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

Chapter 502 I'm only half sure, can I save it?

The old man kneeling in front of the shrine is obviously the real power figure of this family.He opened his mouth to agree, and there was no objection from anyone around him—including the child's father and relatives of the child's mother, they all remained silent and silent.

Well, someone who likes the family group has made a decision!What I like most is when someone decides with one word, and everyone in the audience shuts up!
I am most afraid that the patient needs to be rescued urgently. The eldest son said that surgery is needed, and the eldest daughter said that it is best to be treated conservatively. The second daughter asked the doctor to explain again, but no one has paid... procrastination, and it is easy to argue. There is no result. Rescue is necessary...

Gretel silently half-closed his eyes, urging the spirit of the contract.A small snake with black stripes on a white background swam out from the oak stick, soared into the air, and approached the baby.Just about to sink into the body, the old man suddenly stopped:
"and many more!"

???

Gretel looked at him.The old man glanced back at the shrine sideways, then turned to Gretel, with a slightly embarrassed look on his face:
"...can you change the room?"

Gretel almost laughed.understood.Manipulating the spirit of the contract is regarded by you as the god of nature—or the power of any god, and the healer is also a magician. You don’t want the goddess of spring to look at it, right?

It is said that the eyes of the gods are far-reaching, and it is not enough to change the room... How do you believe in this belief... But it's okay, this small request is based on the thoughts of the patient's family, and it is completely no problem!

The crowd was mighty and moved to the next door.This room is much smaller than the hall next to it. Except for a few big bosses above tenth level, no one else is embarrassed to squeeze in.Only Pastor Matthew was beckoned in by Gretel:
"Brother Matthew, help me!"

He gave Matthew the pen card oak stick, sat down at the table, spread out the manuscript paper, and half closed his eyes.The little snake swam out soundlessly and entered the baby's body from between the legs.

Soon, the oak stick stretched out a tree root, and began to draw with [Endless Ink Pen].

The scene seen with the eyes of the incorporeal body is quite different from the scene seen by X-ray, B-ultrasound, CT, MRI, and even the scene seen by the surgeon looking directly after the laparotomy.Skin is next to muscle, fascia wraps blood vessels and nerves, intestines swim under the wrapping of mesentery...

Without a pair of sharp eyes and enough space to imagine, even if you see it, you don't know what you see.

Fortunately, Gretel had a solid foundation in his previous life, and he was familiar with the anatomical structure.While looking at it now, I manipulated the [Endless Ink Pen] to outline the situation in the child's body:
Well, the anorectal atresia is high, and the position of the blind end of the rectum is already above the levator ani muscle... If the operation is to be performed, the free rectum needs to be longer to pull the levator ani muscle and anastomose directly with the anus below ...

Looking to the side again, tsk, it really merged rectovesical fistula.Gretel manipulated the [Endless Ink Pen] to draw a dot of ink on the corresponding point of the fistula:

Fortunately, there are healing techniques, and healing here is not difficult.In the previous life, with open wound + fistula, it would be too difficult. Just look at those patients who have anal fistula and are dying.

Moving on...the sacrum is normal, that's great, the anatomy from the coccyx to the lumbar spine, including the nerves, is normal.There is no atresia or stenosis of the intestinal tract. This child is lucky, the kidneys are not missing, and the urinary system has no other problems...

"What the hell is he looking at?"

"I don't know. The whole intestine is drawn. How long is a human intestine?"

"It seems to be so long... Isn't the bottom piece missing? Need to draw so many?"

"He's still drawing the heart!...Is this the heart? It's drawn vividly. By the way, is this really the disciple of the Lord of Thunder? Are you sure he's not the disciple of the Immortal?"

Several bigwigs on the side whispered.The baby was still crying, and Gretel sat upright with half-closed eyes, motionless.They had nothing to look at but Gretel's paper.

One, two, after a while, four or five people stood in a semicircle, surrounding the desk.

The ink was smeared all over the drawing paper, and when the drawing was full, another sheet was changed—thanks to Pastor Matthew’s diligence, he changed the manuscript paper for Gretel one by one...

From pelvic painting to colon, ileum, cecum, painting to internal organs, the heart is specially depicted in detail.Continue to go up, even the esophagus is drawn, turn around again, and carefully outline the anatomical structure near the rectum and anal canal:

Pelvis, muscles, ligaments, fascia; blood vessels, nerves, lymph; kidneys, ureters, bladder, rectum...

For the fist-sized part of the baby's pelvic organs, he drew three large pieces of paper with the length and width of the forearm.Several bosses bumped into each other, held their breath and watched for a long time, only to realize that he was painting three perspectives of the same part:
Slice from the front, slice from the side, slice across...

"As for the trouble..."

Archmage Novak muttered softly.The archbishop of the God of War Temple's eyes were shining, his hands stretched out and then retracted, retracted and stretched out.

Looking at it like that, if it wasn't for the fear that Gretel would need these pictures to be useful, they would probably be able to roll them up and put them in their pockets.

"I understand." Gretel sat upright for nearly an hour with half-closed eyes before opening them.He turned to the old man who made the decision before, with a serious face:

"This child, I may be able to save... But, at most, I'm only half sure."

half?
With so many high-level healers being helpless, he actually said he was half sure?
Pastor Matthew took a light breath.The other people present were all high-level healers, but they didn't lose their composure like him, but they exchanged serious glances.Archmage Novak was the first to blurt out his question:
"How are you going to treat it?"

Conscience of heaven and earth, this little guy was brought by him, but don't just stretch out this hand just for the sake of showing off—or just because of a momentary unbearable heart!

In case of failure, even if others are concerned about the Lord of Thunder, there will be some big troubles!

The room was silent.Five or six pairs of eyes focused on Gretel, and the old man who made the decision for Gretel to investigate, murmured, looking forward and worried:
It is of course good to listen to the treatment ideas first, but mages are mostly arrogant. Let them explain, will they feel distrusted and die in a fit of anger?

Especially this healer is young and he is the disciple of the Lord of Thunder. Such a person will probably have a big temper...

Gretel didn't have the slightest thought of "I'm a spellcaster, I'm a boss, and I should be what I say".When the doctor explained to the patient's family, 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, hanging in front of everyone:

"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 made a gesture on the drawing, moved his fingers down the rectum, and kept Move to edge:
"But now, the rectum does not grow this part, so I have to cut an incision in the skin, pull the rectum down, pull it to the outside, and then cut it and sew it together with the skin..."

The whole room fell silent for a moment.Gretel spoke so simply that everyone could understand, but after a little thought, more questions popped up:

"Can the rectum be pulled down? Will it break?"

"Oh, no. The rectum itself is elastic, so it won't break. But the premise is that the rectum must be separated from its surrounding things—blood vessels, nerves, omentum, lymph—all, otherwise, it will really something happened..."

"Pull it off and sew it together with the skin, can the child poop normally? Will it leak all the time?"

"This one won't either—I checked just now, the child's anus still has a sphincter—"

Gretel bent slightly and patted the baby.The child was awakened suddenly and started crying loudly. He pressed his finger on the place where the anus used to be, and turned to the old man:
"Look, here is a little bulging, you can feel the impact, connect the rectum here, contract the muscles, and you can control defecation."

A group of people took turns to touch it and nodded.Then came the next question:
"There is no opening here, if you forcefully cut it open, will it be impossible to pull it out?"

"This... I need to expand the anus all the time..."

The healers' problems gradually subsided.The old man looked at the picture drawn by Gretel carefully, and asked him seriously:

"Why do you say you are only half sure? Where is the danger?"

"First of all, the child is too young." Gretel took a deep breath:

"Even if the treatment can stop the bleeding and pain in time, I'm not sure if he can survive the damage caused by the surgery."

The healers nodded.Healing, growth, healing, all consume the body's own power.It's normal for such a small child to not survive.

"Secondly, the baby has just been born, and the blood vessels and nerves next to the rectum are only as thick as a hair. In the process of incision, separation, and pulling down, as long as there is a little damage, the baby's future recovery and defecation will be greatly affected. "

The old man nodded with a vague understanding.Although he doesn't know what nerves are, he can still understand the smaller the child, the thinner the intestines and the smaller the blood vessels.Thinking of separating two things that are as thick as a hair, so that they can't be damaged at all...

Even though he himself is a level 12 great knight with sharp eyes and steady hands, thinking about the difficulty, he couldn't help but get a headache.

"Finally, this is my first time doing this kind of operation. I am not familiar with it, and it is very easy to go wrong." Grete's words are absolutely true.For emergency surgery, he only chooses the worst ones to do, such as liver stitching, spleen cutting, kidney cutting, even intestine stitching, he was very skilled in doing it in his previous life.But further down the anoplasty...

Don't worry, don't worry about life-threatening things, keep them all, and wait for the anorectal department to come and take over!
Speaking of which, the time when he was most familiar with the anatomical structure of the rectum-anal canal in his previous life was when he had mixed hemorrhoids and was lying in the anorectal department of his own hospital...

Forget it, the past is unbearable.Gretel shook his head, frankly admitting the last influencing factor:
"Also, even if it is saved, the child will have to undergo anal expansion treatment for a long time, at least half a year to a year. It depends on your decision whether to treat it or not."

****
According to the paper, even if the children with anal atresia are cured, they will have to undergo follow-up anal expansion treatment for a long time. The quality of life of the children and their parents is lower than that of the general population...

All beings suffer, alas...

Weak and weak stretch out their claws to ask for some votes...

(End of this chapter)