Episode 253
“Hmm… So sometimes you suddenly can’t hear a sound in one ear, and lately you’ve been getting a lot of dizziness, right? And one more symptom was added. “Facial paralysis.”
It is said that he started leaking water every time he drank water.
The patient’s name is Han Yi-jeong.
Unusually, she came with her younger sister, Han So-jeong.
Han Yi-jeong had straight facial features and even though she was a patient, her eyes were full of gunfire.
However, his eyes were red and he looked like he had been crying somewhere.
And that continued until just now.
‘…It would be better to pretend not to know.’
It’s an adult’s consideration.
Although he was born into a family of government officials, he had mastered basic martial arts and had a well-balanced body.
At the same time, he must have used the brush often, so there were traces of ink left under his fingernails.
Jin Cheon-hee spoke as dryly as possible and quickly wrote down the symptoms.
After asking a few more questions, it was time to take the pulse in earnest.
At that time, Han Yi-jeong said.
“From now on, I want to do the pulse alone. “Could you please leave for a moment?”
It could be said that he spoke in a very harsh manner, considering he was speaking to his younger brother.
Her younger brother, Han So-jeong, received those words without any surprise.
“All right. “I will be out, so please call me anytime if anything happens.”
Even though they are biological sisters, they seem to treat each other with respect.
‘The atmosphere is different from the Gongsong family.’
Her older sister, Han Yi-jeong, nodded.
Although his tone of voice seemed distant, his younger brother’s concern was also conveyed to Jin Cheon-hee.
She went out and the door swung shut.
Now only Han Yi-jeong and Jin Cheon-hee remain in the pulse room.
“First of all, I would like to take a pulse. “Hands…”
“I’m sorry. “I hope you don’t do the pulse.”
I have no idea what you mean.
“Are you saying you don’t want to get treatment?”
“I said the same thing to the shipping company, but… I like it the way it is.”
“Then I will send a message to the Admiral.”
“That doesn’t work either…!”
Han Yi-jeong urgently caught Jin Cheon-hee.
Did facial paralysis come at that moment?
As soon as my voice leaks, I fall sideways from dizziness.
I urgently grabbed her arm as she was about to fall.
Tak-
This is how embarrassing it is.
“Then are you telling me to lie to the Admiral?”
If so, I was going to refuse.
I don’t know what the world like above the imperial palace is like, and I don’t want to have anything to do with it.
Isn’t it the center of power?
Jin Cheon-hee also has no intention of forcing treatment on patients if they do not want to.
However, in this case, it was right to speak properly so there would be no regrets.
Han Yi-jeong looks embarrassed at those words.
“I have to be sick for my younger brother to have a chance.”
“What if it’s a chance…?”
“The person who should be promoted to public office is not me, but Sojung.”
Just a little bit of common sense here.
Unlike Earth’s history, this is a world where superpowers and martial arts exist.
There are some parts that are similar to Earth, but there are also many parts that are different from the actual history of humanity.
In particular, one of them is that, unlike human history on Earth, many women in this world have entered government positions.
In the first place, the first founding emperor of the nation was a woman, in this bloody battle for the throne, which received the blood of Lady Fuxi and saw people, regardless of age or gender, holding each bamboo spear and stabbing each other.
As a result, naturally, men and women were asked to work as long as they had the ability.
In addition, although women are said to be weaker in basic physical strength, in the end, if they learn martial arts, both men and women can surpass humans.
There are no people of all ages in Kalbbang.
‘Right now, Heavenly Demon is also a woman.’
No one thinks anything strange about that.
As the granddaughter of the Emperor of the Empire, she has the background and talent to become one of the next six ministers.
And it could be said that he had all of those abilities.
However, as hearing loss began recently, dizziness, and facial muscle paralysis occurred, treatment became necessary.
Hwaju-gak was the first to reach out with a smile, but she rejected it.
It is said that Admiral Tae-gam heard it through Hwaju-gak or guessed it differently and sent her to Baekrin-ui-gak this time.
When I looked at her with eyes that said, ‘I don’t know what to do,’ she sighed.
“Because my grandfather wants it. “I didn’t come here of my own will.”
“I felt like a spark.”
At those words, Han Yi-jeong shook her head.
“That can’t be possible. Aren’t you His Majesty’s favorite lawmaker? I also heard people praise me in public, calling me a talented person. “My grandfather, who values your Majesty more than us, would not and cannot blame Baekrin Uigak.”
‘Did you even give him a high praise in public?’
Of course, I understand that you are happy that your colon cancer has been cured. Who knew you could talk like that?
Han Yi-jeong pressed her cheek as if she was experiencing facial paralysis again.
“My cheek… should I say it’s numb… facial paralysis is a symptom that developed recently, but I’ve often had trouble hearing in one ear since I was young. So it’s not a big deal.”
“Still, your pronunciation is quite accurate.”
“That much… I’ve been practicing since I was a child.”
Just as children of samurai families are taught to pray from the time they are toddlers, children of powerful families also seem to receive their own education from the time they are born.
“Anyway, I don’t think you need to worry, grandpa. “This is a promise that will put me and my family on the line.”
In any case, does this mean that you will take care of the rest without causing any inconvenience?
However, Jin Cheon-hee calmly refuted.
“But I don’t think you should go back.”
“Why?”
“I caught you when you fell and took a quick look. “What would you do if it were a life-threatening disease?”
“yes?”
Han Yi-jeong’s eyes widen.
“Trust me, just a little bit…”
No one can keep their composure when a doctor says that it could be a fatal disease.
In particular, the opponent is a man of talent whom His Majesty highly praises, and one who will soon have the name of God.
Han Yi-jeong, who hesitated, gives her wrist.
“Do not move and breathe in slowly… and then exhale.”
Jin Cheon-hee held her wrist for a long time and was exhausted.
“….”
It seemed like quite a long time had passed.
Jin Cheon-hee did not stop here, but placed his hand on the back of her neck and took the pulse a few more times.
After a long time like that. Jin Cheon-hee, who withdrew her hand, frowned for a long time and then opened her mouth with difficulty.
“I’m sorry, but I don’t think you should go back like this.”
* * *
Immediately after completing the pulse.
Jin Cheon-hee immediately summoned the leader of the Chimgu family, one of the four major heads of the family, and the members of the Busul council under his command.
It was a moment before everyone rushed in panic at the hasty summons.
As soon as everyone was seated, Master opened the door and came in.
“It looks like your pulse results are bad.”
“yes.”
Jin Cheon-hee immediately pushes the medical books in front of everyone.
Grumble-
“You may have already studied, but I don’t have time to bring the books.”
Zhugelin took his place.
Sima Byeong, head of the acupuncture hall, frowned.
“Why did you call an emergency so quickly? Lord Incinerator.”
“I know the bedding room is busy right now. But I couldn’t solve it on my own, so I brought you here.”
After saying that, Jin Cheon-hee quickly flipped through the book and stopped at the desired chapter.
It was written there like this:
[Brain Tumor]
There was only one reason why I stopped on that side. Sima Bing asked.
“no way…?”
“yes. The patient has a brain tumor. “It’s volume 12, page 11.”
Calm voice. However, there is no doubt that it is a fatal disease.
One of the council members asked cautiously.
“Can you fix it?”
Jin Cheon-hee responded to those words.
“If you don’t fix it, you will die. To be exact, an inner ear canal tumor. “I think we can diagnose it as acoustic neuroma.”
It is also called vestibular schwannoma.
Several neural circuits exist in the cochlear internal auditory canal in our ears.
There are the auditory nerve, the facial nerve that moves the facial muscles, and the vestibular nerve, which senses and controls body shaking. When the membrane surrounding the internal auditory canal grows into a tumor, it puts pressure on other nerves.
Normally, 95% of tumors are benign.
Malignant cases are rare.
Looking at the sex ratio, it is a disease that occurs most often in women and those in their 30s to 60s.
At first glance, some people may think that if it is benign, it would be okay…
But the problem is that benign tumors also grow slowly but steadily.
If you think about it simply mathematically, if the size is 1, the volume is also 1.
However, the moment the size becomes 2, the volume becomes 8 because it is 2 cubed.
It begins to press on other nerves with a volume of 8.
When the size of the tumor exceeds 2 cm, 3 cm, or 4 cm, it begins to press on the brain, and its location is the midbrain.
‘It is responsible for breathing and pulse. It is a place essential to sustaining life.’
Right now, I sometimes feel dizzy and staggered, but if it grows any further, walking will become impossible and the pressure in my brain will increase.
Ultimately, the patient dies.
Considering the current location and size of the tumor, surgery is highly recommended.
‘He’s also young.’
If the patient is elderly, management through radiation therapy is given priority from then on.
This is because there is not much life left due to old age, and the act of opening the head itself is burdensome.
However, I am old enough to survive surgery.
In addition, compared to other brain tumor surgeries (although vestibular neuroma is a serious disease), the prognosis is relatively good.
There are several related surgical methods.
There is no conclusion as to which surgical method is better as it depends on the size and location of the tumor and hearing status.
There is just a method that suits the patient.
‘The surgical method I would recommend is the retrosigmoid approach.’ It
is closer to neurosurgery than otolaryngology.
Jin Cheon-hee thought that although there was a burden on the patient by opening the skull and removing it, it was the most appropriate method considering the patient’s current age.
In particular, the biggest reason for wanting to perform this surgery was because the location and size of the tumor were suitable for this surgery.
Additionally, this method had the highest chance of preserving hearing compared to other surgeries.
One of the senators raised his hand.
“How about going as far back as possible through the ear canal? If you do this, there will be no need to open your head. “Wouldn’t the burden on patients be reduced?”
Jin Cheon-hee nodded at those words.
“That’s a good question, but if you approach it that way, you’re likely to damage your auditory nerve and not preserve your hearing.”
“okay. It would be better to cause as little damage as possible…”
Jin Cheon-hee nodded at those words.
Each of the council members raised by Jin Cheon-hee began to express their opinions.
“The skull is divided into several pieces, right? How about drilling a hole in the smallest piece that is closest to the tumor? “Wouldn’t that be less of a burden than opening the skull entirely?”
The translabyrinthine apporach is a similar method.
This is a surgical method commonly used in modern otolaryngology, where a tumor in the skull is removed by entering through the bone behind the ear (mastoid process).
Select this when the patient has little hearing remaining.
Using this method, the patient’s ears could permanently lose hearing, but it was good for preserving the facial muscles.
“I considered that too. However…”
The discussion continued.
