A Hospital in Another World?-Chapter 818: Cirella, Help Me, I Can’t Handle This Alone

Garrett was flustered.

The animal experiments had gone smoothly before, with no issues. Why did the blood oxygen saturation suddenly drop when performing it on a human?

Upon closer inspection, the alarming device wasn't for arterial oxygen, but something else. The arterial oxygen was still fine, the screen bright red, showing an oxygen saturation of 99% or higher, if not 100%.

However, another magic similar to the blood oxygen monitor, attached above the patient's eyebrow to monitor cerebral oxygen saturation, was wailing miserably. Judging by the color, it was noticeably dimmer than the bright red arterial oxygen beside it, likely only around 70%.

So the blood oxygen hadn't dropped, but the brain oxygen had started to fall?

Insufficient cerebral blood perfusion?

Why would it be insufficient?

What's the difference between human and dog anatomy? Why wouldn't the cerebral oxygen saturation drop in dogs, but it would in children?

While rapidly thinking, Garrett instructed Cirella to prepare a healing spell, ready to cast it to support brain cells if the cerebral oxygen saturation dropped further.

Simultaneously, he directed Carlos to turn on the oxygen machine and Anita Winvey to stimulate vines to insert into the child's nostrils:

"Adjust the inhaled oxygen concentration to 70%! Tidal volume... don't worry about tidal volume, just let the child breathe on their own!"

After all, this wasn't a medically defined general anesthesia. Under the Peace Spell, the patient still had spontaneous breathing. Letting them breathe oxygen on their own would cause much less damage than forcibly pushing it in with a ventilator.

Under these measures, the color of the cerebral oxygen saturation screen slowly rose a bit, then stopped. So it wasn't a blood oxygen problem? If not blood oxygen, then what? Blood flow?

Garrett's hands didn't stop as he carefully operated. There are several reasons for insufficient cerebral blood perfusion, one being major intraoperative bleeding affecting blood flow dynamics—

He glanced at the clean surgical field, where the white light of healing spells flickered constantly, closing every bleeding point. So far, intraoperative bleeding was less than 10 milliliters.

With bleeding ruled out, another reason was positioning. Generally, the prone position would compress the chest and abdomen, affecting the child's respiratory and circulatory system functions.

The simplest point being that with the chest compressed, it's not as easy to rise, the lungs can't expand to their maximum, leading to reduced cardiac output. With the heart unable to pump out as much blood, the supply to the brain naturally decreases.

And the human brain functions much more powerfully than a dog's, requiring more oxygen; children have faster metabolic rates, with higher cerebral oxygen extraction rates than adults. These two factors combined led to the drop in cerebral oxygen saturation in the child patient, which hadn't appeared in animal experiments.

So, increase the cardiac output, let the heart supply more fresh blood. Raise blood pressure, accelerate heart rate—

[Encouragement Spell]!

A faint beam of light shot from Garrett's fingertips. Sweeping gently from head to toe across the child's body, immediately, the heart rate on the ECG screen surged from 93 beats/min to 115 beats/min.

Blood pressure rose accordingly, and the cerebral oxygen saturation screen rippled slightly before beginning to climb steadily. Garrett breathed a sigh of relief, his approach was correct!

But increased blood pressure also meant a higher risk of intraoperative bleeding. Garrett took a deep breath, his hands becoming even more careful:

Excision of back scars!

Spinal deformity correction, vertebral rotation, stimulating bone tissue growth!

Extending his mental power, he carefully protected the spinal cord and spinal nerves, rotating what needed to be rotated, performing osteotomy where necessary!

Stimulating the growth of deficient and contractured trapezius, rhomboid, erector spinae and other muscles, as well as the latissimus dorsi, iliocostal, quadratus lumborum, etc., stimulating the thoracodorsal fascia, lumbodorsal fascia, intertransverse ligaments...

Sweat rolled down Garrett's forehead. Stimulating such a large area of bone, muscle, fascia, ligaments, and related deficient nerves, the overall treatment volume was roughly equivalent to a [Regeneration] spell—

That is, a spell that allows the recipient to regenerate lost limbs. Reattaching an arm or leg, or regrowing a severed limb and such. A 7th-level spell that only high priests of level 13 or above could complete without difficulty.

"Garrett, are you alright?" Cirella asked anxiously from across the table. Garrett shook his head slightly and said hoarsely under his mask:

"Wipe the sweat."

A Cleansing Spell flew over, sweeping away the sweat on his forehead in one go, even clearing the drop that had nearly trickled into his eye from under his eyebrow. Garrett smiled at her, then silently lowered his gaze to continue observing the muscles on the patient's back:

Well, it's not Mage Hand this time, but Cleansing Spell...

Ah, when will his dream of a beautiful nurse wiping away his forehead sweat with a delicate hand holding gauze, or simply burying his head on a nurse's shoulder to wipe off a forehead full of sweat, come true?

Perhaps... he should find an opportunity to hint at Cirella next time?

Though to achieve this result, Cirella would need to stand beside him, not across the operating table in the first assistant's position. So, he needed to think of a way... hmm...

"The power consumption is too great. Cirella, help me."

His voice was soft. Cirella's eyes immediately lit up:

"Alright! How can I help you?"

"Stimulate a muscle here... Look carefully at the image I've outlined with [Silent Illusion], red is muscle, white is ligament and fascia. The muscle is in bundles, each bundle wrapped in fascia, the whole muscle wrapped in epimysium... Don't rush, take it slow..."

Take it slow, don't rush. As long as energy is supplied, the body will have memory, and the muscle will naturally grow into the shape it should be. You take care of the muscles, I'll handle the blood vessels and nerves, this way we can save a lot of energy—

"MOSS, project the back muscles using [Silent Illusion]," he called out to his loyal tower spirit, his versatile assistant, his unlimited data storage, his self-evolving AI:

Thank goodness, a portion of the information MOSS had stored and processed could be copied to the hospital's mage tower, adding a lot of convenience to his work. And Garrett took advantage of this, still calling out the same name in the hospital.

"Oh, never mind, just project the deep muscles," seeing the muscles overlapping and intersecting in layers upon layers, with Cirella across from him clearly showing a bewildered expression, Garrett quickly changed his mind:

"Project it onto the patient, note the start and end points. Never mind, let's do it piece by piece — first is the interspinalis lumborum, from the spinous process of the first lumbar vertebra to the spinous process of the second lumbar vertebra—"

MOSS, or rather MOSS II in the hospital's mage tower, diligently projected the image according to the start and end points Garrett indicated. Cirella followed each command, stimulating the growth of muscles, fascia, and ligaments.

And all Garrett needed to do was stimulate the growth of blood vessels and nerves, these fine and complex parts that required precise control but didn't consume too much energy.

Bones complete, muscles complete, fascia complete, skin complete. Garrett called on Tower Spirit II to re-photograph and record the patient's image, then waved his hand to dispel the Peace Spell:

"Feel how your body is. Hey — don't be in such a hurry to get up!"

The boy named Ando quickly scrambled up. Well, this was the advantage of combining the Peace Spell with healing spells - instant release, instant awakening, instant recovery.

In his past life, patients would probably still be groggy for a long time after anesthesia wore off. As for getting up after such a major surgery?

Come on, straight to the ICU.

Ando looked down at himself, checked his reflection in the wall mirror, then turned around, straining to look at his back. Finally, he raised both hands and jumped forcefully twice—

When he lowered his arms, his eyes were already full of tears, and he fell to his knees before Garrett with a thud.

"Hey! Don't do that!"

Garrett quickly sent out Mage Hand to lift him up. Ando struggled hard for a moment, but unable to overcome the combined force of four high-level Mage Hands, he was almost lifted off the ground. He had no choice but to stand still, following Garrett's instructions:

"Stand straight!"

"Turn around, side facing the wall!"

"Back against the wall! Hmm, can you touch it?"

"Feet together, knees straight, bend forward — further down! Further down! Further down!"

"Bend backward! Lean left! Lean right! Rotate left! Rotate right!"

"Walk a few steps..."

After a series of checks, Garrett was finally satisfied. He smiled and patted the boy's shoulder, helping him put on his clothes:

"Congratulations, the surgery was very successful. But don't do any strenuous exercise yet, start with gentle activities..."

The operating room door opened. Immediately, Garrett saw a group of children and adults, hunched over, supporting their hunched backs, sitting crookedly. When they saw Ando come out, every pair of eyes lit up brightly:

"Ando, you're better!"

"Ando, you've been cured?"

"Your shoulders aren't crooked anymore! And you're not limping! I remember, last night, you were still walking with a limp!"

This group of patients had been gathered by necromancers from various circuses, bought, intimidated, forced, and taken away without explanation. The group huddled together trembling, not knowing what the future held, only able to squeeze onto the carriage and ask each other, mutually frightening one another:

Was some noble planning to make a dwarf circus to amuse themselves?

Or did the necromancers have some project where they would kill these deformed people and reassemble their bones into strange things?

Or was there some weird place that only people like them could enter, and they were being taken to explore and find things?

There were 11 patients, young and old, male and female. After being gathered together, they were sent to Oak Grove Clinic, where the presiding mage told them they were going to cure their hunchbacks... 𝙛𝒓𝒆𝙚𝒘𝒆𝓫𝙣𝓸𝙫𝓮𝒍.𝒄𝒐𝓶

But, seven or eight days, ten days or so passed, and the mage didn't make a move. They were just left in the dormitory behind the hospital, eating and living for free, full of unease. Some of the adults were whispering:

"I've seen the master treat hunchbacks before, they sandwich the person between two big door panels, with stones on top of the panels. Once the person is pressed straight, the hunchback is cured..."

"Wouldn't that crush them to death?"

"No, the priest would cast healing spells on the side. Of course, sometimes one or two might be crushed to death..."

After living and eating together for over half a month, today Ando was called over, saying the treatment would begin. Who wouldn't be on edge? Who knew that when the operating room door opened, he would walk out on his own, relaxed, without any pain, and truly cured!

"Ando, you're so lucky!"

"You'll be a normal person from now on! Ando, what do you want to do in the future?"

The boy was surrounded by everyone, at first nodding and smiling, responding to questions, but gradually he just stared blankly. When asked what he wanted to do in the future, he was stunned for a while, then suddenly burst into tears:

"I'm cured! I'm cured! I can be a warrior, a shop assistant, work in the fields, I can do anything! If only I had been cured earlier, maybe I wouldn't have been sold — waaah—"