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

Chapter 186 Gout, Urinary Retention, Invisible Stones?

"you?"

The fat man narrowed his eyes.

On his chubby round face, the cheeks were overflowing to the sides, almost hanging down—if it were a blue cat, the cheeks would be very well developed—this squinting, The eyes became smaller and smaller, and only two rays of light shot out from the crevices of the eyelids:

"can you?"

He looked Gretel up and down.In terms of age, the boy's figure is not as burly as an adult man's, and his face is immature, and he looks only fifteen, six or seven years old at first glance;
In terms of level, there are only two green leaves embroidered on the pastor's robe, unlike Pastor Matthew, who has already been promoted to five levels;
In terms of accent, Gretel's tone of voice also has a bit of a hard taste, not as soft as Nevis's, it sounds like a foreigner...

His suspicion was so obvious that Pastor Matthew coughed and wanted to endorse Gretel.Before he could speak, the fat man snorted and turned to look at him:

"My lord pastor, I come to you every time I feel pain, and you charge me a sum of money every time—how can you treat it? It can't always be cured, and it always hurts after a while?"

Matthew's face darkened.Of course, there are many reasons why it can't be cured, such as this fat man who refuses to spend money.He couldn't help spraying back:
"Before, you didn't want to use magical arts, but only took medicine. Of course, it's not easy!"

"You wouldn't be able to heal without magic?" The fat man struggled to widen his eyes.Pastor Matthew was a little annoyed. Beside him, Gretel couldn't help but chuckle.

This sentence is so familiar. "You won't see a doctor if you don't have an examination?" "You won't see a doctor if you don't take an X-ray?" Every day, a hundred times is considered a small number.Sometimes, I have to step on the next department with a pull:
"The old Chinese medicine practitioners who were capable in the past can cure their diseases with just a few inquiries...you..."

At this time, the doctors in the western medicine department can only smile bitterly with their Chinese medicine colleagues who prescribe a bunch of checklists and are despised by patients.

It's not that if you don't check, you won't see a doctor, but only after checking can you see a doctor more accurately.For example, the man in front of you, I don’t know how high your uric acid is, whether you have crystals deposited in your joints, whether you have high blood pressure, high blood fat, diabetes, arteriosclerosis, coronary heart disease and other common complications...

However, it is generally possible to simply determine the symptoms.Gretel took a step forward with a smile:
"Sir, besides redness and pain, is your right thumb still hot?"

"Yes!"

"Did it suddenly hurt badly in the middle of the night or early in the morning?"

"That's right!—how do you know?"

"Did you eat something delicious last night? A lot of seafood and alcohol?" Gretel sniffed and smelled smoke: "You still smoke, right?"

The fat man nodded like a pounding garlic.Gretel continued to step forward, turned around him with his hands behind his back, and looked at his auricle, and sure enough, he saw more than one nodule: "Every time the pain is severe, do you eat a lot of delicious, Or after drinking a lot?"

When he said this, the face of the fat man on the opposite side changed drastically, and oil and sweat rolled down his round face.The two calves, which were more than one foot in circumference, were trembling. Just looking at the size, some people believed that they were hams hanging from the roof beams.He pounced forward, and if Grete hadn't been on guard, he would have almost hugged his thigh:
"My lord pastor!—My lord pastor! You have to save me!"

Alas... I should have said it earlier.Gretel hooked his fingers and signaled Bernard to drag him up and put him on the treatment bed:

"Don't move, let me take a look at your situation, emmmmm..."

Tsk tsk, the first metatarsophalangeal joint of the right foot is red and swollen, the ankle joint is red and swollen, and the knee joint is deformed; the finger joints look wrong; the auricle, the joint, and the olecranon bursa on the right elbow have nodules under the swelling, and the skin is thin , rich blood supply.Twisting casually, there is actually a feeling of twisting sand...

Even if uric acid is not measured, the cause can basically be determined without a polarized light microscope.In fact, according to his previous life experience, Gretel knew at a glance: This guy is gout.

Drinking alcohol, eating seafood, eating fish and meat, being obese, and smoking, tossing myself into this state.

As for how to cure it...

Allopurinol?Probenecid?Benzbromarone?Febuxostat?Or indomethacin?Etoricoxib?

Gretel made an inventory, and found that the only colchicine he could get out of his hands now... not colchicine tablets, but colchicine. In this world, digging a few colchicum trees to soak in water seems to be possible. owned……

Wait, what's the lethal dose of colchicine?Can the amount of colchicine contained in a colchicum bulb, or a gram of colchicum bulb, play a role?Will it poison people to death?

There is no cure for this thing!It can only support treatment, blood purification, and wait for the person's own resilience to survive!Whether the detoxification technique from this other world will come in handy, Gretel is not sure at all...

Gretel's mind was spinning quickly, searching for information, searching for papers, and searching for the few words he saw in his previous life.He has seen a few cases of colchicine poisoning, and there is no need for him to rescue them—that is the job of the emergency department; the active ingredients in colchicine really need to be recalled carefully.But the fat man pulled his arm hard, howling loudly:

"My lord pastor...help me...I'm about to suffocate to death!"

"Yeah, yah, yah, don't move." Gretel gave Bernard a hold on him with a wink, and pulled the bed curtains: "Bend your legs! Bend them! Pull down your pants a little, let me touch them...don't Pull so much!"

Tsk, this fat belly is as good as that girl with a full belly a few days ago.The fat on the abdominal wall is so thick, I can't see what's going on, I can only feel it... Wow, the bladder is so swollen!
As soon as the hands were put on, Gretel nodded secretly, basically confirmed.He was still not in a hurry, kept his breath, first touched, then pushed, and then pressed down according to the diagnosis process.It feels like a water sac, and it doesn't move. When the palm of the hand is pressed down a little bit, the fat man has already screamed:
"It's so high! It's killing me!"

"Can't pull it out?"

"That's right! That's right!—it hurts!"

"When did it hurt?"

"Today! Today!—this morning!"

OK, urinary retention, urethral stones.Hmm... Considering the onset of gout, it is more likely that the bladder stones rolled in and got stuck—or, the urethral stones that were there before just got bigger.As for what type of stone it is...

"Turn sideways, let me take a look with magic..." X-ray magic, activate!
Tsk, I can't see it.

　It seems that no one guessed everything right today~~~ Hahaha

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　　Ask for a subscription, ask for a monthly ticket, ask for a recommendation ticket, ask for a book review...

　　The follow-up order finally bounced back to 10, which scared me to death
　　
　
(End of this chapter)