Chapter 502 I Am only Half Sure, Can I Save You?
The old man kneeling in front of the shrine is obviously a powerful figure in the family. He agreed, and no one around him objected - including the child's father and relatives of the child's mother, who all remained silent.
Well, someone has decided on my favorite family group! What I like the most is when someone makes the decision with one word, and everyone on the sidelines shuts up!
I was most afraid that the patient was in urgent need of rescue. The eldest son said that he needed an operation, the eldest daughter said that conservative treatment was the best, and the second daughter asked the doctor to explain it again, but no one came to pay... After procrastinating and procrastinating, it was difficult to get a result, but there was no result. Rescue is necessary...
Grete silently half-closed his eyes and activated the spirit of contract. A small snake with black stripes on a white background swam out from the oak staff, soared into the air and approached the baby. Just as he was about to sink into the body, the old man suddenly spoke to stop him:
"etc!"
? ? ?
Gretel opened her eyes and looked at him. The old man turned his head and glanced back at the shrine, then turned to Gretel with a slightly embarrassed look on his face:
"...Can you change a room?"
Grete almost laughed. understood. The spirit that controls the contract is regarded by you as the god of nature - or the power of any god. The healer is also a magician. You don't want the goddess of the spring to watch, do you?
It is said that the sight of the gods is far-reaching, and you can't just change rooms... How do you believe this belief... But okay, this small request is based on the thoughts of the patient's family, and it is completely no problem!
The crowd moved to the next door in great numbers. This room is much smaller than the hall next to it. Except for a few big guys above level 10, no one else is embarrassed to squeeze in. Only Pastor Matthew was called in by Grete:
"Brother Matthew, give me a hand!"
He handed Matthew the Fountain Pen oak stick, sat down at the table, spread out the manuscript paper, and half-closed his eyes. The little snake swam out silently and sank into the baby's body from between the legs.
Soon, the oak staff stretched out a tree root, and rolled up the [Endless Ink Pen] to sketch.
The scene seen through the eyes of the virtual body is quite different from the scene seen directly by X-ray, B-ultrasound, CT, MRI, or even the surgeon after opening the abdomen. The skin is next to the muscles, the fascia wraps the blood vessels and nerves, and the intestines travel under the mesentery...
Without a pair of keen eyes and insufficient spatial imagination, even if you see it, you don't know what you see.
Fortunately, Gretel had a solid foundation in his previous life and knew the anatomy by heart. While watching at the moment, he manipulates the [Endless Ink Pen] to outline the situation inside the child:
Well, with high anorectal atresia, the blind end of the rectum is already above the levator ani muscle... If surgery is performed, the rectum that needs to be freed will be longer in order to pull through the levator ani muscle and anastomose directly with the anal orifice below. …
I looked to the side and saw that there was indeed a rectovesical fistula. Grete controlled the [Endless Ink Pen] and drew an ink dot at the corresponding point of the fistula:
Fortunately, there are treatments available, so healing here is not difficult. In the previous life, with open wounds and fistulas, it would have been too difficult. Look at those patients who suffered from anal fistulas and suffered from life and death.
Moving on... There is no abnormality in the sacrococcygeal area, which is great. The anatomical structure from the coccyx to the lumbar spine, including the nerves, is normal. There is no atresia or stenosis in the intestines. This child is very lucky. He has no missing kidneys and no other problems with the urinary system...
"What the hell is he looking at?"
"I don't know. The entire intestine is drawn. How long is the human intestine?"
"It seems to be so long...Isn't it just that the bottom piece is missing? I need to draw so much?"
"He's still drawing the heart!... Is this the heart? It's so vivid. Is this really a disciple of the Lord of Thunder? Are you sure he's not a disciple of the Immortal?"
Several big guys on the side were whispering. The child was still crying, and Grete sat upright with half-closed eyes, motionless. They had nothing to see but Grete's drawing paper.
One, two, and after a while, four or five people stood in a semicircle, surrounding the desk.
There are ink marks on the drawing paper, filling one page and changing it to another - thanks to Pastor Matthew's diligence, changing Grete's manuscript paper one by one...
From the pelvic cavity to the colon, ileum, cecum, and the internal organs, the heart is specially described in detail. Continue upward, even the esophagus is drawn, turn around again, and carefully outline the anatomical structures near the rectum and anal canal:
Pelvis, muscles, ligaments, fascia; blood vessels, nerves, lymph; kidneys, ureters, bladder, rectum...
He drew three large pieces of paper the length and width of his forearm on the area of the baby's pelvic organs that was the size of a fist. The bosses bumped heads and looked at each other with bated breath for a long time before realizing that he was drawing three views of the same part:
Slice from the front, slice from the side, slice crosswise...
"As for it being so troublesome..."
Archmage Novak whispered. But the archbishop of the God of War Temple's eyes shone as he stretched out his hands and then retracted them, then retracted them and stretched them out.
From the looks of it, if Gretel hadn't been afraid that these pictures would be useful, he could probably roll them up and put them in his pocket.
"I understand." Gretel half-closed his eyes and sat upright for nearly an hour before opening his eyes and getting up. He turned to the old man who had made the decision before, with a serious face:
"I may be able to save this child...but I'm only half sure at best."
half?
He actually said he was half sure of a disease that many high-level healers were helpless to treat?
Pastor Matthew took a breath of air. The other people present were all high-level healers. They did not lose their composure like him, but they exchanged solemn looks. Archmage Novak was the first to ask:
"How do you plan to treat it?"
The conscience of heaven and earth, he brought this little guy, but don’t reach out just to show off—or out of a moment of unbearability!
If the treatment fails, even if others are concerned about the Lord of Thunder, there will be some minor trouble!
The room was filled with silence. Five or six pairs of eyes focused on Grete. The old man who had decided to let Grete investigate muttered, looking forward to and worried at the same time:
It would be nice to hear the treatment ideas first, but most mages have a proud temperament. If they are asked to explain, will they feel distrusted and die in anger?
Especially since this healer is young and is a disciple of the Lord of Thunder. Such a person will probably have a bad temper...
Grete, on the other hand, has no idea of "I am a spell caster, I am the boss, whatever I say should be done". Doctors explain to patients' families that this is a matter of course and they have long been used to it.
He raised his hand slightly, and a drawing immediately floated up and hung in front of everyone's eyes:
"Look, the child's rectum is here - under normal circumstances, the rectum should grow all the way down to the bottom, which is the anus." He gestured vaguely on the drawing and moved his fingers down along the rectum. Move to edge:
"But now, the rectum has not grown this long, so we have to make an incision in the skin, pull the rectum down to the outside, and then cut it open and sew it together with the skin..."
The whole room went silent for a moment. Gretel's words were very simple and everyone could understand them. However, after thinking about it for a moment, more questions emerged:
"Can the rectum be pulled down? Will it break?"
"Oh, no. The rectum itself is elastic and will not break. But the premise is that the rectum and the things around it - blood vessels, nerves, omentum, lymph - are all separated. Otherwise, it will really happen. Something happened..."
"Pull it down and sew it together with the skin. Can the child poop normally? Will it keep leaking?"
"This won't happen either - I just checked and there is still a sphincter in the child's anus -"
Grete bent down slightly and patted the baby. The child was suddenly awakened and cried loudly. He pressed his finger on the place where the anus was and turned to the old man:
"You see, there is a little bulge here, and you can feel the impact. If you connect the rectum here, and the muscles contract, you can control defecation."
A group of people took turns to come up and touch it, and nodded. Immediately afterwards, there is the next question:
"There was no opening here originally. If I cut it open by force, would it be impossible to pull it out?"
"This... the anus needs to be continuously expanded later..."
The healers' questions gradually ceased. The old man looked at the picture Grete had drawn carefully and asked him seriously:
"Why do you say you're only half sure? What's the danger?"
"First of all, the child is too young." Gretel took a deep breath:
"Even if the treatment can stop the bleeding and relieve pain in time, I'm not sure he can survive the damage caused by the surgery."
The healers all nodded. Treatment, growth and healing all consume the body's own strength. It's normal for such a young child to not survive.
"Secondly, when a child is just born, the blood vessels and nerves next to the rectum are only as thick as a hair. If even a little bit is damaged during the incision, separation, and pulling process, the child's future recovery and defecation will be greatly affected. "
The old man nodded in understanding. Although he doesn't know what nerves are, he can still understand that the younger the child, the thinner the intestines, and the smaller the blood vessels. I thought about separating two hair-thick things without damaging them at all...
Even if he is a level 12 great knight with sharp eyes and steady hands, thinking about this difficulty can't help but give him a headache.
"Finally, this is my first time to do this kind of surgery. I'm not familiar with it, so it's especially easy for problems to occur." Grete's words are absolutely true. He only performed emergency surgeries that were fatal, such as liver suturing, spleen removal, kidney removal, and even intestinal suturing. He had done it very skillfully in his previous life. But further down the line an anoplasty…
Leave all the things that are not urgent and life-threatening until the anorectal department comes to take over!
Speaking of which, the time in his previous life when he was most familiar with the anatomical structure of the rectum-anal canal was when he suffered from mixed hemorrhoids and was lying in the anorectal department of his own hospital...
Forget it, it’s hard to look back on the past. Gretel shook his head and confessed the last influencing factor:
"Also, even if it is saved, the child will still need to undergo anal dilation treatment for a long time, which will last at least six months to a year. Treatment or not depends on your decision."
****
Reading the paper, even if children with anal atresia are cured, they still have to undergo follow-up anal dilation treatment for a long time. The quality of life of the children and their parents is lower than that of the general population...
All living beings suffer, alas...
I weakly stretch my claws to ask for a few votes...