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

Chapter 471 Wow, there is water in his chest! (Like the master of black and white silent films plus 8)

Gretel quickly got up and sat opposite the old man.

Coughing up blood, or haemoptysis, is no small matter.Clinically, hemoptysis can be large or small, and often a large hemoptysis is too late to be rescued, and the person goes away.Gretel was in the emergency department in his previous life. He saw and rescued more than one or two.

Although the old man's expression is fine, and he doesn't need help all the way in, but there is nothing wrong with being careful.

He took the seat opposite the old man, and the gout rich businessman could only sit by the wall.As for the God of War Priest Mark, he didn't even sit down, and stood directly beside him.Gretel saw his face full of attention, even a little nervous, his heart moved, and he asked casually:
"Have you cured?"

Mark nodded with a wry smile.Gretel withdrew his gaze and glanced at the gout rich merchant by the way.These two people are really not like father and son. The white-haired old man is thin and thin, but his son is so fat that he is about to swell up.It looked like all the fat from the father had been transferred to the son.

However, no matter whether they are fat or thin, they are far away from warriors—Gretel thought so, and asked casually:
"It was treated by the Temple of the God of War? I thought you would go to the Temple of Spring Water to treat it!"

The gout rich merchant immediately stood up again.He glanced at Pastor Mark and smiled wryly:

"Don't be joking. How can little people like us get into the gate of the Temple of Spring Water? The Temple of the God of War is better..."

At least, as long as the enshrinement is in place, there will definitely be healing...

While examining the old man, Gretel listened to Pastor Mark's medical history, and quickly understood the situation.Pastor Martin had obviously treated them several times. The medical history, basic conditions, diagnosis and treatment process, and related gossip all poured in——

The old man's name was Carlyle, and he was 72 years old. He served in the navy when he was young, and then he was stationed in the New World for ten years.Smoking, drinking, nothing left. The amount of pipes and cigarettes is not easy to convert, but I have been smoking for at least 40 years.

... If you don't cough up blood, who will cough up blood?Your chest was cut open, and your lungs are already black, right?

Prepared to see lung cancer, Gretel continued to listen.According to the joint narrative of Pastor Mark and the gouty businessman, the old man Carlyle coughed up blood about seven or eight years ago.The treatment method is to use a healing technique...

The effect is outstanding until the disease is cured.Of course, the old man continued to smoke and drink, and coughed when the weather changed, there was nothing he could do.But when it comes to coughing up blood, it wasn't until two years ago that it happened for the second time.

"And this time?" Gretel asked while recording.The gout rich businessman smiled wryly:
"This time I went out to sea with the boat, and I came back half a month late, and the old man refused to go to the temple. I will take him there when I come back. The healing technique can only alleviate it, not cure it. [Remove the disease] cured it on the same day , it relapsed within half a month... By the way, it hurt a lot during the treatment that day..."

The fifth-level priest is already the backbone of the temple.Looking for a higher-level one, the old man is reluctant to part with the money and refuses.He had no choice but to bring the old man here to try his luck when he heard that there was a new infirmary in Gretel.

"Is there a lot of phlegm? What kind of phlegm? Is there a fever? How much is the fever... Forget it, high or low fever? When did you have a fever? Apart from coughing and coughing up blood, is there any other discomfort?"

As Gretel asked, he reached out and touched the old man's forehead, as if it was a little hot.He got up and took out a thermometer, let the old man hold his body temperature, took out the stethoscope himself, and listened carefully bit by bit:

Hmm... the heart sound is basically normal, the heartbeat is a little fast, but not too fast.A small amount of moist rales can be heard in the lower right lung... Just from the breath sounds, I feel fine...

Gretel lowered his head and wrote furiously.The patient developed cough and yellow sputum 3 weeks ago after catching a cold. The sputum was viscous and easy to cough up.The cough is paroxysmal, and it is obvious in the morning, and then the above symptoms are aggravated, accompanied by fever, high body temperature, and irregular heat pattern...

He took a breath, took a look at the thermometer, it was 37.2 degrees, low fever.Okay, it means that [Remove Disease] is indeed effective...

One week after the onset, [therapeutic surgery] was given, and the fever subsided slightly, and recurred on the third day. Two weeks later, [Remove Disease] was given. During the treatment, severe chest pain occurred on the right side, which was sharp and could not be relieved continuously, accompanied by profuse sweating all over the body.

What the hell kind of treatment history is this? I'm so used to it...

Gretel sighed.After writing the past history, I began to write the physical examination and diagnosis: body temperature 37.2 ℃, pulse 85 beats/min, respiration 20 beats/min.Blood pressure... The blood pressure is still unclear, reminding myself for the 1100th time to get the sphygmomanometer out quickly...

Consciousness, acute facial appearance, panting, no cyanosis of lips, soft neck, central trachea, no jugular vein distention.A small amount of moist rales can be heard in the right lower lung.

initial diagnosis……

After writing this, the tip of the pen paused.The gout rich merchant immediately asked nervously:
"How is it, my lord pastor? Is my father well?"

Gretel stopped writing, looked at him, then at Pastor Mark.As far as the current auscultation results are concerned, the lower right lung infection is considered first.However, if it's a simple infection, it should be healed after one shot of healing, or one shot of [Remove Disease]...

So rule out pneumonia first.Next, what will be the reason?

"There are other checks to be done." Gretel took out the oak stick in deep thought, and threw it at the old man's back:
On the top of the oak stick, a tree root curled the [Endless Ink Pen] in a low-key manner, shining brightly in the meditation field of vision.Very good, there is no condition for CT, take a chest X-ray first~~
Pastor Mark stared at Gretel's every move, his eyes reluctant to blink.Looking at the oak stick, at the patient, and then at Gretel, he suddenly narrowed his eyes:
"[Detect Magic]?"

"Not bad!" Gretel glanced at him with a smile and raised his thumb.Pastor Mark let out a soft cry and almost threw himself on the patient's chest:

"what is this?"

He moved his fingers back and forth on the old man's chest, outlining one by one:
"Ribs? Is this a rib? It should be a rib—and this, what is this? What is this big bright thing? Is it really a lung?"

The gouty rich businessman looked at his father, then at Pastor Mark, and rubbed his eyes vigorously.What ribs?What did he miss?Why can't I see my ribs when I'm wearing clothes?

Gretel smiled and gestured to him to be calm.Then, he turned his head to look at Pastor Mark, only then did he have time to be surprised:

Amazing!Without any prompts, I directly recognized the fluctuation of [Detect Magic], and then followed my example to observe!And the first time you see it, you can recognize the ribs and lungs!
He simply pointed to the old man's ribs and explained a few more words to Pastor Mark.After all, the spirit of the contract is very difficult to obtain, [Detection Magic] is cheap and big, and can be used as a daily inspection method:
"Look, these are the ribs, and the one in the middle is the spine... In the middle is the heart, and the two brightly lit lungs are the lungs. Well, there is something wrong with the lower part of the right lung, do you see it? It's here..."

Pastor Mark nodded repeatedly.Although the rich businessman with gout couldn't see anything, he moved forward desperately, as if he could know his father's situation earlier if he got closer.

Pastor Mark opened his eyes for a while, closed his eyes for a while, looked at the place where Gretel pointed, and then closed his eyes to compare with the vision of meditation, frowning and said:

"I saw it, so what's wrong with it? How can I cure it? - Do you just use the healing technique?"

He raised his palm slightly, his fingertips flickered with white light, and he really wanted to release it directly at the lesion.Pressed by Gretel casually:
"That's not enough. Look, there is a concave arc on the right chest of the old man. Do you see it? - Old man, come here and lie down on the bed slowly, on the opposite side, facing me..."

The gout rich businessman hurried over to help.Gretel picked up the oak stick and placed it behind the old man's back.Throwing another [Detect Magic], the concave arc is still there, but instead of being parallel to the ribs, it becomes perpendicular to the ribs.

"What is this?" Pastor Mark stared at the arc in amazement:
"It will change position!"

"What? Inside my father's chest, is there a line that changes position?"

The gout rich merchant immediately cried out.In a hurry, he kicked the corner of the examination bed with his toe, and let out a cry of "Ouch".Gretel squinted at him:
Are you suffering from gout again?
I can't care about it right now.He pointed to the arc and told Pastor Mark:

"What do you think is causing this? Think about it?"

As he said that, he took a glass by hand, poured half a glass of water, tilted it to the left, and tilted it to the right.No matter how it sloshes, the water level remains the same.Pastor Mark's eyes lit up:
"There's water in my chest! Uh, no..."

There should be water in the chest!Cut open the chest, there is blood inside!And some other liquids...but...

"Pleural effusion." Gretel told him the proper noun seriously:

"This is in the chest cavity, where there shouldn't be fluid, there is a lot of fluid. So much fluid is pressing, so the old man will feel chest tightness, wheezing, and difficulty breathing. Now, we have to solve a problem first—"

He turned to old man Carlyle.After some explanations, the old man lay reclined on the treatment bed, a vine was inserted under his right armpit, and the other end was directly dipped into the glass bottle.After a while, the yellow-white liquid gushed out and spread under the water surface in the bottle.

"what……"

Reverend Martin stared at the spread of liquid below the surface without blinking.As a Priest of the God of War, he is very familiar with this color liquid:

"Is this, festering?"

"It's pus." Gretel nodded lightly:

"It's not impossible to release the healing technique and let the human body absorb the pus by itself. However, the burden on the human body and the consumption of the healing technique are too great, so it's better to drain it out. ——Your God of War Temple also does this, right?"

But we couldn't see the pus in the chest cavity, and we didn't dare to touch the inside of the chest cavity.Pastor Mark secretly memorized the details of Gretel's operation, and the gout rich businessman has already pounced on him:
"Will it be enough to draw out the pus? Will it be all right? Will my father be all right?"

"Not so fast." Gretel squinted his eyes, staring at the lesion in the old man's right lung:

"We still have to take a look, what is this festering thing..."

"What do you think? Cut it open?!"

****
Another addition has been completed...

There are only... 16... of... left...

The air is like a gossamer stretching out its claws... Asking for a monthly ticket, asking for a recommendation ticket, asking for a book review, asking for various...

I went to read the papers, and there are 25 papers to read, including a master's thesis, old elders

(End of this chapter)