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Parallel World Pharmacy - Volume 4 - Chapter 7.2

Published at 22nd of August 2022 02:47:51 PM


Chapter 7.2

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Different World Pharmacy Volume 4 Chapter 7 Part 2

Volume 4 – Chapter 7: Rotavirus Infection and Abandoned Child

T/L: IonMan

“I think the patient has this kind of illness, but I want to use this medicine instead.”

And this is how it goes between Falma and Palle. Falma confirms the symptoms and various observable test results provided by Palle, and if Falma believes the diagnostic is correct, Falma hands over the medicine. Palle uses the camera to provide the photos, which are very helpful in explaining the conditions of the patient. If there is any doubt about the diagnosis, Falma directly goes to the patient after informing Palle. Palle is still two years behind Falma in becoming the first-class pharmacist, but he has begun to practice first-class pharmacist training with patients. Palle’s life is quite fulfilling.

Palle comes to Falma’s pharmacy one afternoon and enters through the backdoor with an unusual action. He normally comes through the front door, but it seems that something is wrong. He whispers to the pharmacy’s staff. 

“Is Falma around?”

“What’s wrong with that child? Is that Palle’s secret child?”

Ellen asks Palle as she stares at the infant who appears to be a few months old in Palle’s arm. However, the baby did not cry energetically like a common child, and seems to be feeble. Furthermore, the infant’s face and hair are full of grime.

“The child may be abandoned and dehydrated.”

When Palle examines by pricking the facial area of the infant, vomit is seen around the mouth. There is no tension on the skin, and the area around the eyes is depressed. As Palle lightly pinches the skin on the back of the baby’s hand, the skin does not return to its original elasticity and remains in a chevron shape. This is one way to detect signs of dehydration.

The infant’s breath is light and low heart beats. In the meanwhile, Falma prescribes all the prescriptions for the patients who are rushing to the pharmacy and hands the prescriptions to the part-time pharmacists (T/L Notes: probably Roger, Rebecca, and Celese that were mentioned back in Vol.3 aside from Lotte). The curly purplish hair Celese  takes over at the counter. Falma tells the current part-time pharmacist.

“I’ll prepare this medicine and give it to you. If you don’t see me, please wait.”

“Okay, shopkeeper.”

Celese received the prescription in bulk and nodded heavily. 

“I apologize for waiting for the medical candies. Please hand them out.”

“Oh, thank you.”

Lotte carefully distributes the medical candy, and the patients do not complain for the long wait. Lotte mentions to Falma,

“At the moment, your brother went upstairs.”

Falma decides that the infant may be infected and guides Palle with the infant to an isolation room in one of the doctor’s offices on the second floor. Falma, Palle, and Ellen follow into them and examine the infant. Falma discusses with Palle.

“It’s surprising that Palle picked up this abandoned child.”

“I can’t leave this child alone. I may be a noble’s child, but I am likely to become a commoner without notice.”

Palle lays the infant on the bed, wraps the infant in a blanket, and looks down at her pitifully.

“Yeah… the divine veins didn’t open. The parents were unhappy with the child.”

Ellen sympathizes for the infant. When a child of an aristocrat cannot use the divine power, the child cannot become a nobleman if the divine vein connection does not open. Many aristocrats think that it is shameful for their families to have such a worthless child and are willing to throw the child away among their children. This infant happens to be one of the disappointing children, abandoned in front of the temple, provided protection by the Great Church and will be taken to the orphanage. However, since the temple of the Imperial Capital is too populated, the children are placed at the eaves of a suitable houses in some cases.

A noble child with an open divine vein can measure their divine power with a divine power meter. The gauge of the divine power meter does not work for children who don’t have their divine vein open. Ellen brings over a divine power meter to measure the infant just in case, but there are both good and bad news.

“No…if we want to save this child, we can hire the child as a servant later. This is also a saving grace. I don’t want to hand it over to the current temple.”

Ellen began to consider in taking her over to the Earl’s house.

“Hmm… I mean, this kid seems to have divine power.”

Contrary to their views, Falma murmured to everyone. Falma can see a faint sparkle in the back of her body (the infant). He acknowledged that is an untouched source of divine power.

“Well, let’s begin the treatment now.”

Falma prepares clean water with his divine art’s creation, cleanses her body and changes her clothes. He recently developed a baby’s diaper and uses on the infant.

“Oh, that fits perfectly.”

The infant’s diarrhea has subsided for the time being because of severe dehydration. It seems that there is almost no water left in the body. If this happens, it is likely to result in serious infections. The infant isn’t crying or sweating.

“She is vomiting, has whitish diarrhea and a slight fever, so I think it’s a rotavirus infection.”

Palle remarks based on the symptoms. Viral infection may cause excrement of bile color (brown) to disappear on stool. He is paying attention to it.

“Can you cure her?”

Palle asks Falma, and Falma suspects a probability that Palle is susceptible to infection due to a decrease in white blood cells during his chemotherapy. Palle brings back an infant, risks his life while knowing exactly his weakened physiological condition and recognizes the potential for infection with this virus. If Palle is infected, it can be life-threatening. While not condoning Palle’s, Falma’s patient, behaviors, Falma didn’t want to waste Palle’s goodwill.

“Has it turned white?” (T/L Note: Palle knows Falma’s Diagnostic Eye and its functionalities as Falma treated him since Vol. 3)

Falma did  not use the Diagnostic Eye at first, but now he is using it as he performs the follow-up diagnostic. Everyone wears protective vinyl capes, gloves and masks. Palle, who brought the baby, throws away everything he is wearing to prevent the spread of infection and Falma lends him the lab coat meant for the part-time job staff. (T/L Note: If you haven’t noticed the talks between Elle and Palle during their magic match, you can sense the author is attempting to spark a relationship between them. Now, Palle’s buck naked. Hm..What is going through that vixen’s mind)

“White stool does not mean bile. I think it is biliary atresia.”

Ellen presents another possibility. There are various reasons for white stool, not necessarily because of virus infection. Falma smells the stool of the girl who was left in the scent. (T/L Note: Yep. SMELL IT! Ancient Chinese practices quite often, literally daily. The practice is skill continued today)

“Ellen, smell it.”

Ellen rolls her hand over the stool to capture the smell of the stool, even though she is frowning. Falma considers the risk of infection by air vector towards Palle tells him to refrain from joining in.

“It smells sour.”

“When it smells fishy, there is the presence of bacteria in the diarrhea; when it smells sour, it is viral presence in the diarrhea. Then it’s Rota.”

Palle is quite knowledgeable as he presents the result of the scent. Falma nods and says,

“That’s right, there is a high possibility of rotavirus.”

Falma uses his Diagnostic Eye again. Since viruses are so small that they cannot be seen under a microscope like bacteria to determine a definitive diagnosis. It appears to be the suspected rotavirus infection. The infant’s whole body seems to be infected, but the light is concentrated along the digestive tract. The light seen through Falma’s eyes is magenta, which is almost red. (T/L Note: red is bad as in it’s incurable). The case is treatable, but it’s quite dangerous. Never allow room for prejudice in any medical case.

Rotavirus infection was also referred to as pediatric pseudocholera. Even in modern Japan, the virus infects most infants, but in rare occasions where they become life threatening. The mortality rate is extremely low due to proper treatment with modern medical science. Falma reminises and freezes in a daze about the sweet old days in Japan with a painful distant gaze.

In developed countries on Earth, it is rare to die from this disease. However, around the undeveloped countries of Earth, 40% of severe diarrhea up to the age of five is caused by the rotavirus, and the number of mortalities reaches 500,000 per year. It’s one of the top causes for infant mortality. Infections stemmed from this virus are the most severe as the symptoms are vomiting and severe diarrhea, in which this little female infant is exhibiting. This is an acute encephalitis and multiple-organ failures can also occur.

And there is no silver bullet for rotavirus.





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