Itsudemo Jitaku Ni Kaereru Ore Wa, Isekai De Gyoushounin O Hajimemashita - Vol. 3 Ch. 21

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The bells, panels deliberately not showing her upper body, the solemn feel to the whole page. If this was a different manga, I'd think she hung herself instead of getting better...

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"Chronic venous insufficiency (CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein.[1] The most common cause of CVI is superficial venous reflux which is a treatable condition.[2] As functional venous valves are required to provide for efficient blood return from the lower extremities, this condition typically affects the legs. If the impaired vein function causes significant symptoms, such as swelling and ulcer formation, it is referred to as chronic venous disease.[3]" -Wikipedia

So the protagonist misdiagnosis and prescription of B1 Vitamins may provide some relief, it is a paliative, masking the sympthoms leaving the real problem untreated, it may alleviate the fatigue on her legs but the main issue still there.

The rotting part of it may be due to how when a limb stops receiving blood the limb starts to suffer of necrosis (Tissue Death).

I wonder if the protagonost decision here will end up getting Aina's Mother killed later on.
 
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"Chronic venous insufficiency (CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein.[1] The most common cause of CVI is superficial venous reflux which is a treatable condition.[2] As functional venous valves are required to provide for efficient blood return from the lower extremities, this condition typically affects the legs. If the impaired vein function causes significant symptoms, such as swelling and ulcer formation, it is referred to as chronic venous disease.[3]" -Wikipedia

So the protagonist misdiagnosis and prescription of B1 Vitamins may provide some relief, it is a paliative, masking the sympthoms leaving the real problem untreated, it may alleviate the fatigue on her legs but the main issue still there.

The rotting part of it may be due to how when a limb stops receiving blood the limb starts to suffer of necrosis (Tissue Death).

I wonder if the protagonost decision here will end up getting Aina's Mother killed later on.
Why on Earth would you think that a manga like this would have a twist like that? Did you get mixed up and think that this was an isekai version of House MD? Your mind works in mysterious ways
 
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"Chronic venous insufficiency (CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein.[1] The most common cause of CVI is superficial venous reflux which is a treatable condition.[2] As functional venous valves are required to provide for efficient blood return from the lower extremities, this condition typically affects the legs. If the impaired vein function causes significant symptoms, such as swelling and ulcer formation, it is referred to as chronic venous disease.[3]" -Wikipedia

So the protagonist misdiagnosis and prescription of B1 Vitamins may provide some relief, it is a paliative, masking the sympthoms leaving the real problem untreated, it may alleviate the fatigue on her legs but the main issue still there.

The rotting part of it may be due to how when a limb stops receiving blood the limb starts to suffer of necrosis (Tissue Death).

I wonder if the protagonost decision here will end up getting Aina's Mother killed later on.
You can see in some frames that Shirou made few simple tests as well, particularly patellar reflex test, where you lightly strike kneecaps to check the response. If someone thinks that they have thiamine deficiency (beriberi), it's pretty much the first thing they are going to check, since it impacts nervous system.

On the other hand CVI doesn't particularly impact nervous system directly, and result of patellar reflex test is usually normal.

So don't worry, Shirou didn't misdiagnose it just based on shallow observation of the "legs doesn't work, and swell". CVI and thiamine deficiency are very different diseases, and frankly speaking, not really that similar even with basic observation. The only similarity is swelling legs, and even those swelling looks differently, due to different primary reasons (venous system, and heart failures). Especially since he had an opportunity to touch legs in question.
 

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