I Quit My Job and Run a Café - Chapter 459



Only Noblemtl

Episode 459: Reckless Challenge [4]

“hmm…….”

The number of patients James Hope had collected was roughly 20.

In reality, he believed, there were probably hundreds of times more patients waiting to die.

No, it’s not so much an opinion as it is statistics.

So, the patients gathered at this hospital are courageous people who make up less than 1% of the numerous patients.

“What should I say?”

“No… … Even if you tell me to say it like that… … .”

What can I say in front of these people?

I think it would be more comfortable if they were prisoners.

They’re not prepared to die, so their resistance will be stronger, but they’re also the ones who deserve to die, right?

But these people are not like that.

These are people who were just living their daily lives.

Even most of them are young people.

‘No… … What about a 19-year-old housewife?’

He said that he suffered from rheumatic fever as a child, and at some point he started having trouble breathing and had difficulty living his daily life.

Actually, I barely managed to get here by carriage.

I’m still using the wheelchair I made.

It was made because I saw how patients were suffering in a time when there were no proper crutches, let alone wheelchairs, while Liston was still cutting off the arms and legs of countless people.

At the time, I didn’t know it would be used this way, but it seems like everything I make will eventually come in handy.

‘How come… How come?’

I managed to come up with a light thought, but as expected, it only lasted for a moment.

From now on, I have to open the hearts of the twenty or so people gathered here.

Of course, they don’t open at the same time.

Must be opened in order.

‘Will the first patient… … survive?’

No, that can’t be true.

Why would the modern medical system require doctors to undergo such a lengthy training process?

It takes 6 years of study, 1 year of internship, 4 years of residency, and even 2 years of fellowship to become a specialist with the minimum qualifications.

Even if you actually want to hear people say, “This kid is doing it right?” after earning your residency, you still have to see patients in your specialty for at least 5 or 6 years at a university hospital or higher.

I’m not an internist so I don’t know for sure, but that’s how surgeons are made.

This isn’t something you can do by going into the mountains alone and practicing meditation.

Apprenticeship system, which means the master has to stick close to the student and teach him.

There must be enough patients who are like second teachers to doctors.

‘There is no teacher and not even anyone to support me.’

There is nothing.

All I know is that this is how heart surgery is generally performed, so it is no exaggeration to say that there is really nothing.

How many people will die?

I can’t figure it out.

Maybe the 20th patient will die too.

“Peace?”

“Oh, yes.”

But it must be done.

This is what everyone gathered here wants.

These are people who are prepared to die with the thought that since they are going to die anyway, they might as well do something and contribute to the advancement of medicine.

“That… … is Kim Tae-pyeong. He’s a surgeon.”

I’m not shameless enough to show them my true colors as a Kura Master yet.

Later, when the heart I am protecting now has worn down a bit more, then that may be different… … .

I haven’t gotten there yet.

So I decided to just be honest about it.

‘I believe that in most situations, propaganda or lies are more useful… … .’

I wonder if it’s right for a doctor to only tell the truth to patients.

But, in order to become a great person who will be remembered in history, isn’t it true that you have to overcome yourself?

“after.”

My head was spinning like this, but my mouth was dry, so I took a sip of water.

As expected, it is not easy to ask someone to die.

Well, if I were one of those evil people out there… … .

Contrary to rumors, I am truly a saint among the saints who will go down in history.

“To be frank, the heart surgery I had before wasn’t a proper heart surgery. It was just a reconstruction of the damaged shell. In comparison, the surgery you’re about to undergo is on a completely different level.”

It is a valve reconstruction surgery.

In modern medicine, it has been renamed valve replacement.

That’s because this amazing thing called an artificial valve has come out.

It may seem like it would be really easy, but in fact it is a difficult surgery.

How could it be easy?

You cut out the heart, took out the structure inside, and replaced it with something else?

But it’s better than the heart surgery of this era with artificial valves and valves and all.

‘Ah… … I want to go back.’

These days, I feel like things are going well, so I was satisfied with the 19th century, but when I think about having heart surgery, I feel like I’m going crazy.

In fact, in the 21st century, you don’t even open your heart if there’s a problem with the valve.

Then what should we do?

There is something called cardiovascular intervention.

This is what they mean by inserting a catheter.

Even in the mid-20th century, if you had tried to do something like that, you would have been considered crazy, but in the 21st century, it has become the norm.

This is truly a crazy technological advancement, and a truly blessed era.

“You have to open the heart. Of course, you can’t just open it. The blood will spurt out at that moment. You can’t stop it. Bleeding from the heart… … is not that easy.”

What do you do if you’re jealous?

It’s obvious there’s no going back.

You can die with the intention of rolling the gacha one more time.

But, is there any guarantee that you will come back to life in that gacha?

Even if I come back to life, will I go to the future?

If we think about the concept of rules that appear in elementary school math, we can go back even further here.

It’s hell here, so what’s it like there?

“So you have to block the blood vessels that go into the heart and come out of the heart. You can’t do that indefinitely. I think the time limit is 5 minutes at most? A good limit is 3 minutes.”

So this time too, I decided to do my best in the 19th century environment in which I now stand.

The atmosphere was becoming miserably dark, as the usual hopeful jokes were removed.

“Didn’t you say it was a difficult… surgery?”

“Yes. It is very difficult.”

“But if it takes 3 minutes, 5 minutes… … .”

“There’s nothing we can do. If we don’t do that, even if the surgery is successful, the patient will die because the blood won’t flow to his head.”

You might not die.

But it is a state worse than death.

If your brain is damaged, you can’t do anything.

Especially in this day and age, it would be difficult to even sustain life.

“What do you mean… … .”

“You can believe what the world’s best doctor says. Why would I lie and say that my condition is bad?”

“Yeah, that’s right.”

“Anyway, that’s what we have to do… … We’ll have to open it again to find out. Have you heard that the mitral valve is the main problem that patients have these days?”

I picked up the heart I saved today.

It’s a real heart, not a model.

In 19th century England, it was much easier to just get the real thing.

It won’t be much of a problem.

I paid money for it, so what?

“Ah… … yes, over there.”

“This is the normal shape… … In patients, this will either be stenotic or stretched. There are two ways it can be damaged.”

“Hmm… … I heard.”

At the patient’s words, I turned to James Hope.

I felt like this guy really needed to be acknowledged.

He deserves to be called the first cardiologist.

He works hard at autopsies and has great knowledge in the field.

It’s not just that ‘the aortic valve is damaged’, we’ve also found out that it can be damaged in two ways, so that says it all.

“Among them, the narrowed shape would be better. This one can be widened.”

Of course, expanding it won’t be easy.

If it were easy, I would have done it already.

Who else was as crazy about experimentation as the doctors of the 19th century?

These are the people who run towards you as soon as they see you.

In addition, the patients are also brave.

This is 19th century London, and it is here that you can actually hear the words, ‘What more can I do than die?’ in a doctor’s office.

“The problem is that it has widened and is in the form of reflux… … This will have to be sewn up again or something… … Look. It’s thin, right? A normal heart is like this, so what about a damaged heart? It’s more likely to rip.”

However, it is certainly much better than the reflux type of surgery I just mentioned.

I think this is… … probably has very little chance of being saved.

Even if the skills of my team and myself improve significantly, it will be the same.

This is just an era where you can stop the heart, and it’s an era where you have artificial valves, and then the survival rate goes up.

“It would be nice if we could find out about this before surgery… … but that’s not possible yet.”

“ah…….”

“You have to open it to find out.”

“ah.”

As I look at the patient’s despairing face, I suddenly remember Liston asking, “Should I open it?”

At the time, I thought he was crazy.

I thought, “Who in the world would open something without knowing what’s what?” and that was me… … and that’s the conclusion I came to.

‘Fuck… … .’

Usually, gacha is not a very smart method.

Even if the price is money, it is the same.

It’s embarrassing, but I’ve spent dozens of dollars on mobile remakes of games from my past, and if you ask me whether I was that satisfied, I would say no.

It is obvious that risking your life playing gacha is an unwise method.

If it were my life, I could at least feel proud, but if it were someone else’s life…

“professor.”

“huh?”

So, as I was unable to continue speaking, a man who looked older than the 19-year-old housewife, but still looked to be in his early 20s, called out to me.

When I turned around with a face asking why, he continued speaking.

“Please don’t be so hard on me. I’m going to die anyway… … and the doctors won’t perform the surgery. I should be thankful that you’re willing to step forward like this.”

“what…….”

“Isn’t that right? Who would be okay when someone dies right in front of them? Even Professor, you are the best doctor in London, so we are honored that you explained it to us in such detail and even performed the surgery.”

glory?

Are you honored to have me perform a life-threatening surgery?

As someone who came back from the 21st century, these were words that I could not understand at all.

I didn’t know what to say, so I just stood there.

Then another patient stepped forward.

Just that action made him gasp for breath.

“Yes, what’s the point of living like this for another month or two? If you, Professor, will perform the surgery… … Even if it’s my last day, I will go with gratitude.”

Other patients did not stay still.

Everyone added at least one word.

It was said that people who were about to die offered comfort to give me strength.

“ah…….”

Only then did I understand how this seemingly ignorant 19th century medicine could evolve into modern medicine in just two centuries.

It was said that in the long history of medicine, it was not only doctors who made efforts.

Rather, I realized that it was the patients who were risking their lives.

After all, doctors and patients are colleagues.

You could say that we are comrades fighting against the enemy called disease.