A soul that has been destined for death is temporarily allowed to remain in the body, which lies on the bed board of the clinic.
The quilt was wrinkled. The previous person who lay here had not tidied it up before he left. The twisted folds of the fabric were a bit uncomfortable on the back. Those deep and long folds seemed to hide the disease and unwashed moisture.
There are rust spots, but it's much better than hard board.
He wanted to stand up and straighten the blanket, but a violent cough interrupted his movement. There was some kind of pain in his chest, like a wound being forced to stretch. He clenched the nearest thing he could grab and pulled, making the blanket more wrinkled.
Something thicker and thicker than saliva spurted out with the cough, and I wiped it with my hands subconsciously. I noticed the familiar moistness and thickness, and a conspicuous red color appeared in my palms, which catalyzed the steaming of heat and anxiety.
Occasionally, a shadow carrying bottles and cans walked behind the white curtain, arousing a little instinctive hope, but it quickly cooled down.
So far, the expectations for the herbal decoction have been exhausted after the condition has worsened repeatedly. The doctor has also made it clear that the improvement may not be likely. Rather than treating it, it is better to describe it as a survival instinct. I want to believe that I can still struggle.
one time.
Amid the discomfort in my heart, I could neither fall asleep nor stay awake. I just closed my eyes and tried to ignore the similar coughs coming and going next door, temporarily keeping my consciousness away from reality.
But this only made the hearing sharper. The suppressed sound of the cough was like some kind of sonorous footsteps of different shades, wandering between the curtains in the room. From time to time, it would stop and knock on the door in a high-pitched and urgent way, urging the call. Every time it sounded
All cause fright.
And in this sound, a series of footsteps on the ground walked down the wooden stairs, approaching this way. It sounded like they were coming this way.
A corner of the white curtain was lifted, and it was not the apprentice who usually delivered medicine, nor was it Dr. David who had only been seen during consultations and making conclusions, but a tall stranger whom he had never seen before, walking naturally to the bedside.
stop.
A set of black robes similar to David's but newer, a cloth-covered face that reveals youthful features, and a thick and forward hairline, all of which lower his credibility.
But he soon learned that impression does not necessarily have to be reflected in appearance.
Behind the young tall doctor, a middle-aged doctor wearing a black robe with red thread piping came in and automatically stood half a body next to him, holding his hands in front of him.
The only doctor I knew, Dr. David, walked last, helping the entourage holding the instrument tray to open the curtain, and followed the middle-aged doctor with a special black robe, actively marginalizing and reducing his presence.
Several assistants and apprentices silently followed in small steps and occupied the bed. Nearly ten people were crammed into the small compartment at once, completely surrounding the hospital bed. A pair of eyes that could not reach shoulder height were hidden outside the crowd, trying to see
Clear the inner circle.
"Hello, I am Viren, a lecturer in surgery at Dunling University School of Medicine, and this is Professor Kraft from Rivers University." The doctor in a black robe with red edges stood up and threw out a few words that he had never heard of before.
Noun, probably a very informative introduction.
"This visit is to provide tuberculosis patients with a newer and more effective treatment, which is especially effective for hemoptysis."
"Ah?" The patient on the bed was stunned for a while. It seemed that he didn't understand much and was still thinking about whether he should sit up.
David looked over and translated, "These two are my teachers, specially here to cure the white plague on you."
"May Heavenly Father bless you."
"This does not mean a complete cure, but it may be able to slow down the disease process and reduce symptoms." Kraft held down the patient who was about to sit up and straightened the sheets. "Before that, we have to find out whether your condition is
Suitable for treatment.”
Looking around, his intuition told him that something important was missing here.
"Dr. David?"
"I'm here, what can I do for you?" The clinic doctor thinks that the next step is to simply ask the patient and then start treatment. He only needs to study quietly next to him and seize the learning opportunities that fall on his head.
"Come and report your medical history."
It clicked, and Kraft finally found the right way to open it. Lecturer Willen stepped aside, exposing David who was 30% frightened, 70% surprised, and 90% confused.
The attention originally focused on Kraft, including the patients, was neatly transferred to the owner of the clinic, giving him a long-lost sense of déjà vu and returning to his not-so-good student days.
"The patient came to see a doctor because of 'cough and hemoptysis', and he used..." Through a layer of cloth, David took a deep breath through his nose, catching the smell of herbal medicine wafting from the jar in the apprentice's hand, "And now
The same elderberry decoction was used. Considering that the patient had loss of appetite and occasional abdominal pain, agarwood was added to increase appetite, and dill was added to relieve intestinal colic and strengthen the spleen and appetite."
David felt a cold sweat running down his back, and he had the illusion that a teacher he knew in a big class had accurately pointed out that the people present today were not classmates, and not being able to answer anything would damage his social status much more than in class.
He looked at Kraft, looking for his attitude towards this answer in the other person's reaction, and found that the latter was also looking at him. The look in his eyes clearly said, "Keep talking, why did you stop?"
What should I say? The cold sweat that had just stopped started to break out again. In his mind, he had almost said what needed to be said. Everyone knew that this was a tuberculosis patient, but it seemed that it was far from finished.
However, the professor was obviously a considerate person and quickly noticed his difficulty and decided to give a little hint: "When did the patient start coughing and what did he come into contact with? Is the cough violent? Is there a difference between day and night? Is there still phlegm in dry cough?
Is there blood in the sputum? Has it gotten worse or relieved over such a long period of time? When did the hemoptysis start? Is there chest pain..."
David looked at Viren for help, and Viren asked naturally with his eyes - You ask me about my surgery?
The atmosphere at the scene was not very good, but fortunately the patient was aware of his own initiative and there was no communication barrier between the two parties.
This chapter is not over yet. Please click on the next page to continue reading! "Doctor, I had a cough last winter. I drank some scented tea and it was fine in a few days. Then I had a cough again. It was this spring, and it got better.
More and more." The patient sat up from the bed, propped up his body, and coughed again. He could see a mixture of dry and fresh red spots on his hands and the front of his clothes.
He tried hard to cover his mouth to stifle his cough, and hurriedly said as if he was afraid that the doctor would turn around and leave, "When the weather started to get hot, I found blood in the sputum. I usually feel that I can't exert any strength, so I came to see him."
"Okay, I understand." Kraft pulled a piece of absorbent linen from the plate and handed it to him, "Do you remember these specific times, such as what month they are? Especially this cough, when did the hemoptysis start?"
"I can't remember clearly. Does it matter?"
"It's okay. Just lie down and take a moment. Let me take a look." From this point of view, it is not unreasonable that today's medical history is generally incomplete. At that time, the model was not clear, and the patients themselves had little health awareness.
Under the current situation, the collection of information on mobile patients is absolutely a mess.
Kraft untied the patient's clothes. Unlike the Duke, who had always maintained adequate nutrition and was in excellent physical condition, the symptoms of weight loss were very obvious on the upper body. When the chest cavity bulged, the faint ribs under the skin could be seen.
There is almost no need to look for bony landmarks, and the location can be clearly seen intuitively by sight alone.
[Very suitable for teaching]
"Come on, Coop, put the thing aside and press it." Craft called Coop, grabbed his hand and pressed it on the center of the patient's chest, "What bone is this?"
"sternum."
"Very good, how does the part you touch now feel?"
"Uh...it seems uneven and a little convex?" Coop replied uncertainly.
"Yes, this is the sternal angle, which is flush with the second pair of ribs on both sides. We can count the ribs up and down based on this."
【It seems a bit troublesome】
Pressing Kupp's hand and guiding him to touch both sides to find the location of his ribs, Kraft felt that such an idea was arising. He should have had an easier way without relying on these rules to distinguish.
After some searches in diagnostics, logic rejected the newly generated idea. This is indeed a very convenient method. It would be faster unless it was directly seen, but not all patients are so thin.
But his intuition still reminds him that he should not be trapped in inefficient methods, and guides his consciousness to follow his instinct and use that method, skip the tedious sight, touch, and hearing, and diagnose the patient with an absolutely accurate perspective.
【This is your responsibility to the patient, isn’t it?】
Kraft thought for a moment and grasped the source of the idea, which was the daily vibration of the spiritual senses, such as the mouth reflexively secreting saliva when seeing delicious food.
He rejected the suggestions put forward by one of his own. This is of course not irresponsible. What is needed now is a simple and easy way that can be completed by anyone with systematic education, rather than a human CT machine relying on extraordinary results that are difficult to reproduce.
Reasonable cheating.
If, as a pioneer, you cannot complete the entire set of operations under the conditions of an ordinary person, but you want to promote the treatment method, that would be truly irresponsible.
Containing his mental senses, he palpated the pleural friction sensation in the normal order to rule out the contraindications of pleural adhesion. Kraft in turn pushed through the intercostal space to locate the cavity, and then took out a cylindrical object from the tray brought by Kupp.
The sides are tightly sealed with a thin skin, and it looks like an elongated version of a snare drum.
This is also one of the works of Westminster craftsmen. The original version of the stethoscope, or more appropriately called a "receiver".
Put one end on the area that needs auscultation, and put your ear on the other end. The advantage is that you can save the inconvenience of putting your head on the patient's chest to listen. It is still inconvenient, as you need to bend down and twist your neck to adjust the position.
Kraft carefully positioned and moved the receiver, remembering the imaging department that he had been away from for a long time, corresponding to the position of the hollow he tapped, distinguishing the hollow whistling sound, and after confirming again and again, he fixed the receiver with both hands and let the ear end go.
"Come here and listen. This is what the lungs of tuberculosis patients with cavities sound like."