Parallel World Pharmacy
Chapter 4: 3: Synucline Syndrome and the Anomalies of the Temple of Teito
"You were becoming a court pharmacist! Why didn't you tell me!
I said, "No offense."
While returning from the palace, the Medicis brothers had been a bit of a rhetoric in the holding room. It is Pharma, who has been a court pharmacist for two more years and yet has taken the form of putting Palais out at only ten years of age, and I feel sorry for her.
"My brother would shrivel me or something!
Pallet got a little rough. Farma apologizes peacefully to him like that.
"I'm sorry."
(I mean, why are you apologizing, me)
There were some parts that didn't fall to my heart. Palais was snorting roughly, saying that she would be late any longer.
"Well, I'll catch up with you in five years!
"I wonder if it'll take five years. I have a proven track record of writing textbooks, and for now, why don't you take a court pharmacist's test?
To become a court pharmacist, there are a number of strict conditions attached, but you have to take the exam as a big premise. Pharma was forced by the samurai doctors to take it in the name of a little test, but it didn't seem very difficult.
"You can't take it! Even your father took fifteen years! If you fail without answering all the questions correctly, you won't be able to take it for three years, so can you take it so easily!
I guess Bruno is a big goal that cannot easily be overcome for Palais, Farma thinks.
"I don't know... I think it would be easy for my brother to take it, but it wasn't that hard."
"Ah well. You're a disgusting one. You are!
"I'm sorry."
With the knowledge of Palle now taught by Pharma, Pharma wonders if the rest can become a court pharmacist in a year if he has a track record of treatment. It may also be windy for the Medicis clan to monopolize their honorable court pharmacist credentials, but Palle had a high potential anyway. Although Palle didn't seem to understand much.
"Mostly you..."
As the brothers walked down the hallway talking to each other, there was a misguided woman.
"Geez."
"Are you all right?
Pharma speaks out unexpectedly. She was a woman in her thirties or so, a caretaker of the upscale aristocracy serving as a court man. Falma's unfamiliar face. She gives Pharma a pepper meeting.
"Oh, this is embarrassing. I just came to court yesterday, and I was nervous."
Watch your step.
Pallet watched shivers behind her as she left in a peppery manner.
"Let's go home, brother."
"Weird. It's not a place to laugh."
"You must have been depressed or scratched the hem of your dress. Sometimes."
"Please Wait"
Palais called off the female officer. Because when Palle looked at her from behind, she fluttered again. Palle turned around in front and faced her, this time looking more attentively at her.
"What can I do for you?"
Being seen seriously by Palais, she finds herself wondering if she had any disrespect or coarseness early in serving. Palle did not shy away from her confused body, but handed out her gaze without a scratch. It is rude of them to look at each other so closely when they are women. While she was being visited by Palais, her fingertips shivered gradually.
Palais is a beautiful young man, but tall and intimidating.
"What's the matter, brother... Excuse me Madam..."
Palais asks her about Pharma.
"Excuse me, Madam. Has this kind of tremor gotten worse lately?" and snort. "
Palle was in for an inquiry. He is a first-class pharmacist, so he cannot see emperors, royalty, or royalty, but he can see court ministers and court people.
I am not forbidden to see her.
"Yes...... speaking of which"
"You found something."
Pharma was interested in Palais's visibility. And Pharma also saw her symptoms and figured out why Palle stopped looking at her.
"Probably synucleinopathy, but we can't deny the possibility of cerebral infarction or hydrocephalus"
Palle's stated medical name coincided with Pharma's view.
Parkinson's disease.
Furthermore, Pharma eliminates the possibility of other diseases and is confirmed by the diagnostic eye.
Parkinson's disease is synonymous with synuclein's disease. When introducing diseases in textbooks, Pharma occasionally gives them a different disease name than the one on Earth. Especially since the named disease cannot be brought into this world as it is, it replaces the word that manifests the pathophysiology and etiology.
Parkinson's disease, for example, is commonly referred to as synuclein disease, which is caused in part by the accumulation in the brain of a protein called alpha synuclein that has an incorrect structure, and Pharma gave it that name.
Parkinson's disease can make you tremble or fall easily at rest when you're doing nothing. Slower operation. There are other symptoms, but Pallet did not miss the characteristic symptoms.
"It's a serious illness. Oh no... what shall we do?"
An increasingly trembling woman officer to an inquiry that suddenly began. Tensions make the symptoms of tremors worse.
"Right. It's a progressive disease called synuclein disease. Start taking your cure immediately."
After Palle's explanation, make sure Pharma interrupts and continues.
"It's not an immediate life-threatening illness, but let me tell you a little more about it. I will be prescribing tests and medications, so get permission to go out tomorrow and come to a different world pharmacy, my name is Farma and I am the owner of a different world pharmacy. Then hand this paperwork to the Samurai Chief Physician. I'm going to ask you about your age, birth, family structure, etc., do you have time?
Pharma brought her into the pharmacist's office, and when she was questioned, she wrote a medical certificate on the spot and instructed Claude to sign it. If the court pharmacist and the samurai admit it, the court people can enter the treatment and are also allowed to go out for treatment.
I couldn't do a detailed test on this occasion, so I decided to call a female officer to the pharmacy.
"Don't worry, we'll get the right treatment."
Palle spoke brightly to the anxious woman.
"Thanks to my brother, we found a patient."
Pharma thanked Palle. I have to go back and write her own new medical records. Farma sees all the court people every three months, but she doesn't always use her eyes to walk, and she doesn't get to see all the court ministers, so this is how new patients sometimes take them away.
"You just have to give them drugs that make up for the shortage of dopamine due to the accumulation of synuclein, or medicines that don't accumulate synuclein."
Palais, who wrote the textbook, doesn't seem to have forgotten the cure for this disease.
"It's a juvenile onset, so maybe we should start with L-dopa and dopamine agonists (agonists) as the main drugs"
"L-dopa? Can't it be dopamine?"
"Dopamine can't even go into the brain if you drink it. Because the blood vessels entering the brain have a barrier that does not pass through a molecule called the blood-brain barrier and is eliminated. L-dopa (L-3,4-dihydroxyphenylalanine) is a drug that works just like dopamine, which has been processed so that it can pass through the blood-brain barrier. Let's look at the test results before we think about the rest. And maybe it's family, so you should check on your family, too."
"I see... it is God's divine wisdom to give you that medicine for this disease."
Palle conceived.
"Yeah, well..."
(I'll be back when they say that)
But Palle seemed to wonder.
"Why is it not a medicine that can break down the accumulated synuclein? I guess that's the etiology, huh? Don't knock on the fundamentals. It's just symptomatic. I don't think that's the best thing."
"You noticed a good spot."
(or rather, I'm getting to see things quite scientifically)
Farma was impressed that this was reliable.
Alternatively, artificial stem cells such as iPS cells can be injected into the brain to produce dopamine. It's not realistic in this world's facilities… nor is it a fundamental cure.
"My brother is right. That textbook is never complete. As you know, there are diseases that can't be cured."
Yes, all Pharma knows is pharmacy up to the twenty-first century of the planet. The findings ahead should be piled together by the people of this world.
"I have a sincere faith in God of Medicine, the patron saint, and God of Medicine thinks you know full pharmacy. That's why I was wondering why you wouldn't tell me. Is this the next test imposed on man..."
Palle seemed to suffer from an understanding of the Patron God's sincerity.
"The patron saint's calling is always an abyss"
Palle said so smudgingly.
"Well, I'll stop by the pharmacy and get the patient's medicine ready."
When Pharma got off the carriage en route back to the mansion and stopped at the pharmacy, Lord Melody was waiting for Pharma. She greets Pharma flamboyantly, having come to the pharmacy about once every five days to bake Ibo.
"Welcome back, store owner"
"Sorry to keep you waiting"
"No, I was having a meeting with Mr. Lotte while you were waiting, so it was fun."
Lotte was somehow breaking down with the melody.
"Meeting?"
Pharma looks surprised.
"Eh heh, I talked to Master Melody a lot!
Lotte was in a good mood, too. Melody said he was deeply interested in glass art, so while he was talking about glass art, he and Lotte were in a mood for it, and were close enough to draw design paintings and plan to co-produce glass finishes.
If you look at it, it was scattered with design paintings like glass brooches and glass vases. Ugh, they want to hold an exhibition impromptu.
(While I'm gone, to talk about that...)
"I'm looking forward to the exhibition."
It's a good thing we're close to regular customers and staff, Farma welcomed.
"Well, I'll bake you again today"
Quickly, treat Ibo with liquid nitrogen.
"You've got one more breath. One more time, and I think it'll heal."
"Thank you. It was helpful to have you treated early."
"It would be tough if there were more."
"I'm glad you didn't have any pain because you gave me anesthesia"
Hard treatment when it comes to liquid nitrogen, but by applying surface anesthesia, which is not commonly used, there did not appear to have been any pain. Pharma decides to add or subtract spoonfuls cooked with liquid nitrogen. I had to work on it with guts because there were so many places Ibo had been able to do it, but it was working steadily. She also expects the therapeutic effect of it, as she has started drinking pigeon wheat tea.
"I wonder if that's the end of the patient today."
Ellen finished the day's work and made a big stretch. As he gestures to relax his shoulders, Lotte distracts him and gives him a shoulder thigh.
"You're tired. You've had a lot of patients here today!
"Ah, that feels good, thank you, Lotte. Doesn't Lotte have shoulders?
"I'm not here. I'm in shape."
While Farma was away, Ellen was starting to get the pharmacy around well. The three part-time pharmacists also work well under Ellen's direction.
"Speaking of which, Mr. Salomon, did you come to the pharmacy today?
When Pharma remembers Fu and says so, Cedric, who was in the affairs, stops the hand holding the pen.
"No. I haven't seen you"
"What's the matter, did you catch a cold?"
Speaking of Lotte, I turn a blind eye. I haven't seen my face in a week.
Farma thought there might be so many circumstances that Salomon, who was coming through both rainy and windy days, would not come. I wondered if my legs had gone far because there was a time when Pharma wasn't at the pharmacy to focus on treating Palle, and I thought so... after Pharma's return, I had a face every day.
"Hmm, don't think it's not a cold"
Salomon is a regular at the pharmacy, so it should be harder to catch a cold. Besides, even if it's a cold, it's too long. I was a little depressed to always come to the pharmacy and watch Pharma do what he does, but I miss him when he stops coming.
"The Chief Cleric is busy."
Cedric didn't really care.
"I think I'll stop by the temple on my way home to see how things are going"
"If you care, why don't you do that? I haven't been to the temple in a while either, so I'm coming with you. Lotte, you want to go too?
"I will continue the meeting with Master Melody on the glass works…"
Lotte seemed to have been called to a dinner party at Melody's Mansion and wondered what treats would come out.
"Yes, let's go together, Mr. Farma."
In the evening, after closing the pharmacy, Farma visits the temple with Ellen. When Pharma and Ellen arrived at the temple, before entering the temple, they realized that the facial rashes of the priests who came out of the inside had been renewed.
Pharma stops on her feet because of a chest crash.
Ellen doesn't really stop by the temple, so she doesn't seem to notice.
"Clerics, I wonder if you've moved on a massive scale"
"Wait a minute, Mr. Farma"
Ellen, suspicious of Pharma's words, pulled Pharma's sleeve and made me turn around to the right.
"What did you just say?
"Clerics, they're all changing their faces. The Chief Cleric seems to be changing too."
It is the Chief Cleric who wears the distinctive hat.
A strange cleric wore the chief cleric's hat.
"Mr. Salomon just took up his post this past time, so it's not yet time for a change. If the Chief Cleric changes, he's going to greet His Majesty... and I don't think Farma will leave the Empire in silence."
To Ellen's words, Pharma made his expression rude.
Looks like something happened.