Underground Doctor

Treatment of Julius and Galadra

A room in an ancient castle in the land of fairies.

Kaoru's skill "Different Space O.R." causes the space to be screwed off and the O.R. entrance appears.

Its heterogeneous entrance, transformed into a vast mass of magic, makes me wonder if it is as if it were a gateway to hell.

"Hey, what is this..."

Galadra is surprised to see her mouth puckered by the phenomenon of incense.

Such powerful magical skills feel like they've never been seen before.

Besides, you can see with your eyes that Kaoru's magic holdings are abnormal.

It was obvious that the character was different.

"Well, I don't care about the details. Yes, I do."

With that said, Kaoru looks toward the Galadras.

Explained is not an understandable substitute.

"Then I'll treat you first from Julius."

Kaoru carries sleeping Julius to the operating room in a stretcher.

Galadra could only keep an eye on Julius.

As Kaoru enters the different space operating room, the thick door slides sooo close automatically, and the lamp on the door that it is in surgery lights up red.

Galadra could only pray.

Inside the operating room.

Kaoru makes Julius change into a surgical coat.

And Kaoru himself begins to prepare for surgery.

Change into surgical clothes and hand sanitize.

"Well, I don't know what to do... I can take it... but I don't know the details of what to look at directly."

Kaoru will assemble measures so that whatever happens can be dealt with.

When the disinfection is complete, Kaoru goes beneath Julius, keeping his mind tight.

Julius illuminated by the lights on the operating table.

Kaoru takes a big breath before facing Julius.

"" Medical Magic - ECG/Vector 1 ""

"" Medical Magic - Sphygmomanometer/Vector 1 ""

A small blue and white seal appears on Kaoru's palm.

When you apply that blue and white light seal to Julius's body, you can see blood pressure and ECG wavelengths on the status screen.

Pi... pi... punch regularly.

"Medical Magic -" General Anesthesia/Vector 1 ""

Ho ho ho, the blue and white light wraps around Julius' entire body.

The medicine slowly turns all over your body.

Kaoru carries out even more medical magic.

"Medical Magic -" Oxygen Mask Vector 1 ""

A thin, pale membrane is stretched over Julius' mouth.

Medically magical, non-polarizing muscle relaxants (medicines that completely paralyze the muscles) are administered to see how they go.

Kaoru confirms to Julius the nominal reaction and the disappearance of the lash reflex.

"Medical Magic -" Artificial Respirator/Vector 1 ""

Julius' mouth opens and the airway is secured.

Something like a tube of light flows through Julius's mouth.

The tube of light continues deeper and deeper into the throat.

When intubated into the trachea, it stops there and checks the status screen to see if CO2 is called on the respiratory carbonate gas monitor.

And the tube of light splits to create an anesthesia circuit.

General anesthesia of medical magic interacts with this anesthesia circuit.

Adjust inhalation oxygen and inhalation anesthetic concentrations and initiate artificial respiration.

Ensure proper ventilation is also provided.

Kaoru finished checking all the maximum internal airway pressure, the amount of single ventilation, the movement of Julius' thorax, and the expiratory carbonated gas monitor.

Finally, observe the pupil and apply the mepatch (corneal protective tape).

"Come on, let's get started... as usual. Let's go in the mood!

Kaoru says so, tightening his feelings in an instant.

And put an electric scalpel in Julius' chest.

There is little blood due to incisional coagulation.

A midsternal incision is made, followed by a pericardial incision, sullen and unmistakable motion, which exposes the heart without a single blink.

Skin incision irritation belongs to the strongest classification of surgical irritation.

Respond to the changes that occur in Julius and make constant adjustments while predicting.

"What is this..."

Kaoru sees a necklace tangled in Julius' heart.

It intertwines perfectly and moves as if to tighten as the heart beats.

It's as if it's sucking Julius' magic away.

Kaoru puts an 'analysis' on his neckline.

-Item Name: Sealed Stone Jewelry

-SKILLS SEALED: Chain of the Underworld

· Details: Ability to enclose skills and magic in your possession.

Conditions for use may be determined by the enclosed.

And out.

Keep checking the conditions.

Conditions for the use of the completely unique skill 'Chain of the Underworld'.

1. Place this necklace on those who want to rule.

Two, pour a little magic of your own into this necklace.

3. This necklace enters the body and is activated by entangling in the heart that is the source of magic and automatically absorbing magic.

These were the three.

Kaoru sees the release information, wondering what a simple condition of use it is.

Then it says excessive magic absorption.

I can't force it off.

It said that if I tried to remove it, the chain would tighten and crush my heart.

And it also says that physics is completely invalid.

"What... I thought it would be refreshing with a grip. Excessive absorption of magic. Hey... I wonder how much magic this guy eats."

Kaoru has a slightly unpleasant feeling.

And also examine the sealing stone, which would be the body of the necklace.

-Item Name: Sealed Stone

-Reality: S-Rank

-Available at: Can be obtained at the bottom of the labyrinth.

Most of the time if not, there have been a total of twelve found so far.

(Rare worthy shitty one, this)

With that in mind, Kaoru exhales in a loud sigh and prepares to be released.

Excessive absorption of magic, but there's nothing you can do if you crush your heart on the way.

Therefore, it is decided to make it an artificial heart and lung before proceeding with the procedure.

The last resort is to have a heart transplant in mind.

Why we have had a heart transplant in the last resort is because it takes a considerable amount of time with post-operative recovery and subsequent dosing, etc.

Besides, this was best given the burden on my body.

Kaoru exposes the site of blood delivery and detachment.

Anesthesia adjustments are made when females are put in.

Tape to site of blood delivery and transfer to extracorporeal circulation.

Sweat flows from Kaoru's forehead to the surgery while processing glaring information.

"" Medical Magic - Heparin Vector 1 ""

During extracorporeal circulation, medicines are given to prevent blood from solidifying.

Magically measure coagulation function and check for adequate extension to insert artificial cardiopulmonary delivery and devascularization sequentially.

And start the extracorporeal circulation as it is.

"Okay, so far so good... If you crush your heart on the way, you'll be in a shade."

Incision of the trachea and the skin on its upper part and insertion of the cannula from that part.

The left heart vent is then inserted for cardiac decompression and air removal.

Perform aortic blockade and inject cardiomyopathic fluid.

Then the heart that was pulsing earlier stops softly.

"Cardiac arrest confirmed, hypothermia initiated"

The magic of incense begins to move the machine.

"Come on, let's unlock this curse..."

Kaoru gently attaches his hand to the necklace.

The neckline begins to shine a darker light with Julius' magic gone.

Kaoru begins to pour his own magic into such a necklace.

As Kaoru instills his magic, he devours it as a chain of necklaces pulses with charincharine.

It is as if you are eating the best treat.

Kaoru was eating 10,000 magic, but there was no indication that he would ever lift it.

So I'm going to step by step increase the amount.

One, two, thirty thousand... one hundred thousand, one hundred thousand, one hundred thousand, one hundred and twelve thousand... two hundred thousand, two hundred and twenty thousand and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on and so on

From Kaoru's forehead, an unpleasant sweat begins to appear.

I wonder if it's a bottomless magic absorber.

No matter how much twisted it is, it is full of magic like hot water, but there are also disadvantages.

Kaoru eats his magic until Seal Stone is satisfied, wondering if he has failed.

Then a change appeared on the sealed stone.

There is a creepy noise called Missy.

Mostly from around 800,000 +.

"Oh, is this a million or so to liberate?

With that said, the moment I gained momentum for the infusion of magic, there was a crack in the sealed stone and a black mass popped out of it into the sky.

Its black mass drifting in the air becomes a tiny black sphere and rolls at its feet.

Kaoru applies analysis from there to the ornaments that were entangled in the heart.

Item Name: Sealed Stone Neck Decoration (Broken)

Sealed skills: none

As I watched it, the chains that were entangled in Julius' heart unraveled on their own.

Kaoru becomes slightly heavier at a moment of relief.

"Whoa, whoa, this is it for only a million... Let me have another one."

Kaoru moves on to exiting the extracorporeal circulation as she stirs up.

Follow the steps earlier and vice versa.

Confirm the resumption of heartbeat and confirm the removal of air bubbles in the heart with the medical magic 'echo' before checking the cardiac function.

Medical magic 'Protamine Vector 1' is used to neutralize 'Heparin Vector 1'.

Withdraw the extracorporeal circulation and remove the sending and devasation vessels, vents and cannulas.

As it was, the surgery was completed with pericardial sutures, sternal closure and closed wounds.

And stop the anesthesia and enter the awakening.

Adjust the anesthesia depth and remove the mepatch.

Painkillers are administered prior to awakening because moderate or higher pain is predicted at awakening.

Allow auxiliary or conditioned breathing with oxygen from artificial breathing as 100%.

Where Julius breathes spontaneously, Kaoru calls.

After a little time Julius regains consciousness but is still hazy.

Kaoru confirms it and leaves the O.R. in different spaces in the stretcher.

I thought I'd put something like a black beaver on the floor in my pocket and check it out later.

A room in an ancient castle in the land of fairies.

Galadra was praying to God as she woke up her weak body and saw the word 'in surgery' with the red lamp on.

It's been two and a half hours since Julius entered a different space operating room.

I'm so anxious to be under the illusion that that door will never open again.

That was the time.

The 'in surgery' lamp on the red lamp goes off hook.

And then a little while later Kaoru came out rolling down the stretcher with Julius on it.

"Yu, Julius, are you all right!?

"Oh, this is the necklace I got inside. No doubt about it, huh?

Kaoru shows Galadra the necklace in the tray as she breathes with her shoulders.

Galadra looks at Kaoru after looking at the necklace with a look like an eyeball popping out.

And you make sure Julius is alive, and you give him a look like you really treated him.

"Now Julius is done. You next..."

"Oh, hey, you okay?

Galadra says that to the fluttering Kaoru.

Things are a little strange, which means Kaoru is not feeling well enough for anyone to see it.

Kaoru devours his teeth and moves his brain into work mode.

in moments with adrenaline but confuse.

Here, I don't know when I'll wake up if I fall.

Besides, Julius' "Emperor's Contract and Curse" Emperor Supreme Bind "should now be activated.

Whoever likes it will no longer be able to be S-ranked.

And when I fall down now and Julius wakes up first, every trouble happens.

It has to be after it's all over.

Kaoru wonders if Julius's treatment options were incorrect.

But there is no mistake in proposing and treating you as a patient.

The burden of surgery and postoperative recovery were best treated this time.

The moment I thought so, my knee collapsed without force with Kakun.

I narrow my eyes and bite my back teeth, but the magic I used doesn't come back.

Kaoru vomits viciousness as his body collapses.

A body falling to the ground.

You can't stop it.

Footage of falling on the floor looks sloppy.

Prepare not to hit the floor and gently close your eyes.

But the pain won't come forever.

Instead, it is enveloped by the scent of flowers and warm ones.

Such a nostalgic, reassuring scent for the mind.

"Kaoru-sama! Hold on!

"What... Alicia..."

Kaoru was on the verge of falling, hugged by Alicia, and therefore never fell to the floor.

Standing on my knees, I'm starting to leave my body with Alicia.

What a pity.

Alicia can't wait to worry, she's going to spill a lot of tears in her eyes.

"Kaoru-sama, don't just be impotent...... I must not live without Kaoru (...)! So... so... don't just force it!

Saying in a trembling voice, Alicia giggles and weeps at Kaoru's head as she gently holds it against her chest.

Kaoru makes Alicia do whatever she wants, thinking she's put extra worry into it.

"I just used a lot of magic too much, so I could die."

"Ho, is that true? Ugh, aren't you lying? Were you injured or something when you destroyed the Empire?

"It's such a shitty city, you can't get hurt. In one way or another, the completely unique skills that Mr. Kreha used when he was manipulated make his liver feel colder."

Alicia looks at Kaoru's face, pulling out of her arm.

You thought you didn't seem to be lying, and Alicia hugs Kaoru with her guts again.

Even some ingredients are gently enveloped so that I think they are extracted from the body.

Kaoru wondered how happy his time would be if he fell asleep like this.

I was wondering if I could put in some more breaks like this.

"Kaoru-sama, use my magic"

"Yeah?

"Yes, because this magic is originally Kaoru-sama's."

With that said, Alicia wraps the golden magic from her body while holding Kaoru and transfers it to Kaoru.

Alicia slowly concentrates and flushes her immense magic to condense and penetrate the body of Kaoru.

Kaoru felt his body pounding and warm, soothed as he breathed with his shoulders.

"Ha... ha... heh, are you okay now?

Alicia looks at Kaoru with a slightly spicy look as she says so.

Kaoru loves Alicia like that.

"Oh, now we're going to have surgery. Alicia, thank you."

With that said, Kaoru rises from his knees and takes Alicia's lips.

"Ahhhhhhhhhh..."

Suddenly, I respond a little confused but embarrassed.

With a pouty look, the spicy look had disappeared.

Would it be more correct to say that I am thrilled?

Turning her face bright red like an apple, Alicia turns a lukewarm look to Kaoru.

But ask Kaoru with a voice that Galadra will not listen to, so as to smash such a pink air.

"What do you mean you destroyed the Empire!?

I wonder what Kaoru would do with the words, as if she hadn't said so.

Alicia was swelling her cheeks a little that she was interrupted by the flirting because of it.

I can't help it all.

"Well, that's after the surgery. Because I want to explain it properly...... Even so, it would be quicker for you to see it."

So Kaoru scratched his head.

Galadra pulled back because Kaoru would explain properly.

Kaoru then stretches Galadra to the different spatial operating rooms.

Alicia was there to help.

Inside the operating room.

Ask Galadra to change into a surgical coat and sleep on the operating table.

Kaoru and Alicia talk while disinfecting.

"Master Kaoru, what is this illness?

"Oh, [aortic dissection] ya"

"Is that heart and other blood vessels brittle and swelling disease?

Kaoru becomes happy with Alicia's growth.

Because I just said the disease and I understand some symptoms.

This makes me chuckle as I don't think I'm going to grow up yet.

"Uh, why are you smiling? Was I wrong?

"No, I'm glad Alicia's gonna grow up."

"Uh, I'm trying!

That said, bring your hand in front of your chest and squeeze your fist.

Again, Kaoru thinks it's different to have a heart just to be with me.

The sense of security is out of step.

Kaoru explains the operation to Alicia.

This time, [stent-graft endovascularization].

The stent graft is an artificial blood vessel fitted with a spring shaped metal called a stent in the artificial blood vessel (graft), which is compressed and kept in a thin catheter.

Expand this in the area of the aneurysm to cover the aneurysm.

In this method, the aneurysm remains, but the lid causes the blood flow in the tumor to disappear and gradually decrease.

Treatment with stent-graft can reduce incisions and put less strain on the patient's body.

It is used in cases of physically weak or elderly people, as in this case Galadra.

It is also characterised by a fast return from surgery, without taking any special medications.

Advantages include the need for a long-term follow-up visit.

This has to be done once a year for regular check-ups.

However, by using Kaoru's "analysis," we can find out how long it will be okay, etc.

Traditionally, the durability is opaque.

Alicia heard this and said, "I knew Kaoru-sama was amazing!" He laughed nicely.

Kaoru regains his temper as soon as the Empire's Gotagota is over, wondering if he will take plenty of time.

Alicia can't be impudent when she's watching.

Because we have to show Alicia the surgery and make her useful from now on.

"Come on, you ready?

"Yes!"

"Then let's go"

That said, Kaoru and Alicia go under Galadra.

He has a slightly anxious look when he lays down on the operating table.

I guess it's because there's so much equipment around that I've never seen before.

This operating theatre is a hybrid operating theatre.

It is an operating room that combines an operating table with a cardiovascular and angiographic device.

In the hybrid operating room, X-rays are taken, high-quality three-dimensional images are created immediately, and on-the-spot surgery can be performed quickly and safely while observing.

It also interacts with Kaoru's medical magic, so I can project information on the big screen.

Galadra had a horrible look on her face when she saw Kaoru.

"You kept me waiting. Well, I'll tell you one thing before the surgery starts."

"Hey, what?

"I get general anesthesia, so when I wake up asleep, it's over. Then you can rest in peace."

Galadra nods at Kaoru's words, wondering if she would use it in sleep magic as well.

Alicia will also prepare the necessary tools for the surgery with Tekipaki.

Then we'll get started.

"Oh......"

Galadra, who replied, closed her eyes gently.

Kaoru performs medical magic from there.

"" Medical Magic - ECG/Vector 1 ""

"" Medical Magic - Sphygmomanometer/Vector 1 ""

A small blue and white seal appears on Kaoru's palm.

When you apply that blue and white light seal to Galadra's body, you can see the blood pressure and ECG wavelength on the status screen.

Pi... pi... punch regularly.

"Medical Magic -" General Anesthesia/Vector 1 ""

Ho ho ho, the blue and white light wraps around Galadra's entire body.

The medicine slowly turns all over your body.

Kaoru carries out even more medical magic.

"Medical Magic -" Oxygen Mask Vector 1 ""

A thin, pale membrane is stretched on the mouth of Galadra.

Medically magical, non-polarizing muscle relaxants (medicines that completely paralyze the muscles) are administered to see how they go.

Kaoru confirms to Galadra the nominal reaction and the disappearance of the lash reflex.

"Medical Magic -" Artificial Respirator/Vector 1 ""

Galadra's mouth opens and the airway is secured.

Something like a tube of light flows through Galadra's mouth.

The tube of light continues deeper and deeper into the throat.

When intubated into the trachea, it stops there and checks the status screen to see if CO2 is called on the respiratory carbonate gas monitor.

And the tube of light splits to create an anesthesia circuit.

General anesthesia of medical magic interacts with this anesthesia circuit.

Adjust inhalation oxygen and inhalation anesthetic concentrations and initiate artificial respiration.

Ensure proper ventilation is also provided.

Kaoru finished checking all the maximum internal airway pressure, single ventilation volume, movement of the thoracic cavity of Galadra and the expiratory carbonated gas monitor.

Finally, observe the pupil and apply the mepatch (corneal protective tape) and use "Full Health Recovery" Apollon Light "and" Regular Health Recovery "Apollon Protection".

"Come on, let's get started... as usual. Let's go in the mood!

"Ooh!

That's what Alicia says to match Kaoru's voice, too.

Kaoru, when he sends such a gaze to Alicia, returns it with a scuffle.

First, Kaoru prepares an introducer sheath.

Then, "CT" and "X-ray" are used to display the information on the big screen.

Kaoru selects the optimal stent-graft while confirming it, which was put out as a three-dimensional video.

"Kaoru-sama, is that the same procedure as Daniela last time?

"At first. The destination is a heart attack."

Kaoru explains so, stabbing a dedicated needle in the femoral artery at the base of Galadra's foot.

Once the needle reaches the femoral artery, place a guide wire (soft wire) in it.

Spread the blood vessels by placing an introducer sheath along that guidewire.

"to, for the second time, but it still looks painful"

"It's not painful because I'm anesthetized, but I wonder if my body will be burdened. Then, if you can fix it in minimal terms, it's better. Yeah, do it?

"Yes, there are many treatments and you will learn. This part of the catheter is a bit unusual."

That's what I say, looking at Kaoru's chosen stent-graft.

Because it's stored, all I know is that it contains something like a mesh.

"This is going to swell. Take a good look, huh? This disease can make older people more vulnerable."

"Yes, one day I'll see it right so I can cure it"

With that said, Alicia stares at the big screen.

An introducer sheath is inserted to use the medical magic 'Heparin Vector 1'.

Heparin is one of the anticoagulants that prevents blood from solidifying.

ACT (activated whole blood clotting time) is then controlled to 200-250 sec.

ACT is one of the methods of measuring blood coagulation, with a normal figure of 90-120 sec.

Kaoru stares at it when it is shown on the big screen using Contrast Vector 1, which reflects the intravascular.

Kaoru, now that he's ready, puts the catheter in and puts it on the bloodstream to keep going.

Within the video, Alicia's breath leaks as she watches the catheter move alternately with Kaoru's hand movement.

I think I need to learn a lot more about my unmistakable moves.

Kaoru concentrates more and more as he scratches sweat on his forehead.

The situation is unusual.

Because we are destroying the Empire and draining tremendous magic with the treatment of the different space operating rooms and Julius.

There was some magic refills from Alicia, but they're not complete.

So a moment of relaxation is life saving.

Failure will never be tolerated.

In a state of urgency, Kaoru concentrates only on the patient's life.

Then we finally get to the location of the aneurysm.

"All right, you're here..."

Here, suppress the feeling that you're going to be horny for a moment.

Carry the stent-graft along the catheter to the area of the aneurysm, in line with the area of the aneurysm in Kaoru's Contrast Vector 1.

Take it carefully and when you reach it, let the stent-graft unfold there.

Alicia has a voice for the sight.

It slowly spreads to cover the aneurysm area.

Kaoru, once it spreads perfectly while checking, makes sure it spreads properly in the blood vessels and crimps it several times to spread the balloon across both widened entrances to eliminate gaps.

Then, apply "analysis" to confirm that there are no leaks and confirm the future course.

Both of the results showed no abnormalities.

Kaoru creates a grip and poses as a gut in her heart with the result that she is okay with one diagnosis a year.

Later, the catheter is recovered and removed from the blood vessels.

And stop the anesthesia and enter the awakening.

Adjust the anesthesia depth and remove the mepatch.

Painkillers are administered prior to awakening because moderate or higher pain is predicted at awakening.

Allow auxiliary or conditioned breathing with oxygen from artificial breathing as 100%.

Where Galadra breathes spontaneously, Kaoru calls.

After a little time, Galadra regains consciousness but is still hazy.

When Kaoru told him to sleep as he did, Galadra meditated again on his eyes.

"Good luck, Kaoru"

"Oh, I've done the rigging... I've found out that the amount of magic you use in a day needs to be adjusted properly, Akan"

"Then I'll help Kaoru again."

"I don't know... Also, I want you to call me Kaoru."

In that word Alicia said, "Huh?" It gives me the look of it all the time.

It feels like when did you call it off, and it's decent.

Kaoru tells Alicia again, even though she thinks she's such a cute creature.

"That was really helpful this time. Thanks, Alicia."

That being said, when she hugs her, Alicia lifts her joy, saying, "Nah, nah, nah!"

Should I say this is a joy without a voice?

Kaoru thought it was a paragraph, feeling Alicia's plump reaction.