Dark-Haired British Doctor Chapter 52

Episode 52 Blood Transfusion [2]

Doesn't anything become difficult if you do it?

As I continued making distilled water, it increased.

It saves time and looks cleaner.

It certainly didn't seem like there was any inevitable finger involvement.

'Hmm… … .'

Anyway, I approached the patient with the distilled water I had obtained.

Although I hurried, about 20 minutes passed, and in the meantime, the patient's condition had worsened considerably.

It would be nice if we could measure blood pressure, but we couldn't, so we couldn't make an objective assessment.

So when I say I don't feel good now, I mean I don't feel good.

This may be a very common expression, but… … .

I have some fried rice, so it's better than that…

'Can I live with this?'

Even if a proper transfusion were done, it seemed like several packs would be needed.

A pack is 320mL of whole blood, which means it should easily fill 1L.

But what was administered to this patient was at most about 100 mL of blood.

That too… … .

A mix of things.

Isn't that no longer blood but poison?

Sigh.

Anyway, I stabbed myself in a new spot instead of the one I had already caught.

I don't know how he caught it, but the place where the patient's needle went in was just a vein near the wrist.

Moreover, the needle thickness was relatively thin.

Considering how roughly they're made, I wonder how big the hole diameter will be.

At best, it would be something like 21 gauge (G, the higher the number, the narrower the needle diameter)?

'Is there going to be blood in it?'

Considering that the manual says to use 18 gauge when transfusing and to use 16 gauge if possible, it seems like that's why the patient isn't dead yet.

The hole was so narrow that it seemed like only plasma, instead of blood cells, had entered.

Anyway, since the antibodies have entered, problems will arise.

But isn't it better than having all the blood cells go in?

“Ahem. Do I need to catch that again?”

After I had pricked the needle like that, Blundell asked me.

There was no sign of blaming.

It had to be that way.

Now Blundell recognized me as a kind of companion or mentor.

Not necessarily in the field of obstetrics and gynecology, but certainly when it comes to doing something new.

“I guess… … if it’s not enough, I’ll have to give more blood. I was worried that it might be a bit too much while I’m pouring it here.”

“Ah… …what if blood and water mix?”

“Yes. Well… … I guess we’ll mix things up inside anyway, but I wonder if it’s really necessary to do it from the outside.”

“Yes, that’s right. You’d better be careful about that. You’re certainly thoughtful.”

There was a real reason, but I don't think it's at Liston's level yet to say that reason.

But I couldn't just sit still, so I decided to cast the King's Ears Donkey Ears spell.

It was nothing special.

I was just thinking to myself.

I should organize it later and tell the kids.

'In a situation where blood pressure is low… … No, these kids don't even know what blood pressure is. In a situation where there is too little blood in the blood vessels, it is difficult and dangerous to hold onto a peripheral vein… … In the first place, if you want to give a large amount of fluid, you have to hold onto a large blood vessel.'

What I caught was the jugular vein, of all things.

The subclavian vein may be easier to manage, and it may also be better for the patient… … .

In a situation where I didn't know my blood pressure or my pulse, it was impossible to find a deeper vein.

If you make a cut with a knife and go in to look for it, you will find it right away.

It could have caused unnecessary misunderstandings.

Aren't I doing too well?

'And it's better for only blood to enter the area where blood is going to flow. And with the blood clots forming like that… … the needle hole would probably be blocked as well.'

Of course, at this time, it was obvious that the medical staff would just push the hole in as it was blocked.

The blood clot inside will just flow into the blood vessels, right?

"under."

Just thinking about it makes me sigh.

I learned that ignorance is not a sin, but no matter how much I think about it, it still feels like a sin.

You think you're good at it, so you're just killing people.

Uruk.

What I found really great was that while I was thinking these thoughts, I was still pouring water.

Really I… … .

I'm the only one trying to save people, really.

When tears were about to spill out, Joseph opened his mouth.

“Uh… … It seems like the patient is moving his body a little bit?”

“Huh? Really?”

It seemed like the special guy was still watching the patient.

Anyway, when I looked at the patient, it was clear that he was gradually regaining consciousness.

This moment was crucial.

The jugular vein is easy to grab and easy to insert, so it's all good…

If you move, it can be really dangerous.

“Catch it.”

“Uh, uh uh.”

So, together with Alfred, I pressed the patient's forehead.

And press your shoulders hard.

It wasn't difficult to arrest him, as he had already lost a lot of blood and wasn't in good health to begin with.

No, rather, it was so easy that I was a little confused.

"eww……."

When I had time, I could tell whether something was really painful or not just by looking at someone's face.

No, actually, it seemed strange to think that I was joking at this point.

Anyway, even though it hurt so much, the resistance I felt was extremely minimal.

Moreover, his shoulders were too thin.

‘I really… … This is why, this… … .’

I wondered why people kept dying one after another as soon as they got infected, but it turned out that it was inevitable.

It occurred to me for a moment that perhaps some slum dwellers needed meat or soup more than medicine.

'Should I buy something like that with the money I earn from selling condoms?'

Of course, now my nose was three feet long.

How can you have soup with meat when you're living somewhere else?

"eww……."

Regardless of my thoughts, the patient was blinking his eyes in pain.

Where does it hurt?

ship?

If you think about it from a common sense perspective, it was more likely to be that way.

but…….

“How are you, patient?”

“Patient, this is Dr. Blundell. How are you?”

I asked to confirm.

But once the patient responded to Blundell's voice,

It had to be that way.

People tend to react better to familiar voices.

“Ah… … my stomach… … my stomach… … .”

“Oh, yes. Because you just had a baby. Your stomach might hurt.”

“But… why does my back hurt so much?”

"waist?"

“Yes, here… … .”

I stepped back for a moment and watched them talking.

His expression probably wasn't very good.

waist.

My back hurts… … .

Among them, it was pointing to the back.

It hurt so much that my hands couldn't move properly.

“Hmm. Why does my back hurt? Oh, and I have a fever. Has anyone not washed their hands? No. I don’t think I have a fever yet.”

Blundell looked back as he felt the patient's body temperature as they talked.

Then he tilted his head.

That's because it takes some time for an infection to cause a fever.

Even though he didn't know anything, he seemed to know this.

“Ugh, ugh.”

Then, when the patient vomited, his face became even darker.

It was clear that the reason was unknown.

But I knew it was for some bad reason.

“Hmm. This… … Should I give more blood?”

In the meantime, Blundell started talking nonsense, so I stepped in.

“Well, let’s just give him water for now. It would be too hard to draw blood again. The patient is more conscious than before.”

“Hmm. No, I think I need to give blood.”

“No… … For now.”

What should I do!

While I was doing that, someone came in and spoke to me.

He was a savior.

“Professor Blundell, I have a patient who is expected to have a baby soon.”

“Oh, then. See you later.”

If you get rid of the stone-thrower who kills the patient, that's the savior. What's so special about a savior?

I watched Blundell's back as he left, then quickly turned back to the patient.

The patient shivered and pointed to his lower back and stomach.

He occasionally pointed to the needle in his arm, but it didn't seem to work because there were almost four people holding the patient down.

Anyway, if I were to summarize the symptoms the patient was showing, it would be like this.

'Fever and chills… … Stomachache and back pain. Wow… … This kind of thing… … This is something that only appears in textbooks.'

It was impossible to confirm the exact diagnosis because so much blood had flowed from the uterus, but there must have been some hematuria as well.

It would be really nice to have a catheter in times like this, but I couldn't even make one because I didn't have the right materials.

The only material that can be handled is iron, but you can't make a urine tube out of that.

no…….

No, I think it might have been made.

'There are many people who don't care about the pain of their patients.'

They say you can't urinate, so why didn't they think of sticking a metal pipe in?

Surprisingly, the structure of the bladder has been known for quite some time.

'Oh.'

The thought sent shivers down my spine.

Even now, if I asked, I felt like there would be a torture device somewhere in the hospital.

Of course, that time didn't last very long.

I did so because I knew what the symptoms this patient was showing were pointing to.

'Acute hemolytic transfusion reaction… … .'

In modern medicine, it can be seen as a group of diseases that are only of some use for reference.

This is a disease that can be seen when a blood transfusion is given using the wrong ABO blood type.

Doing something like this was clearly a medical accident, and no other country would make such a mistake.

Even in the military it was like that.

There's a reason why they put your blood type on your military ID number.

At least this is meant to avoid these side effects, that's what it is…

“I’ll pour some water first. Joseph. You make some more water.”

“Huh? Would pouring water be effective? Shouldn’t you be adding blood?”

“No, water first. Let’s do what we can.”

"uh……."

“Oh, if I tell you to do something, do it?”

“Okay, I got it.”

therapy?

There was no cure.

All I did was just pour water like I was doing now.

No, in addition to this, it would be good to give them a diuretic to help them lose some weight… … .

Diuretics are not only unavailable even if you want to take them to death, but even if you do have them, you should not give them to others.

Why did you give blood now?

I gave it to you because you were bleeding too much and your blood pressure was low.

If everything was backed up, then it might be okay, but making me pee a lot right now was just another name for murder.

Uruk.

Anyway, I started pouring water as best I could.

I was feeling hopeful as I thought that it had been about 40 minutes since the transfusion.

Usually something happens within 15 minutes.

This has been delayed… … .

I guess my sap must have had an effect?

Doesn't this mean that it's being diluted quite a bit more than expected?

'But the amount that went in was a lot… … . Now I remember. This acute hemolytic transfusion reaction can occur even if only 20~30mL goes in… … .'

But it would be premature to hope for that.

I called the guardian at the same time as I poured the water.

Then I had a conversation with the patient.

What should I say?

It didn't matter.

I just hoped there would be no regrets.

Even in an age where death is inevitable, losing a family member, especially a wife, would be a terrible thing.