Chapter 640 - Biopsy
"What's wrong with him?" As Gregory came out of the isolation ward, Chiba asked. "You didn't ...... that film" "Well, I put the film in a bag and just made up the content with my mouth, but he didn't find out." Grigory nodded. "Considering that he is not very good at being a blower, I think he must have 'Anton blindness', his eyes can still see things, but his brain can't process them. And in such a situation, they still think they can see. ”
"......" Qian Yu thought for a moment and gave this answer. He doesn't understand what he's missing, and he uses the same words about 'seeing' in conversation as we do, but in a unique way. Someone brought his godson to him, and he took him in his arms: 'My God, what a beautiful child, what a joy to see!' He also said to us: 'This living room is beautiful, well lit and sunny.' ’”
"Raymond Sebonzan," Grigory looked at Chiba with a rather surprised expression. "Oh my God, your literary skills are truly impressive!"
"It's just a flash of inspiration," Thousand Feathers shrugged. "All in all, what should we do in this situation?"
"Anton blindness means damage to the bilateral occipital cortex...... "Gregory muses." Staphylococci have developed an infection in the brain, causing damage to the occipital cortex, as evidenced by the current fever. Doctor, you didn't give him antibiotics too, did you? ”
"Yes," the doctor next to him replied. "Normal dose of oral penicillin, no response at this time."
"It's pretty fast," Gregory clearly didn't expect. "The proportion of drug-resistant bacteria in Japan should not be high, and if penicillin is ineffective, it may not really be neurodegeneration caused by staphylococcal infection...... Then consider the possibility of a stroke – the resulting blood clot can cause blindness and unusual excitement. Dilute his blood with heparin, and cool him down by the way - if he goes on like this, he'll burn himself. Well...... It might be safer to give him a contrast MRI to look for a blood clot before taking heparin, but we're not in a hurry anyway. ”
"So, D wasn't infected, but just happened to be ill at this event?" The doctor asked after receiving the instructions.
"It may be so, but what you say also makes sense, and we can't rule out that he also has Legionnaires' disease." Gregory nodded immediately. "In this way, give him oral rifampicin - don't use erythromycin, just choose rifampicin."
……
After 40 minutes, isolate the sub-room.
"No blood clots?" Grigory frowned and looked at the MRI results in front of him—from a portable MRI device. "There are no infections like abscesses?"
"None of them, and the blood tests were all negative." The physician holds the latest report card in his hand.
"Perhaps...... It's too early to do these tests," Gregory's face was rather gloomy. "But given how quickly the disease is progressing, I think we may need to do a biopsy."
Yes, D's condition progressed very quickly - less than 45 minutes ago, he had completely normal vision, but now, he voluntarily told them that he couldn't see anything.
Prior to this, although D couldn't see anything physically, he at least thought he could see — patients with Anton blindness would make up what they saw in their brains, as if they were in a real-time dream. And now, it was as dark as a blind man before his eyes.
"Well, for the better, at least he wouldn't think he could see the passerby in front of him and be hit by a speeding car next to him." Looking at the MRI film in his hand, Grigory nodded thoughtfully. "Considering that there is no abscess in the brain, inform him that we are going to arrange a brain biopsy for him to see his condition directly. Considering that he was able to see accurately and take blood for himself forty minutes ago, and now that he has completely lost his sight, this progress means that there may be some kind of infection, and we may not really have much time. ”
"The relevant drugs are all prepared, rifampicin and azithromycin for bacteria, acyclovir for viruses, amphotericin B and fluconazole for fungi...... "After thinking for a moment, Grigory added. Although I don't know what happened to him, I think some of these medicines should come in handy. ”
While they were discussing the matter, another doctor suddenly ran up.
"Oh no!" He reported. "Patient B also developed Anton's blindness!"
Anton's blindness is not a very common symptom, and if patient B also has the same symptoms, it means that B and D have the same disease, but ...... Can Legionnaires' disease cause blindness? If Anton is blind now, can the judgment of Legionnaires' disease still be valid?
"Schedule a biopsy for D as soon as possible," Grigory said in a deep voice. "Speed up and get the inspection done as soon as possible. If it had been a little later, two other patients might have experienced similar symptoms. ”
……
"Recite the Hippocratic Oath," Grigory asked, standing in front of D. “Toconsiderdeartome,asmyparents”
In front of him, D's skull was immobilized, and a heavily armed doctor was slowly burrowing a drill into his skull.
"himwhotaughtmethisart," D replied, after a moment of recollection.
In this biopsy, the brain tissue is collected from a part of the temporal lobe, and the memory may be affected by performing such a biopsy, so it is necessary to check whether D's brain function is affected by the biopsy.
"Did you encounter anything strange when you went over there to check?" Grigory continued to ask.
"Hmm...... The décor of their house feels dirty, and the family must not like cleaning. D replied. But their little flower room was pretty and it was the only place they had carefully cleaned. ”
"Little Flower Room?" Grigory frowned. "Your companions must have checked over there, right?"
"Of course there were, but nothing was found." D sighed. "I also had a companion who checked the water system in the flower house, but nothing out of the ordinary-"
As he said this, Grigory suddenly saw that D's muscles were tense. "Ahh
"What's wrong?" Grigory asked hurriedly.
"Hurt!! D's voice was already a little close to wailing, and the limbs trapped on the operating chair by the restraints were constantly trying to writhe. "Stop! The anesthetic is ineffective! Stop it! ”
"It's impossible, we gave him a pretty strong analgesic, which doesn't make sense." The doctor took a closer look at the fluid being injected, and after making sure that there was still liquid left in the morphine bag, he looked at Gregory.
"Unless his pain isn't because he's hurting," Gregory shook his head slightly, just as he had just withdrawn his gaze from the morphine bag. "Leave him alone, just go ahead. Or if you're going to mess with him, knock him out and do the next biopsy — if you let him hurt like that, it could trigger cardiomyopathy. ”
"But if we knock him out, we won't be able to ......."
"Even if there is a problem with his memory, it is better than letting him die of a heart attack," Grigory glared at the doctor who asked the question. "Take a brain sample as soon as possible, and then do an examination."
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