Episode 132. Turnover disease (1)
The fireman first started diagnosing the patient who was still conscious.
“Let me look at your tongue for a second. Please open your eyes wide.”
“Who are you?”
“Oh, I am a Member of Parliament.”
“Sir, please save me.”
“I’m here to try to save you, so stick out your tongue first.”
“yes.”
‘The tongue is covered with white powder… and it’s dry again.’
I still don’t know what kind of disease it is, but I had to assume that a large amount of water was lost from my body.
“When did you urinate?”
“I saw you yesterday.”
“Yesterday? Didn’t you urinate today?”
“yes. I can’t urinate… I just keep having diarrhea.”
“hmm!”
The fireman thought for a moment and then asked again.
“Did your urine turn yellow or almost orange yesterday?”
Little by little, the outline of the bottle began to form in the painter’s mind.
“yes. I urinate about once a day… It’s very thick.”
“Did you vomit at first?”
“yes.”
“When did you last have diarrhea?”
“I did it a little while ago.”
“Have you ever had diarrhea like rice water?”
“yes. Even if you try to endure it, it just flows… pours out.”
“Was there anything like grayish mucus in the diarrhea?”
“I’m not like that yet… All those who came out with that are over there…”
The fireman let out a short sigh as he looked where the man was pointing.
It was a place where all the eyes were out of focus, and there were people who were as thin and stiff as mummies.
The painter raised his hand and felt the sweat running down the man’s body.
It was cold and sticky.
‘A typical symptom of over-dehydration…’
“Aren’t you thirsty?”
“I’m incredibly skinny… but I’m holding back because I have diarrhea after drinking.”
Several illnesses with similar symptoms came to mind.
‘Fortunately, it doesn’t seem like plague… It’s likely cholera or typhoid fever.’
If you lose enough water to dry out, but your body can’t absorb it, it means that your electrolytes are imbalanced.
‘If it is a disease that can spread widely across several villages…’
The fireman suddenly saw a long stream flowing in front of the slums and jumped up without realizing it.
‘Is it a waterborne contagious disease?’
I hurriedly looked at the water and found that it was quite murky compared to the water in the slums of Dongu County.
People in this era do not boil water well.
Of course, I don’t drink water that is too dirty in the first place, but I drink water that is muddy but edible like this stream water without boiling it.
“This looks like cholera…”
If it was a hospital of the future, cholera is a disease that can be easily cured enough to be dismissed as an underdeveloped disease.
A disease that can be discharged in two or three days if an intravenous drip that supplies appropriate antibiotics and electrolytes is inserted into the blood vessel.
However, cholera in this era was a terrible and fearful disease enough to be called the Red Death.
Of course, only firemen who know the future can diagnose cholera, but the lawmakers here have not yet been able to determine whether this is the Red Death they know.
“The reason diarrhea continues is to wash away the cholera bacillus that has propagated in the intestines…. Adding electrolytes to boiled water is the primary treatment.
It’s hard to say what the electrolyte component is, but in the end, it’s about mixing sugar and salt with water in the right ratio.
The problem was that salt was scarce and sugar hadn’t been made yet.
“I could mix it with honey, but honey isn’t easy to find…”
The painter frowned and pondered, then nodded.
“First, let’s check if it’s cholera.”
First of all, even if the prescription itself is not cholera, it is a prescription that will be effective for dehydration.
The fireman had the party outside wear sanitary suits, gloves and masks and then let them inside.
There was extra salt and honey in the wagon, so I first poured a large pot full of water, boiled it, and then cooled it down. And put salt and honey in it.
“Usually, 1 liter of water is about 3 grams of salt and 18 grams of sugar…”
The fireman had Obo keep boiling the water to cool it down, and Bun-ah told him the ratio of salt and honey to burn. Then Okju and Janggoe took the water and gave it to the patients.
When the painter boiled water, mixed salt and honey, and fed the sick patients without acupuncture or decoction, Hwanyang of the city came and asked, as if wondering.
“Miss Hwa. What are you doing?”
“The patients seem to be losing too much water, so we are supplementing them.”
“Rather than giving water, shouldn’t it stop diarrhea first?”
Hwanyang believed that the unstoppable diarrhea was the cause of the disease, so she placed acupuncture to stop the diarrhea and decocted a decoction to feed her.
“Patients have diarrhea because the intestines are contaminated. So you have to keep washing your intestines by feeding them sugary water.”
“No, he had severe diarrhea, and later he died with gray diarrhea… Are you feeding him water so that he continues to have diarrhea? How could you give me a prescription that doesn’t fit the pathology?”
“The situation is not good for a pathology. First of all, to briefly explain, the fact that gray diarrhea comes out is a piece of epithelium in the intestines, no… that’s right. The shell dried up and fell off. So the first step is to replenish moisture so that the shell doesn’t dry out.”
“But if you continue to have diarrhea…”
“I hope you do as you say. Then think again.”
“Hehe, I can’t understand Congressman Do Tong-hwa’s prescription.”
Hwanyang looked at the painter with a frustrated expression.
said the fireman.
“A lot of people will die anyway. Although I am still young, I still know how to cure some difficult diseases. It’s not that I don’t understand Hwan’s feelings, but I want you to watch over my treatment for two days.”
“A lot of people will die in the meantime!”
“A lot of people have died so far, haven’t they?”
At the words of the fireman, Hwanyang’s face turned slightly red.
Looking back at the painter’s words, it seemed as if he was asking, ‘Is the patient still alive by following your prescription?’
“Kerham, that’s right. Then I’ll leave it to Hwa-ta for a few days.”
“thank you.”
The painter treated people who were in very bad condition with Pyeonseon while Okju and Janggoe fed people boiled water.
“Master, these patients… aren’t they hard to save?”
Pyeonseon shook his head slightly when he saw the patient who had become so dry that even the focus of his eyes had disappeared.
“I told you before. You are not dead until you stop breathing. Think about it from their point of view, do they give up so easily?”
“I see.”
The painter injected the patient with penicillin, as well as distilled spirits mixed with nutritional supplements.
“For patients who cannot take water or food by mouth, nutrients must be injected directly into the blood vessels like this.”
“yes.”
“If the condition improves and you can drink water, you can save it… If not, it is difficult.”
Pyeon-seon watched the painter’s treatment process and recalled what he said a moment ago.
– Think from the patient’s point of view, not the clinician’s point of view.
It was something my father, Polaris, once said, and it was a word I pledged to live with in my heart as a lawmaker for the rest of my life.
‘Why did I want to give up on this patient who hasn’t died yet?’
As a result of the obvious results, many reasons such as the distribution of efficiency and time came to mind, but none of them answered the fundamental question.
‘Maybe I’ve lost my original intention.’
Pyeon-seon resolutely began to treat the dying patient as best he could.
* * *
‘Ugh! Suddenly, why am I so hungry…’
The painter rushed to the side of the liver in a sudden abdominal pain and had diarrhea.
The expression of the fireman who came out with diarrhea was not very good.
‘Could I have cholera?’
I was careful about what I ate and avoided direct contact with patients as much as possible. But even so, there was no guarantee that the disease would not have been contagious in this place where several people died every day.
‘It won’t be. I happened to have diarrhea once… Woowook!’
The painter ran to the second side liver and came out with diarrhea, and his face naturally darkened.
‘Haha yes, originally diarrhea can be continuous.’
However, the fireman’s consolation for himself changed to the certainty that he was inevitably sick after going back and forth more than five times in a row.
“Ha~. To say that I, a doctor, have cholera… that’s absurd.”
The painter went to Obo with shaky legs and drank a bowl of water mixed with salt and honey.
“Master, your complexion is not very good.”
“It’s nothing for you to worry about, so keep doing what you’re doing.”
“yes.”
Not only the misinformation, but also the other disciples were worried, but the painter endured it without showing that he was sick as much as possible.
wow~
However, after a while, the fireman had to vomit all the water he drank and run to the side room.
The condition was gradually getting worse.
“Huh~. I’m just sick of cholera…”
Kung.
And after that, I vomited 5 more times and went back and forth 3 more times and then collapsed.
* * *
‘Aww, my head hurts like it’s going to explode. By the way… I’m going down with cholera or something. That’s ridiculous!’
The painter realized how different the cholera he had dealt with as a doctor and the cholera he had when he contracted it were different.
When I drink water, I vomit all of it, and the diarrhea keeps coming out as if I’m going to break my intestines.
My head hurts, I feel dizzy, my body has no strength, and I lost my mind after enduring like that. And when I woke up, I was lying in bed.
‘Anyway, why is the hip part so empty?’
I tried to lift my back, but it was not easy because I was too weak. However, when I put my hand under my buttocks, I could see that there was a round hole at the bottom of the bed.
“No way!”
I forcibly squeezed out the strength that was not in my anxious premonition, lowered my head, and looked under the bed. I saw a large basin placed under what I thought was my buttock, containing what appeared to be stool (diarrhea).
Because the fireman himself is a doctor, he knew how to do this when the patient’s condition.
Diarrhea is leaking because the sphincter cannot hold on while unconscious.
“Huh. Was my condition this bad?”
While he was unconscious, he could guess what his disciples had done to him.
The painter raised his arm and examined the skin.
Even the wrinkles on his skin were slimy and saggy, like that of an old man in his 70s.
‘This is my qigong or something… I can’t even try to do something with my own will!’
It felt as if my body was not my body. It was as if my consciousness had risen about half a foot from my body and was floating on the surface of the water.
While touching his forearm, he noticed a needle mark on the inside of his left elbow.
‘By the way, who did the treatment?’
He probably copied the treatment method he had done when he treated a dying patient.
drooling.
Just then, the door opened and Pyeonsun came in.
In her hand was a large basin and several horns.
‘It must have been that Seon treated me.’
“uh! You woke up. Master.”
Pyeonseon greeted her with surprise as if seeing a person who had died and came back to life.
I immediately turned around to let the others know that the fireman had woken up.
The fireman hurriedly dissuaded her, squeezing out all his strength when she tried to leave, calling for misinformation and wrong.
“Wait a minute. Call me later… call me later.”
“yes! Why why?”
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