Parallel World Pharmacy Volume 3 Chapter 12 part2
Falma held out his right palm before the two.
“In addition, an anti-cancer agent is administered by injection to destroy leukemia cells.” Palle also offered his left palm.
Clinically, in the case of Palle, it has been determined that ATRA alone cures. However, Falma wanted to minimize the risk of recurrence by combining ATRA with anti-cancer agent.
“Eliminating the leukemia cells thoroughly with two drugs.”
Having said that, Falma joined his hands together.
“This is the treatment for Palle’s leukemia. I’ll mention later the detailed dosing schedule.”
Falma thought that Palle was smart by understanding his explanation from the rough flow.
“In other words?” Ellen asked for the conclusion.
“That means there is a possibility of completely cured,” Falma replied.
Ellen felt relieved and Palle also seemed to have had a little hope. Lotte and Cedrick also looked and laughed at each other.
“Yeah, you’ll undergo Remission Induction Therapy.”
Falma gave the medicine and water to Palle. It’s an ATRA capsule.
“Drink after every meal now. For now, after lunch”
“Do you want to drink it now? Be ready…”
Palle drank the provided medicine. Falma was nervous about Palle’s esophagus.
“Okay, the treatment has started. Let’s go home, brother, Lotte. I’m taking a leisure ride today in a carriage.”
Falma though that a brain hemorrhage was likely to occur if the ride was by horse.
“Your bleeding symptoms should improve in a few days after drinking ATRA, but until ATRA works, you need an absolute rest.”
“ATRA alone, do you have to take anti-cancer drugs and others?” Palle asked Falma in case he has forgotten his prescription.
“Idarubicin is given by injection, let’s do this at home”
T/L Note: Idarubicin is an anti-cancer medicine (Chemotherapy) that interferes with the growth and spread of cancer cells in the body. It is used for leukemia and advanced breast cancer.
Falma explained that Palle should rest, and Idarubicin will be injected in a clean room instead of a crowded place. On the way home, Falma threw an open question to Palle, who was swayed by a wagon in a state of exhaustion.
“Brother, do you have a girlfriend now?”
“Why are you talking about that now?”
“Because it is necessary information.”
“We broke up last week. It’s my 25th woman, a good woman. We’re too frustrated at each other. Oh, by the way. I’m using contraception.” – (he or she???)
‘I have never heard anything like this, brother’ , Falma thought.
Anyway, it didn’t seem to change that Palle had lived a fulfilling personal life. It may be that Palle broke up with her girlfriend because he’s front of death’s door. Anyway, it was Falma who felt relieved since she didn’t leave Nova Root Pharmaceutical Academy (Palle’s academy) and chased Palle to Imperial Capital. Upon hearing her and her contraception, Lotte, who is on the same carriage, turned red on her face; pretending not to hear him.
“Don’t go out with her while you’re still taking ATRA. Having her pregnant during medication may cause mutation in your child.”
ATRA was a drug with teratogenic potential. During medication, not only women but also men must use contraception.
T/N Note: Teratogenic Potential refers to the potential of a drug or substance which may disturb the development of the embryo or fetus.
“Yes, you don’t have to worry because I’m not there now.”
“It’s about two years.”
He was forced to abstinence for two years, but he can’t return to his old life.
T/L Note: Treatment of Acute Promyelocytic Leukemia (Palle’s leukemia) usually takes 1 to 2 years with intermittent ATRA and low-dosage of chemotherapy (Refers to Idarubicin anti-cancer agent). Since Falma is a chemist and not a doctor, extra precaution is needed.
… ━ … ━ … ━ …
“What! Palle did have such a devious disease…”
Bruno listened to Falma’s report, who came to his study after he had returned from college. The treatment process was also explained in detail to Bruno. Including what kind of leukemia and what type of stem cells and white blood cells. Bruno, who has basic knowledge, grasped Palle’s medical condition. Much shorter time than when Falma explained it to Palle. As Bruno listened to Falma’s explanation, he became unnerved. In Bruno’s mind, Palle’s condition was a life-threatening situation.
“If bleeding occurs, there is a probability that brother may not see tomorrow. It was a moment-sensitive situation, so Palle is already in the treatment of taking ATRA.” Falma continued.
“If we get bleeding, we will not know tomorrow’s life. We have been in the process of taking time, so we are already in the process of taking ATRA.”
“Oh… I knew I had such a blood disease but… Palle looked fine.”
“Please leave it to me.”
“Oh. I am rest assured since you’re in charge of Palle’s treatment.”
As a father, and as one of the pharmacists to suppress the desire to take charge the treatment of his beloved son. Bruno entrusted Palle’s treatment to Falma. That way, the probability of Palle’s survival increased.
“Is there anything I can do? Is there anything I should prepare? Is there a need for my hands? I’ll do anything.”
“There is. Please allow collecting blood from our servants who have the same type of blood as brother. It can be used for the blood transfusion to compensate for missing platelets and blood coagulation factors. It may not be used, but it is better to be prepared.”
‘If you transfuse my blood outside, I don’t know what will happen…’ Falma thought.
It was a serious problem. The worst, shock would be the cause of Palle’s death. Blood transfusions from Bruno couldn’t be used to avoid the risk. Hopefully, the blood from non-blood related people can be used for the blood transfusion.