I Quit My Job and Run a Café - Chapter 468



Only Noblemtl

Episode 468 Mitral Stenosis [3]

“ruler…….”

The patient was already lying on the operating table.

Of course, it wasn’t a dissection lab like when we were doing experiments.

You could say that this is the operating room with the best facilities in our hospital.

‘Is this the best?’

I actually had no complaints when I was making it or when I was doing other surgeries.

These days, the surgeries I do are mostly circumcision, cataract surgery, and appendectomy, so what could I possibly complain about?

If it wasn’t enough, then just do what you have.

But as I was looking around ahead of the difficult surgery, there were more than one or two things that caught my eye.

First of all, the lights are dark.

It seemed impossible for gas lights to reproduce the brilliant light of a previous life.

-Are you going to increase the output? Are you going to make a bomb?

When I asked for improvement, the response I got was amazing.

Well, there was no other way.

What should I do?

“Are you ready?”

“Yes. I’m ready.”

“You did tell me, right?”

“Yes. I will tell you what I couldn’t say in a letter… … .”

“Yes. I will do my best.”

Meanwhile, Alfred performed a final check on the patient and turned on the gas valve.

The atmosphere was bound to be much heavier than usual.

I said that because I was confused as to whether this was surgery or an autopsy.

Although Liston and his disciples are considered to be closer to the surgical side… … .

“Plain.”

“Oh, yes.”

The patient quickly fell asleep due to the higher purity gas.

I wrapped a tourniquet around the patient’s arm, who had become so quiet, and injected the puffer fish poison adjusted to the patient’s weight.

I don’t need to explain what it feels like to inject a patient, not a prisoner.

It’s very strange.

“I… I will do it.”

“okay.”

Intubation wasn’t my thing.

After some trial and error, Alfred also learned how to do intubation, probably because he was convinced that this was something he could do to make a living.

How hard do you practice… … .

The prisoner in Alfred’s hands was almost in shambles.

The guy may have disappeared like the dew on the execution ground, but if his spirit were to remain and see this sight, it was obvious that he would think, ‘Ah, at least my sacrifice was not in vain,’ and attain Buddhahood.

Sigh.

Look at me.

Those soft hand movements.

There appears to be no difficulty in inserting a metal tube down the patient’s throat.

“phew.”

Of course, it’s going to be dirtier than it looks.

Alfred took a deep breath without realizing it and started squeezing the ambu.

It was much slower than normal breathing.

It’s not that I’m doing this because I’m lazy, it’s just one of the things I found out while doing this experiment.

If you squeeze it to match your voluntary breathing rate, your lungs will burst.

How did you know?

That’s right.

“good.”

“Okay… … then.”

As soon as the anesthesia took effect, Liston, Blundell, and Colin came forward.

There was no need to do anything else because Joseph had already done all the disinfection.

Joseph took charge of the operating table.

What is Smarty John Snow doing?

Since this is an internal medicine case, there is nothing to do directly in this case.

I’m just watching with the painter William Turner, who was called in early today.

It wasn’t just something that came in, but it was also to stop Turner from trying to paint beautifully when he suddenly became consumed with his spirit as an artist and to guide him to paint properly.

“knife.”

“yes.”

Anyway, I made an incision along the patient’s sternum, completely exposing her upper body.

I thought about making a small incision like they do in 21st century South Korea, but no matter how I looked at it, it seemed impossible.

Wouldn’t it be 100 times better to live with an ugly scar than to die with a pretty scar?

Until your drinking skills improve considerably, you’ll just have to cut it big.

No, I don’t know if it would be different if the lights were brighter…

‘When did Edison invent the electric light bulb? Where was he and what was he doing?’

I finished my incision while chewing on the great people of history.

Blundell wiped away the flowing blood with gauze.

“top.”

“yes.”

Meanwhile, Liston took over the saw from Joseph.

When I say saw, I don’t mean the type of saw that actually cuts wood.

It is a circular saw, and the saw turns when you turn the handle on the side.

What I’ve seen is just a button-click mechanism that makes the wings spin, but it’s still a long way from being able to make an electrical device that does that.

whiz.

Plus we have Liston.

I don’t know how a person can turn a handle and make that sound…

In the 19th century, you had to think of something as good and move on, but if you kept digging into it, it usually resulted in bad results.

Not only me, but everyone else just stayed quiet.

Ga Ga Ga Ga.

While everyone remained silent, Liston began to cut away at the bone that had been exposed through the incision I had made.

Of course, it wasn’t like I was just going to do it.

A metal plate was inserted into the incision above the sternum to prevent the saw from cutting into the organs inside the bone.

This wasn’t an idea that just popped into my head; I just figured it out while watching what thoracic surgeons do.

-also…….

-genius…….

Of course, I’m the only one who knows that and everyone else just thinks it’s just my opinion.

I hope you will put aside the words that say you should be honest no matter what.

How do you say you’re from the future?

It’s much more convincing to just say I’m a genius.

“phew.”

Actually, the real genius, no, the monster is Liston.

Is this a human being who can split open a human’s chest bone in less than a minute, let alone a human’s limbs?

“and…….”

“This is… … the heart.”

It’s not that I haven’t practiced heart surgery.

No matter how crazy we are with a spirit of challenge, we don’t open our hearts and say, ‘Can’t we just do it like this?’

Naturally, they practiced a lot with the corpse.

However, the heart inside the corpse was not beating.

This is the first time I’ve seen a heart beating like this.

“Wait a minute, just a minute.”

Everyone, without exception, lost their minds for a moment and looked down at their hearts.

Then, a person who had been silently behind slowly approached.

He was not a peddler.

He was clearly a man worthy of seeing a beating heart with his own two eyes.

“Yes, James. This way.”

Since he was wearing clothes, a hat, a mask, and gloves under Joseph’s supervision, it was okay for him to come close.

Of course, if you put your hands below your waist there, you’ll be kicked out right away… … .

Not only me, but Joseph’s nagging at him meant that he was following our operating room guidelines very well.

Even if you don’t say anything, I think he’ll try his best to be careful.

How would you feel?

I’ve spent my whole life looking at hearts, but this is probably the first time I’ve seen a beating heart.

“Huh… … So this is it, the heart.”

“To be exact, it’s a sore heart.”

“Even a sore heart can be this strong… … This is truly amazing.”

When I look at your face that I like like a child, I want to tell you to look at it a little longer.

But that’s impossible.

It is dangerous to open your heart and waste time in a place that is not sterile.

“now.”

“Oh, yes.”

So we left James Hope behind.

That doesn’t mean he picked up the knife right away.

I did it because I knew that if I put my knife to it, something truly irreversible would happen.

‘I feel like I’ll live longer if I delay… … .’

I must confess that returning to the 19th century was the most confusing moment for me.

“Plain. This guy came in prepared. Shouldn’t we do our best as well?”

So, as I was hesitating, Liston opened his mouth.

I really thought this was the era of gentlemen.

The patient is the one who doesn’t understand the most.

Since I’m going to die anyway, I want to die with my heart open…

It’s surprising that even the guardians agree to it.

‘Yeah… It’s funny that the doctor is hesitating when the patient is doing this.’

There is no need to recall the proverb that says, “After you rescue someone, they ask you to hand over your bundle.”

The population density of 19th century London could not possibly be higher than that of 21st century South Korea.

It’s just that no one dares do anything to me.

Aren’t we living in an era where people are above others?

Over there in France they talk about liberty, equality, and fraternity… … .

Frankly, I don’t think we need to listen too much to the slander of those who sent their kings, queens, and nobles to the guillotine.

What I’m saying is that people at the bottom might not care, but people at the top shouldn’t necessarily be interested in such private thoughts.

‘Besides, I’m a little different, right?’

Here goes, a real Ubermensch, not a fake testicle.

“clam.”

“yes.”

“Give me some too.”

“yes.”

No matter how much you say you are an Ubermensch, there are things that are impossible.

This is what it means to operate on a beating heart.

Crazy guys like Baek Kang-hyeok and Batista even dared to do such things… … .

It is right not to do things that do not make sense.

None of their disciples, not even their own disciples, could do something like that, right?

‘Yes… … That’s exactly why I came.’

Compared to him, I am a person with moderate talent, so I am good at teaching.

hey…….

The more I think about it, the more I think I’m the best?

This is crazy, seriously.

God’s vision is truly amazing.

“Well, what are you doing?”

“Oh, no.”

Yes, to live up to those expectations, the surgery has to go well.

So I pulled myself together and, working with Liston, clamped the aorta and veins that ran above and below the heart.

The vein was ligated first.

The aim was to minimize the amount of blood remaining in the heart.

“zone!”

“yes!”

With that, Jon Snow turned over a large hourglass that had been set to exactly four minutes.

Sssss.

The sound of falling sand began to fill the operating room with eerieness.

From now on, there was no time to waste.

So I put my feelings and such things away and picked up the knife first.

Ji-i-ik.

It ripped my heart straight out.

Inside, blood that had not been able to escape suddenly flowed out.

The scene of blood spurting from the heart was violent as always, but Liston did not panic and just silently blocked the blood with gauze.

I looked inside through the field of vision I had thus secured.

‘It’s a narrow space.’

It’s better than being loose.

The worst has been avoided.

but…….

The heart is the heart.

“Give me that.”

I took the lump of iron that I had prepared in advance while maintaining my tension.

It was a device that looked like a small morning star.

It was heavy enough to be used as a weapon.

But this thing is clearly designed to save people.

Support position.

I slowly pushed it into the constricted area, starting from the head.

Because it was oval in shape, it was able to tear the aortic valve slowly rather than suddenly tearing or blocking.

I don’t know what the mitral valve is, but I think it’s something that shouldn’t be torn.

That’s true, actually.

It’s right not to touch it.

But what can you do since it’s broken?

Direct.

I quickly took the lump out because I thought it was making a bad sound at the end.

Anyway, the time in the hourglass is almost running out.

“Close.”

“Okay. Let’s do that.”

“After we’re done, let’s pray.”

“Yes, there are Puritans and Catholics outside. I called a monk just in case.”

“Are you crazy?”

“The monk is chanting upstairs, so no one will know.”