Elder Gushan let out a cry of agony. Around the sickbed, the gathering of barbarian crew members stirred slightly.

"Why can’t it be treated directly..."

"Yes, our elder, it’s always been treated directly..."

"It’s so painful, why still press..."

Garrett didn’t need to look back to know they were murmuring doubts about him. Perhaps, because he caused the elder pain, he was a bit annoyed.

Fortunately, these doubts were only voiced. Whether it was because he had healed a few people or because the presence of the Silver Dragon Lady provided a deterrent, nobody cursed or got physical. Thank heavens, amen.

The only intervention came from the Silver Dragon Lady, who leaned in, curiously asking:

"Hey, little guy, what are you pressing on?"

"I’m checking where exactly the problem lies..."

His voice grew lower, turning into murmurs, then silent mutters. Please not the pancreas, please not the pancreas, please not the pancreas...

The right upper abdomen was tense, pressure in the right upper abdomen caused severe pain after meals, initially considering gallbladder, pancreas issues. However, you can live without a gallbladder, but without a pancreas, he didn’t have insulin on hand!

If it came to that, big guy, your healing skills better be powerful! Even if the pancreas was necrotic, it must be saved!

Garrett prayed as he continued the palpation. The liver was of normal size, the gallbladder... the gallbladder felt a bit off. As for the pancreas, it was too deep to be felt by touch.

Garrett switched hands, his left palm flat on the old man’s right upper abdomen, thumb pressing under the right rib at the gallbladder point, he commanded firmly:

"Take a deep breath!—Inhale!"

...No response. The old man, in pain, twitched without heeding him...

"Inhale!" Behind him, someone repeated the command. The voice was clear, commanding, unmistakable; it was the familiar voice of the Silver Dragon Lady. The elder twitched, instinctively following the command, taking a deep breath—

The diaphragm moved downwards, the abdomen swelled, moving the gallbladder downwards with it. Midway, it touched Garrett’s waiting thumb, sending a wave of severe pain instantly.

The old man’s forehead was covered in cold sweat, instinctively held his breath. The slightly bulging stomach froze in place, even slightly contracting.

Garrett sighed in relief. Positive Murphy’s sign, a typical positive Murphy’s sign. With this sign, acute pancreatitis could be ruled out. Basically, it was confirmed to be a gallbladder issue!

"Little mage, figured out the problem?" Behind him, Ophelia asked with a smile. Garrett nodded slightly:

"Preliminarily confirmed. I’ll conduct a more detailed investigation."

He continued pressing along the patient’s right upper abdomen. Identifying the gallbladder disease didn’t mean he could stop there.

Gallbladder inflammation itself could have a bunch of complications, not to mention other diseases could coexist, like gallbladder inflammation combined with acute appendicitis, which wasn’t rare—

Left upper abdomen examination showed no abnormalities!

Left lower abdomen examination showed no abnormalities!

Right lower abdomen examination showed no abnormalities!

Blood pressure hasn’t been measured yet, ECG hasn’t been done yet, blood routine can’t be done... OK, next up are X-rays and ultrasound...

Speaking of, can ultrasound and X-rays be done under sedation?

Garrett quickly pondered. X-rays were definitely doable, he had tried many times. Sedation, and similar divine spells, essentially work by cutting off the central nervous system’s pain perception and immobilizing the limbs, preventing movement. As for whether muscles can still function...

The subject can still breathe normally, and during past surgeries, he had felt the strength of muscle tension. Thus, it can be inferred that nerve control over muscles wasn’t completely cut off, the digestive system and such, should still be able to move normally?

At least the smooth muscles were still working normally, hmm, then it shouldn’t affect the ultrasound’s detection. As for whether there’s interference between magics, that’s another topic.

"Lady, please relieve his pain," he half-turned, nodding slightly to the back. Then, reaching into his pocket, he pulled out the 【Endless Ink Pen】, casually placing it under the elder...

...

...

Can’t see anything...

Clearly, Elder Gushan’s professional level had far surpassed level four.

In other words, with the patient circle Garrett now encountered, the 【Endless Ink Pen】was nearly insufficient, and the X-ray’s light source needed upgrading.

In this situation, in front of the Silver Dragon Lady, would it be appropriate to borrow her niece’s headpiece?

Would it be seen as

deception?

Garrett hesitated for a moment, deciding to perform the ultrasound first. Luckily, the ultrasound had no level restriction, glycerin was applied, fingertips touched, and feedback was immediately received in the meditation environment.

"Huh?"

The two Silver Dragons looked at each other. Cerella’s ears extended outward, unwittingly revealing her dragon form; Ophelia didn’t go as far as to reveal dragon ears, but she couldn’t help stepping forward, and the air around her ears showed fine ripples.

"What did you hear?"

"Sound."

"Yes, a very sharp, very faint sound... Can you determine where the disease is based on this sound?"

The aunt and niece looked at each other, both unable to articulate a reason. Ophelia, seizing the opportunity Garrett was unaware, quietly released an amplification spell, directly transmitting the sound to her ear:

"Liver parenchyma echo enhanced, intrahepatic specks uneven, with spotted... bile duct wall rough, thickened, echo enhanced... gallbladder enlarged, gallbladder wall thickened, rough, no stones seen... around it, a circular hypoechoic area seen... spleen, pancreas show no obvious abnormalities... both kidneys show no abnormalities... intestines... bladder... pelvic cavity..."

Other than "no abnormalities," she understood nothing else. And, since it was based on sound, why would he mention things like specks of light, thickening, etc.?

Ophelia’s curiosity was piqued. Maybe later, she could discuss with him, teach him a few more spells in exchange for this method of diagnosing with sound?

While she was inventorying what spells she could offer in exchange, Garrett had already wiped off the glycerin used for the ultrasound, turning around. His gaze was grave, slightly worried:

"It’s likely gallbladder inflammation. Acute, non-stone gallbladder inflammation. Considering how painful it is, combined with the disease course, it might be perforated—"

"Gallbladder issue? That’s easy to treat!" Ophelia was eager to discuss magic with Garrett, casting healing spells casually. One, two—

"Huh? Why hasn’t it improved?"

"...I haven’t finished." Garrett wiped sweat from his forehead:

"His gallbladder, unfortunately, has developed gangrene. Healing spells need to be stronger, and after healing, I suggest draining some bile to check, suspecting there might be other issues—"

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