Chapter 543 If Humans Can’t Cure It, Let’s Cure the Dog with Blood Clots.
"Good words can't persuade a damn ghost..."
Grete stood on the steps of the hospital, watching the patient walk away, finally shrugged and returned helplessly. Is there any way? The hospital has no law enforcement power and cannot detain the patient and force him to be treated!
In his previous life, the doctor would have been able to drag the patient along and persuade him hard. In this world, a new problem arises:
The patient's force value is too high and he cannot be defeated.
I don’t know whether this patient is a level 3 or level 4 warrior. In short, if Gretel doesn't use magic, he can't defeat or keep Gretel with his mere level 1 warrior skills...
He had no choice but to return to the hospital, call all the healers on duty who had no work to do, and began to popularize science:
"For the patient just now, the cause of toothache is not a problem with the teeth, but a problem with the heart. Around the heart, the blood vessels that supply it are blocked, leading to myocardial necrosis, which will be implicated in other parts, above the navel, below the teeth, including the teeth. Referred pain from myocardial infarction may occur!”
"If several teeth hurt and you can't determine which one it is; for example, treatment and pain relief still can't relieve the toothache; if you find no disease in the teeth after examination, and there are myocardial ischemia changes in electrocardiogram, etc., you should be alert to myocardial infarction. !”
"Anyway, memorize that electrocardiogram magic! Don't just wait for the automatic alarm. When you see an abnormal waveform, you need to know what's going on!"
The healers nodded vigorously with grimaces. I'm going to die. How can I memorize so many messy electrocardiograms?
Ever since I arrived at Oak Grove Hospital, I have had to carry a lot of things every day. Before the old ones were finished, new ones were coming down. In the past, it was all about throwing away healing skills, it was such a simple thing, but now...
"Then, how to treat it?"
A young priest from the Order of the God of Nature raised his hands tremblingly. Gretel was stunned and sighed.
The treatment of myocardial infarction has already had a mature plan in previous lives. Intravenous drip thrombolysis, catheter thrombolysis, thrombus aspiration, if not possible, stent placement, or coronary artery bypass grafting...
Of course, it must be supplemented with a series of treatments such as pain relief, antiplatelet, anticoagulation, antiarrhythmia, antishock, and antiheart failure. But the problem is that most of them he can't do.
Thrombolysis? Urokinase, streptokinase, tenecteplase, alteplase and leteplase, which ones are the same?
Coronary artery bypass grafting? It was as if the patient was willing to let him open his chest;
DC cardioversion? Sorry, although he is a disciple of the Lord of Thunder, he can still generate electricity with his bare hands to perform DC cardioversion;
Thrombus aspiration... The whirlwind he launched at the entrance of the vine was able to aspirate the normal saline in the abdominal cavity, and aspirate the thrombus in the blood vessels... He was afraid of rupturing the blood vessels together...
I miss the negative pressure suction device from my previous life...
His face became darker and darker, and the therapists in front of him became more and more uneasy. The priest of the God of Nature, who was the first to speak, shrank his neck and said first:
"I'm going to carry it!"
"Yes, I'm going to carry it!"
"I'm going to carry it!"
The healers dispersed. Facing a group of students who were running away in a hurry, Gretel was stunned:
"..."
Actually, what I want to say is that I have some ideas, but I need to try them...
He turned around silently and returned to the research building deep in the hospital. The Necromancer and the Necromancer apprentices are busy, each performing their duties: those who take dog saliva, those who cut up rabbits, those who inject rabbits, those who inject rabbits...
The research and development of rabies vaccine is proceeding in an orderly manner, but no decisive results have been achieved yet.
Gretel turned around and completed the inspection and guidance. Then, he dragged out a hound that was raised alone and started his experiment today.
This experimental dog with patent ductus arteriosus has survived for a week without any abnormality. Grete skillfully fixed it, used the tranquility technique to restrain and relieve the pain, and prepared the skin on the right lower limb and chest...
It is impossible to heparinize the whole body. First, hold a dry leech in your hand, activate the anticoagulation spell, and sweep it over the dog from head to toe. Then, the little snake jumped out and sank into the dog's body.
Right heart catheterization cannot be performed, so echocardiography will be used instead.
Anteroposterior and lateral angiography of the descending part of the aortic arch, look at it with the eyes of the contract spirit.
After making sure everything is correct, he cuts the right femoral vein and inserts the vine. It follows the direction of blood return and grows all the way to the heart——
Small snakes swim side by side inside the limbs of experimental dogs. The spirit of the contract provides another pair of eyes, guiding the vines up, up, up.
Pass through the femoral vein, inferior vena cava, right atrium, right ventricle, main pulmonary artery, to the catheter between the aorta and pulmonary artery, probe into the descending aorta, pop up the head and immediately retract, turn sideways, and touch the catheter and descending aorta. The junction of the aorta...
Misty white light emits from the silver threads at the tips of the vines, guiding the blood vessels to grow inward and close into a circle little by little. In the little snake's illusory vision, with every heartbeat, the blood flowing from the aorta to the pulmonary artery became less and less until there was no leakage.
very good!
Pull back the vine, pull back the silver wire, and fall on the connection between the catheter and the pulmonary artery, guiding the blood vessel growth again!
The operation has been considered a success up to this point. Gretel exhaled, slightly pulled out the silver wire, put his fingertips on the dog's chest, and turned on the B-ultrasound spell.
Under echocardiography, the blood ejected from the left atrium surged out, and not a drop entered the pulmonary artery.
Perfect!
Withdraw the vines and the silver threads that guide energy!
A treatment was performed, the femoral vein incision was healed, and the experimental dog was returned to the cage. Then I checked the dogs that had been operated on one by one, and sure enough, the one that had been operated on seven days ago was lying on its stomach, looking very depressed.
Gretel took a deep breath, threw himself a [Mechanized Mind], and turned on the communication technique. In an instant, severe fear and pain rushed over me like a sea wave:
"It hurts, it hurts!"
"My chest hurts so much!"
"I can't breathe anymore..."
Gretel was expressionless. Fortunately, with the protection of [Mechanized Mind], he was not overwhelmed by this crazy emotion while receiving the information. He disconnected and summoned the little snake again:
[Go in and take a look——]
Rub, blood clot!
Okay, the vines and silver threads enter the blood vessels, stimulate the coagulation mechanism, and the possibility of causing blood clots is indeed not small. Grete turned around and brushed up the records: [Systemic heparinization] released by leeches needs to be strengthened to avoid the formation of blood clots...
So, what should we do if a blood clot has already occurred?
Before entering the laboratory, the idea of treating patients with myocardial infarction flashed through Grete's mind. Very good, myocardial infarction also requires thrombolysis and thrombectomy. There happens to be an experimental dog with thrombosis here. Let's try it first?
His fingertips were covered with white light and he pressed silently:
【Remove disease】!
****
It’s so difficult, so difficult. Interventional occlusion of patent ductus arteriosus has four major categories and N minor complications... Little Gretel has to sort out all of these before she can go back to treat her sister...
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