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

Chapter 14 No adrenaline? Then...you can only use your adrenal glands

Twenty minutes is neither short nor long.

Especially when there is someone asking questions about you, one question after another, and you still can't kick him away... It is really like a year.

Grete stared at the child's throat with one eye and stared at the priest with the other, gesticulating and almost drying up his saliva. Finally, I heard someone shouting: "It's red, it's red! It's so red!"

When I probed, I found that the boy's left forearm was smooth and flat, with no problems at all. The right forearm - the spot where the fish meat dripped - was very red, with a bulge in the middle, and an obvious wind mass. There are also red lines of varying lengths on the outer circle of the blush. At a glance, they look like insect legs.

Blushing with pseudopodia and wheals...

That’s right, it’s an allergic reaction, and it’s a very strong allergic reaction!

Of course, the strong reaction may also be because the fish meat water he prepared was not diluted at all...

Grete felt a little guilty, but on the surface he still looked confident. He clapped his hands together:

"It's confirmed! It's the cod that's causing the trouble!"

"What's next?"

"Next..."

Gretel was speechless.

After a skin test, the cause of the child's illness has been determined to be acute laryngeal edema caused by allergies. He is very familiar with first aid methods and can give medical advice with his eyes closed. Even when the doctor's order was given here, the veteran emergency department nurse over there had already prepared the medicine:

0.1% epinephrine hydrochloride subcutaneous injection;

10ml of normal saline + 1mg of epinephrine + 10mg of dexamethasone, gargle immediately with your mouth for three to five minutes;

This is followed by 20-40ml of normal saline, 1-2mg of epinephrine, and 10mg of dexamethasone for continuous atomization.

But now, what does he have in his hand?

Nothing!

There was no epinephrine injection, no dexamethasone injection, and even the normal saline solution that he instructed the staff to prepare must have an inaccurate concentration, many impurities, and could not even be considered sterile...

fall!

I can't live this day!

Fortunately, Grete already had a plan for this problem. He pretended to think for a moment and turned to the farmer calmly:

"I saw mutton soup in the kitchen. Are the sheep's entrails still there?"

"Yes!" The farmer, Uncle Edmund, nodded vigorously. Gretel heaved a sigh of relief: If it wasn't there, he would have discussed with the people on the farm and asked them to kill the sheep on the spot. He stood up and turned to the kitchen:

"Give me the guts!"

After this rescue, Gretel has established a high prestige on the farm. When he asked, someone would naturally run errands. Soon, a basin of bloody internal organs was brought in and placed in front of Grete with a bang.

Then, Grete squatted on the ground in front of everyone, stretched out his hands, and turned over in the tub without hesitation...

The priest who had been following Gretel also squatted down curiously. After looking at it for a while, I couldn’t figure it out, so I couldn’t help but ask:

"What are you doing?"

"Find a gut."

"Which one are you looking for?"

The priest craned his neck and came closer. The Roman knight, who had been following him with his sword, fulfilling his duty of protection, finally couldn't bear it any longer. He took a step forward, bowed and interjected:

"Sir, you have a noble status, don't..."

"Eh!" The priest waved his sleeve impatiently. He stretched his neck, looked left and right, and unexpectedly, he was stricken by a smell of blood mixed with blood and fell backwards. Thanks to the support of the Roman knight, he didn't fall down. Still not letting go of her curiosity, Xu Xu asked, covering her nose:

"What are you looking for? Isn't it just the internal organs? Just put it down and let them find it!"

"they do not know."

Gretel didn't even raise his head, he searched intently and muttered: "Kidney...kidney...found! There is another one..."

"Oh, what you're looking for are sheep kidneys!" The priest's head poked over again. Gretel raised his palms covered with sheep blood and made a gesture to push:

"Don't make any noise!"

There was a cold snort from the upper left. The Roman knight's sword was unsheathed and blocked in front of Grete's hand. Gretel was startled by the cold light, and the priest's big head shrank back, muttering:

"If you don't tell me, don't tell me... I kindly asked you to let others find it, but you still don't appreciate it..."

Gretel ignored him and concentrated on rummaging in the tub. The anatomical structure of the sheep that has been slaughtered is completely destroyed. Finding one kidney does not mean that another one will be found. He turned it over for a while, and finally pulled out the two sheep kidneys. He breathed a sigh of relief, put the pottery bowl containing the kidneys on the table, and began to peel them off carefully.

——From the beginning, what Grete wanted was not a kidney, but an adrenal gland.

Adrenaline constricts blood vessels, while dexamethasone fights inflammation and suppresses allergies. Dexamethasone is a chemical synthetic agent, so you don’t need to think about it now, but adrenaline... you can still think about it at least.

With this thing, at least the laryngeal edema can be eliminated and the child can breathe normally. As for the chicken bone stuck in the airway, it can naturally be removed quickly.

Theoretically, epinephrine is a protein hormone and cannot be taken orally because it will be hydrolyzed by pepsin. However, history is not without examples of oral epinephrine. Grete remembered that he had read such a record in his previous life:

In the fall of 1893, George Oliver, the British doctor who invented the sphygmomanometer, discovered that the sphygmomanometer could detect the contraction of the radial artery in subjects after they swallowed a substance extracted from the adrenal glands of goats.

In later generations, this experiment was regarded as the earliest significant evidence that adrenal gland extract can increase blood pressure. However, in Grete's view at this moment, it means something more important:

Epinephrine, or adrenaline extract taken orally, does work!

Of course, the child cannot swallow now. But Gretel has another hope: in the epinephrine family, neither epinephrine nor norepinephrine can be taken sublingually, but isoproterenol can be taken sublingually!

So... adrenal gland extract... to be precise, the adrenal glands are crushed and mixed with water... maybe it has some effect... right?

Gretel was so nervous that he didn't even have time to speak. Under the dim light, he carefully peeled off the outer capsule of the sheep kidney. Cutting, pulling apart, blunt separation...the rough iron scissors flickered gently in his hands, almost showing the dexterity of surgical scissors.

The adrenal gland is a small one, located close to the top of the kidneys, and is wrapped in the renal fascia together with the kidneys. Human adrenal glands only weigh 5 to 7 grams, and goat adrenal glands are not much different. He had to be very careful to remove the adrenal gland completely without breaking it at all.

I don’t know how many active ingredients are in the two adrenal glands, and I don’t know how much can be absorbed through the tongue. He... better be careful and try not to waste...

Gretel was concentrating, and the movements of his hands were cautious and gentle. The aura exuded at work unknowingly infected everyone. Even the fussy priest stopped talking, lying on the table and looking at it without saying a word. The knight coughed beside him and tried to say something, but he blocked it with a wave of his hand.

It wasn't until Grete completely peeled off the two adrenal glands, chopped and ground them in a clean empty bowl, and added water for the child to rinse his mouth that the priest let out a big breath and jumped up to ask:

"Is this okay? Is it okay?"

"Let's wait and see..."

Gretel stared at the boy's neck unblinkingly, always on guard against the chicken bones falling off. Fortunately, the child gargled for one minute, two minutes, five minutes...the chicken bones were still fine, but the edema in the throat gradually disappeared, and the sound of air rushing through the vocal cords became more and more obvious.

"Wow! It works! It really works!"

"Yes, it's really useful." Gretel secretly wiped away the cold sweat, pulled out the chicken bones, and smiled tiredly at the priest:

"Next, please take action and heal his wounds..."

"No problem! Look at me!"

The priest rushed forward eagerly. A child's condition, after going back and forth all night, he was finally able to put it to use, and the treatment technique was particularly clean and neat. After healing the wound, he straightened his robes, held his head high, and extended his right hand to Grete:

"Hello, young healer."

****

In order to write about adrenal extract, I spent 20 minutes looking up various goats in the UK...the weight of goats...

Romney sheep, adult sheep weigh 80 kg for rams and 41 kg for ewes

Lincoln sheep, adult rams weigh 73-93kg, adult ewes weigh 55-70kg

Nanqiu sheep weigh 80-88kg for rams and 60-88kg for ewes.

etc……

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