It's not that difficult to open a hospital in another world, right? Chapter 785: You are poisoned and cannot advance today (Bugfield leader adds 1 update)
Chapter 785: You are poisoned and cannot advance today (Bugfield leader adds 1 update)
"Name?"
"Morey...Morey Kelly."
"gender?"
"Male...Hey! Isn't this obvious?"
"Sorry, sorry." Gretel showed a smile like a wolf grandma. In an instant, Mr. Knight's anger was suppressed: "I meant to record it for the tower spirit. Okay, age?"
"25 years old."
"Profession?"
"knight."
"grade?"
"Level 5."
"How long does it take to become a knight?"
"A year...a year and a half."
After a long series of conversations... or a long series of information input, Mr. Knight was invited to the floating saucer, turned around, and came down. Next came Warrior No. 1, Warrior No. 2, Warrior No. 3, Warrior No. 4...
After five consecutive CT scans, even the central tower spirit of the mage tower made a buzzing sound. Gretel didn't know where it learned the bad habits. Is this dissipating heat, or is it telling the boss, "I'm working."
"?
The conscience of heaven and earth, it was not him who taught Ta Ling the sound effects of hard drive cooling!
But fortunately, the results of t are not needed immediately. It can even be said that this inspection is not necessary. Grete can wait slowly.
He summoned invisible servants to carry the treatment bed, waved to Knight Kelly, and smiled like the wolf grandmother again:
"Come, lie down, unbutton your shirt, and lift up your left trouser leg~"
Young soldiers do not have a series of diseases such as high blood pressure and hyperlipidemia, and the possibility of developing cardiovascular organic diseases is inherently small.
Relatively speaking, electrocardiogram and cardiac color ultrasound are much more likely to detect problems.
Gretel checked them one by one. It should be said that most people are normal. At most, it is myocardial hypertrophy, which makes sense. Vigorous exercise requires a strong heart.
What is the differential diagnosis between "athlete's heart" and "hypertrophic cardiomyopathy"?
As soon as the electrocardiogram came out, Gretel narrowed his eyes slightly. Well, there was a slight change in the T wave, and the sinus heartbeat was also bradycardia, indicating that there were organic changes in the heart.
But when he did a CT scan before, he took a look and found that the external image of the heart was still normal. So, how the heart is doing depends on the echocardiogram...
"Mage Nordmark, how is my heart?"
He didn't speak for a long time, but Knight Kelly was so confused that he couldn't help leaning from the pillow to ask. Grete poured some glycerin on his chest and ordered softly:
"Quiet."
Pressing a finger on it, Knight Kelly immediately shut up and lay down on the bed. Grete closed his eyes slightly, stared at the echocardiogram in the meditation field, did rapid mental calculations, and kept counting:
"Heart rate 60 beats per minute... Left ventricular diastolic diameter... 55.3... Left ventricular systolic diameter... 36... Left ventricular posterior wall end-diastolic thickness... 11... Left ventricular posterior wall end-systolic thickness... 16
…End-diastolic thickness of the ventricular septum…10…”
Knight Kelly was lying on the bed confused. He couldn't understand and didn't dare to move. After Grete reported the data, he grabbed a handkerchief and threw it at him:
"Wipe it yourself."
There was a burst of laughter from behind. It was high and low, thin and suppressed. It was obvious that the soldiers were covering their mouths and did not dare to laugh, but it was really funny:
"It really seems like I was being raped by the elder... ah..."
"It's just...exactly the same as when we were at Rita Hotel..."
"Scum..."
Knight Kelly's face changed, and he wanted to jump up and roar, but Grete didn't give the order, and he really didn't dare. Grete, however, had no expression on his face and turned a deaf ear:
After doing the B-ultrasound, doctors throw a piece of paper and let the examinee wipe it themselves. This kind of scumbag behavior has long been ridiculed to the point that doctors are immune. For surgeons, is driving at this speed still considered a car?
"Lie down. I'll check again."
He ordered softly. With a slight hook of his finger, the little snake on the oak staff flew out. Gretel pressed the golden treasure box again and observed carefully through the eyes of the little snake:
Well, myocardial hypertrophy is uniformly distributed. In addition to the interventricular septum, the anterior wall, posterior wall, inferior wall and lateral wall are all hypertrophic, and the degree is relatively similar. The interventricular septum and left ventricular posterior wall thickness are less than 12 mm, and the ventricular wall motion is normal.
…
It matched the characteristics of an athlete's heart in his memory, and was obviously different from hypertrophic heart disease. It was confirmed that this Kelly Knight was in normal condition. He then used mental power to cover it and feel the abnormal energy...
No unusual energy reported.
very good.
Well, you can refer to this to record the structure of the heart, record the ejection fraction, evaluate other people's heart conditions, and what level you need to reach after becoming a knight!
Gretel checked one by one. Electrocardiogram, echocardiography, blood oxygen saturation, blood potassium, blood sodium, and blood calcium. Most of the soldiers passed the test happily, but when the No. 18 soldier was checked, Gretel slowly wrinkled.
He raised his eyebrows.
Grain greed
"There's something wrong with you."
"What, what's wrong?"
"You have a heart problem." Gretel frowned, staring at the electrocardiogram and cardiac color Doppler ultrasound displayed by Taring, comparing them over and over again:
Fishhook-shaped ST-T changes and shortened QT interval on the electrocardiogram suggest possible foxglove poisoning. Abnormal hypertrophy of the left ventricular posterior wall at the apex of the heart, with a thickness greater than 16 mm...
"By the way, stretch out your arms."
"What?"
"Collect blood!"
Throwing down a blood test magic, Gretel frowned even more. The blood potassium was relatively low. Although it had not reached the level of hypokalemia, the value was not optimistic. For a man in his early thirties, the blood potassium was lower than the average.
Close to the lower limit of normal, something is wrong.
He casually scanned the kidneys, and the color ultrasound showed that the kidneys were normal and there were no lesions on the adrenal glands. So...
"Have you eaten anything weird lately?"
"Ah, no, no." The soldier on the treatment bed replied stiffly. Next to Grete, Bishop Ampton took a step forward and frowned deeply:
"Really do not have?"
"Really do not have!"
A ray of light flashed in the hands of the Lord Bishop. It was dark with a blood-red background. It was obviously the auxiliary magic of the Temple of the God of War. Grete glanced at him lightly and asked directly:
"Didn't you use that low-quality magic potion, or the reduced version of your level-breaking potion, to assist in your training?"
The warrior flinched. He glanced at the bishop quickly and shut his mouth tightly. Or did he not dare to lie under the witness of divine magic? Gretel did not press any further and nodded to Bishop Ampton:
"He is poisoned. He is chronically poisoned and needs to stop taking the medicine and recuperate for a period of time. You must not take any more potions today, nor can you try to advance."
Well, the main ingredient of the pass-through potion is a potion called "Fox Gloves". Gretel learned it from his teacher, and it looks the same as the foxglove he saw in his previous life.
He would never mistake the clusters of bell-shaped flowers and the spots inside the flowers! And any emergency doctor who had seen foxglove would definitely not forget it!
Cardiac glycosides extracted from foxglove, such as digoxin and cedilan, have always been loved and hated by emergency doctors. I love them because they are powerful cardiotonic drugs that can provide immediate results in times of heart failure;
Hate it, its therapeutic window is very narrow, and the effective dose varies according to each person's situation and tolerance. A little lower, a little higher, and I'll show you the poison...
Well, chronic poisoning with hypokalemia and acute poisoning with hyperkalemia. The symptoms, manifestations, treatment ideas, and medications are completely different...
Bishop Ampton slowly frowned, changed a spell, and scanned it again. Then, he nodded to Gretel:
"You're right. He does have signs of slight poisoning. I haven't found it yet without a spell check. Who told you to take this medicine without permission? Didn't the fleet say it repeatedly that you are not allowed to take it at any time except to clear the border?
?”
At this point, the Temple of the God of War has sufficient experience. Reduced and inferior versions of clearance potions are always sold on the black market, and warriors who have difficulty in advancing often buy them.
Basically, for warriors who reach the advancement threshold by relying on the reduced version of potion, nine out of ten warriors will die when they officially advance. If they are lucky enough to survive, they will most likely be useless and cannot be raised back.
However, this kind of knowledge is only known by the temple and the regular army. Most wild warriors don't know it. Fortunately, the potion is also expensive and can't be afforded by ordinary people, so many people will not die...
The soldier's face was ashen. He climbed down from the treatment bed tremblingly, and with a plop, he knelt directly on the ground:
"Let me try it once! Really, let me try it once! I have been waiting for this opportunity for a long time! The last time I failed to advance, it took me a year to raise it. All my savings were used to buy medicine.
food"
More than half of the knights and warriors present turned their heads away unbearably. Bishop Ampton showed mercy and looked away. Only Grete looked calm and shook his head resolutely:
"No. You have been slightly poisoned. Due to your young age, you can recover after stopping the medicine for a period of time. But now, in order to overcome the problem of taking a large dose of medicine, you must exercise vigorously immediately after taking the medicine."
His voice suddenly rose, making everyone present, including the soldiers kneeling on the ground, jump in fright:
"Die on the spot!"
"Ahem, ahem." Bishop Upton cleared his throat uncomfortably. What do you mean by dying on the spot? You are here and I am here. With the combined strength of the two of us, we still can't bring one person back?
Gretel turned his head and gave him a slap on the back of his head. He usually abides by the rules and tries his best to break through the barriers. He understands and is willing to help;
He usually takes forbidden drugs secretly and brings himself to this point. He will not save him!
Hypokalemia and then hyperkalemia, chronic foxglove poisoning superimposed on acute poisoning, it is too difficult to save. The cardiac myoelectricity is absolutely disordered. When the time comes, potassium supplementation and potassium removal will require diuresis in some cases, and diuretic drugs in others will need to be stopped...
Thinking back to the rescue experience in his previous life, he was only as big as two people. He must not cause this trouble for himself!
Moreover, this guy has developed hypertrophic cardiomyopathy, which is different from "athlete's heart". This is a real disease. Even if the foxglove is metabolized, the success rate is probably not high...
The soldier was grabbed by the collar by the knight leading the team and dragged out. Gretel finished checking each one, then analyzed the CT data, used a small snake to penetrate into the body to see the cardiovascular system, and clapped his hands:
"Okay, everyone else has no problem. Today is a day of adjustment, and tomorrow, we will start to advance one by one!"
****
3000 words!
The first update is completed!
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