episode_0188
by fnovelpiaEpisode 188. Winter Solstice Festival (1)
****
This is the Jordan River.
We poured saline solution over the patient’s wound, and we could hear the sound of water flowing. The pus and blood were washed away and fell to the floor.
It wasn’t the time to worry about the floor.
This is a crossroads of life and death. The patient was lying unconscious under anesthesia.
If we make even one misstep, this guy will die. He’s still half dead.
I sighed. This emptied the abscess. The diseased liver tissue covering it was cut away. Now I had to stop the bleeding… … .
Still, fortunately, advanced techniques such as lobectomy or angioplasty are not needed.
A nurse brought in a soldering iron, and I carefully cauterized the amputated part.
“What are you doing now?”
“This is to stop bleeding. The liver is an organ with many capillaries, so this is the only way to stop bleeding.”
“Won’t it hurt?”
“It doesn’t look painful.”
There are few pain receptors in the intestines, and even then, anesthesia using ketamine seemed to be effective. It is not without its drawbacks, though.
There was no other option than ketamine.
“The patient is moving.”
“That could be it.”
As I said.
Patients anesthetized with ketamine usually remain breathing, although in some cases they may blink or even move their eyes.
So, the patient was tied down on the operating table.
My eyes were also covered with a wet blindfold.
“That’s strange.”
“There is no consciousness. You won’t remember anything.”
I put the iron on the liver, and the bleeding from the liver tissue began to stop.
Avoid large blood vessels as much as possible and only use fire to stop the bleeding by cauterizing the capillaries in the liver parenchyma.
It was a more difficult task than I thought. Also, if you burn it too much, necrotic tissue may form, so it is a part that requires delicate control.
After I finished cleaning up the liver wound, I cleaned the area again with saline solution.
I had no way of knowing whether removing as much pus from the peritoneum as possible would stop the systemic inflammation, or whether this would be sufficient.
Maybe we’ll find out after the surgery.
Vital signs still appear to be stable, but we won’t know the details until the patient wakes up and describes his symptoms.
“Let’s finish it up slowly.”
“Professor. Are you going to leave the liver open? There’s still a big hole in it… … .”
“Yes.”
This would not have been a problem if the pus had not accumulated in the liver in the first place. We cannot afford to risk the same problem occurring again.
“Why?”
“You still have a boil, right? It wouldn’t be hard to sew up the liver and make it look like that, but it could rot away in the same way.”
“So you’re leaving the liver open?”
“Yes.”
Everything I was going to do is over.
All that’s left to do is finish the surgery. Now all that’s left to do is take out the saline solution that was sprayed, check the blood pressure, and re-sew it.
****
Situation ended. Violet was in charge of suturing the skin. We were waiting for the patient to wake up from the ketamine anesthesia.
“That’s strange. When that patient collapsed, I thought he was dead.”
“Thank goodness he didn’t die.”
This patient collapsed from sepsis due to a ruptured abscess. Even if surgery was performed in a modern hospital, it is difficult to guarantee survival.
It’s too early to feel at ease.
“Uh… ….”
We looked at the patient again.
Has the anesthesia worn off yet?
Ketamine is a pretty strong drug, so I don’t think the anesthesia will wear off that cleanly.
The aftereffects will last for hours.
It varies from person to person. Violet and I walked back to the patient who was lying down. The patient’s eyes were half-open.
I took off the blindfold I had on earlier. How long has it been open? If you keep your eyes open for too long, that can cause problems.
“Are you feeling better?”
I took the patient’s pulse. The patient’s pulse was normal.
There were no other noticeable abnormalities in the pulse. The pulse was not rapid, and the breathing rate and body temperature appeared normal.
The sepsis seems to have gotten better, although I’m not sure how much liver function will return.
“Am I dead?”
“No.”
“I see an angel… … .”
“Me or Ms. Violet?”
Violet shrugged beside her. As if it were obvious that it would be her. What a shame, I wanted to hear the words of an angel in white.
“The woman with the white face over there.”
“I see.”
As expected, it was about Violet. It wasn’t easy to hear the words of an angel in white.
Violet had a triumphant expression on her face, while the patient stared blankly into space.
“You will become a pirate.”
“Then we need to save the pirate ship first.”
It looks like he’s experiencing post-operative delirium.
“My stomach still hurts. I think I have motion sickness, and I need to find a way to cure it quickly… … .”
Is that how it’s connected?
I should add nausea as a symptom. It would be strange not to feel nauseous, since they opened up your abdomen and administered narcotic painkillers.
The patient kept mumbling something.
“Look, the boat is rocking.”
“This is a wheelchair bed.”
“No, that’s why I get motion sickness.”
I sighed. If we keep talking like this, it’ll just lead to more nonsense anyway.
“What… … . Now let’s send you back to the ward. We need to check if there are any remaining side effects or if there are any adverse effects on your health.”
Violet nodded.
****
We had to make sure the patient was up and ask the nurses to keep a close watch before we could go back to the office.
“You came with the princess, right?”
“Yes.”
Violet’s office was amazing in so many ways.
Violet is a high-ranking person, but… … . What? It’s decorated like the office of the CEO of a large corporation.
A set of black tea, chocolate, and a fountain pen decorated with ivory and mother-of-pearl. The office had a faint scent of black tea.
It wasn’t black tea, but coffee, or maybe chocolate. The scents were mixed together, so it was hard to tell. It was like a bakery that baked several kinds of bread at the same time.
Violet has always been a bit of an odd person.
Still, what… … .
It didn’t really hurt me or my colleagues. If you ask me if I really hate Violet, I don’t think so.
“That would be nice. Oh, I came to play, but I’m going to disappear because I’m working, so I wonder if the princess will be upset?”
“I’ll be staying at the palace for a few days. Wouldn’t you understand if someone almost died?”
Although Mint can seem fussy at times, she’s always had a playful side.
He usually has a light sense of humor.
Even if the princess seemed a bit emotionally immature, I didn’t think she’d be upset if I didn’t see her for a few hours.
Violet tilted her head.
“But please explain it anyway.”
“Yes.”
I looked around.
“The office is really fancy.”
“Do you like it? I decorated it a bit after the professor left for the academy.”
The Chief Healer’s Office.
It wasn’t a small space, but it wasn’t this fancy when I was working there. Now, Violet has decorated it with a lot of effort.
“Isn’t that a bit excessive?”
“Don’t worry, they’re all used.”
“I see… … .”
Violet scratched her nose sheepishly.
Still, it’s not like I have no shame at all.
“Since royalty and nobles often come to my office, I do it to suit their tastes. I don’t do it just for fun.”
Well, that could be the case.
“By the way, please have a seat and I’ll make you some coffee. I’ve recently made some new alchemy equipment and am researching a new way to make coffee.”
He was a guest and all, it was just his hobby.
I just nodded.
Violet set up a small desk on one side of her office and took out the coffee maker.
****
Tak. Violet put the coffee down in front of me like an artist preparing a masterpiece.
“Try it.”
Violet’s eyes sparkled with an expression as pure and eager as that of an undergraduate student.
If he had put half of that passion into his main job, he would have become very great. He is already a royal healer, so there is no place he can go higher. He is a great person in many ways.
There’s nothing I can do.
I tried the coffee Violet gave me.
“Oh, it’s so delicious?”
“Right?”
Violet looked at me with a very amused expression. It was time to throw in a joke, but nothing came to mind.
It was really good coffee.
I looked at Violet.
“Everyone said that? I’m thinking of giving it to the royal family next time.”
“Do as you wish.”
After all, it’s just coffee.
The prince would probably like that kind of thing. Luxurious and flashy, but with a bit of restraint… … I don’t know about other people.
Mint didn’t show much interest in such things. She wasn’t the type to like to spend money on extravagance. She just had her own thoughts.
It was ironic when I thought about it. Just now, I had blood on my hands and was struggling to save a dying patient.
Now, I was looking at the back of Violet’s head as she pondered whether to put butter in her coffee.
“Why do you put butter in your coffee?”
“ Flavor. And if you add a little salt, the sweetness becomes stronger? If you mix it with milk, it can also melt fat-soluble butter. ”
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