Krafft's Anomaly Notes

Chapter 147 Move
"Is there any problem?" Seeing that the inspection process was stuck, Professor Fernan approached and asked.

Kraft did not respond immediately, but extended the range of percussion further down, and compared it with his memory.However, except for the place directly below the subscapular angle, the sounds of other percussion parts are basically consistent with the previous percussion results.

This is completely unreasonable. If it is because of a slight difference in the position of the breathing movement, and the results of two percussions at the same position are completely opposite, then one of his memory and common sense must have been insulted.

"I can't understand, the sound knocked out here is inconsistent with the previous one."

"What does this mean?" As an internal affairs officer, Wilbert was much more anxious than the Duke himself.I don't know whether it's self-confidence or indifference to his body, but the patient just let out an "oh?"

Kraft realized that he should explain the purpose and principle of the inspection to his colleagues and patients, lest the information gap give them the illusion that "it's no big deal".

"Similar to judging whether there are secret doors and secret rooms behind the wall through the echo of knocking, different components will have completely different sounds when they are struck properly."

"Generally speaking, as a loose, light organ, the lungs should respond voiceless when percussed, but not so clear that they are almost empty. To be precise, it is like this." There was a knock outside the lung area, demonstrating a pleasant unvoiced sound.

"But lung wasting disease is a terrible disease that gradually eats away at the lungs, forming massive lesions in them that, after decaying, dissolving and being expelled, become cavities, 'chambers behind the walls'. In When knocked, it makes the sound of hollow objects like drums and urns."

Picking another cavity that was detected, Kraft tapped the sound that represented the disease.

Finally, he pointed out the area under the lower corner of the right scapula, "and this area, also at the first inspection, is a cavity with an internal diameter at least the length of the phalanx, which is definitely not small."

"But now it's not."

The thick, solid sound sounds under the percussion knuckles. Compared with the previous two, it is like a barrier filled with sand and stones, turning the vibration into a dull, low reply, "I call it a real sound. "

"You mean...something filled this void?" As a scholar with strong comprehension ability, Fernan quickly understood the meaning through word formation, but this did not make him feel enlightened, but instead Falling into a deeper confusion with hidden and indescribable emotions, "During the attack just now?"

Kraft responded with a slow but firm nod, and he couldn't believe it either, but the objective result was such that there was no room for rejection.

Wilbert, who took the teapot from the servant, carefully filled the Duke with a second cup of throat-smoothing hot tea, he understood Professor Fernand's summary, and interjected to ask, "But what does this mean? Could it have been filled with phlegm or something?"

"Liquid shouldn't be this kind of sound." Compared with Professor Fernand, it is precisely because of his deeper understanding and understanding of the disease that this change brings weird and unreasonable feelings to Kraft.

Although "sick people don't get sick according to the book" has been proved countless times as a classic traditional project, this development is still too far beyond recognition.

Having said that, there is actually another saying, which I heard later, "No matter how difficult the topic is, it will find its counterpart in the book." Book editors can always stuff unexpected content into corners that are hard to see.

He searched for details in those texts, looking for content related to tuberculosis, pneumothorax, empyema, hemorrhage, airway stenosis, atelectasis, pulmonary aspergillosis, cor pulmonale, each term has paragraphs and pages of text , perhaps one of them holds the answer to explain the "impossible event".

There can be many forced explanations.For example, what kind of liquid is actually poured into the cavity during the activity, because the special position makes the sound especially strange; or the narrowing of the airway caused by the lesion accidentally forms a valve, like a tension pneumothorax, but in the opposite direction, and finally you get a very Special atelectasis.

Everything may eventually be summed up in one sentence-do you believe this nonsense?
It can also be explained in an extremely simple and crude direction, and he doesn't want to do it without clear evidence.

And no matter what guess he made, he couldn't confirm his guess without the results of imaging tests.

The unbearable entanglement like losing sight climbed up his brain again, and Kraft felt the desire to pervade the sulcus like a subarachnoid hemorrhage, bringing a stimulation and urge no less than pain.

The spirit made an offer, and it was hard for him to say no.

"This shouldn't affect my treatment, right?" However, there were still people thinking about his treatment plan.The old prince was wrapped in a fur, which was not a rare breed, and the color of its coat was probably some kind of animal hunted in the nearby mountains.

He bent his fingers and gestured at his chest, apparently untouched, "A hole as long as a knuckle doesn't seem to be too wide. I still have such a large lung to use. If there are no other problems, start preparing for treatment as soon as possible."

"..."

Silence, silence is Westminster today.

Not only Kraft, but even Professor Fernan fell into a speechless state of shock.Fortunately, it was probably not the first time Fernan faced such a request, and his train of thought was not completely disrupted.

"Your Excellency, this is a very dangerous behavior. No one knows what accidents an 'active' lesion will cause during treatment." He additionally stuttered and reread the word "active", understanding that this word should not be used in its usual literal meaning , it is even more uncomfortable to put it here, as if to admit that something that can move can exist in the lungs.

"I think Kraft Knight's therapy is very reasonable. Maybe we can flatten this lesion together?" The previous description of the treatment that emphasized risks did not seem to have any intimidating effect, but instead made the patient have some thoughts of being too brave .

Fernan was helpless. As the patient's old attending doctor, he knew the Duke's temperament very well.He could only give Kraft a look of "you can do what you suggest", and another person took over.

The original purpose was to find a new way of thinking about the duke's almost inexplicable condition.Now the purpose is achieved, but unfortunately not in the expected way.

"I agree with Professor Fernan that we need to discuss more cautiously." Kraft didn't think he could change the Duke's mind on the spot, but he could give a buffer time, and there were more things.

"It takes time to prepare the equipment for artificial pneumothorax, and the recipient needs to adjust his physical condition before that. During this period of time, I would like to go back to the detailed medical history, such as the people and food that the Duke had contact with before the new symptoms appeared, Or somewhere."

Of course, there is a special check.

"Wilbert will meet your requirements, and you can explain to him the tools that need to be made and the medicines to be used." Regarding this consumption, the Duke didn't even show interest in raising his hand, "But the menu and the interview list...forget it , it doesn't matter too much."

[For the sake of funding and curiosity]

After careful consideration, Kraft decided to use his spiritual senses once. After all, this is indeed a special situation that is completely incomprehensible.

Just for a moment, like a sober person twitching his nose at the mouth of the bottle, overdrinking alcohol.It relieves the depression of restraining spiritual instinct, and can also solve a particularly unique case puzzle, which provides guarantee for the subsequent treatment.Kill three birds with one stone.

He convinced himself.No, Kraft wasn't sure if he had convinced himself, but the shield in front of his spiritual senses was indeed lifted for a moment.

Consciousness hungrily absorbs the information it is taking in now, like rain.The riddled lungs were reflected in my mind in a three-dimensional and perspective form.

Focus on the position near the subscapular angle on the right side and the shallow layer below the chest wall, and lock on the answer of the puzzle that contains confusion, curiosity and a little fear, and there is a kind of mysterious pleasure of peeking at the answer.

The first percussion was correct, it was indeed a tuberculosis cavity, the size was estimated, the inner diameter was slightly longer than his middle phalanx.The sense of distance in the spiritual vision is particularly good.

It seems a little inappropriate to call it an "empty" hole now. A group of ball-like fillers occupies the inner space, and the volume is slightly smaller than the inner diameter, leaving a crescent-like narrow arc-shaped cavity, so it can also be distinguished when it is concentrated. The surface that adheres to the cavity wall.

It was a strange and delicate spherical surface like raw velvet, showing a sense of prosperity that was incompatible with this increasingly weakened respiratory organ.

　happy New Year!
　　I wish my dear readers good health in the new year! )*
　　
　
(End of this chapter)