"I need a reason, a reason why I have to be here." Kraft ran his fingers through his drenched hair, and as he entered the door, he found a place to sit down.

He shouldn't have been out in this weather, at least he didn't.

About two hours ago, he was still in an overcrowded clinic to receive the thirty-fourth patient of the morning, counting lunchtime.

In these years, there is no such thing as registration, and the clinic has not tried to limit the number of people in a similar way, but they soon found that the restriction number without identity binding is equivalent to sending money to the middleman.

So it's like this, it's harder to predict the number of visits the next day than it is to predict the weather. At least the weather was really predictable, and Kraft would never have guessed whether his lunch would be in the afternoon or early evening.

The clinic's current patient capacity is not limited to tuberculosis, but it is much more difficult to screen digitalis populations at the same time.

Compared with tuberculosis with obvious characteristics, people, including many doctors, cannot be said to have limited understanding of the concept of "heart failure", but can only be said to have no understanding of it. After all, this thing really needs some anatomy to explain how the symptoms work.

According to the theory of four liquids, blood will emerge from the liver like a spring and be transported to all corners of the body, some will be absorbed and consumed, and the rest will evaporate and escape from the pores, which can be called the "dissipation theory".

According to it, edema means that the red liquid cannot be consumed and dispersed after it is sent to the place, and it is blocked there, so it is swollen.

So what about the traditional way? Quite simply, since there are too many, it would be nice to let some go, so the treatment path returns to the most familiar phlebotomy - in fact, it can be observed that some patients have some effect after phlebotomy.

Don't ask people how it is, just say that the edema has been reduced, right?

Theory is used in practice, practice confirms theory, and the closed loop belongs to yes.

Before allowing David to prescribe the drug, Kraft needed to correct his already poor anatomical knowledge and reshape it from his own perspective.

As we all know, the path of blood in the body starts from the left heart, circulates through the body and returns to the right heart, and finally through the lungs and back to the left heart.

Now, for all sorts of reasons, the pumping function of the right or left heart is no longer working, and it is unable to send enough blood, like a river with a huge flow of water suddenly narrows.

If the water in front flows too slowly, the water behind can only be blocked in the river, and the water level rises higher and higher, and the water pressure becomes greater and higher, which sooner or later causes serious consequences such as flooding and bursting embankments.

In left heart failure, the blood is blocked in the lungs, which is manifested as coughing up blood-colored frothy sputum, difficulty breathing, etc.; In right heart failure, blood is blocked in the venous system.

There's more to the venous system involved.

All the unpaired organs in the abdominal cavity, including the veins of the stomach and intestines, merge into the hepatic portal vein, pass through the liver, and then pass through the hepatic vein and enter the inferior vena cava to return to the heart.

Hepatic congestion leading to hepatic tenderness, gastrointestinal congestion leading to abdominal distension and nausea, limb venous congestion leading to edema, and a series of problems that are manifested up and down the body are all caused by the same cause.

Then, at this time, returning to the view of the four-liquid theory, you will find that although the principle of this thing is completely wrong, the general direction is actually correct, and the blood is indeed relatively too much.

Phlebotomy, with the exception of some particularly outrageous ones, is mostly venous blood, which does reduce the blood volume in the venous system and relieve pressure to some extent.

What Kraft had to do was to break David's train of thought into his own way, so that he could understand why the combination of these symptoms suggested heart failure, rather than some other mess.

The bad news is that David is a bit deeply poisoned by the four-liquid doctrine and will take time to get used to; The good news was that he had little knowledge of anatomy, and it was easy to fool around, and he quickly accepted this obviously more figurative explanation.

He doesn't need to know what ion pump inhibition and reflex vagal excitation slows down the heart rate, as long as he understands that digitalis is a cardiotonic that normally increases the ability of the heart muscle to contract and pump blood, while making the heart beat slower.

However, the clinical application is far more complicated than a few sentences, and it takes David longer to slowly learn the contraindications of the drug, which involves cardiac auscultation, which is another set of things that make the hairline recede.

In practice, Kraft realized that it is very difficult to compile a set of usage guidelines out of thin air without involving physiology, and the higher difficulty lies in how to get others to agree and understand and implement them standardly.

Just a few days after he was free, a professor suddenly realized that he had accumulated clinical work, drug experiments, and teaching tasks waiting to be done, and the time was as absent as the money used and always insufficient.

Even the plan to attack the "sample" has been postponed indefinitely.

So when Wattin invited him to Glena for a seat and a cup of tea, Kraft politely expressed his incomprehension—he hadn't even done anything before he could do it.

The Inquisition, and considering that they would be overly sensitized now and for a long time to come, Kraft finally decided to spare a precious afternoon to meet with them and find out what the men had unauthorished about their work.

But when he sat down across from the priest, he felt that things were not so simple.

Green looked sluggish, not like he had been forced to take a few days off, and his mental state was similar to that of when he had just climbed up from the Them.

Regarding the new drug, after seeing the sample, he accepted Kraft's explanation smoothly, apparently relieved, and then fell into silence.

The two listened to the sound of rain outside the window for a while, and finally Green spoke first:

"You don't seem to be in good spirits, have you had any special dreams in the past few days?"

"No, I'm because I made up the drug guide for most of the night last night, so you have to ask me to explain this." Every second wasted outside reminds Kraft how long his to-do list is, and the hidden sense of urgency never goes away.

However, listening to Green's meaning is that there is a special situation, otherwise a priest looking for a doctor to communicate with the spiritual dream is a bit blind.

Oh no, it seems that there is indeed a dream interpretation project in the doctor's business these days.

"What did you dream about?" To be cautious, it's always a good idea to ask.

"It's hard to describe." Green propped his head on one hand and threw a piece of wood into the stove, as if trying to dispel the dampness in the room, but on a steamy rainy day, the heat was only enough to dry them for a circle under their feet.

"Tell me about it, intuitively."

"Here. No, it's a place that resembles this one. He noticed that Kraft was sitting up straight, his attitude changing from a little impatient to a little interested.

"What else?"

"Wet, knocking, vibrating." Green struggled to search for the fragments scattered in the dream, but those things that had a profound impact were fragmented when it came time to describe them, like peeking through small holes into his memory, and only the most obvious undertones could be found.

"Tapping, vibrating, it's weirdly dark outside, but there's a light source."

"White light?"

"Yes, White Light." Green, who was reminded, nodded affirmatively, "You know? ”

[I know too well! 】

Kraft was satisfied that he had the information he wanted, and that such an easy interview was all too rare: "Yes, it is reasonable to have this symptom after touching those things. ”

"My suggestion is to find a place that is very high, very difficult to climb and can see the sky for a month, such as the bell tower of your church."

"If you wake up in a place that is very similar to, but not quite the same as when you fell asleep, immediately — I mean immediately, and on the premise that it's safe for the time being, to look at the moon. If all goes well, you'll wake up. ”

"Of course, you may need a doctor to guide you in the specific operation, and it just so happens that I need more cases." The professor confidently held out his hand, "I wish us a happy collaboration again." ”

The priest hesitated to take the hand, but was not comforted by his faith: "But. . . There doesn't seem to be a moon over there. ”

"Huh?"

"It's raining over there, it's raining heavily."