"It's unlikely lupus," said Grigory, who had returned from Sayuri Matsumoto's home without success. "It's hard for that thing to get worse so quickly, and it usually has joint pain – of course, if you're really worried, you can do a check-up and check it out."

"Allergies are all negative, and other newly included heavy metals are all in vain, mercury, sulfur, arsenic, and so on." Hotaru spread her hands.

"While it's true that the symptoms are very similar to heavy metals, ...... Maybe now we do have to focus on the possibility of atypical lupus, after all, we have carefully examined the most common cases of heavy metals. ”

"Yes," Grigory nodded. "So it's very—"

Once again, the alarm bells are ringing.

"What's wrong again?" Grigory frowned. "I was fine before, why did the patient's family ...... as soon as they came?"

"Strictly speaking, it's not a patient's family, it's her friend." Chiba said this as he watched Fujiwara and Hotaru hurriedly walk out. "But seriously, my boyfriend who was robbed can still bless them so sincerely...... Anyway, it's hard for me to imagine how he could be so generous. ”

"What?" Grigory turned his head to look at him. "Robbed your boyfriend?"

"Well, because Takasugi Toshihiko wants revenge, he broke up with this Miss Kazumi Takenaka. But although Sayuri is very concerned, Miss Kazumi Takenaka does not hate her, but instead convinces Takasugi Toshihiko to turn himself in. Gray Yuan Wai smacked his lips when he said this. If I had found that situation, I would have just poisoned it – and by the way, it would have provided more data for our experiments. ”

Qian Yu suddenly shivered.

"What do you mean by that?" Gray Plains immediately stared at Qianyu. "You won't ......"

"Uh......" Qian Yu hurriedly denied. No...... It's just that what you're saying is too mad, isn't it......"

"Alright, leave that alone," Grigory interrupted the bickering between them. "I'll take a look again, and maybe I'll find anything."

……

At the same time, special wards.

"Again!" Kazumi Takenaka stood by the door and looked in horror at Fujiwara and Hotaru, who were doing first aid. "She seems to be just like she said before, she can't breathe!"

Fujiwara didn't pay any attention to her at all, but followed standard procedure to check the trachea. "The trachea is closed, what about the lungs?"

"It's working," Hotaru said, wearing a stethoscope. "Intubation?"

"Hmm-" Fujiwara was about to respond, only to find Sayuri Matsumoto's half-lying body suddenly twitch forward, and a large amount of vomit squirted out of her mouth.

"Ahh Kazumi Takenaka let out a scream.

"Suck those things out with a catheter...... No, wash my neck first! Fujiwara hurriedly shouted to Hotaru. I need to do a tracheotomy and the thyroid cartilage to the midline of the sternum to help clean it up! ”

In this case, the patient's vomit must have accumulated in the mouth and throat, and it takes a lot of time to remove it from the trachea by inserting a tube for ventilation. Therefore, in order to relieve the dyspnea as soon as possible, Fujiwara had to choose to bypass this part and make a direct incision from the middle of the trachea to give the air another pathway.

They moved very quickly and had a high degree of tacit understanding, and by the time Hotaru had finished cleaning and disinfecting iodine, Fujiwara had prepared a scalpel for cutting. "Let's go."

With his voice, the scalpel did not hesitate to pull a longitudinal incision in the neck. "Retractor!"

Hotaru was already waiting, and at this time, she immediately used a retractor to pull away the incision made by Fujiwara to facilitate Fujiwara to continue the cutting - a single knife is not enough during tracheostomy, because after the skin is cut, there are obstructions such as superficial cervical fascia, platysma and deep fascia under the skin, and it is necessary to continue cutting to break through to the front of the trachea.

When Fujiwara finally used a scalpel to cut the thyroid gland in front of the trachea from the bottom up, and Hotaru used a retractor to open it to both sides, the trachea protected by cricoid cartilage finally appeared in front of them.

"Twenty-four tracheal ring incision," Fujiwara said, gently cutting the scalpel into the trachea about 3 mm, then moving the knife upward, picking off two cartilages, and holding the cannula next to it in his hand. "Dilator."

After Hotaru operated the dilator with her hand that was not holding the retractor to open the tracheal incision, Fujiwara inserted the tracheal cannula. "Check the airflow."

"Everything is normal," they replied, referring to Gregory who did not know when he had already stood by their side. "Well done."

It was only then that Fujiwara breathed a sigh of relief - it was the first time he had performed such an urgent tracheostomy on a living person.

But why was it that until a few hours ago she had been doing business as usual, and now her illness is progressing so rapidly?

Just as Fujiwara and the others present were thinking about this problem, Grigory suddenly walked out.

The reason is simple, there is a person he wants to meet who asks him out.

……

An hour later, the special ward.

"Your urine test results show that the levels of protein and red blood cells are rising further," Gregory said, looking at Sayuri Matsumoto and Kazumi Takenaka, who was hand-feeding her a convenient pastry. "We call it 'proteinuria,' which means your kidneys are failing."

"Can it be treated?" Kazumi Takenaka immediately asked.

"We ......," said Gregory, after a moment's hesitation. It is possible to have lupus, the symptoms are consistent, and the condition is characterized by the lack of typical symptoms, which is extremely difficult to target. Lesions in the lungs, kidneys, and throat have been identified as one of its characteristic symptoms – lupus erythematosus causes the immune system to become overactive and attack itself. So we're going to put steroids on him right away, and we're going to have cyclophosphamide or immunosuppressants or something like that. ”

"She'll recover, right?" Kazumi Takenaka asked.

"Theoretically, so I'd like you to come with me and I'll get you something you might need for the next few hours." Saying so, Grigory.

"Shall I go first?" Kazumi Takenaka asked, shoving the last pastry in the bag into Sayuri Matsumoto's mouth.

"Hmm~" Sayuri Matsumoto, though still weak, still showed a smiling expression and licked the two fingers that had reached into her mouth a little mischievously.

"Yikes!" Kazumi Takenaka let out a small exclamation, then tapped Sayuri's head with her two wet fingers. "You guy! I won't clean you up when I get back! ”

From the doorway, Grigory watched silently as the two of them frolicked.