Krafft's Anomaly Notes

A soul predestined by the god of death is temporarily allowed to stay in the body, and the body lies on the bed of the clinic.

The quilt is wrinkled, and the previous person lying here did not tidy it up before leaving, and the twisted cloth folds are imprinted on the back, which is uncomfortable, and under those deep folds, it seems that the epidemic and unwashed odor are hidden. Rust stained, but much better than hardboard.

He wanted to float up and straighten the blanket, but a violent cough interrupted the movement, and there was a pain in his chest like a wound being forced to stretch, and he clenched the closest thing he could grab and pulled, ripping the blanket even more wrinkled.

Something more viscous than saliva spewed out with the cough, and I wiped it subconsciously with my hands. I felt the familiar moistness and stickiness, and there was a conspicuous red in the palm of my hand, which catalyzed the transpiration of dryness and anxiety.

Occasionally, a shadow carrying a bottle and can passed behind the white curtain, arousing a little instinctive hope, but it quickly cooled down.

Up to now, the expectation of the herbal decoction has been exhausted after repeated deterioration of the condition, and the doctor has clearly stated that the improvement may not be great. It is more appropriate to describe it as a survival instinct than a cure. I am willing to believe that I can still struggle one time.

I could neither fall asleep nor stay awake amidst the discomfort in my lungs. I just closed my eyes and tried to ignore the similar coughs next door one after another, so that my consciousness was temporarily far away from reality.

But this made the sense of hearing sharper. The suppressed cough sounded like some kind of sonorous footsteps of different shades, wandering between the curtains in the room. From time to time, it stopped knocking on the door with high pitch and rush, urging to call. cause fright.

And in this sound, a series of footsteps on the ground came down the wooden stairs and approached here.It sounds like it's coming this way.

A corner of the white curtain was lifted, it was not the apprentice who usually delivered the medicine, nor was it Dr. David whom he only met when receiving consultations and drawing conclusions, but a tall stranger who had never seen before, walked to the bed naturally stop.

A set of black robes similar to David's but updated, youthful eyebrows behind the veiled cloth, and a thick and forward hairline, all of which lowered a bit of credibility out of thin air.

However, he soon realized that impression points don't have to be reflected in appearance.

Behind the young tall doctor, a middle-aged doctor in a black robe with a red thread trim came in, and automatically stood half a body behind him, clasping his hands in front of him.

The only doctor I knew, Dr. David, walked at the end, helping the entourage with the instrument tray in both hands to pull off the curtain, and followed the middle-aged doctor in the black robe with a special shape, actively marginalizing and reducing the sense of presence.

Several assistants and apprentices silently followed in small steps, occupying the beds.Nearly ten people were stuffed into the small compartment, and the hospital bed was completely surrounded. A pair of eyes that did not reach the height of the shoulders were hidden outside the crowd, trying to see the inner circle clearly.

"Hello, I'm Villen, a lecturer in surgery at Dunling University School of Medicine, and this is Professor Kraft at Rivers University." The doctor in the red-edged black robe stood up and threw out several words that he hadn't heard much about. Noun, probably a very well-known introduction.

"This time is to provide a newer and more effective treatment for tuberculosis patients, especially for hemoptysis."

"Ah?" The patient on the bed was stunned for a while, he didn't seem to understand much, and he was still thinking about whether he should sit up.

David probed and translated, "These two are my teachers, and they are here to cure the white plague on you."

"May Heavenly Father bless you."

"This does not mean a complete cure, but it may be able to slow down the progress of the disease and alleviate the symptoms." Kraft pressed the patient who was about to sit up, and flattened the bed sheet. "Before that, we have to find out whether your condition is suitable for treatment."

Looking around, his intuition told him that something important was missing.

"Doctor David?"

"I'm here, what can I do for you?" The clinic doctor felt that the next step should be to simply ask the patient and start the treatment. He just needs to study quietly by the side and seize the learning opportunity that falls on his head.

"Come on, report your medical history."

Right, Kraft finally found the right way to open it.Lecturer Villen stepped aside, exposing David who was [-]% frightened, [-]% surprised, and [-]% dazed.

The line of sight that was originally focused on Kraft, including the patient, was neatly shifted to the principal of the clinic, giving him a sense of déjà vu that he hadn’t seen for a long time, and returning to his not-so-good school days.

"The patient came to see a doctor because of 'cough, hemoptysis'. It was used." Across a layer of cloth, David took a deep breath through his nose to catch the smell of herbs wafting from the jar in the apprentice's hand. Raspberry water decoction, considering that the patient has loss of appetite and occasional abdominal pain, added asparagus to increase appetite, dill to relieve intestinal colic and invigorate the spleen and appetizer."

David felt cold sweat running down his back, and he had the illusion that he was accurately pointed out by the teacher he knew in the big class. The people present today are not classmates, and the damage to social status if he can't answer anything is much higher than in class.

He looked at Kraft, looking for his attitude towards this answer in the other's reaction, and found that the latter was also looking at him.That look clearly said, "Keep talking, why did you stop?"

What should I say?The cold sweat that had just stopped began to break out again. In his cognition, what should be said has been said almost. Everyone knows that this is a tuberculosis patient, but it seems that the meaning is far from over.

However, the professor is obviously an empathetic person, so he quickly noticed his difficulty and decided to give some hints: "When did the patient start to cough? Is the cough severe? Is there a difference between day and night? The dry cough still has phlegm, Is there blood in the sputum? Has it been aggravated or relieved for such a long time? When did the hemoptysis start? Is there any chest pain? "

David looked at Velen for help, and Velen asked back with his eyes as a matter of course-you ask me from the surgery?

The atmosphere at the scene was not very good, but fortunately, the patient is self-aware, and there is no communication barrier between the two parties.

"Doctor, I had a little cough last winter. I drank some scented tea by myself, and it got better in a few days. Later, I had a cough again. It was this spring, and it was getting more and more." The patient sat up from the bed with his body supported. , It caused another cough, and I could see the dry and fresh red on the hands and the front of the clothes.

He tried his best to cover his mouth to block the cough, and said hurriedly as if he was afraid that the doctor would turn around and leave, "When the weather started to get hot, I found blood in the sputum, and I always felt that I couldn't exert myself, so I came to see it."

"Okay, I got it." Kraft pulled a piece of absorbent linen from the tray and handed it to him. "Do you have any impression of these specific times, such as what month? Especially when did this cough and hemoptysis start?"

"I can't remember, does it matter?"

"It's okay, just lie down and take a while, let me take a look." From this perspective, it is not unreasonable that medical histories are generally incomplete today. The concept of time is vague and the patient himself has no health awareness. Currently, the information collection of mobile patients is absolutely a mess.

Kraft unbuttoned the patient's clothes. Unlike the Duke, who had always maintained a sufficient supply of nutrients and was in excellent physical condition, the symptoms of emaciation were very obvious on the body, and the faint ribs under the skin could be seen when the chest cavity bulged.

There is almost no need to look for bony landmarks, and the location can be seen intuitively by sight alone.

[very suitable for teaching]

"Come on, Koop, put the thing aside and press it." Kraft called to Koop, grabbed his hand and pressed it on the center of the patient's chest, "What kind of bone is this?"

"sternum."

"Very well, how does the part you touch feel now."

"Uh, it seems uneven, a little raised?" Kupp replied uncertainly.

"Yes, that's the sternal angle, the second pair of ribs level with each other, and we can count the ribs up and down by this."

【It seems a bit troublesome】

Pressing Kupp's hand, he guided to the sides to find the position of the ribs, and Kraft felt that such an idea was born.I should have an easier way without relying on these rules to distinguish.

After a search in the diagnostics, the logic rejected the newly generated thoughts. This is indeed a very convenient way, and it is faster unless it is directly seen, but not all patients are so thin.

But intuition still reminds me that I should not be trapped in an inefficient way, and guides the consciousness to obey the instinct to use that way, skip the cumbersome visual touch, tap and listen, and make a diagnosis for the patient from an absolutely accurate perspective.

[This is the responsibility of the patient, isn't it? 】

Kraft thought for a moment, and grasped the source of the idea, which was the daily movement of the spiritual senses, such as the mouth salivating reflexively when seeing delicious food.

He rejects proposals made by a part of himself.This is certainly not irresponsible.What is needed at the moment is a simple and easy method that can be completed by any systematically educated person, not a human CT machine cheating by relying on irrational abilities that are difficult to reproduce.

It would be truly irresponsible if, as a practitioner, you are unable to complete a full set of operations under the conditions of an ordinary person, but want to promote treatment methods.

Restraining the mental senses, palpating the pleural friction sensation according to the normal order, and excluding the contraindications of pleural adhesions, Kraft buckled through the intercostals in turn to locate the cavity, and then took a cylinder from the tray brought by Kupp. The sides are tightly sealed with a thin skin, which looks like an elongated snare drum.

This is also one of the works of Westminster craftsmen, the most primitive version of the stethoscope, or "the earpiece" is more appropriate.

One end is placed on the site to be auscultated, and the other end is attached to the ear. The advantage is that it saves the inconvenience of putting the head on the patient's chest to listen.It's still inconvenient, requiring bending and twisting your neck to adjust position.

Kraft carefully positioned and moved the earpiece, remembering the long-lost imaging department, corresponding to the position of the hole touched, distinguishing the whistling sound of the hollow, and after repeated confirmation, fixed the earpiece with both hands, and let the ear end out.

"Come here and listen, the sound in the lungs of tuberculosis patients with hollows is like this."