[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-notes-on-kraft-anomalous-studies":3,"chapter-notes-on-kraft-anomalous-studies-notes-on-kraft-anomalous-studies-chapter-207":6},{"origin":4,"title":5},"chinese","Notes on Kraft Anomalous Studies",{"chapter":7,"nextChapterSlug":19,"prevChapterSlug":20,"totalChapters":21,"novelImage":22},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":15,"volume":16,"translator":17,"content_hash":18},2283685,4467,"Chapter 207: Coughing Blood Ceased Immediately","notes-on-kraft-anomalous-studies-chapter-207",207,"\u003Cp>Krafthustled over, pressing his ear to the receiver, feeling as if the distance between himself and the lungs within the bony chest rapidly shrank, as if leaning against a massive bellows.\u003C\u002Fp>\n\u003Cp>A turbulent airflow surged through narrow ducts, filling the irregularly shaped chamber with a smooth, alternating breathing sound.\u003C\u002Fp>\n\u003Cp>But here, their passage was uneven; when passing through a cavity clearly mismatched in diameter to the ducts, they emitted a mournful hum, like blowing into a thickly scaled clay jar.\u003C\u002Fp>\n\u003Cp>Like blowing through softened reeds beneath a thin, spoiled, sticky film of water, producing a dense, prolonged series of bubbling and bursting sounds.\u003C\u002Fp>\n\u003Cp>With each breath, the rales repeated in cycles. He listened through several cycles, certain he could recognize this sound again next time, then stepped aside.\u003C\u002Fp>\n\u003Cp>“Why be so polite? Come all and listen—eventually you’ll all encounter this.” Kraftheld the receiver out, inviting others.\u003C\u002Fp>\n\u003Cp>Now there was no way to fade into the background; Dai Wei and several assistants and apprentices took turns testing the new little device, and Lecturer Weilun also leaned in curiously to listen to the lung sounds, affirming its practicality.\u003C\u002Fp>\n\u003Cp>“I believe we can indeed distinguish internal conditions by different lung breath sounds, even without direct visual access.” He took the receiver and tried placing it on other areas of the patient’s chest, abdomen, and neck.\u003C\u002Fp>\n\u003Cp>“Perhaps we can even hear sounds from other internal organs. Others have thought of this before, but pressing the ear directly was too hard to hear clearly—and inconvenient.”\u003C\u002Fp>\n\u003Cp>“Yes, through small methods, we can more actively gather needed information from the patient—palpation, percussion, auscultation, for instance.” Krafsexplained his earlier examination.\u003C\u002Fp>\n\u003Cp>“This relies on knowing what lies beneath, to correctly interpret the meaning of sounds and tactile changes. When I have time, I’ll write it all down.”\u003C\u002Fp>\n\u003Cp>“We’ve now preliminarily assessed the patient’s condition through basic examination: he has coughed for over half a year and expectorated blood for about two to three months; pulmonary tuberculosis is suspected. Auscultation reveals a jar-like breath sound, but no friction, indicating no exudative adhesion between the two pleural layers.”\u003C\u002Fp>\n\u003Cp>“This is fortunate—the tuberculosis has not invaded the pleura, allowing us to introduce air between the two layers, which forms the basis of treatment.”\u003C\u002Fp>\n\u003Cp>“Of course, before this, we must obtain the patient’s consent.” Krafwithdrew a pre-copied informed consent form for invasive treatment, holding it and the pen out.\u003C\u002Fp>\n\u003Cp>“The purpose of this treatment is to control hemoptysis and prolong life, but it carries risks of pneumothorax, hemothorax, lung collapse, and in the worst case, death. If you wish to proceed, please sign here to acknowledge your understanding.”\u003C\u002Fp>\n\u003Cp>“Since we also gain learning opportunities from your case, we will waive the treatment fee at our discretion.”\u003C\u002Fp>\n\u003Cp>The promise of extended life and waived fees tipped the scales decisively. The emaciated man on the bed immediately grew agitated, taking the document but hesitating long before signing his name.\u003C\u002Fp>\n\u003Cp>“If you have doubts, you may refuse—this will not affect Dr. Dai Wei’s continued conservative treatment.”\u003C\u002Fp>\n\u003Cp>“No, that’s not what I mean.” He gripped the paper, squeezed ink from the feather pen into his palm, and pressed his hand onto the page. “Is a fingerprint acceptable?”\u003C\u002Fp>\n\u003Cp>“If reading is difficult, you may ask someone you trust to read the content aloud for you.” Kraf, rare in completing the full procedure, hoped he hadn’t copied the form for nothing.\u003C\u002Fp>\n\u003Cp>“During treatment, a needle will be inserted into the thoracic cavity—you may still change your mind before it begins, even after signing or imprinting.”\u003C\u002Fp>\n\u003Cp>Fear of pain made the patient hesitate a moment, but another cough, spattering crimson, made his decision for him—reminding him that life was draining every moment from his unhealed lung wounds.\u003C\u002Fp>\n\u003Cp>“I feel there’s already more than one needle inside my chest—adding one more won’t make it worse. Please hurry, before I cough up all my blood.”\u003C\u002Fp>\n\u003Cp>He looked expectantly at Krafand the large tray wrapped in white cloth, a precious glimmer of hope appearing in his eyes.\u003C\u002Fp>\n\u003Cp>As he wished, several unfamiliar objects—clearly expensive at a glance—were removed from within.\u003C\u002Fp>\n\u003Cp>“As previously explained, after identifying the second rib by bony landmarks, we can locate the intercostal space for needle insertion.” The doctor washed his hands with a strongly scented pure alcohol, then wiped the patient’s flank with alcohol-dampened cotton, all while continuing his explanation.\u003C\u002Fp>\n\u003Cp>“Lecturer Weilun, bring out our labor from the past two days.”\u003C\u002Fp>\n\u003Cp>A glass bottle with a mouthpiece was brought to the patient’s lips; inside lay a small amount of oily, transparent liquid—their joint achievement using academy equipment. The apparatus was decent, but due to manual control limitations, the yield was truly poor.\u003C\u002Fp>\n\u003Cp>Ether, this unstable substance, had no safe storage method yet; the best practice was to make and use it immediately, lest it transform into something else over time.\u003C\u002Fp>\n\u003Cp>“Turn the valve down—it’s only a needle-sized puncture; too much inhalation does no good. Kraf, help hold the patient down—if anesthesia is too light, he might move unpredictably. Watch out for my sterile zone.”\u003C\u002Fp>\n\u003Cp>Since there was no need to fear disturbing anything within the lungs, anesthesia could safely be used to make the patient more comfortable.\u003C\u002Fp>\n\u003Cp>The patient inhaled a few puffs through the mouthpiece; before slipping into darkness, he saw Weilun’s astonished, delighted gaze.\u003C\u002Fp>\n\u003Cp>He summoned the steadiness honed over more than a decade, controlling his trembling hands as he held the bottle, watching the needle touch and pierce the skin—the recipient unaware, peacefully asleep.\u003C\u002Fp>\n\u003Cp>“You’ll feel a breakthrough as the needle enters the thoracic cavity—then stop immediately.” Krafpinched the bag, using his keen spatial sense to regulate gas volume.\u003C\u002Fp>\n\u003Cp>The gas volume must be precise: too much causes lung collapse and loss of respiratory function; too little fails to compress the lesion into closure.\u003C\u002Fp>\n\u003Cp>Fortunately, as a similarly built adult male, his experience with the Duke helped him gauge the right amount.\u003C\u002Fp>\n\u003Cp>The artificial pneumothorax procedure proceeded smoothly; when he judged it sufficient, he clamped the tubing, tapped the chest wall—the periphery of the thorax now emitted a uniformly hyperresonant sound, indicating gas had displaced the chaotic lung tissue, occupying half the thoracic cavity.\u003C\u002Fp>\n\u003Cp>The entire procedure took less than ten minutes—average for contemporary surgery, perhaps slightly below. Krafwithdrew the needle, pressed the puncture site, signaled Weilun the operation was complete, and removed the anesthesia.\u003C\u002Fp>\n\u003Cp>The patient, who had inhaled little ether, awoke from light anesthesia; respiratory irritation triggered an uncontrollable, violent cough.\u003C\u002Fp>\n\u003Cp>He coughed freely for a long while before realizing what he was doing, frantically checking his shirt and sheets, fearing they were already drenched in blood.\u003C\u002Fp>\n\u003Cp>Yet no fresh bloodstain appeared. After just a brief rest, the terror that plasma would flood from his ruptured trachea and drown him seemed merely an illusion. The effect was as immediate as a pole planted and a shadow cast.\u003C\u002Fp>\n\u003Cp>【Coughing Blood Ceased Immediately】\u003C\u002Fp>\n\u003Cp>Before Dai Wei’s self-doubting documentation reached the still-stalled academic symposium, the ripple stirred by this simple description had already drawn every patient who heard of it to this once-obscure clinic.\u003C\u002Fp>",1167,"2026-06-20T02:15:56.940Z",1,"Qwen3-Next 80B","389c4b8946aa7f638abfa68d05091df7e41f491108c69c8b50fb1bf5433a45e9","notes-on-kraft-anomalous-studies-chapter-208","notes-on-kraft-anomalous-studies-chapter-206",406,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fnotes-on-kraft-anomalous-studies-cover.jpg"]