A Hospital in Another World?-Chapter 785: You’re Poisoned, You Can’t Advance Today

“Name?”

“Morey... Morey Kelly.”

“Gender?”

“Male... Hey! Isn’t it obvious?”

“Sorry, sorry.” Garrett flashed a grandmotherly smile that instantly quelled the knight’s anger. “I’m saying it for the Tower Spirit’s record. Alright, age?”

“25.”

“Occupation?”

“Knight.”

“Rank?”

“Level 5.”

“How long have you been a knight?”

“One year... a year and a half.”

After a long string of questions... or rather, a long string of information entries, the knight was asked to step onto the floating disc, spin around once, and get down. Then it was Warrior No. 1, Warrior No. 2, Warrior No. 3, Warrior No. 4...

After completing five rounds of CT scans, even the central Tower Spirit of the mage tower started to hum—Garrett didn’t know where it had picked up such a bad habit. Was it cooling down or indicating to its boss, “I’m working”?

Heaven knows, it wasn’t Garrett who taught the Tower Spirit to mimic hard drive cooling noises!

Fortunately, the CT results weren’t immediately necessary, or even crucial for this examination, so Garrett could afford to wait patiently.

He summoned an invisible servant to bring over a treatment bed, waved to Knight Kelly, and again flashed that grandmotherly smile:

“Come, lie down, open your shirt, and roll up your left pant leg~~~”

The young warrior, devoid of conditions like hypertension or hyperlipidemia, had little chance of having cardiovascular diseases.

Comparatively, an ECG or a cardiac ultrasound was more likely to reveal any issues.

Garrett began his examinations one by one. Most people were normal, with the worst cases being myocardial hypertrophy—which made sense due to intense exercise necessitating a strong heart.

Speaking of which, what’s the differential diagnosis between “athlete’s heart” and “hypertrophic cardiomyopathy”?

As soon as the ECG results came out, Garrett’s eyes narrowed slightly. Hmm, there was a bit of T-wave change, and the sinus rhythm was too slow, indicating structural changes in the heart.

But he had glanced at the heart’s outline during the CT scan, and it looked normal. So, the real condition of the heart would be determined by the echocardiogram...

“Master Nordmark, how’s my heart?”

After a long silence, Knight Kelly became anxious and couldn’t help but lean over to ask. Garrett casually poured some glycerin onto his chest and softly commanded:

“Quiet.”

With a single finger pressing down, Kelly immediately shut up and lay back obediently. Garrett closed his eyes slightly, focusing on the echocardiogram in his meditative vision, quickly calculating and reporting:

“Heart rate 60 beats per minute... left ventricular end-diastolic diameter... 55.3... left ventricular end-systolic diameter... 36... left ventricular posterior wall end-diastolic thickness... 11... left ventricular posterior wall end-systolic thickness... 16... interventricular septum end-diastolic thickness... 10...”

Kelly lay on the bed, utterly confused, unable to understand a word, and too scared to move. After finishing the data, Garrett casually grabbed a handkerchief and threw it onto Kelly’s body:

“Wipe yourself.”

Laughter erupted from the back. High and low, suppressed and muffled, it was clear the warriors were holding back their laughter:

“It really looks like he was... ah...”

“Exactly... just like in the Lita Inn...”

“Jerk...”

Kelly’s face turned various shades, wanting to jump up and roar, but Garrett hadn’t given the order, and he didn’t dare. Garrett remained expressionless, oblivious to the laughter:

After finishing the ultrasound, he threw a piece of paper to let the examinee wipe himself. This jerk behavior from doctors had long been ridiculed to the point of immunity. For surgeons, this speed wasn’t even fast.

“Stay still. I need to check again.”

He softly commanded. With a slight twitch of his finger, the small snake on the oak staff shot out. Garrett pressed the golden box again, using the snake’s eyes to observe carefully:

Hmm, the myocardial hypertrophy was uniformly distributed, except for the septum, the anterior, posterior, inferior, and lateral walls were all thickened, and the degree was similar. The thickness of the septum and posterior wall was less than 12 millimeters, and the wall motion was normal...

It matched his memory of an athlete’s heart, with significant differences from hypertrophic cardiomyopathy. Confirmed, Knight Kelly was normal. He used his mental power to scan for abnormal energy...

No abnormal energy reported.

Good.

Hmm, record the heart structure, record the ejection fraction, and the heart condition of other knights should be compared to this.

Garrett checked each one. ECG, echocardiogram, blood oxygen saturation, blood potassium, blood sodium, blood calcium. Most warriors passed happily, but when it came to Warrior No. 18, Garrett slowly frowned.

“Your condition is not right.”

“What’s wrong?”

“You have a heart problem.” Garrett frowned, staring at the Tower Spirit’s ECG and echocardiogram, repeatedly comparing:

Hook-shaped ST-T changes, shortened QT interval on the ECG, suggesting possible digoxin poisoning. Abnormally thickened apex and left ventricular posterior wall, thickness greater than 16 millimeters...

“Right, stretch out your arm.”

“What for?”

“Blood test!”

A blood magic spell landed, and Garrett’s frown deepened. The blood potassium was low, not to the point of hypokalemia but the value was not optimistic. A man in his thirties with low blood potassium, close to the lower limit of normal, this wasn’t right. 𝙛𝒓𝓮𝒆𝔀𝒆𝙗𝓷𝒐𝙫𝒆𝙡.𝒄𝓸𝓶

He casually scanned the kidneys; the ultrasound showed normal kidneys, no adrenal gland abnormalities. So...

“Have you eaten anything strange recently?”

“Ah, no, no.” The warrior on the treatment bed answered stiffly. Bishop Hampton took a step forward, frowning deeply:

“Really no?”

“Really no!”

A glow flashed in the bishop’s hand. Dark black with a touch of blood red, it was clearly an auxiliary spell from the Temple of the God of War. Garrett glanced at him lightly and directly asked:

“You haven’t used that low-quality potion or the diluted version of your breakthrough potion for training?”

The warrior flinched. He quickly glanced at the bishop, tightly closing his mouth—or was he afraid to lie under the spell’s scrutiny? Garrett didn’t press further, nodding to Bishop Hampton:

“He’s poisoned. Chronic poisoning, needs to stop medication and rest for a while. He absolutely cannot take any potions today, nor attempt to advance.”

Hmm, the main ingredient of the breakthrough potion, the one called “foxglove.” Garrett had learned from his teacher, and it looked exactly like the digitalis he had seen in his previous life—

Those clusters of bell-shaped flowers, those spots inside the flowers, he would never mistake them! And any emergency doctor, once seen, would never forget!

Cardiac glycosides extracted from digitalis, such as digoxin and digitoxin, have always been loved and hated by emergency doctors. Love them for their potent effect, immediate impact during heart failure;

Hate them for their narrow therapeutic window, and the effective dose varying based on individual conditions and tolerance. A bit too low, a bit too high, and you’d see poisoning...

Hmm, chronic poisoning leads to hypokalemia, acute poisoning leads to hyperkalemia. Symptoms, manifestations, treatment ideas, medication, completely different...

Bishop Hampton frowned slowly, casting another spell for a scan. Then, he nodded to Garrett:

“You’re right. He indeed shows signs of mild poisoning, without the spell check, I wouldn’t have noticed. —Who told you to take this medicine on your own? Didn’t the fleet repeatedly say that unless for breakthroughs, you should never take it otherwise?”

In this regard, the Temple of the God of War had full experience. The diluted version and low-quality breakthrough potions were always available on the black market, often bought by warriors struggling with advancement—

Generally, warriors who reached the breakthrough threshold with the diluted potion mostly died during the official breakthrough. Those who were lucky not to die were usually crippled, irrecoverable.

However, only the temple and regular troops knew this. Wild warriors mostly didn’t know, and fortunately, the potion was expensive, so not many people could afford it...

The warrior’s face turned ashen. He trembled as he got off the treatment bed, then with a thud, knelt on the ground:

“Let me try once! Really, let me try once! I’ve waited so long for this opportunity! After the last failed advancement, it took me a year to recover, all my savings went into buying medicine and food—”

More than half of the knights and warriors present turned away, unable to bear it. Bishop Hampton’s face showed compassion, averting his gaze. Only Garrett, expression calm, shook his head firmly:

“No. You are already mildly poisoned, but because you are young, you can still recover with rest. But now, taking a large dose of potion for the breakthrough, and engaging in intense activity afterward—”

His tone suddenly rose, startling everyone present, including the kneeling warrior:

“You will die on the spot!”

“Cough, cough.” Bishop Hampton cleared his throat uncomfortably. What did you mean by dying on the spot? You’re here, I’m here, can’t we pull someone back together?

Garrett turned to show him the back of his head. He could understand and was willing to help those who normally followed the rules but risked everything during breakthroughs;

But those who secretly took prohibited drugs and brought themselves to this state, he refused to save!

Low potassium, then high potassium, chronic digitalis poisoning combined with acute poisoning, too difficult to save. Cardiac muscle electrical activity would be utterly chaotic, treating potassium, diuretics, some needing diuretics, some needing to stop...

Remembering the rescue process in his previous life, his head swelled with frustration, absolutely not taking on this trouble!

Moreover, this guy already showed signs of hypertrophic cardiomyopathy, different from an “athlete’s heart,” this was a real disease. Even if the digitalis was metabolized, the success rate of the next breakthrough was low...

The warrior was dragged out by the collar by the leading knight. Garrett completed the checks, analyzed the CT data, and observed the cardiovascular system with the small snake, clapped his hands:

“Alright, the rest have no issues. Rest for a day today, tomorrow, we start advancing one by one!”