I Quit My Job and Run a Café - Chapter 474



Only Noblemtl

Episode 474 Progress in the Heart [3]

Although it was manual, it was not that difficult to open the chest because it had a relatively advanced type of saw.

If there was a liston, it would have been much faster since I could have just swung my sword and it would have opened… … .

Liston is quite a busy man.

Actually, I’m busy too, but I make time to do this.

It’s truly a service to humanity, since opening the chests of dead bodies can’t be your hobby.

Ga-ga-ga-gak.

Gagagagagak.

On the other hand, my disciples still lack skills, so they have to study hard.

So, under the supervision of Nana Liston, Blundell and the director, we do dissections almost once or twice a week.

Let’s put aside the question of whether it’s necessary to be an anatomy professor.

Even in 21st century medical schools, anatomy is taught for one year.

That’s 6 credits per semester.

Of course, 6 credits in medical school is not 6 hours a week.

It will be implemented for much longer than that.

Isn’t that what internship is all about?

‘Oh my, it opens well.’

That’s why the number of children has increased a lot.

It turned out really well, that’s what I’m saying.

The sternum is not usually that hard, but it took less than 10 minutes to cut it open with a hand saw.

Oh, you can’t compare it to Liston.

Because that person is not human.

“after…….”

“flaw…….”

Dissection is usually thought of as the product of great agony, but that is only possible in very limited areas.

It’s usually closer to manual labor.

Dismantling a human body is no easy task.

Moreover, it is even more difficult to open it while leaving the inside intact to see what it originally looked like.

If the equipment had been well-equipped, it might have been different, but since that wasn’t the case in the 19th century, complaints could be heard here and there.

You could say it’s a good thing.

‘When things are hard, you don’t have other thoughts.’

Dissecting a corpse is not just physically difficult.

It is obviously mentally difficult.

Could it be that it is not a problem for a person to put a knife, a saw, or a pair of tweezers to a human corpse?

If you focus too much on this noble act itself, it will become a really difficult task.

But when the body is so tired, noble acts often become work.

And often times, work is done without thinking.

“Professor, over here!”

As we waited, Joseph raised his hand first.

He’s not a very dexterous guy.

but…….

In addition to being meticulous, he is also very strong, so he shows exceptional talent in anatomy.

Well, I think it suits my personality better to have surgery on a small area like the eye, but anyway.

“Look where you are.”

“here.”

“Yes, you found it well.”

He was referring to the blood vessels that jut out from the aorta, which rises upward from the heart.

Strictly speaking, there were two, one on the right and one on the left.

Not all of them look like this.

Because there are variations in anatomy.

This can be a real headache for many people, especially when it comes to surgery.

Blood vessels emerge from places other than those expected, and those blood vessels branch out strangely… … .

Well, I was a trauma surgeon, so I rarely had to deal with blood vessels themselves, but in thoracic surgery, aren’t the coronary arteries the most important?

-Fuck. Why is my body like this?

Often, after surgery, I would hear people swearing in the locker room while showering.

Actually, there are many cases where you get cursed at as a surgeon, and it’s not like I’ve never done it myself, so it’s hard to say, but in terms of frequency, it seems that thoracic surgery and neurosurgery were overwhelmingly high.

Coincidentally, it was in the order of difficult surgeries and many emergency surgeries.

Anyway, after confirming that this patient’s case looked like this, I picked up a scalpel and tweezers.

“Look carefully.”

“yes.”

After calling the other students around me, I first grabbed the left coronary artery with forceps.

Since it is on the left side, it is naturally a blood vessel that goes to the left atrium and left ventricle, and since the left ventricle is the part that sends blood to the entire body through the aorta, it can be said to be the main blood vessel in the heart.

If you hold on to it like this, even medical students in the 21st century will flinch.

It is the most important blood vessel along with the cerebral blood vessels, so it is only natural.

But our brave 19th century students were simply at peace.

To begin with, the mentality has to be much stronger.

‘They didn’t bring the body back… … .’

These guys met the bereaved family, paid for the body, dragged it in on a cart, and placed it on the autopsy table.

It’s strange to think that those kids are the same as kids from a soft era like the 21st century.

Besides, dissection in this day and age is not only dirty, it’s also dangerous.

Now, at least our school makes it mandatory to wear very strong gloves, gloves that reach up to the wrists, so it’s safer, but Alfred, who was just finding a heart and enjoying it, almost died while dissecting it.

‘But it’s probably bigger because we don’t know how important this blood vessel is.’

I also think it’s a bit strange.

Since blood is flowing into the heart through such large blood vessels, why can’t the blood be supplied from the inside?

Why do we supply blood to the heart through thin blood vessels called coronary arteries?

So isn’t that why there is a terrible disease called myocardial infarction?

If the blood supply to the heart had been from within, as people in the 19th century believed, there would have been no myocardial infarctions.

‘But what do you want me to do?’

In medicine, what’s important is what happened, not whether it’s understandable or not.

This is what happens because law is a discipline based on logic, while medicine is a discipline based on observation.

Medicine is not rational.

Humans are just born that way and learn and get used to things that happen.

Jiik.

Anyway, I separated that important blood vessel from the heart.

It wasn’t that difficult.

Because it is not something that is planted, it is something that just passes over it.

Moreover, there was no need to completely separate the organ, as long as the blood vessel walls were intact, there was no particular burden.

This is not surgery, it’s dissection.

Bam.

However, the blood vessels were quite long and complex, so it took some time to completely separate them.

In the meantime, Alfred, Colin, and others were also instructed to find the coronary artery and slowly separate it.

It would be nice if the blocked blood vessel came out right here, but that might not be the case, so that’s what happened.

First of all, is it really an accurate statement to say that he died with a broken heart?

That can’t be true.

I don’t know if it would be different if someone died in a hospital…

“knife.”

“yes.”

Anyway, I cut the blood vessels that I separated into 1-inch pieces.

Then I checked the cross section.

Fortunately, there was.

The plaque.

“Do you see it here?”

“Oh, yes.”

To be precise, it is a calcified lesion.

It can be seen as a lesion that has hardened after becoming inflamed and filled with oil.

To prevent this, you must diligently treat diabetes and high blood pressure, which are diseases that can damage blood vessels, and also receive treatment for high cholesterol.

All we can do now is treat diabetes… … .

Even the capacity and other details are not accurate.

It’s a treatment that only the wealthy, no, only very, very rich people can receive.

‘What should I do?’

It’s useless to be greedy when you can’t do anything about it.

Rather, if you overdo it, you may end up doing something bad to the patient.

Do you know what actually happened when I said that high blood pressure was a disease?

That damn bloodbath has become more popular.

I have heard that those who call themselves disciples of Lord Tiepyeong are active not only here in England but also across the sea to mainland Europe.

We need to clean it up sometime, but anyway, let’s talk about this later.

“What does this mean? These patients had heartache before they died.”

Now I am trying to make progress in medicine.

The students here will be living witnesses to that.

There are disciples, though… … .

-They are your limbs… … .

-If you tell me to die, I could die, so what do those guys say mean?

It was clear that I would hear things like this if I only had disciples.

That’s why we mobilized students.

It’s meaningless to say that you’re doing too much.

There are kids all over the place who would do anything to learn from the great Teacher, ‘Dae’ Tiepyeong.

“Isn’t this blood vessel useless?”

“Yes. That’s why it seems to be blocked.”

“Sure… …yes, that seems right!”

I thought they would be considerably superior to other guys since they were the type of guys who could go anywhere there was teaching.

It was my mistake.

Those fucking bastards.

What the hell are you talking about now?

“This is… … a bit cautious.”

Then John Snow opened his mouth.

Yeah, it was clear that this little guy was going to be something different.

So I nodded and allowed him to continue talking.

At the same time, by looking at the other guys with an intimidating gaze, he set the stage for him to speak alone.

“This is… … the opinion of those baguette guys.”

I guess they did something in France without me knowing.

By the way, isn’t the director I respect also French-British?

If you think about it, the population is larger, and it would be better for those on the mainland to do research.

It’s true that there’s something wrong with his personality… … .

What’s wrong with theory?

It’s the people’s fault.

“It’s okay. Try it. I’m not a closed-off person.”

“As expected, Professor… … .”

If it was Liston, he would have been absolutely furious.

That person is the kind of person who would think of killing someone if they were called a baguette.

But I guess I’m a much better person than that.

“That… … was claimed by a man named Jean-Baptiste Pierre Antoine Chevalier de Monet de Lamarque.”

“Your name is Gine. Are you a high-ranking person?”

“I heard that he was a high-ranking person, but after the revolution, he lived in poverty.”

“That’s how it is in France. The better the person, the more they suffer.”

Lavoisier, who is called the father of modern chemistry, was beheaded during the revolution.

As I was saying ‘tsk tsk’, Jon Snow, who gained more courage from that, started talking more excitedly.

“What that person claimed is a useless theory.”

“Theory of use and disuse?”

I remember hearing it.

I don’t think it had any particular meaning.

“The idea is that organs that are frequently used develop, and organs that are not used deteriorate.”

“ah.”

At first glance, this sounds very correct.

Actually, if you factor in exercise, it might sound correct.

Muscles that are used frequently develop, while those that are not used frequently deteriorate.

You’ve probably seen it happen many times, with casts thinning significantly after just a few months.

“They say this trait is inherited… … Isn’t that what it is?”

“ah.”

I keep sighing.

One problem is that sighs and exclamations are often confused.

“Hey… … .”

“As expected from Mr. John Snow!”

“You’re so young, but you’re amazing!”

In addition, the problem was that I was always shouting at Jon Snow.

These kids… … .

no.

No!

‘This won’t work. I have to show you right in front of your eyes that if your coronary artery is blocked, you will die… ‘

It’s not my fault.

The times have forced me to come here.