It's not that difficult to open a hospital in another world, right? Chapter 1462 Gretel: This headache is giving me a headache! (Planet Watcher leader adds 1 update)
Chapter 1462 Gretel: This headache is giving me a headache! (Planet Watcher leader adds 1 update)
Since it is not caused by high blood pressure, we need to find another reason. Gretel casually chatted with the old dwarf while writing down his medical history, and the two middle-aged dwarfs also added. Postscript
As we chatted, we found out that the old dwarf had married four wives since he was married at the age of 15, and had given birth to twelve children to him.
There are more than thirty sons and daughters in total, and the sons beget grandchildren, and the grandsons beget sons. The descendants of one person support half of the tribe——
Fortunately, dwarves don't take up much space and don't eat much. To make something that makes a clanging sound, it also requires a lot of people and strength. If a race like the Frost Giants and Cloud Giants married so many people and gave birth to so many children, they would have no choice but to wage war.
Already.
Although Old Mart is a spell caster, he is not the kind of person who can just mutter spells and throw some wind blade skates. He is like other dwarves on a daily basis, picking up hammers, wrenches, etc., knocking, smashing, and making devices.
.
One of the middle-aged dwarfs was his son. He brought along a hammer used by his old father. Grete took it and weighed it. It was not light in weight.
He can drink wine and eat meat. Even at this age, he still has nearly thirty teeth in his mouth, which makes a crunching sound when chewing chicken bones.
This kind of situation shows that you are in good health and it looks less like you have been suffering from high blood pressure for twenty years. Postscript
"Then what should I do when he usually has a headache? How to treat it?"
"If you have a headache, drink alcohol, or chew some medicinal herbs or smoke some medicinal cigarettes." The old dwarf replied tremblingly:
"The Dragon Master took pity on me and treated me twice. I was cured at that time, but relapsed after a while..."
Without waiting for Grete to ask, he waved his finger, and the other son hurriedly took out a pile of leaves, grass roots, dried mushrooms, dried flowers, and various unknown objects, and laid them out one by one.
Grete frowned immediately. The medicinal properties of herbs have always been his weakness. Even if he memorized the names of these strange plants, he probably couldn't match them with his previous life——
It is normal for a plant to have dozens of names in different places and races. Although the identification technique can tell him what it is called and what its medicinal properties are, it is not consistent with the pharmacology he has learned.
Asking more carefully, most of these herbs were used in sacrificial ceremonies. Even he frowned. Postscript
The medicinal herbs used in sacrificial rituals by indigenous tribes are said to be able to improve spirituality and connect to the gods. Most of them are either hallucinogenic drugs or narcotic drugs, and a small number may be central analgesic drugs:
In any case, these medicines have no reference value for the cause of the disease. Gretel wants to figure out why the old dwarf has headaches, or he has to rely on himself.
The causes of headaches are extremely complex. In addition to migraines, cluster headaches, tension headaches, and trigeminal neuralgia with autonomic symptoms, there are also a large number of secondary headaches with various causes.
Primary headaches are roughly equivalent to "the cause is currently unknown" or "modern medicine has not yet understood its mechanism of occurrence". Apart from throwing painkillers, Grete has nothing to do for the time being;
Secondary headaches must be investigated slowly. In addition to malignant hypertension, Grete can think of intracranial infection, intracranial space occupation, cerebral hemorrhage and other brain diseases;
Headaches caused by toothache, glaucoma, rhinitis, sinusitis, cervical spondylosis and other head and neck diseases;
Headaches caused by alcoholism, poisoning, electrolyte disorders, endocrine disorders, various medical diseases... Postscript
Gretel felt like he had a headache just thinking about so many possibilities. However, as a doctor, he could only continue to check:
"Come on, let's do a CT scan first, and then an MRI..."
The old dwarf looked at him blankly, and the incomprehensible words in his mouth were like listening to heavenly scriptures, but he did not dare to ask questions. The high-level spellcasters on the left and right all had some weird words, so there was no need to go into details, just obey them.
Sure enough, Gretel immediately gave instructions:
"Well, you don't need to do anything extra. Come, take off your clothes, don't leave any metal objects, and stand on this board. Yes, just stand..."
Buzzing, buzzing, buzzing, buzzing. The magic circle lit up one by one, and the huge magic power rolled over and flattened. Gretel stared at the images emitted by the oak staff, looking at each one carefully, and asked the old dwarf:
"Is it normal to walk during this period of time? Is it normal to run and jump? Is there any blurring when seeing things? Is there any hand-eye coordination when using any device?" Postscript
"No! No, no!" The old dwarf shook his head quickly, pulled out a box, and held it in both hands:
"This is a cup I made a few days ago. I made it for more than a month and just finished it the day before yesterday. Look at the texture of the gold wire and the gems inlaid on it. It's very good. There are no flaws at all!"
Grete took it and took a closer look. On the silver cup, which was as big as a human head, thin gold wires were used to coil out patterns of figures hunting and birds and animals running. The gold wire lines were smooth and smooth, and the gemstones were inlaid perfectly.
The silver cup was shiny, with no traces of oxidation. There were fine chisel lines on it, and the edges of the knife were sharp. It was obvious that it had just been made not long ago. I secretly tested it again, and the feedback was "from last week"...
Well, this situation at least shows that the old dwarf has no neurological dysfunction. Grete breathed a sigh of relief, and combined the head MRI and CT to rule out another possibility:
Malignant brain tumors develop very quickly. I heard from my colleagues in the hospital that there are often young patients who develop out of control in two or three months, and it is too late to save them. I feel very sorry for them.
Although benign tumors develop slowly, if you survive with the tumor for more than 20 years, the symptoms will progressively worsen, and recurrence is possible. Repeated recurrence without neurological dysfunction is impossible...
Thank God, there is no intracranial mass, and there is unlikely to be intracranial hypertension. Grete chose CT and MRI first. Another reason is that these two examinations are non-invasive examinations:
To measure intracranial pressure, the simplest way he knows is to do a lumbar puncture and measure cerebrospinal fluid. It looks scary, and the patient may not accept it. Even if he accepts it, what is the normal value of intracranial pressure for a dwarf?
He still has to perform waist piercing on each of these dwarfs, right?
In addition, there is good news. According to the results of CT and MRI, there is no cerebral hemorrhage or cerebral infarction.
As for cerebral vascular malformation, at first glance, the cerebral blood vessels are quite normal. There is nothing particularly strange or obvious stenosis. It should not be the case.
Intracranial infection is probably impossible. Without timely symptomatic treatment every time, without a large amount of antibiotics, and relying on some unknown herbal medicine for pain relief and anesthesia, how can you survive twenty years?
Gretel swore that if such a thing really happened, his surname would be the old dwarf's! Well, the surname "Nordmark" was his original one anyway, not his... Postscript
To rule out cranial problems, there is no need for craniotomy, let alone awake craniotomy. Other head and neck problems must be considered. So, glaucoma?
When the patient was brought in for the first physical examination just now, Gretel had already noticed it. The pupils on both sides were of the same round shape, with normal size, sensitive light reflection, and no conjunctival congestion——
If it is chronic angle-closure glaucoma, which leads to a sharp increase in intraocular pressure, headaches, and repeated attacks of dizziness, the eyes will generally become red and red, and the conjunctiva will be congested and edematous;
Moreover, the sympathetic nerves will be excited, causing the pupils to dilate. These symptoms are all connected together and can be understood at a glance.
When he was an emergency doctor in his previous life, he also examined many patients with severe headaches. After the examination, he found that several of them had glaucoma. The eyes were completely different from those of the old dwarf!
toothache?
Rhinitis? Postscript
Sinusitis?
Grete asked the old man to open his mouth and take a look at his teeth, and then scanned it with a CT scan to make sure that the teeth were not rotten.
There are no obvious lesions in the nose, including the sounds, shapes, and images. Speaking of headaches that have lasted for 20 or 30 years, if they were caused by toothache, rhinitis, or sinusitis, what would they look like...
I do have some problems with my cervical spine. It is normal for craftsmen who often lower their heads to knock and have some occupational diseases. But looking at the narrow part, it does not seem to compress the nerves in the brain;
I used [Detoxification Technique] twice more, but no results came out. Lead poisoning, organophosphorus poisoning (by the way, do organophosphorus exist in this era), and other possible poisonings, should be ruled out.
Alas, the patient opened his mouth, and the doctor ran away and broke his leg. If this was a top-level hospital in his previous life, he probably opened the order, and the patient's family and patients went to check one by one, and his leg was broken;
Now he is the one who does the MRI, he is the one who does the CT, he is the one who does the tests (if any), and he is the one who does the outpatient imaging surgeries. The so-called troubleshooting is all done by him... Postscript
"Ah, what is the reason?"
Grete lowered his head and meditated. He didn't dare to pinch the bridge of his nose, rub his temples, hit his head, or turn around.
As the patient's attending physician, you must not appear hesitant in front of the patient. This will seriously affect the patient's confidence in the doctor, and thus affect the patient's compliance——
You can think about it for a while, but if it shows that you are confused, have no ideas, and have no direction, you can only find a superior doctor to end it.
There is no old director here, no senior directors from other departments, and no experts from outside hospitals. He himself is the highest-ranking doctor, and he must hold on!
But I really can’t think of a possibility...should it be determined to be a "primary headache"?
There is no good solution for primary headaches. The only way is to take painkillers regularly. Now it seems that the effect of painkillers is becoming less and less effective for the old dwarf... Postscript
In fact, he could also say, "I've cured you. Go back and take care of yourself. Don't overwork yourself, don't drink too much, be too excited, and eat light."
However, as a doctor, I know that this statement seems to appease the patient, but in fact it is equivalent to "I have not found any cause of the disease." The patient may not understand, but the doctor himself has surrendered to the cause of the disease...
Over and over again, blood oxygen, blood pressure, blood lipids, and blood coagulation were measured, but still no problem could be found. Gretel sighed and was about to give the final medical advice, when suddenly an idea flashed in his mind: