It's not that hard to open a hospital in another world, right?

Chapter 1467 Gretel: This headache gave me a headache! (Planet Watcher lord plus 1)

Since it is not caused by high blood pressure, it is necessary to find another reason.While Gretel was brushing up his medical history, he casually chatted with the old dwarf, and the two middle-aged dwarves also added.

After chatting, I found out that the old dwarf has married four wives since he was married at the age of 15, and he has given birth to twelve women.

Sons and daughters add up to more than 30 people, sons give birth to grandchildren, and grandchildren give birth to sons. The offspring of one person can support a small half of the tribe——

Fortunately, gnomes don't take up much space, and they don't eat much. To make something jingle-dangdang requires a lot of people and strength.If it is a race like frost giants and cloud giants, with so many marriages and so many births, they have no choice but to wage war against the outside world.

Although old Matt is a spellcaster, he is not the kind who can only mutter curses and throw some windblade skates out. He is just like other dwarfs, picking up hammers, wrenches, etc., knocking, smashing, and making some devices .

One of the middle-aged dwarves was his son, and he brought a hammer used by the old father. Gretel took it and weighed it, and it was not light.

He can also drink and eat meat. He is old and has nearly [-] teeth in his mouth. He chews chicken bones with crunching noises.

Such a situation shows that the body is in good health, and it does not look like it has been tortured by high blood pressure for 20 years.

"Then what should he do when he usually has a headache? How to treat it?"

"If you have a headache, drink alcohol, or chew some herbs, and smoke some medicinal tobacco." The old dwarf replied tremblingly:
"Dragon Lord took pity on me, and he also treated me twice. It was cured at the time, but it relapsed after a while..."

Without waiting for Gretel to ask, he waved his finger, and the other son hurriedly took out a pile of leaves, grass roots, dried mushrooms, dried flowers, and various unknown objects, and laid them out one by one.

Gretel frowned immediately.The medicinal properties of herbs have always been his weakness. Even if he memorizes the names of these strange plants, it probably won't correspond to his previous life——

It is normal for a plant to have dozens of names in different places and races.Although the identification technique can tell him what the thing is called and what its medicinal properties are, it doesn't match the pharmacology he has learned.

If you ask carefully, most of these herbs are used in sacrificial ceremonies, even he frowned solidly.

Most of the sacrificial herbs used by indigenous tribes are said to improve spirituality and reach the gods. Most of them are either hallucinogenic drugs or narcotic drugs, and a small part may be central pain relievers:
In any case, these drugs have no reference value for the etiology.Gretel wondered why the old dwarf had a headache, or if he was on his own.

The causes of headaches are extremely complex. In addition to migraines, cluster headaches, tension headaches, and trigeminal neuralgia with autonomic symptoms, there are a large number of secondary headaches of various causes.

Primary headaches are roughly equivalent to "currently unknown etiology" or "modern medicine has not yet understood its mechanism of occurrence". Apart from throwing pain-relieving spells, Gretel has nothing to do for the time being;

For secondary headaches, you have to investigate slowly.In addition to malignant hypertension, what Grete can think of for a while is brain lesions such as intracranial infection, intracranial space occupying, cerebral hemorrhage, etc.;

Headaches caused by toothache, glaucoma, rhinitis, sinusitis, cervical spondylosis, etc.;

Headaches caused by alcoholism, poisoning, electrolyte disorders, endocrine disorders, various internal diseases...

Just thinking about so many possibilities, Gretel himself felt a headache.There is no other way, as a doctor, I can only check one by one:
"Come on, let's do a CT first, then an MRI..."

The old dwarf stared at him blankly, and dared not ask the inexplicable words that came out of his mouth like a bible.The left and right high-ranking spellcasters are all a little chattering, so there is no need to delve into it, just be obedient.

Sure enough, Gretel immediately gave instructions:

"Uh, you don't need to do anything extra. Come on, take off your clothes, don't leave any metal objects, and stand on this wooden board. Yes, just stand..."

Buzz buzz, buzz buzz buzz.The magic circle lit up one by one, and the huge magic power rolled over and flattened.Gretel stared at the images released by the oak stick, one by one, and asked the old dwarf:
"Recently, is walking normal? Is running and jumping normal? Is there any blur in seeing things? When making a device, is there any hand-eye incoordination?"

"No! No, no!" The old dwarf shook his head quickly, turned out a box, and held it with both hands:

"This is the cup I made a few days ago. I made it for more than a month and just finished it the day before yesterday. Look at the lines of the gold thread and the gemstones inlaid on it. It's very good, there is no flaw at all!"

Gretel took it and took a closer look.On the silver cup with the size of a human head, patterns of figures hunting and birds and beasts running were coiled with thin gold wires.

The silver cup is shiny, without traces of oxidation, with thin chiseled lines on it, and sharp edges, it is obvious that it has not been made for a long time.Then secretly throw an identification technique, the feedback is "last week"...

Well, such a situation at least shows that the old dwarf has no neurological dysfunction.Gretel breathed a sigh of relief, combined with head MRI and CT, ruled out another possibility:
Malignant tumors in the brain develop very fast. I heard from colleagues in Shennei that there are often young patients who develop out of control in two or three months, and it is too late to save them. It is a pity.

Although the development of benign tumors is slow, if you survive with the tumor for more than 20 years, the symptoms will be progressively aggravated, and it is possible to recur. It is impossible to recur without neurological dysfunction...

Thankfully, there is no intracranial mass, and it is estimated that intracranial hypertension is unlikely.Gretel chose CT and MRI first, and another reason is that these two examinations are non-invasive examinations:
To measure intracranial pressure, the easiest way he knows is to do a lumbar puncture and measure the cerebrospinal fluid.It looks scary, but the patient may not accept it, even if he accepts it, what is the normal value of the dwarf's intracranial pressure?

He still has to do these dwarves one by one, can't he wear them through the waist?
In addition, there is good news. According to the results of CT and MRI, there is no cerebral hemorrhage or cerebral infarction.

As for cerebrovascular malformation, at first glance, the cerebrovascular is quite normal, there is no particularly strange looking place, and there is no obvious stenosis, and it should not be.

Intracranial infection is also unlikely.Without timely symptomatic treatment every time, without a large amount of antibiotic pressure, relying on a little unknown herbal medicine for pain relief and anesthesia, do you want to survive 20 years without dying?

Gretel swears that if such a thing can happen, he will take the old dwarf's last name!Well, the surname "Nordmark" belongs to the original body anyway, not his...

Craniocerebral problems are ruled out, no craniotomy is needed, let alone craniotomy in an awake state.Consider other head and neck problems.So, glaucoma?
Gretel had already noticed the first wave of physical examination when the patient was sent in just now.The pupils on both sides are equal and round, the pupils are normal in size, sensitive to light reflection, and the conjunctiva is not congested——

If it is chronic angle-closure glaucoma, resulting in a sharp increase in intraocular pressure, repeated attacks of headache and dizziness, the eyes will generally be red and red, and the conjunctiva will be congested and edematous;

Also, the sympathetic nerves are excited, causing the pupils to dilate.These symptoms are all connected together, and you can know it at a glance.

In the years when he was an emergency doctor in his previous life, he also screened many patients with severe headaches. After the screening, he found that several patients had glaucoma. Those eyes were completely different from the old dwarf's appearance!
toothache?

rhinitis?

Sinusitis?
Gretel asked the old man to open his mouth to look at his teeth, and then combined with a CT scan to make sure that the teeth were not bad.

Even listening to the voice, looking at the shape, looking at the image, there are no obvious lesions on the nose.Speaking of headaches in the past 30 to [-] years, if it is caused by toothache, rhinitis, and sinusitis, what kind of rot will it be...

There is a problem with the cervical spine. It is normal for a craftsman who often knocks with his head down to have some occupational disease.But looking at the narrow part, it doesn't seem to compress the nerves of the brain;
I used the [Detoxification Technique] twice, but nothing came out. Lead poisoning, organic phosphorus poisoning (does organic phosphorus exist in this era), and other possible poisonings should be ruled out.

Alas, when the patient opened his mouth, the doctor broke his leg.If this was in the top three hospitals in his previous life, it is estimated that he brushed through the bills, and the patient's family members and patients went to check up one by one and broke their legs;

At this moment, he is also here for the MRI, CT, laboratory tests (if there are any), and outpatient imaging operations all by himself. The so-called screening is only done by him for brainstorming...

"Ah, what is the reason?"

Gretel bowed his head, contemplating.Don't dare to pinch the bridge of your nose, don't dare to rub your temples, don't dare to knock your head, and don't dare to turn around.

As the attending physician of the patient, he must not show a look of hesitation in front of the patient, which will seriously affect the patient's confidence in the doctor, and further affect the patient's compliance——

It's okay to think about it for a while, but if you show a daze, no idea, and no direction, you can only find the superior doctor to end it.

There is no old director here, no big directors from other departments, no experts from other hospitals, he himself is the highest superior doctor, he must hold on!

But I really can't think of a possibility... Should it be determined as "primary headache"?

There is no good way for primary headaches, just take painkillers regularly.Now it seems that the effect of painkillers on the old dwarf is getting lower and lower...

In fact, he can also say, "It's cured for you, go back and pay attention to maintenance, don't be tired, don't drink too much, get too excited, and eat light."

However, as a doctor, I know that this statement seems to comfort the patient, but in essence it is equivalent to "I haven't found out what the cause is."The patient may not understand, but the doctor himself has surrendered to the cause...

Over and over again, the blood oxygen, blood pressure, blood lipids and blood coagulation were also tested, but still no problem could be found.Gretel sighed and was about to give the last doctor's order when a flash of inspiration suddenly appeared in his mind:
"Wait, let's do another check!"

　Thank you for the 500 starting coins rewarded by @金横推

　　
　
(End of this chapter)