It's not that difficult to open a hospital in another world, right?

"tube?"

Aunt Eileen was confused. Grete stretched out his hand to show the length of his forearm, then circled his left thumb and index finger together to compare the thickness:

"It's so thick, so long... it needs to be hollow..."

"Just listen!" Aunt Eileen waved her hand proudly: "Avril is so young. Besides, you watched her grow up!"

This... Gretel sweated profusely. He never wants to listen to heart sounds next to someone's chest again! If possible, never want it again!

Seeing his persistence, Aunt Eileen searched under the kitchen and found a jet black hollow pipe, washed it and handed it over. Grete took it in his hand and looked at it. This thing was longer than his entire arm. One end was covered with black carbon and there were many burn marks. It was clearly a blowtorch.

……All right.

Let’s just make do with it for now, and if I have the chance later, I’ll build a stethoscope...

Gretel calmed down, pointed one end of the torch at his ear, and put the other end against Avril's body. It was said that he was listening to the breathing sounds, but the end of the fire blower was slowly moving until it reached the strongest point of the heart's apex pulsation. Stick firmly, listen with bated breath, move from time to time, the more you listen, the more serious your face becomes.

There is a murmur in the apical region.

Moving to the left edge of the sternum and the pulmonary valve area of ​​the second intercostal space, the diastolic murmur becomes clearer and is clearly a continuous mechanical murmur.

Moving toward the aortic valve area, the murmur gradually weakens. The murmur in the tricuspid valve area was almost inaudible. After listening once around the heart, it moved to the left subclavicle, and a clear mechanical-like murmur sounded again...

A continuous mechanical murmur can be heard during diastole in the second intercostal space on the left edge of the sternum and below the left clavicle. The conduction range is wide.

Combined with the previous dissociative cyanosis, weakness, fatigue, and seasonal cough, it is highly suspected...

Patent ductus arteriosus.

One of the types of congenital heart disease. In mild cases, there will be no major symptoms throughout life, while in severe cases, it can cause pulmonary hypertension, heart failure, and even death.

Grete closed her eyes hard. He patiently listened to his lungs to make sure there were no abnormalities in his breath sounds, and then put down the fire blower. After thinking about it, with a glimmer of hope, I turned around and asked Aunt Eileen:

"Aunt, sister Avril's body...have you seen the pastor? What did the pastor say?"

His serious look clearly frightened others. Under the oil lamp, Aunt Eileen was stunned, forced a smile and sent Avril to sleep, and then let out a long sigh:

"The Bishop said that Avril is just weak. She should rest more and be careful not to catch a cold... If she wants to be cured to the same level as ordinary people, she will need a very high level of magic, which he can't use..."

Do they just think they are weak?

Grete was a little sad, but also a little relieved. It doesn't matter if you only know these words. Sometimes, ignorance is also a kind of happiness... What can you do if you know that you have a congenital heart disease?

Heart disease has been a terminal illness for a long time. Heart surgery, and for a long time after surgery began to develop, was off limits to medicine. Theodore Bierroth, an Austrian doctor who was revered as the "Father of Surgery" by later generations, cast such a "curse" on heart surgery:

"Performing surgery on the heart is a blasphemy to the art of surgery. Anyone who attempts to perform heart surgery will end up in ruins." (Note 1)

There is no life support, no extracorporeal circulation device, or even the most basic hemostasis, disinfection and anesthesia. Under current conditions, rash heart surgery is tantamount to murdering the patient.

Rather than doing this, it would be better to let Uncle Karen, Aunt Eileen and the others live their lives in ignorance.

Gretel reluctantly convinced herself and turned her attention to Avril again. After the coughing stopped, the little girl's expression softened a lot. On the toes, the faint purple color has also faded and turned pink again.

In Grete's eyes, this light pink was simply the most beautiful color in the world.

——Thank God! Cyanosis only occurs when there is severe coughing or hypoxia, but there is no cyanosis at ordinary times!

This level of patent ductus arteriosus can develop into pulmonary hypertension, severe heart failure, and even death. With luck, there is still more than ten years left!

Grete breathed a sigh of relief. He tried hard to suppress his uneasiness, comforted little Avril with a smile, chatted a few words with Uncle Karen and Aunt Eileen, and left. The door closed behind him, and the moment it faded into darkness, Gretel closed his eyes and clenched his fists tightly.

Patent ductus arteriosus is treatable.

In his previous life, he had seen countless such patients with his own eyes, and had also referred such patients to his colleagues in the Department of Cardiology.

This disease is not considered terminal, and even its treatment does not cost a fortune.

A child like little Avril, in a previous life, would only need an interventional surgery. The catheter between the aorta and pulmonary artery is blocked with an occluder, and the entire operation only takes an hour and a half. You can hear your heart sounds return to normal within the same day, and within a few days, you can be active and active.

But the operation is not easy--

It is necessary to have an electrocardiogram to determine whether the heart is defective, an X-ray examination to rule out other diseases, an echocardiogram to identify the disease, a cardiac catheterization examination to understand the pulmonary vascular resistance and shunt conditions, to rule out other malformations, and to confirm whether the patient is eligible for surgery;

A guidewire with a maximum diameter of 0.88 mm and a minimum diameter of 0.45 mm is required. Under the guidance of X-rays, it must be guided all the way upstream along the patient's femoral artery until it is inserted into the heart;

It is necessary to have an occluder made of super-elastic nickel-titanium alloy, with a polymer biofilm inside, which is sent to the defect of the arterial catheter by a guide wire, and then the occluder is controlled to open and block the gap;

Of course, there must be a contrast agent that is of high purity and will not cause thrombosis when injected into the blood vessels, and the blood flow direction can be displayed under X-rays to confirm whether the operation is successful...

Each piece, piece by piece, is the crystallization of modern medicine, modern industry, and top-notch high technology. From the Industrial Revolution to the Electric Age and the Internet Age, countless years of development in technology, industry, and medicine have filled the gaps in life and turned once-incurable diseases into commonplace.

But now, he, Gretel Nordmark, has nothing.

This is another world.

There is no catheter guide wire occluder, no echocardiographic X-ray, no anesthesia, no blood transfusion, no imaging...

How can we snatch little Avril Lavigne's life back from the hands of death?

Divine magic is no longer reliable. The bishop said that there was no way to treat it. Obviously, lower-level magic could not deal with congenital diseases. Magic, magic...

Can magic emit ultrasound? Can magic create an electrocardiogram? Can magic summon a thin enough guide wire to enter the human heart and treat the defect?

Can magic... allow him to see the mysteries inside the human body?

Gretel doesn't know. But he knows that starting from tomorrow, he will open the door to magic. As long as he works hard enough and has enough imagination, everything is possible!

Ten years, he will do all this within ten years!

Uncle Karen, Aunt Eileen, Sister Avril——

wait for me!

****

Note 1:

Quoted from "Legends Outside the Heart"

Thanks to @Ye Mengbing and @Mithra for the 100 starting coins.

Thank you @for this many years. The reward is 100 Q coins, woo woo woo, can you give me the starting point coins next time? You spend the same money, but my income from Q coins will be cut in half, and I can’t rank yet...

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Wow wow wow you guys are so nice...

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