Another child who appears to have a congenital disease.
I am not a pediatrician, nor a pediatric surgery department, nor a pediatric cardiovascular department... I am an emergency physician, and I am not an emergency pediatrician!
But Gretel cannot say "I don't want to see" or "I can't see". When a patient seeks medical treatment in many ways but gets nothing, and you are his only hope, as a doctor, you have to bite the bullet and fight.
Viscount Aylwin, whose territory is northwest of the city of Nevis. This family is famous for its bravery. The simple version of the "Golden Lion Swordsmanship" is passed down in the family. The above information is widely spread in the army. It came from an unknown banquet and was poured into Gretel.
Grapevine in the ears.
However, the eldest son of the current Viscount Aylwin, or in other words, the next generation of the family head, is quite weak. At the age where he can practice martial arts, other children can run and jump, but he will suffer from shortness of breath and heart palpitations if he moves too much. The more tired he is, the more he will suffer from shortness of breath and heart palpitations.
, I fell down and showed you.
If this continues, how can I become a knight and inherit the family fortune?
Although Gretel didn't know why the nobles of this world had to become knights in order to feel that they could inherit the family's glory. However, this did not prevent him from listening to the chattering of the accompanying knights while observing the patient:
The little boy sat quietly in front of him, with his hands folded on his legs. His face was pale, his cheekbones were not red, and his lips and nails were not bruised. It seemed that even if he had congenital diseases, they were not very serious.
.
Grete felt a little relieved. He took out a grass seed, slightly revealed the power of nature, and transformed it into a stethoscope, and smiled at the boy:
"Come on, take off your coat and let me hear your heartbeat..."
Never have tetralogy of Fallot, never...
The boy obediently began to take off his coat. The little knight's suit was made of velvet and each brass button was fastened tightly. It was quite troublesome for him to take it off. His movements were slow, but he did not pause, and he did not let others help him.
Gretel watched with a smile. After the boy took off his coat, leaving only a soft white silk underwear, he picked up the chest piece of the stethoscope and tried to press it up, but was stopped by the knight:
"What's this?"
"A stethoscope. You can hear your heartbeat and breathing."
Grete handed it to him generously. The knight studied it carefully for a while, then handed it back to Grete and asked him to auscultate:
"Hmm...the first heart sound is increased...the second heart sound of the pulmonary artery is enhanced..."
"The second heart sound...fixed split...come on, take a breath...breathe, yes, it's not affected by breathing, it's still split..."
"Second intercostal space at the left edge of the sternum, grade 2 to 3 ejection systolic murmur...the diastolic phase is okay..."
"Breath sounds...breath sounds are normal..."
The knight walked around anxiously beside Gretel, pricking up his ears to listen to his mumblings, but couldn't hear a single word. Even if he could hear it clearly, he didn't know what it meant.
For a long time, after watching Grete put down the stethoscope and lie down on the table to write notes, he immediately asked impatiently:
"Can it be cured?"
"...We need to further improve the inspection." Gretel glanced at him, squatted down, and looked at the boy's level::.
"How about we sit outside for a while? Let me use this thing and take a look at your chest."
As he spoke, he took out the [Endless Ink Pen] and flashed it in front of the boy. The golden, diamond-encrusted quill made the boy's eyes light up. He stretched out his hand to touch it, but quickly retracted it. Gretel smiled at him:
"This is my [New Magician Award] prize. Just sit down and don't move. I'll touch it for you after I finish checking it, okay?"
The boy nodded vigorously. Gretel smiled slightly, raised the [Endless Ink Pen] behind the boy with the hand of the mage, and activated the X-ray magic:
Well, the shape of the heart is enlarged, mainly the right atrium and right ventricle... The pulmonary artery segment is prominent, the pulmonary blood vessel shadow is increased, and hilar chorea sign can be seen...
According to auscultation and X-rays, it looks more like an atrial septal defect. Of course, further differential diagnosis is needed. If it is just an atrial septal defect, it is not difficult to treat, and interventional surgery can be used~
Gretel let out a breath, his face softened, he recalled the [Endless Ink Pen] and put it into the boy's hand. He coaxed him to lie down quietly, and after completing the ultrasound examination, he turned to the knight seriously:
"It can be cured."
"How to cure it? Do you want to use that vine to insert it into the heart? ...What kind of disease does Master Chris have? How can you be sure?"
The knight opened his mouth with a long list of questions. Gretel explained it to him carefully and planned to start treatment after he signed and approved it. Unexpectedly, after waiting for a long time, he said:
"Mr. Master, could you please write an explanation and I can take it back to the head of the family? It's too dangerous to insert vines into the heart or something like that. I don't dare to make the decision without the permission of the head of the family!"
Hmm... Okay, that makes sense. Although it is a bit of a headache for parents to send their children to see a doctor without having to go out in person, they can't argue with the nobles about this.
In my previous life, it’s not like I never saw secretaries or neighbors sending people over, but their families were still thousands of miles away...
Gretel was very good-tempered and copied the medical records for him. The knight flipped through them from cover to cover, and then from cover to cover, making sure that every diagnosis was based on probing, and immediately asked the next question:
"How can you prove the things you said you saw?... We can't see them!"
...This is really a good question. Gretel inhaled and exhaled, and just when he was about to answer, the boy already answered clearly:
"But Uncle Hart, we are not magicians, we can't see in the first place!"
It feels so good to have a child who is sensible. Gretel smiled at him and felt that his blood pressure had dropped by 10 millimeters of mercury, leisurely returning to the most comfortable range. He turned to the knight and said calmly:
"Things seen in the meditation picture can be revealed and brought back to your family master. [Detection Magic] and [Ultrasonic Detection] are two inspection methods. Each has a chip, which can be stimulated with magic power. Each piece is 50
Contribution points.”
What, buy it from the Alchemy Workshop and only need 10 contribution points?
Please, does it cost nothing to check, or does it cost nothing to burn? The golden treasure box used for burning is a legendary design, made by a level 16 great magician himself, and he hasn’t even calculated the depreciation fee yet!
Hospital drugs are sold with zero margin? What is that? Besides, what I sell is not drugs, what I sell is tablets!
The current market exchange price of 100 contribution points is 400 gold coins, which is nothing to the viscounty. Including the examination fee, the knight readily paid 500 gold coins and returned with his young master, medical records, and films. Within two days, he returned.
return:
can't read.
Nonsense, X-rays and B-ultrasound images, people who have not been trained will be confused if they can understand them.
Gretel had no choice but to write an extra explanation and explain to them again: what a healthy heart looks like, what part of Master Chris's heart is missing, and what the consequences will be. The knight took this explanation and ran away.
go……
Within two days, Biao came back again:
"How do you prove that there is a missing piece here, causing the blood in the heart to shunt to the side?"
this……
Gretel is at a loss. You can’t understand the ultrasound and the spirit of the contract cannot be lent to you. Could it be...
You want me to do a cardiac angiogram?!
****
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