Dark-Haired British Doctor Chapter 178

Episode 178 Cholera [3]

“Hey, these fu*king British bastards.”

“I keep getting diarrhea when I drink water!”

Concepts were clashing with concepts.

It's a ridiculous concept, but…

It was a time-honored story that had been passed down for over two thousand years.

Since our great physician Hippocrates created the theory of the four humors, it has never wavered.

“What did you say?”

“No, it’s not.”

It was shaking now.

Our Baguette guys were helplessly drinking water when they faced the sword master named Liston.

Even as I crossed the sea, I was drinking water that was mainly strengthened by my claims.

So, that's salt water.

“Ugh.”

"make……."

That doesn't mean it was as salty as sea water.

He's having diarrhea and vomiting like that right now, so if you feed him something like seawater, he'll die.

Because of osmotic pressure, the water that was already struggling to escape is just flowing out.

Or, the water that should be excreted as urine may accumulate in the lungs.

So we need to get the concentration just right, but can we make that much of an improvement in an instant?

So, I was just sprinkling it roughly, and the water that tasted like it was going to make them vomit was flowing into their mouths.

“What the heck is that… … .”

“Those devilish bastards.”

Compared to the baguettes on the first floor that had been drinking Seine water, the baguettes on the second floor were in much better condition.

You might wonder if there is any water worse than corpse water in the world, and here it is.

I don't know what the Seine water is like normally, but at this point in time, the Seine water is just toxic.

I really don't know why this happened.

Of course it's wrong that both water and sewage use the same water source, but that doesn't mean the water can become this dirty.

'This is… I guess I'll have to find out once the situation is over.'

This is only happening at this hospital now.

But maybe, just tomorrow, it wouldn't be like that.

Isn't the whole city drinking water from the Seine?

There were exceptions.

Luxury homes and high-end restaurants used to draw water from upstream to serve gourmets, aristocrats, or the new bourgeoisie who valued the taste of water.

But they were really a very small minority.

'Maybe… … Paris could become a hell now.'

When it came to cases where people died en masse due to pollution, it was usually thought of only as a case of the London smog.

But there are more cases than that.

What the fu*k.

Come to think of it, it's Paris.

'20,000 people died… … .'

cholera.

Isn't this an infectious disease that is still a problem even in 21st century South Korea?

It is being managed as a Class 2 statutory infectious disease.

There is a reason for everything.

This disease has a mortality rate of up to 50% if not treated properly.

The silver lining is that simple things like having proper water and sewage systems and boiling water for drinking could dramatically reduce the infection rate, but none of these simple things were done here.

'What was the original treatment?'

Hasty generalizations are definitely prohibited.

But would you suddenly give proper treatment just because it's cholera?

That's ridiculous.

Even though I didn't know, it was obvious that it would be specialized in killing people.

'If we treat the entire city… … even if we don't go that far, if we treat several places, it will be comparable to this.'

Before, I was so scared of people dying.

It's not that I'm not scared now, but in the end, I realized that humans are beings who have to taste it themselves to know whether it's poop or soybean paste.

It was ultimately thanks to some experiment conducted under the leadership of Dr. Liston that we were able to introduce the new concept of miasma to our group.

If you do that, you can avoid repeating it later.

Yeah, that's right.

“Why are you laughing like that? It’s scary.”

I thought it would be a win-win if the lives of our precious Londoners could be saved at the expense of the lives of the Baggett bastards.

I guess I laughed then.

Liston looked at me, laughing alone in a room full of patients, with a sour expression on his face.

Blundell was also looking at me and chatting with Joseph, who was standing next to me.

Even so, the voice was not small and the ceiling was unnecessarily high, so everything was heard.

“As expected, he’s a villain.”

“Right? There are times when it’s scary.”

It was ridiculous.

But it wasn't the time to just keep making explanations for myself.

Isn't this situation that I unintentionally created a pretty good teaching material?

In London, the water from the corpses was clearly more toxic, but here in Paris it was the opposite.

Everyone who drinks water from the Seine River gets sick without exception.

That's also behind.

"professor."

“Oh, it’s scarier when you laugh like that.”

“Originally, people who drank corpse water had more severe symptoms, right?”

“Oh, right. Oh? Now that I think about it… … This isn’t it? It’s definitely a different kind of miasma. Is the shit of the French really that toxic?”

what…….

I don't think that's entirely wrong.

At least at this point, the baguettes here were fighting poison.

… … full of cholera bacteria.

'Antibiotics… …not penicillin, but tetracycline.'

In fact, tetracycline also made many concessions.

Because it is an antibiotic made by isolating a substance secreted by very old microorganisms living in the soil.

There are a lot of things out there now that are much better than this… … .

Well then, there isn't one thing right now.

I don't know if it's a good thing, but the key treatment for cholera is not antibiotics, but to treat fluid loss.

So, what we're doing now is watering it.

Of course, I'll still die.

This is… … .

Because it's a completely different situation from London.

“Yeah, I guess so. Gosh, those baguettes.”

“That’s a very good expression. Those baguette guys.”

One of the baguettes that had fallen to our side stirred at our words, but that was it.

This was because diarrhea caused by E. coli infection or Staphylococcus aureus toxin was different from diarrhea caused by cholera.

It was a rapid loss of moisture, to the point where it could be described as rapid, but it wasn't just water that was being lost.

The electrolytes inside are also lost, which often causes cramps.

I don't know how much salt will help.

“Drink first, you guys.”

“Ugh.”

Anyway, I used all my might to stick something like a funnel into the mouths of those who refused to drink water and poured water into them.

“Torture?”

“These… these vicious bastards. How could Pierre have brought such bastards here?”

That sight must have looked very much like torture.

So the guys on the second floor started talking about this and that.

It was okay.

From my experience in London, it's only a matter of time before they fall apart.

It's said that it's more poisonous there.

“Ugh.”

“Eww. Come out!”

“Just poop in the hallway!”

“Oh, no!”

After waiting for a while, as expected, a groaning sound started to come from above.

“Shall we go?”

"okay."

It's a different kind here.

If we look at the mortality rate alone, it would probably not even be half of half.

If we were lucky, like in London, no one might die.

The only difference was that so many of them drank it, saying they couldn't lose to the British.

Fortunately, we were all students and healthy patients, but here, there were some people who looked obviously older.

‘We’ll be having a group meeting… … .’

It's a prize… … .

Will I be able to have a proper funeral?

So, is there any time that we can endure without burying the body?

Otherwise, there would have been quite a few people buried alive.

No, maybe not.

Because this is a hospital too.

Aren't almost all dead medical students sent semi-forcibly to the dissection lab?

‘Should I call this a blessing… … .’

As I was running around giving water to the patients, lost in my thoughts, it was already morning.

The sun rising outside the window was shining on the city of Paris.

The appearance of the city revealed under that light was clearly different from yesterday.

First of all, the river water is strange.

The color is weird.

And the number of people coming and going has noticeably decreased.

'weird……?'

The history of medicine is not a regular subject.

It's just a part that you just learn roughly and move on from, less than a single chapter.

It doesn't even show up in the family tree.

But 20,000 people dying of cholera is such an unusual event that it sticks in my mind, at least not in 1830.

Of course, it was an annual occurrence in large cities before modern water and sewage systems were installed that thousands of people would die from cholera.

But looking at the atmosphere of this city now, it doesn't seem like it will end with just a thousand people.

“Plain.”

The friendly Liston stood next to me.

He looked unusually tired, having stayed up most of the night caring for nearly 100 patients here.

"yes."

“The city is strange. It’s so quiet.”

“Yes, I think so too.”

“London has had something like this before. Cholera.”

"ah……."

I was a little surprised.

Can you know this empirically?

'No, no. Liston is a genius. He lacks knowledge, not stupidity.'

It is unlikely that a person like this would have overlooked an event that occurs almost every year, even one that is medically related.

“Well, there are people here who have diarrhea and are vomiting. Especially the people on the first floor have very severe symptoms.”

“Then it’s really a big deal.”

Wow, that's touching.

I finally… … .

I feel somewhat in touch with the 19th century doctor.

No, it's not, it's a really big deal.

If the infection is so severe that even 5,000 people, let alone 20,000, die, it is a disaster, a disaster.

“We might have treated it wrong.”

"yes?"

However, I soon realized that the conversation was strangely parallel.

Isn't it useless to add words when you don't know what's being said?

So I kept my mouth shut and waited.

“Actually, the most popular one is Saunders’s deodorant. Or opium or ether are said to help. There was also talk of castor oil, but I tried that and it didn’t work. Or there are claims that you have to induce more diarrhea to stop it.”

hmm.

I heard everything, but I don't know what to say.

There are many claims, but none of them are correct.

Fortunately, Liston had already been exposed to some degree of modern medicine.

I don't know it myself, but I already received it.

"professor."

“Tell me.”

“Isn’t this the treatment we used when the concept of miasma was still limited to smell?”

“Oh, deodorant? Hmm. Now that I think about it… … I see.”

“If this actually worked, would so many people be dying every year?”

“That’s right. In comparison, none of our patients still have convulsions. Oh, then… … ?”

“Isn’t it right to assume that there is also a miasma that causes cholera? The symptoms are more severe. But eventually, if you dilute it, it will get better.”

In fact, it's a matter of following the moisture and matching it, and if we buy time, our excellent immune cells will succeed in driving out the cholera bastards.

I couldn't even say something like that.

“I see. Good. Then let’s hire more people. If we continue like this, we’ll all collapse and die.”

"yes!"

And there was no need to do so.

This alone will provide the necessary treatment.