Chapter 506: How Can Divine Magic Dissolve Blood Clots?

"Master Mage! Nordmark Mage!—Help!"

"I’m coming!"

With a thunderous sound, the door burst open. Garrett, wearing bizarre short-sleeved clothes under a white robe, dashed out. After a quick glance, he spun around and rushed back inside.

"Bernard! Lift the person! Take them straight to the operating room!—I’ll go scrub in!"

Clattering sounds echoed as the silver rods, enhanced with "Unyielding Silver Flame," one by one illuminated the area. From a distance, the hospital in the dark night shone brightly, like a beacon of hope amidst despair.

Bernard, accompanied by a barbarian security guard, rushed out. They lifted the semi-conscious elderly man onto a stretcher, one at each end, and hurriedly carried him inside. With long strides, Sir Albert followed closely, desperately trying to keep up.

He sprinted all the way to the operating room door. From afar, he could hear a crisp female voice complaining inside:

"Dragging, dragging, and dragging. Originally, it could have been done laparoscopically, but now it has to be an open surgery; originally, we didn’t need to cut the intestines, but now we have to cut them~~~ Why wait here for him at midnight if he doesn’t return to the Mage Tower?"

"Don’t be like that, Cirilla," replied the soft, gentle voice of Nordmark Mage, whom he had seen earlier in the day, smiling warmly, "Patients are scared, and their families have doubts. It’s normal. As healers, we just need to do our best to save the patient’s life."

"You’re too kind-hearted—"

What?

They have to cut the intestines?!

Sir Albert felt a chill, both frightened and ashamed. He rushed after the stretcher, hoping to find the mage to apologize, thank him, and ask him to treat his mother.

Before he could enter the operating room, the heavy wooden door slammed shut in his face, nearly crushing his nose.

A barbarian security guard, taller than him by a head, stood at the door and blocked him with a thick arm, speaking in a deep voice:

"No entry!"

This...

Sir Albert hesitated, looking up at the red light above the door, torn between rushing in and fearing that angering the mage might stop the treatment for his mother. Fortunately, after a moment, the door opened, and Garrett quickly walked out:

"You’re too late."

Sir Albert’s legs went weak at the first words, almost causing him to collapse. Garrett ignored him and continued speaking:

"Preliminary estimates suggest your mother’s condition has progressed to intestinal perforation, with toxins entering the bloodstream, and part of the intestine may be necrotic. The most suitable treatment is exploratory laparotomy to clean the intestinal contents, possibly removing part of the intestine."

Is surgery really necessary?

Hearing it through the wall was one thing, but being told directly was different. Sir Albert trembled, not yet able to speak, when he heard something even more terrifying:

"Even with surgery and intestine removal, given the toxins in her blood and her advanced age with poor recovery, she might not survive."

"What?"

Sir Albert nearly jumped. Cutting open the belly and removing the intestines might still not save her?

Why perform surgery then? If she’s going to die, why open her up?

Garrett had seen such reactions countless times in his previous life. Time was tight; he couldn’t afford to persuade more. He leaned in, speaking faster:

"Whether to proceed with surgery is your decision. If you understand these risks and still agree, sign here. Be quick; the later the decision, the less the chance of survival."

He produced a risk consent form, placed it on a small table, and urged. Sir Albert, in a panic, looked into Garrett’s eyes for a moment, then hurriedly signed:

"I’ll sign, I’ll sign! Where do I sign?"

Luckily, this one made decisions quickly. As soon as Sir Albert signed, Garrett grabbed the form and rushed back to the operating room, already shouting:

"Cirilla, Peace Spell! Leon! Open her up!"

"Okay!"

"Okay!"

Leon Carlos, after months of training under Garrett, was now capable of performing laparotomies independently—at least the basic midline incision.

He cut through the skin, the superficial fascia, and the linea alba. By the time Garrett finished scrubbing in and returned, he saw the layers of the abdominal wall opened, revealing the chaotic abdominal cavity of the elderly woman.

"What’s next?"

"Suction?"

"At this moment, you need to adapt!—Cleanse Spell! Cleanse Spell! Cleanse Spell!"

One of the applications of mage tricks, Cleanse Spell, could clean a cubic foot of material. It was perfect for clearing feces from the abdominal cavity. Garrett spoke while manipulating the Mage Hand to bring over a bucket.

For a dirty piece of clothing, leather, or a wall, the removed dirt seemed to disappear into another dimension. But in reality, it was just moved to a corner, small enough to go unnoticed.

However, with a belly full of feces, the mage had better be aware. Use a bucket to catch it, or the Cleanse Spell would show you the power of determination...

Several Cleanse Spells later, all the feces from the perforated intestine were cleared into the bucket. The stench was overwhelming, but thanks to the Bubble Spell around their heads, everyone, including the barbarian guard in the corner, remained unbothered.

Magic was so convenient!

Garrett mentally gave himself a thumbs up. After cleaning all the feces and blood, he observed the abdominal cavity again, immediately noticing a 30-40 cm section of the intestine that looked different.

Under the shadowless lamp, that segment was a dark purple, much deeper and thicker than the surrounding areas, at least twice the diameter of the nearby intestines.

"Look," Garrett said, using Mage Hand to point to the segment, teaching his students, "This is due to too much feces inside. Plus, strangulation or something below has blocked it, causing extreme expansion and thinning of the intestinal wall. This color means the intestine is necrotic—or starting to necrotize."

With over a decade of emergency department experience, he knew that merely covering with warm saline gauze wouldn’t save it. Even using Healing Spells might not work.

The safest approach now was to remove the intestine.

However, the elderly woman’s frailty meant removing such a long segment would affect nutrient absorption, impacting her quality of life and potentially her lifespan.

Is there a way to save it?

Is there a way to restore vitality without removing the intestine?

Garrett touched the intestine. Despite the expansion and discoloration, it still had some elasticity. When he pressed gently, the color lightened slightly, darkening again when released.

There was still blood supply, albeit minimal.

Try it, he told himself, try it...

At worst, he’d have to remove the intestine. With Cirilla and Healing Spells at hand, the old woman’s life was in good hands.

Using Mage Hand, he clamped the healthy ends of the intestine, leaving about 5 cm. He clamped the mesenteric artery and vein, then took a scalpel and made an incision.

With an enchanted, razor-sharp scalpel, a light touch cut through the thin intestinal wall, revealing a small opening.

Before the feces could spill out, Garrett pointed the scalpel at the incision and cast a series of spells:

"Cleanse Spell! Cleanse Spell! Cleanse Spell!"

Perfect! The feces were cleared from the intestine, falling into the bucket. Though the intestine deflated, it didn’t rupture.

Great, great. It seemed the Cleanse Spell removed perceived dirt. Since he believed the necrotic intestine could be saved, it wasn’t removed or further damaged.

Now for the blood supply... If it could recover, the intestine might survive without needing removal.

But things didn’t go as planned. After suturing the intestine, covering with warm saline gauze, and treating nearby sections—cutting, cleansing, healing—the dark purple color persisted, worsening after ten minutes.

Do they really have to remove it?

Despite all efforts, it seemed the intestine couldn’t be saved and had to be removed.

Garrett stared intently at the dark purple intestine, his face serious. Under the shadowless lamp, his brows furrowed deeply. Cirilla, across the table, wanted to smooth his brow but stopped halfway, cautiously asking:

"Garrett, should I try a few more Healing Spells?"

Without blood supply, Healing Spells only provided temporary relief, not revival. Garrett shook his head slightly, saying:

"Wait a moment... Let me think..."

How to restore blood supply?

The intestine wasn’t extremely expanded anymore, but without blood supply, likely due to a clot... Use a dissolving spell? Like a necromancy spell that prevents blood coagulation?

Garrett tried casting a spell. However, it only affected fresh blood, not clots. Thinking again, he tried Remove Disease.

The spell’s light passed without effect. Remove Disease didn’t recognize the clot in the intestinal blood vessels as a disease.

In modern times, they might try thrombolysis. Garrett had seen a brilliant doctor insert a catheter through the portal vein into the splenic vein, selecting the mesenteric vein to inject urokinase, successfully dissolving the clot.

Navigating the mesentery required remarkable skill with the guidewire!

But now, without a guidewire, even if he used vines, he lacked urokinase!

Wait...

Garrett’s face turned serious. Though lacking urokinase, he had various divine and magical spells. Maybe he could try again?

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