Episode 212. Aftereffects (1)
“When does Congressman’s mom wake up?”
Son Sang-hyang did not leave the side of her mother who had not yet woken up.
First, Mrs. Oh, Son-chae, and Son-gwon came in and out often, but only Son Sang-hyang held her mother’s hand without going anywhere.
“You will wake up soon.”
“You said that yesterday too.”
“I will wake up before the end of the day.”
After examining Mrs. Oh’s pulse, the painter felt a little relieved.
‘Fortunately, the Mac has returned to normal.’
In this state, you will probably wake up within an hour.
The painter used his clairvoyance to examine Lady Oh’s cerebellum.
‘Once the most dangerous time has passed, the probability of recurrence has decreased. I hope the aftereffects are mild.’
“When Mommy wakes up... I will listen to her without a fuss from now on. And I’m not going to play too badly.”
The painter felt sorry for Son Sang-hyang, who looked at her mother from the side and spoke as if she were talking to herself.
Not long after his father’s death, what a shock must have struck his young heart when his mother collapsed and was unconscious.
The boy who hadn’t lost any breast meat before, was now skinny.
“By the way, did you eat breakfast?”
“I didn’t eat because I had no appetite.”
“How sad will my mother be when she wakes up to see you skinny like this? So go ahead and eat porridge.”
“no, I do not want. We’ll wait until Mommy wakes up and then we’ll eat together.”
“Were you hungry yesterday too?”
“.....”
“Seeing that you didn’t talk, you must have been hungry yesterday too?”
“I don’t mind if I don’t eat.”
“You may be fine, but your mother will be heartbroken when she collapses. What makes you happy is not starving like this, but waiting for her to wake up strong after eating well. Go ahead and eat.”
“I don’t have this appetite.”
“Seeing as you don’t listen to me, the tsk councilor... I guess I don’t need to be here anymore. yes do it your way Seeing you not listening, all I can think about is that I shouldn’t come here from now on.”
When the painter got up from his bed, Son Sang-hyang’s eyes shook rapidly.
“I’ll come back after eating at the bar. Mom... please protect me.”
“Take two bowls and come. Then mom will wake up.”
“Really? Will mom wake up when I come back after two bowls?”
“The Senator doesn’t lie.”
“all right. Then I’ll eat two bowls and come back.”
“Your intestines must be nervous.... When you eat porridge, eat it slowly while blowing out loudly. If you eat it in a hurry, you will feel like porridge.”
“Ah, okay.”
After Son Sang-hyang left, the first wife, Son-chae, and Son-gwon came in after a while.
The three of them also asked when the second wife would wake up.
“Sang-hyang will wake up when he eats two bowls of porridge.”
The painter, who took the pulse of the second wife and observed the brain with clairvoyance, let out a long sigh without realizing it.
‘ha! As expected, hydrocephalus came.’
Most patients with cerebral subarachnoid hemorrhage have similar sequelae after surgery, and among them, this hydrocephalus is representative.
As blood vessels burst and a large amount of blood spread and coagulated in the subarachnoid space, which should be filled with cerebrospinal fluid, absorption in the superior sagittal sinus was not smooth, and the entrance to the sewer was clogged with foreign substances.
When the venous sinuses are blocked, the cranial cavity where the venous sinuses are located (the ceiling between the cerebral hemispheres) swells first, and over time it swells up to the spinal cavity, which inevitably increases intracranial pressure.
If the increased intracranial pressure is not reduced, death will eventually occur.
‘Shunt surgery is the answer... but I can’t manage it for the rest of my life... is there any other way?’
The painter first had to save Mrs. Oh, so he started with the shunt surgery and started to look for other ways in his head.
Shunt surgery is a method that connects a thin tube to the ventricle to drain cerebrospinal fluid into the abdominal or thoracic cavity, and replaces the circulatory function with the peritoneum or pleura.
The surgery itself was not that difficult, but the problem was that I had to take care of it continuously for the rest of my life.
In an age of poor equipment and technology, the tubes in the ventricles could become infected, clogged, or dislodged. And the amount of cerebrospinal fluid that goes to the abdominal cavity or chest cavity must be continuously controlled, but there is no machine itself to control it.
Of course, there is a way to have someone with expertise like a fireman stick around and manually adjust it, but who would do that for the rest of their lives?
The painter searched for another way until the shunt surgery was over, but he couldn’t come up with a sharp number.
The second, Mrs. O, woke up a day after receiving the shunt operation, but could not speak well, could not eat porridge by herself, and could not urinate and defecate.
The painter had her older sister, Mrs. O, take care of her and had the maids help.
“Mr. Congressman! oh my mom doesn’t recognize me Hehehe, what should I do?”
Son Sang-hyang had tears in her eyes as her mother’s condition deteriorated to the extreme, and whined with anticipation when she saw the painter.
The painter was sometimes tired because he could understand the feelings of the young Son Sang-hyang, but he accepted everything without paying a vote.
He patted his head lightly and opened his mouth.
“My mother is getting better now. Of course, it won’t look like it, but it’s getting better, so next year... or maybe within a few months, I’ll be able to go to flower viewing with Sang-hyang.”
“How many months? Until then, did my mom keep not recognizing me, couldn’t speak well, and couldn’t even eat alone?”
“No, sooner or later, he’ll recognize Sang-hyang and eat himself too. So even if you’re upset right now, you have to be patient.”
“Hehe, I will. all right. I will wait patiently.”
“Yeah, upward is good.”
The painter came out of the main house after stroking Son Sang-hyang’s hair one more time.
‘Anyway, how can I think of another method after thinking about it for several days?’
I looked through all the knowledge of the future in my head, and even reviewed all the medical techniques I had learned from the doctor, but the vagueness only added to it.
The painter cleared his chest and recalled the details of the second wife once more.
‘The pressure in the brain has decreased and the depressed brain is returning to normal, but the cerebrospinal fluid is still cloudy, but it cannot be filtered out with a filter paper, so is there any way to make only the cerebrospinal fluid thinner?’
The brain pressure increased due to the turbidity of the cerebrospinal fluid, but the recovery of the brain was slow because the brain was not properly supplied with oxygen and nutrients.
The brain receives oxygen and nutrients through the blood vessels, but the cerebral cortex also receives oxygen and nutrients through the cerebrospinal fluid.
The cause of the turbidity of the cerebrospinal fluid was that blood vessels were ruptured and blood was mixed in all directions and coagulated.
The coagulated blood is originally released by the secretion of heparin in the liver. The cerebrospinal fluid that has entered the abdominal cavity is absorbed in the peritoneum and goes to the liver where it is released and recycled.
Suddenly.
It immediately dawned on me that it was Hirudin that played the same role as heparin. In the past, blood tests were done using hirudin extracted from the body of leeches.
“Hae heparin! Hirudin! Why didn’t I think of that? If hirudin is purified and injected into the front of the venous sinus where cerebrospinal fluid is absorbed, the clot may be released.”
All I had to do was to make the circulation in my liver temporarily happen in my head. Of course, too much administration of hirudin will cause side effects, but if you adjust the amount, most of the so-called blood clots can be released.
—————————————