Parallel World Pharmacy

Chapter 8 Lesson 2 Imperial Surgeon's Guild and Rabies

On the outskirts of the Imperial Capital of Saint-Fleuve is a large civilian mansion with a long history.

Surrounded by multiple hedges of wild roses, it was called the Rose Mansion of Agata.

This rose mansion, marked by a large sculpture of a medical deity on a gate post, has a different name.

The headquarters of the Imperial Surgeon Guild of Saint-Fleuve.

This organization is an alliance for civilian doctors of the Empire, with barber surgery as its predecessor.

Specialized in trauma, resection of ulcers, enema, wound treatment, haemorrhage, perinatal management, etc.

Sometimes, there are doctors who run a barber's shop as a part-time job.

Basically, I don't see anything but civilians.

Part of the reason why the surgeon guild is located in a remote location stems from its history of unhappiness.

In this world, for a long time, medicine was a medicine using herbal medicine.

The barber surgeon was considered to be a profession that assumed responsibility by dealing with blood, and was placed one step below the Imperial Pharmacist Guild in the noble world and the civilian world.

Unlike the Pharmacist Guilds, which fattened their own stomachs against the windfall and built luxurious mansions in various places, the inability to form a dignified guild in the heart of the Empire also smells like a remnant of persecution.

It is said that the surgeon who raised his position in the empire was Claude de Chauliac, a surgeon with the patronage of the physician god, who succeeded in his ancestor's tumor removal surgery and took the position of chief surgeon.

He protects civilian hospitals and hospitals, and continues to give barber surgeons a certain budget through advocacy with the emperor.

Claude's mentor was Dr. Agata, the master of this rose mansion.

Although she is now a civilian, she was originally a private surgeon and developed numerous surgical procedures.When I learned that Claude had overtaken me in the court, I begged the temple, sealed off my power, descended into the common people, and pulled myself back to hide here for decades.

She threw in the goods she had built as a doctor, organized the barber surgeons of the common people, communicated the surgical techniques, and set up the surgeon guild.

However, since it is a civilian organization, there is no interaction with the Imperial Marshal Corps or the Imperial Medical Association, which has doctors of the nobility as its members.

At the age of eighty this year, Agata invites about twenty leading civilian doctors from all over the empire to the meeting table, mimics the rose hip tea she raised in the garden and the cookies kneaded with herbs, and reads the agenda with anxiety and sadness.

“There's been a recent increase in civilian deaths in Empire hospitals, mainly on the border.”

Last month, the report was also raised as a matter of concern.However, it has deteriorated significantly this month.

“Yes, that seems to be the case”

Agata is reading the material.

"The Imperial Physicians Association adopted the medicine of the otherworldly pharmacy run by the court pharmacist Pharma, which is headed by both noble and common physicians, for preoperative and postoperative management.Since then, we have achieved remarkable results by defending the surgical site, blood vessels and blood flow against infection as recommended by the nurse, and by transfusing blood in cases of severe bleeding.You once invited a Pharma teacher to the Medical Association headquarters for a training session.It was going well, it was supposed to be... "

As a radical reform, the Imperial Medical Association stopped treating blood stasis, which had been in great demand until then.

If there is anything, it is blood. Even if I don't know for sure, it was easily used for blood loss, and the patients also wanted blood loss. According to the Pharma report, it was a harmful treatment rather than meaningless. By waving an agata flag, except in the case of true hypertension, it was prohibited for all doctors throughout the empire.For this reason, the income of each hospital that was used for pockets for patients with hemorrhage has been drastically reduced.This is a difficult situation due to the reduction in revenue.Agata's sigh deepened.

"Agata-sensei..."

"I wonder where I went the wrong way."

Agata wondered if it was wrong to follow Farma's policy.

I wonder if the treatment developed by the nobility will be able to save the civilian population.

“The knowledge brought by the Pharmacist was innovative, based on solid theories.I've had bad eyes, and I put down a slut ten years ago.However, as a single surgeon, I believed in the shortest way to establish surgical techniques that do not rely on divine techniques, and in the leap of surgical technology.But that hope is about to fade away. ”

Agata takes off her glasses and takes a deep sigh.

"If I had been 20 years younger, I would have forgotten my bedtime and thoroughly investigated the cause."

In this world, surgeons have a heavy burden on their eyesight, concentration, and prolonged surgery, so if they lose their strength, they will retire, give way to backwardness, and devote their careers to management.Very rarely, some go back to the barbershop.Because it's a job that can't be done forever, I wanted to show my junior a sign, and Agata strongly hoped so.

Wait a minute, please.

A veteran doctor at Donald Hospital in the heart of the Imperial Capital raises his hand, which is engraved with deep wrinkles.

“In my hospital, there is no change in surgical outcomes.Rather, we are following the path of improvement. ”

The light shines on the argument that had stood in the dark clouds.

"Oh, is that so?"

"It's true."

“Dr. Donald's hospital is the closest one to a pharmacy in another world.Will the Pharmacist come to your aid?I hear it's been thriving lately.Are you benefiting from a pharmacy in another world? "

Another doctor in the Imperial Capital bumps into Donald for more trouble.

"Yes, if you need a blood transfusion, a pharmacist from another world will come directly to you."

Donald was hung up on an unexpected bullet.

"There is an aristocratic pharmacist in the otherworldly pharmacy, and the aristocrats will use divine magic... if you come to support me... I'll use purification magic?"

"No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no,

Haha, I see.

"But Dr. Donald envies me, I'll move to another world pharmacy too."

A doctor next to Donald describes the advantages of Donald's hospital location.

Other doctors also turn to envy.The results of treatment are directly linked to the prosperity of the hospital.

"Noble doctors and pharmacists laugh with their noses and don't come to support civilian doctors."It's nice to pay in front of the gate, only a pharmacy from another world can handle it. ”

Agata took a stray bullet from an unexpected place, and coughs up the nobility and the common people in an uncomfortable position.

"That's right, I'll treat you while using the noble doctor, the pharmacist, and the purification magic."But isn't that the case, Donald? "

"Yes, Master Pharma won't do it."I've never had a purification spell.If the performance of the hospital in the periphery is poor, we should examine the case better. "

Although it can be said to divert criticism, Donald asked for a bird's eye examination.

“That's right. Aggregates show a significant decline in animal bite care.Looking at the surgical examples, none of these are serious bites. ”

What's the cause of death?

"Fever, confusion, and ultimately death from coma."

"I thought you were infected with something."

The concept of infection has spread rapidly over the last few years among physicians and pharmacists around the world.

It was revealed by the discovery of a microscope that part of what was now called a malignant epidemic was due to an infection.By learning the concept of infectious disease, syndromes that were once feared as dead diseases, such as black and white death, became infectious diseases that could be treated.

Surgeons' natural enemies and wounds can now be prevented from rotting.

By learning to control infection, the Imperial Capital is now the safest place in the world to give birth.

Everything has changed.Pharma spread the word to the world.

There were many who believed in him, and the Imperial City was saved by his hands many times.

"I thought so, too.I sent the specimen to the Imperial Pharmaceuticals Clinical Laboratory using my old teacher's name.There's an elite team of engineers trained by Pharmacists.But I didn't get anything. "

The results of large-scale pharmaceutical tests are based on the most advanced science and technology in the world.There is nothing I can do to deny that it is not an infection.No more judgmental material to put into question.

Infectious diseases are outside the surgeon's area of expertise.

Isn't it because you were bitten by an animal possessed by evil spirits?

Dr. Donald lined up everything he could.Agata sighed heavily.

"In that case, it's the most troublesome, and there's no way to hit it."The evil possessor has no choice but to see an aristocratic surgeon or call a guru. ”

Civilians cannot cast evil spirits.

And there is no aristocratic surgeon to check on the civilians.Donald is not convinced.

"Can I bring back my case report?"

It doesn't matter, let's split up and find out the cause.

The doctor's guild had a big problem.

Dr. Donald headed back to the Imperial Capital and headed straight for the Alien Pharmacy.

(Whatever you say, you despise it!I look for wisdom)

It's the pharmacies in the neighborhood that I'm counting on more than my colleagues in the distance.

Donald swallowed the words of Farma, who said he wanted me to talk to him about everything, and decided to talk to him.

(whether it's a social gesture or not, I'm sure he'll come to an answer)

I was in time to close the store, so I burst into a pharmacy in another world, and there was no Pharma there.A pharmacist named Eleonor responded.

“Oh, Dr. Donald. Unfortunately, the owner isn't here right now, but what is it?”

Well then, I'll be back tomorrow.

Donald stepped on her, wondering if Eleonor had more than she could handle.

Is this a conversation that you can't do unless you're the owner?

Donald hurriedly denies that Eleonor seemed discouraged.

"No... whoever knows more"

"Then I'll ask."At least, it doesn't have to be solved, just a matter of business. "

Eleonor smiled familiarly and closed the store.

I'm sure you're going to listen to me carefully.

I want to hear it too!

A large young man with a refreshing impression came along.It says Roger on the name tag.

Can I come too?

The name tags of the gathered pharmacists read Selst and Rebecca.Donald gets overwhelmed when four finished noble chemists surround him.

(Surrounded by aristocrats is a luxury!)

Donald quickly revealed the problems faced by the barber surgeons along with the materials, while still getting a little more visual.

Eleonor, who was browsing the materials, nodded convincedly and took a thick textbook.

Open the Bassa and textbooks and show them to Donald.

"I suspect rabies."

“It's a gift”

Yes.

"Neither do I."

Three pharmacists nod after Eleonor.Everyone who heard the story said so.

Donald couldn't react.

(Eh, how do you know in such an instant?These pharmacists all have the same amount of knowledge as the chief court pharmacist's Pharmacist!)

Donald reads the summary section of the indicated items.I have an infection.

"But it's not an infection," said the laboratory of Imperial Pharmaceutical University.

Donald shows a copy of the inspection results borrowed from Agata.Eleonor confirmed the test items and shook her head sideways.

"This item is not possible."The rabies virus is undetectable in the Empire Pharmaceutical Cathedral.Ah, look. I knew it. "

As a precaution, Eleonor seemed to have checked the internal documents of the clinical laboratory of Imperial Pharmaceutical University.

"And what kind of specimen did you give me?"Is the patient alive?Saliva, cerebrospinal fluid, corneal smears, cervical skin...... "

Rebecca wears a brand new First Class Pharmacist badge.

"No... it's a piece of tissue fixed with alcohol"

Well then, fixing is also bad, and it's difficult. Is it possible to do fluorescent antibody method?

After Rebecca, Eleonor looked like she was in trouble.

“Rabies is a zoonotic infection caused by the rabies virus.If you are bitten or scratched by a specific animal that possesses the virus, it will infect the virus from the wound, slowly aiming at the brain through the nervous system from the site where it was bitten, and after several months of incubation, it will start with cold-like symptoms and eventually die from coma and respiratory arrest.Once it develops, it will definitely lead to death.It's a terrible infection for which no cure has yet been proposed..... "

Donald almost had a runny nose for Eleonor's explanation.

”Hah... ghhh, ghhhh”

Donald realized that the level of knowledge was different from theirs, and because he opened his mouth too much, his sputum became entangled in his throat.

"Oh, excuse me, without a drink."

Eleonor often serves cold iced tea.

So as she drained her throat, Donald rebelled against what he had told her.

Recently, the brain has begun to decline in cognitive function, and it is difficult to understand.

I have to hear it from the point of view of "Is it there?"

"There is no cure at all."I think that's what it says. "

A pharmacist wearing the name Roger folds up a textbook he took from Eleonor.

"It's not entirely true. Since its inception, it has been said to be the disease with the highest mortality rate in the world.That's why Farma was fighting to develop a vaccine. "

"I'll let you make it with sugar inside the leaves of Tensai!"Is that what you said? "

After receiving the words of Eleonor, Celst threw down his hands like he remembered.

“No, when it comes to rabies vaccines, we were collecting viruses from wild dogs, growing them using cultured cells, isolating them, and creating prototypes of inactivated vaccines.Farma, you can't do this, Emmerich, you and Josephine. "

Thoughtful preparation, that's the owner of the shop.

Rebecca nodded in admiration.

Speaking of which, why can't the shopkeeper cultivate bacteria and viruses?

When Roger asked strangely, Eleonor also had a bad toothache.

"Now... I wonder if it's the influence of divine power." Farma, when you have microbes, they almost kill you. "

I hope you don't come to the cheese factory.

"Yeast will die in the winery."

The bakery is off limits.

The three pharmacists made frank comments about their bewildering abilities.

"No, if you have such a constitution, you're like a patron saint to a surgeon."I just want you to be there during surgery.Master Pharma should be a surgeon. "

It's true, isn't it?

Eleonor seemed to have noticed that he had left Donald behind and smiled in love.

From the name of Farma-sensei, I feel like I was born under such a star.

As for the name, please don't say it too much because it's the master's idea.

Bruno de Medicis' sense of naming was something that should not be touched upon.

"Uh, I'm sorry, I derailed.I didn't realize that rabies was endemic because there aren't many trauma patients in other world pharmacies.That's important, so let's get the vaccine to the surgical hospital and vaccinate after exposure after the animal bites. ”

"Yeah, that's right! Is that a vaccine?"

Eleonor doesn't look like he doesn't like it, so he starts explaining the vaccine to Donald.

"When you get an infection, the body creates an immune system that attacks and eliminates the pathogen.This immune mechanism is used to create immunity in advance to resist pathogens against bacteria and viruses, and to prevent the onset and severity of pathogens when they actually enter the body.There are three main types of vaccines: live vaccines that contain the pathogenicity of live viruses and bacteria, inactivated vaccines that reduce the ability of pathogens to infect, and toxoids that eliminate the toxicity of pathogens.What the shopkeeper was making was an inactivated vaccine that actually infected and propagated animal cells and inactivated them.It's obtained by fragmenting the parts of the virus. "

"Does that mean it's a non-pathogenic virus?"

Donald summarizes the main points in a confused manner.

“That's right, the inactivated vaccine is a wreck compared to a full attenuated virus live vaccine, so we need to inoculate the immune cells in our bodies several times to make them learn that this is a target of attack.That's why the rabies vaccine is safe. ”

"Is it okay to take such a foreign object into the blood?"

"Originally, countless bacteria and viruses are entering the bloodstream.Our immune cells are fighting it day and night. "

Rebecca added in a dazzling tone.

"Shall I send a telegram to the Vaccine Refining Instructions to the Merseil Factory of the Otherworld Pharmacy?"I'll also report it to the shopkeeper!I'll also send instructions to my brother. "

"Please, thank you."

The cellist immediately prepares for the call.

One of the doctors was left behind in a very busy pharmacy.

"What do you mean?"

"There are hundreds of types of new drugs that the shopkeepers are currently working on, but of course, they can't get them by themselves, so we distribute the technology to production bases and research bases in various places and deposit it.Since the experimental method of cell culture is also on track at the Marseilles factory, you can request mass production of the same quality by using telegraph. "

Eleonor looks at the calendar and calculates the number of days before delivery.

"I will contact you again about the delivery time, but I think it will be possible in a month."How many lots do you need? ”

"Um, so soon... even if you give me an estimate of the cost of the drug."Then think about how many you need.Can you also tell me the expiration date of consumption? "

Donald replies with a shivering voice.Eh, I'm having a hard time! and goosebumps all over the body.

“Yeah, right away. Cedric, if you can confirm with Merseil, please give me a quote.”

Got it.

If the drug price is too high, the patient may not be able to pay for the drug.In some cases, doctors have no choice but to rebuild the cost of treatment if they think they might give up on it for financial reasons.

Yikes, we're going bankrupt!But I can't tell you that I can't pay for what I asked for.

What happened? Donald had a money plan in his head.

Um, the new drug is made to order, so I'm sure it's expensive enough to pop out of my eyes.

“Yes, of course, it's a custom-made product, and I will pay for it accordingly.”

”Uuuuuuuuuuuuuuuuuuuuuu

Whether he noticed that the sweat began to drip on Donald's face or that Eleonor noticed something, he was hitting the man in the office who was standing behind the counter.Then, a man wearing a Cedric tag makes a set of paperwork and hands it to Donald.

"This is the application form for the Imperial Pharmaceutical Dissemination Grant, so if you take it to a predetermined place, you will receive a 90% refund of the expensive drug price."

Such a system!

It started last month.

Donald thought he was saved from hell.

"Well then, I'll close the store today."Please come again! "

Feeling like he was dreaming, Donald left the otherworldly pharmacy.

"As expected, this is a pharmacy in the sanctuary." There's nothing I can do about it. ”

I wonder if there is such a convenient pharmacy in the world, and Donald almost collapsed from his leg.



Um, it seems like we can solve it after we know the cause?

Agata, the owner of the Rose Mansion, was about to stumble on the stairs early in the morning, surprised by Donald's report that he had flown a carriage to visit.At this age, I don't feel comfortable with Donald when I have a broken bone.

Even though it's been less than a day?

"Yes, I talked to a pharmacist at a pharmacy in another world, and it was an immediate solution."They suspect rabies. ”

Donald holds the hat he took off with both hands and turns it slowly like a handle.

We still don't know what happened there.

Did you consult with Master Pharma?

"No, he's not here. It was other pharmacists who handled the case.All four young nobleman pharmacists listened to me... somehow, I was afraid of being treated well by the common people. "

“It doesn't matter who you are.You are practicing the same medicine, so don't be lowly. ”

That is what Agata has always told the surgeons, but it was difficult for doctors of civilian origin, especially the elderly, to reform their consciousness.

“It's a common infection in humans, so we recommend dogs be captured and vaccinated.You can find more information about this vaccine in the vaccine manual. ”

“When will you deliver the new drug?”

Even if I brought it yesterday and today, there is too much information.

Agata was surprised twice because the material was printed.

“A month from now, I'm going to pick up a pharmacy in another world.”

”By then... we'll catch up”

Agata shook her hair and proclaimed.

I guess... the vaccine production method is registered with the Bureau of Technology.

Yes.

Agata wears a coat and a hat.It's the first time I've been out in six months.

“I'm going to the tech bureau.We'll wash it up and make sure it's perfectly ready by the time you deliver the vaccine and give you the first case report of treatment for rabies! ”

I'll give you something.

Donald thanked her with a gentle thank you.

Together with vaccine manufacturing technology, Agata has returned to disclose syringes, surgical instruments, and reading glass blueprints for stethoscopes.

A few days later, the news that Agata would return to active service as a surgeon ran around the guild.

"Oh, Senpai Agata, that year is a good one."I can't beat this either. "

I heard Claude say that about Agata's full resurrection.