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Chapter 316 Mass intestinal surgery! Let’s fight!

 Is inspiration equal to a shot of adrenaline?

So what does it mean to charm humans? Hormones? Dopamine?

What does the signature self-defense spell of the control system, mechanized mind, mean? Temporarily shut down all pain and cut off the pain nerves? No, it is said that magicians with mechanized minds will not feel the pain, they just don't care, they will only

Calculate calmly...so what's the principle?

And how do they control the amount of adrenaline injected into the stimulating technique? If this is really the principle, how do they control the dosage? For example, it is accurate to 0.5 mg to 1 mg each time? You know, the dosage of this thing is too large and can cause cerebral hemorrhage.

, myocardial ischemia, and arrhythmia!

...By the way, is the epinephrine generated by the inspiration technique norepinephrine, epinephrine, or isoproterenol? Or is there no distinction between it and the adrenaline is directly stimulated, "Hey, get up and work"?

Gretel's thoughts were racing, and for a moment, he wanted to catch the subject and check it - what were he thinking, of course it was just to test the catecholamines in the urine. Unfortunately, he didn't have the time, he didn't have the energy, and he didn't have the corresponding information.

Reagents, he could only think about this, and then continued to devote himself to the treatment of patients:

"This patient is allergic to penicillin. This special medicine cannot be used and can only be treated with magic. Intestinal anthrax mainly invades the intestines. If the intestines rupture, the bacteria may multiply in the blood, and the toxin may also affect the brain."

Gretel hurriedly explained, bowed to the high-level healers present, and walked away quickly. The unwritten rules in the hospital are that unless the patient is about to die and rushes to be rescued, he generally does not run, but only

Able to walk quickly with small steps.

On the one hand, this is done to avoid causing panic, and on the other hand, it is also done to avoid hitting something, such as a flat cart being pushed, or a tray with medicine in the nurse's hand...

Grete's legs alternated rapidly, running from one hospital bed to another, from one ward to another, like a race walker. Along the way, people kept stopping him:

"Sir, the latest batch of test results are out! In the batch you left a note, the probability of detecting pathogenic bacteria is as high as 60% or more!"

This batch of samples submitted for inspection are all water samples from the water pipes in 12 buildings, and even the main pipes. Gret nodded, quickly used the [Mage Technique] to write a line of words, and pressed his own secret mark:

"The situation is obvious. The entire water supply system is contaminated. Take my note and go to the review committee - which is in the ward now - and ask them to authorize a thorough investigation of the upstream water source of this water supply company!"

"Sir, there was a conflict between the patrol team and the family members of the patients in the isolation area! More than ten people have been injured so far!"

Gretel turned back from the hospital bed. With a stroke of his hand, he cut out a piece of sheet and left handwriting in a flourish:

"Let Bernard go there and watch!...Then go to the Emergency Management Department and ask them to send a few more magicians over and group-charm the humans for me to brush back and forth!"

The second apprentice ran away. Within two minutes, the third apprentice ran over again:

"Sir, there are too many patients and not enough beds!"

"Extra bed!" Grete didn't even have to think about it. Extra bed? It's a traditional skill in public tertiary hospitals. "In the ward, in the corridor, add them up! Those who are confirmed to have been cured by magic will be thrown into the isolation area."

, free up the bed!”

"Sir, many patients have diarrhea on the bed, and no one changes the sheets..."

"..."

Behind Grete, two committee members walked slowly, taking in all the conditions in the hospital. While watching, they whispered:

"The little guy is in a hurry."

"Such a big hospital is too strenuous for him."

"That's right, he probably doesn't have the experience to run such a large organization - a hospital with 1,000 beds cannot be supported by him alone with dozens of apprentices..."

If Grete hears their discussion, he will definitely cry out. Inexperienced? How can he be inexperienced! I have never eaten pork and I have never seen a pig running?

I don’t know how many medical staff, administrative staff and even cleaning and security support a large public tertiary hospital requires?

The question is, what can I do to get people?

The Public Health Department has just been established. The Infectious Disease Hospital has curbed the spread of the plague and its role in treating a large number of patients has not yet been proven. If this hospital only faces the plague, it is destined to be a tidal institution. There are usually no patients. Once the plague breaks out, it will be

Face the tsunami!

Well, if we usually have a group of people sitting there and doing nothing, let alone the review meeting, it would seem unreliable. When Grete thought about it himself, he felt that it was impossible to apply for a budget.

"You said, if we let the little guy leave the hospital to others, he will only be a healer. Will he be unhappy if there are patients?"

"This... when the matter is over, we can talk to him more tactfully? After all, it is something he worked hard to build..."

Grete didn't know that someone was already planning to share his troubles for him, and they were worried that he would be unhappy. The problems piled up in front of him grew linearly at first, but now, they have almost grown exponentially!

"Sir, patient No. 113 on the first floor has severe abdominal pain!"

"Sir, the temperature of patient No. 65 on the first floor is abnormally high!"

"Sir, patient No. 37 on the second floor actually vomited feces! Ugh...that guy's stomach is as hard as a wooden board, and he can't press it down!"

"gentlemen……"

coming.

Gretel thought.

The arrival of penicillin was indeed slow and failed to catch up with the progression of intestinal anthrax.

This disease starts with abdominal pain, bloating or diarrhea, plus fever. If antibacterial treatment is not given in time, as the pathogenic bacteria multiply, intestinal bleeding, intestinal perforation, intestinal obstruction, and segmental necrosis of the intestines will follow. The bacteria enter

blood, develops into sepsis, and the patient quickly dies...

It is not difficult to treat. In addition to antibacterial treatment and symptomatic and supportive treatment, what the doctor needs to do is to explore. For bleeding, perforated, and necrotic intestines, repair what should be repaired, amputate what should be cut, and remove what should be cut off.

A consistent fit.

But how many patients need surgery now—

Indications for laparotomy flashed through Gretel's mind, one, two, three, four... combined with the symptoms of intestinal anthrax, combined with the diagnostic capabilities of these students...

It is unreliable to expect them to learn to read X-rays immediately. It is unreliable to expect them to be able to determine the tendency of peritonitis to spread. This requires a period of observation. Now it is unreliable for an apprentice to take care of the busy appearance of dozens of people. It is unreliable to expect them to learn to touch it immediately. Diagnosis, auscultation and percussion - I think too much and don’t have time to teach them one by one...

"You guys, do a quick inspection according to the area that each person is responsible for! First, bring all the patients whose stomachs are as hard as a board and cannot be pressed down! Send them to the door of the operating room! Invite more God of War Temple and Spring Water Goddess Healers of the temple, come to the door of the operating room!"

Slab-shaped abdomen! Diffuse peritonitis, slab-shaped abdomen, this is the most striking feature! Send this batch up first, and then consider others!

"Okay, sir!"

"Sir, how many operating rooms are prepared?"

"...Get everything ready first!"

Grete gritted his teeth. There were not many operating rooms in the infectious disease hospital. When he originally planned, he prepared a total of eight operating rooms. Mainly because it was difficult to find people who could perform operations, he originally planned to survive this period. Cooperate with Black Crow Swamp and abduct a few necromancers who love to perform surgeries...

But now, he has to find a way on his own!

Grete walked down the stairs from the fifth floor and rushed to the operating room. The operating room was in a small building opposite the inpatient ward and was connected to the ward by a corridor. As Grete ran, he watched the figures of people passing by, and the stretcher was not moving. He was carried out of the ward without stopping. When he rushed outside the operating area, there was already a long row of stretchers lined up against the wall in the corridor outside the operating area.

"One, two, three, five...ten...twenty..."

Gretel quickly glanced at each one, clicked, and took an X-ray. Slab-like abdomen, slab-like abdomen, still slab-like abdomen... free air under the diaphragm... intestinal dilation...

How could he possibly perform an operation on so many patients by himself? Even if he performed an operation in twenty minutes, it would take nearly seven hours for 20 patients!

Not to mention, there are other patients to take care of...

Now the only ones we can count on are these healers... While Gretel was changing her clothes and brushing her hands, she tried to turn around and say hello to the invited Ares Priests and Fountain Goddess Priests:

"Everyone, does anyone know how to operate? Do you dare to cut open the patient's stomach? Can you tell whether there is necrosis in the intestines?"

The priests stepped back. Led by Bishop Sullivan, the three priests looked at each other and took a step forward:

"If we really need to cut open the patient's stomach... we would dare to do so. However, it is hard to say whether we will accidentally cut the patient to death..."

Three. Even Grete himself only has four. It would be nice to have four more... His apprentices, especially the apprentices of the necromancy department, although they have done several dissections with him, they really have to operate on living people. He's not very confident about his level...

"Gretel! I'm bringing someone here!"

Suddenly there was a shout outside the door. Gretel turned his head and saw Lin En lining up the crowd and quickly squeezing in. Behind Lin En, Archmage Edgar and several disciples of Edgar Archmage lined up.

Smile at him.

"Little Grete, if you want to cut open the patient's stomach, of course you have to leave it to our necromancer!"

Grete was overjoyed.

"Great! I'll leave it to you! Three people - one Necromancer, one Ares Priest, and one Fountain Goddess Priest - enter a magic room!

The God of War priest performs the tranquility spell, the necromancer cuts open the patient's abdominal cavity, and the priest drains the ascites and dirt! I will come and look at each one one by one! Determine which section of the intestine is necrotic and needs to be removed, and where it can be repaired and treated! Then clean and close the abdomen before I bother you!

Let's move! Go faster! The faster we go, the more patients we can save!"

The high priest of the Temple of the God of War watched with interest. Seeing the necromancers filing in, he waved his hand and looked at his subordinates:

"Listen to him! Let's go in together!"

****

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