The old man kneeling in front of the shrine was obviously a powerful figure in the family. When he agreed, no one around him objected, including the child's father and relatives of the child's mother, who all remained silent.
Well, I like it best when someone in the family group makes the final decision! I like it best when someone decides it with one word and everyone on the sidelines shuts up!
I was most afraid that the patient was in urgent need of rescue. My eldest son said he needed an operation, my eldest daughter said conservative treatment was the best, and my second daughter asked the doctor to explain it again, but no one came to pay... I dragged it back and forth, and finally got a result, but there is no result.
Rescue is necessary...
Grete silently half-closed his eyes and activated the spirit of contract. A small snake with black stripes on a white background swam out from the oak staff, soared into the air and approached the baby. Just as he was about to sink into the body, the old man suddenly spoke to stop him:
"etc!"???
Grete opened his eyes and looked at him. The old man turned his head and looked back at the shrine, then turned to Gretel with a slightly embarrassed expression:
"...Can you change a room?"
Grete almost laughed. I understand. You control the spirit of the contract, which you regard as the god of nature or the power of any god. The healer is a magician. You don’t want the goddess of the spring to watch, do you?
It is said that the vision of the gods is far-reaching, and it is not just a matter of changing rooms... How do you believe this belief... But okay, this small request is based on the thoughts of the patient's family, and it is completely
no problem!
Everyone moved to the next door in large numbers. This room was much smaller than the hall next to it. Except for a few big guys above level 10, no one else was too embarrassed to squeeze in. Only Pastor Matthew was waved in by Gretel:
"Brother Matthew, give me a hand!"
He gave Matthew the Fountain Pen brand oak stick, sat down at the table, spread out the manuscript paper, and half-closed his eyes. The little snake swam out silently and sank into the baby's body from between the legs.
Soon, the oak staff stretched out a tree root, rolled up the [Endless Ink Pen] and started sketching.
The scene seen through the eyes of a virtual body is quite different from the scene seen directly through X-ray, B-ultrasound, CT, MRI, or even the surgeon after opening the abdomen. The skin is next to the muscles, and the fascia wraps the blood vessels and nerves.
, the intestines travel beneath the mesenteric envelope…
Without a pair of keen eyes and insufficient spatial imagination, even if you see something, you won't know what you are seeing.
Fortunately, Grete had a solid foundation in his previous life and was familiar with the anatomy. Now while reading, he controlled the [Endless Ink Pen] to outline the situation inside the child's body:
Well, the anorectal atresia is high, and the blind end of the rectum is already above the levator ani muscle... If this surgery is performed, the rectum that needs to be freed will be longer to pull through the levator ani muscle and anastomose directly to the anal orifice below.
…
Looking to the side again, wow, it turned out that a rectovesical fistula was merged. Grete controlled the [Endless Ink Pen] and drew an ink dot on the corresponding point of the fistula:
Fortunately, there are treatments available, so it is not difficult to heal here. In the previous life, it would have been too difficult with open wounds and fistulas. Just look at those patients who suffered from anal fistulas and suffered from life and death.
Continue to go up... There is no abnormality in the sacrococcygeal area, which is great. The anatomical structure from the coccyx to the lumbar vertebrae, including the nerves, is normal. There is no atresia or stenosis in the intestines. This child is lucky, there are no missing kidneys, and there are no other problems with the urinary system.
…
"What the hell is he looking at?"
"I don't know. The entire intestine is drawn. How long is the human intestine?"
"It seems to be so long...isn't it just that the bottom piece is missing? There are so many paintings needed?"
"He's still drawing the heart!... Is this the heart? It's so vivid. By the way, is this really a disciple of the Lord of Thunder? Are you sure he's not a disciple of the Immortal?"
Several bosses nearby were whispering. The child was still crying, and Gretel was sitting upright with half-closed eyes, motionless. They had nothing to see, so they could only look at Gretel's drawing paper.
One, two, and after a while, four or five people stood in a semicircle, surrounding the desk.
There were ink marks on the drawing paper, filling up one page and changing it to another. Thanks to Pastor Matthew’s diligence, he replaced Gretel’s manuscript paper one by one...
Draw from the pelvic cavity to the colon, ileum, cecum, and then to the internal organs, especially the heart. Then continue upward, even the esophagus is drawn, turn around again, and carefully outline the anatomical structures near the rectum and anal canal:
He drew three large pieces of paper about the fist-sized part of the baby's pelvic organs, as long as the forearm and as wide as the forearm. Several bosses touched their heads and held their breath for a long time before they realized that he had drawn three pieces of the same part.
perspectives:
Slice from the front, slice from the side, slice crosswise...
"As for it being so troublesome..."
Archmage Novak muttered in a low voice. However, the archbishop of the Temple of the God of War saw his eyes gleaming as he stretched out his hands and retracted them, retracted them and stretched them out again.
From the looks of it, if Gretel hadn't been afraid that these pictures would be useful, he could probably roll them up and put them in his pocket.
"I understand." Gretel half-closed his eyes and sat upright for nearly an hour before opening his eyes and getting up. He turned to the old man who had made the decision before, with a serious face:
"I may be able to save this child...but I'm only half sure at best."
half?
There are so many diseases that high-level healers are helpless to deal with, and he actually said that he is half sure?
Pastor Matthew took a gentle breath of air. The other people present were all high-level healers. They did not lose their composure like him, but they also exchanged solemn glances. Archmage Novak was the first to ask:
"How do you plan to treat it?"
The conscience of heaven and earth, he brought this little guy here, but don’t stretch out your hand just to show off or out of a moment of unbearability!
If the treatment fails, even if others are concerned about the Lord of Thunder, there will be some minor trouble!
The room was filled with silence. Five or six pairs of eyes focused on Grete. The old man who had decided to let Grete investigate murmured, expecting and worrying at the same time:
It would be good to listen to the treatment ideas first, but most mages have a proud temperament. If they are asked to explain, will they feel that they are not trusted and die in anger?
Especially since this healer is young and a disciple of the Lord of Thunder, such a person will probably have a bad temper...
Gretel, on the other hand, has no idea of "I am a spell caster, I am the boss, whatever I say should be done". As a doctor, he explains to the patient's family that this is a matter of course, and he has long been used to it.
He raised his hand slightly, and a drawing immediately floated up and hung in front of everyone's eyes:
"Look, the child's rectum is here. Under normal circumstances, the rectum should grow all the way down to the bottom, which is the anus." He gestured vaguely on the drawing, and moved his fingers down along the rectum until it reached the anus.
edge:
"But now, the rectum has not grown this long, so we have to make an incision in the skin, pull the rectum down to the outside, and then cut it open and sew it together with the skin..."
The whole room fell silent for an instant. Gretel's words were very simple and everyone could understand them. However, after thinking about it for a moment, more questions came out:
"Can the rectum be pulled down? Will it break?"
"Oh, no. The rectum itself is elastic and will not break. But the premise is that the rectum and the blood vessels, nerves, omentum, and lymph around it must be separated. Otherwise, something will really happen...
"
"Pull it down and sew it together with the skin. Can the child poop normally? Will it keep leaking?"
"That's not true. I checked just now. There are still sphincter muscles in the child's anus."
Grete bent down slightly and patted the baby. The baby was suddenly awakened and cried loudly. He pressed his finger on the place where the anus was and turned to the old man:
"You see, there is a slight bulge here. You can feel the impact. If you connect the rectum here and contract the muscles, you can control defecation."
A group of people took turns to come up and touch it, and nodded. Then came the next question:
"There is no opening here originally. If it is cut open by force, will it be impossible to pull it out?"
"This... the anus needs to be continuously expanded later..."
The healers' questions gradually stopped. The old man looked at the picture drawn by Gretel carefully and asked him seriously:
"Why do you say you're only half sure? What's the danger?"
"First of all, the child is too young." Gretel took a deep breath:
"Even if the treatment can stop the bleeding and relieve pain in time, I'm not sure he can survive the damage caused by the surgery."
The healers all nodded. Treatments, growth, and healing all consume the body's own strength. It's normal for such a young child to not survive.
"Secondly, when a child is just born, the blood vessels and nerves next to the rectum are only as thick as a hair. If a little bit is damaged during the incision, separation, and pulling process, the child's future recovery and defecation will be greatly affected.
"
The old man nodded as if he understood. Although he didn't know what nerves were, he could still understand that the smaller the child was, the thinner the intestines, and the smaller the blood vessels. The thought of separating two things as thick as a hair was impossible at all.
Bumped...
Even if he is a level 12 knight with sharp eyes and steady hands, thinking about this difficulty can't help but give him a headache.
"Finally, this is my first time to do this kind of surgery. I am not familiar with it, so it is especially easy for problems to occur." Gretel's words are absolutely true. Emergency surgeries are only performed on fatal ones, such as sewing up the liver, cutting out the spleen, and cutting out the kidneys.
Even when it came to suturing the intestines, he was very skilled at it in his previous life. But the next step was the anoplasty...
Leave all the things that are not urgent and life-threatening until the anorectal department comes to take over!
Speaking of which, the time in his previous life when he was most familiar with the anatomical structure of the rectum-anal canal was when he suffered from mixed hemorrhoids and was lying in the anorectal department of his own hospital...
Forget it, the past is too painful to look back on. Grete shook his head and admitted the last influencing factor:
"Also, even if the child is saved, the child will still need to undergo anal dilation treatment for a long time, which will last at least six months to a year. Treatment or not depends on your decision."
****
Reading the paper, even if children with anal atresia are cured, they still have to undergo follow-up anal dilation treatment for a long time. The quality of life of the children and their parents is lower than that of the general population...
All living beings suffer, alas...
I weakly stretch my claws to ask for some votes...