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

Chapter 509 Intestines that fell out of the groin (Wan reward plus 5)

Whether he is good at cutting hemorrhoids or being a excrement worker, in any case, the reputation of Oak Grove Hospital has already started.

It’s not just the rich businessmen that Grete knew before, not just the desperate poor, and it’s not just the poor people who are dying of illness who come here for medical treatment. You can treat them as you like, or use them for experiments. Pauper.

And the magicians are happy to give money.A bottle of potion for treating minor injuries costs 50 gold coins, a bottle of potion for treating moderate injuries costs 300 gold coins, and a bottle of potion for treating severe injuries costs 750 gold coins——

You come to find a fifth-level priest and mage dual-professional, a disciple of a legendary mage, and accept his unique treatment. Are you embarrassed to only give 300 gold coins?

No matter what, you have to pay 100 contribution points, or if you don't have enough money, you can also consider offsetting any strange magic materials and magic equipment.

Gretel would not pinch them for money, however, the patient's face is important~~~
After all, if a magician who has healed your ass has a bright future ahead of him and might meet you on another occasion, you'd better pay more for your consultation, for your own honour.

As a result, Gretel's Oak Forest Medical Research Institute managed to achieve a balance of payments.Moreover, other types of patients with ineffective treatments have also begun to come to the door——

At noon this day, Gretel raised his head from a bloody ass, and was invited out before throwing a cleansing spell.

Sitting and standing in the lobby, the standing middle-aged man was restless, pacing up and down.In the center of the area where he was pacing, a thin old woman sat tremblingly, chanting non-stop:
"Let's die... Let's die... It is said that this family will cut people with knives, bloody and scary~~~"

"Mother!"

The man interrupted anxiously.

He is tall and strong, with a straight back and thick calluses on his hands. He can be seen as a warrior.

Gretel couldn't tell the specific level, but Bernard had already rushed over quickly, and stood beside Gretel, not leaving an inch.

The old woman flinched again.Gretel waved to the barbarian, stepped forward with a smile, and bowed slightly in front of the old woman:

"Old lady, what's wrong?"

"My mother has a stomach ache! It hurts and bloats—"

When the man said this, his voice suddenly became quieter, as if he didn't want the people around him to hear:

"...The person who took care of her said that she hadn't had a bowel movement for two days... This happened several times before, and it was useless to drink healing potions. She took it to the temple for treatment, and it could only be better for a few days. It has been particularly serious recently, Your Excellency the Master. ,you……"

Hmm, constipation, abdominal pain, bloating.First consider intestinal obstruction. As for the severity and cause, and whether there are any other organic diseases, it needs to be checked later.

Moreover, constipation has a lot to do with living habits, and it cannot be solved once and for all with magic spells... Thinking about it, Gretel put on a friendly smile, and reached out to help the old man:

"Old lady, let's check first... You stand here, yes, stand up straight, don't move... Tsk, I can't see clearly here..."

And the key parts are not clear.The cumbersome shadow on the waist, at first glance, looks like a key or something else.Needle?Scissors?Screwdriver?Flintstones?
After failing to rub Apa's faded horns, Gretel could only help him into his consulting room, and called two female nurses to help the old lady change her clothes first.

Take off all the metal objects under the clothes, no matter if they are buttons, belts, keys, or other weird things, and give them to her son.

Taking advantage of this opportunity, Gretel seized the time and had a few more conversations with the patient's family.

Only then did I know that the old lady is 62 years old this year and has given birth to four children, two boys and two girls (no, gender doesn't matter).The one who brought her here was the elder son of the old man, a sixth-level knight. Of course, the old man himself was not a professional.

The old man is usually in good health and has never suffered from any serious illness, let alone undergone surgery. (Patient's family: what is the operation?) I love meat and vegetables. As long as I am not constipated, I can eat a pound of vegetables a day...

After talking here, the nurse aunt who was serving the old lady to change her clothes was sweating profusely, and pushed the door out, obviously wasting countless words.Gretel was also able to get rid of the knight, took out the [Endless Ink Pen], and gave the old man another X-ray——

A portable light source is fine.Gretel silently praised [Detect Magic]:
In the previous life, the doctor issued a bill, pushed the patient to queue, paid the fee, queued up in the imaging department, took a film, and then pushed back to wait for the imaging department to produce a film.Tossing and tossing back and forth, if it is not a special rush, it will disappear in a few hours...

He stared intently.On plain radiographs in upright position, multiple stepped air-fluid levels were seen in the abdomen, and the enlarged small intestine at the proximal end of the obstruction and the air-fluid level were fixed above the pelvic pubis; on plain radiographs in supine position, this sign remained unchanged.

And, the groin part should be outside the ligament, and you can see an inflated intestinal curvature, with the blind end pointing to the obturator foramen——

After checking both positions, Gretel already had a general idea in mind.He asks the old lady to lie down and prepares for a physical examination:

"Old lady, curl your legs up, okay, that's it. Come on, curl up your right leg too—"

Gretel stood by the bed, speaking softly under the gaze of the old lady's son.Leaning forward, put your left hand on the old woman's right calf, and gently push it to guide her.

Before he could use his strength, the man had already let out an "oops":
"Don't, don't, don't! My mother said that as long as her right leg is curled up, her thigh will hurt!"

Gretel nodded secretly, as expected.The smile on the corner of his mouth remained unchanged, and he asked slowly:
"How long has your thigh hurt?"

"No... not long... just a little..."

The old woman dodged her eyes, said two words, and glanced at her son.Gretel has seen this look a lot, probably because he has something to hide from his son.

Well, there is a high probability that it is already serious, and I didn't want to disturb my son, so I didn't tell him...

Gretel thought for a while, persuaded the knight out of the consultation room, turned back, and continued to ask.Only then did I know that the old lady had been constipated for more than two years.

As for the pain in the right thigh, it has been more than half a year, and it has been particularly severe in the past few days.I can't bend my right leg at all, and when I bend it, it hurts more...

"Old lady, can you feel a lump in the groin of your right leg, which is where your body meets your right leg?"

"What?" The old woman's voice suddenly rose.After being sharp, he lowered his voice again, a little panicked and even coy:
"You young man, you are young, how can you ask...Ask that kind of place..."

Gretel couldn't laugh or cry.At this stage of the interrogation, he has already focused on the intestinal obstruction caused by obturator hernia——

Elderly women with multiple births will have more degeneration of the pelvic floor muscles and ligaments; long-term constipation will put greater pressure on the pelvic floor muscles and ligaments.

At this time, if the peritoneum is relatively sparse, there is a gap, and the pelvic floor muscles and ligaments are not supported, it will cause part of the intestine to herniate, causing incomplete intestinal obstruction.

However, because the obturator canal is narrow and the surrounding tissue is tough, it is difficult for the contents of the hernia to return by itself.This, if the cause is not clear, the healing technique of the temple is only for constipation and pain, it is really not easy to cure...

I didn't mean to take advantage of you on purpose, old lady!
"In the name of the God of Nature..."

He sighed, reached out and took out the oak stick from his pocket, and liberated it into an eyebrow-level stick. The green leaves on the tip of the stick swayed gently. Gretel raised one hand, and put the palm flat on the side of the ear, from the palm to the fingertips. , the white light is beating slightly:

"Old lady, I am asking these questions only to diagnose diseases. If you are worried, may I ask your son to come in and stand by, or ask a female pastor to come over?"

The reputation of the god of nature seems to be relatively high.The old lady stared at the white light for a while, and then at the green leaves on the top of the oak stick, her face finally relaxed a little.Gretel hurriedly struck while the iron was hot:

"Old lady, in this case, I will turn my back to you, and you can touch it yourself...Touch carefully! This is very important!"

Behind him rustled, rustled.After a while, the old lady breathed a sigh of relief, and replied in a low voice:

"No...no..."

But X-ray plain film can see.Gretel frowned:

trouble.In order to confirm the intestinal obstruction, and more importantly, to confirm the arterial and venous compression, as well as the blood supply of the lower extremities, it is best to have a B-ultrasound.I don't know if the other party is willing to touch it...

Hey, Cerilla and Aniviya, although they both learned how to cast ultrasonic detection spells from me, they are still not good at reading films.He can only do it by himself!

Gretel communicated with the old lady, but was rejected as expected; he opened the door to communicate with her son, but was also rejected.In desperation, he could only propose a surgical plan:
"First of all, make an opening in the groin, put a few vines in, and push the part of the intestine that fell out back to its original position. Then you need to check the intestine, the obstruction is so long, don't cause ischemia , necrosis or something. Finally, fill up the gap in the peritoneum..."

When he said a word, the old lady's face turned pale.When it came to the end, he was on the verge of falling, almost fainted, leaning on his son and shaking his head desperately:

"We're dead... Albert, we're dead, we're dead..."

Gretel tried his best to talk, including explaining that "the whole process is under the control of tranquillity, you will not be in pain", "if there is no operation, the intestines may rot", but it has no effect.Alas, the old lady is too fearful, and her compliance is too poor...

In the end, Cavalier Albert just bought two tubes of Kesel, and left in a hurry with his mother.Gretel walked from the consulting room to the entrance of the hall, and then down the steps, grabbing Albert Knight and repeatedly exhorting:
"If the old lady has severe pain in her stomach, remember to go for treatment! Be sure to go for treatment! - You can come to me, go to any temple, any magician's medical research institute! In the worst case, the intestines will rot Dropped! I'll be here tonight!"

He did what he said, and he will not go back to the Mage Tower tonight, and stay directly in the hospital.Sleeping until midnight, at one or two o'clock in the morning, Albert Knight and his mother hammered the gate of the Oak Grove Hospital:
"Master Nordmark! Master Nordmark, are you there?—Help!"

****
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(End of this chapter)