I Quit My Job and Run a Café - Chapter 470



Only Noblemtl

Episode 470 Mitral Valve Insufficiency [2]

It is impossible to make a new mitral valve.

Because mitral valve replacement is something that will probably be possible in the next 100 years.

Actually, even if you look at it from 100 years, it’s not that long of a time.

World War II didn’t even break out.

Although it’s only a year apart.

“line.”

“yes.”

“after…….”

So there are several methods that come to mind.

One method is to suture the stretched and damaged aortic valve from the edge.

Wouldn’t that make it a bit cramped?

I don’t know how much it will be, but… … .

Quantitative surgery is impossible in the first place.

‘Actually… most surgeries are like this even in the 21st century.’

The trauma surgery department I worked in had a slightly different concept.

That’s because keeping it alive is a priority rather than prioritizing functionality.

When I go for the second or third surgery, I will consider the function… … .

Complete reconstruction was impossible.

For example, if the jawbone is blown off, it is usually rebuilt with the calf bone, but can that completely replace the function of the jawbone?

It’s 100 times better to do something than not to do it at all, but no one can expect 100%.

“after.”

I’m making all sorts of excuses, but…

Whatever it is, it’s hard to deny that what I’m doing now is far inferior to 21st century surgery.

“Plain. There’s not much left.”

“Yes, I know.”

Still the sand slides downwards, making an eerie sound.

It doesn’t sound good, but that’s what makes it good.

Because it awakens your senses.

“I don’t think we were able to achieve any meaningful sutures… … .”

In addition, Liston’s bitter words help.

Yeah, I just sewed the edges.

It’s definitely narrower than before, but… … .

Well, if it were narrower by even 1 or 2% in terms of overall width, that would be nice.

They’re saying that we need to suture the inside more… … .

“line.”

“yes.”

I took the thread again, steeling my resolve.

Liston also gave me strength.

“It’s something I can’t do even if I die. I guess there’s nothing I can do.”

“Yes, that’s right.”

Yes, it is something that cannot be done even if you die.

There can’t always be the best outcome in everything.

‘Fuck… … Charles Bailey, the hell are you… … .’

The man who is called the father of thoracic surgery comes to mind.

He is a legendary figure who turned public opinion around by barely succeeding in a surgery that risked his life as a doctor, or rather as a human being, after suffering through five table deaths.

It’s called a legend, but in reality, when you learn about it in medical school, you’re always labeled a crazy person.

The last surgery failed in the morning (the patient died) and was done in the afternoon at another hospital before word got out.

This guy has some moral issues.

‘No, that’s not it.’

But when I look back at it from a similar perspective, it seems like he was just someone who had the courage to take one more step.

what…….

There are also criticisms that say he is crazy about honor and showing off.

The fact that a doctor, who knew better than anyone that a person could die at his fingertips, did something like that…

‘That person also had a mission given by God.’

This time, the mission has just been passed on to me.

I’ve always been hesitant.

What is this life that I am living again?

It’s certainly easier than life in the 21st century, but…

Can a being called God give such a great gift to one human being without asking for anything in return?

‘No… … That can’t be.’

It is said that with power comes great responsibility.

It’s such a cliché that it often appears in old hero movies, but… … .

The reason it is still used is probably because there is no truth like it.

Jiik.

I inserted a needle into the mitral valve, which was torn apart by infection and inflammation, and passed it through to the other side to make a meaningful suture.

At that moment, a sound more eerie than the sound of falling sand brushed my ears.

“ah!”

Liston’s scream came next.

We were already making needles thinner and stronger.

For this surgery, we prepared needles that could literally be called luxury goods.

Otherwise, the weakened valve would not be able to hold up.

But… … .

“Shit…….”

“this…….”

“First, I have to close my heart. There’s no time.”

“Fuck!”

Haven’t I told you this over and over again?

Doing your best doesn’t always lead to the best results.

Even though I and the best craftsmen from ‘PS’ put in the effort, the patient’s valve could not hold up and tore.

In fact, it was even more serious than before the surgery.

-Surgery failed.

It’s just a simple four letter word, but the meaning it carries is truly enormous.

A person… … dies.

That person who was chatting with us until the anesthesia was administered dies.

The person I promised to save dies.

Of course, the operating room was completely quiet.

No one was even able to open their mouths.

Even a 19th century doctor who had no choice but to see people die was like that.

“Clamp out.”

“out.”

Anyway, Liston and I closed our hearts very skillfully.

Then he released the clamp holding the blood vessel.

Then blood started to rush into the heart.

“ah.”

“this.”

But it was different from the patient before in many ways.

It’s not that my heart wasn’t beating.

This guy, who had worked hard all his life to perpetuate his master’s life, was still doing his best.

But the blood is flowing out.

It’s so serious that it can be seen without any equipment.

“Can you… break it?”

I shook my head at Liston’s words.

That didn’t mean it wouldn’t work.

It means I don’t know.

Liston, who knew this, turned his head towards Alfred.

Alfred opened both his hands after observing the patient’s blood pressure, heart rate, and general movements.

“10 minutes… ….”

“I’ll try my best.”

“Okay. Tell the guardian outside to come in first.”

At Liston’s words, John Snow opened the operating room door and stepped out.

Meanwhile, we began to close the patient’s chest.

Liston used his awl to poke a hole through which the thread could pass.

I threaded the silk through the hole and tied a knot.

We didn’t exchange a single word, but we worked together better than ever.

Perhaps if the patient’s condition had been just a little better, he would have been praising himself.

Squeak.

But we didn’t open our mouths until John brought his guardian in.

“What… what’s going on?”

The guardian already seemed to be aware of something.

Well, that can’t be helped.

The patient who had surgery earlier met his guardian only after the surgery was over and he was moved to the hospital room.

No, isn’t that how they usually do it?

It is usually a bad sign when the original procedure is changed.

This is especially true in a hospital.

“Unfortunately… … the operation was a failure, Mrs Winston.”

The guardian, that is, the patient’s wife, closed her eyes tightly at my words.

The tears that had been piling up flowed down my cheeks.

If it were an emergency room, there would usually be shouting from now on.

In more intense cases, fists may also be thrown.

I tried it too.

But perhaps it is because we live in an age where death is so close.

Or maybe it’s because they know the patient is ready to die.

“Can I say hello… … hello?”

Even though it was the last greeting, his attitude was calm.

They’re not an old couple either.

As far as I know, Mrs. Winston is only nineteen years old.

The patient is 22 years old.

The story is that a couple, aged 19 and 22, are just about to break up.

In the meantime, the best I, no, we can do is just try to say hello.

“I’ll do that for you.”

“thank you.”

“Yes, ma’am. I will do my best.”

After making that promise to our guardians once again, Liston and I began to close the wounds in silence again.

Closing a split sternum is natural, but it is not an easy task.

Ironically, the patient was quite good at closing.

In addition, the skin was closed well.

Oddly enough, this feels like it’s going much better than the heart surgery that was really important.

“flaw…….”

Anyway, thanks to the timely closure, Alfred was able to have the tube removed in time.

The patient began to blink his dry eyes.

It was while groaning.

Is it because of the pain or… … .

“Huh, huh.”

I was confused as to whether it was because I was out of breath, but now I know.

“You will have trouble breathing. Your blood will not be circulating properly. I will explain this to you in more detail later.”

I looked back at the patient for a moment, then spoke to Mrs. Winston.

Would I be the last person a patient would want to see?

It’s not for nothing that doctors call the family when a patient is not feeling well.

Because both the patient and the family want to be together until the end.

“First, go and say hello.”

“Ah… … yes… … .”

Mrs. Winston nodded to my words and approached her husband.

The husband was still panting.

It can’t be helped.

Because the blood… won’t circulate properly.

Five minutes at most? No, I don’t know.

One thing is certain: it will be difficult to get through today.

“Let’s step aside for a moment.”

“Yeah, that’s right.”

All of us, including Liston and I, moved to the corner.

Only Alfred, who was in charge of anesthesia, stayed by her side.

It probably doesn’t mean anything.

It’s not because of Alfred.

It’s not even the 19th century.

There is no way to immediately fix a heart that has reached that state, even in the 21st century.

‘Well… I guess there is a way if we wait for an organ transplant or have a replacement surgery while on ECMO.’

If you think about it, there is.

It’s a crazy time, the 21st century.

“Huh, huh… … .”

“Honey… …Thank you for your hard work.”

“her…….”

“you…….”

“go…….”

“meet.”

“mind…….”

“I was happy.”

“woah…….”

While I was thinking about that, the greeting ended.

Mrs. Winston was still saying something, but that wasn’t considered conversation.

I just call it a monologue.

“Alfred.”

“Yes, professor.”

At my words, Alfred closed the patient’s eyes.

Then I picked up the stethoscope and placed it on the patient’s chest.

I can’t hear anything.

“I am…….”

“Madam, keep talking. Your hearing will remain until the day you die.”

“Oh, yes.”

You may not have heard it yet.

It is highly probable that Mrs. Winston’s tearful expressions of affection were all in vain.

In fact, it actually becomes a hindrance.

Since the stethoscope is not very good to begin with, it gets confusing when noise is added.

But I didn’t bother to stop her.

‘What I did, or that… … .’

Instead, they waited another 10 minutes or so before declaring him dead.

As I left the room, Liston handed me a cigarette.

It was a high-quality pipe that he had been meaning to give me someday.

“You have to make it a habit to bloom when something good happens.”

Instead of refusing as I usually did, I took the pipe and put it in my mouth.

Then Liston skillfully lit the fire.

Even so, the cigarette smoke pushing into my lungs was not pleasant.

But today, I decided to just smoke.

Just as love is forgotten by another love, pain is also forgotten by another pain.