Chapter 440 This Stomach Is Full!

"Bunker, right? Age? Warrior level?... How big is a deer?"

Gretel asked as he inspected it. Well, the breathing rate is 20+ times/min, no rales are heard during cardiopulmonary auscultation, the abdomen is obviously distended, there is tenderness in the upper abdomen, no rebound tenderness, and no other obvious positive signs. You said you ate half a deer. How big was the deer?

The person Gretel had seen in his life who ate the most food in a single time was probably Bernard. At the first meal when they met, Bernard ate most of a roast chicken and a whole roast lamb (one leg of lamb was missing) in one go. By the way, he also drank a barrel of beer!

Then, Gretel watched helplessly as his abdomen was as flat as ever, without any bulge at all. He didn't know where those things went, but from a clinical point of view, the fact that the abdomen was not bulging meant that the digestive system had not lost its ability to peristalsis and digestion, and its working functions were completely normal.

So Mr. Bunker, how high is your warrior level - which roughly determines your food intake and digestion capacity - and how big can the deer you eat be?

"Bunke, 26 years old, intermediate fighter. The deer is about this big..." Someone next to him answered. When it came to the size of the deer, I got stuck for a moment, then stretched out my hand to make gestures. Grete looked up in his busy schedule and couldn't figure out the point:

So how big is it?

Gretel's concept of deer was still ingrained in his mind, and he directly used the sika deer as a template - it didn't seem to be particularly big, at least, it seemed inferior to the largest goat he had ever seen in his life.

As powerful as Bernard was when he ate a whole roasted lamb, he didn't think Bunker could stay on the ground after eating half a sika deer.

And, what level is an intermediate warrior? Compared with Bernard, are you stronger or weaker?

"Bernard! Bernard—" Come over here and see if you can beat him? Forget it, no one answered. Bernard was probably still swimming with weights and didn't follow him. Grete shouted without looking back:

"Cerela, look at this Bunker, who is stronger compared to Bernard?"

"Is there any difference?" The silver dragon girl's voice was vague, as if she was chewing something:

"You can't beat me anyway..."

"..." I thank you!

Of course, I would definitely not dare to say this. First of all, he can't beat Miss Silver Dragon, not in all aspects; secondly, Bunker's warrior level must be above level five, and the [Endless Ink Pen] cannot be displayed after trying it, so...

"Cerilla, lend me your forehead ornament!"

Alas, if it hurts like this, there is a certain chance of perforation. Plain X-rays can still be used to detect perforation and intestinal obstruction. As for other conditions, CT is generally relied upon. However, now that the abdomen is swollen like this and the stomach is full of contents, it has almost changed from a hollow organ to a solid organ. I can probably still take a look at the shape...

"Wow!"

Grete couldn't help but sigh. Cerira heard the sound and came closer. Gretel waved to her and pointed at the patient's abdomen:

"This is the first time I've seen this! - Look, the diaphragm is pushed up to the eighth rib, and the lower part has reached the pelvis!"

"Wow! Really!" Cerira poked half of her head out from behind him, glanced at him, and immediately exclaimed. Brock, the old man with a feather crown, also stepped forward and took a look, but said nothing. As soon as he moved, the barbarian elders came up in a big circle, all looking around:

"where?"

"Don't you see how bloated your belly is? The whole belly is occupied!"

"I saw it on my belly. How did it show up on my chest?"

"This is what he said, 'Is there some special way to see inside the human body'? Can we learn it?"

"I don't know...but he wants a totem beast. If we propose an exchange, maybe we can learn from it, right?"

Gretel turned a deaf ear. He concentrated and continued the examination. Well, the gastric cavity and esophagus were significantly dilated, and a large fluid level was seen in them, which suggested pyloric obstruction; the stomach... The sign of gastric perforation on plain X-rays was a crescent-shaped free gas under the diaphragm, but Gray Look at the stomach. Not to mention the diaphragm, where is there room in the entire abdominal cavity?

Forget it, let's do gastrointestinal decompression as soon as possible.

"Bunker, turn your head to one side and open your mouth as wide as possible! Serira, confine it! I'll do a gastroscopy!"

Grete ordered while manually breaking off his head. Fortunately, Bunker was also very cooperative. He glanced at the old man with feather crowns, saw him nodding slightly, and turned his head to the side obediently. Gretel summoned a floating saucer, and asked people to lift the stretcher up and place it on the floating saucer, and then summoned vines.

The almighty vine travels through the mouth, through the esophagus, and into the stomach. The esophagus was about to come to an end, and soon Gretel frowned:

Can't make it through.

The vine, no, the vine version of the gastroscope, can't get through it.

On the light screen, the lower section of the esophagus changed from healthy pink to bright red representing inflammation, and it expanded and trembled violently. Inflammation of the lower end of the esophagus, spasm of the cardiac lumen of the lower end of the esophagus...

Gastroscope cannot be inserted.

Gretel reluctantly let the vine grow a little thicker, and tried to attract it, but only a small amount of liquid was sucked out, which was not enough. He frowned, stood up and looked around:

"There's only one way."

"What?"

"Open the stomach and take out the contents!"

The hall suddenly became quiet. The elders of each village and tribe looked at me and I looked at you, their faces were ugly. After many years of treating tribesmen, they would sometimes cut off a piece of flesh, drill a hole in the head, or perform an incision on an arm or leg; however, the success rate of opening a stomach is...

Although there are treatments to support the patient, there will be sudden surges of blood, and the treatments cannot keep up; they may seem cured, but then die inexplicably a few days later. There are all kinds of situations. Over time, no one will take the initiative to disembowel someone unless absolutely necessary.

"Are you sure?"

The voice of the old man Yu Guan was still calm. As the most powerful high-level healer within a thousand miles, he naturally has a way to deal with stupid things like overstuffing. With the confidence in his heart, he had time to look at Gretel's methods: It's always good to have more treatment methods, right?

"I... am not particularly sure." Grete pondered for a moment. The suction of gastric contents alone is fine, but the treatment of gastric perforation is more problematic; if there is another piece of necrosis, it will be a headache:

"But if he is left alone, he will be dead."

Not particularly sure, but somewhat certain. Elder Brock nodded: Very good. If he really had to open his stomach, the probability of him saving the person is not particularly high. The young pastor didn’t do all the big things and just boasted, which is great!

"If you are willing, you can give it a try. - Of course, if it doesn't succeed, the totem spirit will have nothing to do with you."

"Okay! Then, please give me a quiet, clean place, and I will take care of you! Cerela, shelter hut!"

"Did you hear that? Stay back!" The loud voice of the old man with feather crowns sounded. Soon, the [Shelter Cabin] unfolded and enveloped Gretel, Serira, the patient who was lying on the bed, and Elder Brock.

Then, the old man Yu Guan saw the servant of the God of Nature shrinking the oak staff and putting it in his chest pocket. He raised his hand and summoned a——

Skeleton.

"you?!"

"There's nothing I can do." Gretel turned to him and gave him a grimace:

"I can't cut it!"

Cerira burst out laughing from behind.

Grete busily scrubbed the patient, prepared skin, and spread drapes. Seven or eight mage hands flew up at the same time, shook out four dark green sterile sheets, spread them on all sides, and then covered them with a hole towel. A few pieces of cloth were covered with it, and in the eyes of the healer, all that was left of a large living person was a bulging abdomen.

Then, Gretel stood on the side of the operating table, handed the scalpel to the Silver Skeleton, and threw a [Demonized Weapon] on the knife.

Grete closed her eyes and concentrated. The silver skull held the knife steadily and slashed with one stroke. Sure enough, the silver skeleton + demonized weapon + dwarf's special scalpel is invincible and unstoppable. With just one knife, a 20 cm long incision was made in the middle of the mid-level warrior Bunker's upper abdomen.

Gretel held his breath and manipulated the silver skull to disembowel it layer by layer. With your belly bulging like this, you can easily scratch the underlying organs if you're not careful, so you need to be extra careful. The peritoneum was opened, and the four mage's hands turned into flat hook shapes, pulling outward slightly. The obviously expanded stomach wall immediately bulged out impatiently.

"so big……"

Cerila let out a small breath. She also flew up four mage hands and took over the work of pulling the hook, so that Gretel would not be distracted. Grete observed carefully that the stomach wall under the shadowless lamp was almost purple-black. He didn't know whether it was due to ischemia or because the stomach wall was stretched too thin, so he could see the color of the stomach contents.

Fortunately, the operation was done quickly, otherwise...

He sighed, manipulated the silver skull, and made a 2-centimeter incision on the stomach wall, and the vines followed closely. This time, there was no need to attract him. The air flow hissed out from the hollow vine, and soon, dark red gastric juice and food residue also poured out.

"Get a basin and catch it!" Gretel shouted. He cut off the spirit controlling the skeleton himself and threw a wind magic at the opening of the vine. The funnel-shaped whirlwind rotates rapidly, forming a negative pressure that gives the stomach contents the impetus to move forward.

attract!

attract!

attract!

Grete carefully controlled the power of negative pressure suction. It can't be too slow, because the pressure in the patient's stomach is so high. If it's slower, more gastric contents will flow out from the perforation. It can't be too fast, because if the pressure is decompressed too quickly, problems with the heart, lungs, and blood pressure will follow. This is the same principle as ascites cannot be drained out too much at one time and urinary catheterization cannot be conducted too much at one time.

As for the things drawn from the vines falling into the floating saucer, emitting a sour stench, Gretel was no longer in the mood to pay attention to this kind of thing.

Control the vines, control the whirlwind, and from time to time, throw in a blood oxygen test, or throw in an electrocardiogram to check the heart rate. Thick beads of sweat quickly broke out from his forehead.

Finally, Bunker's bulging belly deflated visibly. In the floating dish, there was a thick basin of stomach contents, which was estimated to be at least 4,000 ml.

Gretel breathed a sigh of relief and freed up a mage's hand to wipe his sweat. I heard Elder Brock next to me ask:

"Ok?"

"Okay?" Gretel smiled bitterly:

"It's just the beginning!"

****

3000 words completed! Another 3,000 words will be written in the afternoon, and another update will be completed!

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