Dark-Haired British Doctor Chapter 53

Episode 53 Blood Transfusion [3]

In conclusion, the non-transfusion effect lasted only a few minutes.

Acute hemolytic transfusion reactions caused by incorrect transfusions were killing patients indiscriminately.

I wish there was another more appropriate word.

I couldn't find it with my limited knowledge.

Moreover, the patient was dying in real time.

“This is it.”

Blundell, who had just finished treating a patient, shook his head.

I used the word 'processing' because there was no way to confirm whether this kid was brought back alive or killed.

There's a high probability that he didn't kill me?

I didn't really ask.

I did it because I thought Schrödinger's cat would be better.

If I hadn't asked, the patient might have lived or died.

“Why on earth did I see blood in my urine?”

Anyway, Blundell sighed as he looked at the spilled urine.

In many ways, it would be different from the many deaths he had seen so far, so it couldn't be helped.

“Umm… … Really… … Are you saying there’s no way around this?”

It had already been a while since the patient lost consciousness again.

Blood pressure?

Mac didn't catch on very well.

From experience, it would be around 50 or 60 now.

It wasn't a relaxation story.

That's what the contraction would be like.

“Hey, Doctor Piyoung, can you at least pour me some water?”

Blundell, desperate to give more blood and finding that the needle was already clogged, asked me:

I shook my head quietly.

“No. It’s just that… … my body feels too swollen.”

“Ah. Does it have something to do with pouring water?”

“I’m not sure, but… … I think so.”

“That’s right. There are times when you can’t really tell what the human body is no matter how much you look at it. I think it’s been a long time since I understood everything… … .”

Looking at me like that, Blundell was talking nonsense.

It's time to know everything.

Even 21st century doctors wouldn't say such crazy things.

'Well… I don't know, so that could be possible.'

Instead of blaming Blundell, I turned to the patient.

To be honest, this is the first time I've seen anything like this.

Well, it's too weird to say this, but I've already seen so many weird things since coming here…

Anyway, it was my first time seeing an acute hemolytic transfusion reaction.

It wasn't very enjoyable to see with my own eyes what I had only learned in textbooks.

'My kidneys are already completely destroyed. I don't know if I could get dialysis, but… '

dialysis?

Dialysis in a place where they can't even give blood transfusions properly.

It was obvious that he probably didn't even know what function the kidneys actually had.

To figure that out, it would take tremendous advances in physiology and microanatomy.

In other words, it was something that could not be expected.

“Can I go and see the patient I saw yesterday?”

“Huh? Oh, I see. Anyway… … Isn’t this patient my patient? Right.”

This was a patient who could not be saved.

Inevitable death was already at hand.

I felt fortunate that I had taken steps to have a brief conversation with my guardian when I was conscious for a moment.

If you hadn't done that, wouldn't the patient not have been able to even say his final goodbyes?

No, the bigger problem was the suffering of those who would be left behind.

I have a child… … .

Still, those who were meant to live had to live.

‘What… … Even if I do something more now, I can’t cause you any more pain.’

It wasn't just for that reason that I left this patient.

The patient was not only unconscious, but was already in a coma.

It was said that there was a situation where one could not even react to pain.

What we Blundell was saying was that no matter what he did, there was no chance that the patient would get any sicker.

Of course, Blundell's mentality was a bit broken, so it didn't seem like he would be able to do anything.

Well, it was understandable, since the patient was dying helplessly even after the decisive blow of the blood transfusion.

'If I were to explain the concept of blood transfusion… … where on earth should I start?'

I thought about it for a while and decided that I should at least water it more frequently.

To do that, I had to save the patient I unearthed yesterday.

Then, we can use that as a basis to argue that we should do more of this.

If we do that, maybe we'll be able to do a blood transfusion someday.

“How are you?”

I approached the patient, accompanied by Joseph and Alfred.

Even before I could say anything, I felt relieved.

Certainly, the patient was feeling better than before.

“Ah… … much better. I think I might be able to get up… … .”

First of all, I was raising my body up naked.

The important thing was to be able to try, whether it was possible or not.

“Oh, not yet.”

Of course I said no.

Isn't this a place where there is still no concept of falling?

Not only patients, but also medical staff such as nurses and doctors had little idea of how dangerous it was for a person to fall in a weakened state.

No, I wasn't really interested in how easily a weakened person could fall.

First of all, there was no railing on the bed.

'ha.'

I barely managed to hold back a sigh as I thought about the mountains beyond the mountains.

I really don't know where to start.

“Please lie down for now. But more importantly… … have you urinated?”

“Huh? Oh, yes. In that… … seat… … But is it like this? I need to go to the bathroom… … .”

The patient pointed to the bowl I had given him earlier.

It was something I had a hard time getting, and it contained concentrated urine.

I looked at the bright yellow urine as if it were the water of life.

It might seem really strange to look at it from the outside, but that's how I felt.

“That’s good. You’ve seen quite a bit, haven’t you?”

“Huh? No… … I haven’t been able to do it for over a day, so that’s about it.”

“No. This is fine. It’s very good. Let’s get up slowly.”

Doesn't urination mean that there is blood going to the kidneys?

Furthermore, it means that there is moisture that can be exported.

In other words, this means that the patient has recovered from the hypovolemic shock he was in.

Hemoglobin, or red blood cell count, is a separate thing, though… … .

Anyway, at least there was nothing wrong with the bleeding itself right away.

“No, no. Slowly.”

“Uh… … my head.”

“Did you hear that?”

“Yes. Ah. In front of my eyes… … .”

“It got dark, didn’t it?”

“Yes. No, how about that… … .”

“Why would you be a doctor? So, listen carefully to what I say.”

"yes yes."

Of course, I still had orthostatic hypotension when I tried to get up in a hurry.

It was inevitable.

Because I didn't give blood, I only gave water.

“Okay, let’s walk. You might fall. Slowly. There are two more people behind you, so it’s okay.”

Joseph and Alfred followed my instructions and stood behind the patient.

Then he carefully observed the patient who was walking unsteadily.

The more I walked like that, the better my gait became.

It was natural.

When you walk, your blood pressure goes up.

As long as your heart doesn't beat more than usual, you're fine.

I was holding my wrist to prevent it, or at least to check it in advance.

To be precise, he was counting the pulse by touching the cubital artery.

'It's a little bit fried… … .'

It seemed like it was going to be around 100 times per minute.

It wasn't a good sign, though, since I had gotten here just by walking.

Anyway, since it was a sign that it was okay to walk, I decided to be satisfied for now.

“Okay, let’s stop here for now… … Are you okay?”

“I’m a little out of breath. I was just walking… … .”

“It will get better. Now let’s look at the wound.”

“Are you hurt? I’m not hurt anywhere.”

I walked around the ward twice and sat the patient down on the bed.

The patient looked as if he had no idea what was happening when he heard the word wound.

Well, since they probably thought of it as treatment at the hospital, the word wound would have been awkward.

“Here are the feet, the arms… … the forehead… … .”

"ah."

However, when I pointed to his feet, arms, and forehead, he nodded.

There were certainly a number of great scars there.

Among them, the wound on the instep was slightly inflamed.

I should have wiped it down and poked it a bit, but that wasn't possible, so it was only natural.

'I guess… … it's because I'm healthy… … there aren't any major problems elsewhere.'

It was a situation where it didn't make sense to check for inflammation with the naked eye, let alone do a test.

Aren't humans originally animals of adaptation?

Moreover, Koreans are a people with an exceptional survival instinct.

The story goes that the Miracle on the Han River didn't happen for nothing.

'Then headaches will be a problem.'

My conclusion was that it wasn't usually a headache.

Think about it.

If you keep saying that you're in pain right in front of your eyes and that you're going to cut it with a knife, and even though a human butcher is setting it up, you still say that it hurts, shouldn't you consider it to be really painful?

This guy isn't even fighting for Korean independence…

“Let’s talk about headaches too.”

So I asked first.

Questioning is basic and doesn't require any special skills, but this is an exception.

If you say you're sick, there are some guys who just stab you in the back with a knife without asking any questions…

Because he firmly believed that he was a scientist, he was confident even after committing such an act.

I don't even plan on fixing it.

“Ah… … What… … ?”

“How long have you had a headache?”

“Ah… … That’s it. It’s been quite a while.”

Perhaps it was because of this shocking answer that it turned out that way.

You probably don't know that this answer is obvious, right?

Of course, I asked patiently because I am a veteran doctor, unlike others.

“How long exactly was that? More than a month?”

“Huh? Oh… … It’s been more than a month.”

For most diseases, one month is the cutoff point between chronic and acute.

So, this patient was chronic, which means that it was not going to be easy.

“I see. So it’s been over half a year?”

“Um… … Actually, this has been a really long time coming… … .”

“I see. Hmm. So has this headache gotten worse? Or is it the same as before?”

“I came because it hurt more.”

"but."

If it's a hospital at this time, you probably can't come here without a lot of preparation.

Unless there are unavoidable circumstances, such as an obstetrician/gynecologist, there are many more people who don't even go near it.

The fact that he came must mean that he was really sick.

“Where does it hurt the most?”

“Head.”

“No, exactly which part of the head.”

“Ah… … um. Hmm… … here… … ?”

The area the patient was pointing to was from the middle of the head to the forehead.

It was a situation where it was impossible to evaluate anything based on location.

When you have a headache, it usually hurts there, right?

“When does it get worse?”

Anyway, I continued asking questions.

I was hoping it was something like a tension headache, but unfortunately the patient's answer was not like that.

“If I lower my head or something… … it hurts more.”

"huh."

“Yes? Why?”

“No, uh… do you have a runny nose?”

“I have a runny nose.”

“Yellow?”

“It can be pitch black. But it’s usually yellow.”

It was sinusitis.

Ha, that surgery is difficult.