Chapter 188 I Will Introduce the Patient to You!

"You are no longer allowed to drink alcohol in the future. You are not allowed to drink strong alcohol, especially beer. If you are really greedy, you can have a small glass of wine a day."

The fat man's blood pressure returned to normal. After slowly waking up, he no longer dared to question Gretel's words. Grete carried him and explained the precautions one by one, and he kept nodding and bending down to listen, with the fat on his belly getting wrinkled:

"Yes Yes Yes."

"Stop eating sea fish and shrimp. Eat less oysters, raw oysters, and all shells."

"What... we live by the sea, we don't eat sea fish and shrimps... OK, OK, yes, yes, yes."

"Eat less beef and mutton too."

"Then... Pastor, what can I eat?"

"You can eat chicken, duck, and pork. Foie gras is not allowed! Forget it, don't eat all animal offal!"

The fat man rubbed his belly sadly. Grete scared him with a straight face:

"Your disease is caused by food! Even if I give you a cure to remove the disease today, if you continue to eat and drink a lot for a few days, the harmful things in the food will accumulate in your body, and you will still feel pain! I see the stone in your belly No? By then, there will be stones everywhere in your kidneys and bladder, and going to the toilet will hurt like a knife!"

The muscles on the fat man's face trembled. It’s not painful, it’s just a pity for the money:

So far today, although the money spent is high, it is still bearable. One to delay pain, level 2 magic, two magic detection, level 0 magic, a mage's hand, level 0 magic, one to treat minor injuries, level 0 magic (Grete took the photo to prevent urination after stone removal) road infection) - the total amount is less than one thousand gold coins.

Removable disease is a level 3 magic, which costs thousands of gold coins to start with! He transported a shipment of goods from the mainland to Nevis, and it was calm and calm. He didn't lose anything at all, and he only made a few thousand gold coins! This happens once, and the trip is wasted...

And it can’t be completely cured! If I eat it for a few more days, I will still have an attack!

"Then...how can we cure it completely?"

If you want two, three, even four! The fat man gritted his teeth and smashed down four of them in one breath to remove the disease. If the disease could be cured, he would pay for it! You can't eat this, you can't eat that. It's simply not a human life!

Uh...Modern medicine can't completely cure this kind of thing. Grete touched his chin. Before he traveled through time, the academic community was still not very clear about the cause and pathogenesis of gout. The treatment method is to advocate diet control, reduce uric acid, reduce inflammation, relieve pain, and if necessary, surgically remove tophi——

As for a cure?

The Level 6 [Medical Skill] claims to be able to get rid of all diseases and injuries, but I don’t know if it is effective. If that doesn't work, you should try something like the [Great Wishing Technique]...

The other person was still staring at him eagerly. Gretel thought for a moment and started talking nonsense:

"You get this disease because there are too many harmful things in your blood. It should be possible to purify all the blood, filter out these things and then reinfuse it into the body. But how to purify it and how to protect you after the blood is released? I don’t know about his life..."

There is a saying, dialysis or something like that is indeed good for lowering uric acid. As for going too far, clinically speaking, it's usually not that serious. Well, since his liver can't produce a dialysis machine here, he can just get high.

Grete shrugged. The fat man's fat face turned white and blue, then blue and yellow, and cold sweat broke out. He bent down again and hurriedly wanted to leave, but Gretel stopped him:

"Why be anxious! I haven't finished speaking yet! - Remember to drink at least four glasses of water every day, exercise moderately, but don't be too tired; eat more fruits and vegetables; by the way, don't eat asparagus. ah!"

"Then what else can I eat-"

The fat man howled miserably. Gretel folded his arms, unmoved.

He has seen many such people. If you agree well in person, you will indeed avoid it for two days, and you will forget about it in a week at most; then, it can take as little as a month, as long as half a year, and then you will rush to the hospital and call the doctor for help.

Fortunately, for diseases like gout, emergency surgery is probably not something you need to worry about. In addition to having a headache when seeing high uric acid levels during surgery, I also heard complaints from colleagues in the department next door:

"That old patient is here again..."

After explaining the precautions, giving the medicine, and explaining how many times a day and how many pills to take at a time, Grete waved his hand and let him go. The fat man cherished a small box of white pills. He bent slightly, arched his neck, and walked forward like he was holding a pearl. When he reached the door, he suddenly turned back:

"Master Priest, you are so awesome! You are right in everything you say! - I have several friends who are like me, and I asked them all to come to you!"

Gretel: "...???"

Is it all gout?

Don't, I don't know how to relieve pain. I haven't mastered ultrasonic lithotripsy yet. The accuracy is very limited. Even if I inserted a urinary catheter, I couldn't find a suitable vine... I later asked Brother Matthew for help...

If you introduce me to a lot of gout patients, what I can do to help them is really limited!

Gretel returned to his seat filled with anxiety. Pastor Matthew was standing beside his table. Before he could speak, Grete rushed forward and grabbed him:

"What medicine did you give him?"

"Colchicum powder - add some starch, add honey, knead into a ball -"

"Powder? Just powder? How much powder is added to how much starch? Is it mixed evenly? How is it mixed in?"

"Shake, mix well..."

Grete rubbed his forehead. Colchicum, brother, that thing is poisonous. Just shake it and mix it well. What if there is more and less somewhere? This is not a pancake. If you don’t sprinkle the salt evenly, you can only eat one salty bite. This will kill you!

Also, even if the colchicum powder is really mixed, does the colchicine content of colchicum powder from different plants and different parts have the same amount? Even if you think about it, it's impossible...

What if you are unlucky and happen to hit a part with a high content, and happen to hit the powder without mixing it evenly? If you eat one pill, it will be ten or twenty times the average amount?

Don’t look at the beauty of the painting.

Grete pouted. It’s okay if you didn’t notice it before. If you notice it, you can’t just ignore it. He raised his head and glanced above the floor:

"Brother Matthew, is there colchicum powder in the alchemy room? Can I use it?"

"Yes! It's on the second floor. You can use it if you want!"

"okay!"

Gretel ran up. He had searched through his memory before and actually found several papers on measuring the content of colchicine in medicinal materials. In short, based on dry weight, the average content is approximately 0.30%. That's easy, I'll do it myself!

Gretel rolled up his sleeves and worked hard. Same thing, set up a balance, a test tube, a square beaker... One gram of colchicine powder contains 0.3 mg of colchicine. The usual dosage for adults is 0.5 to 1 mg every 1 to 2 hours, no more than 6 mg per day. 6 divided by 0.3 equals 20, then...just dispense the medicine!

Weigh out 20 grams of colchicum powder, divide it into 5 equal portions, place them in an Erlenmeyer flask, and add 100 ml of alcohol to each portion. Fix it on the vibrating stand and vibrate vigorously for 15 minutes - Grete shook the vibrating stand so hard that his hand almost broke, and he strongly doubted that he could not reach the vibrating frequency. But what the heck, that’s it!

Filter, let stand, and then add evaporated alcohol to obtain crude colchicine extract. I don't care if there are any strange things in it. In short, add a little water to dissolve the crude extract, weigh 12 grams of starch, and mix the dough with water. Knead and knead, knead into dough, roll into long strips, cut into 12 parts, perfect!

Each pill contains 0.5 mg, and this batch is enough for one day. Maybe the content is not particularly uniform, but it is definitely much more uniform than the medicinal powder mixed directly into the balls. Next time you have the conditions, remember to measure the content. Well, how do you get a UV spectrophotometer...

Gretel shook off the long-term goal, put away the pills with satisfaction, and found a small bottle to put them in. I wanted to find a rabbit or something to try, but I heard someone shouting from below:

"Master Priest, I'm introducing a patient to you!"

No...

Coming so soon?

Thanks to MewGulf99 for the 100 starting coins

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