Krafft's Anomaly Notes

Chapter 141 Absence
Kraft picked up a third drink.

The red liquid is not wine, but some kind of sweet fruit juice, from which he identified several kinds of berries that he tasted these days, adding a small amount of lemon juice is very suitable for meat It is used to relieve greasiness at the banquet.

What is even more impressive is the fungi here, which are rich in variety and have a taste that is not inferior to the artificially screened varieties known to the souls of other worlds.The sliced ​​white-bellied mushrooms recommended by Professor Brimmer, paired with minced meat and a sauce made of spices, not only has the richness and deliciousness of protein fat, but also surpasses grilled meat in terms of delicate and thick taste.

Maybe the chef is still flawed in cooking techniques, but the quality of the ingredients themselves proves that high-end ingredients really only need simple cooking, or even no cooking.The food kept Kraft spending some more time at the table, stuffed very full in the eyes of some strange bystanders.

Kraft took a sip of the juice, suppressed the greasy feeling, left the dining table with the remaining half glass, and found the corridor leading to the side hall at the side door.A large number of small rooms are set up on one side of the semi-open corridor, probably to provide temporary rest space.

A servant carrying a tray came towards him, and the matching cups and cups had been taken away. The silver wine jug with a flower buckle on the handle was shaking on the somewhat unstable wooden tray, making a slight knocking sound between the base and the wood.

"Excuse me, is the party of the medical school here?" Kraft put his hand in front of the plate and stopped the servant.

As if he didn't expect that there were members who hadn't entered the venue, the servant was frightened by the sudden inquiry, and stopped his pace abruptly, causing the already unstable silver pot toppled forward.

Thanks to the outstretched hand in advance, Kraft's good hand-eye coordination allowed Kraft to grab the body of the jug, and the small half-capacity liquid sloshing inside hit the side of the jug and swayed back, preventing it from spilling.

"Thank you." The servant lowered his head in panic and thanked, and hurriedly took back the silver pot from the man.It seems that he is a newcomer, his pace is not as calm as those waiters in the hall who can walk freely through the crowd, he can't grasp the speed and balance distribution, and the panic that is not well trained is shown on his face, "Please go straight ahead, other guests inside."

"Be careful."

Through another arch, Kraft found the small independent circle of the medical school in the outdoor space behind the side hall, a space shaded by trees, a long table brought from nowhere and placed on the oak leaves and greenery, There is also a white umbrella mushroom that emerges after the rain at the corner of the table, which is quiet in the middle of the noise and full of natural flavor.

Everyone sat around, and the debate with some professional terms could be heard a dozen steps away.Professor Fernand sat on a heavy lacquered armchair that was clearly out of tune with the surrounding environment. Seeing the arrival of the newcomer, he raised a silver cup in greeting.

"Please feel free, Professor Kraft. This is not a formal occasion, so I won't get up to greet you. You must know that standing with those guys who are chanting sutras is a torture to the spirit and lumbar spine." He drank the last sip , put the glass on the table, "It's a pity you came a step late, the best wine has already been shared by us."

"However, it can be said that it came at the right time." Menadella opened the only vacant chair beside the table, "This way please, the fun project has just passed, and now we can share knowledge."

Kraft took a seat and joined them in the discussion.

He quickly understood the content of those heated debates, which was a model similar to a simplified version of multidisciplinary consultation and case discussion. Someone proposed that a patient with speculative value he had received, no matter whether the outcome was good or bad. It can be discussed.

Experts from various disciplines present explained their views on the etiology of the disease from their own perspectives, evaluated the diagnosis and treatment measures, and summarized the gains and losses.

Since there is no unified microcosmic and macrophysiological system to integrate various scientific disciplines, this kind of debate tends to develop into different opinions. Brimer, who was born in humoral research, and Linden, who was born in anatomy, basically could not reach any agreement.

One insists on proving the destruction of balance from the perspective of humoral theory, such as sputum stratification and blood color, and then corrects the balance; while the other firmly believes that most diseases must have solid lesions, and patients can get symptom relief or even recovery after resection. If you can't find it, it means that the course of the disease has not developed to the degree of coagulation, or the doctor's medical skills are not enough.

Klinsmann, a professor of pharmacy, tends to the theory of four fluids in theory, but in practice, he is a school of his own, and will propose corresponding treatment drugs for various symptoms.For example, for the lack of red blood caused by medical diseases or postoperative, the suggestions for supplementing drug elements are also divided into suggestions for people with different incomes. The poorer people are recommended to use red iron ore powder for a small amount of daily consumption, and the family is better. People can eat an extra poultry, ideally an expensive blood orange, but few can afford it.

Maynard, a general studies lecturer, passed them knives.Ah no, it is to provide multidisciplinary arguments and evidence, which has effectively promoted everyone present to fight together.

As a person who is obviously a head above the status, although he is from the internal medicine of body fluids, Professor Fernand seldom speaks.He even seldom supported his student Brimmer, allowing him to be besieged by the cases proposed by Linden and Klinsmann, and at most made an inconclusive empirical conclusion at the end of the discussion to evaluate the curative effect.

Following the sudden coldness of the lower limbs, pale and pulseless emergency discussion ended with amputation and blood supplementation, it was finally the turn of Brimmer, who had been at a disadvantage, to present the case.

"This patient is older and has coughing symptoms."

"With all due respect, there are not many of you who don't have a cough in internal medicine. This is the third case that starts like this in the past few days. Can't we have something fresh?"

"That's better than spending six or seven months a year on someone who can no longer cough, Linden." Although he was interrupted, Brimer didn't mean to be angry because of it, and by the way, on the job content Choreographed Linden, "I hope your brain, which is straighter than a knife, can tell the difference between different coughs."

"The patient was not suffering from a common acute illness cough, which existed a long time ago."

"How long?" Maynard asked, and continued the role of fanfare in time.

"The patient can't remember clearly, but at least on a monthly basis, it may even be more than a year. There are some good and bad times, but the general trend is gradually getting worse." The patient's main complaint is very vague, and Brimer's narrative Very smooth, at least based on Kraft's case report experience, he was prepared to report word for word in the middle of two interruptions.

"From the initial cough, it developed to a cough with blood in the sputum, and sometimes a violent cough broke out and coughed up obvious blood."

Symptomatic treatment is the specialty of the professor of pharmacy. Klinsmann made a suggestion: "If it's just irritating cough symptoms, my idea is to use honey for treatment. It will have a better effect after adding chamomile tea. A glass."

"In fact, it has been used for a long time. We also added cumin to strengthen the patient's physique and relieve cough, and echinacea to regulate sore throat." The implication is that the effect is not good.

"Add licorice?" Klinsmann tentatively added the new medicine.

Professor Ferrinan shook his head slightly, as if he didn't agree with it. His scrutinizing eyes swept over everyone and stopped for a while longer on the new Kraft.

The table fell silent, and Kraft wasn't sure if he was watching the chief complaint guessing session, or if the medical history was so brief these days.According to consistent experience, the possibility of the latter is not small.He has noticed Ferrinan's concern, but he doesn't want to speak now. In terms of "sinister speculation", the pre-information for this kind of activity is probably not complete.

The old fritters will shut up and wait for others to step on the mine, gracefully dodging the wrong option.

"It may be a lung lesion." Linden knocked on the table, and pressed his fingertips against the imaginary patient's ribs, "I have seen similar patients, hemoptysis accompanied by weight loss for several months, and finally found in the lungs Some special organizations."

But he quickly blocked the treatment: "I'm not sure, this kind of symptom itself is rare, and there is only one case that has the opportunity to verify it. If it is true, I don't think it can be cured unless the lesion is removed."

"I agree with Professor Linden, but there is no precedent for taking out the lesion, and we still have to rely on traditional therapy. It can be controlled indirectly by changing the amount of red blood. If the cause of the disease is confirmed to be in the lungs, you should use the elbow vein to bleed. This is exactly what Professor Brimer said. What you're good at." Maynard felt he had hit the nail on the head, and it all made sense.

"If the drug is slow to take effect, you can try an enema." The professor of pharmacy proposed a radical improvement in the way of administration.

The more Kraft listened, the more he felt bad. Fortunately, he had found some clues and had the content of his speech.

"I want to know the patient's fever."

"Yes, but it's not heavy, and echinacea has the effect of treating chronic fever, which is very mild compared to cough." Brimer thought about it for a while, and still answered this question.

"I guess the patient felt dry and hot, mostly in the afternoon, and didn't return to normal until the next morning." Linden's conjecture was reasonable for prolonged coughing, hemoptysis, and low-grade fever, and he also got information about weight changes, but Kraft Feel yourself closer to the answer.

A look of surprise appeared on Brimer's face, but he couldn't answer as smoothly as before. It seemed that he had guessed something, but this person must have not understood in detail the "meaningless" slight fever in his eyes.

Kraft thought he was going to admit negligence, but at this moment, Brimer looked at his teacher, Professor Fernand, and got some kind of information from an imperceptible nod.

"Yes," he replied, "that's right, you're right."

"Accompanied by abnormal sweating, feeling tired? I suspect that there are people around the patient with similar symptoms."

Before he could catch his breath, more content fell in front of him, and Brimmer unexpectedly found that he had nothing to say, as if someone had recited the second half of the riddle in the middle of a riddle, which was worse than him. more clearly.

For the first time since the beginning, Professor Fernan's waist, which seemed to be glued to the back of the chair, straightened up, announcing that some guy who didn't speak martial arts had killed the game.

"What a surprise, Professor Kraft, I always thought you were better at surgery."

【tuberculosis】

Or it should be called "wasting disease" and "white plague" now. People don't know enough about it at present, but such a difficulty is still too simple for a person who has been tortured by similar routines.

"Actually you are right, for I have no cure for this disease either."

"Perhaps we can discuss this idea alone after the meeting." Fernand's white beard flashed an inconspicuous disappointment, which was quickly covered up by a satisfied smile for the younger generation, and he nodded his invitation.

Subtle emotions, but they didn't escape the eyes that Bremer cast attention on when he silently asked for help.Clough picked up some oddities in the teacher-student interaction.

Compared with Brimer, it is more like a case from Professor Fernand, who was on the first seat, turned a corner and put it in a disguised senior consultation in a special form.

What's the matter?Your students are old enough to be rated as professors, and you still need to provide case discussion materials?

"It's my honor." Kraft accepted the invitation, pressed the question, and tapped on the side: "Speaking of which, what treatment method did this patient use in the end?"

Another moment of silence.

"all."

"all?"

"We gave him honey and herbal soup orally, bloodletting from the vein in the middle of the elbow, enema medicine, and laxatives to excrete toxins." Bremmer, like a few treasures, listed the treatment methods one by one, "Everything we can do is to complete what the heavenly father bestowed mission to save the sick.”

"and then?"

"The patient's condition has undergone a change that cannot be explained by our abilities, a long and severe change fever, and" he lost the ability to describe, or some body language hint from the tutor stopped him, in an unspeakable state This concludes the case discussion.

Kraft tactfully gave up the questioning and let the party move on to the next topic.

Linden, Klinsmann, Bremer, and Maynard, Professor Fernand didn't seem to want to speak, seeing the main characters around the long table turning to him, Kraft suddenly realized I haven't prepared a case suitable for release on this occasion.

It must not spoil the content of the official academic gathering report, but also be innovative enough. It is really not a good idea.He instinctively searched around, like a lazy dog ​​in a PBL class who didn't check the information the night before, trying to find a shield to delay the time.

Thanks to the round of introductions at the banquet, he really found someone who should be in front of him.

"Where's Lecturer Petrie?" Could it be that he didn't prepare a case, so he slipped away wisely?

"Petrie?" Maynard had just completed a case of mercury treatment for syphilis, recovering from the stormy questions from the professors. "He just had a drink and passed out, resting in the room on the corridor."

"I've never seen such a poor drinker, and we didn't respond at all when we moved him there." Klinsmann echoed, "But the good news is that he reserved the position for Professor Kraft, haha. "

"Is that so? It would be a pity to miss it. No one wants to find out what research Dunling is doing and set up some academic secrets?" Kraft said jokingly, trying to find an excuse to pull people up, " Let's go and bring him some hangover tea?"

"Okay, let's go together."

(End of this chapter)