Parallel World Pharmacy
3: 13 PM Introduction Therapy (days 4-6)
Pharma, who diagnosed Palle as having acute premyeloid leukemia and immediately began treatment, was beginning with remission-inducing therapy that reduced leukemia cells.
Start taking ATRA on the first day after diagnosis. For the purpose of inducing differentiation that transforms leukemic cells into normal leukocytes.
From Day 2, idarubicin (anti-cancer agent) is administered as an adjunct to ATRA.
That was two days after ATRA and idarubicin combination therapy, or day four of treatment.
There were serious side effects on Pallet, which had been successfully reducing the number of leukemic cells.
ATRA simultaneously matures leukemic cells into leukocytes. Rapidly increasing white blood cells in the blood produced inflammatory substances, causing Palle's lungs to freak out, causing lung bleeding and dyspnea.
Side effects of ATRA, an outbreak of retinoic acid syndrome (differentiation syndrome), which is said to occur in approximately just over 20% of patients.
Bleeding has occurred in Palle's lungs and Pharma has started a large dose of methylprednisolone (a type of steroid) (pulse therapy).
Even if we cut through this, the five-year survival rate, or the proportion of patients who have had lung bleeding, five years after the start of treatment, is about 30%. I find myself in a dangerous condition, both in the short and long term.
"Is there anything else I can do, I am!
Farma thought it painful how helpless she was to be able to only use drugs.
Pharma carries out material creation with her left hand and continues to supply the pallet with oxygen. If sustained in insomnia rest by inexhaustible divine power, oxygen would be available on a daily basis.
In the meantime, pray the steroids stop the bleeding.
But I don't think that'll make Palle feel better.
"Right..."
While listening to Palle's breathing sounds, Pharma had remembered.
In the dim room, Pharma stuck his right hand forward. I left the key stuff in my room.
It's something I shouldn't have let go of.
"... come!
The drug scepter penetrated the inner wall of the mansion and flew in a fierce momentum and sucked it into Pharma's palm. I heard a lighter noise. He grips the scepter that came to his owner.
(Although I don't want to use this if I can...... I just have to do it)
Pharma recalled the unique secret of the drug scepter, which ”boosts immunity and maximizes the effects of the drug”.
Immune boost was very effective when pesto was an infection.
In leukemia, however, the situation follows a path of deterioration when captured in the context of the nuance of increased immunity further activating leukocytes.
Lung bleeding will appear strong.
"I just have to do it"
Still, I even came to Setouchi to decide whether to give it a try. The diagnosis reveals that there is no time to be lost, if left alone, Palle will do his best.
Through his diagnostic eye, Pharma decided to examine beforehand the effect of the mystery as a cure.
So far, Pharma has used the eye to determine the cure, but he wondered if the effect of the mystery could also be estimated.
"Please, the drug scepter. Tell me."
Tell me what happens when you use Origin Rescue.
Through the eyes, the unspeakable drug scepter responded. The red light turns to blue.
They say the condition improves.
The power of the drug scepter still seemed to extend the patient's life.
"Okay!
The secret works. Pharma puts a cane horizontally against the body axis of the pallet without fear and presses it against the pallet.
And meditated quietly.
"" Rescue of the Origins. ""
Pharmaceutical sceptre shines and the sacred mark of the Pharmaceutical God appears on Palle's body surface.
It began to glow thinly as if to gently envelop the pallet.
"Ugh..."
Palle groaned and hemorrhaged. Still, the bleeding has subsided a little, or the roughness of Palle's breathing is getting.
(Ok...... time for treatment is now available)
I'm on steroid therapy, so lung bleeding should subside in a couple of days, I want to believe that.
"Dear Farma, I need some help. May I come into your room?"
I rang my handbell earlier, so the servants woke up despite midnight. I can also hear Lotte.
"Two people, I need your help"
"Yes, sir."
Bruno jumped up, too. Bruno knew very well the state of Palle's immune deficiency, so he came to wash his hands and change his clothes as an infection control.
"Father, my hand is blocked, please help me."
Pharma gives instructions to Bruno. He is supplying the pallet with oxygen with his left hand, so one hand was blocked.
"Oh, let it be. What are you doing with your hands on Palais's mouth?
"We're helping you breathe easier"
I might actually prefer to intubate (inserting a tube to secure the airway), but I hesitated because I've never done it to a human opponent.
Pharma with the drug scepter was visible to Bruno with his whole body luminescent.
Bruno was overwhelmed by that mysterious sight.
"Please prepare as I say"
Pharma can tell Bruno about the blood transfusion, the preparation of the infusion and the preparation of the instrument, not leaving the front of the pallet. Bruno is competent and handily performs such things as preparing Pharma to strike the anesthesia he had prepared.
"Thank you, that helps"
Farma wonders how difficult it is for an assistant to exist.
By the time the chicken chirp announced the dawn, Pharma, who had been on treatment with insomnia rest, was exhausted.
For what it's worth, Pallet's capacity is calming down a little bit.
When Pharma gets depressed, material creation is interrupted.
Then the breathing of the pallet, which has run out of oxygen, becomes painful. He also needed to avoid clogging his throat with it because he would vomit and haemorrhage blood sputum from time to time.
"Pharma"
He wakes up much to Bruno's voice and resumes his material creation.
"Sorry, I was unconscious"
"I can't... drink this."
A potion was formulated to restore handmade health and offered to Pharma. Pharma has a body that is hard to use, but I need it to moisturize my throat.
"Glad to hear it, thank you"
(Is that...?
After a while, the drowsiness blew away and began to enrich my energy. It's not my fault.
"It worked..."
(Even though Ellen's didn't work?
I used to get the same composition from Ellen when it was a nutritional drink to Pharma, who had a lot of sleep in the pharmacy because of overwork. But Ellen's didn't feel any greater effect than the spiritual one.
"What's up?"
"No, your father's medicine works well."
Bruno's patron saint is the medicine god. Is that why it goes well with Pharma, who twists his neck?
"Medicine formulation is the realm of divinity, skilled medicine works well, immature medicine doesn't work"
Maybe what he's saying is true, Farma further reviewed Bruno.
"Your technique is so much more interesting to me. Well, how do you make the oxygen that you're feeding Palle?
Bruno only sees Farma putting his hand on Palle's mouth.
Bruno is concerned that he can't breathe because he is covering his mouth with his hands. Can I say it to Bruno, or can't hide it...... Pharma partly confessed.
"I can give out oxygen and other substances so Father can give out water"
"Oh my God!"
Bruno's eyes opened to surprise.
"Was it still so? That's how you've created your pills before. You don't have to hide it, that's how it works."
"Yes, actually..."
"I didn't think it had any secrets because it doesn't look like I was doing full-scale synthesis and there's no indication that I'm buying raw materials either. Was it..."
Bruno had never pursued it in detail, but was suspicious of how he was procuring new drugs. It seemed like it had fallen to my heart to hear Pharma explain it.
"I didn't know you were using such advanced divinity even though you just seem to be holding hands... you are still empowering the medicine god"
"I don't know if it's the power of the drug god, but that's what you can do. But I don't think this method is efficient either, so we also need to produce oxygen industrially… I'm going to be able to produce it in the Merseil factory sometime."
It is a pharma that deplored the need for oxygen cylinders. Otherwise, Pharma will have to lean on the patient as a living oxygen cylinder, and it will be unsupply if he has more than three patients.
When I hear that, Bruno gets up front.
"How do you make oxygen, can't you still make it in a university lab?"
There's no way Pharma can supply oxygen through days, on the contrary, Pharma falls.
It also meant caring for him.
"The oxygen that can be made in the laboratory is insignificant, so industrially, the air is compressed into a liquid once, and then separately distilled to remove oxygen. Now, it's difficult because of the pressure resistance at the facilities at the pharmaceutical school."
Pharma may fill the cylinder with liquid oxygen synthesized by the substance, but there is no cylinder.
"The air is in the liquid...... such a stupid thing"
"If you apply pressure, the air becomes liquid."
Pharma briefly explains the three states of matter. Is it sexuality as a scholar that explains it even at times like this? Look at the container, scissoring such chatter.
"Let Melody build those cylinders"
"... could Lord Melody do it?"
"In roughly metalworking, there's nothing she can't do. That's what I think."
In the course of that day, Bruno ordered Melody something that Pharma was right.
Since the symptoms began to subside slightly, the amount of anesthesia caused by the infusion is reduced.
Where the amount of anesthesia was minimized, Palle's consciousness returned.
"Have you noticed, pale"
Bruno holds Palle's hand by his bedside.
"What happened... suddenly I can't breathe... Grr"
There is Pharma's hand in front of Palle's mouth. Unconsciously, I couldn't breathe as soon as I could.
"I'll put my hands on it. Because it makes your breath easier."
Pharma returns it to its original state.
"I can't breathe... what's going on"
When I checked the situation, Pallet was connected to the infusion. Pharma tells us what he is infusing and tells us what has happened so far.
"I got some side effects."
"Lung bleeding...? I've been able to survive."
Palle listened and seemed relieved. Palle's common sense is that if you have severe lung bleeding, you will choke and not help first. I couldn't even cure Palle or any medication Bruno had in his hand, and I had not established that cure. Although Pharma had told me that there might be severe side effects, I had not really received them, but Palle said that I did not expect them to sprinkle on me. And I found out the horror of this disease.
"Thanks to Pharma, without Pharma, this disease would not have helped"
Bruno honestly admitted it. But Pharma,
I'm glad the steroids worked.
Farma's humble attitude that he owes it to medicine, not to his own handles, impresses me that Palle has somewhere to apprentice as well. That Bruno agreed with.
"Farma, you're a great pharmacist... and a good one"
Palle had to admit Pharma. There was no lighting, nothing, and I told Pharma straight away.
"Let's do our best, brother. Now is the time."
"Oh, good luck."
Palle nodded forcefully. Patients who are positive for treatment are helpful, Farma believed.
It was about the next afternoon.
"This, if you like, would you please decorate the Palais's room"
Lotte handed Pharma the painting she put in the frame, stopping Pharma from entering the hospital room today at Bruno's turn. When you take a cloth, it's a landscape painting by the river where pheasants play. Excellent work. Looks like I drew it up in a few days.
"Wow... why this subject matter?
"Yes, it is the oil colour of Master Palle's favorite Fluve River spiral and waterwheel cabin, Feisan de colchide (Kouraikiji). Because we used to go out there by ourselves in Palais's favorite place. I thought I'd miss you."
"Thank you, brother, I think you'll decorate my room because it was a killing landscape"
I hope you like it, but to Lotte, who humbles herself, Pharma says thank you. Lotte cares about Pallet, too, while he can't get inside the hospital room.
"And here's a letter of encouragement from everyone."
The servants, as well as contributions from Beatrice and Blanche, compiled a photo album of the Saint Fluve Empire, which was decorated by Lotte on the cover.
"Nice, this... I think it'll cheer you up"
"What about this painting?
"Yes, it is a painting with the image of Lord Palle's patron saint medicine God. May there be protection."
Pharma's eyes swam still as she saw the painting of the gracious maiden goddess on the cover. In Lotte, the image of the medicinal god seems to be that of a beautiful girl god as legendary in the temple.
"Is this how you imagine a drug god?
"Yes, I thought you were a kind, sober, and elegant child goddess! I'm Palais's patron saint, so I focused on your face!
"Uh... yeah, nice! I'm sure you'll be happy."
Pharma spends his time without touching comments around. It is still a pharma that I don't think Lotte can cum out of all sorts.
"Dear Pharma, thank you for your treatment of Palle so that it is not physically or psychologically impossible. I know I can't be my escort, but if there's anything I can do, say it."
So Ha! said Lotte, running for a small run. You're a good kid, Farma realizes again.
"Oh, this painting is wonderful. Cheer up, and what's this exquisite black and white painting?
"It's a picture. It's a picture of a city in Teito or a family."
"This is good stuff..."
I haven't had a smile on Palle's face in a long time. Lotte's gift, which made me realize that there were many people in Palais who thought it was a lonely struggle, who wished him well, was perfect as a plug.
"Lotte's a good chunk. We're all here for you. Just one more breath. Let's do our best."
Pharma also laughs when she sees Palle's delightful face.
And the gift from Lotte and the servants entertained and braved Palle's eyes in folds.