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

Chapter 188 Let me introduce you to a patient!

"I'm not allowed to drink alcohol anymore. No spirits, especially beer. If you're really hungry, a small glass of wine a day."

Fatty's blood pressure returned to normal, and after slowly waking up, he no longer dared to question Gretel's words.Gretel held him and said the precautions one by one, and he kept nodding and bending over to listen, the fat on his belly wrinkled in piles:

"Yes Yes Yes."

"Don't eat sea fish and shrimp. Eat less oysters, oysters, and all shells."

"What... We live by the sea, we don't eat sea fish and shrimp... Well, yes, yes."

"Eat less beef and mutton."

"Then... my lord pastor, what can I eat then?"

"Chicken, duck, and pork can be eaten. Foie gras is not allowed! Forget it, don't eat all animal offal!"

The fat man rubbed his stomach wistfully.Gretel frightened him with a straight face:
"Your disease is caused by eating! Even if you get rid of the disease today, and eat and drink a lot for a few days, the harmful things in the food will accumulate in the body, and it will still hurt! I saw the stone in your belly No? At that time, there will be stones everywhere in your kidneys and bladder, and going to the toilet will hurt like a knife!"

Fatty's muscles trembled all over his face.It's not pain, it's a pity for money:

From today to now, although the money spent is much, it is still tolerable.One pain relief, level 0 magic spell, two magic detection, level 0 magic spell, one mage hand, level 0 magic spell, one healing minor injury, level [-] magic spell (Grete decided to take it down, to prevent peeing after taking stones road infection) - less than a thousand gold coins in total.

Removable disease is a level 3 magic spell, and it costs thousands of gold coins to start!He transported a shipment of goods from the mainland to Nevis, and the weather was calm and smooth, without loss at all, and he only earned a few thousand gold coins!This happened once, and the trip was in vain...

And it can't be cured completely!Eat for a few more days, and you will have an attack!
"Then...then how can it be completely cured?"

If you want two, three, even four!The fat man gritted his teeth fiercely, and smashed down four removal diseases in one go. If it can be cured, he will pay the money!You can’t eat this, you can’t eat that, it’s simply not how people live!
Uh... Modern medicine cannot completely cure this kind of thing anyway.Gretel touched his chin. Before he crossed over, the etiology and pathogenesis of gout were still not so clear in the academic world.The treatment method is to advocate diet control, reduce uric acid, reduce inflammation, relieve pain, and remove tophi by surgery if necessary——

As for the cure?

Level 6 [Healing Art] claims to be able to get rid of all diseases and injuries, but I don't know if it is effective.If it doesn't work, then try something like [Great Wishing Technique]...

The other party was still staring at him helplessly.Gretel thought for a while, and started talking nonsense:
"You will get this disease because there are too many harmful things in your blood. It should be possible to let the blood out and purify it, filter out these things and put it back into the body. But how to purify and how to keep you after the blood is released Fate, I don't know..."

There is one thing to say, doing dialysis or something is really good for lowering uric acid.As for making too much violence, it is generally not to such a degree in clinical practice, heck, anyway, he can't get a dialysis machine here, just to say hello.

Gretel shrugged.Fatty's fat face was white and blue, blue and yellow, and cold sweat was pouring out.He bent down again, and hurriedly wanted to say goodbye, but was stopped by Gretel:

"What's the hurry! I haven't finished talking yet! - Remember to drink at least four glasses of water every day, exercise moderately, but don't be too tired; eat more fruits and vegetables; by the way, don't eat asparagus what!"

"Then what else can I eat—"

The fat man wailed terribly.Gretel folded her arms, unmoved.

He has seen a lot of people like this.I made a good promise in person, and I really avoided it for two days, and I could forget it in a week at most; and then I would rush to the hospital and call the doctor for help.

Fortunately, gout is a disease that does not need to worry about emergency surgery.In addition to having a headache when seeing high uric acid levels during surgery, I also heard complaints from colleagues in the next department:
"That old patient is here again..."

After explaining the precautions, giving the medicine, and explaining how many times a day and how many pills each time, Gretel waved his hand and let him go.The fat man cherished a small box of white pills, bent slightly, hooked his neck, and walked forward like holding a pearl gem. When he reached the door, he suddenly turned back:

"Master Pastor, you are amazing! You are right in everything! —— I have several friends who are like me, and I will let them all come to you!"

Gretel: "...???"

All gout?

Don't worry, I don't know how to relieve pain. I haven't practiced ultrasonic lithotripsy yet. The accuracy is very limited. Even if I insert the urinary catheter, I can't find a suitable vine... I will ask Brother Matthew for help...

You introduced a lot of gout patients to me, and what I can help them is really limited!
Gretel returned to his seat full of apprehension.Pastor Matthew was standing on the edge of his table, Gretel didn't wait for him to speak, he jumped up and grabbed him:
"What medicine did you give him?"

"Colchicum powder—add some starch, add honey, knead into a ball—"

"Powder? Is it powder? How much powder is added to how much starch? Is it mixed well? How did you mix it?"

"Shake, mix well..."

Gretel stroked his forehead.Colchicum, brother, that thing is poisonous, just shake it and mix well, what if there is more and less?These are not pancakes. If the salt is not sprinkled evenly, you can eat salty ones at most. This is to die for!

And, even if the colchicine powder is really mixed well, is the colchicine content in the colchicine powder of different plants and different parts the same?Even thinking about it is impossible...

If you are unlucky, you happen to encounter the part with high content, and you happen to encounter the powder that is not mixed well, and if you eat one piece, it will be ten times or twenty times the average amount?
The beauty of the painting does not look.

Gretel pouted.It's fine if you didn't notice it before, but if you notice it, it's absolutely impossible to ignore it.He raised his head and glanced above the floor:
"Brother Matthew, is there any colchicum powder in the alchemy room? Can I use it?"

"Yes! It's on the second floor, use it if you want!"

"okay!"

Gretel ran up quickly.He searched his memory before, and actually found a few papers on the determination of the content of colchicine in medicinal materials.Overall, the average content is about 0.30% by dry weight.That's easy, I match it myself!
Gretel rolled up his sleeves and worked hard.Same thing, set up balances, test tubes, square beakers... 0.3 gram of colchicine powder contains 1 mg of colchicine, and the usual dose for adults is 2-0.5 mg every 1-6 hours, not exceeding 6 mg per day. Dividing 0.3 by 20 equals [-], then... just dispense the medicine!

Weigh out 20 grams of colchicum powder, divide it into 5 parts on average, put them into conical flasks, and add 100 milliliters of alcohol to each.Fix it on the vibrating stand, and vibrate vigorously for 15 minutes——Grete shook the vibrating stand so much that his hands would break, and he doubted that he could not reach the vibrating frequency.But whatever, that's it!

Filter, let it stand, and then add evaporated alcohol to obtain a crude extract of colchicine.I don't care if there are any strange things in it. In short, add a little water to dissolve the crude extract, weigh 12 grams of starch, and mix it with water.Knead and knead, knead into dough, knead into strips, cut into 12 parts, perfect!

The content of each pill is 0.5 mg, and this batch is the daily amount.Maybe the content is not particularly uniform, but it is definitely more uniform than mixing the medicine powder directly with the balls.Next time you have the conditions, remember to measure the content, um, how to get a UV spectrophotometer...

Gretel threw away the long-term goal, put away the pills in satisfaction, and found a small bottle to store them in.I still wanted to find a rabbit or something to try, but I heard someone shouting at the bottom:
"My lord pastor, I'm introducing you to a patient!"

isn't it...

Come so soon?

　Thanks to MewGulf99 for the reward of 100 starting coins

　　For collections, for recommendations, for book reviews...

　　
　
(End of this chapter)