On his round, fleshy face, the cheeks were already spilling out to both sides, almost hanging down - if it were a blue cat, the cheeks would be very hairy - when he narrowed his eyes,
The eyes became smaller and smaller, and only two rays of light shot out from between the eyelids:
"can you?"
He looked Gretel up and down. In terms of age, the young man's figure was not as strong as that of an adult man, and his face was immature. At first glance, he looked like he was only fifteen or sixty-seven years old;
In terms of level, there are only two green leaves embroidered on the priest's robe, unlike Pastor Matthew who has been promoted to five levels after all;
In terms of accent, Gretel's tone of voice is a bit hard, not as soft and gentle as Nevis's. It sounds like an outsider...
His suspicious look was so obvious that Pastor Matthew coughed and wanted to endorse Gretel. Before he could speak, the fat man had already snorted and turned to look at him:
"Master Pastor, I come to you every time I feel pain, and you charge me a sum of money every time - why do you keep treating me so many times, but you still can't get it cured, and it always hurts after a while?"
Matthew's face darkened. Of course there were many reasons why he couldn't be cured, such as the fat man's unwillingness to spend money. He couldn't help but sprayed back:
"You were unwilling to use magic before and were only willing to take medicine. Of course it won't be easy!"
"You can't heal without magic?" The fat man struggled to open his eyes wide. Pastor Matthew was a little angry, but beside him, Grete couldn't help laughing and smiled.
This sentence pattern is so familiar. "If you don't check, you won't see a doctor?" "If you don't take a film, you won't see a doctor?" "No... you won't see a doctor?" On average, every doctor hears this at least every day.
Eight times out of ten, a hundred or so times a day in the entire emergency department is considered a small number. Sometimes, I even have to step on the next door department with my child:
"In the past, capable old Chinese medicine doctors could cure the disease with just a few consultations... You guys..."
At this time, the doctors in the Western medicine department can only smile bitterly at their colleagues in Traditional Chinese Medicine who are looked down upon by the patients for prescribing a bunch of checklists.
It’s not that you won’t see a doctor if you don’t check. It’s that only by checking can you see a doctor more accurately. For example, the man in front of you doesn’t know how high your uric acid is, whether you have crystals deposited in your joints, or whether you have any symptoms without a few check sheets.
Common complications such as high blood pressure, hyperlipidemia, diabetes, arteriosclerosis, and coronary heart disease...
However, it is still possible to simply determine the symptoms. Grete took a step forward with a smile:
"Sir, may I ask if your right big toe is not only red and painful, but also hot?"
"yes!"
"Did you suddenly feel severe pain in the middle of the night or early in the morning?"
"That's right!—how did you know?"
"Did you eat delicious food last night? A lot of seafood, and drank strong alcohol?" Gretel sniffed and smelled a smell of cigarette smoke: "You also smoked, right?"
The fat man nodded like a fool. Gretel continued to step forward, walked half a circle around him with his hands behind his back, and turned his head to look at his auricle. Sure enough, he saw more than one nodule: "Do you eat every time when the pain is severe?"
After eating a lot of delicious food or drinking a lot of wine?"
When he said this, the face of the fat man opposite changed drastically, and oily sweat rolled down his round face. His two calves with a circumference of more than a foot were trembling. Just looking at the extent, someone could say it was a ham hanging from the roof beam.
Xin. He pounced forward. If Gretel hadn't been on guard, he would have almost hugged his thigh:
"Lord Priest!—Lord Priest! You have to save me!"
Sigh... I should have told you earlier. Gretel hooked up his fingers and motioned for Bernard to drag him up and put him on the treatment bed:
"Don't move, let me take a look at your situation, emmmmm..."
Tsk tsk, the first metatarsophalangeal joint of the right foot is red and swollen, the ankle joint is red and swollen, and the knee joint is deformed; the finger joints also look wrong; the auricle, joints, and the olecranon bursa at the right elbow have nodules under the swelling and the skin is thin
, rich blood supply. When you twist it casually, you feel like you are touching sand...
Even if uric acid is not measured and no polarized light microscope is used for examination, the cause of the disease can basically be determined. In fact, based on his past life experience, Gretel knew at a glance: This thing is gout.
Drinking alcohol, eating seafood, eating a lot of fish and meat, getting fat, smoking, you have made yourself like this.
As for how to treat it...
Allopurinol? Probenecid? Benzbromarone? Febuxostat? Or Indomethacin? Etoricoxib?
Gretel took inventory and found that the only thing he could get now was colchicine... not colchicine tablets, but colchicine. In this world, it seems that digging a few colchicum trees to soak in water can still be done.
owned……
Wait, what is the lethal dose of colchicine? Can one colchicine bulb, or one gram of colchicum bulb, contain enough colchicine to be effective? Will it poison people to death?
There is no antidote for this thing! It can only support treatment, blood purification, and wait for the person's own recovery to survive! Gretel is not sure whether this alien detoxification technique can be used...
Gretel was running through ideas in his mind, searching for information, papers, and the few words he had seen in his previous life. He had seen a few cases of colchicine poisoning, and there was no need for him to perform rescue operations—that was the work of the emergency medicine department;
I really need to recall how many active ingredients there are in colchicum. But the fat man still pulled his arm hard and howled loudly:
"Master Priest...help me...I'm about to suffocate to death!"
"Yeah, yeah, yeah, lie down and don't move." With a wink, Gretel asked Bernard to hold him down and pull up the bed curtain: "Bend your legs! Bend them! Pull down your pants a little, let me touch them... Don't
Pull so much!”
Tsk, this fat belly is just like that of the woman who had a distended abdomen a few days ago. The fat on the abdominal wall is so thick that I can’t see clearly what’s going on. I can only feel it... Wow, the bladder is so swollen!
As soon as he put his hand on it, Gretel nodded secretly, and it was basically confirmed. He remained calm and calm, and followed the diagnosis process by first touching, then pushing, and then pressing down. It felt like a water bag and could not be moved.
Pressing down with his palm a little harder, the fat man started to scream:
"It's so hot! It's killing me!"
"Can't pull it out?"
"That's right! That's right! It hurts!"
"When did it first hurt?"
"Today! today!—this morning!"
Okay, urinary retention, urethral stones. Hmm... Considering the gout attack, it is more likely that the bladder stones rolled in and got stuck - or the urethral stones that were there before happened to grow bigger. As for the end
What type of stone is it...
"Please turn aside and let me use my magic to take a look..." X-ray magic, turn on!