

“Ah, an autopsy.”

In cases like rheumatic fever, it can lead to myocarditis and, over time, the heart valves can become damaged.

A valve is a kind of automatic door that closes suddenly when squeezing blood from the ventricle to prevent it from flowing backwards, and opens to allow blood to flow smoothly to the aorta.

When this narrowing occurs, the ventricle has to exert more force to pump blood, which puts a strain on the heart and causes the heart to enlarge, eventually leading to heart failure.

On the other hand, if it becomes loose, blood will continue to flow backwards, so the heart will have to work hard to properly pump the same amount of blood, which will eventually lead to damage.

“When they did an autopsy, they found that the valve that leads from here to here, the mitral valve, was damaged. The heart was much larger than other people’s.”

“What’s the chance that this will happen and you won’t die? You’ve seen it so many times, you should know.”

Liston asked, looking at a painting by James Hope.

Then James Hope shook his head with a bitter expression.

“No. You will definitely die.”

“Unconditionally?”

“Yes. So I thought I should have surgery, but honestly, how can you put a knife in your heart? But I gained courage after seeing you present at this conference. I have already gathered several people who are planning to have surgery.”

“okay……?”

“If possible, would you mind going into surgery with me? I think the patients would enjoy it too.”

This is… … .

It was an offer that there was no reason to refuse.

I need to practice some anyway.

I also thought that it might be okay if the subjects were patients who were destined for an unavoidable death and were prepared to die immediately.