A Hospital in Another World?-Chapter 539: Use magic to "eat" those thrombi!

"Remove Disease"!

...Ineffective.

The thrombi, trembling and tender as tofu, remained exactly where they were, with no intention of disappearing.

It seems that the creator of the "Remove Disease" spell was not aware of thrombi. Or perhaps, "Remove Disease" can only cure exogenous diseases, not endogenous ones?

Regardless, Garrett had tried. The spell could kill parasites in the human body but did not facilitate their expulsion. In other words, a dead worm stuck in the bile duct still causes pain and cholecystitis...

Garrett thought for a moment and released a second flash of white light. "Heal"!

...Still ineffective.

The thrombi remained stuck in the blood vessels, with no signs of breaking down, dissolving, or being washed away by the bloodstream.

Healing could promote the coagulation of platelets and seal wounds, allowing them to heal quickly. However, it seemed unable to break down fibrin in already clotted blood or make the thrombi disappear...

"Sir, what are you doing?"

Footsteps approached softly from behind. Garrett turned to see Leon Carlos and Miss Anita Winvey standing shoulder to shoulder behind him, each holding something as if to ask a question. Garrett briefly explained the situation.

"What do you think?"

The two apprentices racked their brains. Miss Anita Winvey was the first to respond:

"Could we use ultrasound to shatter it? You mentioned that if accurately targeted, ultrasound can break up stones..."

Cough, accurate targeting is one thing, but if it’s even slightly off, the ultrasound capable of shattering a soft thrombus could definitely damage the blood vessel. Even if perfectly targeted, the shattered thrombus particles could cause more serious issues.

The shattered thrombus particles could lodge in tiny brain or lung vessels, causing stroke or pulmonary embolism; the tiny fragments could spread within the vessels, potentially causing more thrombi...

That’s why, during thrombectomy, a net is used to catch the fragments, which are then sucked into a catheter with negative pressure...

The female priest frowned in frustration. Leon Carlos, the young necromancer, thought for a moment and suggested another approach:

"Boiling Blood?... If we could concentrate the power on that spot, raise the blood temperature, and burn the thrombus dry?"

"..." Garrett had to admit, the idea was imaginative enough and seemed "reasonable." Perhaps, this is why experts need to frequently interact with students:

These minds, unbound by knowledge and experience, though their ideas might be impractical 99 out of 100 times, can inspire great benefits if even one proves enlightening.

Unfortunately...

"But, setting aside the issues of controlling the spell’s precision and intensity, the dried thrombus would still circulate in the blood, blocking wherever it travels..." fɾēewebnσveℓ.com

Carlos also sighed in resignation. Garrett sighed in annoyance:

"Let’s just use vine thrombectomy, and then increase the anticoagulation..."

Although using a whirlwind to create negative pressure and perform thrombectomy with vines is also likely to rupture blood vessels, it is something that can be practiced and controlled. A few experimental animals can afford the loss. As long as he masters it before treating his little sister, there should be no mistakes!

He instructed the students to secure the experimental dog, anesthetize it, and retrieve a dry leech, then cast an anticoagulation spell. They made an incision in the blood vessel and inserted the vine...

The little snake navigated ahead in the blood vessel, providing an illusory view to guide the growth direction of the vine. Under the guidance of his mind, the vine swayed, turned, and grew smoothly into the upper-level vessel.

It must be said, this was much more convenient than twisting a guidewire in the rapid blood flow of superselective angiography!

Garrett’s fingertips glowed green as he solemnly manipulated the vine upward. At last, in the illusory view of the little snake, a dark red image of the thrombus appeared. Garrett took a deep breath, his left fingertip poised over the opening of the vine, ready to initiate the whirlwind spell—

Wait a second!

Why must it be negative pressure suction?

This is a vine, it’s alive, it can change shape! It’s not a rigid catheter or guidewire that relies solely on external forces to work!

This thought flashed through his mind, and Garrett’s eyes suddenly lit up. He carefully exerted a bit of power, allowing the tip of the vine to expand, expand, until it matched the diameter of the thrombus. Then, he slightly thickened it, pressing outward against the blood vessel—

Advance!

Alright, it’s caught!

Grow forward more!

It caught a bit more! Forward, forward—

Stuck.

The blood vessel ahead suddenly narrowed, and the texture felt unusually hard. As the vine gently expanded, the feedback of elasticity was obviously minimal. Garrett

was not impatient:

Thrombi form in a location either because of vessel narrowing or because of plaques or deposits. It’s normal to encounter abnormalities; if there weren’t any, then that would be the real concern.

Forceful expansion, like when placing a stent with a balloon, if the force is slightly too strong, the already hardened and brittle vessel could burst. Garrett dared not let the vine continue to thicken; he thought for a moment and chose a completely new path:

The vine wriggled softly. The opening stayed wide and immobile, while just behind it, roughly at the equivalent of a throat, it softly contracted. The soft yet sturdy inner wall compressed and tightened, squishing the thrombus into pieces and sending it backward.

Like an earthworm consuming soil, or a snake swallowing prey. One bite, another bite, yet another bite. Accompanied by the flowing blood, it enveloped the thrombus, crushed it, sucked it in, swallowed it...

Then, forward!

At narrow parts of the vessel, the vine slightly contracted, making its diameter narrower; at wider sections, it softly adhered again. Meanwhile, it also left a path for the blood to flow beside it, supplying blood to the organs downstream.

The little snake’s vision, capable of magnifying a few millimeters in diameter of a blood vessel by tenfold, and the mind-controlled vine, ensured there was no risk of accidentally bursting the vessel with too much force.

Bite by bite, calmly forward, quickly, all the thrombi were "eaten."

No need to inject a contrast agent, no need to use X-ray, in the little snake’s vision, the blood flowed turbulently downward, passing through the previously obstructed vessel.

As for the tiny thrombi fragments, Garrett had the little snake magnify the view tenfold, a hundredfold, focusing intently, and they were no longer visible. Even smaller fragments, the body’s regenerative capabilities could handle, digesting them on its own.

Excellent!

Done!

A joyful smile spread across Garrett’s face. He controlled the vine to slowly retract until it exited the blood vessel and landed on the pathological tray. He canceled the growth spell, and in the center of the shiny steel tray, a long strip of dark red thrombus pieces lay sparkling.

"Did you get it out?"

"Got it out!"

Garrett. Venous thrombectomy was now achievable, next up, practicing arterial thrombectomy—extracting thrombi from pulsating arteries. With such a tool, the chances of saving someone from a heart attack were much higher!

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