Chapter 81 The auscultation practice of the temple boss
The old magician looked at Gretel with doubt.
If he hadn't witnessed Gretel presiding over the rescue yesterday, and the two great healers claimed that this young man was in charge, he would not have paid any attention to this guy at the moment.
But now, seeing Elder Erwin taking the initiative to ask, the bald bishop smiled. He thought about it and unbuttoned the child's clothes with his own hands:
"George, listen and take off your shirt."
The boy squirmed around with a look of dissatisfaction. The old magician coaxed and frightened him, and even said such words as "You will die if the iron stone rots in your lungs." Finally, he coaxed the child to calm down and took off his clothes.
Top. Gretel was half-kneeling in front of the child. The far end of the copper pipe was pressed against the boy's left shoulder. He turned his head and pressed his right ear against the proximal end of the copper pipe.
"No wonder he was covering the copper pipe. I guessed for a long time, and it turned out that he was afraid of freezing the child." At the end of the bed, the bald bishop turned to Elder Erwin and praised softly. The elder nodded:
"Little Gretel is very attentive to patients."
The old magician looked back at them and said nothing. He just kept these words in his heart. Looking at Gretel again, the young man looked attentive and listened to the movement in the copper tube. His right hand moved the other end of the tube from time to time, speeding up.
Not too fast, not too slow, and stay evenly for one or two breaths in each position.
From left to right, from top to bottom. The copper pipe in the young man's hand moved back and forth, and all the landing points were symmetrical. Although the old magician couldn't see why he did this, he was at least certain that Grete must have something in mind.
Above the collarbone, chest, left armpit, and right armpit. Gretel circled back and forth around the boy, even turning to the back to listen for a while, and finally put down the copper pipe. He raised his head and looked around the old magician and the three temple leaders.
Calm and confident:
"It's true that I choked in my lungs. Right there -" He reached out and pointed at the boy's right chest, and the tip of his index finger fell under the collarbone, close to the inside:
"right here!"
"how do you know?"
Elder Erwin and the bald bishop asked at the same time. The high priest hesitated for a moment, then moved his lips and made a vague sound. Gretel answered naturally:
"Listen to the sound! The breath sounds in this part of the right lung are obviously lower than in other places! - Come on, come and listen..."
The bald bishop was the first to come over. Elder Erwin only hesitated for a moment, then was squeezed behind him and shook his head helplessly. Grete handed over the copper pipe and asked the bald bishop to listen.
"Come on, just like this, aim at your ears and press your head on the patient... Stop!"
"What?"
The Lord Bishop looked at him in confusion. His bald head was flashing, as if a line of words were displayed on it: I don't understand, I don't understand...
"First warm the distal end of the stethoscope with your hands to avoid discomfort to the patient." Gretel commanded as a matter of course. The bald bishop opened his mouth but did not speak. However, Elder Erwin could not stand it any longer and intervened to stop him:
"Hey, this is too much to ask for!"
"Yes, yes..." The old magician nodded. As the bishop of the temple, when treating a child, his grandson, he also paid attention to whether the copper pipes need to be heated... This is too much. As a child, he
Grandpa is a little embarrassed.
Gretel: "..." Oops! This is not a hospital! We are not teaching students! Whether it is the bald bishop or the teacher, they all have a higher status than him!
When things came to a head, he could only bite the bullet and explain calmly: "We are doctors. He is a patient. This has nothing to do with status. This is how doctors should treat patients."
"You...are all like this?"
Elder Erwin blurted out and asked. The young man's tone was so natural and his expression was so calm that he couldn't help but think of the oath he heard when they first met: "Health depends on you, life depends on you..."
People who take such an oath will indeed treat patients with such care.
Gretel nodded without hesitation. There was silence in the room for a moment. The bald bishop shrugged, stretched out his hand to touch the far end of the copper pipe, and replied softly: "It's not cold."
Grete nodded. He asked the bald bishop to press his ear against the proximal end of the copper pipe, and he held the distal end, moving and pointing:
"Start from the apex of the lungs... auscultate along the midclavicular line and interaxillary line, compare internal and external, and compare left and right... The order of auscultation is generally from top to bottom, from outside to inside, from left to right, and every intercostal space should be heard.
...Is the volume different on the two sides of the chest?"
The old magician's eyes widened in surprise. He still didn't quite understand what Gretel was talking about - the sadness of a layman - but he was very familiar with the tone and attitude of the words. Based on his many years of experience, only teachers teach disciples.
That’s why he’s so determined and so skillful!
"...It's really lower than other places." The bald bishop followed Grete's instructions, listened all the time, and nodded in surprise. He stood up and stepped away, and put the copper pipe into Elder Erwin's hand:
"Come and listen too!"
Grete had to explain it again. This time, Elder Erwin's questions were more detailed: "Why do the left and right lungs sound different? Why does the right lung sound like snoring? Why...
…”
Grete: "..." Do you want me to tell you about dry rales, wet rales, and stridor? The patient is still waiting here! Starting from the theory, I can't finish it in three days and three nights!
All in all, the two bosses had heard it with their own ears and agreed with Gretel's judgment: the iron stone was indeed stuck in the lungs. As for how to solve it, Gretel spread his hands and looked at the high-level healers eagerly.
I mean, if I can't do it, you guys can do it.
"If it is a trauma or disease, with the blessing of the goddess, he can completely recover." The high priest of the Spring Goddess Temple was the first to speak, frowning and speaking helplessly:
"But I choked on the iron stone... I'm sorry, the church doesn't have the corresponding magic, and I don't know how to treat it."
The bald bishop also shook his head. "I can only think of cutting open the chest and taking it out..." Before he finished speaking, the naughty child screamed at the top of his lungs: "I don't want it! I don't want it! Grandpa! He wants to kill me -"
... Just say that we cannot discuss the treatment plan in front of the patient. This kind of bloody violence is a direct chest-opening version. Look, it scares the patient. Fortunately, this is a child. If he is a high-risk patient or a critically ill patient, if he is frightened, he will be on the spot.
It doesn’t necessarily matter if you twitch...
Tsk, without systematic medical training, it is easy to make mistakes. Like us, when we are in front of cancer patients during ward rounds, we always say "CA", so we can guarantee that the secret will not be revealed.
Grete complained silently behind the bosses' backs. The bald bishop turned around and said a few words of comfort, but to no avail, he could only promise, "I won't do anything until I do it," and backed away. Elder Erwin kept his head down in thought until the two people in front said
After finishing, he hesitated and raised his head:
"With the blessing of the God of Nature, I can activate the vines, penetrate deep into the lungs and take out the things. However, I don't know where it is stuck in the lungs, and I don't know how to move the vines."
He paused and turned to Gretel, his eyes full of expectation. Gretel thought for a while, and took a step forward under the doubtful eyes of the old magician:
"I have a solution for this problem."
Grete looked calm and spoke firmly. Without waiting for the old magician to ask further questions, he looked directly into the other person's eyes and said in one breath:
"I can see where the Iron Stone is. Just use -" He stretched out his hand and gestured: "As mentioned in yesterday's paper, detect magic. If you can see it, you can guide the vines to take it out."