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

Chapter 440 This stomach fills up the whole stomach!
"Bunker, huh? Age? Warrior class? . . . how big a deer is it?"

Gretel asked as he checked.Well, the breathing was 20+ times/min, no rales were heard on cardiopulmonary auscultation, the abdomen was obviously distended, there was tenderness in the upper abdomen, no rebound tenderness, and no obvious positive signs.You said you ate half a deer, how big is it?
Gretel has seen in his life, the one who ate the most food in a single person and at a time is probably Bernard.During the first meeting, Bernard ate half of a roast chicken and a whole roast lamb (a leg of lamb was missing) in one go. By the way, he also drank a barrel of beer!

Then Gretel watched as his stomach was as flat as ever, with no bulge.He doesn't know where those things went, but from a clinical point of view, the absence of abdominal distension means that the digestive system has not lost the ability to move and digest, and its working functions are completely normal.

So this Mr. Bunker, how high is your fighter level—which roughly determines your food intake and digestion ability—and how big can the deer you eat be?
"Bunker, 26 years old, mid-level fighter. A deer is about this size..." Someone next to him answered in half.When it comes to the size of the deer, I got stuck and stretched out my hand to draw.In his busy schedule, Gretel looked up, but couldn't figure it out:
So how much is that big?
Gretel's concept of deer was still deeply ingrained in his mind, and he directly used the sika deer as a template—it didn't seem to be particularly big, at least, compared with the largest goat he had ever seen in his life, it seemed to be a little inferior.

As far as Bernard is eating the roasted whole lamb, he doesn't think that Bonk can hold himself upright on the ground after eating half of a sika deer.

And, what level is an intermediate fighter?Compared with Bernard, is it stronger or weaker?

"Bernard! Bernard—" You come and see if you can beat him?Forget it, no one answered, Bernard was probably still playing weight-swimming with someone, so he didn't follow.Gretel shouted without looking back:
"Cerilla, look at this Bunker, who is stronger than Bernard?"

"There's no difference, right?" The silver dragon girl's voice was muffled, as if she was chewing something:
"You can't beat me anyway..."

"..." I thank you!

Of course, I dare not say this.First of all, he can't beat Miss Yinlong, and can't beat in all aspects; secondly, Bunker's fighter level must be above level [-], and the [Endless Ink Pen] has been tried and cannot be visualized, so...

"Cerilla, lend me your forehead ornament!"

Alas, it hurts like this, there is a certain probability of perforation. X-ray plain films can still be used to see perforation and intestinal obstruction. As for other cases, CT is generally relied on.However, now that the abdomen is swollen like this, the stomach is full of contents, and it has almost changed from a hollow viscera to a solid viscera, and it is probably still possible to see the shape...

"Wow!"

Gretel couldn't help sighing.Cerilla heard the sound and came closer, Gretel waved to her, pointing to the patient's abdomen:
"It's the first time I've seen it so far!—Look, the diaphragm has pushed up to the eighth rib, and the bottom has reached the pelvis!"

"Wow! Really!" Cerilla stuck out half of her head from behind him, glanced at him, and was immediately amazed.The old man Brock with the feather crown also stepped forward to look, but did not speak.As soon as he moved, the barbarian elders clattered up in a large circle, and all of them looked around:
"where?"

"Didn't you see how bulging your stomach is? The whole stomach is full!"

"I saw it on the stomach, but how did you see it on the chest?"

"That's what he said, 'Is there some special way to see inside the human body'? Can we learn it?"

"I don't know...but he wants a totem beast. If we propose an exchange, maybe we can learn it?"

Gretel turned a deaf ear.He concentrated on the inspection, um, the gastric cavity and esophagus were significantly dilated, and a large fluid level was seen in it, which was suspected of pyloric obstruction; the gastric... X-ray plain film showed the sign of gastric perforation, which was a crescent-shaped free gas under the diaphragm, but Gray Take a special look at that stomach, let alone the diaphragm, where is there room in the entire abdominal cavity?

Forget it, hurry up and do gastrointestinal decompression.

"Bunker, turn your head to one side and open your mouth as wide as possible! Cirella, confine! I'll do a gastroscope!"

Gretel manually broke his head while giving the order.Fortunately, Bunker also cooperated very well. He glanced at the old man with the feather crown, saw him nodding slightly, and obediently turned his head to the side.Gretel summoned a floating plate, which was lifted up on a stretcher and built on the floating plate, and the vines were summoned smoothly.

The almighty vine travels through the mouth, through the esophagus, and on its way to the stomach.The esophagus was about to come to an end, and soon, Gretel frowned:

Can't get over it.

Vine, no, the vine version of gastroscope, can't pass.

On the light screen, the lower esophagus changed from healthy pink to bright red representing inflammation, and it dilated violently.Inflammation of the lower end of the esophagus, spasm of the cardia lumen at the lower end of the esophagus...

The gastroscope cannot be inserted.

Gretel forced the vines to grow a bit thicker, and tried to attract them, but only a small amount of liquid was sucked out, which didn't matter at all.He frowned, stood up and looked around:
"There is only one way."

"what?"

"Cut open the stomach and take out the contents of the stomach!"

The hall fell silent.The elders of all villages and tribes look at me and I look at you, and their faces are ugly.After many years of treating the tribe, they will sometimes cut a piece of meat, drill a hole in the head, and cut a knife in the arm and leg; but, the success rate of cutting the stomach, this is...

Although there is a healing technique, there will be a sudden surge of blood, and the healing technique can't keep up; it seems to be cured, but it will die inexplicably after a few days.There are all kinds of situations, and over time, no one will take the initiative to cut people's stomachs unless it is absolutely necessary.

"Are you sure?"

The voice of the old man with the feather crown was still calm.As the most powerful high-level healer with a radius of thousands of miles, he naturally has a way to deal with the stupid things of being overwhelmed.With the bottom line in his heart, he has enough time to look at Gretel's methods: It's always good to have one more treatment method, isn't it?

"I... am not particularly sure." Gretel pondered for a moment.It’s okay to just attract the contents of the stomach, but the treatment of gastric perforation is more problematic; if there is another piece of necrosis or something, it will be a big headache:
"But if you leave it alone, he's dead."

Not particularly sure, but somewhat sure.Elder Brock nodded: Very good, if the stomach is to be cut open, the probability of him resuscitating the person is not particularly high.The little pastor didn't take care of everything, just bluffed, very good!
"If you want, you can try it. —Of course, if you don't succeed, the spirit of the totem has nothing to do with you."

"Okay! Then, please give me a quiet and clean place, and I will treat you! Cerilla, the shelter!"

"Did you hear that, step back!" the resonant voice of the old man with the feather crown sounded.Soon, the [Refuge Cabin] unfolded, enveloping Gretel, Cerilla, the patient on the bed, and Elder Brock.

Then, the old man with the feather crown saw the servant of the God of Nature, shrunk the oak stick into his breast pocket, raised his hand, and summoned a——

Skeleton.

"you?!"

"I can't help it either." Gretel turned his head and gave him a bitter face:
"I can't move!"

Celia laughed from behind.

Gretel hurriedly scrubbed the patient, prepared the skin, and spread the drape.Seven or eight mage's hands flew up at the same time, shook off four dark green sterile sheets, spread them on all sides, and covered them with a hole towel.Covered with a few cloth towels, in the eyes of the healer, a large living person is only left with a swollen abdomen in an instant.

Then, Gretel stood on the side of the operating table, handed the scalpel to the Silver Skull, and threw a [Magic Weapon] on the knife.

Gretel closed his eyes and concentrated.The silver skull held the knife steadily and slashed down with it.Sure enough, the silver skull + magic weapon + special dwarf scalpel are invincible and invincible.With just one cut, a 20 cm long incision was made in the middle of the mid-level warrior Bunke's upper abdomen.

Gretel held his breath and manipulated the silver skull to open his stomach layer by layer.The belly is so bulging that if you are not careful, it is easy to cut the organs below, so you need to pay special attention.The peritoneum was cut open, and the four mage's hands became flat hooks, pulling them slightly outward.The obviously dilated stomach wall immediately bulged up impatiently.

"so big……"

Celera let out a small sigh.She also flew up the four mage hands herself to take over the work of pulling the hook, so that Gretel did not have to be distracted.Gretel observed carefully, the stomach wall under the shadowless lamp was almost purple-black, and it was not known whether it was stretched for ischemia, or the stomach wall was stretched too thin, and the color of the stomach contents itself could be seen.

Fortunately, the operation was done quickly, otherwise...

He sighed, manipulated the silver skull, and made a 2 cm incision on the stomach wall, and the vines followed.This time, there was no need to attract it, the air flow hissed out from the hollow vine, and soon, the dark red gastric juice and food residue also rushed out together.

"Take a basin!" Gretel yelled.He himself cut off the spirit controlling the skeleton, and threw a wind spell at the opening of the vine.The funnel-shaped whirlwind rotates rapidly, forming a negative pressure, which gives the stomach contents the power to move forward.

absorb!

absorb!

absorb!

Gretel carefully controlled the power of the negative pressure suction.It should not be too slow, as the pressure on the patient's stomach is so high, if it is slower, more stomach contents will flow out from the perforation; it should not be too fast, as the decompression is too fast, and heart, lung and blood pressure problems will follow.This is the same principle as that too much ascites should not be drawn out at one time, and too much catheterization should not be done at one time.

As for the things drawn from the vines falling into the floating dish, emitting a sour stench, Gretel was no longer in the mood to pay attention to such things.

Control the vines, control the whirlwind, and from time to time, throw a blood oxygen test, or throw an electrocardiogram to check the heart rate.Dense sweat dripped from his forehead quickly.

Finally, Bunker's high swollen belly deflated visibly to the naked eye.In the floating dish, a thick pot of stomach contents accumulated, at least 4000 ml by visual inspection.

Gretel breathed a sigh of relief, freed up a mage's hand, and wiped his sweat.I heard Elder Brock next to him ask:
"Ok?"

"Okay?" Gretel smiled wryly:

"It's just the beginning!"

****
3000 words completed!Another three thousand words in the afternoon, and another update has been completed!
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(End of this chapter)