Doctor’s Rebirth - Chapter 388
Episode 388
‘Wow…. This is the hell of a congressman.’
These various symptoms occur one after another, but what they have in common is that they use the same well.
Although there appears to be no incubation period, the patient is showing signs of fever in the early stages.
Another week later, abdominal pain and skin rash.
Depending on the person, there may be cases where the stomach does not hurt, but quite a few people complained of stomach pain.
There was also a patient who figured out why after about a month and got better.
‘…I need to check the pulse more closely, but among all these symptoms that overlap, there is one disease that I can guess.’
Typhoid fever.
It is a scary disease with a mortality rate of 10% to 20% even in modern times if early treatment is missed. (With early treatment, the mortality rate is less than 1%.)
Many people died from this disease in ancient Athens, so much so that there is a hypothesis that it was one of the factors that ended the golden age of Athens.
Although it is said to be almost disappearing in Korea, typhoid fever broke out in a hotel in 2017, and the hotel was even temporarily closed.
The cafeteria cook was one of the infected. His condition was so bad that he had to visit the hospital more than ten times, but the infection spread further due to excessive work from above.
Other than that, it is overseas infection.
There are quite a few cases where people receive this message while traveling to places such as India and Southeast Asia.
In particular, there was a case where people got caught all at once during a group tour in India.
‘Be sure to get vaccinated before going to a country designated as one where typhoid fever is chronically prevalent. If you still have a fever or feel unwell after going there, go to the hospital quickly and tell the doctor about the country you visited.’
It’s okay if you just do this.
Sometimes, for unknown reasons, there are patients who hide the fact that they have traveled to India or Southeast Asia.
From then on, the doctor must reason alone.
Typhoid fever is an acute systemic infectious disease caused by a type of Salmonella bacteria.
Of course, contrary to popular belief, not all salmonella bacteria are a problem.
Originally found in the human digestive tract and reptiles, some are helpful, while others are extremely dangerous.
Such germs can be transmitted simply by human contact with the skin of a reptile or amphibian, and are further spread through the feces of the infected person.
When the number of bacteria entering the body increases from about 1 million to over 1 billion depending on the person, they begin to multiply in the body in earnest.
The funny thing is, if it goes into the body of an animal such as a cow or a pig, nothing happens.
Live well on your own and come out with stool on your own.
And people who drink river water containing that feces become infected.
‘In modern times, a 100% diagnosis can be made by using a blood culture test strip and a bone marrow culture test.’
I feel a sense of déjà vu similar to the situation in India.
Many patients come in after traveling there, and the excrement from infected people or animals floats through the water, and if you wash your hands in that water and cook food, the food naturally becomes contaminated.
It can even spread through the corpses of dead people.
‘Why was the wind farm located there?’
It was said that there was a separate place chosen by the previous rookie.
Due to the nature of wind farms, no matter how good the location is, bacteria are eventually spread through the wind.
In the world of nature, where moths are the size of a human head and eagles are the size of a tent, it is not easy to prevent animals from eating food.
Rather, it is believed that if an animal eats a lot, the dead person has gone to a good place.
Ultimately, it is illegal in Korea because it cannot prevent the spread of these infections.
For the same reason, burying birds in water is also illegal.
Mongolia also had a tradition of pungjang in the past, but it is now illegal for the same reasons as in Korea.
Still, the location of the old wind farm is much better than the current location determined by gods, and since it is far away from where people live, there will not be a large-scale outbreak of an infectious disease like this.
‘After all, the people I saw when I first came were probably also typhoid fever patients.’
And the pathogens in the body are being spread everywhere by animals and nearby river water.
‘This… I might have caught it too.’
For some reason, the mango hwachae was delicious.
‘The average incubation period for typhoid fever is 1 to 3 weeks.’
No one knows when the outbreak will begin during this period.
It has always been like this, but illness and disease do not know things like human circumstances, and death starts from trivial places.
It was like everyone was carrying a time bomb.
* * *
After examining various patients with the help of doctors and persistent pulse, it was finally confirmed that it was typhoid fever.
‘It’s ruined. this.’
The funny thing is that Jin Cheon-hee herself can get caught up in it.
Even the other warriors of Baekrin Uigak ate the flower salad and were ruined.
Still, there was a silver lining.
‘It’s a disease that antibiotics can help with.’
Studies have shown that any type of antibiotic is clinically effective in treating typhoid fever.
Of course, in modern times, the essence of modern chemistry consists of pure chemicals!
Quinolone-based antibiotics are used, but there is no point in complaining that they are not available.
There is no super virus here, and penicillin has been shown to be effective in clinical trials and is still used today, so we were able to deal with it.
‘This is better than cholera.’
As we were traveling with a large group of people, it was a godsend that we brought everything from penicillin to streptomycin, which had not yet been mass-produced.
‘I’m glad I brought plenty.’
But that wasn’t the problem. Complications that appeared as typhoid fever progressed were a problem.
First of all, if intestinal perforation occurs, the perforated intestine must be surgically removed and large quantities of antibiotics to eliminate anaerobic bacteria must be used.
Any antibiotic can be used for typhoid fever.
‘Two or three days for the fever to go down… at least five days for the body temperature to go down to normal. Even after symptoms disappear, antibiotic treatment must be continued.’
In addition, there will definitely be a war as they will definitely bring in warriors from Odokmun.
You must receive the support of Baekrin’s Gak Bunta. However, the distance from here to Bunta….
‘I can’t believe I have to take a patient and prepare for war.’
The place where you can get the most help is at Danggaeuigak.
However, the party cannot be dragged into this matter.
If that happens, it really is war.
‘Once we’ve already decided to save these people, there’s no turning back, right?’
My hands were cold.
Someone approaches the tilted world.
It was bizarre. This person’s face wasn’t as slanted as it could have been…
“Brother?”
“uh. “Why are you in that position?”
Sima Xuan tilted his head and was looking at Jin Tianxi.
It may have been a very strange angle to others, but in Jin Tianxi’s field of vision, only Sima Xuan appeared to be straight.
It was a strange phenomenon.
Sima Hyeon continued.
“Would you like help from a blood room?”
“what?”
“Isn’t it because you are afraid that if you receive help from the party, it could easily turn into a political war?”
It was the perfect answer.
Sima Hyeon continued.
“Did you forget? The thing that is closer than Dangaui Pavilion is Geumhyeolbang Bunta. There is no place without Geumhyeolbang Bunta, even within Odogmun. And you may have forgotten, but the main business of Geumhyeolbang was originally commercial and commercial business.”
“…Not smuggling?”
Sima Hyeon chuckled at Jin Tianxi’s words.
“They do promote things that are a bit difficult to legally define.”
The world calls it illegal.
“Why are you shaking your head like that?”
“….”
Sima Xuan just laughed.
Then he said this.
“Anyway, are you going to use it? “Geumhyeolbang.”
“I’m going to ask a lot, is that okay?”
“huh. It’s money my brother earned, so don’t worry and use it. “Because this is why I went up.”
“We need more white phosphorus antibiotics. I think we’ll have to move it in bulk. And since there might be a war, we need a warrior… and a warrior from Sapa.”
“You don’t want to go to the civil war.”
Jin Cheonhee nodded.
“I actually don’t know. If you’re going to execute these people, you’ll have to fight us, and it’ll cost you more blood. It’s a very irrational thing. “If you look at it rationally, there should be dialogue and compromise.”
Sima Hyeon laughed at those words.
“But you know I won’t do that, right~?”
If that were the case, there would have been no war on Earth.
In the back of the world, people are shooting just to get a pack of cigarettes.
Throughout human history, humans have not been very rational animals.
“Can you tell me an easier way, bro?”
“Are you telling me to let go and run away right now?”
“Yes, if you leave, these people will be executed. If that doesn’t work, they’ll have the nobleman executed again. “If the plague is not cured even if the seed of the Sa clan dries up, the weaker clan members will now be executed.”
Jin Cheon-hee chuckled at those words.
“Why don’t you change the godman?”
Sima Xuan shook his head.
“If the godman was stupid and weak, he would change, but looking at his physiognomy, I thought he would do it for a long time.”
This is the physiognomy of the vegetables of Sima County.
When it comes to villains, it shows a 100% hit rate.
* * *
The village where the Sajok lived was called Hoyavaro in the local language.
In the language of the Central Plains, it means something like a cave, so it can be said to be a rather tasteless name.
They make a living by doing small-scale farming nearby and collecting fruits, poisonous plants, and medicinal herbs.
It is a village that survives by hunting wild animals, and its population is only about 200 people, including men, women and children.
Among them, the number of people who started showing symptoms of the disease was exactly thirty-four.
There are six critically ill patients, and these are those who have suffered complications such as intestinal perforation or intestinal obstruction.
That is, thirty-four mild patients and six critically ill patients.
It took almost half a day just to figure it out.
This is because Hoyabaro had to examine all the village residents and find out whether they were sick or not.
Of course, Jin Cheonhee knew that it would take a long time.
‘But we don’t have time.’
All preparations had to be completed before the god-man gathered the warriors of the Five Dog Gates and attacked.
Therefore, separate instructions were given to the four military commanders of Sima County and Baeklinui Pavilion.
The first thing we did was create a simple hospital room.
First, Jin Cheon-hee had simple tents built to isolate the patients, and the tents were crowded out on the outskirts of the village.
This was also possible because of the various documentaries Jin Cheon-hee watched in Korea and BJ broadcasts such as ‘Surviving Alone in the Forest’.
A simple tent that can be made from trees and leaves.
It blocks rain and blocks sunlight and wind to some extent.
Since typhoid fever is an infectious disease, the first priority is to isolate patients.