Jui-san no Oshigoto in Isekai

Outside Medical Procurement in Different Worlds Part 2

It was the morning of the second day since I was quarantined by the central tower.

Windmills started work quickly with research materials they brought in to make sure there was no particular change in their physical condition.

"You like it again. What are you doing in a place like this?

Liz sounded surprised when she grabbed Tarai in front of her in a corner of the room.

Apparently, what the wind is doing looked odd again.

"I'm making surgical sutures."

"... so?

"Now."

What I showed by lifting it from Zabba Tarai is the small intestine serosa membrane of sheep - that is, the thin skinned surface of the small intestine.

The general public would also be somewhat familiar with membranes that are said to be peritoneal, mesenteric, small mesh, mesh, serous membrane, etc.

Especially when it comes to large nets, it is a part of Chinese cuisine that is said to be made of mesh fat and so on.

Simply put, pleura and peritoneum are large bags for putting organs in.

Called mesenteric membranes, mesh, etc., are membranes that connect organs to prevent them from twisting or intertwining.

The serous membrane is a thin skin that protects surfaces such as organs.

This serous membrane holds the thin skin of the intestine by hand and can be peeled off if the back of a bladeless knife is slipped.

In surgery, cutting and peeling with a blade is called acute peeling/sharp peeling, and peeling without a blade is called blunt peeling, etc.

The latter is primarily a means used to open tissue without damaging blood vessels or nerves, and there are many uses, even in surgery.

This time it was utilized to peel off the serous membrane without damaging it.

"You don't understand. How does that get threaded?

The small intestine serous membrane the wind is holding is just as wet as a handkerchief and far from looking like a yarn.

Besides, she didn't seem to see it as a yarn because if I pulled it, it would also stretch.

"Well, you can't do it as it is now. Put it on an alkaline juice like ash or something and drain the fat and leave the protein behind. And then it gets harder, so now we're gonna stretch it out uniformly and thread it. The rest is largely complete if you use sulphur dioxide and other gases for embalming. You call that cut-good, it's pretty strong, and it's sunny, right?

"I prefer bowel meat packing."

"Hormone miso sautéed or offal pan would be nice. It would be nice to add udon to it."

"Udon?"

It seems Liz is still not interested in medical practice.

What's that? and he looks intrigued by the food, and one day he might be happy to cook Japanese food for him.

Anyway, cut good is so sturdy that it is sometimes used as a string such as violin or cello in yarn made of protein.

It also has the advantage that the body can absorb even if it is used as a suture because it is made of protein without removing the suture.

When I said that, Liz twisted her neck.

"If we could sew anything else, we'd be together, wouldn't we? That's the yarn right there."

"No way. For example, if you sew your gut with a thread that your body can't disassemble like silk thread, you're in big trouble, right?

…… Really?

Liz can't seem to imagine much, but the point of being able to absorb this is very important.

There is a general classification of sutures used in surgery.

Natural yarn or synthetic yarn?

Yarn that can be absorbed or not?

And it's either a single yarn or a few knitted yarns.

Of particular importance is whether it can be absorbed and whether it is a single yarn or a knitted yarn.

Of course the yarn stays in the body if used for internal organs and blood vessel sutures.

If you want to pull that out later, you will need to cut your body again, so there is a thread that your body can really absorb to sew the internal wound.

If you ignore it and sew it with yarn that you can't absorb, and leave it, if it's bad, the rejection will necrotize your surroundings.

Something bad happens when, even if it's good, it's hardened by scar-like tissue and the function of that part is restricted.

In addition, whether it is a single yarn or a knitting yarn has problems with strength and content suction.

Because skin surfaces can rub, you need strong threads like knitting threads.

However, the knitting yarn really creates a gap inside because multiple yarns are intertwined.

Using knitting threads like this for sutures such as the intestine overflows intestinal bacteria from that gap, and a single thread is needed to cause harm.

Natural or synthetic yarn simply becomes a matter of cost and manufacture.

However, natural yarns are easily recognised as foreign objects for things made by organisms, and they also have the difficulty of being prone to rejection, but this is a part of the world that cannot be helped by boulders.

It's not so much a problem that I can't use it, so I just have to close my eyes for a second.

... and why don't you scratch it and explain it?

"That's why. See what you're doing?

"Hmm?

……

Liz leaned against the wall and was jealous.

He finally noticed where he pointed his voice firmly, and his pompous face lifts.

She said she did all sorts of detailed explanations, but she was dripping from the edge of her mouth.

I have a grudge against her, but she bites my yawn to death at my pace.

I have finally responded since I went as far back as stretching.

"It's boring to talk about Singo."

"I'll knock you down, you!

"Oh, I'm scared. But can you catch me on the strength of Singo?

You can't just not chase me if I'm so provoked.

Even as I made that crisp face, the wind suddenly jumped to let the idiot who forgot who to wipe blow a bubble.

That's how a few minutes went by.

He struggled - after all, he couldn't.

Liz slipped through her arms like a leaf of a tree dancing through the universe, and just laughed proudly at her for winning.

The results don't change no matter how many times I try to chase it, even though it's a small indoor.

On the contrary, the tired and fading wind gaze had made it impossible to even follow them gradually.

"Ha ha. Enough..."

"What? Are we done here?

"It's over. It's over. I don't feel like I can win."

A wind view with hands on your knees and breathing.

I couldn't help but hate the tail shaking happily once in a while in front of me, but it's not enough of a concomitant effort to reveal this dog's nose.

We're running out of time now, and it's not time to play with Liz.

He drinks humiliation and gives up.

"I can't do fine work unless it's bright, so I'll see you later."

"... Mmm, that's boring"

"Don't tell me."

Liz gave me the usual look when I was in a quarantined place like this, but I threw away the wind and went back to my desk.

The cut-good person had to put it on for a while, so now I just had time to hit a different case.

The wind gaze looks at a bunch of parchment paper that is on the desk.

"What's that?

"Here's a copy of the church book Chloe gave me. You're the one who held down Hydra's general population and some cause of death."

According to this, Hydra's population is to the extent of more than 20,000, and the cause of death is only roughly described as how many percent of the general body diseases, how many percent of the digestive diseases, etc.

but I can't help but know a lot about disease yet in this world.

Instead, it was just a money-making thing to grasp just the demographic and disease trends.

"There are many systemic diseases in infants, with systemic and respiratory diseases accounting for the majority of deaths, even among all ages. You've been suffering from diseases of the digestive and vascular circulatory system ever since."

"I don't know how to die. I guess it all changes. What's the point of looking into that?

"I do. If you know the cause of death, you just have to take care of it, so it's easy. If you get hurt, it's with treating you there."

If you ask me, Liz seems convinced.

Even with the result of dying, she must have also realized that there are some types of causes of death.

For example, it is easy to take action if you know how many cuts have been made to injuries that occur in the workplace, and how many burns - etc.

Along with that.

The top ten causes of death in low-income countries, announced by the WHO, rank bronchitis and pneumonia, diarrhoea, AIDS, ischemic heart disease, malaria, cerebrovascular disease, tuberculosis, low birth weight, trauma at delivery, and neonatal infections.

Based on that, we could speculate on the cause of the illness by comparing it with previous systemic and respiratory diseases.

"If you're in this world, as you skip AIDS... Hey, Liz. Many people over here die of pneumonia, diarrhoea, parasites, newborn diseases, and then normal infections?

"I've never looked into it and I don't know the details. But there won't be any food to starve to death, or a lot of cold to death where you've lost weight and faded. And then sometimes people who don't have a home freeze to death. It's a rare category to rot and die from a knife wound."

"Oh well. Then basic disinfection and food seem important after all. If that's all you've got, you probably won't have to die."

Organisms are highly immune, and if they have enough food, they don't often suffer from dying illnesses.

All the more so if that's the young body that gives birth to the child.

Approximate adults survive without antibiotics as long as minimal disinfection is in place to avoid common infections.

However, that alone can only be a "measure to maintain the population”.

If I wanted to increase my population, the story would change a little bit.

"You say it around again. So what happens to all but that adult?

"It won't do much good. It also says in this dossier that Hydra's population is 20,000. Every year there are about five thousand dead and a little over five thousand born. Of these, about 60% are under five and the rest are older. The only remaining adults are dead in their twenties or thirties, on average. How do you know this difference in mortality?

"It's just that kids and old people are weak, aren't they? Adults just die on average from serious illnesses, etc. So it will."

"I agree with Liz. I think children and the elderly, no matter how much food they have, have a weak original immune system, so they're susceptible to losing their lives from infections if they don't subsidize it with medication."

In the Middle Ages, he said, the newborn's mortality rate within a year was twenty-five percent.

The current situation follows parallel lines with this mortality rate.

That was the same trend in ancient to medieval Europe.

But when food and health care were ready in the industrial revolution, the population exploded.

The population is exploding now that there is a minimum of food and health care in Africa even without satisfactory food.

In other words, if we want to increase the population, the question is how to save the lower age groups.

This is the same thing with increasing livestock production as well as people.

There will probably be no significant difference in mortality or causes of death between people and animals when it comes to this world.

Besides, the way we dealt with the disease was basically the same. These should have been saved at the same time.

"Then what are we studying now?

"If you disinfect, pure liquor, hot water and lime will suffice, so all you have to do is write about it and make it known even to the extent of the manual. So what you need is medicine. I think if we could have antibiotics and parasitic drugs, we could have at least less than a third of the mortality rate right now."

"It must be a lie to a doctor."

"Well, I guess so. I think it's magical to have a medicine that can fix a cold."

Among the top ten causes of death, pneumonia, neonatal infections, etc., are often attributed to bacteria.

That famous tuberculosis is also bacterially caused pneumonia.

Diarrhoea is both bacterial and viral.

Some diarrhoea, O-157, etc. are the former, and diarrhoea when you eat oysters, etc. is common norovirus.

These should have kept the mortality rate down to a single digit as long as there were antibiotics that worked properly.

Parasitic infections are always refrained from occurring around the thirteenth place of the cause of death, which is also an important disease.

Besides, malaria is a protozoa that infects red blood cells, so this is also a parasite.

I can handle most of this if I have medicines for worms and protozoa.

If I specifically say it in the name of the medicines I use in modern times, I want antibiotics: tetracycline, aminoglycosides.

If there is a worm called ibermectin, or a protozoa called a sulfa agent, it can almost certainly be treated.

With these, it is possible to double the population in less than five years.

"How do you prepare that medicine?

"Antibiotics, for one, have to catch and cultured microbes. If it's worn down, it's got some stars, but it's not necessarily here, and if it's possible, it seems faster to go over the medications that have been used in private therapy."

If you're an antibiotic, you can culture microbes here and discover them like penicillin.

The choices are so wide that antibiotics have been made from bacteria called rheumatoid fungus in the drains as well as from rheumatoid mold.

However, its breadth is also an issue.

There are tens of thousands of antibiotics that have been discovered so far, but only about a hundred species are being practiced.

It is difficult to discover what works to the extent that it can be used properly.

I can only rely on my luck for this anymore.

There were plants for deworming that the parasite medicine was an old way of doing it.

For example, the sap of a plant called Sendan has been used for worming. This was as common a plant as it was native to Shikoku and Kyushu in Japan.

These plants and other medicines are called biologics, and the morphine I made before is a medicine extracted from opium, which is a biologic medicine.

When you try to make antibiotics and antiparasitic drugs, the first thing the wind watch should do is two things.

First, antibiotics have to make colonies cultured with each bacterium to find out which bacteria produce antibiotics.

Why should it be cultured alone, because it would be difficult if there were also a mixture of fungi that secrete toxic ingredients with antibiotics.

Next thing you know, you should look for information on biologics that have been used as insect drops in parasitic drugs.

Otherwise, we'll have to give the tunnel a live pill against the parasite to make sure.

The research, which sounds like such an even authentic task, doesn't seem to fit Liz's gender, and she was listening with a face that seemed boring.

"I still know the disease, but I think it kills people like a parasite."

"Ghoul's like a parasite, isn't he?

"That's with the disease for me, too, as far as I can see. When it comes to parasites, it's the only thing that lives in my belly."

"It's a worm. That's certainly a lot of less harmful stuff, but if you get seriously infected, it's still gonna be life-threatening. The type that affects the digestive tract is less harmful, but the one that affects the liver is quite harmful. Besides, in my world, about 70% of people in the developing world were infected with something, so I think they're still infected here."

"Hmm, that means to me too?

"Uh...,"

Chances are, it can be enough, but it's hard to say to face to face and it makes the wind look away.

But Liz wasn't stupid enough not to look into it.

She rubbed her stomach with an anxious face wondering if she was in it, and she seemed slightly disgusted.

"How do we find out about that?

(Hear that!

Liz comes up with the most difficult questions the wind sees.

I was reminded of a faecal test using serohan, but I can't believe I'm blushing about the scenery.

Yeah, it's easy to get a verdict because people who look into it and people who can look into it don't face to face.

Against the face, and it's all kinds of shitty to explain that against the opposite sex. Socially bad.

How do you make kids? and so troubled that the child asks, the wind gazes and sweats.

Realize it. Ignorance is sin.

"Uh... a cow would look at his anus to make sure, or dissolve the manure in water to make sure with a microscope... This way, there's no other way."

"Well, I see. That's how we're gonna find out."

Arms together, she nodded quietly, her eyes often closed.

The figure looked like a judge contemplating the verdict, and the wind gaze was frightened to see what was going on.

She stood still for plenty of thirty seconds or so, but she seems to have had a rough time getting a verdict.

"Well, I'm a slave too. If you tell me to take it off, I'll take it off, and if they tell me to open my crotch, I'll do that. Managing tools is also the Lord's job. I wouldn't refuse if Singo wanted to."

"No, you know what? I don't think Liz or anything like that is going to be a healthy gesture, so let the woman take charge of it and go after it again."

"However, you have a different sense of resistance than taking it off. Honestly, I've never been in this mood before."

She didn't seem to have many wind words in her ear with her thoughts.

Is it uncomfortable to be beside him, holding himself.

"Whoa, hey, stay a minute! When am I supposed to find out!? It's a cow! I just said it's the cow's way!

"I'm a dog, too. It's a slave, and it's like the same livestock. Of course, Singo's for medical purposes, and he's probably worried about the other guy. But..."

"Oh yeah, I'm not even thinking about the weird stuff! It would help if you understood. From now on, I'll take that into account."

"But let me just say this. You pervert."

"You don't understand...!

Rarely did Liz leave like a normal girl, and she ran away somewhere.

"Ugh, it's also a necessary medical practice, so I can't believe it..."

Such a verdict pierced his chest deeply, and the wind gaze spent most of the day in 'orz'.