I Quit My Job and Run a Café - Chapter 460



Only Noblemtl

Episode 460 Advances in Anesthesia [1]

I returned home with a sense of overwhelming emotion for the first time in a long while.

Not alone.

In the first place, it was thanks to Liston’s suggestion that we put our heads together today, as well as living together with Joseph and Alfred.

My team isn’t that big, but half of them decided to hold a meeting, so the rest just followed along.

‘I don’t know how much help they’ll be, but… … .’

If it were me before, I would have told them all to get lost.

When you think of the 19th century, the first thing that comes to mind is barbarism.

But not anymore.

Because in the end, whether it’s the 21st century or the 19th century, we’ve come to realize that we’re all the same people.

Besides, right now is the time when we really need a bracken hand.

Yes, we should take it as a lesson, as Liston said.

“I’m sure you heard something on your way here, but I think I’m going to need heart surgery now.”

“Oh my.”

“Oh… … .”

Fortunately, since it is a part of the body, everyone is careful.

This is especially true for people who have seen hearts pounding.

If you don’t know at all, that is, if you are ignorant, you will be brave, but that is not the case in this situation.

“Tell me, even if it means forcing yourself.”

Normally, I would have taken the lead.

But today we want to adopt true democracy.

It’s not that I don’t know much.

Now… … it seems like their level has risen that much.

“hmm.”

Of course, if I were an ordinary professor, no matter how much I said this, no one would really raise their hand and express their opinion.

The saying, “The West is free?” is something that only makes sense in the 21st century.

The West in the 19th century can be seen as being similar to the East.

Oh, the story might be different in China or Joseon, where absolute monarchs still wield absolute power and the class system is also strong.

But compared to 21st century South Korea, this place is a real paradise for old farts.

But who am I?

This is Kim Tae-pyeong.

The youngest professor!

Since I wasn’t called here from somewhere else where I was a student, the kids here are my original classmates or seniors and juniors.

“Oh, senior. Tell me.”

“I don’t know if this makes sense… … .”

“Just tell me, even if it doesn’t make sense.”

Thanks to that, Alfred can open his mouth like this.

If it were in front of another professor, I would have been put under anesthesia right away.

Whether by drugs or physical assault.

“Aren’t you… Aren’t I in charge of anesthesia?”

But our team is more than just a simple teacher and student; we are comrades who actually work together on tasks.

Among them, Alfred is in charge of anesthesia for our team.

It’s true that my hands were a bit dirty, so that’s why it happened…

Whatever the reason, when it comes to anesthesia, not only Liston and Blundell, but even I am inferior to Alfred, now.

“yes.”

Knowing that, Liston simply nodded and showed no reaction.

Alfred, who had to ask permission from the scariest person in the place, continued speaking with a face filled with courage.

“These days, I’m checking my blood pressure while I’m under anesthesia… … This definitely happens, if there’s a lot of bleeding or something, my blood pressure fluctuates a lot.”

“Oh, that’s right. That’s why I connected the blood transfusion system.”

“Yes, that’s right. It got a little better after I did that… … but there’s another problem. It’s my breathing, my breathing.”

“breathing……?”

I listened to Alfred’s words.

There was also the case of James Hope, and what Alfred was talking about now sounded quite plausible.

‘Breathing… is important.’

Wasn’t it one of the vital signs in the first place?

In order for a person to survive, blood pressure must be maintained, but above all, breathing must be maintained.

Despite this obvious proposition not being properly observed, the reason why so many people do not die in our hospital is because we only perform surgeries that are worth performing.

Amputation is a pretty big surgery… … .

Liston finishes so quickly, right?

So, the bleeding is less than expected.

It seems to me that there are fewer amputations than what orthopedic surgeons do in the 21st century.

There, it was just pouring out in buckets and such.

Well… … Of course, the amount seemed much larger because the sap and disinfectant water were mixed together.

“Every time that happens, I lift my mask and catch my breath… … This isn’t easy.”

“I guess so. It seems so.”

Of course, there were times when one had no choice but to undergo risky surgery.

Surprisingly, Nana Liston would not have had to undergo such a dangerous operation if she had not become so entangled in such a dirty matter.

The one undergoing the most difficult surgery was Obstetrician Blundell.

If it were before, I would have gone in there and seen if there was anything I could do to help, but I’ve been so busy these days that I’ve put it aside for a while.

From what I’ve heard, it seems Alfred isn’t like that.

Well, senior, you say you’re a disciple, but in reality you’re a slave, so it makes sense.

“Yes, so I came up with something.”

“Ah… …you mean that front tooth breaker?”

“If I could break my front teeth and survive, wouldn’t that be a gain?”

“I think so too. But it’s true that it’s a bit violent.”

No, the slave seemed to have escaped.

Don’t you think it’s a bit much to call someone who voluntarily improves something a slave?

It was quite surprising, even though I didn’t know it was something I had created.

“What is it?”

So when I asked, Alfred took out a stick from his bosom with a look on his face that said he had been meaning to show me anyway.

I’m not trying to disparage it by saying it wasn’t something I was involved in, but it was a real stick.

To be more precise, it was a thin pipe with a hole in it, like a metal bar.

“You put this around your neck.”

“On the neck… … ?”

Liston’s expression darkened as he recalled the unpleasant sight.

I did the same, but everyone except for those two had a ‘what is that’ look on their face.

Now that I think about it, it seems like everyone else has used this except us.

“like this.”

“ah…….”

“You can blow air right into your lungs. That makes it much more stable. The only downside is… .”

“My front teeth keep breaking. And the back of my neck often gets torn.”

Blundell, who had been adding a few words to Alfred’s words, shook his head.

It was horrible just hearing it, but it was even more horrible when you actually saw it.

Well, that was to be expected.

I’ve seen something similar when I was at a university hospital in the 21st century.

Of course, I didn’t mean to poke a stick like that in, but I heard that accidents happened even when they tried to put in a plastic pipe like the one we often see in dramas and cartoons.

This can easily happen when the airway is almost blocked and vision is obstructed.

‘In the end, I cut my neck.’

In such cases, emergency tracheostomy may be necessary.

There will be complications if scars remain and adhesions develop later, but it’s better to not die right away.

“I think heart surgery… … I don’t think it’ll be easy, but I think we should definitely consider it.”

“But I need to make some corrections. If you lose all your front teeth and start bleeding, there are cases where you can’t put them in.”

“Oh, yes. Then I’ll die.”

“Yeah, he died. There was a case like that. I cut his throat like the previous review said, but he died.”

Since they are still not used to performing emergency tracheostomy, it seems there have been several accidents.

In an obstetrics and gynecology department, there was an accident and both the mother and the baby died.

It’s a tragedy, a tragedy.

‘Once I solve this, I guess I’ll have to take a good look at the obstetrics and gynecology department… … .’

Since we live in an era where the maternal mortality rate is so high, there are probably few people who think as deeply as I do.

But I’m a 21 year old person from South Korea.

This means that we come from a country where the maternal mortality rate was at best 4 or 5.

This means that about 4 to 5 people per 100,000 people die.

Of course, right before I died, the maternal age was increasing and I was running towards 6 or 7… … .

Even that number pales in comparison to the maternal mortality rates of the 19th century, which ran into the hundreds and thousands.

‘The weight of death doesn’t get lighter just because many people die.’

I looked down at the stick-shaped iron pipe, thinking that I should do something later.

If we can just make this a little rounder, it’ll probably be better than what we have now.

If you also make a separate device that can push the tongue down, you will be able to secure a safer field of vision.

Since we are still in an era before electric lights, it would be unreasonable to expect a view like that of the 21st century, but looking at it with your eyes tilted back is not the same as looking at it as it is.

“Oh, now that I think about it, I also have some issues that I need to improve on.”

As I was thinking about that, Liston opened his mouth.

It was clear that what this gentleman had to say was worth listening to.

He’s already undergoing more surgeries than me.

It’s not just a matter of skill, but also of physical superiority.

He cuts people’s legs and arms with a knife, but he doesn’t get tired.

Even though I had surgery to get a stomach operation, it’s still the same.

It’s become a bit less common these days, but there are still quite a few whaling surgeries that are done.

“I’m talking about the arms and legs.”

“Oh, yes.”

“That must really hurt, right?”

“Is that… … what you call a horse?”

So I listened closely and found out that he was saying something strange.

If it weren’t for Liston, I would have hit him in the back of the head.

If I could hit Darwin on the back of the head, why can’t I hit someone else’s?

‘Really… … You have to console yourself with the fact that you are stronger than me… … .’

Just as I was thinking about this, Liston continued.

“As a result, there are people who wake up or move even after being anesthetized.”

“ah…….”

After listening to it, I thought it was a good idea to keep quiet.

Certainly, our anesthesia system is vulnerable right now.

They’re putting people to sleep with laughing gas, chloroform, ether, etc… … How effective will that be?

Even the side effects are so serious that they are using the minimum dose that anesthetizes a person.

This means that depending on the person and the surgery, some people will wake up.

“There was no accident?”

“I caught it and cut it. I couldn’t move it. It felt strange to hear a scream after such a long time.”

“I see… I see.”

Thank goodness my surgery was relatively painless.

Otherwise I would have had to catch it.

Well, it wouldn’t be completely impossible, since there’s a formidable businessman named Joseph.

Still, if the patient screams with his stomach open, it seems a bit odd.

“But is your heart okay? Here too… … it seems like it’s going to hurt like hell.”

“ah…….”

“We have to split the bone too. To see the inside of the heart, not just the shell. Will this… will the anesthesia be complete?”

“ah.”

I just imagined it.

A patient with an open chest screams and jumps to his feet… … .

It’s the kind of horrible thing that makes your heart sink and you end up hitting the table.

‘Wow, so I guess I won’t be able to hold a scalpel again… … ?’

Since I am human too, I worried about myself first, but in reality, the patient is the bigger problem.

Do you think it hurts to undergo a surgery that is already risky and has a high chance of death?

Is it okay to… do something like that?