It's not that difficult to open a hospital in another world, right? Chapter 467 Wow, there is water in his chest! (Like the black and white silent film leader plus update 8)
Chapter 467 Wow, there is water in his chest! (Like the black and white silent film leader plus update 8)
Gretel quickly stood up and sat opposite the old man.
Coughing up blood, or hemoptysis, is not a trivial matter. Clinically, hemoptysis can be large or small. Often, when there is severe hemoptysis, it is too late to save the person, and the person dies. Grete was in the emergency department in his previous life, and he saw it and rescued it with his own hands.
, not just one or two.
Although the old man seemed to be in good condition and didn't need much help as he walked in, there was nothing wrong with being careful.
He occupied the seat opposite the old man, and the gouty businessman had no choice but to sit by the wall. As for Mark, the God of War priest, he did not even sit down, but stood directly next to him. Gretel saw his face full of concern, even a little nervous, and felt
As soon as he moved, he asked casually:
"Have you ever been treated?"
Mark smiled bitterly and nodded. Gretel looked away and glanced at the gouty businessman. These two people really didn't look like father and son. The white-haired old man was skinny and skinny, but his son was so fat that he was almost swollen. It looked like it was from his father.
It's like all the fat was transferred to my son.
However, regardless of whether he is fat or thin, Grete, who is far away from a warrior, thought like this and asked casually:
"It was actually treated by the God of War Temple? I thought you would go to the Spring Water Temple for treatment!"
The gouty wealthy businessman immediately stood up again. He glanced at Pastor Mark and smiled bitterly:
"Don't be ridiculous. How can little people like us get through the gate of the Fountain Temple? The Temple of the God of War is better..."
At least, as long as the offerings are in place, there will definitely be healing...
While examining the old man, Grete listened to Pastor Mark's medical history and quickly understood the situation. Pastor Martin had obviously treated them several times, including medical history, basic conditions, diagnosis and treatment process, and related femoral head injuries.
fell in
The old man's name is Carlyle. He is 72 years old. He served in the navy when he was young, and later he was stationed in the New World for ten years. He smoked and drank, and he did not miss anything. The amount of pipes and cigarettes is not easy to calculate, but at least he has
Been smoking for 40 years.
... If you don't cough up blood, who will? If your chest is cut open, your lungs are already black, right?
Grete was prepared to see lung cancer and continued to listen. According to a joint statement by Pastor Mark and a wealthy businessman with gout, old man Carlyle coughed up blood about seven or eight years ago. The treatment method was to undergo a treatment...
The surgery cured the disease, and the effect was outstanding. Of course, there was nothing we could do if the old man continued to smoke and drink, and coughed when the weather changed. But when it came to coughing up blood, it was not until two years ago that the second time it happened
.
"And what about this time?" Grete asked while recording. The gouty businessman smiled bitterly:
"This time I went to sea with the ship. I came back half a month late, and the old man refused to go to the temple. When I came back, I took him there. The treatment could only alleviate it, but not cure it. [Remove Disease] was cured that day.
, it relapsed within half a month... By the way, it hurt a lot when I was treated on the same day..."
The fifth-level priests are already the backbone of the temple. If we try to find a higher-level priest, the old man is unwilling to part with the money. I have no choice but to hear that a new treatment center has been opened here in Grete, so I brought the old man to try his luck.
"Is there a lot of phlegm? What kind of phlegm? Is there a fever? How high is the fever...forget it, high fever or low fever? When does the fever occur? In addition to coughing and coughing up blood, is there any other discomfort?"
As Grete asked, he reached out and touched the old man's forehead, as if it was a little warm. He stood up and took out a thermometer, letting the old man hold it in his mouth to measure the temperature. He took out the stethoscope, put it on his chest and back, and listened carefully bit by bit:
Well... the heart sounds are basically normal, the heartbeat is a little fast, but not too fast. A small amount of crackles can be heard in the right lower lung... Just from the breath sounds, I feel fine...
Grete lowered his head and wrote furiously. The patient developed a cough after catching a cold 3 weeks ago, and coughed up yellow phlegm. The phlegm was thick and easy to cough up. The cough was paroxysmal and obvious in the morning. Later, the above symptoms worsened and were accompanied by fever.
The body temperature is high and the heat pattern is irregular...
He took a breath and took a look at the thermometer. It was 37.2 degrees, a low fever. Okay, it means that [Removing Disease] is indeed effective...
One week after the onset of the disease, I was given [Treatment Technique], and the fever subsided slightly, but relapsed on the third day. Two weeks later, I was given [Removal of Disease]. During the treatment, I developed severe chest pain on the right side, which was sharp and unrelieved, accompanied by a large amount of discharge all over the body.
sweat.
What the hell is this history of treatment? I’m so used to it...
Grete sighed. After writing the past history, he started to write down the physical examination and diagnosis: body temperature 37.2°C, pulse 85 times/n, respiration 20 times/n. Blood pressure... The blood pressure is not clear yet, reminding myself for the 1100th time
We need to take out the sphygmomanometer as soon as possible...
She was conscious, had an acute appearance, was wheezing, had no cyanosis on the lips, had a soft neck, the trachea was in the middle, and the jugular veins were not distended. A small amount of crackles could be heard in the right lower lung.
initial diagnosis……
As I wrote this, the pen tip paused for a moment. The gouty wealthy businessman immediately asked nervously:
"How is it, Pastor? Is my father well treated?"
Grete stopped writing, looked at him, and then looked at Pastor Mark. Based on the current auscultation results, the first thing to consider is an infection in the lower right lung. However, if it is a simple infection, one treatment will be used, or one [Remove Disease] will be used.
Go down, it should be fine no matter what...
So rule out pneumonia first. Next, what will be the cause?
"We need to do some other inspections." Grete groaned, took out the oak stick, and pointed it at the old gentleman's back:
On the top of the oak staff, a tree root curls up the [Endless Ink Pen] in a low-key manner, shining in the meditative field of vision. Very good, I don’t have the conditions to do a CT. Let’s take a chest X-ray first.
Pastor Mark stared at Grete's every move, his eyes not blinking. He looked at the oak staff, at the patient, and then at Grete, and suddenly narrowed his eyes:
"[Detect Magic]?"
"Not bad!" Gretel smiled at him and raised his thumb. Pastor Mark exclaimed softly and almost threw himself on the patient's chest:
"What's this?"
He moved his fingers back and forth on the old man's chest, outlining one line at a time:
"Ribs? Is this a rib? It should be a rib and this, what is this? What is this big bright thing? Is it really lungs?"
The gouty wealthy businessman looked at his father, then at Pastor Mark, and rubbed his eyes hard. What ribs? What did he miss? Why were the ribs visible even though he was wearing clothes?
Gretel smiled and made a gesture to him to calm down. Then, he turned to look at Pastor Mark, and then he had time to be surprised:
Amazing! Without any prompts, he immediately recognized the fluctuations of [Detection Magic], and then he followed my example and observed! Moreover, he could recognize the ribs and lungs at the first glance!
He simply pointed at the old man's ribs and explained a few more words to Pastor Mark. After all, the spirit of contract is very difficult to obtain. [Detection Magic] is cheap and large, and can be used as a daily inspection method:
"Look, these are the ribs, and the middle one is the spine...the middle is the heart, and the bright things on both sides are the lungs. Well, there is something wrong with the lower part of the right lung. Do you see it? This is right here..."
Pastor Mark nodded repeatedly. Even though the wealthy businessman with gout couldn't see anything, he moved forward desperately, as if he could know his father's condition earlier if he got closer.
Pastor Mark opened his eyes for a while, closed them for a while, looked at the place where Gretel was pointing, then closed his eyes again to compare with the meditation field, frowned and said:
"I saw it, so what's going on? How to treat it? Just use the healing technique?"
He raised his palm slightly, and his fingertips glowed white, wanting to release it directly to the lesion. Grete pressed it casually:
"This alone won't do. Look, there is a concave arc here on the old gentleman's right chest. Do you see it? Old gentleman, please come over here and lie down slowly on the bed, lying on the opposite side, facing me..."
The gouty wealthy businessman hurried over to help him. Grete picked up the oak staff and put it behind the old man's back. He threw another [Detection Magic], and the concave arc was still there, but it changed from being parallel to the ribs to being perpendicular to the ribs.
"What is this?" Pastor Mark stared at the arc and was extremely surprised:
"It will change position!"
"What? There is a line inside my father's chest that changes position?"
The gouty businessman immediately screamed. In a hurry, he kicked his toes on the corner of the examination bed and yelled "Ouch". Grete looked at him sideways:
Have you had gout again?
He couldn't care less at the moment. He pointed at the arc and told Pastor Mark:
"What do you think could cause this? Think about it?"
As he spoke, he took a cup, poured half a cup of water, tilted it to the left, and tilted it to the right. No matter how he swayed, the water level remained unchanged. Pastor Mark’s eyes lit up:
"There's water in the chest! Uh, that's not right..."
There should be water in the chest! Open the chest and there is blood inside! There is also some other liquid...but...
"Pleural effusion." Grete told him the proper term seriously:
"There is a lot of fluid in the chest, where there should not be any fluid. With so much fluid pressing down, the old man will feel chest tightness, wheezing, and difficulty breathing. Now, we have to solve a problem first."
He turned to Old Man Carlyle. After some explanation, the old man was lying on the treatment bed, with a vine inserted under his right armpit and the other end directly immersed in the glass bottle. After a while, yellow-white liquid gurgled out and poured into the bottle.
spread out under the water's surface.
"ah……"
Pastor Martin stared at the liquid spreading under the water without blinking. As the God of War priest, he was very familiar with liquids of this color:
"Is this suppuration?"
"It's pus." Grete nodded slightly:
"It is not impossible to release the healing spell and let the human body absorb the pus on its own. However, the burden on the human body and the consumption of the healing spell are too great, so it is better to drain it out. Your God of War Temple does the same thing, right?"
But we couldn't see the pus in the chest, and we didn't dare to do anything to the inside of the chest. Pastor Mark secretly remembered the details of Grete's operation, and the gout rich businessman had already pounced on him:
"Will it be fine if the pus is drained out? Is it fine? My father will be fine, right?"
"Not that fast." Gretel squinted his eyes and stared at the lesion in the old man's right lung:
"We still have to take a look at what this suppurating thing is..."
"What do you think? Do you want to cut it open?!"
****
Completed another update...
There are only... 16... left...
Qi is like a gossamer stretching out its claws... Please give me monthly votes, recommendation votes, book reviews, and all kinds of things...
I went to read the papers, and there are still 25 papers to read, including a master's thesis, which is very long.