Parallel World Pharmacy
3: 14. Hematological Complete Response
Then by the time two days had passed, Palle's lung bleeding had calmed down.
With the devotional nursing of Pharma and perhaps also the effect of the secret surgery of the drug sceptre, Palle was able to breathe without the need for oxygen inhalation. Apparently, it's not until we have a ready blood transfusion.
Still, it was a job for Palais to just get up a little bit because of the anemia. I was short of breath and just come back in the bath to keep it clean.
After the sudden change in the capacity, Pharma worried not to leave under Palais. While accompanying Palle, Pharma did not close the pharmacy, leaving it to Ellen and the primary pharmacist. Different world pharmacies keep prescribing records for medicines, so patients with the same situation as before chronic disease will receive the same medication. New illnesses and sudden illnesses visited that day were sent to the de Medicis family. Given the risk of bringing in infections, patients were treated in isolated rooms.
Lord Melody delivered the cylinder by processing the copper in one day from the order. The indicator is not installed, but the absolute pressure and gauge pressure in the cylinder can be calculated depending on Pharma's ability to construct the substance, and the flow rate can be calculated through the diagnostic eye, so there was no problem. I have also made valves as specified. As Pharma filled the liquid oxygen and flushed the oxygen while using the diagnostic eye, it functioned splendidly as an oxygen cylinder. Now Palle can use his own oxygen mask in hard times, even if Pharma isn't sticking up perfectly.
The number of visitors to Palais's hospital room was also limited.
Up to once a day, family only. Even though we are purifying the entire mansion in the pestilent sanctuary, the sterility is also broken because of the intense entry and exit of the servants inside and outside the mansion. So basically, I asked Palais not to leave my room. A strict control system that also restricts the opening and closing of windows.
Palle listened to Pharma's rational explanation as to why he had to do so and accepted it satisfactorily.
Blanche and my mother come to see me once a day, one person at a time. With masks, protective clothes and other complete defenses. Palle pretended to be spare in front of her mother and sister "because it's no big deal," pretending to be lightly disguised as a medical condition, strong, joking.
After closing the pharmacy, Ellen came to hear about Palle's medical condition.
"Mr. Pallet, how are you?
Ellen brought a large bouquet of flowers and a sumptuous cake ordered in Patisserie, but the fresh flowers could not be put into the hospital room due to the risk of infection, so they were to be decorated on the front door. The cake is also made from raw fruit, so the family was to have it. Ellen enters the infirmary, seeming sorry that she was handed over.
Ellen is on a horse, so she came to the scene dressed all her clothes to prevent infection, disinfected her hands, and also changed her shoes.
"Oh, it's going well. Sorry, let me borrow Farma and set up a pharmacy. I'm telling you to go to the pharmacy, but I don't think so."
Palle told Pharma many times, "It's okay, so go to work," but Pharma didn't try to leave under Palle. Because there's a sudden change in the capacity, because when it does, you can't rush it in time.
"Yeah, it's okay. Pharma, I'm sure you'd like to stay with Palais. I'm working on it. Is the treatment painful?
I can't imagine, the pain of leukemia treatment. Pallet connected to the infusion is painful, and Ellen guides Pallet through herself.
"Well, it's not a lot more than I thought. There's plenty of room."
Palle said openly.
"Really? ⁉ Farma, you said it very hard."
"Because he's exaggerating, not at all."
"You are,... then I'm glad"
Ellen truly took Palle's fortitude words. Ellen falls into the category sensitive to the other person's lies. But still, I couldn't see through the inside of Palais because Palais's acting was too clever.
"Whoa, I need to get better soon and settle with you. I'm gonna do it so badly, ha-ha-ha!
"If you have the strength to laugh like that, you'll be fine."
Ellen stroked her chest down with relief.
"Good luck, then. We'll settle it when we're better."
As Ellen closed the door, Palle collapsed on the bed. We've been talking for a long time and it looks worn out.
Pharma, who was practicing patients in a separate room, came into the hospital room after disinfection and misplaced Ellen.
"Brother, you have a hard time breathing. I could hear you laughing all the way downstairs. If you talk so loud, you'll run out of breath."
"Well, don't say that, let me just be strong."
"Too strong, Ellen was worried."
"The men of the de Medicis family, they can't help but whisper weak noises in front of women and children."
I felt Pharma saw his way of life, wondering if this was pride and awareness as a man of great nobility.
On the morning of the seventh day of treatment, Palle was pouring soup simmered into his throat in the hospital room and in his own room. Pallet was served with raw food, spices, grease and dairy drained menus, but that was to reduce infections and strain on the digestive tract.
"While you're on anticancer medication, be careful with your diet."
Pallet was stunned by the prolonged treatment. The beverage is also not raw juice, but hot and cold water, or produced water, avoiding raw products. My leg muscle strength was also diminishing because of my continued life in bed.
"I'm more susceptible to infection, and I've never been careful."
Pharma also eats the same meal as Palais, in the same hospital room. That's for caring for Palais. Speaking of which, it can be said that it mostly occurs with the decrease in white blood cells due to anticancer drugs, Pallet's infection was spared.
If it is taken inside the sanctuary of Pharma, the risk of bacterial infection is extremely reduced.
"I'm not going to go out with you and eat the same meal. Eat properly, meat and fish. I'm going down."
Don't worry about it to that point, Palle laughs bitterly.
"You'll be tired, so I hope you sleep well during the day"
"I'm not too tired of that. Father's potion is working, what's wrong..."
Bruno's nutritional drink was so effective surface that I thought it might even contain drugs. Palais, who heard it, makes a strange face about what is normal.
"Oh, your father's medicine works well. They say it works best on the continent, my goal was to be a pharmacist like your father. But my goals have changed."
So he went on to eat more tasteless meals.
"What happened to the goal being changed?
Pharma soaks up. Palais said.
"Well, that's a silence."
"Okay, I won't ask."
Pharma flushes.
"But! Don't think you can keep up with me, because I'll catch up with you, absorb the knowledge of the drug god, and overtake you! Ha-ha! Ho ho, ha ha."
Kara, you're a good place to be, too, and Farma won't hang up. But Palle's bright and strong personality lessened Pharma's hard work. He barely made a weak noise in front of Pharma, and he kept playing his strong brother.
"Stop coughing, brother. Well, if you're getting better. My lung bleeding symptoms have disappeared, so I'd like to resume ATRA."
Pharma had anticipated remission induction therapy, coincidence around the time of resumption of ATRA.
If ATRA is not resumed soon, leukemic cells will start to grow again, and bleeding from each organ, a symptom specific to ATRA, is a concern.
The brain bleeding is the scariest, Pharma is afraid.
"Isn't it going to be the same thing again...?
Palais, who had a high laugh until earlier, only spit in his sagging, and be vigilant.
"There is that risk. So the next step is to increase it slightly from a 75% amount."
That pain comes back to the back of Palais's brain again. So much so that I wanted you to kill me.
"If you don't do it, you shouldn't... I know. Let's do it."
Palle determines his belly. Would there be such horrible treatment? It's a terrible disease that can't be a glimmer of cancer, Palle carves into his chest.
Something called cancer that Pharma described as the king of disease.
It's a disease that I can't imagine at all, whether it can be cured or not.
Little was known in Novarut about what a disease is called cancer. That, for Palle, he could not thank his brother for staring at a completely unknown cancer, launching a treatment policy without getting lost, and using the power of several medicines and medicines God to treat it.
"Is this the battle of things (cells) that I have created..."
"That's why it's so awesome. If” non-self ”, the immune system attacks. But you can't attack because you're self."
Farma says it's hard to slap it because it was once a part of me.
"I really should have done chemo from the beginning. It was my mistake. Chemotherapy will go with ATRA next."
Pharma said words of regret and future policies.
Since the burden of chemotherapy is heavy on patients, Pharma's decision to delay a day instead of co-administration with ATRA to see the effects of ATRA before attempting to administer chemotherapy would have turned out to be wrong. Depending on the circumstances, however, there may be a treatment called ATRA monotherapy, which is difficult to determine. Although he was a pharmacist in his previous life, his lack of clinical experience was teething.
The side effects may be terrible, but I want you to be prepared, Pharma tells Palle as perseverance. Being ejected by the seriousness of it, Palais was excited to take it and stand.
"Take what you think is best. You don't have to think about me being tough."
"Let me do that, then. If the nausea comes out strong, tell me because I will use anti-nausea. You might have a fever, you might have stomatitis, you might get worse tiredness, but we'll do it. Is that okay?
"Ouch!
Make clear the mutual position between pharmacists and pharmacists, pharmacists and patients.
It must be the patient himself who decides how far treatment should be given.
Pallet had a strong will to survive, let him survive, and let the medical society know the correctness of this case and Pharma's cure.
On the sixth day, resume taking ATRA medication.
And at the same time start administration of the anti-cancer agent Idarubicin with an infusion.
Palle watched over Pharma, who filled the infusion bottle with idarubicin and stabbed a needle for air and took the infusion route, with a strong sleeve.
"That, for one thing, an infusion or an injection, no one has ever seen it. A groundbreaking invention. I guess I can use it in many ways."
That's the God of Medicine's revelation, a wisdom that humans can't think of, Palle admires.
"Nevertheless, I have no experience with infusions other than animal experiments."
"Hmmm... you just heard about the horrible thing. You practiced with animals, when?
"while my brother was gone."
It's a story from a previous life, but I'd rather not tell Palais.
"Because the structure of the human and animal bodies is almost identical. I'm sure you have some objections."
"I see.... but the anti-cancer drugs and the ones are toxic, nasty colors. My urine turns red..."
Palle had no choice but to accept that the reddish-brown infusion would come into his own body.
"You're going to infuse a different place than last time, dare you?
Palle also looks at Pharma's obsessive, trivial discrepancies.
"Better not use the same blood vessels, because anti-cancer drugs damage blood vessels"
"Speaking of which, did you say it was cytotoxic? Does touching an anti-cancer drug wear down to the blood vessels? I see..."
About six hours after administration, intense nausea struck Palle. Palais, who could still afford to joke at first, also became calla in her stomach after vomiting several times, and stomach acid irritates her esophagus. Repeated vomiting drained Palle's health significantly.
"Brother, let's change the anti-nausea. Try some other anti-nausea."
Nausea significantly lowered the patient's QOL, so improvements had to be made. However, when it comes to anti-nausea that fits Palle's body, the eyes do not know. Pharma turns on the area and offers him a change of combination from a few anti-nausea.
"Okay, let's drink"
Even after taking the anti-nausea, Palle threw up that anti-nausea itself. The anti-nausea is mixed with an infusion, not from the mouth, and the nausea will subside once. Nausea also reflected mental anxiety, so it was not always something that could be alleviated with medication in general.
"You should also change your clothes"
Have them change into less tight, loose clothes.
"Hmm... better. Next to next, you're dizzy. Why are you nauseated?
"Because anti-cancer drugs stimulate the part of the brain that causes vomiting. I don't actually want to throw up, I just feel like throwing up."
"You have a complicated reaction going on in your body. If it's nauseating, I can make it up to you."
Palle tried to formulate an anti-nausea in a shabby manner, but Pharma controlled it.
"The combination of medicines is compatible, so make it the one I made."
"Ooh..."
Having to be a complete patient in front of Pharma was no good for Palle.
Instead, if I get sick, I'll leave it to my brother.
"You're a good mouth, you are"
You can't tell me. I stopped saying that.
On day twelve, the number of leukemic cells was decreasing well. A delightful state, but an event occurred that allowed Palais to regain her temper. Long silver-haired hair began to fall out under the influence of anti-cancer drugs.
Every time I jerk off with my hand, I slip out. I can't stop losing my hair. The pillow was surprisingly covered with hair loss.
"You're starting to lose your hair."
Pharma spoke to Palais, who felt strange while silently throwing muffled hair into the trash.
"Is this it?
"You're right."
Pharma nods.
"Okay."
Palle did not make a weak noise.
"Does this all fall out? If it's all going to fall out, I want to get rid of it all already."
"I may not be able to pull it out, but I think it will sparse. You should shave them all once without . Fast cell division, hair-like cells fall out because it's easy to stop division."
"Do you stay bald for the rest of your life?
Palais is still eighteen years old and hasn't been long since she sang her life. It is hard when it lasts a lifetime without hair.
Still, Palle was prepared to say that it was a species with life.
"No, it grows when I stop using anti-cancer drugs. Just be patient now."
"Right. Though I can't help it, I don't want to see anyone during the treatment..."
Palle leaks a weak word. Blanche was behind the door listening to his words. Then I lost so much...,
"Yikes!!
Lotte's screams echoed the mansion.
"Ma'am, what have you done!?
As Pharma rushed, Blanche was bundling her long blonde hair and scratching it off with a knife.
"How could you do this... you had beautiful hair!
Lotte takes the knife out of Blanche's hand and hugs Blanche with no more cutting.
"Blanche... what are you doing!
Pharma can't find the words to call Blanche, who is clutching a bunch of her own hair and blurring. For aristocratic children, beautiful, long hair is property. It's not something you can hang up on your own, you'll be jerked off by her mother Beatrice.
"Now I want you to make me a wig on my big brother... because my big older brother's hair is silver, I'm golden, different colors... but still, I thought you might be there"
Blanche leaned down with his mouth shut and offered him a bunch of hair.
"Was it no good?
From now on, Palle's hair will fall out under the influence of anti-cancer drugs, so her hair will shave in case of that. In the meantime, if you wear a rash made of blanche hair, Palle may not be able to resist going out or meeting people either. Blanche seemed to think so.
"I know you wanted me to talk to you before you hung up."
The knife is dangerous, and if it's an injury, Pharma can't do it.
"Because. My big brother and my little brother are hanging in there..."
I wondered if there was anything she could do.
"Oh, you'll be delighted. We'll have it cleaned up later."
"Ai no..."
Pharma stroked her head to reveal her shortened blanche hair. Blanche's thoughtful hair was immediately delivered to the wig maker. Craftsmen gave a peek of confidence that this would be a beautiful blonde wig because it has superior hair.
Neither Beatrice nor Bruno, who listened to the circumstances, scolded her for her unsolicited behaviour.
That was how the treatment started on the eighteenth day.
"Be glad, brother"
Pharma, who was taking Palle's blood and checking the blood, made his voice bounce. Bruno also came in with Pharma. No heart, or your mouth angle is up.
"That's good news."
Bruno also continued his words.
"Good news?
Palle was exhausted by the severe anemia and tiredness of the side effects. Besides, I'm getting no heart or strength because I've shaved my head into a round boy.
"Leukemia cells on my brother were double-digit reduced on day 16 from the start of treatment, accounting for 3% of the leukemia cells in the blood."
"... what does that mean? But it's still there, isn't it?
That's fine, Farma shook her head left and right. Leukemic cells in blood cells do not immediately go to zero. Still, if ATRA and anticancer combination therapy are slightly reduced and cut by 5%, they fall within the framework of a certain criterion. That's......
"Haematological complete remission. You can be happy."
"Congratulations, big brother"
As Pharma said, Blanche also comes into the hospital room with a big box.
"What are you holding?
Palle compares that box to Blanche's face.
"Uh, hey, this. A gift from me because my big brother worked hard."
"Can I open it?
"Aye."
"This is..."
Presented with a wig at Blanche's hands, Palle spared her completely shortened hair, gave her a complex look, drew her thoughts and said thank you, "Everyone, thank you".
On Day XVIII of treatment, remission induction therapy was successful.
Palle also had the help of Pharma and his family, who survived the first difficulties.
Palais, who lived from the abyss of death, took the first steps towards social reintegration.