Chapter 505: The intestines fell out of the groin (10,000 rewards plus 5 updates)
Whether he is good at removing hemorrhoids or working as a feces collector, no matter what, the reputation of Oak Grove Hospital has already been established.
The people who come to seek medical treatment are finally not just the wealthy businessmen Grete knew before, not just the desperate poor people, and not just the sick people who are dying from the poorhouse.
Poor people.
And the magicians are happy to give money. A bottle of potion to cure minor injuries costs 50 gold coins, a bottle of potion to cure moderate injuries costs 300 gold coins, and a bottle of potion to cure serious injuries costs 750 gold coins——
You come to find a fifth-level priest, a dual-professional mage, and a disciple of a legendary mage, and receive his unique treatment. How dare you only give 300 gold coins?
You have to pay 100 contribution points anyway, or if you don’t have enough money, you can consider using any strange magic materials or magic equipment to offset your account.
Grete would not ask them for money, but the patient’s face was more important~~~
In any case, if a magician treats your butt, he still has a bright future, and may meet you on other occasions, then, for your own honor, you'd better pay more for the consultation.
As a result, Grete's Oak Grove Medical Research Institute actually managed to break even with this method. Moreover, other types of patients for whom treatment was ineffective also began to come -
At noon that day, Gretel raised his head from his bloody buttocks and was asked to go out before he could use the Cleansing Technique.
Sitting and standing in the lobby, a middle-aged man standing with an anxious face kept pacing back and forth. In the center of the area where he was pacing, a thin old woman sat tremblingly, muttering constantly:
"It's not cured... We'd better not be cured... It's said that this family can cut people with knives. It's bloody and scary~"
"Mother!"
The man interrupted anxiously.
He is tall and strong, with a straight back and a thick layer of calluses on his hands. He looks like he is a warrior.
Grete couldn't tell the specific level yet, but Bernard had already rushed over and stood next to Grete, never leaving.
The old woman shrank again. Grete waved his hand to the barbarian, stepped forward with a smile, and bowed slightly in front of the old woman:
"Old lady, what's wrong with you?"
"My mother has a terrible stomachache! It hurts and feels bloated—"
When the man said this, his voice suddenly became quieter, as if he didn't want the people around him to hear:
"...The person who took care of her said that she hasn't had a bowel movement in two days... This has been the case several times in the past. Drinking healing potions has no effect, and taking her to the temple for treatment can only make her better for a few days. It has been particularly serious recently, Mr. Master.
,you……"
Well, constipation, abdominal pain, and bloating. First consider intestinal obstruction. As for the severity, cause, and whether there are any other organic diseases, it needs to be determined after examination.
Moreover, constipation has a lot to do with living habits, and it cannot be solved once and for all by applying magic skills... Gretel thought like this, put on a friendly smile on his face, and reached out to help the old man:
"Old lady, let's check first... Stand still here, yes, stand straight, don't move... Tsk, I can't see clearly here..."
Moreover, the key parts cannot be clearly seen. The cumbersome shadow on the waist looks like a key or something else at first glance. Sewing needle? Scissors? Screwdriver? Flintstone?
After failing to rub Apa's fallen horns, Gretel could only help the old lady into her consulting room, call two female nurses to come in, and help the old lady change her clothes first.
Take off all the metal objects under the clothes, no matter if they are buttons, belts, keys, or other weird things, and give them to her son.
Taking advantage of this opportunity, Grete took the time to chat a few more words with the patient's family.
Only then did I know that the old lady was 62 years old and had given birth to four children, two boys and two girls (no, gender is not important). The person who brought her was the old man's eldest son, a sixth-level knight. Of course, the old man himself was not a professional.
The old man is usually in good health and has never had any serious illness or surgery. (Patient’s family: What is surgery?) He likes to eat meat and vegetables. As long as he is not constipated, he can eat one pound of vegetables a day...
After talking about this, the nurse who was waiting for the old lady to change her clothes was sweating profusely. She opened the door and came out. It was obvious that she had spent a lot of time. Gretel was able to get rid of the knight, took out the [Endless Ink Pen], and gave the old man another X-ray.
——
It’s good to have a portable light source. Gretel silently gave [Detect Magic] a thumbs up:
In the previous life, the doctor would write an order, push the patient to queue, pay the fee, queue up in the imaging department, take the film, and then push it back to wait for the imaging department to release the film. It was a lot of back and forth, and if it was not urgent, it would disappear in a few hours.
Already...
He looked carefully. The upright plain film showed multiple stepped air-fluid levels in the abdomen, the proximal obstruction of the dilated small intestine, and the air-fluid level fixed above the pelvic pubic bone. The lying flat film showed that these signs did not change.
Moreover, in the inguinal part, which should be outside the ligament, you can see an inflated intestinal curve, with the blind end pointing towards the obturator -
After the examination of both positions was completed, Gretel already had a general idea in his mind. He asked the old lady to lie down and prepare for the physical examination:
"Old lady, you curl up your legs, okay, that's it. Come on, curl up your right leg too -"
Gretel stood by the bed, speaking softly under the gaze of the old woman's son. He leaned forward, put his left hand on the old woman's right calf, and gave a gentle push to guide her.
Before he even exerted any force on his hand, the man already said "ouch":
"No, no, no! Mother said that whenever her right leg is curled up, her thigh hurts!"
Grete nodded secretly, as expected. The smile on his lips remained unchanged and he asked slowly:
"How long have your thighs been hurting?"
"Not...not long...just a little bit..."
The old woman's eyes were evasive, and she only glanced at her son after saying a few words. Grete had seen this look many times, so she probably had something to hide from her son.
Well, it was most likely serious. I didn’t want to disturb my son, so I didn’t tell him...
Grete thought for a moment, persuaded the knight to leave the clinic, returned, and continued to inquire. Only then did he find out that the old lady had been suffering from constipation for more than two years, with relief and recurrence.
As for the pain in my right thigh, it has been there for more than half a year, and it has been particularly severe in the past few days. I cannot bend my right leg at all, and when I bend it, it becomes more and more painful...
"Old lady, can you feel a lump in the groin of your right leg, which is the junction between your body and your right leg?"
"What?" The old woman's voice suddenly rose. After a sharp moment, it lowered again, a little panicked and even coy:
"How can you, a young man, ask... about a place like that..."
Grete couldn't laugh or cry. At this stage of the consultation, he had already considered that it was intestinal obstruction caused by obturator hernia——
Elderly women who have given birth many times will experience more degeneration of pelvic floor muscles and ligaments; long-term constipation will put greater pressure on the pelvic floor muscles and ligaments.
At this time, if the peritoneum is relatively sparse and there are gaps, and the pelvic floor muscles and ligaments are not supporting it, it will cause part of the intestine to herniate, causing incomplete intestinal obstruction.
Because the obturator canal is narrow and the surrounding tissue is tough, it is difficult for the contents of the hernia to be retracted on its own. If the cause of the disease is not clear and the temple's treatment only targets constipation and pain, it is indeed not easy to cure...
I didn’t mean to take advantage of you, old lady!
"In the name of the God of Nature..."
He sighed, reached out and took out the oak stick from his pocket, and liberated it into the shape of an eyebrow stick. The green leaves on the tip of the stick swayed gently. Gretel raised a hand, and placed the palm flat on the side of the ear, from the palm to the fingertips.
, the white light beats slightly:
"Old lady, I'm really asking this just to diagnose the disease. If you're worried, could I ask your son to come in and stay by your side, or ask a female pastor to come over?"
The credibility of the God of Nature seems to be relatively high. The old lady stared at the white light for a while, then looked at the green leaves on the top of the oak staff, and her face finally relaxed a little. Gretel quickly struck while the iron was hot:
"Old lady, let me turn my back to you, touch it yourself... touch it carefully! This is very important!"
There was rustling behind her. After a while, the old lady breathed a sigh of relief and replied in a low voice:
"No...no..."
But it can be seen on X-ray films. Gretel rubbed his eyebrows:
Trouble. In order to confirm the intestinal obstruction, and more importantly, in order to confirm the arterial and venous compression and the blood supply of the lower limbs, it is best to do a B-ultrasound. I don’t know if the other party is willing to touch it...
Alas, although Cerela and Anivea both learned the method of ultrasound exploration from him, they were still not good at reading images. He had no choice but to do it on his own!
Grete communicated with the old lady, but was rejected as expected; he opened the door to communicate with her son, but was also rejected. In desperation, he could only propose a surgical plan:
"First of all, we need to make an opening in the groin, stretch a few vines in, and push the fallen intestine back to its original position. Then we need to explore the intestine. The obstruction is so long, so don't let it cause ischemia.
, necrosis or something. Finally, fill up the gap in the peritoneum..."
As soon as he said this, the old lady's face turned pale. Afterwards, she was shaky and almost fainted. She leaned on her son and shook her head desperately:
"We won't be cured...Albert, we won't be cured, we won't be cured..."
Grete tried his best to explain, including explaining that "the whole process is under the control of tranquillization, you will not feel any pain" and "if the operation is not performed, the intestines may rot", none of them had any effect. Alas, the old lady was too fearful and complied.
The sex is so bad...
In the end, Albert Knight just bought two tubes of Kaisel, and left in a hurry with his mother. Grete walked from the consulting room to the entrance of the hall, and then down the steps, grabbing Albert Knight and repeatedly said:
"If the old lady has severe stomach pain, remember to get treatment! You must get treatment! - You can come to me, any temple, or any magician's medical institute! In the most serious case, the intestines will rot.
It fell! I’ll stay here tonight!”
True to his word, he would not go back to the Mage Tower tonight and stay directly in the hospital. He slept until midnight. At one or two in the morning, Albert Knight took his mother and knocked on the door of Oak Grove Hospital:
"Mage Nordmark! Mage Nordmark, are you there?—Help!"
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