Episode 168 Lessian Empire (3)
He looked down at the stout old man.
“It’s muscle stiffness, but… I’ll have to take it off.”
Ray, who casually muttered something to himself that would scare anyone if he heard it, began to take off the emperor’s clothes.
Then, on the emperor’s abdomen and arms, there were blue bruises.
Ray saw the situation and understood the emperor’s condition at once.
“It’s not like a bruise from a bruise. Hey, who really fucked the emperor?”
For a moment, he lifted the emperor’s stiff body and looked at it, frowning.
The body that has become stiff due to muscle rigidity must be handled carefully.
This is because, due to the nature of spasm accompanied by cramps, muscles are easily torn and there is a risk of strain.
The emperor’s contusion that Ray saw was not just caused by abnormal muscle contraction.
I don’t know what kind of crazy guy he is, but it looks like he was trying to force those stiff muscles to move.
As a result, it seems that muscle rupture occurred from the skeletal muscle, leading to internal bleeding.
Skeletal muscle has a rich blood supply.
In addition, blood vessels and nerves pass through the perimysium surrounding the muscle fibers.
When this muscle ruptured, muscle function was lost.
Even with treatment, the aftereffects of this cannot be dealt with.
In the future, the Emperor will complain of severe pain when palpating the muscles.
And that wasn’t all.
He squeezed the part from the emperor’s shoulder to the elbow.
Tendon injury also appears to have occurred in the arm area where the strain occurred.
Collagenous fibers, which are elastic and tightly arranged, reach a critical point, and the collagen fibers are broken.
Normally, when a tendon receives a load, the collagen fibers align in a straight line in the direction of the load.
However, since this was tore the muscle by force, the tendons were unable to withstand it.
When this happens, the reabsorption of the collagen fibers will eventually weaken the tendon, causing chronic muscle strain.
The situation is pretty serious.
It wouldn’t have greatly affected his life, but the shock continued and there was nothing good about it.
“I have to stop the bleeding with laparotomy. If the shock caused by the internal bleeding is corrected, consciousness may return.”
When last night’s speculation turned to certainty, Ray straightened the emperor’s abdomen.
There will be a bleeding area somewhere in the stomach.
I had no choice but to look forward.
He had no hesitation. No matter how much the emperor’s jade body was damaged, we couldn’t let him die like this.
“Clean.”
Just in case, he cleansed the emperor and himself with magic, and he released some of the suppression of divine power.
When the mana around him was weakened to loosen the pressure of the divine power, the air purifier created by God began to rotate fiercely around Ray.
Because it was Made in God, the performance was certain.
The surroundings were purified, and the emperor’s bedroom was instantly transformed into an environment suitable for surgery.
After carefully examining the emperor’s body once more, he cast a locking spell on the door.
“Lock.”
It would be a little difficult if someone came in during the laparotomy.
Ray used the aura to create a small scalpel.
The incision method of laparotomy is different depending on the target organ or location.
Unnecessary tissue damage should be minimized in consideration of the anatomical structure and characteristics of abdominal wall tissue.
For this purpose, a longitudinal incision above the midline was advantageous.
A scalpel made of mana incised the emperor’s peritoneum.
Then his organs were revealed.
Ray looked at those organs one by one to check their condition.
As there was no perforation in the duodenum, stomach, small intestine, or sigmoid colon, it seems that there is no peritonitis.
After checking like that, I was able to quickly find the bleeding site.
A small amount of hemorrhage occurred in the lower part of the peritoneum and in the corner of the descending colon.
I was able to reassure him quite a bit.
Fortunately, it wasn’t a major bleed.
However, the emperor was in a state of shock due to sudden internal bleeding.
Ray spewed mana threads and used his thumb, index finger and pinky finger to skillfully seal the wound.
The original purpose of preventing internal bleeding was accomplished, but a new problem was discovered during the examination while performing an open surgery.
He hardened his brow slightly.
The intestines were a little strangely distended.
‘It’s an early intestinal obstruction.’
ileus.
It is a disease in which the intestine is partially or completely blocked, preventing the passage of intestinal contents such as food and digestive gas.
There are mechanical obstruction and paralytic ileus for this intestinal obstruction, and it is presumed that the emperor is probably the latter.
However, it seems to be in the early stages, so there is no need to worry too much.
It usually resolves on its own, and with proper electrolyte intake, progress will be made.
Until then, it is important to maintain good nutrition, but it seems difficult to eat something only when the condition is like this.
Ray sewed up the emperor’s exposed abdomen.
Internal bleeding must have been corrected.
The last question left now is only about this muscle stiffness.
‘It’s strange. When it comes to muscle stiffness, most of the causes are similar. If it’s spasticity that can’t be cured with divine power, should I say it’s an immune system problem?’
As Ray continued his thoughts, he felt that something was going wrong in his thoughts.
Is it an immune system problem? If so, that makes quite a bit of sense.
Gluten sensitivity, which could not be cured with divine power, was also an immune system problem.
If the emperor’s disease was not cured by divine magic in the empire, I’m not sure, but this stiffness may also be related to the immune system.
Ray thought for a moment.
Is it rigor that can be caused by a problem with the immune system?
It’s a rare disease, but it does exist.
He looked at the emperor with subtle eyes.
“Could it be… Stiff-person syndrome?”
Also called rigid person syndrome, it is an autoimmune disease.
When it appeared, there was a concern that it could be accompanied by various autoimmune diseases such as thyroiditis, vitiligo, pernicious anemia, and type 1 diabetes.
I can’t confirm it yet, but if you doubt it, this is the only one.
‘If it’s Stiff Man Syndrome, it’s a bit embarrassing…’
This disease is an abnormally increased level of muscle tension caused by a problem with the immune system.
As a result, it is necessary to treat with drugs, but the problem is that this drug cannot be made.
He knew what kind of drugs he needed, but since he was not a professional pharmacist, he couldn’t have known how to make them.
What you need are muscle relaxants and immunosuppressants.
If you have early stiff-man syndrome, the first thing you need is benzodiazepine.
It is also a compound of Chlordiazepoxide, and it was difficult because it could not be requested to a medical office or a pharmacist to manufacture it, as in modern times.
This drug, which is also included in sleeping pills, activates a receptor associated with an amino acid found only in the mammalian brain called GABA (gamma amino butyric acid).
That is directly related to the treatment of Stiff Man Syndrome.
If you can’t make a drug, you have no choice but to fix it with physical therapy and diet.
I don’t think either one will work out well.
It can be improved to some extent, but it will be difficult to cure.
He sat down in his chair and sighed.
It was the moment when the treatment was blocked by the wall again.
* * *
Ruthella gnashed her teeth in the mirror in her room.
I can’t forgive the saint who dared to ignore me and move on.
There were quite a lot of scratches on my pride.
I felt like I had to get revenge somehow to relieve my stomach.
“Does the empire ignore the princess? joy. It’s just that you’re so proud of yourself.”
She is an assistant to Prince Il, the first candidate for emperor.
If he asked Prince Il for a favor, the saint would surely have to apologize to himself formally.
However, that was her mistake.
Whether it’s Prince I or Prince Lee, you can’t touch a saint carelessly.
If you look at it simply, they are only children of the emperor, and their status is one level lower than that of adults.
Moreover, today’s saints are not ordinary saints.
As a child, she is not sure of the saint’s status, but he is currently located in a place where no one can touch him.
If Prince Il demanded an apology from Ray, as Rusella said, he would not succeed to the emperor’s throne, and would die without even knowing the mouse or bird.
A person who kneads the heart of the Bone Dragon like clay is aiming for his life, but who can avoid it?
However, such a fact was unknown even in the Empire because it was a security issue.
There was no way that she, who was neither Princess Il nor this princess, could know.
Even in the case of Prince Il, he heard it directly from the emperor.
Ruthella rose from her seat.
“ah! it’s annoying!”
He speaks, slams the door, and leaves.
There were people watching it from outside the window.
Heolyoung, with cold eyes, sent a hand signal.
– Author Hong Young will definitely cause trouble to the saint. Why not take care of it in advance?
seven receivers.
Since they do not currently have a command, they followed Ray from the Holy Land and came into the Empire.
So-young got her signal.
– Shouldn’t we watch until that immature princess does something herself? He also said not to go out.
“…”
In a way, it’s a command.
Hongyoung, who thought for a while with her eyes closed, shook her head.
– Leave it for now. There is also something he said… The receptionists act in the way of watching as much as possible.
Naturally, there were no disagreements.
It is she who oversees the receiving committee.
Next to the saint’s order was Hongyeong’s order.
They lowered their heads slightly and answered.
– If Hongyoung says so…
– Follow Hongyeong’s orders.
– However, if they plot something in earnest and try to harm the Holy Son…
Bloody light flashed in Hongyoung’s eyes.
– In that case, take care of it right away.
Hong-yeong does not allow murder recklessly.
It is permitted only when it is judged that harm will be done to the attendant, or when the Dane family is involved, and the killing is deemed necessary in personal judgment.
She was the princess of the empire and had orders from the saint, so she didn’t say anything, but it was permission that she would tolerate murder if necessary.
As a result, the three princesses were able to enjoy the honor of being watched closely by two security guards.
