The sudden arrival of surgical patients interrupted the rhythm of the outpatient clinic, causing people waiting in an orderly manner by the garden to instantly break their guard.
Most of them just came to see the clinic, but after seeing the stall set up by Kawei, they all switched to him, hoping to go through the screening first to see if it was possible to earn the money. After all, the price given is their income for two to three months or even half a year. It would be a lie to say it is not attractive.
"What's going on? This outpatient clinic is over like this? What did you agree to do all morning???"
"You were talking about giving money, but now everyone has run away."
"You guys should stop talking sarcastically. The guy who was sent here just now is in trouble. Something might happen to him."
"What does it have to do with us? I mean, he stole our clinic opportunity! Do you understand that it's first come, first served? Do you understand the principle of queuing? The problem with me requires surgery. Who can I ask to explain this?"
"The outpatient clinic won't be just for this day. Is there another one in the afternoon? Can it be open for a little longer?"
"Forget it, let's leave, let's leave..."
At first, some people were expecting, thinking that someone would come out and explain a few words. However, after wandering around the garden for a while, the crowd of people began to slowly recede like the ebbing sea water.
After a while, except for those who were still obsessed with money, most of the doctors and patients left, leaving only a few people here and there. The originally inconspicuous garden returned to its original appearance.
"What do we do now?"
Laura was also one of the people who stayed, and she was also one of the few people who really wanted the operation. "This operation will take at least an hour or two to complete. It may be over in the morning."
"He is not a person who gives up halfway. Let's wait until the afternoon."
Laura always felt that something was wrong: “Do you really know him?”
"certainly."
"Then why didn't you let me get checked earlier... No, you don't even need to check me, you can admit me to the hospital directly."
"He has his own principles."
Laura still had doubts, but it was not good to speak directly, so she could only ask some questions that she had asked before: "Can I really do the kind of surgery I need? I am not a countess, what if he What should I do if I think my status is too low and I refuse to have surgery?"
"Don't worry, he only cares about surgeries and not people. Even if you are a beggar, as long as he takes a fancy to you, you will be fished in and washed, and then you will be provided with delicious food and drinks."
"That's it, what a weirdo..."
Yesterday evening caused a lot of trauma to Li Ben's heart, but after an ideological struggle, he still believed that his own problem was bigger.
There was a reason for what Laura did, and he really had no money, so he decided to take a step forward. At least he had to fulfill Laura's wish first and make up for the shortcomings in his figure. Then as long as his "career" is on the fast track, supporting her will not be a problem at all.
Speaking of which, I have been busy with emotional matters these days and have not started any business. The rich daughter I met on the train has not been in contact recently.
Once Li Ben had a sense of crisis in his heart, the way he looked around became different. It was the look he would have when looking at his prey carefully. To deal with the upper-class nobles, you may have to take a long time to catch the big fish, but to deal with these little shrimps who have never seen the world, you only need to cut through the mess quickly.
Now Kawei, the bait, is right in front of him. He follows these unwilling people out of the hospital and quietly says, "I can help you get a good seat for the second outpatient clinic tomorrow", or "I have a way for him to accept it directly." "A good way for you to have surgery" can arouse the interest of many people.
Of course, the process is definitely not that simple, especially when you need to appear in front of them with a similar stance at the beginning. But as long as the fish takes the bait and asks for a little labor fee, most of them will succeed.
These were all low-end scams used by Li Ben in the early years, and he couldn't make much money. Now he prefers to play slowly with rich people, so that he can have a sense of accomplishment.
But now my pockets are empty and I have to make ends meet.
Who to look for?
The target must not be too poor, and must earn at least 200 francs a month. The poor do not have much money. Of course, you have to be anxious enough, especially the kind of people who are determined to make a profit when they see a bargain in front of them...
It is best to be between 30 and 50 years old. Women are preferred. They are more emotional. Although they are defensive to outsiders, they will give the greatest trust as long as they take off their guard. They are the best prey for attackers.
As long as he concentrates on his work, Li Ben can transform into an apex predator without mercy.
But he didn't know that the hunting ground in his eyes was also the hunting ground for others. While he seemed to be at the top of the food chain, he had actually been targeted by a certain cook. If the hat + scarf combination hadn't blocked part of his cheek, Alphonse would have determined his identity long ago and prepared for the next revenge process.
Now, the "disguise" used to deceive the man in black prevented him from quickly falling into the abyss, but he was not far from the abyss.
Alphonse noticed Li Ben not long after he sent the person away.
The height, posture and the broken leg looked very much like his enemy, but he was still hesitating in his heart, for fear of recognizing the wrong person. At the same time, he was also limited by the previous effects on himself, so he was delayed in making a judgment.
He wants to protect his honor, and this is what he has been taught all along.
But recently, Alphonse's attitude towards life has changed slightly, and he is also tired of dueling deep down in his heart. But there is only a trace, and more is caused by time sharpening the memory. As long as you don't think about it over time, you can passively choose to be relieved.
But...seeing Li Ben by chance made the fire in his heart that was about to go out rekindle.
Alphonse did not directly trouble Li Ben, but approached Laura first because he found out that Laura was the girl he met by chance in the tavern before. He wanted to chat with Laura first, and then see Li Ben’s reaction before making a decision.
But just after this brief moment of mental struggle, Li Ben disappeared in front of him and was never found again.
...
If Kavi was not in the operating theater at this time, but by Alphonse's side, he might be able to pour cold water on the impulsive cook. But now Li Ben's sudden disappearance has aroused the animal nature in him, which is equivalent to pouring a full tablespoon of olive oil on the newly started fire.
His original hesitation was gone, and now the only thing he wanted to do was to find this German dwarf.
Of course, Kavi doesn't know this, and the problem he faces is even more difficult than Alphonse's.
A 26-year-old somewhat obese young man ate cold cuts and appetizers for three hours last night. After a night of "digestion", I felt abdominal pain and bloating when I woke up early in the morning. I wanted to defecate, but found that the abdominal pain became more severe, and then I fainted.
It is difficult to study the specific medical history, and Kawei can only make a judgment by observing his current situation.
The person's consciousness is now somewhat unclear, he has difficulty breathing and is short of breath, he is emotionally irritable, and he begins to sweat profusely. The heart rate is 121, the respiration is over 30, and the blood pressure is 86/55mmhg. The most terrible thing is that his belly is extremely distended, the abdominal wall is tense, and the skin is translucent, and it looks like a big drum when touched.
"There was a lot of bleeding on my pants, so I took them off."
"......What's this?"
"Gang, what else could it be? It should be that the pressure in the abdominal cavity is too high and the rectum is squeezed outward, causing the vagina to evert."
Based on the medical history provided by Alphonse, he roughly surmised that this guy was overeating. This is not an ordinary overeating, but a severe acute gastric dilation combined with gastrointestinal rupture. After gastrointestinal rupture, air will enter the abdominal cavity through the esophagus, slowly increasing intra-abdominal pressure.
This kind of patient is rare and usually suffers from bulimia nervosa, or overeating after excessive hunger.
Kawei has been fortunate enough to see two cases before. The basic process is to do conservative decompression treatment if possible. If it is a severe gastrointestinal rupture like the one in front of me, especially one with a large amount of food, immediate surgery is required.
Even though he knew the chances of survival were slim, he had to undergo surgery.
"The veins in the upper limbs are open."
"Add fluids first and pay attention to your blood pressure." Kawei took a needle from Herman and handed it to Cediyo, "Professor, stab him in the stomach."
"Stomach stabbing?"
"hurry up."
Cedieu had never seen a belly bloated like this. Based on his own experience, it should be filled with gas, but he couldn't explain why there was gas, so he couldn't be sure. Now seeing that Kawei had the same idea, he no longer had any scruples, inserted a needle above his navel, and drilled it in...
There was just a puff, and an invisible gas slowly flowed out from the gap in the needle, followed by an extremely strong sour smell.
"vomit......"
"Fuck, I'm going to throw up."
"What exactly is in here."
Looking at Kawei at this moment, he had already put his hand in front of his nose when the needle penetrated the skin, and then took two steps back to escape the first wave of stench: "Open the door, by the way, there is also an auditorium. The windows in the back.”
"What's going on in his stomach?" Cedillo suppressed the stench and asked, "Could it be..."
"It's just what the professor thought." Kawei asked Kallen standing aside, "How is your breathing? Has it slowed down?"
"Well, it looks a little slower."
The puncture was basically synchronized with Kawei's entry into the abdomen. He was very fast and completely ignored the bleeding points when the skin was cut. After cutting open the peritoneum and enduring the second wave of stench, they could see some "spectacular sights" they had never seen before.
"It's too exaggerated. How much did he eat?"
"The entire stomach is filling the abdominal cavity, and the diaphragm is lifted up, probably to the level of the seventh rib."
"The stomach is stretched out like a layer of kraft paper, and there is no sign of digestion at all. The suction device is no longer of much use. You have to fish out the things by hand first." Kawei said, "Bring a plate and have it ready. Clean water for rinsing.”
"good."
Herman struck first: "...This should be chicken, mixed with some vegetables, peanuts, apples, spinach, this is asparagus???"
Then came Damirgaon: "I can see beef cubes here, as well as onions and porcini mushrooms...the porcini mushrooms are so complete, he really swallowed them after chewing them in two bites."
"I have tomatoes and mushrooms here. The meat is a bit soft and looks like shrimp meat. Is that restaurant really spending a lot of money? Can you eat so much for 100 francs?"
"Hurry up and rinse it with water. Cut off the stomach immediately." Kawei could already see some fragments of the stomach wall that had become necrotic and shattered after extreme expansion. "What on earth was this guy thinking? He ate too much." too much."
Perhaps due to the inertia of their sense of smell, these doctors in the theater have gradually become accustomed to the sour smell, and even have the leisure to make food.
"Is this beef tongue?"
"No way, how could there be beef tongue? It might just be ordinary beef slices."
"Lots of cabbage and cauliflower. I've harvested them twice."
"There are also rotten carrots and strawberries, the color has almost changed."
"The pecans are paired with some... it seems like crushed hazelnuts, and I don't know what kind of fruit-like things are there."
"It's pie, right?"
"Maybe a cake or something."
"There are some peas here, soft fish, chewed sausages, and raisins."
"The raisins should be included with us, as a dessert. Huh? What is this, a thin slice of meat? It looks like it's undercooked."
"The broken stomach wall." Kawei glanced at it and said, "Why are you playing so much? Hurry up and fish it out, there are still a bunch of them that haven't been cleaned up!
! "
It has to be said that this restaurant named Hendrick is really willing to spend money. The ingredients taken out from the stomach alone are enough for seven or eight kinds of cold appetizers. Moreover, the ingredients are exquisite, and you can even see large pieces of lobster meat that cannot be completely bitten and many oysters...
"Here, suction device, suck up as much liquid as possible."
"what about others."
"If you can't catch anything clean, rinse it with water."
Berget poured half a basin of clean water into his abdominal cavity. They shook it a few times to shake out all the residue stuck in the tissue gaps. Then they turned their bodies sideways and poured out all the dirty water.
After doing this three times, my stomach was finally a little cleaner.
"It's not enough, but we don't have time to do this now." Kawei found the place where the stomach wall was ruptured, and excessive stretching compressed the blood vessels, which eventually led to necrosis here. "It won't work in other places, so the fundus of the stomach is better. , you need to do a major resection. Look down to see if there is any problem in the small intestine. If there is no problem..."
"The intestinal wall was also compressed and became necrotic."
"It's not to the point of necrosis."
"The congestion is so severe that the color has turned dark."
Kawei quickly rummaged through the mesentery and omentum. Some thrombi could be seen in the blood vessels. The smoothness on his hands had also been lost, replaced by a rough texture. All signs point to ischemia caused by compression of surrounding tissue after extensive expansion of the stomach. Even if necrosis is not present, it is not far away from necrosis.
And this situation is not limited to the gastrointestinal tract, but also affects the liver in the upper right corner.
"The mesangium with severe congestion must also be removed. From here to here, leaving a part should be able to ensure the rest of the blood supply." Kawei did not give up yet. After simply dividing the scope of the resection, he was ready to do it. "Give me the hemostatic forceps and surgery. Knife, let's start with the upper part of the stomach... Karen? What's wrong? Give me the scalpel!
! "
Kallen looked at Kawei and silently took off the stethoscope: "...Doctor Kawei, his blood pressure cannot be measured."
