It can’t be that hard to open a hospital in another world, right? 81
by adminChapter 81: The Temple Boss’s Auscultation Internship
The old lawmaster looked at Grett, half-believing and half-doubting. If he hadn’t witnessed Grett presiding over the rescue yesterday, and if both great healers hadn’t claimed it was this young man who had done it, he wouldn’t even bother with this fellow at all.
But now, seeing Elder Elwin asking directly and the bald-headed Bishop smiling, he thought for a moment, then reached out to unbutton the child’s clothes:
“George, be a good boy, take off your shirt.”
The boy twisted and turned, his face full of defiance. The old lawmaster coaxed him and threatened him, even saying things like, “The ironstone will rot in your lungs and you’ll die,” finally coaxing the child to calm down and take off his shirt. Grett knelt half-way in front of the child, the far end of the copper tube pressed against the boy’s left shoulder, his head tilted to the side, his right ear pressed against the near end of the copper tube.
“No wonder he’s covering that copper tube. I was guessing for a long time, but it turns out he was afraid of freezing the child.” At the foot of the bed, the bald-headed Bishop turned towards Elder Elwin, praising softly. The elder nodded:
“Little Grett is very considerate towards his patients.”
The old lawmaster looked back at them, not speaking, just secretly remembering these words. Looking at Grett again, the young man looked focused, his ear cocked, listening to the sounds in the copper tube. His right hand moved the other end of the tube from time to time, not too fast and not too slow, pausing evenly for one or two breaths at each position.
From left to right, from top to bottom. The copper tube in the young man’s hand moved back and forth, all landing points were symmetrical left and right. Although the old lawmaster couldn’t figure out why he was doing this, he could at least be sure that Grett was confident.
Above the collarbone, chest, left armpit, right armpit. Grett circled the boy, even turning to his back to listen for a while, before finally putting down the copper tube. He looked up, looking around at the old lawmaster and the three temple leaders, his expression calm and confident:
“It’s indeed stuck in the lungs. It’s right…” He reached out and pointed at the boy’s right chest, his index fingertip resting below the collarbone, near the inner side:
“Right here!”
“How do you know?”
Elder Elwin and the bald-headed Bishop asked in unison. The Archpriest hesitated for a moment, then also moved his lips, making a vague sound. Grett answered matter-of-factly:
“By listening to the sounds! This part of the right lung, the breathing sounds are significantly lower than other places! – Come on, have a listen…”
The bald-headed Bishop was the first to walk over. Elder Elwin hesitated only for a moment before being pushed back by him, shaking his head helplessly. Grett handed the copper tube to the bald-headed Bishop, letting him put his ear to it.
“Come on, that’s it, aim it at your ear, press one end on the patient… Stop!”
“What?”
The Bishop looked at him blankly. The big bald head flashed and flashed, as if it were displaying a line of text: I don’t understand, I don’t understand…
“First, use your hand to warm the far end of the stethoscope to avoid discomfort to the patient.” Grett instructed matter-of-factly. The bald-headed Bishop opened his mouth, but didn’t speak. Elder Elwin couldn’t take it anymore and interjected:
“Hey, that’s asking too much!”
“Yeah, yeah…” The old lawmaster nodded in agreement. The Bishop of the Temple, treating his grandson, a little kid, and even paying attention to whether the copper tube needs to be warmed up… That’s a bit too much. As the child’s grandfather, he even felt a little embarrassed.
Grett: “…” Damn! This isn’t a hospital! This isn’t teaching students! Whether it’s the bald-headed Bishop or the teacher, their status is higher than mine!
In the face of this, he could only grit his teeth and calmly explain: “We are doctors. He is the patient. – This has nothing to do with status. A doctor should treat his patient like this.”
“You… all do this?”
Elder Elwin blurted out. The young man’s tone was too natural, his expression too calm, making him think of the oath he heard when he first met him: “Health is entrusted to me, life is entrusted to me…”
Those who passed down such an oath would indeed be this meticulous in treating their patients.
Grett nodded without hesitation. The room fell silent for a moment, the bald-headed Bishop shrugged, reached out and touched the far end of the copper tube, and replied softly: “Not cold.”
Grett nodded. He let the bald-headed Bishop press his ear against the near end of the copper tube, while he held the far end, moving it as he pointed:
“Start at the apex of the lung… Listen along the midclavicular line and the axillary line, compare inside and outside, compare left and right… The order of auscultation is generally from top to bottom, from outside to inside, from left to right, each intercostal space needs to be heard… On both sides of the chest, isn’t the volume different?”
The old lawmaster opened his eyes in surprise. He didn’t quite understand what Grett was talking about – the tragedy of being an outsider – but he was very familiar with the tone and attitude of his speech. Based on his many years of experience, only teachers teaching disciples would be so firm and so skilled!
“… It really is lower than elsewhere.” The bald-headed Bishop followed Grett’s instructions, listening from front to back, left and right, and nodded in surprise. He got up and stepped back, casually stuffing the copper tube into Elder Elwin’s hand:
“You have a listen too!”
Grett had to explain it again. This time, Elder Elwin had more and more detailed questions: “Why are the sounds of the left lung and right lung different? Why does the right lung sound like snoring? Why…”
Grett: “…” Do you want me to tell you about dry rales, wet rales, wheezing, and rhonchi? The patient is still waiting here! If I start explaining from theory, it will take three days and three nights!
In short, after the two bigwigs listened with their own ears, they both agreed with Grett’s judgment: the ironstone was indeed stuck in the lungs. As for how to deal with it, Grett shrugged and looked at the high-level healers with pleading eyes, meaning, I can’t do it, you guys do it.
“If it’s an external injury or a disease, with the Goddess’ blessing, it can completely heal him.” The Archpriest of the Spring Water Goddess Temple was the first to speak, his brows furrowed, his words tinged with helplessness:
“But the ironstone stuck in the lungs… I’m sorry, the Church doesn’t have any corresponding divine techniques, and I don’t know how to treat it.”
The bald-headed Bishop also shook his head. “I can only think of cutting open the chest and taking it out…” Before he could finish, the bear child screamed at the top of his lungs: “I don’t want to! I don’t want to! Grandpa! He’s going to kill me!”
… I said, you can’t discuss the treatment plan in front of the patient. Especially this bloody violent version of directly opening the chest, look, you scared the patient. Luckily, this is a child. If it were a patient with high blood pressure or a critically ill patient, the shock could have caused them to faint on the spot…
Tsk, without systematic medical training, it’s easy to make mistakes. Like us, during a big ward rounds, we talk about “CA” in front of cancer patients, ensuring no leaks.
Grett silently complained behind the bigwigs. The bald-headed Bishop turned back to comfort him for a while, to no avail, so he could only guarantee “I will not touch a knife, I will not touch a knife”, and retreated far away. Elder Elwin had been lost in thought, and only when the two in front of him finished speaking did he hesitantly raise his head:
“By the blessing of the Natural God, I can indeed induce vines to penetrate deep into the lungs to take things out. However, I don’t know where it is stuck in the lungs, and I don’t know how the vine should go.”
He paused and turned to Grett, his eyes full of anticipation. Grett thought for a moment, and in the old lawmaster’s questioning gaze, stepped forward:
“I have a solution for this.”
Grett’s expression was calm and his tone firm. Before the old lawmaster could ask, he looked directly into his eyes and said in one breath:
“I can see where the ironstone is. Just use…” He gestured with his hand: “… the detection magic mentioned in yesterday’s paper. If I can see it, I can guide the vine to take it out.”
Revision, revision, endless revision… Just this part today, I revised it again before sending it out…
Looking for collection, looking for recommendation, looking for book review…
I feel like you guys don’t care about me recently, so few reviews… Please don’t put it on hold…
Please read every day!
(End of Chapter)
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