I Quit My Job and Run a Café - Chapter 484



Only Noblemtl

Episode 484 Breast Cancer [2]

Breast cancer surgery actually became fully established in the early 20th century or late 19th century.

In fact, it was a time when that was impossible, but it was possible thanks to a genius.

It’s a name most surgeons would know, and a name every American surgeon should know…

There is a man named William Halstead who is called the father of American surgery.

I heard he had a bad temper.

‘That’s… … a genius’s special.’

It’s sad to say, but I don’t think I’m a genius, considering my good personality.

Actually, what… … .

I actually think so.

I was good at studying and doing surgery, but isn’t it a bit too greedy to want to be called a genius to that extent?

I think it was just a disaster.

“Are you done? Huh? Watch until the end!”

“yes yes!”

“These kids… … are lost. Don’t you know what day it is today?”

“Oh, I know!”

“But is this what you want? Huh? Shouldn’t you work hard?”

“I’m sorry, I’m sorry.”

Compared to that, Liston, who’s making a fuss over there, is a genius.

I’m not saying this to be sarcastic and say, “Oh my, we’ve got a genius,” but it’s true.

In fact, his ability to absorb something when he teaches it is no joke.

In addition, it is good to flexibly modify it to suit the times.

“Me, brother?”

“huh?”

“Brother Blundell is the main surgeon today, so please don’t act like that.”

“You keep doing that, so these kids are falling for it. Do you know what I did for this surgery?”

embrace.

I caught a chicken too.

I couldn’t bring myself to tell the director… … .

I confirmed that the shaman was also present.

‘If I bring that up for no reason… … it’ll be a bit weird, right?’

Liston is now in a state of turmoil.

You may still consider yourself a very strict Christian, but where in the world is there a Christian who talks about reception?

The world is big, so it might be there somewhere, but it probably isn’t.

“I know, but still.”

“Okay. I’ll make sure not to disturb your concentration. I know it’s called a substitute, but there’s a procedure, right? I’ll make sure it goes smoothly.”

“That’s great. Especially the blood transfusion thing, you know?”

“I know. I already have someone I’ve seen.”

“What are you looking at? Ah… … Among those kids over there?”

“Yeah. Is there anyone who seems to have particularly healthy blood?”

How did you know that?

No, how do you think you know?

I didn’t open my mouth because I thought asking would only hurt my feelings.

In comparison, Liston seemed eager to explain, but fortunately?

Druk.

Soon, his wife came in.

There was the director and other family members next to him, but he still looked very nervous.

It was a natural thing.

That’s just how surgery is.

No matter how big or small, you can’t help but worry about everything.

That ENT friend’s best friend had a hair transplant…

If you say you’re going to implant hair, it may seem like nothing, but isn’t this an ordinary surgery?

That’s why, depending on the situation, there are times when the surgery takes much longer than expected, and I’ve seen him get really anxious at times like that.

If even a doctor who performs a hair transplant surgery feels that way, what about an ordinary person facing breast cancer?

“Madam.”

“Uh… … yes.”

I definitely went there yesterday and talked to him for a while, but he was gone in just one day.

It’s just a face that looks like it’s dying from pain.

“I have no energy at all… Is it because of cancer?”

Actually… … no.

Early stage cancer doesn’t cause that much trouble.

Rather, that is what makes cancer so scary.

It stays quiet and symptoms appear later, but even if it is not the 21st century, it can be said that there is no way at all at the 19th century level.

‘Cancer pain… … If that happens, I’ll just have to ask my brother to send it away right away.’

Pain is more of a problem than anything else.

You can think of it as being eaten alive by cancer cells… … .

Naturally, most painkillers have no effect at all.

So, there are cases where chemotherapy is used even when the disease is terminal and there is no hope of survival.

It’s about suppressing the cancer’s activity to some extent and thus reducing the pain…

You can think of it as palliative care provided in a hospice ward.

“That’s true. Cancer is a very scary thing.”

While I was thinking those thoughts inside, I was outwardly blaming the cancer.

I thought that maybe this was why I came.

Honestly, I wonder if the famous Lee Soo-hyuk or Baek Kang-hyuk came.

They can’t do this kind of joke, can they?

You’re not a doctor who touches people’s hearts.

“Oh my… … .”

“Don’t worry too much, everything will be fine after the surgery.”

“thank you.”

“What’s the thank you? Say it later. You’ll be better later.”

After I healed my wife’s mind like that, I moved her onto the operating table.

At the signal Alfred stepped forward.

The senior could now be called a full-fledged anesthesiologist.

First of all, it was important that I started to think that way.

Usually, when you think, ‘This is my job,’ you end up doing your best.

“Now, take a deep breath.”

“yes.”

“You don’t have to answer. Just think about breathing. Yes, just breathing.”

Doesn’t the sight of someone holding a stethoscope look pretty realistic?

Just looking at his current appearance, I would believe he is a real 21st century anesthesiologist.

-Why are you breathing in?

Considering that he was acting up just a few days ago, he’s really stubborn.

Considering that I didn’t give a very plausible answer, I wonder if flexible thinking is the greatest talent.

-No matter how much you blow into it, will it go in as much as you normally breathe? It would be better to expand your lungs before that.

-Open your lungs?

Oh, no.

Come to think of it, I did show it.

This is because I remembered what Liston said, seeing is believing.

This is me.

He is a person who actually puts into practice the teachings of a wise man.

Anyway, after dissecting the corpse, they injected ambu to show us how the lungs change.

-Oh… …It’s not unfolding at all?

Actually… …it wasn’t a very accurate experiment.

When a person dies, wouldn’t their lungs naturally rot?

No, in fact, you can think of it as the one that rots the fastest.

Then, even if a hole opens and it breathes on its own, it won’t completely expand.

If the corpse were to breathe on its own, that would be a pretty serious thing in its own right, but anyway.

Kirik.

Anyway, while his wife was concentrating on breathing, Alfred turned the valve, which seemed to have become more gentle than before.

As the gas leaked out, the wife soon lost consciousness.

Joseph came running with him.

It was for disinfection.

In the first place, the clothes my wife was wearing were patient clothes that we had made ourselves, so they would flutter just by pulling the string.

Swish swish.

Joseph mechanically cleaned the area that had been revealed.

Because a milder disinfectant had not yet been developed, it was still necessary to clean with strong disinfectants.

In an instant, the wife’s skin turned red.

The director turned his head and went outside, unable to bear to look at that sight any longer.

Since the family had to leave anyway, they all ended up leaving like that.

One of my sons tried to hold out, but how could he hold out with Liston?

I understand the family’s feelings, but in the operating room, it was a rule that you had to listen to the doctor unconditionally.

“good.”

I pushed Joseph, who had just finished disinfecting the area, out of the way and stood in front of the patient with Blundell.

Then he placed his hand on the area where he had made a mark with ink, but which was now almost completely erased by the disinfectant.

A small tumor was palpable, though still poorly demarcated from its surroundings.

It’s not completely connected to the skin, though…

“It’s going as planned.”

“Oh, I see. So you want to cut the skin as well?”

“Yes, that will be safe.”

“But the shape is a bit… … .”

“It’s not a disease that you have to consider its appearance.”

“That’s right. Okay, let’s go as planned.”

Aren’t we living in an era without chemotherapy or radiation?

You can see that the only thing you can trust is the scalpel held by the surgeon.

In that case, we will have to do our best here, but in the end, that means we will have no choice but to cut a lot.

Of course, I’m not saying that we’ll just cut everything out.

A mastectomy is actually a surgery that both the surgeon and the patient want to avoid as much as possible.

Ji-i-ik.

Anyway, I put in an incision line.

Blundell was the first assistant and Colin was the second assistant.

I thought Joseph might be a little upset, but he seemed to have already made up his mind to go to the ophthalmology department and didn’t seem to have any particular thoughts about it.

‘Sure… this kid has a sense.’

To properly place the incision line, the skin must be spread apart on both sides.

To be precise, you need to pull in a direction that is perpendicular to the incision line.

This way, not only can you make an incision line in the area you want to insert it into, but you can also make it vertical so that the suture is done straight later.

Not only did Colin do that, he was also wiping the flowing blood cleanly with gauze.

So Blundell is a noob?

Of course not.

Chiik.

He was using small tweezers heated by a mini brazier set up nearby to support the bleeding area.

It is not easy because if it touches the skin, the skin will cry, and if it touches too many areas, it can cause great damage… … .

The fact that he can do this so familiarly proves that Blundell has the ability to become a professor.

Well, that’s only natural, since he already has a lot of surgical experience.

“Okay… …Can you feel it inside?”

“Oh, I can feel it.”

“Yes. I can feel it.”

Anyway, after safely cutting through the skin and going in, the breast tissue, which is mainly fat, came into view.

Fortunately, the wife had a large breast volume, so even though the amount of tissue to be removed was considerable, the remaining breast was expected to be considerable as well.

“There’s going to be some bleeding, so be prepared.”

“yes.”

Removing just one organ or the appendix would not actually cause that much bleeding.

Because we’re going to insert the knife along the anatomically distinct sections, we’re also going to pre-seize the blood vessels leading to them.

But breast cancer resection is a different story.

This is because the inside of the breast organ has to be cut out regardless of its anatomical division.

Because of this, the large and small blood vessels that run through the body are bound to break.

In the 21st century, instead of a knife, you would use an ultrasonic knife like the Harmonic Scalpel or even a Bobby (electric knife), but isn’t this all nonsense these days?

Bam.

It was inevitable that a lot of blood would be shed.

Chijik.

Blundell was busy, but he had to consider that cutting and stopping the bleeding at the same time and cutting first and then stopping the bleeding were two completely different levels of difficulty.

Because blood itself obstructs vision.

Colin was also working hard, wiping with gauze and sometimes acting as a bio-suction device… … .

‘It was a good thing I prepared the blood sacrifice in advance.’

At this point, I was bleeding so much that I thought I might need a blood transfusion.

Looking back, I saw, fortunately, a line of Jewish children being examined under Liston’s direction.