It's not that hard to open a hospital in another world, right?

Chapter 1505 To be disembowelled?Can my little dragon die? (Platinum Tower Leader Plus 7)



Chapter 1505 To be disembowelled?Can my little dragon die? (Platinum Tower Leader Plus 7)

Chapter 1505 To be disembowelled?Can my little dragon die? (Platinum Tower Leader Plus 7)

Isn't it normal that the healing technique can't cure it?

Gretel wanted to ask back like this.Those elves in the elf forest who had eaten too much radiation and had their genes collapsed could not be cured by healing techniques, and in the end it was solved by the limited wishing technique;

The eldest prince who was cursed by the devil could not be cured by healing techniques, and finally he was cured by using a large joint spell;

Let’s just talk about that golden dragon, what’s its name... In short, it was the one that was lifted down by four silver dragons, who had reset the otoliths, and had the healing spell done, and more than one legendary dragon had seen it , isn't it still not cured?

Of course, pissing off the patient, or the patient's family... Maybe the healers in this world can do it, but Gretel, who has been disciplined for more than ten years in his previous life, really can't do it.

Not only couldn't do it, he smiled gently and calmly, and explained to the other party seriously:

"Because the principle of healing is to allow the injured or broken part to grow quickly and heal quickly. Whether the healing is perfect or not depends on the guidance of the caster. This is the difference between a high-level healer and an ordinary healer.

Your child, he was not injured, but he was not born well. This kind of situation cannot be cured by releasing healing skills aimlessly. "

"Then... what's his situation now?"

The copper dragon Noctis actually didn't understand the word "hiatal hernia".Esophagus, this word is not difficult, you can guess it after a guess;

Hiatus, this is understandable;

Hernia, what is it?

Then, hiatal hernia, together, what the hell is it?My child, why can't he eat it if he has this, and he can't grow up well?

"You mean... There is a hole in the child's esophagus, and the food leaked from the hole to other places?"

He reached out and stroked his neck, trying to understand what Gretel meant.Across the table, next to Gretel, Celera also turned her head and looked at Gretel together:

is not it?

is this correct?

I guessed so too!It sounds like it!There is a hole in the esophagus, even if it is a small hole, it is no wonder that the child will feel uncomfortable after eating some poison!

However, medicine is extensive and profound, and the brain speed has been increased to the limit. Facing the vast medical vocabulary, it is not easy to guess.Gretel shook his head:

"No. A ruptured esophagus is a ruptured esophagus, and a hiatal hernia is a hiatal hernia. The situation you mentioned is called a ruptured esophagus..."

The esophagus is ruptured and it's okay!There is a hole in the esophagus, all kinds of food with bacteria, or digested matter with gastric juice leak out from here, directly leaking into the mediastinum.

A large number of bacteria have entered the place that should be sterile, and acidic gastric juice has entered the place that should not be able to withstand corrosion. In a few days, a serious infection can be seen in minutes!

The child's esophagus is really about to rupture, and his unique life will not last until now!

While explaining, he summoned [Silent Phantom] and pointed to the image to explain to the red copper dragon.Of course, the image summoned is a human anatomy diagram, not a dragon clan anatomy diagram, this... just make do with it...

"A hiatal hernia, it's the diaphragm -- it's the muscle that separates the chest cavity from the abdominal cavity, and the esophagus goes through the hole above, into the abdominal cavity -- and it's called the hiatus, and it has a weak spot where the viscera in the abdominal cavity runs through the hole Run to the chest..."

The red copper dragon Noctis was already a little confused, his eyes were dangling, and he didn't know where to look.Cerilla approached the two silent phantoms, looked left, right, and circled, and almost reached out to touch them.

You can't even touch it, it's not real, you can't touch it, it's useless.Gretel pulled her aside and went on:

"Usually there are no symptoms, because the abdominal pressure is small, and the internal organs of the abdomen stay in the abdominal cavity. But when the abdominal pressure is high, such as when you are full, such as constipation, such as coughing, such a squeeze—"

He made a gesture of pushing hard, and the silent phantom fluctuated, like a balloon being blown up, and squeezed by another hand:

"The viscera in the abdominal cavity will drill into the chest cavity along the weak part. After getting in, because it is very close to the nerves in the chest cavity, it will interfere with the nerves, and then cough, chest pain, back pain and so on coming……"

The copper dragon Noctis concentrated his attention, staring at the light and shadow summoned by Gretel.Although it is an anatomical diagram of the human race, the meaning is always the same. After watching the three-dimensional image fluctuate several times, one can always understand a general idea.

Of course, he still has questions to ask:

"But, my child doesn't cough when he eats other things, he only coughs when he eats various poisons!"

"Probably... When eating poison, gastric acid secretion is more, or special substances will be secreted?" Gretel had never seen a patient who stuttered poison in his previous life, but this did not prevent him from inferring based on the principle:

"A large amount of stomach acid can easily irritate the nerves, and special substances used to digest poison can also easily irritate the nerves."

"Then he doesn't feel bad immediately after eating!"

"Gastric acid secretion does not reach its peak immediately after eating." Gretel answered quite fluently without thinking about it.

Pity him as an emergency surgeon. He has to deal with all kinds of patients who are not under his care, and he also has to make differential diagnoses for various conditions and prioritize them.

Chest pain, back pain, whether it is a precursor to myocardial infarction or gastroesophageal reflux, in case of a wrong identification, ask colleagues from the cardiology department to come down to see gastroesophageal reflux, that will be laughed at by colleagues for a year!

So Gretel explained it to Noctis, and it was so familiar:

"Generally speaking, heartburn caused by gastroesophageal reflux, for humans, will start half an hour to an hour after eating, and last for one or two hours. I am not sure about the dragon race, but it is certainly not immediately after eating not feeling well."

"Hmm..." Noctis lowered his head in thought.

Red copper dragons eat poison, or crystal dragons eat gold, silver and gemstones, or black dragons eat carrion, white dragons eat frozen food, etc. Every dragon has something it likes to eat, and there are always people who are not good at digesting, or have indigestion. OK

As Gretel said, there is a real possibility that something special is secreted in the stomach when eating poison.If things go on like this, this stimulation continues...

"Then how to cure it?"

He leaned forward, a little closer to Gretel.Gretel spread his hands calmly:

"Hernia is not difficult to treat, just mend it. The most mature method is to open a hole in the abdomen and drag out the organs that have herniated into the chest cavity..."

"What?!"

Noctis was already jumping up.Open, open a hole?Cut a hole in the stomach? !

My baby is only three years old!

Although he has grown to more than one meter long, and standing on all fours is almost one meter high, he is only three years old!Standing in front of me, a small ball, you have to lower your head to the ground to touch it!

How can such a small child bear a hole in his stomach?

"...Can it be cured?"

he asked cautiously.Celera has jumped up:

"Dead? Why did you come here? After so much trouble and research, you said it's dead?"

"Cerilla!" Gretel first tugged her hard, telling her to go back and sit down.Unlike Cerilla, Gretel has seen too many tangled patients and their family members:

Does surgery have to be done?Can it not be done, can it be treated conservatively?

Must it be left to hang water?I'm very busy at work, can you prescribe a medicine to go back and take it, so as not to stay here all day?

Can I not take this medicine? I heard that once you take some medicine, you have to take it for life, and you can't stop it...

Even don't want to treat during the day, and rush back at night;

If you don’t want to treat today, you will rush back tomorrow;

After tossing back and forth seventeen or eight times, the doctor couldn't cure it. The doctor asked curiously, and the patient took out the medicine and answered. I heard from friends that the medicine is three-point poisonous. I have never taken medicine...

I refuse to take the medicine, and I have to ask the doctor for the curative effect. If there is no curative effect, it means that the doctor's level is not good.As a doctor, as long as the psychological quality is slightly poor, he will be vomited blood by this kind of patient.

Fortunately, as the saying goes, when you vomit and vomit, you get used to it, and when you get angry, you won't be angry at all.

Gretel was very calm at this moment, looking at the copper dragon Noctis, his expression did not change at all.Even a lie detector on him can't detect the change in his mood:

"If gastroesophageal reflux causes heartburn, it can easily cause esophageal erosion, esophageal stenosis, and even erode blood vessels, causing esophageal bleeding.

Such a young child will cough repeatedly, and accidentally inhale the coughed things into the lungs, resulting in aspiration pneumonia.It is also very common to seriously affect the growth and development of children. "

I explained the condition, the complications, and the consequences.Whether to treat or not, the decision is still in the hands of the patient. If the child is young, it is in the hands of the patient's guardian——

As a doctor, even if the patient refuses to be treated by him in the end, then he is not allowed to be treated.It's not necessarily necessary to snatch the child from the parents and then forcibly treat it...

The copper dragon Noctis lowered his head and pondered for a while.The little guy has coughed and vomited frequently since he was born, and he is smaller than the young dragons of the same age, which is also visible to the naked eye.

As for aspiration pneumonia, although the Dragon Clan's physique is strong, the child has experienced many dangers, and has been brought to the elderly healers many times...

He weighed the consequences of treatment and the consequences of not treating him seven or eight times in his mind, then stood up again, and turned around the silent phantom, and then turned around again.Turning around a few times, looking at Gretel:

"what's next?"

"...The next step is to use healing techniques to promote the growth of the diaphragm, make the hole smaller, and prevent the contents of the abdominal cavity from leaking into the chest cavity..."

"How big is the opening?"

"Not too big." Gretel raised his hand, and three vines protruded from his fingertips, swaying gracefully.The thinnest part is less than one millimeter in diameter, and the thickest part is no more than the thickness of chopsticks:

"It's just a few vines, as long as they can reach in. The damage to the body will not be great."

Noctis stretched out his hand to compare, then turned to look at his child, and felt that his observation was unreliable, so he pulled the vine over and made two gestures on the child.Taking a deep breath, he turned his head and turned his back to Gretel:

"Then cure it!"

...Why are you turning your head away?

What are you doing with your back to me?

You still have to turn your back to your child, what's the matter, you can't bear to look at it?

Gretel felt like throwing up, and reluctantly swallowed it back.With a hook of the fingertip, a vine quietly grew out, and patted the red copper dragon's shoulder:

"Don't worry, treatment is needed, there are still many things that need to be studied. After I understand the research, I will perform surgery on the child..."

"What?! Need treatment? Don't you know it?!"

"I know the principle..."

Knowing the principle does not mean that you can get started immediately.Laparoscopy into the abdominal cavity is easy to say, from which position?

In the area of ​​the chest, every inch is full of fatal things, densely packed with esophagus, trachea, great blood vessels, and nerves.Don't talk about breaking or breaking, even if you pull it, sometimes it can kill you——

The vagus nerve is stretched during intestinal surgery, and a cardiac arrest will also be pulled out!

From where to open and where to go in, the damage to the patient is the least?After entering, blunt separation all the way, what can be separated from what, and what should not be separated from what?How to deal with inflammatory adhesions?

Paste the esophageal hiatus, to put it simply, how much paste?

If there is less paste, the hole is too big, and the organs that should be herniated into the chest cavity will continue to hernia; if there is more paste, the esophagus is elastic, so if it is strangled, you are welcome to esophagus stricture...

Gretel dared not tell Noctis any of these concerns.Originally, the compliance was not strong, and I had some concerns about myself, and then I heard myself say that I don’t understand this, and I don’t know that, and I don’t want my child to be treated even more!

"You are dragons! You are dragons!" In desperation, Gretel had to find the most acceptable reason:

"In the case of humans, I know what to do. When it comes to the dragons, the bones, muscles, and organs of the dragons all look different from humans! At least you have to give me some time to study!"

"...how to study?"

"Find some dragons for me to study, it is best to have young dragons, young dragons, red copper dragons are better, each of your races is different..."

Gretel opened his mouth unceremoniously:

"If you really don't have one, a pseudo-dragon of about the same size, even a dragon beast, is fine. It doesn't hurt to dissect the pseudo-dragon! And for the child, do a high-precision inspection again..."

Whether it is CT or MRI, the higher the accuracy, the longer the time-consuming.Especially the nuclear magnetic resonance, staying in the magic circle for half an hour is a great fright to the sensitive young dragon——

Think about how the tiger cat screamed in Elf Island for the first time.The hearing of the baby dragon is only as sensitive as that of the tiger cat, not worse than that of the tiger cat.

"It's hard to invite young dragons and young dragons... For adult dragons, you should study me first!" Noctis thought about it, gritted his teeth, and contributed himself:

"After the research, I'll catch a few pseudo-dragons and give them to you. Speed ​​up, my child, I'm counting on you!"

 Thanks to @nightmengbing for the reward of 20000 starting coins

 

(End of this chapter)


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