Chapter 61

How do you diagnose a ruptured internal organ?

If you really delve into this question, you could write an entire book. X-rays, ultrasound, CT scans, abdominal punctures, and exploratory laparotomies if indicated...

There are countless methods and tools available in clinical practice to assist doctors in making a diagnosis. However, now, in this different world, facing this elderly healer, Gret could only answer:

"Physical examination!"

"How do you do it?"

"Watch closely. For an abdominal examination, the most basic step is palpation, with different areas corresponding to different organs... the upper left abdomen..."

Gret spoke fluently. The old man bent over, listening intently, wishing he could take notes immediately. Gret deliberately slowed down to let him see more clearly, explaining as he operated:

"When palpating the liver, you should use the three fingers of your right hand, with the metacarpophalangeal joints straight, the tips of the index and middle fingers parallel to the rib margin, placed on the right side of the navel... exhale... inhale... no obvious pain... let's check the spleen next..."

The old man nodded as he listened, his eyes focused, his lips moving slightly as if reciting the lecture content. Gret continued his examination:

"Initial assessment: no obvious internal organ rupture;

Spine shape is normal, no obvious curvature or deformity;

No obvious head injury, no hematoma, left arm... right arm..."

Very good, very good. Apart from the internal organ damage that he couldn't check for now, the only thing that needed to be treated was the open fracture of the left leg!

Gret was greatly invigorated. He shifted his position, feeling the skin above and below the fracture, and stood up:

"Alright, now we just need to treat the left leg—"

He turned to look at the old man. Seeing the old man with his white hair fluttering, looking spirited, with arms so strong they could kill a bear, he had a sudden idea and casually cast a detection spell:

"Oh—"

Gret exclaimed. So bright! Especially the stick in the old man's hand, which shone like a 500-watt high-pressure sodium lamp in his meditative vision!

Gret reflexively raised his hand to shield his eyes. As he raised his hand, he suddenly froze, lunged forward to the oak staff, and trembled as he placed his palm over it:

He could see!

He could see!

Through the magical glow emitted by the staff, the bones in his palm and fingers were clearly visible!

He had finally found it! A variant of the detection spell, the X-ray spell, he had finally found it!

Gret stared at his palm in a daze.

If this were in his previous life, seeing this visual effect, he would have run as fast as he could—no one wants to play around with X-rays for no reason.

But now, looking at the magical glow penetrating his palm, it was like seeing the most precious treasure!

In this world where nothing was available, X-rays were invaluable to a surgeon!

The old man with white hair smiled at Gret.

He took a step back, and Gret took a step forward; he turned the oak staff, and Gret followed, being careful not to step on the injured person on the ground.

Until the detection spell's duration ended and the magical glow disappeared, Gret suddenly snapped back to reality:

"I..."

"You're the one who healed Knight Barren, right?" The old man waved his oak staff, interrupting him:

"I heard your healing technique is a bit special?"

It's your healing technique that's special... Gret thought to himself. On the surface, he still had to maintain a smile:

"Sir, I would like to ask, for treating this kind of fracture..."

Gret lowered his head and pointed to the injured person on the ground, whose face was pale:

"Would it be difficult to align the bones? Would the person be lame after being healed?"

The old man was moved. He pondered for a moment:

"Indeed, it is difficult. Experienced healers are fine, but beginners can heal the wound, but often fail to align the bones properly. What, do you have a way?"

"I have a way!"

Gret's eyes were bright.

They brought the injured person back to the village.

Coincidentally, this injured person was from Tal Village, and Gret could escort the injured person and inspect the village at the same time, killing two birds with one stone.

As soon as they reached the village entrance, the elderly, the weak, and the children who hadn't gone to the fields, and the able-bodied men who had returned upon hearing the news, swarmed up, greeting the old man:

"Elder!"

"Elder, you're here!"

"Elder, thank you for saving Lorraine!"

The servant from the Mage Tower who accompanied Gret kept looking at him. Gret pretended not to notice, feeling at ease, and hid behind. Instead, the old man with white hair reached out and pulled him forward:

"This time, you're wrong. It was this young man who saved the person, you should thank him!"

Several hands covered in mud immediately reached out to Gret, wanting to express their gratitude. Gret quickly dodged back to the old man:

I still have surgery to do! Your dirty hands, stay away from me!

He tightly grabbed the back of the old man's robe:

"Let's save the person quickly! Find a clean, large house, and carry the patient in! Boil water! Strong alcohol! Soap! Knife! Hook!"

The largest and cleanest house in the village was naturally the mayor's house. Once the items were delivered, Gret, having learned from past mistakes, drove all the onlookers out to avoid any unnecessary commotion. He washed his hands, took the knife and hook, and casually cast a spell on them.

"This is..." The old man's eyes lit up: "A magical trick?"

"Yes, for cleaning."

Gret's eyes sparkled.

This skill was truly useful, lasting for an hour, cleaning once every second within a cubic foot.

It was a perfect tool for cleaning flasks, test tubes, or surgical instruments!

Just not sure about the sterilization effect... I'll do a bacterial culture test later...

Gret picked up the scalpel, observed for a moment, and made a cut. Before the old man could react, Gret's knife was already flying, exposing the blood vessels.

As he raised his hand, a semi-transparent clamp with a faint glow appeared in the air, closing and immediately clamping the slightly shriveled blood vessel.

"Hand of the Mage?" The old man was surprised for the second time: "Using the Hand of the Mage like this? What are you doing?"

"Clamping the blood vessel... okay, the tourniquet on the leg can be loosened..."

Gret answered matter-of-factly. He patted his hands, put down the scalpel, washed them with clean water, and cleaned the wound as much as possible, then smiled at the old man:

"Next, I need your help."

"What do you need me to do!" The old man patted his chest generously. Gret nodded in thanks:

"Place your staff behind the injured leg. Find two people to hold the leg on both sides. When I say 'pull,' they should pull in opposite directions. When I say 'stop,' please align the bones as I instruct!"

"You... won't set it wrong?"

"Absolutely not!" Gret was confident:

"Yes, I have a spell that allows me to see the bones inside the flesh!"

"One, two, three, pull!"

Creaking, the muscles were stretched, making an extremely unpleasant sound. Gret quickly cast the detection spell, and in his meditative vision, the bright white light penetrated the muscles, revealing the curved, broken, and fractured bones. Gret focused on the break:

"Pull more, pull more, stop!"

He rushed forward, holding the broken ends with both hands, and pushed them towards the normal position.

Ouch, so heavy!

I'm not an orthopedist!