Krafft's Anomaly Notes

Chapter 212 Tension Pneumothorax

"The patient suffered from pulmonary tuberculosis for more than half a year, and the symptomatic treatment such as antitussive and antipyretic drugs was ineffective. Once the operation was performed, the hemoptysis stopped immediately, and the coughing and frequency decreased from the next day. The patient's self-reported chest pain and dry heat symptoms also showed a tendency to improve."

When the daily agenda mainly focused on what to eat next, a magical report was copied to the long table.

The general situation is that, unknowingly, the professors from Rivers University mixed with the anatomy lecturers of this school, and went to the internal medicine clinic of graduate students to perform surgical treatment on tuberculosis patients, and the effect was remarkable.

The graduate, who had deep regrets about his partiality, truthfully wrote down the whole process of treatment he had witnessed, and at the end he said suspiciously, "Professor Kraft stated that this surgery still only slowed down the course of the disease."

Immediately effective impact is always the strongest, and long-term formula compatibility and collection of folk remedies seem meaningless, even a bit like a clown juggling.

At first, the number of clinics doubled, and when the second, third, or even a dozen cases appeared, the rumors were not as restrained as the case reports written to the university.

An eloquent article with hundreds of words before and after, with various limited descriptions, will gradually degenerate into an extremely one-sided but extremely powerful question in the process of communication-can it be cured?
able?Then needless to say.For the first time, the footsteps of the white god of death are restrained in front of a certain reproducible force, which is much more realistic than the touch of a king or the blessing of the heavenly father.

Reflected on the intuitive feeling, David feels that all the surrounding patients, in fact the entire new urban area or beyond, are flocking to the clinic, and those who receive treatment will further spread the news.

Many of the people who arrived had coughs, but they were not necessarily tuberculosis patients, and even some completely irrelevant diseases would come to try their luck.Various sores, ringworms, sepsis, rashes and ulcers, chronic coughs, palpitations, etc., among which infectious diseases account for the largest proportion.

The reason is also very good: since tuberculosis can be treated, let alone other diseases.

This sharply increased the difficulty of operating the clinic, especially after witnessing that the patient had sudden hemoptysis before going in and breathing smoothly after coming out, the mind has completed the transformation from believing in medicine to believing in metaphysics.

The "King's Touch" treatment is not a metaphor, but is considered one of the important methods of healing in legends. It is a little more realistic than the blessing of the Heavenly Father. After all, most people who see the Heavenly Father do not need treatment. There is still a chance to see the king.

Now that tendency has shifted to an unnamed professor.

Some people think that just rushing into the clinic, going to the figure who cured the white plague, and letting him touch the patient's swollen lymph nodes and chest can cure the disease without medicine.The portion is not small.

If it is now announced that taking a bite can cure tuberculosis, Kraft feels that he will be treated equally by a certain eminent monk traveling to the west.

Of course, it’s not much better now. At first, he was able to receive all kinds of infectious patients and investigate the commonality of various information analysis. After two days, he had to wear a mask and a hooded robe to go in and out.

The increased flow of people forced Kraft to abandon the other half of the purpose of coming here, and spend most of his time and energy on day-to-day assessments, punctures, and gas injections.

According to the half of the soul from the other world, tuberculosis specialists in developed areas may not receive such a large number of patients with such typical symptoms every month; underdeveloped areas cannot find such a primitive treatment plan.

Saying "no" is a very difficult thing. When a patient who came with all his belongings and hoped to be treated sat in front of him, he couldn't say to him, "I have enough tuberculosis patients today. Now I have to ask other".

But sometimes the situation does not depend on personal wishes.

"Your situation is quite special, and I can't treat you with my method." Kraft put his hands on both sides of the patient's chest, feeling obvious friction and pulling.

【pleural adhesions】

Tuberculosis is not a disease confined to the inside of the lungs, it spreads outwards.The basic structure of artificial pneumothorax, the pleura, is the closest thing to the lung.

The fibrin deposition in the pleuritic exudate is like two sheets of leather paper smeared with sugar water. The water that is easier to absorb disappears, and the solid components remain and solidify.

When you put your hand on the chest wall, you will feel this rough friction.In severe cases, such as this patient, the two layers of pleura may even be partially bonded together, affecting breathing movement.

At this time, it is impossible to inject air into it.

"But they said you can cure it, and that person just now" The patient lying on the back of the chair turned sideways and tried his best to lower his breath. He could imagine that every ups and downs would pull on the immobilized pleura, causing unavoidable pain. Unless breathing stops.

Inflammation should still be ongoing, forcing it to stay rigid in an uncomfortable sideways position to avoid triggering more severe pain.

"I'm sorry, tuberculosis can be divided into serious and serious. There is still a fundamental difference between breaking a finger and breaking a leg bone." Kraft was willing to explain a few more words to him, but even someone with basic medical education like David It takes a lot of effort to clarify the indications and contraindications of artificial pneumothorax. A few more words will not change anything, but will only increase the trouble.

He chose to draw a circle on his chest, "My medical skills are not enough to help you relieve your pain, may God bless you."

Without ordering, Kupp skillfully helped the patient up, led him out of the room, and called the next person in from the outside.

When he was about to leave, Kraft stopped him: "Kup, it's enough to call someone outside. You will come later to help Dr. David get the ether bottle."

"what?"

"I?"

Two questions with a high synchronization rate sounded, and David looked around uncertainly for the second person with this name in the room.Although the traditional master-apprentice system is no longer the mainstream in the medical field these days, it is still a bit unbelievable to be able to learn other people's unique skills after only a few days of following.

"Yes, I've seen it for so many days, and I've gone through the process many times. Even a puncture needle should know which intercostal space I should go through. Come and pick up the next patient." Kraft soaked his hands in the lime water, A faint tingling penetrated into the thin skin on the back of the hand.

Days of non-stop operation has caused the supply of distilled spirits to start to shrink, and a lot of it is wasted in the production of ether with unsatisfactory yields. It seems impossible to continue to use it for washing hands, so we have to move out of the old method that has been discarded for a long time.

As planned, it is impossible for one person to do everything, and it is time to try to start teaching work—by no means because the artificial pneumothorax has been verified to a certain extent, and he really cannot withstand the dual labor of high-intensity mental and physical work.

"Don't worry, I'll watch over you." Kraft moved away from the front seat in the consulting room that belonged to David, and happily sat in the auditorium, "Wash your hands first!"

David finished washing his hands with a blank mind according to the conditioned reflexes he had trained, and sat on the still-cool cushion while reciting "audio-visual tap-touch" silently.Kupp returned to his familiar position as a squire, but this time the object of escort was surgery.

Fortunately, the patient this time was very "standard", and he almost only needed to imitate the most operations he had seen in the past few days to get a basic understanding of the situation.

Kupp nervously recalled what he needed to do to hold the ether bottle, but he didn't find any requirements other than a steady hand, which was simple enough for a person carrying a page hammer.

The reassuring follower paid attention to David's intermittent interrogation.Time, symptoms, nature, one moment, one moment, that moment, are far less coherent than usual listening to Kraft, like telling a story to guide the listener to straighten out the logic.

When he heard some incongruous questions, he even felt that he could reflect what the next question should be and what it should not be.

【I can do it too】

An extraordinarily wild idea.Kupp quickly drove it aside, and the life of traveling with Kraft gave him a basic concept of these complex academic institutions.

How can a monk who was lucky enough to be fished out of the mud in the salt tide area compare with a bachelor who graduated from the highest institution in the kingdom?He looked at the others with a guilty conscience, for fear that his passing thoughts would be heard.

And David finally finished the consultation, completed the physical examination step by step after Kraft corrected his technique, and came to the conclusion of "suitable for surgery", and then came to the link of "knowing the needles" to find out the puncture point Sterilize the needle.

The patient's nutritional status is good, which is theoretically good for undergoing pneumothorax, but it also means that he is not as clear-cut as the first patient, with considerable thickness under the skin.

David, who was staring at him, broke out in sweat. He walked his fingers back and forth on the chest wall twice, and found that the number of ribs counted was different.

Something must have gone wrong, he should count again from the second rib.But under the watchful eyes of everyone, Kraft had just taught it himself, and he never expected such a low-level mistake to occur, and the more he panicked, the more confused he became.

Kraft crossed his arms, as if trying to get him to do it himself, which made David even more flustered.

Based on the acquaintance's understanding of Kraft, there is absolutely no malice to make people look ugly, but simply willing to give enough time to think.

It wasn't until this predicament lasted for five or six deep breaths that Kupp, holding the ether bottle, finally felt that he couldn't bear it any longer. He took out a hand and roughly made a gesture under the two small spots on the patient's chest, and gestured toward the other side. "five".

"Fifth rib?" David remembered that Kraft hadn't used the word "disciple" when introducing the squire.

"That's right." Kupp confirmed, this is an impressive practical content, and he mentioned it by the way when he was forced to recite the skeleton, "The apex of the heart is on this line, I have some impression."

He raised his head and saw Kraft nodding slightly in surprise.

The rest of the process went smoothly under close monitoring. The patient thanked Kraft ecstatically after waking up, and assured Kraft that he would return to the clinic on time.

The diagnosis and treatment continued, and David's operation became more and more proficient.Just as he was carefully preparing for his third puncture, a burst of anxious shouts and discouraging noises interrupted the operation.

Before he could reprimand the apprentices for their ineffective management, Kraft rushed out of the consulting room in three steps at a time. At the densest part of the crowd, he used brute force to push away the unknown people who kept pushing in.

The man who was stiff on his side was supported, his already pale face lost all color, he was dripping with sweat, the blood vessels on his straight neck were full and protruding, and some kind of rapidly progressing pain was expanding in his body.

　Because the work has become increasingly busy recently, and at the same time, I also need to deal with miscellaneous tasks such as test preparation and PPT production. There is almost no buffer except for daily affairs and code words, time fragmentation, and no chance to replenish myself through reading books and various channels.The decline in status leads to slower codewords, a vicious circle.The update delay may be unavoidable, and I apologize here. (ω`)
　　
　
(End of this chapter)