I Quit My Job and Run a Café - Chapter 461



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Episode 461 Advances in Anesthesia [2]

Our meeting ended there for the time being.

I had work to do the next day, and I didn’t think anything would come of it if I dragged it out any longer.

That’s not to say there were no results.

You have become deeply aware of the need to secure more stable breathing and a more powerful analgesic effect.

I find it very encouraging that not only I, but also 19th century doctors had thoughts like that.

‘In the past… … .’

Not only Liston, but also the director and Blundell had a saying that was a habit.

-It’s a matter of life and death, so is it okay to be sick?

The patient’s suffering was not taken into account at all in the treatment.

Compared to 21st century medicine, where the principle that a patient’s pain should be considered as much as their vital signs has long been established, it seems very primitive…

This isn’t necessarily because 19th century doctors were less savage than 21st century doctors.

It must have just been because there was no other way.

Above all, they would have been anxious to save lives.

It literally looks like it’s all gone, but what the hell is this pain?

‘But that Liston mentioned pain first. That’s a really good sign.’

Looks like you have some free time.

This means that we can now look after not only the disease but also the patient.

The only problem is that this time I really don’t have a solution.

In fact, I knew best that the anesthesia was imperfect.

It’s not because I’m awake, it’s because I’ve already seen the answer.

No, I don’t think modern medicine is the answer…

Anyway, I remember taking for granted answers that were much more advanced than what I have now, every day.

‘Stability, durability, analgesic effect, and side effects are all inferior.’

Knowing this and still remaining silent would have been truly evil.

So, I set up a research institute and also pestered the people working there… … .

It’s just a shame that all that came out was cocaine.

Of course, our lab prohibited production… … .

If it were forbidden, would it still be Britain?

‘Ahhh… … .’

Of those who own shares in our hospital, everyone except me is probably involved in production.

My brother doesn’t really say anything, but judging from the fact that I’ve been spending more recently, it’s 100% true.

I also thought, “Should I participate instead of just closing my eyes and pretending not to know?” but… … .

Isn’t there a world of difference between doing something knowing the ending and doing it without knowing?

Human Kim Tae-pyeong, he hasn’t fallen that far yet.

Anyway, cocaine is being distributed.

And it does so at a frightening rate, across a wide range of fields.

‘You mixed it with wine.’

Alcohol is an addictive substance, so what happens when you mix it with cocaine?

There’s chaos.

It’s very trendy, that’s what I’m saying.

These days, I’m afraid to even drink wine outside because it’s served everywhere.

What if I become addicted to cocaine without knowing it?

Of course, the people who use cocaine most usefully are doctors.

Even just hearing the name, like nitro or something, makes it sound like it’s dangerous, but they’re giving it to us as medicine, so would we just leave cocaine alone?

‘They say it has an anesthetic effect.’

When it is food, it is only consumed, but when it becomes medicine, its usage becomes very diverse.

Of course, most people take it orally, but they also inject it with a syringe developed thanks to me and apply it here and there… … .

It seems that an unexpected effect was discovered as a result.

I heard that if you apply it to the mucous membrane, it anesthetizes the mucous membrane?

The effect is so significant that dentists have already reported applying cocaine to the gums before tooth extraction.

It is excessive to use general anesthesia just to get one, and it is difficult to say that it is completely wrong, given that trust in general anesthesia is still low.

Does that mean they use cocaine in heart surgery?

For a moment, I imagined opening up a patient’s chest and pouring cocaine into it.

Would that be horrible? Or would it be horrible to see a patient with a broken heart wake up saying, ‘Eww’?

“Fuck… … .”

Both of these things should not happen.

It will be preserved in history and will be laughed at for a long time.

In the 21st century, there are these weird guys called YouTubers.

Those guys who are trying to suck up the views by turning the innocent doctors of history into doctors… … .

I don’t think it would be strange if the ‘History of Medicine: Kim Tae-pyeong Series’ came out, but why are you doing this?

No, this won’t do.

“No, wait… … .”

As I was thinking that it couldn’t be done, I suddenly had the thought that maybe it would be okay if I just didn’t move.

You might be thinking, what kind of cruel thought is this… … .

In fact, surgery on a person who is not moving is bound to be less painful than surgery on a moving person, even if the same pain-relieving drugs are used.

If things like muscle tension go down, you can cut it twice instead of just once.

Since you will need to use much less force to pull the surgical area, the stimulation will likely decrease.

And I know a pretty strong work ethic.

‘Pufferfish poison… … ‘

It is a representative neurotoxin.

Why, sometimes when you watch the news, don’t you see stories about two people eating puffer fish and both dying?

Normally, you’d think, ‘Wow, why are you eating puffer fish?’ But an extraordinary doctor like me knows how to look into the reason.

Of course, can anyone become a great person in history?

Why on earth would anyone die?

The neurotoxin causes the muscles to stop moving, leading to respiratory failure and death.

The important thing here is that the muscles do not move.

‘It’s not like it won’t move at all.’

If you watch the news carefully, there are also articles that say, ‘He almost died, but was saved at the hospital.’

By the way, there is no antidote for pufferfish poison.

You might think it’s strange.

If you read something like a martial arts novel, if you get poisoned and don’t take the antidote, you’ll definitely die.

This is a typical mistake that occurs because we overlook the fact that our body has a liver.

All poisons are naturally detoxified if left to breathe long enough.

Of course, if the liver fails before that, it’s over… … .

‘If you just keep breathing, it will survive on its own. And if you keep breathing, that’s it.’

They say that they dance on a moonless night, but once their heads were activated, they showed no sign of calming down even though it had already been a long time since it had become pitch dark.

What I mean is that new ideas are popping up one after another.

In other words, you’re saying that you’ve forgotten to sleep…

That’s okay, I guess.

You’re not just a worker.

Ah, I’m a little tired. I was thinking about getting some rest today, but there’s no one who’d say anything.

“good…….”

The pain part has been resolved to some extent, although not perfectly.

Even if you wake up in the middle of the night and feel some pain, you won’t be able to move.

‘This is a bit scary… … I have to pray. Lord.’

The more I think about it, the more I think I shouldn’t break it.

Maybe it was because I thought about it with that in mind, but a reasonable conclusion soon came to me.

‘Come to think of it, if there’s no spontaneous breathing, no matter how much we blow on them, it won’t be enough, right…?’

Our bodies, of course, are always doing their best to survive.

When you see cells at work, don’t you get the feeling that you shouldn’t treat your body carelessly?

Neither the heart nor the lungs, they are all doing their best to the point that it would be meaningless to list each and every organ.

Naturally, organs work differently depending on external changes, and one of the many stimuli that causes this is hypopnea or hypoxia.

When that happens, our body naturally minimizes oxygen consumption.

First of all, consciousness becomes clouded.

This does not necessarily mean brain damage.

Rather, it can be seen as a phenomenon that occurs to avoid brain damage.

‘Yeah, then of course… … I won’t wake up. I’m a genius after all… … .’

good.

The pain is completely resolved.

Next is breathing… … .

The best thing to do, of course, is to insert a plastic tube and turn on the oxygen.

In fact, if you go to a hospital in the 21st century, even a small hospital will have at least one intubation kit and oxygen.

It’s not only very common, but it’s also cheap.

But now?

‘Plastic… … how do you make that?’

People say that microplastics and other things are problematic, but do you think humans would have created and used them for nothing?

I made it because I needed everything.

It’s such a shame because it’s not there…

It’s a shame I’m so ignorant.

‘We can make oxygen, though.’

Surprisingly, oxygen was already identified in the 18th century.

For example, a candle burns better in the gas produced by burning mercury oxide.

The problem is that nothing has really developed since then.

To create oxygen, we still need to burn mercury oxide… … .

It’s not that easy.

‘But I told you to try anyway, okay?’

Are you going to make money with heart surgery?

Surgeries with a very high risk of death should no longer be considered surgery, but research.

Thinking about making money while doing research is the sign of a thief.

Of course, it would be good to make money too.

Can you live with this?

Then I think I can earn it then.

And once they figure out that oxygen is money, I’m sure some genius will figure out how to make it cheaper.

From what I see, it’s not that these kids can’t do something because it’s difficult, but more often than not because they don’t have money.

‘Okay… … Okay. Then there’s only one thing left.’

I picked up the long iron bar that Alfred had left behind earlier.

It wasn’t that thick, as it was something that had to be put down a person’s throat.

But if you wield it well, it seems like it could make your opponent desperately need it.

It’s just a lump of iron.

That looks very stupid too.

‘Put this… … down a person’s throat… … .’

This… … .

This… …?

You just put it in without me… … .

I don’t know whether to applaud this crazy experimental spirit or what to say.

One thing is certain, Alfred is also doing his best where he stands.

This means that in the midst of difficult circumstances, you are trying to do something without giving up.

‘It’s a good thing. It’s a good thing, but… … I can’t keep putting this in.’

I know that’s not the right answer.

But I don’t know what to do or how to do it.

This doesn’t work well with rubber.

It’s too difficult to make it with the right strength.

I made something similar before and used it, but it broke when I tried to use it the second time, so I threw it away.

What if it had broken during surgery?

Someone who didn’t have to die must have died.

‘It has to be done by rail.’

That’s why we still have to make the pipes out of iron, that is, out of solid metal.

A curved shape would probably be better than a straight one, but I’m not sure how much it would have to be curved to fit in better and hurt less.

After thinking about this all night, I went to see Liston with dark circles under my eyes, and he was laughing heartily as usual.

And then he gave a very clear answer.

“Why don’t you try it?”

“An experiment?”

“I heard there are a lot of new prisoners. Anyway… … isn’t this just going to break at best?”

“Ah… … Well, that’s true. Well, to that extent… … .”

“Yeah, Colin, I pulled out the teeth myself, so it’s normal for them to break! Let’s go.”