A soul that had been predestined by death was temporarily allowed to remain in the body, which lay on the bed board of the clinic.

The futon was wrinkled, and the man who had been lying here had not cleaned it up before leaving, and the twisted folds of the cloth were a little uncomfortable behind it, and the deep folds seemed to contain the plague and unwashed pale rust-colored spots, but they were much better than the hard board.

He tried to float up and pull the blanket flat, but a violent cough interrupted the movement, and there was a pain in his chest like a wound being forced to stretch, and his hands clenched tightly, and he was able to grasp something and pull it, tearing the blanket even more.

Something heavier than saliva squirted out with the cough, and the hand subconsciously wiped it, perceiving the familiar moistness and thickness, and the palm had a conspicuous red color, catalyzing the steaming of dryness and anxiety.

Occasionally, a shadow with a bottle or jar walked behind the white curtain, stirring up a little instinctive hope, but it quickly cooled down.

By now, the expectation of herbal decoction has been worn out after repeated deterioration of the condition, and the doctor has made it clear that there may not be much improvement, and that it is more appropriate to describe it as a survival instinct than a cure, willing to believe that he can still struggle.

I couldn't sleep or stay awake in the discomfort of my lungs, but I just closed my eyes and tried to ignore the similar coughs next door, so that my consciousness was temporarily far away from reality.

But this sharpened the sense of hearing, and the cough was suppressed like some kind of sonorous footsteps of different shades, wandering between the curtains of the room, and every now and then it stopped to knock on the door, urging the call, and each time it caused a startle.

And in the midst of this voice, a series of footsteps on the ground descended the wooden staircase, approaching this side. Listen in the direction of this direction.

The white curtain was lifted in a corner, and instead of the usual apprentice who delivered medicine, nor the Dr. David whom he had only seen when receiving and making conclusions, but a tall stranger who had never seen before, he naturally walked to the bedside and stood still.

A set of black robes similar to David's but updated, youthful eyebrows behind a veil cover, and a bushy and front-line hairline lowered a bit of credibility out of thin air.

However, he soon learned that impressions were not necessarily reflected in appearances.

Behind the young tall doctor, a middle-aged doctor in a black robe with red thread trim followed in, and automatically stood still behind half a body next to him, holding his hands in front of him.

Dr. David, the only one he knew, walked at the end, helped the entourage with the instrument tray in both hands to open the curtain, and followed behind the middle-aged doctor with a special black-robed shape, actively marginalizing and reducing the sense of existence.

A few assistants and apprentices silently followed in small steps, occupying the bed position. The small cubicle was crammed into nearly ten people at once, filling the hospital bed, and a pair of eyes that could not reach the height of their shoulders were hidden outside the crowd, trying to see the inner circle.

"Hello, I'm Lecturer in Surgery at the Faculty of Medicine at Dunling University, Viren, and this is Professor Kraft at Rivers University." The red-edged and black-robed doctor stepped forward and threw out several introductions that he had not heard of very well, probably very promising.

"The purpose of this visit is to provide a newer, more effective treatment for tuberculosis patients, especially for hemoptysis."

"Huh?" The patient on the bed was stunned for a moment, seemingly not understanding much, and still considering whether he should sit up.

David probe translated, "These two are my teachers, who have come to treat you with the white plague. ”

"May Heavenly Father bless you."

"It's not a complete cure, but it may slow down the disease process and reduce symptoms." Kraft pressed the patient who was about to sit up and flattened the sheets, "Before we do that, we need to find out if your condition is suitable for treatment." ”

Looking around, his instinct told him that something important was missing here.

"Doctor David?"

"I'm here, is there anything I can do for you?" The clinic doctor felt that the next step should be to simply ask the patient and start the treatment, and he just needed to study quietly next to him and seize the learning opportunity that fell on his head.

"Here, let's take a medical history."

By the way, Kraft has finally found the right way to open it. Lecturer Viren stepped out of the way, exposing Davy, who was three points frightened, seven points surprised, and ninety points dazed.

The eyes that had been focused on Kraft, including the patients, were neatly shifted to the main owner of the clinic, giving him a long-lost sense of déjà vu, and returning to the not-so-good student days.

"The patient came to the clinic because of 'cough and hemoptysis', and it was used." Through a layer of cloth, David took a deep breath through his nose to catch the smell of herbs wafting from the jar in the apprentice's hand, "The same as now, elderberry decoction is used, considering that the patient has loss of appetite and occasional abdominal pain, dragon sprouts are added to increase appetite, dill relieves intestinal colic and strengthens the spleen and appetizes." ”

David felt a cold sweat running down his back, and he had the illusion that the teacher he knew in the big class had accurately pointed out that the students who were there today were not classmates, and the damage to social status if he couldn't answer anything was much higher than in class.

He looked at Kraft, looking for an attitude towards the answer in the other person's reaction, and found that the latter was also looking at himself. The look in his eyes clearly said, "Go on, why did you stop?" ”

What should I say? The cold sweat that had just stopped began to bubble out again, and in his cognition, what should have been said was almost enough, everyone knew that this was a tuberculosis patient, but the meaning was far from over.

However, the professor was clearly an empathetic person, and quickly sensed his difficulties and decided to give a hint: "When and what did the patient come into contact with to start coughing?" Do you cough violently? Is there a day and night difference? Dry cough or phlegm, is there blood in the sputum? Has it worsened or relieved for such a long time? When did hemoptysis start and was there any chest pain?"

David looked at Viren pleadingly, and Vi asked rhetorically with his eyes, of course, "You asked me about my surgery?"

The atmosphere was not good, but fortunately, the patient was self-conscious, and there was no communication barrier between the two parties.

"Doctor, I had a little cough last winter, and I drank some of that flower tea, and it was fine in a few days. Later, there were coughs, which were more and more this spring. The patient sat up from the bed with his body propped up, and he coughed again, and he could see the dried and fresh red of his hands and the front of his shirt.

He tried hard to cover his mouth to plug the cough back, for fear that the doctor would turn around and leave, and said, "When the weather starts to get hot, I found blood in the phlegm, and I usually feel that I can't use my strength. ”

"Okay, I got it." Kraft pulled a piece of water-absorbing burlap from his plate and handed it to him, "Do you have any impression of these specific times, such as what month of the month?" Especially when did this cough and hemoptysis begin? ”

"I can't remember, does it matter?"

"It's okay, you can lie down and take a break, let me see." From this point of view, it is not unreasonable that the current medical history is generally imperfect, and in the current situation of vague view of time and little health awareness of the patients themselves, the information collection of mobile patients is definitely a mess.

Kraft undressed the patient, and unlike the Duke, who had maintained a sufficient supply of nutrients and was in excellent condition, the emaciation was evident above, and the ribs could be seen faintly under the skin when the chest was bulging.

There is little need to look for bony signs, and the location can be visualized by sight alone.

【Ideal for teaching】

"Here, Koop, put things aside, press them." Kraft called for Koop and grabbed his hand and pressed it to the center of the patient's chest, "What kind of bone is this?" ”

"The sternum."

"Very well, now what does this part of the area feel like when you touch it."

"Uh, it seems uneven, a little bumpy?" Koop replied uncertainly.

"Yes, this is the sternal angle, the second pair of ribs flush on both sides, and we can count the ribs up and down with that."

[Seems a little troublesome]

Pressing Koop's hand and guiding him to the sides to find the position of his ribs, Kraft felt the thought arise. There should have been an easier way for me to tell the difference, not by these rules and regulations.

After searching in diagnostics, logic rejected the idea that had just been generated, which is indeed quite a convenient way, and it is faster unless you see it directly, but not all patients are so emaciated.

But intuition still suggests that one should not be trapped in an inefficient way, and guides the conscious mind to follow its instinct to use that way, skipping the tedious visual and tactile percussions, and making a diagnosis for the patient with an absolutely accurate perspective.

[It's a responsibility to the patient, isn't it?] 】

Kraft pondered for a moment, grasping the source of the thought, which was the daily stir of the mental senses, such as the reflexive secretion of saliva by the mouth when it saw a delicacy.

He rejected the suggestions made by some of his own. This is certainly not irresponsible. What is needed is a simple and easy way that can be done by any systematically educated person, rather than a human CT machine cheating on an irrational ability that is difficult to reproduce.

If, as a starter, you can't complete a full set of operations on the condition of an ordinary person, but you have to implement the treatment method, it is really irresponsible.

Containing the mental senses, palpating the pleural friction sensation and ruling out contraindications to pleural adhesions in the normal order, Kraft in turn buckled the intercostal space to locate the cavity, and then removed a cylindrical object from the tray brought by Koop, which was tightly sealed with a thin skin on both sides, looking like an elongated version of a small drum.

This is also one of the works of Westminster craftsmen, and the original version of the stethoscope, or "earpiece", is more appropriate.

Placing one end on the area that needs auscultation and attaching the other end with your ear to the other end saves the inconvenience of putting your head on the patient's chest to listen. It's still not very convenient, and you need to bend over and twist your neck to adjust your position.

Kraft carefully positioned and moved the earpiece, remembering the long-lost imaging department, corresponding to the position of the hole that he had percussed, distinguishing the whistling sound of the hollow, and after making repeated confirmations, he fixed the earpiece with both hands and let go of the ear ends.

"Come and listen, there's a cavitated tuberculosis patient with a voice in their lungs."