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

Chapter 176 I come up with a plan, you use magic (Red Comet Maswan rewards plus 2)

From the beginning of the consultation, Gretel kept thinking about how to treat him.

So far, through the magic of interrogation, palpation, auscultation, X-ray, and B-ultrasound, the diagnosis has been basically clear: roundworm mechanical intestinal obstruction, simple incomplete obstruction, and, of course, a chronic Yes, as long as it is urgent, the girl can't last until this time.

Generally speaking, this kind of illness is handled by the Department of Gastroenterology, even if you come to the Emergency Department, it is a matter of Emergency Medicine.Only when there is strangulation, perforation, or necrosis, will the patient cry and be pushed to the emergency department for surgery.

What are you doing so early!
But, this is a different world, there is no infusion, no intubation, no medicine.Gretel assessed the degree of intestinal obstruction in his mind, analyzed in detail, sorted out the possible development, complications and treatment options after conservative treatment, and turned to Elder Wood:
"Elder, if it were you, how would you treat it?"

"I... am not sure." Elder Wood frowned and frowned, thought for a while, and shook his head:

"The reason for this girl's abdominal distension is mainly because there are bad things in her stomach—that's what you pointed out just now, those clustered and messy life signals. If it were me, I would use magic and medicine to kill these Things, and then use painkillers, warm, massage her stomach, let her expel it by herself. But her stomach is so distended..."

After thinking for a moment, he continued to shake his head:
"It is very likely that, like the previous patient, he had severe stomach pains and died if he couldn't get through it."

Iris turned paler the more she heard.The little face that was flushed red when it was palpated by Gretel just now has no blood at all.The slender fingers tightly grabbed the sleeves of the female knight, shaking her head desperately, her voice was weak:
"Sister, I don't want to die—I don't want to die..."

Selina hugged her and coaxed her softly.The old magician looked at his daughter, then at Elder Wood, feeling embarrassed again and again, so he could only put his hope on Gretel:
"What if it was you?"

"If it were me—"

Gretel already had a complete plan, and after hearing Elder Wood's treatment plan, he made partial revisions.He opened his notebook, brushed out an anatomical diagram of the abdomen, and began to explain:
"Elder, Master Tolga, please take a look. Miss's illness is mainly due to the fact that many bugs are tangled together and stuck here—"

He painted several black dots in the lower part of the ileum:

"The main reason is that this area is not completely blocked, but it is already very badly blocked. If I were to treat it, I would first do gastrointestinal decompression and enema - that is, firstly remove the gas in the stomach from above and below. A part of the thing is guided out, so that the intestinal tract has a place to move, and then the magic is used to kill the insects.

The elder said just now that it is definitely right to use magic spells and medicines to kill bugs, but if the magic spells are slightly biased, or the amount of medicines is too large, will it hurt the intestines at the same time? "

"Emmmm..." Elder Wood bowed his head in thought: "It is possible. You continue to talk."

"Yes. I couldn't see where the blocking point was across my stomach before, and the magic might be off. But now that we have [detection magic], is it possible to determine the location of the operation under the guidance of magic, and try to avoid hurting the intestines? ?”

"It's possible!" Elder Wood's eyes lit up, thinking carefully.Gretel turned to the old magician again:

"You see, her stomach is swollen like this, which means that it is very blocked inside. The intestinal tract is like a balloon, and it has been pushed very thinly. After the magical treatment, if the bugs gather, struggle, or run around , it is easy to break these places——

Or even if it is not broken, if it is too severe, there will be a section of intestinal ischemia, and then you will die.If I come to treat you, if you encounter this situation, you can only quickly cut open the stomach, take out the blocked things in the intestinal tract, and then cure the intestinal tract.If you're particularly unlucky, you'll cut off a section of intestine..."

"Isn't that person dead?!" Master Tolga blurted out.Gretel shook his head lightly, looking confident:
"As long as the magic can relieve the pain and prevent the lady from feeling pain when the stomach is cut open, I am [-]% sure to save the lady's life."

"Only [-]%?" The old magician looked disappointed: "Then there are [-]% left?!"

There is still [-]% left... Gretel was silent for a moment, then pulled out another piece of paper: "Wait a minute..."

Swipe, swipe, swipe, swipe.Informed consent form for intestinal obstruction surgery... I wrote it while thinking, and replaced the medical terms involved with words that ordinary people can understand as much as possible.In terms of surgical risks alone, there are [-] or [-] items written:

During the operation, the operation method is changed due to the variation of anatomical position and relationship;

Damage to nerves, blood vessels and adjacent organs during the operation, such as gallbladder, stomach, liver, pancreas, etc.;
Postoperative peritonitis, abdominal abscess;

Arrhythmia, myocardial infarction, heart failure, cardiac arrest...

A full sheet of paper, the first half is the disease introduction, treatment recommendations and alternatives, and the second half is the risk notification.After finishing writing on a full sheet of paper, Master Tolga's entire face turned black when he received it in his hand.

"There are... so many risks?" He informed the book with a clatter, almost sticking the paper to Gretel's face:

"Cut open the stomach, so many things will happen?"

"It should be said that there is a possibility of these situations." Gretel patiently explained to the old magician like he had done countless pre-operative talks in his previous life:

"You read it carefully. If you have any questions, you can ask me. If you understand everything and accept it, please sign here. If you need a laparotomy, I can perform the operation at any time."

"No signature, no caesarean section?"

Gretel shook his head firmly.No signature, no operation, this is the rule: "Don't worry, even if you don't sign, I will try my best to assist the elder in the early stage of treatment."

The old magician gripped the notification book tightly with his fingers, almost digging out a few holes.He looked around, looked at his daughter's pale face for a while, and at Elder Wood's frowning brows for a while, and finally sighed:
"Then—let's treat it first! Sign something or something, wait until a caesarean section is needed, and we'll talk about it then!"

"Okay, I'll do it." Elder Wood stood up leaning on his oak stick.He tilted his head to look at Gretel:
"You just said, to do... that... gastrointestinal decompression? How to do it?"

Gretel smiled awkwardly.

In the previous life, gastrointestinal decompression was nothing more than inserting a gastric tube, and then using negative pressure to suck out the contents.This kind of operation can be done by a nurse, and the doctor can give a doctor's order at most, and just look back to see the effect.

The problem is that in this alien world, there is no stomach tube, no negative pressure suction device, and of course, no nurses...

"That... Elder, Master Tolga, may need your magic and magic help..."

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(End of this chapter)