I Quit My Job and Run a Café - Chapter 465



Only Noblemtl

Episode 465 Advances in Anesthesia [6]

As time passed, everyone woke up.

It means that he died and came back to life.

“oh…….”

“and…….”

“That… … ?”

There were significantly fewer onlookers than before.

Compared to shoving a metal piece down someone’s throat, breaking their teeth, and then suddenly slitting their throat and shoving another piece of metal into it, I thought it was a boring spectacle to just have them make a hissing sound while pumping air into it.

In 21st century terms, it would probably feel like a bullying attack.

Okay, you can call this a suffocation.

That means it’s not really worth seeing, but considering that, it’s surprising that there are even this many.

‘Well, what would I do when I get home?’

No, it might not be that surprising.

It’s a different story for the wealthy.

It’s delicious, no, because it’s England, there’s food that you can eat to your heart’s content, and there’s a place to invite people over and chat, or you can indulge in some love games with your lover.

But for the vast majority of London’s lower classes, it’s a completely different story.

These people often don’t even have a home.

Most of the people who came up from the countryside to find work are strangers because they have houses.

It’s not that there are no homes for the poor, it’s just that there is an absolute shortage of homes.

‘I’m not doing that much, so… … .’

If it were 21st century South Korea, they would come up with a novel solution called apartments, but this is 19th century London.

To the vast majority of politicians, the wealthy, and the aristocrats, the lower classes are not really people, they are just something.

franchise?

It’s still too much to hope for something that romantic, so you can just think of it as a tool.

A tool that allows the factory to run smoothly.

But since they are not machines at all, they need to be fed and put to sleep, so there are facilities for that.

‘There’s a four penny lodging.’

It’s literally a place where you can go and sleep for just 4 pennies.

I’m embarrassed to say, but I’ve been there to see it too.

I didn’t go alone, it was Liston who suggested I go.

I’m not that evil of a person.

Anyway, in my opinion, it is the first capsule hotel, to put it in the best possible way.

To put it badly, it’s a coffin, but in reality, there are real coffins lined up and you sleep in them.

If even fourpence is too expensive, there are also twopence lodgings, which are made by stretching a rope and having you sleep with your shoulder draped over it.

I think it would be much better to just sit on the street and watch these amazing sights than to go there and spend money and be worked to death.

“They all survived.”

“Is this the end?”

The police looked at the prisoners who had just woken up and asked them with a look of regret.

It was definitely painful, but wasn’t it actually done under anesthesia?

You might wonder, is this a punishment?

I’m wondering if I really need to punish someone myself since I’m not part of the judiciary.

The only problem is that there is still a lack of experiments.

“No, let’s do it again tomorrow.”

“Oh… …? With these guys?”

“They’re not even dead, are they? And don’t they deserve to die?”

“That’s true. I wrote down everything I confessed earlier.”

It’s not that it’s not night now.

The dose of pufferfish venom was excessive, that’s what I’m saying.

If I have to have a longer surgery much later on, then maybe… … .

There is no need to do muscle relaxation like this yet.

No, it’s not that it’s not necessary, but you shouldn’t do it.

“eww…….”

“My arm hurts… … .”

That’s because the ventilator is 100% manual.

Fortunately, today only 5 people were anesthetized at once, and many of my students as well as the onlookers wanted to try it, so it somehow got through, but if it were to be like this on a regular basis, would it be sustainable?

Even putting people in positions has to be done while looking at each angle.

Otherwise I’ll just lie down.

I think the scariest person in the world is the one who just refuses to do anything.

Without going too far, it is easy to think of 21st century South Korea.

I’m not having a child.

There was no use in making a fuss about the country being ruined if children were not born.

‘What… … If you tell me to give birth without creating an environment for it, what’s the point?’

Even if you call it a low birth rate countermeasure committee, if old people come out all the time and say this is the problem and that is the problem and it doesn’t seem to work out, then in the end, it’s because young people these days are selfish. Are they going to have children when they’re talking like this?

This problem is the same.

What if I said that medical students these days are selfish and not willing to sacrifice an arm?

Those who have no intention of making sacrifices will all run away.

Then who loses?

grow.

“Yes, they are extremely evil. I can give them a little more punishment. But tomorrow will be a little shorter.”

“Ah… … Yes, yes. That’s good. What is this… … How many hours has it been today… … .”

“Yeah, that was a bit much. I’m thinking of making this last an hour.”

“An hour… … That should be about right.”

I intend to try my best.

The idea is to set the muscle relaxation time due to pufferfish venom to around one hour.

You might think that one hour is too short.

In modern medicine, only really simple one-hour surgeries are possible.

Even the one hour I set is not the surgery time, it is the anesthesia time.

Excluding the time spent disinfecting the front and back and such, the actual time you can actually use the knife will only be about 40 minutes.

‘But what can I do? My anesthesia skills can’t handle anything more than that.’

To be honest, I’ve never really thought deeply about anesthesia.

Even if you say it’s an anesthesiology department, from the surgical department’s perspective, it’s like a built-in closet in the operating room, like interior design.

Of course it was there.

If they asked for anesthesia, they would give it to them, and no matter how many hours the surgery would take, they would make sure the patient’s body could endure it.

But when you try to do it yourself, it doesn’t work.

-Ah… …He died again.

-The surgery went well, but he died. This is really true.

In the current situation where the drug is unstable and the rest of the system is failing, anesthesia is extremely dangerous.

One hour is max.

If it gets any worse, problems arise exponentially.

Oh, what happened to the prisoners now?

“Please… please save me!”

“I’ll do it tomorrow too… …!”

“Tea, Larry… … I’d rather kill you… … .”

The anesthesia probably wore off a while ago.

If you can’t move because your muscles aren’t relaxed, you must have felt pain.

Well, even if it’s called pain, it’s not the kind of pain that cuts you with a knife.

I’m a doctor, not a person who catches people.

It’s just a pain that feels like a lump of iron is stuck in my throat.

It’s not exactly the kind of pain I want to experience, but I wonder if it was painful enough to kill me.

“Tomorrow is shorter than today.”

“no…….”

“That’s… that’s what you want to say?”

“You’re not even human… … !”

“You’re not human. Don’t you remember what I said earlier? This isn’t torture.”

“What we did wasn’t torture!”

“This is… … This is… … !”

“Eww! Turn it off.”

Liston gently put the seizure-stricken man to sleep.

I looked down at the guy lying there and thought back to about 30 minutes ago.

It was quiet.

There was only a hissing sound.

If you look at it from the outside, it looks like he was anesthetized.

But in fact, it was only in a relaxed state.

There is a significant difference between the two, one being the presence or absence of pain, but the bigger one being the presence or absence of consciousness.

‘Is it a feeling like waking up from a slight anesthesia…?’

Awakening during anesthesia simply means that you are conscious during anesthesia and feel pain and pressure from the tube inserted into your throat.

It’s not a horror story, but something that can happen extremely rarely even in anesthesia performed in modern medicine.

Especially in cases like the trauma surgery department I was in where we perform very large surgeries, we are able to directly encounter actual cases.

I saw a case too.

Of course, he said that rather than feeling the pain, it was more like, “Oh… did I wake up?”

That alone could be a possibility for PTSD, so you should see a psychiatrist.

‘I guess the technology is a bit lacking now… … so it would have been more vivid, right?’

Actually, it goes without saying.

Their eyes were moving, but they couldn’t breathe.

It’s going to feel like you’re being held down by scissors, that’s what I’m saying.

The only difference is that the ghost has a lump of metal shoved down its neck.

‘This is going to be really scary.’

The more I thought about it, the more I understood why they were doing this.

“Ugh, euaaaah!”

One of them must have had a pretty intense experience because he acted like the patient we saw on the screen during class.

It means that even if you raise your hand, you start shaking and screaming.

If someone saw me, they would think I had been to war?

In fact, he was dragged to the police station after stabbing and drowning helpless people.

“What, are there worse guys? If there are, let’s do them.”

“doesn’t exist.”

Of course, I’m only human, so I felt a little bad about doing that to the same guys again.

But what can I do if they don’t have it?

“Well, well… … it’s more accurate to experiment with adjusting the dosage on the same person.”

“That’s great. You didn’t look that tired, but I’m annoyed by your whining.”

Besides, if you think about it, this is better if you only consider the experiment.

The police officers seemed very willing to cooperate with me, as they had no idea about the concept of awakening while under anesthesia.

Of course, my group was no exception.

“What the hell are they talking about.”

“Yes, I did. I was given anesthesia.”

“If you’re sick, tell me.”

“I guess it was bearable.”

There is no need for the doctor to say whether this is okay.

Doctor, do you think knowledge just comes down from heaven?

You have to learn to know.

Even so, it was a bit much to say something like that when there was a lump in my throat and I didn’t say anything…

‘What is that…? It’s a mistake that even internal medicine students often make.’

This has come up several times, but I have a close friend who is an ENT specialist.

To be honest, I laughed every time I complained about minor surgery, but there were some funny stories.

The internal medicine department keeps sending me to the collaborative clinic to check the vocal cord movements of patients who are intubated.

Intubation is inserting a tube into the windpipe through the vocal cords, so how can you see the movement of the vocal cords then?

‘It’s not a problem if they do this.’

If a 21st century internist can do that, wouldn’t it be stranger if a 19th century kid could take that into account?

My heart suddenly broadened, and I smiled and left work for the time being.

Then, he instructed the research institute to select the most similar tubes, including the one that had been successfully intubated today, and to prepare them with a slightly lower dose of pufferfish venom.

Despite this, I didn’t reach my target time the very next day.

It took exactly five days.

People who don’t understand the body well might think that if they go for 4 hours, they can just put in a quarter of it, but it’s not that simple.

All drugs work only when their concentration is above the optimal level.

In other words, even if it is the same poison, if the concentration is low, it will not cause any harm.

So, it is very important to determine the concentration at which the target effect will be achieved, but this was not an easy task.

“Lord, kill me… … .”

“Just kill him… … .”

It wasn’t our intention, but after the prisoners’ minds were completely destroyed, we were able to determine the correct concentration.

Fortunately for them, the investigation based on their confessions resulted in a death sentence.

If possible, we tried to spare their lives in return for their contributions to the advancement of medicine, but these prisoners were just not fit for that purpose, so this is what happened.