To Hell with Being a Saint, I’m a Doctor

Episode 253 Health Checkup in Elf Village (2)

The elder’s house was truly frugal.

Elves don’t do anything extravagant, but they still tend to display a few of their treasured possessions.

However, it is truly surprising that there is not even a table in the house of this elder.

The elder who woke up from the bed said.

“How come you all visit the old man’s house?”

“It seems that your condition is not reasonable these days. Haven’t you been weak all these years?”

“It must be because the day to return to Mana’s arms is not far. Aira-sama, you don’t have to worry too much.”

As expected, when the calm reaction returned, Aira looked at Ray.

“Please.”

Nodding his head, he approached the elder and squeezed his pulse.

Checking the pulse and measuring the rise and fall of the chest, it was definitely a decrease in lung capacity that comes from aging.

Auditory function in the high-pitched range is reduced by more than 70%, and muscle decline is evident.

At this level, it was difficult to think that there was a separate disease.

He just enjoys his heavenly life and returns to Mana’s side.

How many minutes did you hold the pulse like that?

Ray stood up from his seat.

“I don’t have any particular illness. Even if it’s just a temporary phenomenon, you need to take good care of yourself.”

At his words, Aira wiped her heart out.

“I’m glad.”

“I don’t know what to do with myself because you worry about me personally.”

The elder who was talking smiled slightly without knowing Aira.

The clear eyes and benevolent smile make the heart ache.

How can you not know that smile while working to save people.

The elder’s smile was that of a person who senses his own death.

As I left the elder’s house without saying anything, Aira, who followed me, tilted her head.

“…You look bad. Is there something you haven’t told me?”

He strikes the right way with his eyes learned over a long period of time.

He opened his mouth in a low voice.

“…Simply put, it’s a natural aging process. Unfortunately, in this case, there is nothing I can do.”

There is no way to prevent a natural death, no matter how modern it is with all kinds of modifiers.

It is the natural law and blessing of all living beings to die naturally from aging.

The most comfortable death of all deaths in the world.

Natural death is, so to speak, another euthanasia.

Of course, she also knows that in her head.

It was a different matter for one heart to follow it.

With a sad expression on her face, she asks with a feeling of grabbing at least a straw.

“…How much do you think you have left?”

To be honest, I can’t say anything about the lifespan of elves.

As she shook her head, Aira’s expression darkened noticeably.

“Natural death cannot be recovered. Although it can prolong life for a while, there are obviously limits.”

“Then, can’t you add a little bit to the life of an elder?”

“…I could, but I don’t really want to.”

Certainly the elder’s death is quite embarrassing to him as well.

However, the elder made up his mind and seemed to have no regrets left.

He also doesn’t want someone to die, but he doesn’t think that the act has any meaning in the current situation.

I think it is right to die with dignity rather than to continue taking futile life-sustaining measures for those with no hope of recovery.

Perhaps reading his eyes, Aira also shut her mouth.

As the heavy silence continued, Ray left a word and turned around.

“It is better to prepare your mind. It’s not that there’s no chance of collapsing right now.”

“…”

There was no answer, but it was clear that he had been hurt quite a bit.

It’s heartbreaking, but it can’t be helped.

Declaring a sick person dead is something only a doctor can do.

As she stood there, dazed, Ray left him and climbed down from the tree.

Maybe you need some time to think alone for a while.

*

I started the health checkup of the elven village without Aira and the elders.

At first, the elves, who were wary of him as a human, became quite friendly after a few years together.

Furthermore, since the disease is treated based on professional medical knowledge, it is bound to get better even if you don’t like it.

He looked at the elves lined up one by one and told them what he thought.

The health checkup, which started at sunrise, ended around the time the day began to set.

After dealing with some of them, I was taking a sigh for a while when a small elf approached.

“Only sick people… are you treating them…?”

As he said that in a low voice, a red erythema could be seen around his neck.

His eyes, which were like dried squid, changed in an instant.

Ray calmly looked at the erythema on the nape of his neck.

‘It’s about half the size of a patch beyond a macule. If that’s measles, the whole town is in danger.’

If erythema is a representative disease that can be seen, measles can be cited.

Acute pandemic infectious disease caused by a virus.

After an incubation period of about 10 days, Kopliks spots appear in the oral cavity during the rash phase.

A rash in the form of an erythematous papule occurs on the traumatic site of the neck and then spreads throughout the body within 24 hours.

Of course, if it’s just this fever, I can do something.

But the real problem lies in the complications caused by the measles.

It will most likely present in the form of bronchitis or croup (acute laryngotracheobronchitis) bronchopneumonia.

In addition, if there is a neurological complication such as encephalitis, treatment will be more difficult.

In that case, even if you put your energy into treatment, you may not be able to handle it alone.

Ray gently caressed the boy elf with a tense hand.

“Ugh…”

Her ears turned red like carrots, as if she was embarrassed to be touched by a stranger.

‘There seems to be no runny nose or fever… no cough. There’s no skin rash, so it’s probably not measles.’

He let out a sigh of relief and asked the boy.

“Where are you sick?”

“It doesn’t hurt…”

he says and caresses his neck.

Erythema seems to be a concern.

Erythema occurs for a number of reasons.

It can be caused by stimulation, or it can be caused by a lot of blood due to the dilation of blood vessels.

In other words, due to increased blood flow in blood vessels or changes in surrounding tissues, small blood vessels become visible.

What is the cause? Yes, but there are countless related diseases.

But I’m just curious to hear that it doesn’t hurt.

“Do you have a fever or something coming up on your body?”

“There’s nothing like that… It’s just that I’m concerned…”

“How long has it been?”

“It must have been seven years…”

“Eh?”

A whistling sound came out.

no, seven years?

If nothing happens for that amount of time, it’s dormant and there’s nothing wrong with it!

‘…Maybe it’s a disease that only exists in another world.’

Ray felt the erythema with his finger.

“There is no dead skin, and the border is raised. If you only look at the appearance, it is erythema of the centrifugal ring…”

If original erythema of the centrifugal ring is suspected, a biopsy should confirm it.

It is common to see a dermatologist to diagnose a skin fungal infection or lupus eczema.

This centrifugal erythema lasts for several years, and there is no particular itching, so it is worth considering that it is not painful.

He looked at the boy and scratched his head.

“I’m in trouble. It’s good to watch the progress with steroids or antihistamines….”

“….”

“What do you eat for meals?”

If you are talking about the spots on your neck, why are you talking about food?

A question arose, but the boy held it back and answered.

“…Eat fruit or Sancho.”

‘It’s a fruit.’

Depending on the fruit, some fruits, such as strawberries, can cause allergies.

It is better to be as careful as possible in a situation like this.

‘I’ll have to do what I can and watch the progress.’

Ray advised him to avoid fruit and drink plenty of fluids.

I didn’t understand why they told me not to eat fruit to get rid of the erythema, but the boy just nodded silently.

With the elf boy at the end, all the elves’ health checks were over.

After looking at Aira’s house for a while, Ray struggled and left the village behind.

*

About a week after the health checkup, Ray found the boy again.

There are still spots on the back of the nape, and you can see dead skin that wasn’t there before.

This was a very good thing.

Centrifugal erythema does not exfoliate when deep.

However, the appearance of dead skin cells that had not been seen before meant that the erythema had become shallow.

‘Not eating fruit was the correct answer.’

Of course, that alone is not a complete cure.

During the week, Ray focused exclusively on herbal formulas.

One drug was successfully completed, although it did not reach the desired level of completion, probably because the five years of study had been quite successful.

It is a drug that has an effect similar to that of the first-generation antihistamine, Piprinhydrinate.

I made something similar to an antihistamine based on the structural formula of the ethylamine group, but it was easy to manufacture because the extracts matched better than I thought.

If there is a problem, is it that only a very small amount could be produced?

It’s a very difficult herb to find, and when I squeezed them out, the contents were not much, so it was unavoidable.

In addition, side effects are much higher than modern antihistamines.

If you do it wrong, you will also have problems with your bronchial tubes.

However, for myself, who is not a professional pharmacist, this was the best.

He pulled out some small tins from a leather pouch attached to his waistband and handed them to the boy.

“What’s this……?”

“When you have a meal in the future, eat it together. Your mouth may be dry or you may feel sleepy, but you don’t have to worry too much about that.”

“…portion?”

When he asked with round eyes, he smiled and stroked his hair.

“Yes, it’s a potion that takes a week to make three bottles.”

“Thank you.”

He bowed his head and bowed.

Since that figure was that of a young child, a different feeling came to me than when I saw Lacia.

Even though he was moved, he waved his hand while carrying a leather backpack on his back.

“I’ll come back in a week. Be well until then.”

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