Krafft's Anomaly Notes

Kupp leaned forward actively, put his ear on the earpiece, and felt the distance between himself and the lungs in the bony chest was quickly drawn in, as if he was leaning against a huge bellows.

The turbulent airflow is passing through some narrow and thin air ducts, pouring into the box filled with ups and downs, making smooth and alternating breathing sounds.

But here, they didn't travel smoothly, whining as they passed through a cavity whose caliber was obviously inconsistent with the pipe, an odd echo like blowing air in an empty urn thick with scale.

It is also like blowing breath with a soft reed tube under the degenerated and slightly viscous thin water layer, making dense and long bubbles bulging and bursting sounds.

With the ups and downs of breathing, the rales repeat.He listened for a few cycles, convinced he could at least make out the sound the next time, and vacated his spot.

"Then why are you being polite? Come and listen, we will meet you sooner or later." Kraft pressed the receiver to invite.

At this time, it is impossible to reduce the sense of presence. David and several assistants and apprentices tried this new gadget in turn. Lecturer Vinlen also came to listen to the sound in his lungs curiously, and affirmed its practicality. .

"I think it is indeed possible to distinguish the internal condition through different lung breathing sounds without being able to see it." He took the receiver and tried to place it on other positions on the patient's chest, abdomen, and neck.

"Maybe you can hear other visceral sounds through this. Some people have thought of doing this before, but it's hard to hear clearly and it's inconvenient to put your ears on it."

"Yes, through some small methods, we can more actively collect the required information from patients. Such as touching, tapping, listening, etc." Kraft explained the previous examination.

"This is based on the fact that we know what's underneath, so we can correctly interpret the meaning of the sound and tactile information. If I have time, I will form it into text to explain."

"Now we have a preliminary understanding of the patient's basic situation through a simple physical examination. The patient has had a cough for more than half a year and hemoptysis for about two to three months. The diagnosis of tuberculosis is considered. The lungs can hear empty breathing sounds, but there is no friction feeling. It shows that there is no exudation and adhesion between the two layers of pleura."

"Fortunately, the tuberculosis did not invade the pleura, allowing us to inflate between the two layers of pleura, which is the basis for treatment."

"Of course, before that, the patient's consent is required." Kraft took out the informed consent form for traumatic treatment that had been copied in advance, and brought it up with a pen.

"The purpose of this treatment is to control hemoptysis and prolong life, but there are risks of complications such as pneumothorax, hemothorax, and lung collapse. In the worst case, it may be fatal. If you are willing to undergo treatment, you can sign here to show your awareness .”

"Because we also got a learning opportunity from you, we will waive the treatment fee as appropriate."

Life extensions and fee waivers played a decisive role, tipping the balance in one direction with little hindrance.The thin man sitting on the bed suddenly became excited, took the paperwork handed over, but did not sign his name for a long time.

"If you have doubts about this, you can also choose to refuse. This does not affect Dr. David's continued conservative treatment."

"No, that's not what I meant." He grabbed the paper tightly, squeezed out the ink from the quill pen, wiped it on the palm of his hand, and covered it on the paper, "I mean, can I print it with my hand?"

"If you have difficulty in reading, you can also find someone you trust to read the content of the proof." It is rare to do the whole process once, and Kraft hopes that he has not copied it for nothing.

"If you need to stick a needle into the chest during the treatment, you can choose to regret it before starting, even if you sign and stamp it."

The fear of pain made the patient hesitate for a moment, but another cough with patches of red made his decision for him, reminding him that life was being lost from the unhealed wound of the lung every moment.

"I feel like I have more than one needle in my chest, and one more can't make it worse. Please hurry up before I cough up the blood."

He looked expectantly at Kraft and the large platter wrapped in white cloth, and the precious light of hope appeared in his eyes.

As he wished, some items that he hadn't seen much, but which were known to be expensive at a glance were taken out of it.

"As mentioned before, after we distinguish the second rib according to the bony landmarks, we can then find the intercostal space where the needle should be inserted." The doctor washed his hands with a solid wine that tasted surprisingly strong, and put a cotton ball moistened with spirits on the Scrub the chest side, while not forgetting to continue explaining.

"Lecturer Weilun, you can show us the fruits of our labor in the past two days."

A glass bottle with a suction mouth was put close to the patient's mouth, and a small amount of oily transparent liquid was contained in it. This was the result of the two borrowing the equipment from the medical school.The equipment is in good condition, but due to the level of manual control, the production rate is really worrying.

Ether, this unstable substance has no safe storage method for the time being. The best way to deal with it is to use it immediately to prevent it from turning into something else after being left for a long time.

"Turn down the gas valve, it's just a small needle tip damage, it's not good to inhale too much. Kupu, come over and press the patient for help. If the anesthesia is not deep, it may move around. Be careful not to touch my clean area."

Anesthesia can be used to make the patient more comfortable, considering that there is no need to worry about something in the lungs this time.

The patient took a few sips with the mouth of the bottle in his mouth, and what he saw was Velen's surprised and joyful eyes before falling into darkness.

He almost used the stability he had cultivated for more than ten years to control the hands holding the bottle from shaking due to excitement. He watched the needle tip contact and penetrate the skin, and the subject fell asleep in ignorance.

"There will be a breakthrough feeling when the needle is inserted, indicating that it has entered the chest cavity. At this time, it must be stopped in time." Kraft pinches the skin bag and controls the gas volume with a good sense of space.

The amount of air delivery needs to be just right, too much will cause the lungs to collapse and lose the breathing function, and too little will not compress the lesion to close.

Fortunately, he was also an adult male of similar size, and the experience accumulated on the Duke helped him grasp this speed.

The process of artificial pneumothorax was successfully reproduced. When the consciousness was about the same, the leather tube was clamped and the chest wall was percussed. At this time, there was a uniform hollow sound around the chest cavity, suggesting that the gas replaced the messy lung tissue and occupied half of the chest wall.

The whole operation takes less than 10 minutes, which is about mid-to-lower in the average time of contemporary surgery.Kraft pulled out the needle and pressed the puncture point, indicating that the Vinylon operation was over, and the anesthesia was removed.

The patient who had not inhaled much ether woke up from light anesthesia, and the irritation of the respiratory tract made him cough violently involuntarily.

He coughed heartily for a long time before he realized what he was doing. He checked his clothes and sheets in a panic, suspecting that they were completely stained red.

However, not half a fresh blood spot appeared, only a short nap time, the fear of blood plasma overflowing from the broken trachea and drowning the person seemed to be just an illusion.Results are as fast as instant results.

【Cough up blood and stop it】

Before David's self-doubting paperwork was sent to a colloquium that was still going nowhere, this simple description made waves that would bring any patient who heard of it to this once-unknown clinic.