"I need a reason, a reason why I have to be here." Kraft smoothed his wet hair with his fingers, walked in and found a seat by himself.
He shouldn't have gone out in this weather, at least he didn't think he should.
About two hours ago, he was still waiting in the overcrowded clinic to receive the thirty-fourth patient of the morning, counting the time for lunch.
There is no such thing as registration these days. It is not that the clinic has never tried to limit the number of people in a similar way, but they soon discovered that limiting numbers without identity binding is equivalent to giving money to middlemen.
So the situation became like this, predicting the number of doctor visits the next day was harder than predicting the weather. At least the weather was really predictable, and Kraft could never guess whether his lunch would be in the afternoon or evening.
The patients currently admitted to the clinic are not limited to tuberculosis, and they also have to screen out people who are suitable for digitalis, which is much more difficult.
Compared with tuberculosis, which has more obvious characteristics, people including many doctors currently cannot say that they have limited knowledge of the concept of "heart failure", they can only say that they have no understanding at all. After all, this thing really requires a certain amount of anatomy to explain.
The principle behind the symptoms.
Even blood circulation has not yet gained an absolute upper hand in academia. According to the four liquid theory, blood will emerge from the liver like spring water and be transported to every corner of the body. Some will be absorbed and consumed, and the rest will come out of the pores.
Evaporation and escape can be called the "dissipation theory".
According to its explanation, edema means that the red fluid cannot be consumed completely after being delivered to the place, and cannot be dispersed. It is blocked there, so it swells up.
So how to deal with the traditional method? It’s very simple. Since there are too many, just let out some. So the treatment method returns to the most familiar bloodletting therapy. In fact, it can be observed that some patients develop certain symptoms after bloodletting.
Effect.
Don't ask how people are doing, just ask if the edema has been reduced, right?
Theory is used in practice, practice confirms the theory, and the loop is closed.
Before allowing David to prescribe medication, Kraft needed to correct his scant knowledge of anatomy and reshape it from his own perspective.
As we all know, the path of blood in the body starts from the left heart, returns to the right heart after passing through the systemic circulation, and finally returns to the left heart through the lungs.
Now, due to various reasons that can be explained for months, the blood pumping function of the right heart or the left heart fails. It cannot send a sufficient amount of blood, just like a river with a huge flow suddenly narrows.
The water in the front is too slow, and the water in the back can only be blocked in the river. The water level rises higher and higher, and the water pressure becomes larger and larger. Sooner or later, it will cause serious consequences such as flooding and bank breakage.
When the left heart fails, blood is blocked in the lungs, which manifests as coughing up blood-colored frothy sputum, difficulty breathing, etc.; when the right heart fails, blood is blocked in the venous system.
The venous system involves even more things.
The veins of all unpaired organs in the abdominal cavity, including the stomach and intestines, drain into the hepatic portal vein, pass through the liver, and then go through the hepatic vein to enter the inferior vena cava and return to the heart.
Liver congestion leads to hepatomegaly and tenderness, gastrointestinal congestion leads to abdominal distension and nausea, and venous congestion in the limbs leads to edema. A series of problems manifested in the upper and lower parts of the body are all caused by the same cause.
So, if we return to the view of the Four Liquids Theory at this time, we will find that although the principle of this thing is completely wrong, it is actually partially correct in the general direction. There is indeed relatively too much blood.
Bloodletting therapy, except for some particularly outrageous ones, mostly uses venous blood, which does reduce the blood volume in the venous system and relieves the pressure to a certain extent.
What Kraft had to do was to break David's thinking into his own, so that he could understand why the combination of these symptoms suggested heart failure, rather than some other messy thing.
The bad news is that David was a bit under the influence of the Four Liquids theory and it took time to adapt; the good news is that he has barely learned anatomy, so it was easy to fool him, and he quickly accepted this obviously more concrete explanation.
He does not need to know about ion pump inhibition and reflex vagal excitation that slows down the heart rate. He only needs to know that digitalis is a cardiotonic drug, which under normal circumstances will enhance the ability of the heart muscle to contract and pump blood and at the same time make the heart beat slower.
However, clinical application is far more complicated than a few sentences, and David needs more time to slowly learn the contraindications for drug use, which involves heart auscultation, which is another set of things that make your hairline recede.
After actually doing it, Kraft realized that it was very difficult to compile a set of instructions out of thin air without involving physiology. What was even more difficult was how to get others to agree, understand, and implement it in a standard way.
After just a few days of free time, a certain professor once again suddenly found that he had accumulated clinical work, drug experiments, teaching tasks and other things to do. His time was as invisible as the money he spent, and he was always not enough.
Even the plan to start with the "samples" has been postponed indefinitely.
So when Wadding invited him to sit down at Green's and have a cup of tea, Kraft politely expressed his incomprehension - why did he come to the door before he even took action?
The court was so warm that it was hard to resist. Considering that they would be overly sensitive now and for a long time in the future, Kraft finally decided to spare his precious afternoon time to meet and find out what these people did to his work without permission.
What should not be understood.
But when he actually sat across from the priest, he felt that things were not so simple.
Green looked very sluggish, not like he had been forced to take a few days off. His overall mental state was similar to that of when he had just climbed up from the Teme River.
Regarding the new drug, after seeing the sample, he accepted Kraft's explanation calmly. He seemed to be slightly relieved, and then fell into silence for a while.
The two of them were stunned for a while while listening to the sound of rain outside the window. Finally, Green spoke first:
"You don't seem to be in very good spirits. Have you had any special dreams in the past few days?"
"No, it's because I compiled the medication guide for most of the night last night, and you had to ask me to explain it." Every second wasted outside reminded Kraft how long his to-do list was.
The secret sense of urgency is never far away.
This chapter is not over, please click on the next page to continue reading! However, Green means that he encountered a special situation, otherwise a priest asking a doctor to communicate spiritual dreams would be a bit blind.
Oh, no, it seems that there is indeed a dream interpretation project in the doctor's business these days.
"What did you dream about?" It's always better to be cautious and ask more questions.
"It's hard to describe." Green supported his head with one hand and threw a piece of firewood into the stove, as if trying to dispel the dampness in the room. However, on a rainy day with abundant moisture, this little heat was only enough to dry them out.
A circle that ends at your feet.
"Let's talk about it and rely on intuition."
"This... no, it's a place very similar to here." He noticed that Kraft sat upright, and his attitude was changing from a little impatient to a little interested.
"anything else?"
"Moisture, knocking, vibration." Green searched hard for the scattered fragments of the dream, but those things that had a profound impact were extremely fragmented when they needed to be described. It was like peeking into the memory through a small hole, and only the most obvious ones could be found.
A few undertones.
"Knocking, vibration, it's strangely dark outside, but... there is a light source."
"White light?"
"Yes, white light." Green nodded affirmatively after being reminded, "You know?"
【I know it too well!】
Kraft was satisfied that he had gotten the information he wanted. Such a relaxed consultation was too rare: "Yes, it is indeed reasonable to have such symptoms after being exposed to those things."
"My suggestion is to find a place that is very high, difficult to climb, and where you can see the sky to live for a month. For example, the bell tower of your church is very good."
"If you find yourself waking up in a place that is similar to when you fell asleep, but not quite the same, immediately - I mean immediately - go look at the moon after confirming that it is temporarily safe. If everything goes well, you will wake up."
"Of course, you may need the guidance of a doctor for specific operations, and I just need more cases." The professor confidently stretched out his hand, "I wish us a happy cooperation again."
The priest held the hand hesitantly, but was not comforted by his faith: "But... there seems to be no moon over there."