Chapter 471 Wow, There Is Water in His Chest! (Just Like the Black and White Silent Film Leader Plus Update 8)
Gretel quickly stood up and sat opposite the old man.
Coughing up blood, or hemoptysis, is no small matter. Clinically, hemoptysis can be severe or minor. Often, when there is severe hemoptysis, it is too late to save the patient and the person dies. Grete was in the emergency department in his previous life, and he had seen and rescued more than one or two people.
Although the old man looked fine and didn't need much help as he walked in, there was nothing wrong with being careful.
He occupied the seat opposite the old man, and the gouty businessman could only sit by the wall. As for the God of War Priest Mark, he didn’t even sit down, but just stood beside him. Seeing his face full of concern and even a little nervous, Gretel felt moved and asked casually:
"Have you ever been treated?"
Mark smiled bitterly and nodded. Grete withdrew his gaze and glanced at the wealthy businessman with gout. These two people really don't look like father and son. The white-haired old man is skinny and skinny, but his son is so fat that he is almost swollen. It looked like all the fat from the father's body had been transferred to his son.
However, no matter whether he is fat or thin, he is still far away from being a warrior - Grete thought so and asked casually:
"It was actually treated by the God of War Temple? I thought you would go to the Spring Water Temple for treatment!"
The gouty merchant immediately got back on his feet. He glanced at Pastor Mark and smiled bitterly:
"Don't be joking. - How can little people like us enter the gate of the Fountain Temple? The Temple of the God of War is better..."
At least, as long as the offerings are in place, there will definitely be healing...
While examining the old man, Grete listened to Pastor Mark's medical history and quickly understood everything about the situation. Pastor Martin had obviously treated them several times. The medical history, basic situation, diagnosis and treatment process, and relevant gossip were all poured in——
The old man's name is Carlyle. He is 72 years old. He served in the navy when he was young and later was stationed in the New World for ten years. Smoking and drinking, I haven’t forgotten anything. It’s hard to calculate the amount of pipes and cigarettes, but I have been smoking for at least 40 years.
… If you don’t cough up blood, who will? Your chest has been cut open, and your lungs are already black, right?
Gretel was prepared to see lung cancer and continued to listen. According to a joint statement by Pastor Mark and a wealthy gout businessman, old man Carlyle coughed up blood about seven or eight years ago. The treatment method is to apply a healing spell...
The surgery can cure the disease and the effect is outstanding. Of course, there is nothing we can do if the old man continues to smoke, drink, and cough when the weather changes. But when it comes to coughing up blood, it didn’t happen for the second time until two years ago.
"And what about this time?" Grete asked while recording. The gout rich businessman smiled bitterly:
"This time I went to sea with the ship. I came back half a month late, and the old man refused to go to the temple. When I came back, I took him there. The treatment could only alleviate it, but not cure it. [Remove Disease] was cured on the same day , it relapsed within half a month... By the way, it hurt a lot when I was treated on the same day..."
Level 5 priests are already the backbone of the temple. If I look for someone of a higher level, the old man won’t let go of the money. I had no choice but to hear that a new treatment center was opened here in Grete, so I brought the old man to try his luck.
"Is there a lot of phlegm? What kind of phlegm? Is there a fever? How high is the fever...forget it, high fever or low fever? When does the fever occur? Apart from coughing and coughing up blood, is there any other discomfort?"
Gretel asked as he reached out and touched the old man's forehead, which seemed to be a little warm. He stood up and took out a thermometer and asked the old man to hold it in his mouth to measure the temperature. He took out the stethoscope himself, put it on his chest and back, and listened carefully bit by bit:
Hmm...the heart sounds are basically normal, and the heartbeat is a little fast, but not too fast. A small amount of crackles can be heard in the right lower lung... Just from the breath sounds alone, I feel fine...
Grete lowered his head and wrote quickly. The patient developed cough and yellow phlegm after catching a cold 3 weeks ago. The phlegm was thick and easy to cough up. The cough is paroxysmal, obvious in the morning, and the above symptoms worsen later, accompanied by fever, high body temperature, and irregular heat pattern...
He took a breath and took a look at the thermometer. It was 37.2 degrees, a low fever. Okay, it shows that [removing disease] is indeed effective...
One week after the onset of the disease, [Treatment Technique] was given, and the fever subsided slightly, but the disease recurred on the third day. After 2 weeks, [Remove Disease] was given. During the treatment, severe chest pain on the right side occurred, which was sharp and unrelieved and accompanied by heavy sweating all over the body.
What the hell is this history of treatment? I’m so used to it...
Gretel sighed. After writing the past history, I started to write down the physical examination and diagnosis: body temperature 37.2°C, pulse 85 beats/min, and respiration 20 breaths/min. Blood pressure... The blood pressure is still unclear. I remind myself for the 1100th time to take out the blood pressure monitor as soon as possible...
Conscious, acute facial appearance, wheezing, no cyanosis of the lips, soft neck, centered trachea, and no distended jugular veins. A small amount of wet rales can be heard in the right lower lung.
initial diagnosis……
As I write this, my pen pauses. The gouty wealthy businessman immediately asked nervously:
"How's it going, Reverend? Is my father cured well?"
Grete stopped writing, looked at him, and then at Pastor Mark. Based on the current auscultation results, the first thing to consider is infection of the right lower lung. However, if it is a simple infection, it should be cured no matter what if it is treated with a treatment or [disease removal]...
So rule out pneumonia first. Next, what will be the reason?
"We need to do some other inspections." Grete groaned, took out the oak stick, and pointed it at the old gentleman's back:
On the top of the oak staff, a tree root quietly curls up the [Endless Ink Pen], shining in the meditative field of vision. Very good. I don’t have the conditions to do a CT scan. Let’s take a chest X-ray first~~
Pastor Mark stared at Grete's every move, his eyes not wanting to blink. He looked at the oak staff, at the patient, then at Gretel, and suddenly narrowed his eyes:
"[Detect Magic]?"
"Not bad!" Gretel smiled at him and raised his thumb. Pastor Mark shouted softly and almost threw himself on the patient's chest:
"What's this?"
He moved his fingers back and forth on the old man's chest, outlining one line at a time:
"Ribs? Is this a rib? It should be a rib - and this, what is this? What is this big bright thing? Is it really lungs?"
The gouty businessman looked at his father, then at Pastor Mark, and rubbed his eyes hard. What ribs? What did he miss? Why are my ribs visible when I'm wearing clothes?
Grete smiled and made a gesture to him to calm down. Then, he turned to look at Pastor Mark, and then he had time to be surprised:
Amazing! Without any prompts, he immediately recognized the fluctuations of [Detection Magic], and then he followed my example and observed! And when you first look at it, you can recognize the ribs and lungs!
He simply pointed at the old man’s ribs and explained a few more words to Pastor Mark. After all, the spirit of contract is very difficult to obtain. [Detection Magic] is cheap and large, and can be used as a daily check:
"Look, these are the ribs, and the middle one is the spine...the middle is the heart, and the bright things on both sides are the lungs. Well, there is something wrong with the lower part of the right lung. Do you see it? It's right here..."
Pastor Mark nodded repeatedly. Although the wealthy businessman with gout couldn't see anything, he moved forward desperately, as if he could know his father's condition earlier if he got closer.
Pastor Mark opened and closed his eyes for a while, looked at the place where Gretel was pointing, then closed his eyes again to compare with the meditation field of vision, frowned and said:
"I saw it, so what's going on? How to treat it? - Just use the healing technique?"
He raised his palm slightly, his fingertips glowing white, wanting to release directly to the lesion. Grete pressed it casually:
"This alone won't do. Look, there is a concave arc here on the old gentleman's right chest. Do you see it? - Old gentleman, please come over here and lie down slowly on the bed, lying on the opposite side, facing me..."
The wealthy businessman with gout hurried over to help him. Grete picked up the oak staff and put it behind the old man's back. Throw another [Detection Magic], and the concave arc is still there, but it has changed from parallel to the ribs to perpendicular to the ribs.
"What is this?" Pastor Mark stared at the arc and was extremely surprised:
"It will change position!"
"What? There is a line inside my father's chest that changes position?"
The gouty wealthy merchant immediately screamed. In a hurry, he kicked his toes on the corner of the examination bed and yelled "Ouch". Grete looked at him sideways:
Have you suffered from gout again?
I can't care about it right now. He pointed to the arc and told Pastor Mark:
"What do you think could cause this? Think about it?"
As he spoke, he took a cup, poured half a cup of water, tilted it to the left, and tilted it to the right. No matter how you sway, the water level never changes. Pastor Mark’s eyes lit up:
"There's water in the chest! Uh, no..."
There should be water in the chest! Cut open the chest and there is blood inside! There are other liquids...but...
"Pleural effusion." Grete told him the proper noun seriously:
"This is in the chest, where there shouldn't be any fluid. There is a lot of fluid. So much fluid is pressing down, so the old man will feel chest tightness, wheezing, and difficulty breathing. Now, we have to solve a problem first -"
He turned to Old Man Carlyle. After some explanations, the old man lay down on the treatment bed, with a vine inserted under his right armpit and the other end directly immersed in the glass bottle. After a while, yellow-white liquid gurgled out and spread under the water in the bottle.
"ah……"
Pastor Martin stared at the liquid spreading under the water without blinking. As a Ares Priest, he is very familiar with liquids of this color:
"Is this suppuration?"
"It's pus." Gretel nodded slightly:
"It is not impossible to release the healing spell and let the human body absorb the pus on its own. However, the burden on the human body and the consumption of the healing spell are too great, so it is better to drain it out. - Your God of War Temple does the same thing, right?"
But we couldn't see the pus in the chest, and we didn't dare to do anything to the inside of the chest. Pastor Mark secretly remembered the details of Grete's operation, and the gouty businessman had already pounced on him:
"Will it be fine if the pus is drawn out? Is it fine? My father will be fine, right?"
"Not that fast." Gretel squinted his eyes and stared at the lesion in the old man's right lung:
"We still have to take a look at what this suppurating thing is..."
"What do you think? Cut open?!"
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