With an exclamation, Ramos's face turned pale as paper.
He turned his head hard, pushed his chin into the shoulder socket, and looked at the mass on his right upper arm. However, the "light source" was directly behind him, and the angle was wrong, so he could not see clearly. Ramos could only bend his waist, then bend his waist, and then bend.
I was so anxious that I almost fell to the ground.
Grete rushed over to help him. He was only two steps away when a pair of mage hands flew up from behind him, one to the left and one to the right, and steadily straightened the body of the transformation magician.
Gretel: "..."
There is still a big gap between my way of thinking and that of orthodox magicians. For example, at this time, I would not think of using the hands of a mage... But for orthodox magicians, the hands of the mage are more skillful than their own. Maybe both hands
It's almost going to degrade.
And, alas, this is the sadness that cannot be washed out by X-ray films. In his previous life, the doctor decisively took the X-ray film and pointed it out to the patient: Look, something is wrong here...
But now, [Detection of Magic] relies on the magician looking in the meditative field of vision. There is no way to copy it, no way to record it, no way to explain it to the patient, and as a teacher, there is no way to teach students to read the film.
To achieve this, the picture in the meditation vision must be presented in reality. And Grete cannot do this. What is the progress of Ms. Almeida's research and development? When will the results be produced?
In Grete's mind, all kinds of thoughts were whirling like a wheel. He helped Ramos sit down on the side, pointed to his right arm, and explained to the two onlookers:
"Yes, I now judge that there is indeed something wrong with this tumor. You see, there is a fat density shadow next to the humerus, the density is uniform, and dendritic bony protrusions can be seen, extending into the fat fat density shadow. So I judge,
It’s a paraosseous lipoma.”
Turning around, looking back again, he was confused. Ramos couldn't see the X-ray image of his right upper arm. Mrs. Alva was a control type anyway, so she just watched the fun. Jason pointed to the thickened one.
arms, lots of questions:
"Why do you think this is fat?"
"Why do you say this is a bony protrusion, not a blood vessel, or something else?"
"Why do you say it's the tumor? It's so far away from your finger!"
Gretel: "..."
This is fat, but why should we say it is a bony protrusion? Imaging is a specialized subject.
Why it is said to be a tumor problem must be explained from various aspects such as physiology, nerves, and anatomy.
As for why it is paraosseous lipoma, not giant cell tumor of bone, not enchondroma, not sarcoma...
Grete has a lot of differential diagnoses to talk about. For example, if it is liposarcoma, it should be uneven density of fat, visible calcification, and sometimes destruction of adjacent bone;
If it is osteochondroma, it should be a soft tissue mass with regular shape and no fat density;
If it is a bone hemangioma, the calcification should be from coarse to fine, accompanied by bone destruction, periosteal reaction, soft tissue mass...
But looking at these people in front of me, they probably don’t seem to understand. Moreover, everything on imaging can only be guessed. If you really want to determine what kind of tumor it is, it is recommended to do a needle biopsy before surgery and send it for a biopsy.
Pathology, or freezing during surgery and sending it for pathology.
However, there is no pathology in this world. Gretel can only propose cookie-cutter treatment methods.
"It is recommended to cut it off."
"What? Cut it off?"
Mr. Ramos's face turned pale again. In Gretel's eyes, it was like the blood flowing in the blood vessels on his face. First, the red blood cells were folded in half, then folded in half, and then, all of this blood was replaced by
Ringer's solution. He asked tremblingly:
"Want to cut off the whole arm?"
"Will the bones be cut off?"
"Will the blood vessels be cut off together?"
This is really not possible. Grete closed his eyes and concentrated, and a virtual image appeared in his hand [Silent Phantom], outlining the situation inside the arm. Carefully, he explained to the patient:
"What needs to be cut off is just this tumor..."
"I will use the tranquilizing technique to relieve pain, so you won't feel any pain..."
"Before starting to cut blood vessels and nerves, they will be pulled aside to protect them..."
"Your tumor has grown very big and has invaded the bones. If it is not cut off, your arm will become more and more numb in the future. If you are not lucky, something bad will grow..."
One question, one answer, one answer, and more and more questions arise.
Grete's mouth was dry and he was sweating profusely after being asked. Until he began to think about whether to "charm humans" or "appeasement" to dispel the patient's fear, Mrs. Alva's face suddenly darkened:
"If you want to be cured, tell me the truth! Now, immediately, immediately!"
The 13th-level great magician put down these words, and the effect was outstanding. Although she only spoke up to this point, the two healers and one patient present read the ultimatum on her face:
Valley/span>This is the Tower of Songs! It’s not your alchemy workshop! It’s up to you whether you want to cure it or not. If you don’t want to cure it, get out of here!
Don't waste my time here!
"I'll cure it! I'll cure it now!" Ramos jumped up like a rabbit with an arrow. He glanced at his right arm with nostalgia, his heart skipped a beat, and he raised his arm in front of Grete:
"Come on! Where to do the knife?"
Grete was silent. He was patient and careful, and tried his best to speak, but he couldn't catch up with the Archmage's scolding. Well, in this world, patients have no dignity... No, low-level professionals have no dignity in front of high-level professionals.
…
Moreover, Mrs. Alva also took away his work. She said as a matter of course: "Just stay here. I'll invite the students to come and have a look, and they happen to be studying brain waves. Master Nordmark, is that okay?"
...No. This room is surrounded by wallpaper and has carpets underfoot, so the sterile conditions are worrying. During the operation, the privacy of the patient must be protected, and unrelated people are not welcome to watch. Bystanders who do not abide by the aseptic operating procedures will cause serious consequences.
trouble……
These words rolled on the tip of Grete's tongue and he swallowed them all. The patient had no dignity in front of the Archmage, and he did not have much room for bargaining in front of the Archmage. He thought quickly and smiled:
"This room is not suitable. Madam, can you find one that is big enough to accommodate the [Shelter Cabin]?"
Fortunately, Grete's reputation with Mrs. Alva was still big enough. He successfully borrowed a conference room through his reputation, and moved all the sofas, round tables, flower pots, etc. to the side. The free area was enough to put his
operating room.
But of course, the operation cannot start immediately, and the inspection must be completed first:
"I used [Silent Phantom] to draw the image of the inside of the arm that I saw," Grete discussed with the medical mage Jason Tarn:
"Can you make an entity based on the phantom? It would be best if it could exist for a longer period of time and can last for several hours. The thing made by [Mage's trick] is too rough and can only last for an hour..."
"I'll do it!" Ramos immediately raised his hand. As a transformation magician, making something based on an illusion is his specialty:
"Do you want it soft or hard? What material? Does it need to be transparent? Or translucent?"
"...It's best to be translucent, and the color should be the same as the color I marked with the phantom. By the way, it's best not to move your right arm during the process, so that I can check it easier."
"This..." Ramos thought with a grimace, slapped the space bag, and a rope flew out, tying his upper right arm and torso together:
"I will try my best!"
Grete clenched the oak staff, closed his eyes, and breathed evenly. The black and white snake rose into the air.
"The first thing is the bones...the bones are white and opaque..."
Gretel explained sentence by sentence. Ramos watched attentively, and kept flicking the fingers of his hands. Every material that Gretel recognized or did not recognize rose up in the air. Soon, the 3D printed model was vividly displayed on everyone.
In front of people:
On the outside of the backbone of the long white bones, there are many cumbersome things, as if they have grown into a coral;
The outside of the bone was covered with a light yellow lipoma. It was not a lump as they thought before, but a lobulated soft tissue tumor on each proliferated bone pedicle;
The blood vessels that should have flowed straight down were forced out of a curve by the tumor;
The light yellow lipoma was squeezed arrogantly into the arm, and the light red muscles, bright red and dark red blood vessels, and silvery white nerves were all squeezed out of place. The nerves outlined in silvery white on the top of the tumor were already very obvious.
The ground is swollen...
Gretel breathed a sigh of relief. This kind of 3D printed model can be held in the hand, can be disassembled, assembled, rotated, and can even be cut with a knife. In the previous life, there were only the most difficult surgeries and the most important ones.
Only if you have a subject, you can apply for it.
Other doctors, if they can have a 3D reconstruction image on a computer to look at, they will be very considerate of you.
Is it okay to ask for money?
As for the emergency department, haha. The emergency department, which is poor and busy, has some funds, but all of them are given to patients who evade fees. Where can they get the money to do this? And their chief director said it well:
"By the time you finish scanning, reconstructing, printing, and researching, all the patients will be dead, okay? All the patients who can afford to wait will be transferred to other departments..."
Fortunately, someone is helping me pinch it now. The 3D model has been enlarged twice as much, including bones, muscles, blood vessels, and nerves. I can see clearly where there is deformation and where I need to pay attention. I read it again before going under the knife, so I feel confident and no longer afraid of sudden changes.
What happened?
...otherwise, hire a few transformation magicians to mold 3D models and train the apprentices in surgery?
It’s too difficult to say, but experienced hemorrhoid surgeries can always be trained with a few...
Gretel couldn't help but start thinking. Well, starting from Mr. Ramos, I don't know if it is possible to negotiate this condition of exempting him from medical expenses and working in the hospital for half a month.
?
****
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