I Quit My Job and Run a Café - Chapter 467



Only Noblemtl

Episode 467 Mitral Stenosis [2]

There was an advantage to conducting the experiment on people who had been in prison rather than people who had just been arrested by the police.

The supply and demand were very stable.

We weren’t the only ones who were satisfied.

-Hey… … After seeing that, all the other guys confessed too?

Those who just got intubated and left probably wouldn’t feel anything special on the outside.

Of course, even those guys would have an experience similar to awakening from anesthesia if their calculations went awry, and they would have been trembling because of it… … .

In fact, the 19th century was full of places to experience something similar.

Especially the East End, which boasts such a heterogeneous environment that it could almost be called the end of the world, can be seen as the entire world being like that.

But it must be quite frightening to see children who have lost their front teeth due to intubation or even have a hole in their throat.

‘Is this a win-win?’

We advance medicine, they rehabilitate prisoners… … .

It’s something I do, and I think it’s really great.

I don’t know what direction it will take, but I think the three letters of my name will… …become quite famous even in the 21st century?

“So… …Did you organize the capacity?”

“yes!”

Another advantage of prison is that the grass is wide.

First of all, you can also pick women.

In addition, there are elderly people.

There are no children… … and fortunately, I have no intention of experimenting with children.

“Let’s see… … .”

“here.”

The data thus obtained is being organized by our epidemiologist, Dr. John Snow.

As expected from someone who created a cholera epidemiological investigation from scratch, he is producing pretty good results with just a little bit of guidance.

Well… … I guess it would be a stretch to say that it’s a perfect result.

No matter how many experiments you do with prisoners, the number n is still lacking.

Moreover, the method itself is problematic.

The standard way to conduct an experiment is to check the concentration in the blood through a blood test, but we can’t do that.

‘What… … In this day and age, this is amazing.’

Nevertheless, I still think that great people in history are great people.

First, we calculated an approximation of the minimum dose that causes muscle relaxation and an approximation of the dose that can be maintained for more than one hour.

That’s because an approximation is not very accurate.

Inevitably, you will need to use a concentration that is a bit thicker than this.

If it were the same, it would have been safer to go… … .

Here is an exception.

If you say ‘safe, safe’ but are not careful, the pain may increase.

“How are you?”

“very good.”

“thank you.”

“What’s the thank you? You did the work. Why don’t you go to a bar with the kids later?”

“Oh… … thank you.”

How can we use such a great person for such a cheap price?

Long live the 19th century.

I’m even grateful.

It might be possible because you don’t know how great a talent you are.

In addition, the entire society does not value people at all.

‘This is just like Korea.’

You might be tempted to compare 19th century London with 21st century South Korea… … .

I think you’ll agree that South Korea doesn’t give people the same value.

Even if you pay a price for machines and equipment, people… … .

If you go to a mechanic and have your car inspected and there’s nothing wrong with it, they barely pay you anything, right?

On the other hand, when replacing something, the cost of the machine is added and it becomes very expensive, but I think that if the inspection cost is sufficiently paid in the first place, such a thing will not happen.

Medical care was the same.

The basic consultation fee is very cheap.

So, they had a system where doctors who had to treat patients with words or their heads didn’t make money, while doctors who could conduct tests or operate machines made money.

‘All else aside, it’s not fair there.’

I felt wronged when he died as soon as I became a professor of trauma surgery, but when I thought about it, it wasn’t like that.

I can’t do trauma surgery for long anyway.

That’s because the distribution of medical expenses in Korea is a shitty thing.

Compared to medical workers who do difficult, challenging, and even dangerous work, medical workers who do not do such work receive greater financial compensation and even have a much better quality of life.

I also got gaslighted by my professor and ended up getting surgery. Otherwise, I would have gone down the right path, which is beauty, plastic surgery, or pain management.

Do you think the people who do that are bad?

The system is making it that way.

‘Well… … I guess I don’t really need to fix this here.’

I think I would have tried harder if I were in Korea.

Actually, the medical facility there… …needs to undergo major construction.

It is true that we were somehow the best in the world until the 2020s, but the problem is that it is not sustainable.

The birth rate is 0.65, so the productive population is extremely low, but the aging population is progressing rapidly, right?

People are calling the national pension a Ponzi scheme, but the health insurance premiums are on the verge of depletion.

This means that it will never be possible to provide medical services of the same scale as they are now.

This is why the increase in the number claimed by the medical association is an empty cry.

How much money do you have for it?

Even the existing numbers need to be revealed.

‘Hey, if I were the Minister of Retribution… … I would reduce the income of private practitioners and divert that income elsewhere… … .’

How do you do it?

Why am I worrying about that?

I am a 19th century British person.

“So, when do you want to start?”

Besides, my nose is three inches long right now.

As Liston said, heart surgery awaits.

“I would like to put it off as much as possible, but… … .”

“That can’t be.”

By the way, Liston is not the only one in this room.

James Hope is here too.

I didn’t call it.

I’m here.

While being cheerful.

“One person has already passed away.”

I can’t say anything about you coming without permission.

Because one of the people who declared that he would risk his life to get the surgery instead of just going passed away.

Since it’s a time when so many people are dying, I wanted to ask, “Did you really die because of your heart?” but I thought that would make me the biggest son of a bitch, so I kept my mouth shut.

The fact that the deceased was so young also plays a part.

No matter how crazy the times are, it’s rare for someone who survived into their 20s to suddenly get sick and pass away.

No, it’s more common than you’d think, but anyway…

“What the hell.”

“What is the matter, Sir Tiepyeong? Aren’t you the best doctor?”

As I realized that I couldn’t put it off any longer, I started swearing.

Then James Hope urged me on.

Go quickly and cut out the heart, this is it.

They’re saying that he’s the best doctor and they’re trying to lure me in…

‘Actually… … no. I’m not the best doctor… … .’

If I were the legendary Baek Kang-hyuk, I would have probably done it already.

The time limit is only 4 minutes?

So what.

Just do it.

But I am Kim Tae-pyeong.

I pride myself on being an excellent doctor, but the problem is that I am in the realm of humans.

“Yeah, what’s wrong with being an invalid? Hurry up and kill them. They’re already prepared to die anyway.”

I’d like to crush it more if I could.

But that’s difficult, since not only James Hope but also Liston is coming forward.

No, these two alone can be crushed, now.

“please…….”

“Please start with me.”

But that became difficult because this clever James Hope brought in one patient after another.

This Kim Tae-pyeong… … .

To be honest, I didn’t have a sense of mission when I first entered medical school.

What does a guy who only studied for the college entrance exam until he was 19 know about the world and has a sense of mission?

If he does, then that kid is weird.

However, as you receive medical education, no matter how cold-hearted you may be, you will eventually develop a little bit of love for your patients in your heart.

If you learn that for a hundred days and a thousand days and go to a hospital for internship, how could you not see people suffering from that disease?

“Okay. I will… … do it.”

If you go crazy, you will end up going to the avoidance department.

It’s not someone else’s story, it’s my story.

‘under…….’

I really don’t want to do it.

A sense of mission is not something as firm as steel.

Even professors doubt whether this path is right several times a day.

Some people just work out of inertia.

Many more people leave because they are worn out by the harsh reality.

It’s not just because of the treatment or quality of life.

Doctors are people too.

It is certainly not easy for a person to take full responsibility for another person’s life.

“Hey, Sir. Why are you acting so uncharacteristically?”

“That’s because this is a really difficult surgery.”

So, even though I said I would operate on the patient, I couldn’t go into the operating room right away and stayed outside.

Liston followed me out like that.

He offered me a cigarette, and I couldn’t dare refuse.

‘Fuck… … nicotine.’

Yeah, it’s brave of you to have held out until now.

In these stressful times with nothing to enjoy, I should at least smoke a cigarette… … .

Cigarettes in the 21st century may be completely useless, but in the 19th century, they were in some ways a kind of welfare.

“after.”

“You smoke well. Do you smoke normally?”

“I guess I’ve grown a bit since I’ve been around the idiots.”

“Ah. Haha. That’s a good thing. Did you know that smoking also prevents the plague?”

Look at it now.

How can you endure such nonsense with your wits about you?

Whatever it was, maybe it was because of the nicotine or because Liston was standing next to me, but I felt a little more relaxed than before.

“This… … I’ve told you over and over again, but this is a difficult surgery. People could die on that table.”

“Look here.”

“Yes, brother.”

“Everyone dies.”

“But we are the ones who save that person.”

“Haha. Who says something like that? Doctors save lives?”

So when I told him my worries, Liston laughed heartily.

“It is heaven that makes people live and die. Doctors are just there to temporarily change the course of events. Isn’t that right?”

In the past, I would have thought, “What the heck are you talking about?”

but…….

Now I understand.

Yeah, when I was a resident, I was convinced that doctors save people.

But as experience accumulates, we inevitably come to see that there are people who die even though everyone did their best and all treatments and care were reasonable.

They say that hopeful people died because of the limitations of the times, but well.

Will humans be able to live indefinitely as time goes by?

I don’t think so.

“Besides, those people are people who are on the brink of inevitable death. They will die even if you don’t draw your sword. If you draw your sword, there may be some chance. There may be even a slight chance of survival… … .”

Liston patted my shoulder as I sat lost in thought and exhaled smoke from his cigarette.

‘hmm.’

Although they were all different in race, age, and appearance, I somehow found myself thinking of my mentor.

Come to think of it, there was a time when he also went into the operating room to save someone who seemed certain to die.

Most of the time I failed, and it hurt every time… … .

Even though I was sued.

There were some people who came back to life and were able to live until retirement, he once told me with a regretful look on his face.

“Let’s go.”

“Yeah, that makes you an idiot.”

It occurred to me that there are times when surgeons have to go in even though they know they’re going to die.