"Any questions?" Seeing that the inspection process was stuck, Professor Fernand approached and asked.

Craft's response was not immediate, but he extended the percussion farther down, comparing it with what he remembered. However, except for the one just below the subscapular angle, the sound of the rest of the percussion site is basically the same as the previous percussion results.

This is completely unreasonable, if it is only because of the slight difference in the position of the breathing movement, and the results of the two percussions in the same position are diametrically opposed, then one of his memories and common sense must have been insulted.

"I can't understand that the sound of this knock is different from the one before."

"What does this mean?" As an internal officer, Wilbot behaved much more anxiously than the Duke himself. I don't know if I was confident in my body or didn't care, the patient just let out "Oh? "A bang.

Kraft realized that he should explain the purpose and rationale of the test to his colleagues and the patient, so as not to give the other party the illusion that "this is not a big deal".

"Similar to how to determine whether there is a secret door or a secret chamber behind a wall by the echo of a knock, the sound of different components when struck with the right technique is completely different."

"Generally speaking, as a loose, light organ, the lungs should be clear when struck, but not so clear that they are almost empty. To be precise, it's like this. He struck outside the duke's still intact lung area, demonstrating a pleasant clean tone.

"But lung wasting disease is a terrible disease that gradually erodes the lungs, forming large lesions in them, decaying, dissolving and being expelled, and then becoming hollows, 'chambers behind walls'. When struck, it makes the sound of cavity objects like drums and urns. ”

Choosing another cavity, Kraft knocked on the sound of disease.

Finally, he pointed to the area under the lower angle of the right scapula, "and this place, which was also the case on the first examination, a cavity with an inner diameter of at least the length of the phalanges, is definitely not small." ”

"But now it's not."

A thick, solid voice resounded under the percussion knuckles, and compared to the previous two, it was like a sand-filled barrier that turned the vibration into a dull, low-pitched reply," I call a solid sound. ”

"What do you mean...... What's filling the hole? As a scholar with strong comprehension ability, Fernand quickly understood the meaning through word formation, but this did not make him feel enlightened, but fell into some kind of deeper confusion with hidden indescribable emotions, "Just in the time of the seizure? ”

Kraft nodded back slowly, surely, he couldn't believe it, but the objective result was such that there was no room for refusal.

Wilbert, who had taken the teapot from the servant's hand, carefully filled the Duke with a second cup of hot throat tea, and he understood Professor Fernand's summary, and interjected, "But what does this mean?" Could it be sputum or something like that? ”

"Liquids shouldn't sound like that." Compared with Professor Fernand, it is precisely because of his deeper knowledge and understanding of the disease that this change has brought Kraft a more strange and unreasonable feeling.

Although "the sick don't get sick according to the book" has been proven countless times as a classic tradition, this development is still too far beyond the realization.

Having said that, in fact, there is another sentence that I heard later, "no matter how difficult the topic is, it will find a corresponding in the book", and the book editors can always stuff unexpected content into the corners that are difficult to see.

He searched for details in the text, looking for tuberculosis-related content, pneumothorax, empyema, hemorrhage, airway stenosis, atelectasis, pulmonary aspergillosis, cor pulmonale, each noun with paragraphs and pages of text, perhaps one of which hides an answer to the "impossible event".

There can be a lot of forced explanations. For example, what kind of liquid is really poured into the cavity during the activity, because the special position causes the sound to be particularly strange; or the narrowing of the airway caused by the lesion accidentally forms a living valve, like a tension pneumothorax, but in the opposite direction, resulting in a very specific atelectasis.

Everything may end up in one sentence - do you believe this nonsense?

It can also be explained in a very simple and crude direction, that he does not want to do it without clear evidence.

And whatever his guesses, he couldn't confirm them in the absence of imaging results.

The loss of sight and the unbearable tangle climbed onto his brain again, and Kraft felt the desire to permeate the sulcus gyrus like a subarachnoid hemorrhage, bringing no less stimulation than pain.

Spirit made a suggestion, and it was hard for him to refuse.

"It shouldn't affect my treatment, right?" However, there are still people who are worried about his treatment plan. The old duke was wrapped in a fur, not a precious breed, and the color of his coat was probably some beast hunted in the nearby mountains.

He bent his finger and gestured at his chest, apparently untouched, "A knuckle-long hole, it doesn't seem to be too wide, I still have that big lungs to use." If there are no problems with the rest, start preparing for treatment as soon as possible. ”

“……”

Silence, silence is Westminster today.

Not only Kraft, but even Professor Fernand fell into a kind of struck speechlessness. Fortunately, it should not be the first time that Fernand has faced such a request, and he has not been completely disrupted by his thinking.

"Your Excellency, this is a very dangerous behavior, and no one knows what accidents an 'active' lesion can cause in treatment." He pauses in the word "activity" to understand that it should not be used in the usual literal sense, and it is even more uncomfortable to put it here, as if to admit that something that can move can exist in the lungs.

"I think Knight Kraft's therapy makes sense, maybe we can flatten this lesion together?" The previous description of the treatment, which emphasized the risks, did not seem to have been intimidating, but rather caused some people to think too aggressively.

Fernand couldn't help it, as the patient's old attending doctor, he knew the duke's temperament very well. You can only hand Kraft a "you suggest you do it" look, and take over with someone else.

The original purpose was to find a new idea for the Duke's near-inexplicable condition. Now the goal has been achieved, but unfortunately not in the way expected.

"I agree with Professor Fernand that we need to be more cautious." Kraft didn't think he could change the Duke's mind on the spot, but he could give a buffer time, and more.

"It takes time to prepare the equipment for artificial pneumothorax, and the patient needs to adjust his or her physical condition beforehand. During this time, I would like to go back to a detailed medical history, such as the people, food, or places the Duke had been in contact with before he developed new symptoms. ”

And, of course, there is a special check.

"Wilbert will meet your requirements, and you can explain to him the tools you need to make and the medicines you use." The Duke was not even interested in raising his hand for this consumption, "But the menu and the list of interviews are ...... Forget it, it doesn't really matter. ”

For the sake of money and curiosity]

After careful consideration, Kraft decided to use his mental senses, as this was a completely incomprehensible special situation.

It's just a moment, like a person who has quit drinking and twitching his nose at the mouth of the bottle, and he is addicted to alcohol. It relieves the suppression of the restraint of mental instinct, and can also answer a particularly unique case puzzle to provide protection for the next treatment. Kill three birds with one stone.

He convinced himself. No, Kraft wasn't sure if he had convinced himself, but the shield that stood in front of his mental senses did lift for a moment.

The consciousness is hungry to absorb the information it has learned at the moment, as if it were raining. The battered lungs are mapped into the mind, in a three-dimensional, see-through form.

Focusing his attention on the right side near the infrascapular angle, in the superficial area under the chest wall, he locked on to the mystery that wrapped in confusion, curiosity, and a little fear, and there was a kind of mystical pleasure of peeking at the answer.

The first percussion was correct, and it was indeed a tuberculous cavity, as estimated, with an inner diameter slightly longer than his middle phalanx. The sense of distance in the mental field is particularly good.

It seems a bit inappropriate to call it a "hollow" hole now, with a spherical mass of filler taking up the interior space, slightly smaller than the inner diameter, leaving a crescent-like arc of cavities, so that surfaces that do not conform to the cavity wall can also be distinguished when concentrated.

It was a strange, delicate sphere of raw hair and velvet, showing a sense of exuberance that was incompatible with the weakening respiratory organs.