Doctor goes back to Joseon - Chapter 110

Chapter 110: Let’s see who wins [1]

-Pujijik

In the Bojewon, the sound came here and there.

They did not eat anything according to the order of Dongpa.

However, everybody discharged shits.

It seemed that they tried to throw out the last drop of water from their body.

“It is a hell.”

Heo Jun murmured covering his nose with hands.

Heo Im had got gauze from Dolseok and stopped his nostrils with the gauze.

“Up”

Yeoju tried not to see anything from the scene.

It seemed impossible to leave pictures describing these scenes.

‘I think it is better than the anus of Lord Ryu? I think it is a lot better than that. Haha. Maybe they are different kinds.’

Ganghyuk thought alone and then nodded his head.

The scene around us was just like hell.

“A…”

“Agugug”

“Eu”

There were various moaning and screams.

If a patient could make any sound, it meant he was still ok.

The patients in fatal condition could not make any sound at all.

They were lying down and discharging.

Because of dehydration, they had some fever, too.

‘I need to classify them according to seriousness.’

Ganghyuk looked at the home visit bag and Heo Jun alternatively.

The blacksmiths that Heo Jun introduced were excellent.

Army and scalpels that the blacksmiths had made for him were very useful.

They were comparably good as the original tools that Ganghyuk brought from the other world.

Other tools also were good although they had inferior to the original ones in details.

However, there were some that they could not make at all.

One of them were needles for the syringe.

‘Needles… ‘

They made some needles, but they were more like weapons.

He spared some to use them in Imjinwarran.

‘They will kill people rather than save.’

Ganghyuk could not use them to his patients.

They will the break patient’s blood vessels.

Therefore, Ganghyuk could use only one IV set.

So, he needed to select only one candidate who should get IV injection.

“Eum”

When Ganghyuk stopped, Heo Jun and Heo Im stopped and waited for Ganghyuk’s remark.

Yeoju was far behind and she seemed to have no intention to follow.

“As you have experienced in smallpox incident, it is better to classify patients when we have many patients at one time.”

“Yes.”

Heo Jun answered.

Heo Im could not hide tension, as it was first time for him to be with so many patients.

Although he has been working in the Naeeuiwon for a long time, he has never seen so many patients with single disease.

-Swallow

He swallowed dry saliva.

Ganghyuk continued looking at them alternatively.

“First of all… look at me and you will learn how to do it. The most important thing is to wash hands after touching patients. Do not touch yourself after touching patients. You must wash off immediately.”

“Yes, I see.”

“Let’s see.”

Ganghyuk came to the patients.

He did not moan at all lying down and discharging shits.

He looked very bad, and Ganghyuk could not ignore him.

“What is your name?”

“Dolsoi, sir.”

“Dolsoi, do you know where you are?”

“Yes, I am in Bojewon, sir.”

Ganghyuk asked some more questions after that.

It is to test if he is conscious. Ganghyuk was worrying because of severe dehydration of the patients.

“Dolsoi has clear consciousness.”

“Ah, you were checking his consciousness?”

Heo Im nodded his head realizing why Ganghyuk did ask such useless questions.

Ganghyuk showed a satisfied smile, as the two students were learning well.

“Yes, if we are lacking of water in our body, the blood pressure gets lower. Then the amount of blood going to the brain reduces. Then we may become unconscious.”

“When I hear your lecture, I realize that our body is organically connected.”

Heo Jun praised the excellence of Ganghyuk.

Even though Ganghyuk was very proud of himself, he felt honored.

It was because the person who praised him was Heo Jun.

Although it has been some time since he arrived in Joseon, he was not accustomed to being praised by great men in the history.

“Heum.”

Ganghyuk looked at the patient again.

“Dolsoi. Take out our tongue.”

“Yes?”

“Tongue.”

“Ah, yes.”

Ganghyuk guessed his tongue must be dry and cracked.

His pronunciation was not clear.

‘If the mucus in the mouth becomes dry, one cannot make correct pronunciation.’

The patient took out his tongue.

It reminded him of a cracked rice field without rainfall.

‘I wish Yeoju would draw this.’

Ganghyuk looked back.

Yeoju stayed remotely and had no hope to come.

Ganghyuk thought she would not able to draw with that condition.

She was about to vomit.

“Eum. You see, the tongue looks strange.”

“Yes, it is cracked.”

“The lips are dry, and eyes grow hollow. If you touch his pulse…”

Ganghyuk touched the wrist of the patient.

More specifically, he touched the arteritis radialis of the patient.

It is a good artery for indirect check of heart beat.

“It beats more than 100 times a minute. As the blood pressure goes down, the heart beats faster.”

Ganghyuk did not think that the patient could understand it.

As a matter of fact, Heo Im could understand half of it only, although he took Ganghyuk’s lectures and reviewed constantly.

How could he understand the unit of time in the future such as hour, minute and second.

It was only Heo Jun who could understand Ganghyuk completely.

“Then his dehydration is very serious, isn’t it.”

“Yes, you are right. A sixth of the body water has disappeared.”

“Heo”

“But he is young, so he can stand it. He may have headache, nausea and no strength.”

“Oh.”

The patient responded at the diagnosis of Ganghyuk.

He had all symptoms that Ganghyuk had told.

The patient thought Ganghyuk was a divine doctor.

How could he know his symptoms after seeing his face only?

The patient and others near him looked at Ganghyuk with respect.

“If you touch here, you may feel fever.”

“Aha, it is very warm.”

“The treatment is…”

Ganghyuk wondered.

If he were in the hospital in that world, he would prescribe IV injection.

Although oral liquid therapy is good, IV is better and quicker.

However, he had only one IV set.

It should be used to a more critical situation.

‘He has severe dehydration, but he has consciousness.”

He was young.

He looked physically strong.

At least there was not much probability that he would die soon.

“Dolseok”

He called Dolseok after making a decision.

Dolseok who way busy boiling water ran to him.

“Yes, sir.”

“Have you boiled water?”

“Yes, we have a big pot of boiled water now and we are heating up some other pots, too.”

“You are quick. Get some water here. Get salt and honey, too.”

Ganghyuk took out the measuring cup.

Although it was a measuring cup, it was not precise.

It looked like a liter cup roughly.

When he poured a liter saline in the bag, it was almost full.

“Yes, but it is very hot because it is a metal cup.”

“We cannot help it. Get some gauze.”

“Yes, ah, hot.”

Dolseok ran to him again with a cup of hot water.

He brought honey and salt in other hand.

He was a very faithful servant.

He did what he was told to do.

‘If only he doesn’t complain…’

He did what he had to, but he complained.

Ganghyuk could not understand why he incurred a whipping with complaints.

“Here you are.”

“Em. Good. Here are many patients. So you must boil and then cool it down without pause.”

“Yes, sir.”

Ganghyuk started to make oral liquid with the ingredients.

‘What we have are honey, water and salt.’

He could not make oral liquid with good effects with these ingredients.

Considering the recent development in oral liquid, they were far behind.

‘If only I have Pocari Sweat concentrate…’

But that could not be dreamed of in this world.

If you don’t have a dime, use two nickels.

He must make it with those ingredients.

“First of all, we need salt.”

Fortunately, he could use syringe as a measuring spoon.

Ganghyuk measured 4g of salt using syringe and pour it into water.

Then he has 0.4% saline.

There must be some alien substances but it would not go to the veins directly, so it might be ok.

‘I need some glucose.’

He thought he was lucky to have honey.

If not, he had no idea where he could get glucose equivalent.

‘If I put it too much, it may induce diarrhea.’

For the purpose of nutrition supply, it is better to give the pure honey.

But if Ganghyuk gave pure honey to this patient, water in his body would be absorbed into his intestine because of the high osmotic pressure of honey.

It might be adding oil to the fire.

‘Em, 50g would be enough.’

Ganghyuk put 50g honey to the water using the syringe.

As the water was still hot, honey was dissolved easily.

‘It is 5% glucose solution.’

If he could add amino acid, it would be the icing on the cake.

But he did not have anything else than honey.

‘There are things that I have to give up.’

He could not persist amino acid in Joseon.

It is impossible.

Even if there were facilities, he could not make it.

He forgot chemical constitution long time ago.

“Ok. It is almost done.”

Ganghyuk made the oral solution and gave it to the patient.

While he was making the solution, it became lukewarm so it was good temperature to take.

The problem was the anxiety of the patient.

He had heard what Dongpa had shouted from the time he had been accepted.

“Can I take it? I will discharge again.”

“You will discharge even though you eat nothing. You must drink it to live.”

“Ah, I…”

“Drink it.”

“But…”

“Drink it.”

Dongpa laughed at Ganghyuk watching him quarreling with the patient.

In his eyes, Ganghyuk was crazy.

“Ah…”

“Drink it. If not, you will be dead.”

Ganghyuk gave him the oral solution and coerced to drink it.

The patient was thinking for some time and began drinking it.

He remembered Ganghyuk telling his symptoms exactly.

Gulp Gulp

Ganghyuk watched him drinking the oral solution.

He added this remark to Heo Jun and Heo Im.

“Did you see it? You can make like this.”

“Oho… they are discharging constantly. Is it ok to give them water?”

“Yes. We need to replenish as they lose a lot. If not, they will be dead.”

“Ha…”

While he was teaching Heo Jun and Heo Im, there was a fuss at the side that Ganghyuk was responsible for.

“Ah, here somebody has a fit. He froths at the mouth…”