Chapter 516: 3D Printed Model of Change System

With an exclamation, Ramos's face turned pale as paper.

He turned his head hard, pushed his chin to the shoulder socket, and looked at the mass on his right upper arm. However, the "light source" was directly behind him, and the angle was wrong, making it difficult to see clearly. Ramos could only bend his waist, then bend his waist again, bending so fast that he almost fell to the ground.

Grete rushed over to help him. With only two steps left, a pair of mage hands flew up behind him, one to the left and one to the right, to steadily straighten the body of the transformation magician.

Gretel: "..."

There is still a big gap between my own way of thinking and that of orthodox magicians. For example, at this time, I would not think of using the hands of a mage... As for orthodox magicians, the hands of the mage are more skillful than their own hands, and perhaps their hands are about to deteriorate.

And, alas, this is the sadness that cannot be washed out in X-ray films. In his previous life, the doctor decisively took the X-ray film and pointed it to the patient: Look, something is wrong here...

But now, [detecting magic] relies on the magician looking in the meditation field of vision. There is no way to copy, no way to record, no way to explain to patients, and as a teacher, there is no way to teach students to read the films.

——To achieve this, the picture in the meditation field of vision must be presented in reality. And this is something Gretel can't do - by the way, what's the progress of Ms. Almeida's research and development? When will the results be available?

In Gretel's mind, all kinds of thoughts were whirling like a wheel. He helped Ramos sit down on the edge, pointed to his right arm, and explained to the two onlookers:

"Yes, I now judge that there is indeed something wrong with this tumor. You see, there is a fat density shadow next to the humerus, the density is uniform, and dendritic bony protrusions can be seen, extending into the fat fat density shadow. So I judge, It’s a paraosseous lipoma.”

Turning around, looking back again, with confused expressions. Ramos couldn't see the X-ray image of his upper right arm, so Mrs. Alva was a control type, so she just watched it. Jason pointed to the thickened arm and had a lot of questions:

"Why do you think this is fat?"

"Why do you say this is a bony protrusion, not a blood vessel, or something else?"

"Why do you say it's the tumor? It's so far away from your finger!"

Gretel: "..."

This, no matter how you look at it, is fat, why should you say it is a bony protrusion? Imaging is a specialized subject.

Why it is said to be a tumor problem must be explained from various aspects such as physiology, nerves, and anatomy.

As for why it is paraosseous lipoma, not giant cell tumor of bone, not enchondroma, not sarcoma...

Grete has a long list of differential diagnoses to talk about. For example, if it is liposarcoma, there should be uneven fat density, visible calcification, and sometimes destruction of adjacent bone;

If it is osteochondroma, it should be a soft tissue mass with regular shape and no fat density;

If it is a bone hemangioma, the calcification should be from coarse to fine, accompanied by bone destruction, periosteal reaction, soft tissue mass...

But looking at the people in front of me, they probably don't seem to understand. Moreover, everything about imaging can only be guessed. If you really want to determine what kind of tumor it is, it is recommended to perform a needle biopsy before surgery and send it for pathology, or freeze it during the operation and send it for pathology.

However, there is no pathology in this world. Grete can only come up with the same solution——

"It is recommended to cut it off."

"What? Cut it off?"

Mr. Ramos turned pale again. In Grete's eyes, it looked like the blood flowing in the blood vessels on his face was first red blood cells folded in half, then folded in half, and then, all of this blood was replaced with Ringer's solution. He asked tremblingly:

"Want to cut off the whole arm?"

"Will the bones be cut off?"

"Will the blood vessels be cut off together?"

This really doesn't happen. Gretel closed his eyes and concentrated, and a virtual image appeared in his hand [Silent Phantom], outlining the situation inside the arm. Carefully explain to the patient:

"What needs to be cut off is just this tumor..."

"I will use tranquility to relieve pain, so you won't feel any pain..."

"Before starting to cut blood vessels and nerves, they will be pulled aside to protect them..."

"Your tumor has grown very big and has invaded the bones. If it is not cut off, your arm will become increasingly numb in the future. If you are unlucky, something bad will grow..."

One question, one answer, one answer, and more and more questions arise.

Grete's mouth was dry and his body was sweating profusely from being asked. It wasn't until he began to think about whether to "charm humans" or "soothe" to dispel the patient's fear that Mrs. Alva's face suddenly darkened:

"If you want to be cured, tell me the truth! Now, immediately, immediately!"

The 13th-level great magician put down these words, and the effect was outstanding. Although she only mentioned this position, the two healers and one patient present read the ultimatum on her face:

This is the Tower of Songs! Not your alchemy workshop! It’s up to you whether you want to be treated or not. If you don’t want to be cured, get out of here!

Don't waste my time here!

"I'll cure it! I'll cure it now!" Ramos jumped up like a rabbit with an arrow. He glanced at his right arm with nostalgia, and with a heartbeat, he raised his arm in front of Grete:

"Come on!—where to do the knife?"

Gretel was silent. He was patient and careful, and tried his best to speak, but he couldn't catch up with the Archmage's scolding. Well, in this world, patients have no dignity... No, low-level professionals have no dignity in front of high-level professionals...

And Mrs. Alva stole his job. She said matter-of-factly: "Just stay here. I'll invite the students to come and take a look. They happen to be studying brain waves. - Master Nordmark, is that okay?"

……Can't. This room is surrounded by wallpaper and has carpets underfoot, so the sterile conditions are worrying; the patient's privacy must be protected during the operation, and unrelated people are not welcome to watch; bystanders who do not abide by the sterile operating procedures will cause a lot of trouble...

These words rolled around on the tip of Gretel's tongue and he swallowed them all. The patient has no dignity in front of the Archmage, and he does not have much room for bargaining in front of the Archmage. He thought quickly and smiled:

"This room is not suitable, ma'am. Can you find one big enough to accommodate the [Shelter Cabin]?"

Fortunately, Gretel's reputation with Mrs. Alva is still big enough. He successfully used his face to borrow a conference room, and moved all the sofas, round tables, flower pots, etc. to the side. The free area was enough for his operating room.

But of course, the operation cannot start immediately, and the inspection must be completed first:

"I used [Silent Phantom] to draw the image of the inside of the arm that I saw," Grete discussed with the medical mage Jason Tarn:

"Can you make an entity according to the phantom? It would be best if it can exist for a while longer and can last for several hours. The thing made by [Mage's trick] is too rough and can only last for an hour..."

"I'll do it!" Ramos immediately raised his hand. As a transformation magician, making things based on phantoms is his specialty:

"Do you want it soft or hard? What material? Does it need to be transparent? Or translucent?"

"...It's best to be translucent, and the color should be the same as the color I marked with the phantom. By the way, it's best not to move your right arm during the process, so that I can check it easier."

"This..." Ramos thought with a grimace, slapped the space bag, and a rope flew out, tying his upper right arm and torso together:

"I will try my best!"

Gretel tightened his grip on the oak staff, closed his eyes, and breathed evenly. A small black and white snake rose into the air.

"First is the skeleton...the bones are white, opaque..."

Grete explained sentence by sentence. Ramos watched intently, and the fingers of his hands kept moving, and various materials that Grete recognized or did not recognize rose into the air. Soon, the 3D printed model was vividly displayed in front of everyone’s eyes:

On the outside of the backbone of the long white bones, there are many cumbersome things, as if they have grown into a coral;

The outside of the bones is covered with light yellow lipomas. It was not a lump as they thought before, but a lobulated soft tissue tumor on each proliferated bone pedicle;

The blood vessels that should have flowed straight down were forced out of a curve by the tumor;

The light yellow lipoma was squeezed arrogantly in the middle of the arm, and the light red muscles, bright red and dark red blood vessels, and silvery white nerves were all displaced by it. On the top of the tumor, the nerves outlined in silvery white have become obviously swollen...

Gretel breathed a sigh of relief. This kind of 3D printed model can be held in the hand, disassembled, put together, rotated, and even cut with a knife. In the previous life, only the most difficult surgeries and the most important issues could apply for use.

Other doctors, if they can have a 3D reconstructed image on a computer to look at, they will be very considerate of you.

——You want money?

As for the emergency department, haha. The emergency department, which is poor and busy, has some funds, but all of them are given to patients who evade the fees. Where can we get the money for this? And their chief director said it well:

"By the time you finish scanning, reconstructing, printing, and researching, all the patients will be dead, okay? All the patients who can afford to wait will be transferred to other departments..."

Fortunately, someone is helping me now. The 3D model is magnified twice. You can clearly see the bones, muscles, blood vessels, and nerves where there are deformations and where you need to pay attention. Read it over before going under the knife, and you will be confident, and you will no longer be afraid of something unexpected happening.

...Otherwise, hire a few transformation magicians to mold 3D models and train the apprentices in surgery?

It’s too difficult to say, but experienced hemorrhoid surgeries can always be trained with a few...

Grete couldn't help but start thinking. Well, starting with Mr. Ramos, I wonder if it is possible to negotiate the condition of exempting him from medical expenses and working in the hospital for half a month?

****

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