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

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 doctor, and I am not an emergency pediatrician!

But Gretel can't say "I don't want to see" or "I can't see".When a patient seeks doctors in many ways but finds nothing, and you are his only hope, as a doctor, he has to stand up to it.

Viscount Alwyn, whose territory is in the northwest of Nevis City.This family is famous for its bravery, and the simplified version of the "Golden Lion Swordsmanship" handed down by the family is widely spread in the army - the above information comes from the gossip that was poured into Gretel's ears during some banquet.

However, the eldest son of the current Viscount Alwyn, or the next generation of Patriarch, is quite weak.When he was old enough to practice martial arts, other children could run and jump, but he would get short of breath and palpitations if he moved too much.Get a little more tired, and I'll show you the head down.

If things go on like this, how do you become a knight and inherit the family business?

Although Gretel didn't know why the nobles in this world had to become knights to feel that they could inherit the glory of the family.However, this did not prevent him from observing the patient while listening to the chant of the escort knight:
The little boy sat quietly in front of him, with his hands crossed on his lap.His face was pale, his cheekbones were not flushed, and his lips and nails were not bruised.It seems that even if there is a congenital disease, it should not be very serious.

Gretel felt slightly relieved.He took out a grass seed, revealed the power of nature slightly, gave birth to 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 suit was made of velvet, and every copper button was fastened tightly, so it was a bit troublesome for him to take it off.Move slowly, but without stopping, and without asking for help.

Gretel watched with a smile.When the boy finished taking off his jacket, only a soft white silk underwear remained, he picked up the chestpiece of the stethoscope and wanted to press it up, but was stopped by the knight:
"what is this?"

"Stethoscope. Can hear heartbeat and breathing."

Gretel handed it to him graciously.The knight studied it carefully for a while before handing it back to Gretel for him to auscultate:
"Hmm...the first heart sound is hyperactive...the pulmonary artery second heart sound is enhanced..."

"Second heart sound...fixed split...come on, take a breath...exhale-inhale-well, not affected by breathing, or split..."

"The second intercostal space on the left side of the sternum, grade 2-3 ejection systolic murmur...the diastolic phase is fine..."

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

The knight turned anxiously around Gretel, straining his ears to listen to his muttering, but he couldn't make out a word—even if he did, he didn't know what it meant.

For a long time, seeing Gretel put down his stethoscope and leaning over the table to write notes, he immediately asked impatiently:

"Can it be cured?"

"...the inspection needs to be further improved." Gretel glanced at him, squatted down, and looked at the boy:
"Shall we sit outside for a little while? Let me use this thing and see how your boobs—"

While talking, he took out the [Endless Ink Pen] and lit it up in front of the boy.The golden, diamond-encrusted quill made the boy's eyes shine, and he stretched out his hand to touch it, but quickly retracted it.Gretel smiled at him:
"This is my prize for the [Emerging Magician Award]. You sit down obediently and don't move. After I finish checking, I'll touch it for you, okay?"

The boy nodded vigorously.Gretel smiled slightly, raised the [Endless Ink Pen] to the back of the boy with the magician's hand, and launched the 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 shadow of the pulmonary vessels increases, and the hilar dance sign can be seen...

According to auscultation and X-ray plain film, it is more like the performance of atrial septal defect. Of course, further differential diagnosis is needed.If it is only atrial septal defect, the treatment is not difficult, and interventional surgery can be used to deal with it~~~
Gretel exhaled slightly, his face calmed down, he recalled the [Endless Ink Pen] and stuffed it into the boy's hand.Coaxing him to lie down quietly, after finishing the echocardiogram, he turned to the knight seriously:

"Can be cured."

"How to cure it? Do you want to use that vine and insert it into the heart?... What is the disease of Master Chris? How did you know for sure?"

The Cavaliers opened their mouths with a bunch of questions.Gretel explained it carefully to him, and planned to start the treatment after he signed and approved it. Unexpectedly, after waiting for a long time, he waited for a sentence:
"Master Your Excellency, can you please write an explanation, and I will take it back to show the Patriarch? Inserting vines into the heart or something is too dangerous. Without the Patriarch's permission, I dare not be the master!"

Hmm... well, it makes sense.Although it is a bit of a headache for the parents not to send their children to see a doctor, but they can't argue with the nobles.

In the previous life, it's not like I haven't seen the secretary, the neighbor, and sent someone over, and the family members are still thousands of miles away...

Gretel was very good-natured and copied the medical records for him.The knight turned from head to tail, and from tail to head, making sure that every diagnosis was based on probing, and immediately asked the next question:
"How do you prove what you said you saw?...We can't see it!"

...that's a really good question.Gretel inhaled and exhaled, and just as he was about to answer, the boy answered loudly:
"But Uncle Hart, we are not magicians, we can't see it!"

Children are sensible and make people feel at ease.Gretel smiled at him, feeling that his blood pressure had dropped by 10 millimeters of mercury, and had leisurely returned to the most comfortable range.He turned to the knight and said frankly:

"The things you see in the meditation scene can be revealed and brought back to your Patriarch. —— [Detection Magic], [Ultrasonic Detection], two inspection methods, each with a chip, can be stimulated with magic power, every time Zhang 50 contribution points."

What, the alchemy workshop only needs 10 contribution points?
Please, is there no cost to check, or no cost to burn?The golden treasure box used for burning is a legendary design, made by a level 16 great magician himself, and he has not counted the depreciation fee!

Hospital drug zero markup sales?What it is?Besides, I'm not selling drugs, I'm selling tablets!
100 contribution points - the current market exchange rate is 400 gold coins - is nothing to the Viscounty.Including the examination fee, the knight readily paid 500 gold coins, and went back with his young master, medical records, and films.Within two days, they went back and forth:
can't read.

Nonsense, X-rays and B-ultrasound images, people who have not been trained, will be ghosts if they understand it.

Gretel had to write another note, explaining to them again: what a healthy heart is like, which part of Master Chris's heart is missing, and what consequences it will have.The knight took this instruction and ran away...

Within two days, it was not the knight who came back, but Viscount Alwyn himself.He carefully sat in front of Gretel, rubbed his hands, and kept explaining:

"My lord mage... I'm very sorry, but Chris is my eldest son, we really worry about him... We have also seen your spell image, but we still can't understand it..."

He carefully observed Gretel's face, hesitating, ready to withdraw as soon as Gretel got angry:
"That...can you please prove again that the child is missing a piece here, so that the heart blood is shunted to the side?"

This……

Gretel was bewildered.You guys don’t understand Ultrasonic Heartbeat, and the spirit of the contract can’t be lent to you, could it be…

Want me to do a cardiac angiography? !
****
Ask for subscription, ask for monthly pass, ask for recommendation ticket, ask for book review, ask for various...

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

(End of this chapter)