It's not that difficult to open a hospital in another world, right? Chapter 1502 Xiaolong is cured, why is he not fully recovered yet? (Platinum Tower Leader adds update 8)
Chapter 1502 Xiaolong is cured, why is he not fully recovered yet? (Platinum Tower Leader adds update 8)
No one answered him.
Gretel's assistants and disciples, all of whom were familiar with his surgical methods, helped in the operating room or listened to Gretel's explanations in the operating room.
This time, those who put down their work and came outside to watch were either conjuration-based healers who were used to throwing healing spells and were not familiar with human anatomy;
Or he is a necromancer who is familiar with human anatomy, but has never treated a living person, and his actions are always rough...
They have never experienced that kind of careful, bit by bit separation, the action is like unveiling two spider webs stuck together, or like carving patterns on tofu, and they don't know what the purpose is.
If Gretel heard Noctis's question and had time, he would answer him a few words. The tissues in the body are naturally connected to each other, so that they will not jump around and just go here and there.
Throw it out.
When operating, to move a specific tissue to a new location, the first step is to separate, separate, separate carefully...
Separation is too violent, you pull it, you pull things that shouldn't be pulled. Tearing blood vessels, tearing organ envelopes, pulling nerves...
Before the work that needs to be done can be done, all kinds of troubles arise.
Just imagine, just swipe, and the blood will surge;
With a brush, the liver was split;
With a brush, the esophageal vagus nerve is stretched, and the heart rate, breathing, and blood pressure begin to surge. In severe cases, the patient dies inexplicably...
No matter whether it is laparoscopic surgery or thoracotomy or laparotomy, no doctor dares to violently and arbitrarily tear things apart. Even after traveling to this world and having the treatment skills to back it up, Grete still doesn't dare.
...Of course, if Gretel heard Noctis's question now, his answer would probably be:
"Why are you asking now? Why did you hear what I said now? - Miscalculation, renovate the operating room, be sure to isolate outside mental exploration!
Decorate it according to the standards that can isolate the legendary spiritual power! Now, immediately, immediately!!!"
Well, it's great that the patient's family members are isolated outside the operating room and can't see what's going on inside. Otherwise, God knows how many weird things will happen...
Grete, who was not disturbed by the patient's family, still performed the operation peacefully. He determined the size of the esophageal hiatus, the contents of the hernia and the path of the hernia into the mediastinum, and carefully peeled off the hernia sac;
In order to retain the contents of the hernia, it is necessary to remove excess fat tissue and remove the peritoneal sac. Because the hernia sac is slightly adherent to the surrounding tissue, be very careful when separating it;
Observe the position of the cardia. Thank God, the cardia has not herniated into the chest cavity, so there is no need to consider the problem of a short esophagus. Although MRI and CT have been done, due to the problem of esophageal tension, we still need to take a look with our own eyes;
Next, the vines gently cut out a circle around the esophageal hiatus to expose the wound. The treatment followed in time, guiding the diaphragm to grow forward, grow, and stop about 1 cm away from the esophagus...
Well, according to the CT images taken before, during the eating process, the esophagus will continue to peristaltic, relax, contract, relax, and contract, pushing the food downward.
Leaving about 1 cm of space at the esophageal hiatus can probably ensure sufficient patency of the esophagus and prevent it from being narrowed here.
After everything is done, the treatment procedure is scanned to check that there is no damage to other organs and no active bleeding.
There is no need to pull out the vines. The spell is lifted and the vines disperse naturally. After a healing spell is applied, the incisions on the skin will also heal.
"alright?"
"alright!"
Seeing the child staggering out behind Gretel, the Noctis couple's hearts suddenly rose to their throats and they rushed forward.
Grete described the operation process so horribly before, as he had to lift up the liver, drag down the stomach, and cut out a piece of flesh from the diaphragm;
As for complications, they range from cardiac arrest, sudden death, massive bleeding, pneumothorax, to liver tear, bile leakage, and abnormal liver function after surgery.
There was a long list, and his hands were shaking when he was asked to sign it. During the operation, there were a group of high-level healers standing inside, ready to provide therapeutic support at any time...
God knows that his child is only level three according to human calculations. Two level 18 healers, even if his son dies, are enough to bring him back from death twice... Bah, bah, bah, bah!
He took the child into his hand, looked left, right, right, left, and with surging mental energy, he scanned it up and down several times before making sure the child was fine. During this process, the mental energy of the couple accidentally collided.
twice.
It wasn't until they were sure that the child was okay that the couple breathed a sigh of relief, hugged the child one by one and thanked Gretel.
——There is a saying, two tall and strong elves, hugging a baby dragon with a body length of 1.5 meters, a shoulder height of 0.8 meters, and four feet on the ground. The visual effect is still quite scary, and there are too many things to say...
"After the operation, you can rest assured." Gretel looked at them with a smile:
"The child has fasted for a period of time before. Don't eat too much at once. Eat a small amount at first and slowly increase it. If there are any problems, please bring them to me."
Noctis and his wife are very grateful. They will take it home first. If there are any questions, it is impossible to bring it back to see. After all, the Dragon's Nest is too far away and traveling thousands of miles will be too taxing for the children.
This pair of red copper dragons simply took their children to live near the hospital. The adult dragons had eaten a big meal and would not need to eat for at least a month. They could just take the little food the young dragons ate with them.
…
After settling in, it didn’t take long for the couple to realize something was wrong. The next day, they hurriedly brought their children to find Gretel:
"Mage Nordmark, why does the child still feel uncomfortable after eating poisonous insects?"
"...How's the level?" Gretel immediately stood up to take a look. The baby dragon was running around on the ground, making soft whining sounds from time to time. Noctis's wife, the adult copper dragon Delphine, had a full face.
Looking at the child worriedly:
"It's not as uncomfortable as before. In the past, when he ate poisonous insects, he would always cough, choke, spit, and suffer from chest pain and back pain for a long time. Now he just feels uncomfortable and uncomfortable, and vomits sour water..."
"Gastroesophageal reflux." Grete came to a conclusion after hearing this. However, he did not say it immediately. Instead, he carefully recalled his diagnosis and treatment process:
What did I overlook?
Why does my child still have symptoms of gastroesophageal reflux after surgery?
What should I do less for the treatment of hiatal hernia?
By the way - by the way, it's fundoplication. Regarding hiatal hernia surgery, the book only writes one short line: After hiatal hernia repair, fundoplication is performed at the same time...
I didn’t explain clearly how to do fundoplication, nor why I should do it.
Now, faced with the symptoms of gastroesophageal reflux, Grete went back to read the book again, reading physiology, pathology, pathophysiology, internal medicine and surgery together, reading back and forth, and then suddenly realized:
Fundoplication is performed to form a valve outside the esophagus to compress the lower end of the esophagus so that food in the stomach cannot reflux into the esophagus.
For patients with hiatal hernia, the diaphragm at the lower end of the esophagus is usually weak and cannot provide sufficient pressure, so fundoplication surgery is needed to supplement...
I understand now, but it’s a pity that it’s too late. When I had the surgery before, I did a fundoplication, so I just did it. Now that the surgery is done, I have to tell the parents:
"Hello, during the previous surgery, I missed one procedure..."
Gretel estimated that Noctis's decision not to beat him to death was really because of his generosity of character, rather than because of someone behind him. After thinking about it again, there was actually no need to perform another operation:
The textbook clearly states that 50% of gastroesophageal reflux diseases should be managed as chronic diseases;
For more than 70% of patients, medical treatments such as acid suppression can achieve satisfactory results;
Only about 35% of gastroesophageal reflux diseases can be considered surgical diseases.
The child's condition has improved considerably, and it can obviously be treated with lifestyle management, acid suppression, etc.!
Wait...where can I find ranitidine for my child...Omeprazole is not available...Motilium is not available either!
have what……
Are there any alternative medicines...or alternative spells? I have them!
"The child's condition has improved a lot. As long as he grows older and has stronger digestion ability, this situation can be alleviated." Gretel said solemnly:
"Before that, you can use magic to assist. The first is healing -"
Raising his hand, a mage's trick gently swept through, and the slight healing technique rolled up the acid and fell into the stomach again. Then, bits and pieces of warm white light penetrated into the young dragon's body:
"The acid will erode the esophagus and cause damage to the esophageal mucosa when it returns upward. Therefore, after each acid reflux, it is best to perform a treatment to soothe the esophagus."
Without ranitidine, it is impossible to reduce the damage caused by acid reflux fluid to the esophageal mucosa, and the same is true with cleansing + treatment! I am really too smart!
After the healing spell was cast down, the young dragon snorted, and judging from its body language, it was clear that it had relaxed a lot. Gretel thought about it for a moment, and threw down another magical spell:
The tenacity of the bear!
Gives the subject the physique of a bear, making him stronger and able to endure more damage and pain.
At the same time, the digestive ability has also been greatly enhanced. What used to take three hours to digest is now enough in one and a half hours!
"Every time he eats poisonous insects, add this magic to him to help him digest quickly and empty his stomach contents quickly." Grete told the copper dragon couple solemnly:
"Avoid eating too much and avoid eating three hours before going to bed. When the child grows older and strengthens his body, there should be no problem."
Gastric motility medicine!
Without gastric motility medicine, gastric motility magic is the same!