Chapter 599 How to Prove Your Diagnosis?

Children again.

Another child who appears to have a congenital disease.

I am not a pediatrician, nor a pediatric surgery department, nor a pediatric cardiovascular department... I am an emergency physician, and I am not an emergency pediatrician!

But Grete can't say "I don't want to see it" or "I can't see it." When a patient seeks medical treatment in many ways but gets nothing, and you are his only hope, as a doctor, you have to bite the bullet and take the lead.

Viscount Aylwin, whose territory is northwest of Nevis. This family is known for its bravery, and a simplified version of the family's "Golden Lion Swordsmanship" is widely spread in the military. The above information comes from the gossip that was poured into Grete's ears at an unknown banquet.

However, the eldest son of the current Viscount Aylwin, or in other words, the next generation of the family head, is quite weak. When he reached the age where he could practice martial arts, other children could run and jump, but he would suffer from shortness of breath and heart palpitations if he moved too much. If I get a little more tired, I'll fall down and show you.

If this continues, how can I become a knight and inherit the family fortune?

Although Gretel didn't know why the nobles in this world had to become knights in order to feel that they could inherit the family's glory. However, this did not prevent him from observing the patient while listening to the chattering of the accompanying knight:

The little boy sat quietly in front of him, with his hands folded in his lap. The face is pale, there is no blush on the cheekbones, and no bruises on the lips or nails. It seems that even if there is a congenital disease, it should not be very serious.

Gretel felt a little relieved. He took out a grass seed, slightly revealed the power of nature, turned it into a stethoscope, and smiled at the boy:

"Come on, take off your coat and let me hear your heartbeat..."

Never tetralogy of Fallot, never...

The boy obediently began to take off his coat. The small knight's uniform was made of velvet and each brass button was fastened tightly. It was quite troublesome for him to take it off. His movements were slow, but he didn't stop or let others help him.

Gretel looked on with a smile. After the boy finished taking off his coat, leaving only a soft white silk underwear, he picked up the chest piece of the stethoscope and tried to press it up, but was stopped by the knight:

"What's this?"

"Stethoscope. Can hear heartbeat and breathing."

Gretel handed it to him generously. The knight studied it carefully for a while, then handed it back to Gretel and asked him to auscultate:

"Hmm...the first heart sound is increased...the second heart sound of the pulmonary artery is enhanced..."

"The second heart sound...fixed split...come on, take a breath...exhale-inhale-well, it's not affected by breathing, it's still split..."

"Second intercostal space at the left edge of the sternum, grade 2 to 3 ejection systolic murmur...the diastolic phase is okay..."

"Breath sounds...breath sounds are normal..."

The knight moved around anxiously around Grete, straining his ears to listen to his mumblings, but couldn't hear a single word clearly - even if he could hear it clearly, he didn't know what it meant.

After a long while, watching Grete put down the stethoscope and lie down on the table to write notes, he immediately asked impatiently:

"Can it be cured?"

"...We need to further improve the inspection." Grete glanced at him, squatted down, and looked at the boy's level:

"How about we sit outside for a while? Let me use this thing and take a look at your chest-"

As he spoke, he took out the [Endless Ink Pen] and flashed it in front of the boy. The golden, diamond-encrusted quill made the boy's eyes light up. He reached out to touch it, but quickly retracted it. Grete smiled at him:

"This is my [New Magician Award] prize. Just sit down and don't move. I'll touch it for you after I finish checking it, okay?"

The boy nodded vigorously. Grete smiled slightly, raised the [Endless Ink Pen] behind the boy with his mage's hand, and activated X-ray magic:

Well, the shape of the heart is enlarged, mainly the right atrium and right ventricle... The pulmonary artery segment is prominent, the pulmonary vessel shadow is increased, and hilar chorea sign can be seen...

Based on auscultation and plain X-rays, it looks more like an atrial septal defect. Of course, further differential diagnosis is needed. If it is just an atrial septal defect, it is not difficult to treat and can be treated with interventional surgery~~~

Gretel exhaled slightly, his face softened, he recalled the [Endless Ink Pen] and put it into the boy's hand. After coaxing him to lie down quietly, he finished the ultrasound examination and turned to the knight seriously:

"It can be cured."

"How to cure it? Do you want to use that vine to insert it into the heart? ...What kind of disease does Master Chris have? How can you be sure?"

The knight opened his mouth with a series of questions. Gretel explained it to him carefully and planned to start treatment after he signed and approved it. Unexpectedly, after waiting for a long time, he said:

"Master Mage, could you please write an explanation and I can take it back to the head of the family? It's too dangerous to insert vines into the heart or something like that. I don't dare to make the decision without the permission of the head of the family!"

Hmm...Okay, that makes some sense. Although it is a bit of a headache for parents not to send their children to see a doctor in person, they cannot argue with the nobles about this.

In my previous life, it’s not like I haven’t seen secretaries or neighbors sending people over, but their families were still thousands of miles away...

Gretel was good-natured and copied the medical records for him. The knight flipped through the pages from beginning to end, and then from end to end, making sure that every diagnosis was based on probing, and immediately asked the next question:

"How can you prove the things you said you saw?...We can't see them!"

…that’s a really good question. Gretel inhaled and exhaled, and just when he was about to answer, the boy already answered loudly:

"But Uncle Hart, we are not magicians, we can't see in the first place!"

It feels so good to have a sensible child. Grete smiled at him and felt that his blood pressure had dropped by 10 millimeters of mercury, leisurely returning to the most comfortable range. He turned to the knight and said calmly:

"Things seen in the meditation picture can be revealed and brought back to your family master. - [Detection Magic] and [Ultrasonic Detection], two inspection methods, each with a chip, can be stimulated with magical power. Each Zhang contributed 50 points.”

What, buy it from the alchemy workshop and only need 10 contribution points?

Please, does it cost nothing to check or does it cost nothing to burn? The golden treasure box used for burning is a legendary design, handmade by a level 16 great magician. He hasn't even calculated the depreciation fee yet!

Are hospital drugs sold with zero margin? What it is? Besides, what I sell is not medicine, what I sell is movies!

100 contribution points - the current market exchange price is 400 gold coins - is nothing to the viscounty. Including the examination fee, the knight readily paid 500 gold coins and returned with his young master, medical records, and films. Within two days, I left and came back:

can't read.

Nonsense, X-rays and B-ultrasound images, people who haven't received any training will be confused if they can understand them.

Gretel had no choice but to write an additional note, explaining to them again: what a healthy heart looks like, what part of Master Chris's heart is missing, and what consequences it will have. The knight took this explanation and ran away...

Within two days, it was no longer the knight who came flying back, but Viscount Aylwin himself. He sat carefully in front of Gretel, rubbed his hands, and kept explaining:

"Mr. Master... I'm very sorry, but Chris is my eldest son, and we are really worried about him... We have also seen your spell image, but we still can't understand it..."

He carefully observed Gretel's face and hesitated, ready to withdraw immediately when Gretel got angry:

"Um...can you please prove again that the child is missing a piece here, so that the heart blood is shunted to the side?"

this……

Grete was at a loss. You can't understand the ultrasound, and I can't lend you the spirit of the contract. Could it be...

Do you want me to have a cardiac angiogram? !

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I have a strange plan for cardiac angiography, and I am considering whether it is feasible...