Krafft's Notes on Anomalies

Craft picked up a third drink.

The red liquid was not alcohol, but some kind of sweet fruit juice. He identified several berries that he had tasted these days. The slight acidity of adding a small amount of lemon juice was very suitable for adding too much meat. Used at banquets to relieve fatigue.

What's even more impressive is the variety of fungi here, which are rich in variety and taste as good as the artificially screened varieties known to otherworldly souls. The white-bellied mushrooms recommended by Professor Brimer are sliced ​​and paired with a sauce made of minced meat and spices. It has the richness and deliciousness of protein and fat, and its delicate and rich taste is better than grilled meat.

Maybe the chef still has some flaws in his cooking techniques, but the quality of the ingredients themselves proves that high-end ingredients really only require simple cooking, or even no cooking. The food kept Kraft from spending a little more time at the table, and he was very full under the strange looks of others.

Kraft took a sip of the juice, suppressed the greasiness, left the table with the remaining half glass, and found the corridor leading to the side hall through the side door. A large number of small rooms are set up on one side of the semi-open corridor, presumably to provide temporary resting spaces.

A servant carrying a tray came forward. The matching cups and cups had been taken away. The silver flask with a flower buckle on the handle was shaking on the somewhat unstable wooden tray, making a slight knocking sound between the base and the wood.

"Is the medical school party over here?" Kraft put his hand in front of the plate and stopped the servant.

As if he did not expect that there would be members who had not entered the venue, the servant was frightened by the sudden appearance of the inquiry and stopped suddenly, causing the unstable silver pot to tip forward.

Thanks to his hand that reached out in advance, Kraft's good hand-eye coordination allowed him to grab the body of the pot. The small half volume of liquid sloshing inside bounced off the wall of the pot, preventing it from spilling.

"Thank you." The servant lowered his head and thanked him in panic, and quickly took the silver pot back from the stranger. He seemed to be a newcomer, and his steps were not as leisurely as those of the waiters in the hall who were able to walk freely among the crowds. He was unable to grasp the speed and balance distribution, and the panic of insufficient training was reflected on his face. "Please go straight ahead, other guests will inside."

"Be careful."

Passing through another arch, Kraft found the medical school's remote and independent small circle in the outdoor space behind the wing, an open space shaded by trees, with a long table brought from nowhere placed on oak leaves and green grass. There is also a white mushroom that pops up after the rain on the corner of the table, which is a quiet place amidst the noise and full of natural flavor.

Everyone was sitting around, and the arguments involving some professional terms could be heard from more than ten steps away. Professor Fernand sat on a heavy lacquered armchair that was obviously out of tune with the surrounding environment. When he saw the newcomers arriving, he raised his silver cup in greeting.

"Please feel free to do so, Professor Kraft. This is not a formal occasion, so I won't get up to greet you. You must know that standing with those guys chanting sutras is a kind of torture for the spirit and lumbar spine." He drank the last sip. , put the cup on the table, "It's a pity that you came a little late, the best wine has already been divided among us."

"But it can also be said that it comes at the right time." Maynard pulled out the only empty chair at the table, "Please come over here, the entertainment project has just passed, and now we can share knowledge."

Craft sat down and joined them in the discussion.

He quickly understood the content of those heated debates. It was a model similar to a simplified version of multidisciplinary consultation and case discussion. Someone would bring up a patient he had treated who had a speculative value, no matter the outcome was good or bad. It can be discussed.

Experts from various disciplines present elaborated on the views on the cause of the disease from their respective perspectives, evaluated the diagnosis and treatment measures, and summarized the gains and losses.

Since a unified microscopic and macroscopic physiological system has not yet emerged to integrate various scientific disciplines, this kind of debate often develops into different opinions. Brimmer, who was born in humoral research, and Linden, who was born in anatomy, basically cannot reach any agreement.

One insists on proving the disruption of balance from the perspective of humoral theory, using clues such as sputum layering and blood color, and then correcting the balance; while the other firmly believes that most diseases must have solid lesions, and patients can achieve symptom relief or even recovery after removal. If it cannot be found, it means that the disease process has not progressed to the level of coagulation, or the doctor's medical skills are not enough.

Pharmacy professor Klinsmann is theoretically inclined to the four-liquid theory, but in practice he is his own school and will propose corresponding treatments for various symptoms. For example, for red fluid deficiency caused by internal diseases or surgery, the proposed drug element supplement recommendations also include suggestions for people with different incomes. The poorer people are recommended to use red iron ore powder to take a small amount, while those from better families are recommended One more kind of poultry could be consumed, ideally expensive blood oranges, but few people can afford it.

Maynard, the general studies lecturer, was handing them knives. Oh no, it is to provide multi-disciplinary arguments and examples, which effectively promotes the unity of everyone present.

As a person with an obvious higher status, Professor Fernand rarely spoke despite his background in body fluids and internal medicine. He even rarely supported his student Brimmer, allowing him to be besieged by the cases presented by Linden and Klinsmann. At most, he made an uncertain empirical conclusion at the end of the discussion to evaluate the efficacy.

With the emergency discussion of a patient whose lower limbs suddenly became cold and pale and pulseless ended with amputation and blood replenishment, it was finally the turn of Brimmer, who had been at a disadvantage, to present the case.

"This patient is older and has cough symptoms."

"With all due respect, there are not many of you who have internal medicine who don't cough. This is the third time in the past few days that it has started like this. Can't you get something fresh?"

"That's better than spending six or seven months a year talking to people you can never cough with again, Lyndon." Although he was interrupted, Brimer didn't mean to be angry because of it, and he also talked about his work content by the way. Linden arranged, "I hope your brain, which is straighter than a knife, can tell the difference between different coughs."

"What the patient is suffering from is not a common acute cough. It existed a long time ago."

"How long exactly?" Maynard asked, promptly adding the role-playing function.

"The patient can't remember clearly, but at least it was measured in months, or even more than a year. There are good times and bad times, but the general trend is becoming more and more serious." The patient's chief complaint was very vague, and Brimmer's narrative It's very smooth, at least judging from Kraft's experience in case reporting, it is necessary to be prepared to report word by word without being interrupted twice.

"From the initial cough, it progressed to a cough with blood in the sputum, and sometimes violent paroxysms of coughing and coughing up obvious blood."

Symptomatic treatment is the specialty of the pharmacy professor. Klinsmann made suggestions: "If it is just an irritating cough symptom, my idea is to use honey to treat it. Adding chamomile tea to the mixture will have a better effect. Take it every morning and evening." One cup.”

"In fact, it has been used for a long time. We also added cumin to strengthen the patient's physical condition and relieve cough, and echinacea to treat sore throat." The implication is that the effect is not good.

"Add licorice?" Klinsmann tentatively added the new drug.

Professor Ferlinan shook his head slightly, seemingly disapproving of it, and his scrutinizing gaze swept over everyone, pausing for a while longer on the newcomer Kraft.

The table fell silent, and Kraft wasn't sure whether it was because he was watching the chief complaint quizzes, or if the medical history was just so brief these days. According to consistent experience, the possibility of the latter is not small. He noticed Fernando's attention, but he didn't want to speak now. Based on "sinister speculation", 80% of the pre-information for this kind of activity was incomplete.

The old fritters will shut up and wait for others to step on the bad news, and gracefully avoid the wrong options.

"It may be a lung disease." Lyndon knocked on the table, pressing his fingertips as if pressing against the imaginary patient's ribs. "I have seen similar patients who had hemoptysis for several months and were accompanied by weight loss. Finally, they found something in their lungs. some special organizations.”

But he quickly blocked the treatment: "I'm not sure. There are very few symptoms of this kind, and there is only one case that I have the opportunity to verify. If it is true, I think it cannot be cured unless the lesions are removed."

"I agree with Professor Linden, but there is no precedent for removing the lesion, and we still have to rely on traditional therapy. Control it indirectly by changing the amount of red fluid. If the cause is confirmed to be in the lungs, bloodletting from the elbow vein should be used. This is exactly what Professor Brimer said. What you're good at." Maynard thought he had found the key, and it all made sense.

"If the medicine is slow to take effect, you can try enema." The pharmacy professor proposed some radical improvements to the method of drug administration.

Kraft felt more and more uncomfortable the more he listened, but fortunately he had found some clues and had something to say.

"I want to know the patient's fever."

"Yes, but it's not serious. Moreover, echinacea has the effect of treating chronic fever. It's very mild compared to cough." Brimer thought about it for a while and finally answered the question.

"I guess the patient felt hot and dry, mostly in the afternoon, and it didn't return to normal until the next morning." Linden's conjecture certainly made sense due to prolonged coughing, hemoptysis, and low-grade fever, and he also provided information about weight changes, but Kraft I feel closer to the answer.

A look of surprise appeared on Brimer's face, but he could not answer as smoothly as before. It seemed that he had guessed something, but this person definitely did not understand in detail the "meaningless" slight heat in his eyes.

Kraft thought he was going to admit his negligence, but at this moment, Brimer looked at his teacher, Professor Fernand, and got some information from an imperceptible nod.

"Yes," he replied, "that's it, you're right."

"Also accompanied by abnormal sweating and feeling tired? I suspect there are people with similar symptoms around the patient."

Before he could catch his breath, more content was thrown in front of him. Brimer unexpectedly found that he had nothing to say. It was like halfway through a puzzle, someone recited the second half of the puzzle, and it was better than him. More clearly.

Professor Fernand's waist, which had been glued to the back of his chair since the beginning, straightened up for the first time and announced that some unruly guy had killed the game.

"What a surprise, Professor Kraft, I always thought you were better at surgery."

【tuberculosis】

Or it should be called "wasting disease" or "white plague" now. People currently don't know enough about it, but such difficulty is still too easy for a person who has been tortured by similar routines for a long time.

"Actually you are right, because I don't have a cure for this disease either."

"Perhaps we can discuss this idea alone after the meeting." An inconspicuous trace of disappointment flashed across Fernan's white beard, which was quickly covered up by a satisfied smile for his junior, and he nodded to invite.

The emotion was subtle, but it did not escape the attention that came to Brimer's eyes when he silently asked for help. Clough looked for signs of something odd in the teacher-student interaction.

Compared with Brimmer, it is more like a case from Professor Fernandez on the first floor, turned around and placed in a disguised high-level consultation in a special form.

What's going on? Your student is now a grown up student and has become a professor. Does he still need you to provide him with case discussion materials?

"It's my honor." Kraft accepted the invitation, suppressed the question, and tapped from the side: "Speaking of which, what treatment method was used for this patient in the end?"

There was another moment of silence.

"all."

"all?"

“We gave him oral honey herbal decoction, bloodletting from the median cubital vein, enemas, and laxatives to eliminate toxins.” Brimmer explained the treatment methods one by one. “Everything we can do, we can complete what God has given us.” Mission to save patients.”

"Then what?"

"The patient's condition has undergone changes that cannot be explained by our abilities, a long and severe change in fever, and" he lost the ability to describe, or some body language suggestion from the instructor stopped him, in an unspeakable state This concludes the case discussion.

Kraft wisely gave up the question and let the party move on to the next topic.

Linden, Klinsmann, Brimmer, Maynard, and Professor Fernand didn't seem to want to speak. Seeing that the main figures around the long table were about to turn to him, Kraft suddenly realized I have not prepared a case suitable for release on this occasion.

It is necessary not to spoil the content of the official academic gathering report, but also to be innovative enough. It is really not easy to come up with it at once. He instinctively searched around, like a lazy dog ​​who didn't check the information the night before in PBL class, looking for a shield to buy time.

Thanks to the round of introductions at the banquet, he really found someone who should be in front of him.

"Where's Lecturer Petrie?" Could it be that he didn't prepare any cases, so he ran away smartly?

"Petrie?" Maynard had just finished a case of mercury treatment for syphilis and recovered from the storm of questions from professors. "He just had a drink and was drunk. He was resting in the room in the corridor."

"I have never seen a person with such a bad drinking capacity. He didn't react at all when we moved him over." Klinsmann echoed, "But the good news is that he left his seat to Professor Kraft, haha. "

"Is that so? It would be a pity to miss it. Doesn't anyone want to find out what research Dun Ling is doing and hide some academic secrets?" Kraft said jokingly, trying to find an excuse to pull the person up, " Let’s go together and give him some sobering tea?”

"Okay, let's go together."