Chapter 321 Mass Intestinal Surgery! Fight!

Encouragement equals a shot of adrenaline?

So what does it mean to charm humans? Hormones? Dopamine?

What does the signature self-defense spell of the confusion control system, the mechanized mind, mean? Temporarily shut down all pain sensations and cut off pain nerves? No, it is said that magicians with mechanized minds will not feel the pain, they just don't care and can only calculate calmly... So what is the principle?

And, the adrenaline injected into the Encouragement Technique—if this is really the principle—how do they control the dosage? For example, is it accurate to 0.5 mg to 1 mg each time? You know, too much of this stuff can cause cerebral hemorrhage, myocardial ischemia, and arrhythmia!

...By the way, the adrenaline generated by the inspiration technique, is it norepinephrine, epinephrine, or isoproterenol? Or does it not differentiate and directly stimulate the adrenal glands, "Hey, get up and work"?

Gretel's thoughts were racing, and for a moment, he wanted to catch the subject and check it - what was he thinking, of course it was just to test the catecholamines in the urine. Unfortunately, he now has no time, no energy, and no corresponding reagents. He can only think about this, and then continue to devote himself to the treatment of patients:

"This patient is allergic to penicillin. This kind of special medicine cannot be used, and can only be treated by magic. Intestinal anthrax mainly invades the intestines. If the intestines rupture, the bacteria may also multiply in the blood, and the toxin may also affect the brain."

Gretel hurriedly explained, bowed to the high-level healers present, and walked away quickly. It is an unwritten rule in the hospital that unless the patient is about to die and urgently needs to be rescued, he generally does not run and can only walk quickly in small steps.

On the one hand, this is done to avoid causing panic, and on the other hand, it is also done to avoid hitting something, such as a flat cart being pushed, or a tray with medicine in the nurse's hand...

Grete's legs alternated rapidly, running from one hospital bed to another, and from one ward to another, like a race walker. Along the way, people kept stopping him:

"Sir, the latest batch of test results are out! In the batch you left a note, the probability of detecting pathogenic bacteria is as high as 60% or more!"

This batch of samples sent for inspection are all water samples from water pipes in 12 buildings and even main pipes. Gret nodded, quickly used [Mage Trick] to write a line of words, and pressed his own secret mark:

"The situation is obvious. The entire water supply system is contaminated. Take my note and go to the review committee - which is in the ward now - and ask them to authorize a thorough investigation of the upstream water source of this water supply company!"

"Sir, there was a conflict between the patrol team and the family members of the patients in the isolation area! More than ten people have been injured so far!"

Grete turned back from the hospital bed. With a stroke of his hand, he cut out a piece of bed sheet and left the following writing:

"Let Bernard go there and watch!...Then go to the Emergency Management Department and ask them to send a few more magicians over to group-charm the humans for me!"

The second apprentice ran away. In less than two minutes, the third apprentice ran over again:

"Sir, there are too many patients and not enough beds!"

"Extra bed!" Gretel didn't even have to think about it. Extra bed? It's a traditional skill in public tertiary hospitals. "In the ward, in the corridor, add them up! Those who are confirmed to have been cured by magic will be thrown into the isolation area." , free up the bed!"

"Sir, many patients have diarrhea in the bed, and no one changes the sheets..."

"..."

Behind Grete, the two committee members walked slowly, taking in all the conditions in the hospital. While watching, they whispered:

"The little guy is in a hurry."

"Such a large hospital is too strenuous for him."

"That's right, he probably doesn't have the experience to run such a large organization - a hospital with 1,000 beds cannot be supported by him alone with dozens of apprentices..."

If Gretel heard their discussion, he would definitely cry out. inexperienced? How come you have no experience! I haven’t eaten pork and I haven’t seen a pig running?

I don’t know how many medical staff, administrative staff, and even cleaning and security support a large public tertiary hospital requires?

The question is, what can I do to get people?

The Department of Public Health was just created, and the role of infectious disease hospitals in curbing the spread of the plague and treating a large number of patients has not yet been proven. If this hospital only faces the plague, it is destined to be a tidal institution. It usually has few patients, but once the plague breaks out, it will face a tsunami!

Well, if we usually have a group of people sitting inside and doing nothing, let alone the review meeting, it would seem unreliable. When Grete thought about it himself, he felt that it was impossible to apply for a budget.

"You said, if we let the little guy leave the hospital to others, he will only be a healer. Will he be unhappy if there are patients?"

"This... when the matter is over, we can talk to him more tactfully? After all, it is something he worked hard to build..."

Gretel didn't know that someone was already planning to share his troubles, and they were worried that he would be unhappy. The problems piled in front of him grew linearly at first, but now, they have almost grown exponentially!

"Sir, patient No. 113 on the first floor has severe abdominal pain!"

"Sir, the temperature of patient No. 65 on the first floor is abnormally high!"

"Sir, patient No. 37 on the second floor actually vomited feces! Ugh...that guy's stomach is as hard as a wooden board, and he can't press it down!"

"gentlemen……"

coming.

Gretel thought.

The arrival of penicillin was indeed slow and failed to catch up with the progression of intestinal anthrax.

This disease starts with abdominal pain, bloating or diarrhea, plus fever. If antimicrobial treatment is not given in time, as pathogenic bacteria multiply, intestinal bleeding, intestinal perforation, intestinal obstruction, and intestinal necrosis will follow. The germs enter the blood, develop into sepsis, and the patient quickly dies...

It is not difficult to treat. In addition to antibacterial treatment and symptomatic and supportive treatment, what the doctor needs to do is to explore. For bleeding, perforated, and necrotic intestines, repair when necessary, amputate when necessary, and anastomose when necessary.

But how many patients need surgery now—

Indications for laparotomy flashed through Gretel's mind, one, two, three, four... combined with the symptoms of intestinal anthrax, combined with the diagnostic capabilities of these students...

It is unreliable to expect them to learn to read X-rays immediately. It is unreliable to expect them to be able to determine that peritonitis has a tendency to spread. This requires a period of observation. Now it is unreliable for an apprentice to take care of the busy appearance of dozens of people. It is unreliable to expect them to learn to touch it immediately. Diagnosis, auscultation and percussion - I think too much and don’t have time to teach them one by one...

"You guys, do a quick inspection according to the area that each person is responsible for! First, bring all the patients whose stomachs are as hard as a board and cannot be pressed down! Send them to the door of the operating room! Invite more God of War Temple and Spring Water Goddess Healers from the temple, come to the door of the operating room!”

Slab belly! Diffuse peritonitis and plate-shaped abdomen are the most striking features! Send this batch up first, and then think about the others!

"Okay, sir!"

"Sir, how many operating rooms are ready?"

"...Get everything ready first!"

Gretel gritted his teeth. There are not many operating rooms in the infectious disease hospital. When planning the operation, he prepared a total of eight operating rooms. Mainly considering that it was difficult to find people who could perform surgeries, I originally planned to cooperate with Black Crow Swamp and bring over a few necromancers who love to perform surgeries after this period...

But, now, he has to find a way on his own!

Grete walked down the stairs from the fifth floor and rushed to the operating room. The operating room is in a small building opposite the inpatient ward, and is connected to the ward by a corridor. As Grete ran, he watched people passing by and stretchers being carried out of the ward. By the time he rushed outside the operating area, there was already a long row of stretchers lined up against the wall in the corridor outside the operating area.

"One, two, three, five...ten...twenty..."

Gretel quickly glanced at each one, clicked, and took an X-ray. Flat belly, flat belly, still flat belly… free air under the diaphragm… intestinal distension…

With so many patients, how could he possibly do it by himself? Even if he performs an operation in twenty minutes, it will take nearly seven hours for 20 patients!

Not to mention, there are other patients to care for…

Now the only ones we can count on are these healers... While Gretel was changing her clothes and washing her hands, she tried her best to turn around and greet the invited Ares Priests and Fountain Goddess Priests:

"Everyone, does anyone know how to operate? Do you dare to cut open the patient's stomach? Can you tell whether there is necrosis in the intestines?"

The priest took a step back. Led by Bishop Sullivan, the three priests looked at each other and took a step forward:

"If we really need to cut open the patient's stomach... we would dare to do so. However, it is hard to say whether we will accidentally cut the patient to death..."

Three. Even Grete himself only has four. It would be great if there were four more... His apprentices, especially the apprentices of the necromancy department, although they had done several dissections with him, he was still not at ease with the level of operating on a living person...

"Gretel! I'm bringing someone here!"

Suddenly there was a shout outside the door. Gretel turned his head and saw Lin En squeezing through the crowd and quickly squeezing in. Behind Linn, Archmage Edgar and several disciples of Archmage Edgar lined up and smiled at him.

"Little Grete, if you want to cut open the patient's stomach, of course you have to leave it to our necromancer!"

Grete was overjoyed.

"Great! I'll leave it to you! Three people - one Necromancer, one Ares Priest, and one Fountain Goddess Priest, enter a magic room!

The God of War priest casts tranquility, the necromancer cuts open the patient's abdominal cavity, and the priest drains the ascites and dirt! I'll come and see them one by one! Determine which section of intestine is necrotic and needs to be removed, and where can it be repaired and treated! Then clean and close the abdomen before I bother you!

Let's move! Go faster! The faster the speed, the more patients can be saved! "

The high priest of the God of War Temple watched with interest. Seeing the necromancers filing in, he waved his hand and looked at his subordinates:

"Listen to him! Let's go in together!"

****

Another 3,000 words. Counting today this month, there are a total of 22 extra days of updates... (dead eyes)

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