Chapter 176 I Come up with a Plan, You Use Magic (Red Comet Maswan Reward 2)

From the beginning of the consultation, Gretel kept thinking about how to treat it.

Up to now, after consultation, palpation, auscultation and the magic of X-ray and B-ultrasound, the diagnosis has been basically clear: roundworm mechanical intestinal obstruction, simple incomplete obstruction, and, of course, it is chronic. , as long as it is acute, the girl will not be able to last until this point.

Generally speaking, this kind of disease is handled by the gastroenterology department, and even if you come to the emergency department, it is a matter of emergency medicine. Only if there is strangulation, perforation, or necrosis, will the patient cry out and be pushed to the emergency surgery department for an operation.

What have you been doing!

But, this is a different world, there are no infusions, no intubations, and no drugs. Grete assessed the degree of intestinal obstruction in his mind, analyzed it piece by piece, sorted out the possible development, complications and treatment options after conservative treatment, and turned to Elder Wood:

"Elder, if it were you, how would you treat it?"

"I... am not completely sure." Elder Wood frowned again and again, thought for a while, and shook his head:

"The main reason for this girl's abdominal distension is that there are bad things in her stomach - the messy life signals that you just pointed out. If it were me, I would use magic and medicine to kill these. Then she used pain relief, warmth, and massage on her belly to let her expel it on her own. But her belly was so bulging..."

After thinking for a moment, he continued to shake his head:

"It's very possible that like the previous patient, he would have severe stomach pain and die if he couldn't survive it."

The more Iris listened, the paler her face became. The little face that had been flushed when Grete had touched her just now had no color at all now. The slender fingers tightly tugged on the sleeves of the female knight, shaking her head desperately, and said in a thin voice:

"Sister, I don't want to die - I don't want to die, wuwuwuwu..."

Selina held her and coaxed her softly. The old magician looked at his daughter and then at Elder Wood. He was embarrassed again and again. He could only put his hope in Gretel:

"What if it was you?"

"If it were me -"

Gretel already had a complete plan, and after listening to Elder Wood's treatment plan, he made partial modifications. He opened his notebook, drew a diagram of abdominal anatomy, and began to explain:

"Elder, Master Tolga, please take a look. The main condition of the young lady is that many insects are tangled together and blocked here-"

He smeared several black lumps on the lower part of the ileum:

"The main thing is that this area is not completely blocked, but it is already very blocked. If I were to treat it, I would first do gastrointestinal decompression and enema - that is, remove the contents of the stomach from above and from below. The things are guided out partially to give the intestines a place to move, and then magical magic is used to kill the insects.

The elder just said that it is definitely right to use magic combined with medicine to kill bugs, but if the magic is a little biased or the medicine is too large, will it hurt the intestines at the same time? "

"emmmm..." Elder Wood lowered his head and pondered: "It is possible. Just keep talking."

"Yes. Before, I couldn't see clearly where the blockage was through my stomach, and the magic might be wrong. But now that we have [Detection Magic], is it possible to determine the location of the operation under the guidance of magic, and try to avoid hurting the intestines? ?”

"It's possible!" Elder Wood's eyes lit up and he thought about it carefully. Gretel turned to the old magician again:

"You see, her belly is so swollen, it means that it is severely blocked. The intestines are like a balloon and have been pushed very thin. After the magical treatment, if the bugs gather, struggle, or scurry around , it is easy to break these places——

Or even if it is not punctured, if the puncture is too serious, there will be a section of the intestines that is ischemic, and then death will occur. If I were the one to treat it, if I encountered this situation, I would have to cut open the stomach quickly, take out the blockage in the intestines, and then heal the intestines. If you are very unlucky, a section of your intestines will be cut off..."

"Isn't that man dead?!" Master Tolga blurted out. Grete shook his head slightly, looking confident:

"As long as the magic can stop the pain and prevent the lady from feeling pain when the stomach is opened, I am 70% sure to save the lady's life."

"Only 70%?" The old magician looked disappointed: "Then there is still 30%?!"

There are still 30%... Gretel was silent for a moment, and then took out another piece of paper: "Wait a minute..."

Brush, brush, brush, brush, brush, brush. Informed consent form for intestinal obstruction surgery... I write it as I think about it, and try to replace the medical terms involved with words that ordinary people can understand. Just for the risks of surgery, there are 20 or 30 articles:

During the operation, the surgical method is changed due to variations in anatomical location and relationships;

Injury to nerves, blood vessels and adjacent organs during the operation, such as gallbladder, stomach, liver, pancreas, etc.;

Postoperative peritonitis, abdominal abscess;

Arrhythmia, myocardial infarction, heart failure, cardiac arrest...

It is a full piece of paper. The first half is an introduction to the disease, treatment suggestions and alternatives, and the second half is risk information. After finishing writing on a full piece of paper, when Master Tolga took it into his hand, his whole face turned dark.

"Are there...so many risks?" He shook the notice, almost sticking the paper to Gretel's face:

"If you open your stomach, so many things will happen?"

"It should be said that these situations may occur." Gretel patiently explained to the old magician as he had done countless pre-operative conversations in his previous life:

"Read it carefully. If you have any questions, you can ask me. If you understand everything and accept it, please sign here. If you need a caesarean section, I can perform the surgery at any time."

"If you don't sign, you won't have a caesarean section?"

Gretel shook his head firmly. If you don’t sign, there will be no surgery. This is the rule: “Don’t worry, even if you don’t sign, I will try my best to assist the elders in the early stage of treatment.”

The old magician used his fingers to grasp the notice so tightly that he almost dug out several holes. He looked around, sometimes looking at his daughter's pale face, sometimes at Elder Wood's frowning eyebrows, and finally sighed:

"Then - let's get treatment first! We'll talk about signing and other matters when we need to have a caesarean section!"

"Okay, I'll do it." Elder Wood stood up with an oak staff. He turned his head and looked at Gretel:

"You just said you wanted to do... that... gastrointestinal decompression? How to do it?"

Grete smiled awkwardly.

In the previous life, gastrointestinal decompression was nothing more than inserting a gastric tube and then using negative pressure suction to suck out the contents. This kind of operation can be done by a nurse. The doctor can only give an order and look back to see the effect.

The problem is that in this alien world, there is no gastric tube, no negative pressure suction device, and of course, no nurses...

"That... elder, Master Tolga, may need your divine and magical help..."

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