Doctor goes back to Joseon - Chapter 111

Chapter 111: Let’s see who wins [2]

Hearing the word seizure being mentioned, everyone looked at the man. Of course, Ganghyuk looked as well.

“Seizure?”

“Indeed, goodness gracious.”

He was one of the patients that discharged continuously.

But even though he was discharging like the others, he had a seizure.

Naturally, all of them were dehydrated. Therefore, their voice was cracked. Thanks to that, their voice sounded more urgent.

“Let’s go there.”

“Sure. Seizure… I thought the disease was only diarrhea.”

“I think the cause of seizure must be diarrhea.”

Ganghyuk hurried to where the man was and tried to think up of the cause.

He carried his home visitation bag with him.

‘If it’s a seizure, then it must be because of electrolyte imbalance caused by dehydration.’

If that was the case, it was a very big incident.

He could not take a blood sample and do a blood test. There was no laboratory around to do that.

‘Sadly, I have no experience to treat electrolyte imbalance without doing a blood test.’

As a matter of fact, he also had no remedy to electrolyte imbalance even if he knew the blood test result.

In his home visitation bag, there was nothing to supplement electrolytes.

He only had an IV set.

‘He may be the first dead body in this scene.’

If the situation becomes a reality, he would have difficulties in treating other patients.

When he gave an oral solution, patients felt anxious and thought twice before drinking it.

If a patient would die here, the patients would go to Dongpa rather than be treated by Ganghyuk.

In their eyes, Ganghyuk’s treatment would lead to death, and they would then think that Dongpa’s treatment makes more sense.

“Hey, I will examine the patient.”

“Yes, sir.”

Ganghyuk came closer to the patient with a seizure.

Several minutes have passed since he started convulsing.

However, he was still convulsing.

His eyes were fixated to one direction and limbs were flailing.

It was a typical grand mal epilepsy.

Ganghyuk took the patient’s head and put gauze in his mouth.

It was to avoid aspiration pneumonia or tongue biting by chance.

‘It will not last long.’

He had seen such a seizure before.

Some of the patients that arrived in the Emergency Room had the same type of seizure.

Most of them were dehydrated because of bleeding.

This patient was better because the cause of dehydration was diarrhea rather than bleeding.

“Is he okay?”

“Pulse, first.”

Ganghyuk was placid but Heo Jun and Heo Im were anxious.

They haven’t seen a seizure as serious as that.

“It will go away soon. I’m maintaining his airway, so he won’t die. I need to measure his blood pressure. Please open the bag for me.”

“Ah, I’ll measure it for you.”

“Oh, please do.”

“Okay, I’m good at measuring blood pressure now.”

Heo Jun rolled up his sleeves to work.

He might already be accustomed to the bad odor.

The saying ‘Man is a creature of adaptation.’ is a golden saying.

Ganghyuk did not cover his nose anymore.

Yeoju tried to come closer to the scene, though she still stayed far away from the patients.

“Heum. It stopped.”

“Indeed it has.”

Just like what Ganghyuk said, the seizure stopped. The man was breathing normally but he did not recover his consciousness. It seemed that this happened some time before.

“What is the blood pressure?”

“I can’t read it… Too low.”

“Oh? Is it too low to read?”

“It seems like that. It’s probably a 60 and a 40 or 50?”

“Heo.”

It was indeed too low.

He might be dead soon if he was left like this.

Even if Ganghyuk gave IV, it would not make much of a difference.

It might be 1 liter, but it was a liter of water and not blood.

1 liter of water to this patient would not make a difference at all.

‘Heum. Is there any way I can conduct a blood transfusion?’

Ganghyuk wondered while he connected the IV set.

‘The blood must be the same type for the transfusion. This is so I can avoid blood coagulation.’

It meant that he did not need to know the exact blood type. He had read the First Aid instructions of the American Army and it said they did blood transfusions without knowing the exact blood type of the donor and the patient.

He could not remember it completely because he was not interested in it back then.

‘If I leave this patient without doing a blood transfusion, he will surely die.’

The patient could not swallow oral solution and Ganghyuk did not have much IV solution either.

In that case, blood would be the best answer.

There is a saying that the best IV solution is the blood of a healthy person.

The problem was how he would give the blood transfusion and who would become the donor.

Ganghyuk then looked at the kitchen.

‘If Dolseok and Makbong could be the donor…’

The patients here could not give blood for others.

They were dehydrated as well. If Ganghyuk took some of the blood from the other patients to save this patient, he might kill a lot of them.

“We should take him inside.”

Ganghyuk pointed at a room in Bojewon building located a few meters away.

It was not far from the place where Ganghyuk examined the patients.

“Is there anything special inside? We need to take care of the patients here as well.”

Heo Jun said while looking around the scene.

Although the other patients did not have a seizure, their status was not any better when compared to the patient in front of them.

Heo Jun thought that one of the doctors must be here to take care of them.

Ganghyuk decided to give them oral solution rather than let them starve.

“Eum. Dr. Heo, could you stay here with Heo Im and give them the oral solution that I made? I will take care of him with Dolseok and Makbong.”

“Sure I can. Rest assured.”

“Thank you.”

Ganghyuk left the other patients to Heo Jun and Heo Im. He then called Dolseok and Makbong.

“Come here.”

“Yes, sir. I brought water.”

“I need you to help me transfer this patient.”

“Ah… yes.”

The two people came to Ganghyuk quickly.

They were sweating as they were boiling water before they came to Ganghyuk.

They looked very healthy.

‘Indeed, if one of them had the same blood type with the patient, it will save him.’

Ganghyuk transferred the patient into the room, thinking up of a human blood bag.

As the three of them were healthy and strong, it was not difficult to carry a patient.

They could arrive at the room in the inlet soon.

There was also a futon in the room.

Ganghyuk opened the home visitation bag before nodding his head.

‘Although I have only one IV line, I have a lot of syringes.’

It meant that he could take blood samples multiple times.

The process may be painful though.

“Lay him down here gently.”

“Yes.”

“Now let’s find his vein.”

“Ah, you want to inject something. Maybe the patients out there can’t understand what you’re doing and they might become agitated because of it.”

Dolseok nodded his head as he murmured.

His face showed confidence as if he knew everything.

‘Although you think you know everything, you have no idea what I’m doing.’

He was sure that Dolseok will become a blood bag some time later.

Ganghyuk felt pathetic and tied the patient’s arm with a rubber band.

As the man’s blood pressure was too low, it was hard to find a vein.

‘Eum… It is better to take blood from anywhere.’

As he wanted to see a blood reaction, he did not need to connect an IV line.

Ganghyuk stabbed a needle and got some blood.

“Eum.”

The patient did not open eyes although he softly moaned.

‘If I leave him untreated, he will surely die soon.’

The thought made him desperate.

He did not want to lose the game.

‘No, I’m sure that won’t happen.’

Time would show who was right, but he did not want to give the best doctor’s place to Dongpa even for a short time.

“Okay. Makbong and Dolseok, lie down here.”

“Eh?”

Makbong opened his eyes wide and asked.

Dolseok showed a similar expression on his face and Yeoju who followed them showed the same expression as well.

“What do you mean?”

“I need to check something. You may feel a little sting.”

“A sting?”

Makbong lied down first.

On the futon, the patient lied down, so Makbong lied on the floor.

The futon was too narrow to accommodate two people together.

He did not want to catch the same disease, anyway.

“Let’s see.”

Ganghyuk took a blood sample from Makbong.

He had a good vein, so Ganghyuk did not have any difficulty to find his vein.

Ganghyuk thought he could give a liter of blood without any damage.

‘Okay. The next step is to mix them.’

He performed a cross-reaction test by mixing a drop of blood of the patient and the donor.

It was a crude method, but it showed a definite answer.

“Heum.”

“What are you doing? Why are you mixing the blood.”

“Wait…”

Ganghyuk shook his hand and observed the reaction of the blood.

It did not need any professionalism.

All he had to do was observe.

“Ai…”

Ganghyuk sighed.

The blood started to clot.

It hardened like a stone.

That meant they must have different blood types.

‘Huu… If I inject this, it might kill the patient.’

Sometimes, blood transfusion may kill the patient even when they have the same blood type. If they have different blood types just like in this case, the patient’s survival rate would definitely be 0%.

“No. That’s impossible. Dolseok, lie down here.”

“Me?”

“Yes, you.”

“Okay… I feel strange.”

Dolseok lied down as he scratched his head.

He had good blood vessels as he ate well every day.

“Okay. You have good veins. If you are the right one, then it’s better than Makbong.”

“Oh, I don’t know what you mean but I’m proud that I’m better than Makbong. Hehe.”

Ganghyuk finished getting his blood sample from Dolseok.

He mixed Dolseok’s blood with the patient’s blood.

“Let’s see.”

“It seems that there’s no difference.”

Dolseok pointed at the mixed blood.

Just as Dolseok pointed, it was clotted.

“Hah…”

“What’s wrong, sir?”

Ganghyuk was disappointed.

‘Should I try Yeoju? No, she’s too slim. I need a large amount of blood.’

While he was wondering, Yeoju said.

“Sir, why don’t you try your blood?”

“Mine?”

Though the thought came out of the blue, Ganghyuk did miss that possibility as well.

Ganghyuk scratched his head.

“Yes, sir.”

“Eo…”

“Try…”

“Can you get a blood sample from me?”

“Yes. I’m quite good at it.”

“Okay then. Come and get some from me.”

“Yes, sir.”

Yeoju tied Ganghyuk’s arm with a rubber band.

It had been a while since she saw her at this short of a distance.

Ganghyuk was extremely sure that she was a beauty.

‘She followed me and had pains with this beautiful face.’

Ganghyuk felt sorry for her but at the next moment, he thought that he saved her.

If he left her in her hometown, she might have been killed.

“Mix it with the patient’s blood?”

“Yes, I think I’m not a match either.”

He had no ground to think so.

He felt that his blood type was B.

The man’s blood type was a rare one, being AB.

‘Yes, it’s not a usual blood type.’

Ganghyuk believed his hunch.

But a few minutes later, he realized that his hunch was not correct.

“It’s different from the previous ones.”

“Indeed, it’s not clotted at all.”