A Hospital in Another World? Chapter 1091: Magic to Kill Cancer Cells? So Many Issues to Solve!

In Garrett's previous life, there were several methods to kill cancer cells in hospitals.

The first was traditional methods, such as surgery, radiation therapy, and chemotherapy. The advantage was that they were effective, but the disadvantage was that they were extremely damaging to the body. Whether it was surgery or radiation and chemotherapy, after one round, you would shed a layer of skin, at the very least.

The second method involved more refined techniques, such as radiofrequency ablation, embolization of feeding blood vessels, or proton and heavy ion therapy. These methods were precise, minimally invasive, and effective, but their drawback was that the coverage was not precise enough, making it easy to miss something...

After all, tumors aren't always perfectly round. Ablation and proton or heavy ion therapy release heat from the center, potentially missing the edges and corners; if an embolization misses a blood vessel, well, that's another problem.

The third was the latest in biomedicine, such as targeted therapy. The advantage was that it was truly effective with fewer side effects, but...

The drawback was that targeted drugs were exorbitantly expensive, costing tens of thousands each month. Moreover, after taking them for a year or two, resistance could develop...

As for certain types of tumors that still lacked corresponding targeted drugs, that was yet another issue.

Garrett was familiar with these basic concepts, though he had never performed them himself. As an emergency doctor, these were slow-acting treatments, typically handled by his colleagues—

Liver cancer was passed on to hepatobiliary surgery, breast cancer to thyroid and breast surgery, lung cancer to thoracic surgery... of course, some cases were also referred to internal medicine... oncology...

In any case, his task was simply to avoid rupturing the tumor during surgery, call for consultations when necessary, and issue referrals as required.

However, as a doctor, he had always thought about tackling cancer. Previously, he never had the opportunity, but now he did. Garrett decided to attempt a fourth method:

Using mental energy to lock onto cancer cells, cover the patient's entire body, and selectively kill all cancer cells.

It seemed promising. He had previously used it to kill bacteria and viruses without any issues, but when he tried to kill cancer cells, it went horribly wrong.

"Stop the bleeding! Stop the bleeding! Healing spell!"

Garrett shouted. As soon as he uttered the first word, a green light gently descended, sweeping over the entire rabbit. It was Elder Fahim, who quickly acted when he saw the situation deteriorating.

In an instant, the rabbit's breathing became heavy, and the waveform on the ECG slowed slightly. It was evident that the bleeding had been stopped, and the rabbit's vital signs had stabilized. Garrett breathed a sigh of relief and began to ponder:

Why did things go wrong?

Why did a single spell suddenly cause problems?

The only way to solve worries is through experimentation. He first picked up the rabbit and conducted another ultrasound and CT scan. Thank heavens, the elder's healing spell did not induce hair growth. The rabbit, which had been shaved clean, did not need another shave...

"Hmm... the amount of ascites seems to have increased... It's normal. If there was internal bleeding just now, the blood would have flowed into the abdominal cavity, which would appear as ascites on the ultrasound..."

"The tumor... the volume of the hepatic mass has indeed reduced..." Garrett retrieved the images stored in his meditation core, compared them, and nodded:

"This indicates that the targeted killing was successful; these cells were indeed eradicated... However, whether they were completely eradicated will require another biopsy in a few days to confirm the sampling results... As for now..."

"How's it looking?"

Elder Fahim and Cirilla leaned over to take a look. Garrett took a deep breath and shook his head:

"Let me dissect it and see..."

Dissection, dissection. He secured the rabbit, opened its abdomen, and removed a lobe of the liver containing the tumor. As he cut, he explained to Elder Fahim:

"When removing organs, don't rush. You can't just slice it open right away... First, you need to free the affected organ, including many surrounding ligaments, thoracic adhesions, and abdominal adhesions, all of which need to be severed or bluntly separated..."

"Then, since we're cutting the liver, we first need to sever the round ligament, falciform ligament, and left and right triangular ligaments. Afterward, we need to free the liver hilum, including the hepatic artery, hepatic vein, and bile duct, ligate them, and cut them off. Only then will bleeding be significantly reduced..."

"For doctors, no hypothesis, no diagnostic method, no X-ray, ultrasound, CT, or MRI, can compare to directly opening the abdomen and seeing the situation with your own eyes. Alright, now we see this hepatic cyst..."

Yes, that's why he had to research first instead of treating Fira immediately. With the experimental animal, he could open its abdomen whenever he wanted, explore as much as he liked, and cut off a piece whenever he pleased. Treating a patient this way?

Impossible. As a doctor, you must be responsible for the patient and cannot recklessly endanger their life and health!

Garrett carefully cut off the piece of liver, using levitation to transfer it to the nearby lab table. As the saying goes, "The human heart is separated by a belly," seeing it with your own eyes is indeed different from blindly guessing through the abdominal wall:

After the targeted killing spell swept through, the color and shape of the tumor had already changed from a normal tumor. It was soft, like a moldy orange, and began to ooze liquid.

Garrett grasped the tissue forceps, gently touched it, and the tumor's capsule immediately split open. He grabbed a syringe, drew out a large tube of liquid from inside, which was red, sticky, and gooey, resembling a pot of badly cooked stew.

Garrett took a deep breath and resumed dissecting it bit by bit. This dissection revealed that the inside of the cyst was already empty; many cells had either completely shriveled or disappeared altogether.

So, what happened to these cells after being hit by the targeted killing spell?

He didn't have time to ponder this, so he continued dissecting methodically. Finally, when the hepatic vessels and bile ducts were exposed one by one, Garrett exclaimed:

"I see!"

"What's up? Did you find the cause?"

Cirilla jumped over to look. Elder Fahim and Anari Linga, though not as excited as her, hurried over as well, standing next to Garrett. Four people, eight eyes, all focused on the dissected cyst:

"Look here, the blood vessels and bile ducts are already pitted—this is a sign that cancer cells have invaded the blood vessels and bile ducts."

Garrett took a step back to give them a clearer view and then used a mage's trick to stain the tissue:

"My spell killed the cancer cells in one go, leaving many holes in the blood vessel walls and bile duct walls. The blood and bile inside leaked out, so the rabbit was doomed."

"This..."

Cirilla blinked her eyes and nodded, seemingly accepting this explanation. However, Elder Fahim frowned:

"Why would killing them create holes? These... uh, cancer cells, weren't their corpses still there after they were killed?"

Garrett wanted to know this too. In the past, when using the targeted killing spell on bacteria and viruses, he never paid attention to what happened to the dead bacteria and viruses—what form they took or where they went.

Were they immediately removed from the body, like with a detoxification spell?

Or did the bacteria die, unable to divide and reproduce, while the virus's genetic chain disintegrated, losing its activity, and that was the end of it?

These questions didn't matter much in the context of killing bacteria and viruses; the disease was cured, and that was all that mattered. But obviously, this time he couldn't cut corners. What he didn't investigate before, he now had to learn from scratch...

He prepared four slides from the liquid drawn from the cyst, handing them to Cirilla, Elder Fahim, and Miss Linga to observe, keeping one for himself, which he placed under a microscope:

"A complete mess..."

Cirilla eagerly leaned in to look. A quick glance, and she immediately exclaimed:

"Garrett, what can you see in this mess? I can't even see any cells!"

"Yeah, you can't see them because the cells are already dead and dissolved." Garrett also stared into his microscope, concentrating on his observation and memory:

"Generally, it doesn't happen this quickly. From cell death to cell membrane rupture to cytoplasm leakage, it takes several hours. But after being swept by magic, it collapsed immediately..."

It was clear that the magic accelerated this process. After being swept by the magic, a large number of cells rapidly progressed to the stage of cytoplasm leakage. As a result, the cancer cells clogging the blood vessel walls and bile duct walls disintegrated, creating holes in the vessel walls and bile duct walls, causing leakage...

"So what do we do?"

Cirilla frowned and turned her head, stretching her neck to look over Garrett's shoulder. Garrett calmly stepped aside, giving her space while presenting the newly prepared tissue slice:

"Cirilla, freeze it!"

"Okay!"

The young silver dragon responded joyfully, pursed her lips, and blew. A cold wind swept through, freezing the tumor tissue into ice. Garrett continued slicing, staining, and placing the sample under the microscope:

"Hmm... some cancer cells haven't fully disintegrated yet... although they've been killed, they haven't reached the stage of cell membrane rupture..."

"Huh? How can you tell?"

Cirilla squeezed in forcefully. Garrett had no choice but to step aside while using 【Silent Illusions】 to outline the

 image, giving her a lesson:

"Look, the cells under the microscope first shrink, with the cell membrane wrinkling, forming small bright spots under the microscope. Then, look here, the cell becomes pitted, like an octopus, right? After that, it breaks down into cell fragments..."

"I see..."

Cirilla raised her head to look at the image, then lowered her head to look into the eyepiece; she repeated this a few times.

Elder Fahim and Miss Linga stood on either side, unable to squeeze in, so they tried to memorize the image as best they could. They would have to wait until Cirilla lost interest before they could take their turns.

Sigh, it’s tough to have to line up behind a young silver dragon to learn something at this age...

It’s even tougher to research something. After finishing his lecture, Garrett squatted beside the dissected tumor, muttering to himself:

"So why do some cells disintegrate so quickly? Was the magical fluctuation too strong? Too much force? Or... how should I patch up the holes in the blood vessels?"

Ah, this is so difficult... there are so many experiments to conduct, so many ideas to verify...

Is it possible to have 48 hours in a day?