Chapter 85
The Crown Prince That Sells Medicine Chapter 85
Episode 85 How to prevent reperfusion damage (3)
I know that when a blood vessel is blocked, it can be unclogged. I know it will be okay once the blood starts flowing again. Most people know it that way. Before I took a related class, I only vaguely thought it was like that.
But that’s not true.
What if I just pierce a blood vessel? Rather, something big happens. More serious tissue damage is caused by splash damage.
‘It’s because of reperfusion damage.’
Rachiel looked back on her memories.
Reperfusion injury. It was extensive damage that occurred when blood flow was suddenly re-opened to tissues that had been deprived of blood supply for a long time.
‘Symptoms of calcium overload occur within cells. So the mitochondria within the cell are damaged. Reactive oxygen species such as hydroxyl radicals, which are produced in large quantities, cause inflammation and excessive aggregation of white blood cells. In short, it destroys the tissue in detail, starting from the cell level.’
To compare?
Feed 100 servings of chicken to someone who has starved for 10 days. Asking a person who has been abstinent for 10 years to drink a 100 liter shot of vodka. Or having a patient with severe muscle loss who had been bedridden for 10 years do 100 kilogram squats.
It would be a similar action to…etc.
‘In short, it’s something you shouldn’t do hastily. That’s exactly what reperfusion damage is.’
So, you shouldn’t just pierce the blood clot. Save the emperor or whatever, but it’s just ruined. It is necessary to take concrete measures to prevent reperfusion damage. With that thought in mind, Rachiel looked at everyone.
“From now on, I will try to solve your Majesty’s paralysis symptoms. But before that, there are some preparations you need to make. “That’s freezing magic.”
He added as if it were obvious.
“Because we need to lower the body temperature before the paralysis can be resolved.”
That’s how it should be.
That’s best.
How to prevent damage from reperfusion injury? It is important to lower the body’s metabolic rate as much as possible.
‘That’s because rapid changes within cells are reduced. To this extent, tissue damage due to reperfusion injury can be minimized. To do that, there is no more efficient way than lowering the body temperature within a safe range.’
Hypothermia therapy. It was actually a treatment method used at university hospitals for patients expected to have reperfusion injury. Rachiel added a simple, plausible explanation.
“Your Majesty has been paralyzed since last night. But what if the paralysis suddenly lifts? Your muscles will be damaged by sudden shock. There may be serious aftereffects or disabilities. That’s why. When the body temperature is lowered using freezing magic, first it relieves paralysis and then warms the body and soothes the muscles.”
“Ah…”
They didn’t talk about blood clots, strokes, or reperfusion damage. If you say nonsense, you won’t understand. Because it will only raise questions and doubts about the source of knowledge.
Rakiel sent someone. Court wizard Sir Janetis was urgently summoned. And then I looked back at the archbishop.
“I have something to ask the Archbishop.”
“…yes. “Please ask, Your Majesty.”
The Archbishop took a breath and answered. Rachiel asked.
“It’s the divine blessing magic I used a little while ago.”
“Yes, Your Highness.”
“Could you please rewrite it in three or four hours? “You look very tired right now.”
“Oh, that’s…”
I asked just in case.
What if the tissue is regenerated with divine blessings immediately after removing the blood clot with the assistance of freezing magic? I thought that maybe I could treat the emperor without any aftereffects. However, an embarrassed look appeared on the archbishop’s face when he was asked the question.
“I am truly sorry, Your Highness, but that is impossible.”
“Why is that so?”
“Because Divine Blessings can only be used once a month.”
“…okay.”
So close. After hearing those words, I felt belated regret.
‘Tsk. If I had known in advance, I would have saved that opportunity.’
But now it was inevitable.
‘Then I’ll have to first remove the blood clot and focus on rehabilitation for a month. After improving the condition as much as possible, you can regenerate the damaged brain tissue with Shinsungbukwon.’
There is still hope.
So let’s not give up.
Rachiel made a promise. Meanwhile, another question came to mind.
“Then I have another question. Is it possible for me to learn divine blessings?”
“Ah, are you saying you are going to convert to faith?”
“…yes?”
Return to faith?
The archbishop’s eyes, which were full of fatigue, suddenly brightened with a devout missionary spirit.
“That’s a good question, Your Majesty. In fact, faith is not far away. Of course, this also applies to someone with a noble lineage like Your Highness. Therefore, sacred prayers, which may seem sacred and at the same time difficult and distant, are actually open to everyone. “As long as you have a devout heart and the will to do it.”
“You mean a devout heart and a will to act?”
I asked just in case. It’s going to be tricky to learn. But once you learn it, it will be of great help.
‘If you combine oriental medicine and divine blessings… it will be much easier to get bonus life. No, I might be able to heal my body before that.’
Anticipation bloomed brightly. I asked with a pounding heart.
“Then how can I learn it?”
“It’s simple, Your Majesty.”
The archbishop smiled kindly.
He said it as if it was no big deal.
“You just need to stay away from the opposite sex. Let alone physical relations, you don’t even have to hold hands. All you have to do is not engage in any conversation or make eye contact for more than 3 seconds. And you don’t have to stay in the same space and breathe the same air for more than 3 minutes. Just like that, you can devote the attention and love you would give to the opposite sex to your faith.”
“….”
“You just need to practice that for 30 years, Your Highness.”
“Yes?”
“It’s only 30 years. In the name of faith, it is not that long of a time. Just practice it and you will receive the blessings of divine blessings. How is it? “Isn’t it really easy?”
“….”
Wow!
No, even if it was easy, I didn’t want to live like that(?).
It was around that time.
“Your Majesty, God Xanethis, has arrived at your summons.”
A familiar voice came from the door. Soon, Sir Janetis came inside. When he saw the emperor’s appearance, he was astonished and stopped walking.
I roughly explained the situation to him. This is why the emperor is in danger. He said he would start treatment. The Lord’s help is absolutely necessary for the treatment.
“…So, are you telling me to use ice magic on your Majesty?”
“uh. “That’s it.”
“Do you really mean freezing… magic?”
“huh. “As cold as possible without dying.”
“….”
“You’ve worked with me before, right? When treating a child with epilepsy. It’s similar to back then. Back then, you used lightning magic that was controlled enough to keep me from dying, right?”
“But…”
“It’s the same as then. It was originally a magic with powerful and lethal power. The same goes for freezing magic. But since it’s a miracle, you can control it. “Just enough so that no one dies.”
“….”
“So, I definitely need your help. “Without that help, His Majesty will become even more critical.”
“Is that true?”
“then. “Should I tell a lie?”
“….”
Sir Janetis looked intently into the crown prince’s eyes. To be honest, I had some doubts at first.
What if the emperor dies now? The crown prince will inherit the throne. So perhaps the crown prince harbored a misguided desire for power. Could it be that he is trying to abandon the affection of his blood relatives out of his desire for the throne? To fulfill that desire, isn’t it possible that they are trying to harm the emperor with this side’s hands?
I also had doubts. But those doubts were completely blown away after a while. It was because I was reminded of the political moves the Crown Prince had shown until recently.
‘Actually, His Majesty’s actions… were difficult to view as those of a person with a thirst for power.’
The more I look back, the more it was a unique move. In the villa, only patients with severe illness were cared for. He did not interact with any major nobles of the imperial capital.
Ask them to support you. Cut ties with the 2nd prince and take control of your own. He promised that he would give him some kind of honor if he were to sit on the throne in the future. No attempt was made to do so.
A person who has no greed at all. Or, it was the behavior of someone who thought he would never sit on the throne. That was really strange.
‘of course. Because simply inheriting the throne does not give you power. Because you need the support of numerous nobles to be able to exercise political legitimacy and influence. But the crown prince didn’t pay any attention to that. No arrangements or preparations were made. So… I guess it’s worth trusting that strange command for now.’
Sir Janetis came to his own conclusion.
“…I understand, Your Majesty.”
I nodded.
I never thought the day would come when I would use ice magic on the emperor. I didn’t even know that I would be tasked with controlling it ‘to the point where it doesn’t die.’ Still, I thought I should give it a try.
“good. “Thank you for trusting me.”
A satisfied smile appeared on Rachiel’s lips.
‘Anyway, I can try it now.’
Preparations began immediately.
Fortunately, I had all the medicine and tools needed to remove the blood clot. I took out the Minotaur Hwangcheongsimwon that I always carried with me as an emergency medicine. Dissolve it carefully in lukewarm water.
‘This will be possible. Because it acts to dissolve blood clots. ‘We may be able to expect the same effect as the t-PA (tissue-plasminogen activator) used in hospitals.’
It was Minotaur Hwangcheongsimwon, whose performance has already been proven through the treatment of angina thrombosis. In addition, I received help from Kkosomi.
“Kid? I’m thinking of borrowing some thorns today too. “Are you okay?”
“Little girl!”
Pyeopbyopppp-!
The little girl winked and her whole body trembled. When I put pressure on the small, plump muzzle, white thorns came out. In this way, preparations for acupuncture were prepared.
“Lord Janetis?”
“I’m ready too.”
Sir Janetis nodded. Highly controlled magical power turned into pure white frost and flowed from his fingertips. A blood clot formed in the emperor’s head. We are ready to melt it safely. Now there is no need to hesitate or wait.
“Let’s begin.”
Rachiel took off the Emperor’s jacket.
As everyone watched with nervousness, Lord Janetis’ controlled ice magic was sprayed on the emperor.
Shaaaaa…!
A curtain of pure white frost covered the emperor’s entire body. Rachiel activated acupuncture point scanning and carefully observed the situation. The emperor’s skin gradually turned pale. The flow of mana flowing through the blood vessels slowed. The body temperature dropped and the whole body’s metabolism slowed down.
My heart rate went down. My breathing slowed down. The movement of internal organs slowed down. The blood clot in my head and the flow of mana around it also slowed down. The moment the emperor’s state entered a semi-suspended state.
“stop. From now on, keep it.”
Sir Janetis quickly lowered the output of his ice magic. Rachiel lifted up the emperor’s upper body. Minotaur Hwangcheongsimwon dissolved in water was carefully fed.
slowly.
Without a single drop left behind.
It was confirmed that everything was consumed safely. And I picked up a white thorn. Aimed at the emperor’s body. I took a deep breath.
‘From now on, there cannot be an error of even 1 millimeter.’
Each acupuncture point was visible through scanning. The ingredients of Minotaur Hwangcheongsimwon were being absorbed into the emperor’s stomach. The ingredients and energy were spreading throughout the body. It also reached the blood clot blocking the cerebral blood vessel.
The blood clot began to dissolve. He moved right away. Dissolving blood clot. Reperfusion injury that occurs thereafter. To prevent fatal secondary damage. To prevent the side effect of cerebral hemorrhage due to damage to the blood-brain barrier.
Rakiel’s hand moved like a flash of light. A thorn pierced me. One after another. Without hesitation.
Toot! Too-too-toot! Too toot!
Thus began Rakiel’s silent treatment, or rather a war, to prevent reperfusion damage to brain cell tissue and the side effects of cerebral hemorrhage.
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