I Quit My Job and Run a Café - Chapter 469



Only Noblemtl

Episode 469 Mitral Valve Insufficiency [1]

I looked up at the ceiling for a moment.

It seemed as if the sound of a wooden fish was coming from somewhere.

‘This crazy guy… … .’

Now, should we catch the monk Ha Da Ha?

I thought that one day I should catch him and rob Liston’s house.

Do you know?

Is there even a potter?

Then it’s a jackpot.

These British Buddhist bastards just think that fancy Chinese or Japanese porcelain is the best, but if you look into it, isn’t it true that even in China and Japan, Joseon white porcelain is considered the best?

As I was talking, the conversation started to flow as if I was going to suck the blood of my fellow countrymen, but of course that’s not the case.

‘Wouldn’t it be a good thing if we could share the beauty of Joseon white porcelain with these European country bumpkins?’

I quickly closed my heart while thinking that.

“Plain. Don’t have any bad thoughts while you close your heart.”

“You’ve never done that before?”

“I wish that were true.”

“Anyway, now… … let’s go?”

“okay.”

I glanced at the hourglass.

We were in a really hurry and although we were proceeding without any problems, we had almost run out of sand.

A cold sweat ran down my face.

‘This… this is almost like Russian roulette.’

No matter how you look at it, this patient was lucky.

No, I guess I was lucky.

Because the patient only had stenosis in the first surgery.

Thanks to this, it was possible to solve the problem with just the most basic techniques.

No, if you say it’s solved, it seems like everything is better…

I think it would be correct to say that the attempt is over.

‘But time has passed… … ?’

ha.

A sigh comes out on its own.

Click.

Whatever it is, what needs to be done must be done.

As soon as the clamp was released, blood rushed into the heart and then spurted out powerfully toward the aorta.

If there had been an ultrasound machine at a time like this, we could have immediately seen if the stenosis had improved… … .

There is no X-ray, let alone ultrasound.

What are you doing, Roentgen!

What is Marie Curie doing!

‘I guess I wasn’t even born… … .’

I don’t even want a status window, but I think it would be nice if they at least gave me a summoning spell.

If that doesn’t work, then at least give me some ice cream.

Use it whenever you need and then send it back to the afterlife.

“I guess we’ve overcome one hurdle.”

“Yes. He’s not dead. At least not here.”

I was depressed, but Liston seemed cheerful.

It was a natural thing.

Because this was truly impossible.

I cut open his heart, did something to it, and closed it again, but he didn’t die.

Even without looking through the records, this would be the first.

In other words, this is a moment where something that has never happened before in the long history of mankind has happened at our fingertips.

“Still pessimistic.”

“I don’t know if it will really get better or not. But still… … .”

“Isn’t this patient the one with the best prognosis among the cases you mentioned?”

“Yes, I will probably live much longer than I originally did.”

But that’s all.

Completely cured?

The surgery we performed was too crude to expect such a thing.

It may seem like a big deal, but all it does is slap a piece of metal on the saddle.

Of course, even in the 21st century, all we do is push and inflate balloons.

The difference is that it is done without opening the heart, by simply inserting a catheter into the blood vessel, and while viewing through a video from the outside, it is possible to dilate it just enough and then check whether the mitral valve is functioning properly.

‘Fuck… … What a huge difference.’

What happened in the two hundred years since then?

How did you get to this level?

Have we actually made contact with an alien civilization?

“after…….”

The surgery isn’t even over yet, so why is the main surgeon thinking about something else?

That’s because it’s not the main thing anymore.

It’s not like I skipped it because it was annoying.

I can’t heal bones without a drill.

It’s not that I’m the problem, it’s just the limitations of being human.

“awl.”

“yes.”

But Liston does.

That’s because he’s not human.

It wasn’t even that I could barely do it, it was that I could do it so easily.

Sigh.

that…….

Those of you who have been around for quite some time will probably know the comic .

There’s a swordsman named SaXto Hajime who appears there, and he’ll probably take Liston as his master if he sees him.

Sigh.

It’s almost magical, making holes in bones with an awl.

Even if it’s called an awl, it’s not really a miracle; it’s just a miracle, considering that it’s more like a thick needle whose purpose is to make a hole for the wire to pass through.

‘No matter how I look at it… … it’s internal energy?’

London’s ironmaking technology is the best in the world.

I’m not denying that.

But it’s the best of the 19th century.

If you look at the steel being made at Pohang Iron and Steel Company, you’ll all faint.

In other words, it’s not that strong of iron, but it can’t stop human bones…

Sigh.

It’s not even like you’re grinding it out.

Just stare at the bone and then stab it with an awl.

Then there is a hole in the bone.

I’ve seen it done to corpses hundreds of times already, and it’s still surprising.

The disciples and Blundell are also amazed, but probably not as much as I am.

I know what they originally used to pierce that thing.

‘The standard way to drill is with a diamond burr drill… ‘

Human bones are strong.

It may be a bit odd to say this on the topic of the X-heart of the wind and such, but samurai manga these days can be considered a joke.

Unless you are a skilled swordsman, it is difficult to cut human bones with a single stroke of a sword.

That’s why killers don’t even try to cut through the bone in the first place.

But ironically, doctors who have to save people sometimes have to manipulate bones.

So what did you do?

I put the stones in.

So, I managed to make a hole with great difficulty… … .

“Phew. I’m done.”

Is it true that when the body is weak, the head suffers?

Liston made 14 holes in the bone, one on each side, with a rather thick needle that was hardly excellent, even in vain.

They are even lined up exactly in a single row.

This is possible because I made a small scratch before sawing… … .

Being able to stab into that flaw without a single inch of error is something that only Liston can do.

“line.”

“yes.”

Anyway, I have to close it now.

Since this was a difficult task to do alone, Liston and I took on the task at the same time.

Ji-i-ik.

Jiik.

It’s too thick to be called thread.

At the same time, it’s also a damn expensive thing.

It’s silk, silk.

If possible, I tried to use thread extracted from cotton, but no matter how I looked at it… … .

Not only was there concern about infection, but there was also a difference in the expected strength when the thickness was the same.

‘The silkworm is a fraud.’

I thought that there was a reason why King James I of England told people to raise silkworms when they were pioneering America.

Of course that was stupid.

How cold is it in the eastern United States that you would want to raise silkworms there?

They said that they all died while riding the boat.

But silk is a really crazy thing.

Ji-i-ik.

Since it is much thicker than what is usually used, it does not have the characteristic feel of silk.

But that’s what makes it so awesome.

I’m pulling and tying a knot on my sternum that’s been torn apart on both sides, but it doesn’t even show any sign of breaking.

“Surely… … This is really good?”

“There’s a reason why silk is expensive.”

“I just thought it was expensive because it was expensive… … .”

“In the East, it has probably been used in various ways since long ago.”

“When I see things like this, I can understand why our British Empire is so eager to swallow up the Qing.”

“Well… … it does look delicious.”

Thanks to the silk, we were able to close the sternum in no time.

What happened next was lightning fast.

If you can suture bones, what could be difficult about flesh?

All you have to do is poke it hard and close it.

“Whew… How long did it take in total?”

“About 50 minutes.”

John Snow responded to my question.

Only then was I able to smile faintly.

I wonder if it is okay to do heart surgery like this, roasting beans in a lightning flash…

Isn’t it true that each era has its own drinking style?

The fact that I can think like this is proof that I have improved a lot from before.

‘Probably… …the others won’t work.’

It’s possible because you have a flexible head.

“under.”

“You look happy.”

“Because I’m still alive.”

“Yeah, still alive.”

As I was sighing with that thought, Liston smiled as well.

As the saying goes, the patient is still alive after regaining consciousness.

I don’t know how much longer I will live, but… … .

Blood pressure is also more stable than before surgery.

‘I really wish I could do this 100% with my own skills… … .’

good night.

It’s a good thing, but the regret is that I can’t just say it’s good.

That’s because I don’t know if it’s possible to reproduce it.

‘Maybe… … it would be possible if it’s only a case of mitral valve stenosis.’

Yes, simple mitral valve stenosis cases can be solved.

but…….

The problem with rheumatic fever is that the main case is not stenosis but occlusive insufficiency.

‘It’s not that I haven’t thought about it. But… … will that… … really work?’

It is relatively easy to widen something that is narrow.

You can also use a hammer like I did earlier.

Humans aren’t such weak animals.

I think the fact that we can survive without going extinct even in these times is proof of that.

But narrowing down something that has already expanded is… … .

“It ended better than expected, so how about doing one more case?”

“I have to.”

“Even from my perspective, the case just now was easy. I’m afraid I might become complacent.”

“Yes, statistically… there would be more difficult cases, but I was lucky.”

“The Lord loves you.”

“I guess so, really.”

I looked up at the sky for a moment and then sat up.

Actually, I still don’t know whether there is a God or not.

The fact that I came to this era means that there is something special about me… … .

Does that being have a will?

I don’t know about that.

“I will pray.”

However, I have no intention of spoiling the mood of a patient lying on the operating table, prepared to die.

So I prayed with the priest who had been called in, and proceeded with the surgery as before.

It’s like coming face to face with a beating heart splitting open your chest bone.

“after.”

With a sigh, I matched the signal with Liston and clamped on.

The blood flowing into the heart stops with it, but that doesn’t mean the heart stops.

Because 19th century technology hadn’t gotten that far yet.

No, it was like that until the latter half of the 20th century.

So what I’m saying is that grumbling is useless.

“knife.”

“yes.”

I calmed my mind and tore open my heart.

“ah.”

“ah.”

And then I noticed a sagging aortic valve.

It looked like it had melted away and become fibrotic due to long-standing inflammation.

“It’s here.”

“Yes. But still… … .”

“I guess I should try it.”

“yes.”

It’s the worst case scenario.

But it is not an unexpected situation.

Even if it was an unexpected situation, there was no time to worry.

The time given is a maximum of 4 minutes.

“line.”

“yes.”

Do your best.

If you think about it, it was the same in the 21st century.

Yes, how can there be 100% success in fighting an irresistible enemy called disease?

Even if it’s like throwing an egg at a rock, you have no choice but to give it a try.