It's not that difficult to open a hospital in another world, right? Chapter 1500: Want to be disemboweled? Can my little dragon die? (Platinum Tower Leader, additional update 7)
Chapter 1500: Want to be disemboweled? Can my little dragon die? (Platinum Tower Leader, additional update 7)
Isn’t it normal that the treatment can’t cure it?
Grete really wanted to ask this question. Those elves in the Elf Forest who had eaten too much radiation and whose genes had collapsed could not be cured by the healing technique. In the end, they were cured by the limited wishing technique.
The eldest prince who was cursed by the devil could not be cured by any medical treatment. In the end, he was cured by using a large combined spell;
Let’s just talk about that golden dragon, what’s his name... In short, he is the one who was lifted down by the four silver dragons. He has done the otolith repositioning and has also passed the treatment skills. More than one legendary dragon has also seen it.
, isn’t it still not cured?
Of course, blaming a patient or a patient's family member... a healer in this world might be able to do it, but Grete, who had been disciplined for more than ten years in his previous life, really couldn't do it.
Not only could he not do it, he smiled gently and calmly and explained to the other party seriously:
"Because the principle of healing is to make the injured and broken parts grow and heal quickly. Whether the healing is complete depends on the guidance of the practitioner. This is the difference between high-level healers and ordinary healers.
Your child is not injured, he is just born with a bad condition. This situation cannot be cured by using healing techniques without a purpose." Qiu
"Then...then what is his condition now?"
The copper dragon Noctis actually hasn't understood the word "hiatal hernia". The word esophagus is not difficult, you can guess it with a guess;
Hole, this is understandable;
Hernia, what is it?
Then, hiatal hernia, taken together, what is this thing? Why can’t my child eat well and grow poorly if he has this?
"You mean... there is a hole in the child's esophagus, and the food leaked through the hole to other places?"
He stretched out his hand and made signs on his neck, trying hard to understand what Gretel meant. Across the table, next to Gretel, Cerira also turned her head and looked at Gretel together:
Yes or no?
Is it this way?
That's what I guessed too! It sounds like it! If there is a hole in the esophagus, even if it is a small hole, it is no wonder that the child will feel uncomfortable if he eats some poison!
However, medicine is profound and profound, and the speed of the brain has been increased to the limit. Facing the vast medical vocabulary, it is not possible to guess it just by reading the meaning. Grete shook his head:
"No. Esophageal rupture is a rupture of the esophagus, and hiatal hernia is a hiatal hernia. The situation you are talking about is called esophageal rupture..."
It's not a big deal if the esophagus is ruptured! There is a hole in the esophagus, and all kinds of food with bacteria or digestion with gastric juice leak out from here and leak directly into the mediastinum.
A large number of bacteria have entered the place that was supposed to be sterile, and acidic gastric juice has entered the place that cannot withstand corrosion. In a few days, serious infection will appear in minutes!
The child's esophagus is really going to rupture, and he won't survive until now!
While explaining, he summoned [Silent Phantom] and pointed at the image to explain to the copper dragon. Of course, the image summoned was an anatomy diagram of a human being, not an anatomy diagram of a dragon. Let's just take a look at this...
…
"Hiatal hernia is the diaphragm - the muscle that separates the chest and abdominal cavity. The esophagus passes through the hole above and enters the abdominal cavity - this hole is called the esophageal hiatus. It has a weak spot, and the internal organs in the abdominal cavity follow the hole.
Come to the chest..."
The red copper dragon Noctis was already a little confused, his eyes were wandering, and he didn't know where to look. Cerira came closer to the two silent phantoms, looked left, right, and circled around.
He reached in and touched it.
It's still intangible, it's not an entity, it can't be touched, and it's of no use. Gretel pulled her aside and continued:
"Usually there are no symptoms, because the abdominal pressure is low, and the internal organs in the abdomen stay in the abdominal cavity. But when the abdominal pressure is high, such as after eating full, such as constipation, such as coughing, such a squeeze-"
He made a pushing gesture, and the silent phantom fluctuated, like a balloon being inflated and then squeezed by a hand: Kick.
"The viscera in the abdominal cavity will follow the weak part and burrow into the chest cavity. After burrowing in, because it is very close to the nerves in the chest cavity, it will interfere with the nerves, causing coughing, chest pain, back pain, etc.
coming……"
The copper dragon Noctis concentrated on staring at the light and shadow summoned by Gretel. Although it was an anatomical diagram of the human race, the meaning was always the same. After watching the three-dimensional image fluctuate several times, he could always understand a general idea.
Of course, he still had questions to ask:
"However, my child does not cough when eating other things. He only coughs when eating various poisons!"
"Maybe... when you eat poison, your stomach will secrete more acid, or will it secrete special substances?" Grete had never seen patients who ate poisonous food in his previous life, but this did not prevent him from inferring based on the principle:
"A large amount of stomach acid will more easily irritate nerves. Special substances used to digest poisons can also easily irritate nerves."
"Then it's not like he felt uncomfortable immediately after eating it!"
"Gastric acid secretion does not reach its peak immediately after eating." Grete answered fluently without thinking.
It's pity that he is an emergency surgeon. He has to face all kinds of patients who are not under his control every day. He also has to make differential diagnoses for various conditions and prioritize them.
Chest pain, back pain, is it a sign of myocardial infarction or gastroesophageal reflux? If the diagnosis is wrong, if you call your colleagues from the cardiology department to come down to see gastroesophageal reflux, you will be laughed at by your colleagues for a year!
So when Gretel explained it to Noctis, it was really fluent:
"Generally speaking, heartburn caused by gastroesophageal reflux will start half an hour to an hour after eating and last for an hour or two in humans. I'm not sure about dragons, but it definitely doesn't happen immediately after eating.
not feeling well."
"Hmm..." Noctis lowered his head and thought.
The copper dragon eats poison, the crystal dragon eats gold, silver and gems, the black dragon eats scavengers, the white dragon eats frozen food, etc. Each kind of dragon has its own favorite food, and there are always some that are not good at digesting, or have difficulty digesting.
Okay.
Gretel said that it is very possible that the stomach secretes something special when eating poison. If things go on like this, this stimulation will continue...
"Then how to treat it?"
He leaned forward and got closer to Gretel. Grete spread his hands calmly:
"Hernia is not difficult to treat, just repair it. The most mature way is to make a hole in the abdomen and pull out the organs herniated into the chest..."
"What?!"
Noctis has jumped up. Open, open a hole? Open a hole in his belly?!
My baby is only three years old!
Even though he has grown to more than one meter long, he is almost one meter tall when standing on all fours. He is only three years old! Standing in front of me, he is so small that you have to lower your head to the ground to touch him!
How could such a young child endure a hole in his stomach?
"...Can it be treated without treatment?"
He asked carefully. Cerela had already jumped up:
"No cure? No cure. Why are you here? After so much trouble and research, you say it can't be cured?"
"Serilla!" Grete pulled her hard first and asked her to sit back down. Unlike Serrela, Grete has seen too many patients and patients' families who are entangled over and over again:
Is surgery necessary? Is it possible not to do it? Can it be treated conservatively?
Do I have to stay and get water? I'm very busy at work. Can you prescribe some medicine and take it back to me so that I don't have to stay here all day?
Can you not take this medicine? I heard that once you take some medicines, you have to take them for life and cannot stop...
Even if he doesn’t want to receive treatment during the day, he rushes back at night;
If you don’t want treatment today, you will rush back tomorrow;
After going back and forth for 17 or 18 times, the doctor couldn't cure it. The doctor asked in surprise, and the patient took out the medicine and replied, a friend said that the medicine is 30% poisonous. I have never taken medicine...
If you don't want to take medicine, you have to ask the doctor for any curative effect. If there is no curative effect, it means the doctor is not good enough. As a doctor, any doctor who has a slightly poor psychological quality will be so angry with this kind of patient that he will vomit blood.
Fortunately, as the saying goes, if you vomit and vomit, you will get used to it, and if you are angry and angry, you will not be angry at all.
Gretel was very calm at this time, looking at the copper dragon Noctis, his expression did not change at all. Even a lie detector on him could not detect the change in his mood:
“If gastroesophageal reflux causes heartburn, it can easily lead to esophageal erosion, esophageal stenosis, and even erosion of blood vessels, causing esophageal bleeding.
It is also very common for such a young child to cough repeatedly and accidentally inhale the coughed up things into his lungs, causing aspiration pneumonia. This can seriously affect the child's growth and development."
I explained the condition, the complications, and the consequences. The decision whether to treat or not is still in the hands of the patient. If the child is young, it is in the hands of the patient’s guardian——
As a doctor, even if the patient doesn't let him treat him in the end, then he won't let him treat him. He doesn't necessarily want to snatch the child away from his parents and then forcefully treat him...
The copper dragon Noctis lowered his head and pondered for a long time. The little guy has been coughing and vomiting since he was born, which is a frequent occurrence. He is smaller than other young dragons of the same age, which is visible to the naked eye.
As for aspiration pneumonia and the like, although the dragon family's constitution is strong, the child has experienced many dangers and has been brought to the elderly healers many times...
He weighed the consequences of treatment and the consequences of no treatment for seven or eight times in his mind. He stood up again and walked around the silent phantom once and again. He walked around several times and looked at Gretel.
:
"what's next?"
"...The next step is to use treatment to make the diaphragm grow and make the hole smaller so that the things in the abdominal cavity will not flow into the chest cavity..."
"How big of an opening do you need to make?"
"Not big, not big." Grete raised his hand, and three vines stretched out from his fingertips, swaying. The thinnest part was less than a millimeter in diameter, and the thickest part was no more than the thickness of chopsticks:
"It's just a few vines that can be extended in. The damage to the body won't be great."
Noctis reached out and gestured, then looked back at his child. Still feeling that his observation was unreliable, he pulled the vine over and made two gestures on the child. He took a deep breath, turned his head, and turned his back to Gretel:
drowse
"Then let's cure it!"
...Why are you turning around?
What are you doing with your back to me?
You still have to turn your back to your child. What's going on? You can't bear to see it?
Gretel felt like vomiting, so he reluctantly swallowed it back. With a flick of his fingertips, a vine quietly grew out, and patted the copper dragon on the shoulder:
"Don't worry, there are still many things that need to be studied for treatment. Once I understand the research, I will perform surgery on the child..."
"What?! You still need treatment? Don't you know how to do it?!" Qi
"What I know is the principle..."
Understanding the principle does not mean that you can get started immediately. Laparoscopy is easy to say when entering the abdominal cavity. From which position?
This area of the chest is filled with deadly things within a square inch. The esophagus, trachea, large blood vessels, and nerves are all densely packed. Not to mention breaking them, breaking them, even pulling them can sometimes be fatal——
Intestinal surgery can stretch the vagus nerve and cause cardiac arrest!
Where to open and where to enter to cause the least damage to the patient? After entering, blunt separation is required all the way. What can be separated from what, and what does not need to be separated from what? How to deal with inflammatory adhesions?
Paste the esophageal hiatus. To put it simply, how much paste should be applied?
If it is too thick, the hole will be too big, and the organs that should be herniated into the chest will continue to herniate; if it is too thick, the esophagus is elastic and will strangle it. Esophageal stenosis welcomes you...
Gretel didn't dare to tell Noctis about any of these concerns. Originally, her compliance was not strong, and she had some concerns about herself. No matter how much she heard herself say, she didn't understand this or that, and she even refused to let her child receive treatment.
!
"You are the dragon clan! You are the dragon clan!" In desperation, Grete had to find the most acceptable reason:
"I know what to do when it comes to humans. But when it comes to dragons, their bones, muscles, and organs all look different from humans! You have to give me some time to study it!"
"...How to study?"
"Find me some dragons to study. It's best to have young dragons, baby dragons, and even better copper dragons. Each of your races is a little different..."
Gretel opened his mouth unceremoniously:
"If you really don't have one, a pseudodragon of about the same size, even a dragon beast, will do. It won't hurt if the pseudodragon is used for dissection! And if it's a child, do it again with high precision..." Qiu
Whether it is CT or NMR, the higher the accuracy, the longer it takes. Especially NMR, staying in the magic circle for half an hour will be a great fright to the sensitive young dragon——
Think about how the tiger cat screamed when it was undergoing MRI for the first time on Elf Island. The young dragon's hearing is only as sensitive as that of the tiger cat, not worse than the tiger cat.
"It's hard to invite baby dragons and young dragons... If you're an adult dragon, you should study me first!" Noctis thought about it again and again, gritted his teeth, and contributed himself:
"After I finish my research, I'll catch some pseudo-dragons and bring them to you. Speed up, my child, I'm counting on you!"