A Hospital in Another World?-Chapter 568: Teaching Surgery, Spreading the Branches

"What exactly is this injury?"

"Why wasn’t it healed before?"

Heads on either side leaned in close to Garrett, especially Little John, who was particularly concerned:

Being a priest of the Temple of the God of War, failing to heal a warrior’s injury was a disgrace, especially now, for what seemed like a minor injury that prevented training. It was a delay in the development of a young warrior with potential, a future knight—

It was a loss for the Temple of the God of War!

It was a tarnish on the glory of the War God!

Garrett smiled at him slightly and pointed to the side:

"Go, bring that stool over—"

"Okay!"

Little John responded cheerfully and went, his freckled face lighting up again. Garrett chuckled watching his retreating figure: this young priest, a friend of his original body, the first healer he met after crossing over, still so energetic!

Hmm, looking at the badge on his chest, in four years, he had progressed from a novice priest to a second-level priest, in this world, in this small city, wasn’t that something?

The stool was brought over, and Garrett slapped his space bag, dropping a golden box onto the stool. One hand on the box, the other pressing the patient’s foot, he activated the ultrasound magic again. In a moment, the gold box hummed and spat out a crystal:

"Come, let’s all take a look..."

No response. Garrett turned his head, everyone in the clinic stared in awe at the golden, jewel-encrusted box:

"...What is this? Must be very expensive, right?"

"Right, feels like if you knock off a corner, even selling me wouldn’t cover it..."

"It looks really expensive... How much is it worth? An estate? A mine?"

Priest Anthony twisted his body, trying to stay further away from the box;

Little John had already squatted on the ground, hands outstretched, supporting the wooden stool below the box, fearing that it might fall;

Sir Robert simply held his son’s leg, to prevent him from kicking, without considering that the wooden stool was still a meter away from his son...

Garrett: "...Yes, this is very expensive, made by a 16th-level grand mage... I’m telling you, you don’t need to stand so far away! It’s enchanted with reinforcement magic, it won’t break!"

He urged once, then again, and finally, ignoring them, he used his mental power to activate the crystal. Light burst forth, and a black-and-white image appeared in the air, rotating slightly to find the right angle, constantly expanding and contracting.

After calling out again, Priest Anthony, Little John, and Sir Robert finally leaned in together. However, looking at the image in the air, three baffled faces:

"What is this?"

"All I see is a plane, bulging out a bit..."

"Wait, this bulging part, isn’t it like the one on my son’s foot?"

"It does look a bit like that, but why is it round, not flat? And it’s kind of pointed on top? What are these bright and dark parts below?"

Garrett sighed inwardly. Indeed, interpreting B-ultrasound images was a specialized skill, unreadable without training. If it was a color ultrasound—however, that would require a computer, and his ultrasound magic couldn’t yet upgrade to that advanced functionality...

"Anyway, this magic, it uses a special type of sound wave to probe inside the patient—I’ll teach you later. For now, look here, the echo intensity here is moderate, probably the blood flow—"

As he spoke, he released a [Silent Phantom], sketching out an image identical to the crystal. Drawing from his own experience, he added color, creating a makeshift color ultrasound effect:

"Look, these are the tree-branch-like blood vessels, going deep into the base. Considering the shape, blood flow, and history of trauma, this is a very typical granuloma angioma—"

"What is that?"

Priest Anthony and Little John asked together. Garrett scratched his head:

"Well, it’s like the capillaries on the skin proliferate, forming little lobule-like structures, sprouting these granulomas..."

Explaining from embryology to pathophysiology to dermatology would be too much!

"I’ll explain in detail later. Basically, this thing, most likely after trauma there was an infection in the vessels causing them to proliferate, and you have to excise the affected vessels as well—The previous excisions obviously weren’t thorough, right?"

Little John dared not make a sound. This patient, he had treated with healing spells before, and it bled again after a few days; his teacher also treated it with healing spells, and it still bled; in the end, the bald bishop personally took the scalpel...

Under the [Alleviate Pain] spell,

he made a cut, and blood poured out, requiring several [Healing Minor Wounds] to barely stop the flow. After it healed, it was peaceful for a couple of months, then started growing again.

Priest Anthony also didn’t dare to make a sound. However, Sir Robert, as the patient’s father, looked left and right, up and down at the image, and cautiously asked:

"What should we do now?... Do we still need to cut?"

"Of course, we have to cut," Garrett replied without hesitation. Seeing the worried look on Sir Robert’s face, he comforted him with a smile:

"No worries, it’s a minor surgery, at most half an hour."

A vascular tumor, a small one not exceeding 3cm, was just a minor outpatient procedure. No need for general anesthesia, no need for hospitalization, just snip snip, and go home right after.

Hmm, a coin-sized skin defect, in the previous life, in a place like the sole of the foot, might have been more troublesome to stitch, possibly requiring a skin flap transplant. Now it’s much easier, directly using healing spells to guide—

"If you agree, I can treat the child right now? Let them assist?"

Sir Robert nodded with difficulty. Garrett immediately called Anthony and John, one on each side, to help the young man into the surgery room. Then, he left the patient to them to disinfect and drape, while he washed his hands, mumbling:

"These past years, I’ve developed some new things, I’ll tell you about them... First is pain relief, for such a minor surgery, you can use [Alleviate Pain · Modified], a 1st-level spell, much less consuming than [Alleviate Pain]..."

"Tie the tourniquet! Tourniquet! It can reduce a lot of blood loss! Keep cutting while casting healing spells, it’s more challenging, but the tourniquet is more convenient..."

"This vascular tumor is rather superficial, you’ve also seen the image just now, just an intradermal excision will do. If it’s smaller, you might consider using a freezing ray, but you have to control the strength and area, best to only freeze this part..."

Actually, dropping a drop of liquid nitrogen would be best. But he didn’t bring it this time, and couldn’t control the magical power well, so he had to use the scalpel.

"For this kind of protruding surface, more brittle in texture, you can excise along the outer edge of the tumor. If it’s wrapped inside the skin, it’s advisable to make the incision along the tumor’s long axis in the direction of the skin lines... Gauze! Press the gauze down!"

Ah, the convenience of teaching surgery is having assistants; the inconvenience lies in the assistants not necessarily reacting as you wish...

But teaching surgery must still be done!

Taking advantage of his time in Hartland City, he’d teach them as much as he could!

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