Chapter Seventy-Eight: Toxoplasma = HIV? No! (5000 words, begging for order~)
Cameron soon caught up with Dewey, who had trouble walking.
Du Wei was even more embarrassed when he saw someone coming, and tried his best to maintain his expression and maintain a normal walking posture.
Cameron didn't notice Dewey's eccentricity, and she was thinking about how to apologize to Dewey for yesterday's incident.
After considering the language, Cameron said apologetically:
"Dewey...... I'm sorry for what happened yesterday, I, I know Edward didn't do that right.
But I didn't dare yesterday, I didn't dare to speak."
Du Wei didn't have the heart to think about Cameron at this time, he just wanted to perfunctory this low-necked Cameron as soon as possible.
Otherwise, he would almost lose his gun when he caught a glimpse of the infinite scenery.
"It's okay, who cares if an intern has a grievance?
Isn't that what interns are used to carry the blame? I understand that."
Cameron saw the open-minded smile on Du Wei's face, and his heart was even more guilty.
Interns don't know when it has become an unspoken rule of the industry.
But the intern is also a person, and he also has his career plan, because of the internal struggle within the hospital to sacrifice the future of a very talented intern, such a thing is indeed too much.
She gritted her teeth and suddenly promised:
"Next time, if something like this happens, I'm willing to take the initiative to resign to keep you safe."
Du Wei smiled and nodded, he knew that Cameron could do such a thing.
But Edward wasn't in charge of the hospital now, and that wouldn't happen again.
Soon, with Du Wei trying his best not to look directly into the abyss, he managed to get to the ward where Councilor Walker was.
Chase is already here, and looking at his progress, he should have just asked for basic information.
And the HR behind-the-scenes control, black Quinn, was also in the hospital room, with a worried look on his face as if he was really worried that Congressman Walker would fall ill.
Councillor Walker seemed to be in good spirits at this time, and he smiled and comforted Quinn:
"You go back and get busy, professional things should be left to professional people.
We have to trust the doctor's diagnosis, and I've heard that the attending doctor, House, has a strange temper, but his abilities are not to be underestimated.
Under his hands, I will be able to recover quickly.
I didn't feel like I was seriously ill, maybe it was a heat stroke coma caused by the hot weather or it was just because of the spoiled sushi.
After all, there have been so many places to give speeches lately.
As long as the doctor checks that there is no serious problem, maybe I can go back to my campaign speech in the afternoon."
Quinn nodded and patted Councillor Walker on the shoulder:
"Okay, then I'll go first, and I'll contact you anytime if you have any situation."
Then, when he walked by Du Wei's side, he specially instructed:
"Congressman Walker is a good man, and if he is elected mayor, he will lead Princeton to a better tomorrow.
Therefore make sure that you heal him, and leave it to you."
Hearing Quinn's words, Walker, who was sitting on the hospital bed, immediately laughed:
"Quinn, don't put pressure on them, it's just a normal illness, you have to trust them."
Quinn smiled and walked out of Dewey's side.
Chase, who was asking about his family's medical history and past illness, looked up at Du Wei, and then said the basic information he had learned: ....
"Mr. Parliamentarian had sudden nausea, vomiting, headache and confusion during his speech.
However, as far as I have learned, Mr. Councillor has no family history other than the fact that he almost broke the root of his tooth when he fell from a swing when he was six years old, leaving a scar at the base of his tongue on his right side.
In addition, Mr. Member, he does not seem to be in serious condition, but he may be too tired from running around and some heat stroke or acute gastroenteritis caused by spoiled food, as he said."
Du Wei shook his head:
"Heat stroke and acute gastroenteritis are not true
Okay, so fast, it's only been two hours since Congressman Walker had a problem.
Let's give him some basic check-ups."
Chase spread his hand and motioned for Du Wei to please.
Dewey looked after Councillor Walker's eyes, checked the base of his tongue, and listened to his heartbeat.
He took the percussion hammer and tapped Councillor Walker's left knee, and the councilor's left leg jumped subconsciously.
This means that he has a normal knee reflex.
Walker couldn't help but smile when he saw Du Wei's movements:
"Young man, although I am an old bone, I still walk very steadily, so there is no need to do any knee jerk reaction, right?"
Du Wei didn't answer, but tapped Councilman Walker's right knee with a percussion hammer, but his right leg didn't respond.
At this moment, everyone who had just looked relieved immediately focused their eyes on Councillor Walker's right knee.
If there is no mistake in the operation, the absence of the knee reflex means that there is something wrong with Congressman Walker's nervous system.
Chase looked at the percussion hammer in Du Wei's hand with a solemn face and said:
"Did you knock it in the wrong place? Try it again."
Du Wei knocked twice more, but there was still no response, and then Du Wei handed the percussion hammer in his hand to Chase and asked him to try it himself.
Councillor Walker suddenly realized something when he saw the solemn expressions on everyone's faces, and he suddenly became nervous, and then asked with some uneasiness:
"What's wrong? Is there something wrong with my body?"
Chase did not answer, but tapped Councillor Walker's right knee several times like Dewey, confirming that Councillor Walker had really lost the knee-jerk reflex of his right knee, and then he looked at Cameron and said:
"Mr. Councillor, I'm afraid your problem is not in heat stroke or food, but in your brain.
I'm afraid you won't be able to leave the hospital in the afternoon, so we need to arrange a whole body MRI and a lumbar puncture for you."
Chase then looked at Du Wei, who nodded and immediately took Councillor Walker to check it out.
Because of the privileges of parliamentarians, reports on parliamentarians came out quickly.
In the conference room of the diagnostic department, Du Wei took the report and said:
"The lumbar puncture found no infection, and the MRI showed no abnormalities.
However, an anomaly was found in the Broka area, which was small and looked like background noise, and could also be a brain tumor or infection.
But I can't confirm it, so I recommend a brain biopsy."
Chase frowned and said:
"You can't do a brain biopsy just because of a spot on an MRI.
This is dangerous, and a brain biopsy can cause permanent nerve damage.
And he's still a politician, and if he fails, it's easy for the hospital to fall into negative public opinion." ….
House frowned and pondered for a while, and then adopted Dewey's opinion:
"Could it be that he's a homeless man, and we can do a brain biopsy?
Everyone is equal in the hospital, at least in my case.
Permanent nerve damage is always better than a thriving tumor.
That's it, Du Wei, you go and inform the patient.
Chase, you go to the operating room and arrange surgery as soon as possible."
After saying that, House limped in the direction of the outpatient clinic.
Although the hospital has changed owners, his extra six hours of outpatient tasks have not decreased.
So he only has a lot of time for consultations, and the rest of the time has to be spent in the outpatient clinic.
With House's decision to open the skull, Dewey immediately found Councillor Walker, who was sitting in a hospital bed worriedly.
He was in a position of power, but he was quite worried about his own death.
He still has a lot of money in Swiss banks that he hasn't had time to use.
So when he saw Du Wei, he immediately asked:
"Doctor, how's it going?"
"We've found an anomaly in the Broca area of your brain, and now we need to make a brain
biopsy."
"Brain biopsy?"
The word didn't sound so rosy, and Councillor Walker's face turned green on the spot.
"Do you know what caused my symptoms?"
Du Wei could clearly sense Walker's panic.
"If we knew what was causing your symptoms, we wouldn't have had to do this brain biopsy.
But it is obvious that the infection that cannot be detected by the lumbar puncture is likely to kill you.
So I suggest that for the sake of your life, you should sign this consent form.
After all, a brain biopsy is only possible to cause neurological damage, and there is a high probability that nothing will happen.
But if you don't, a thriving tumor or some other unknown condition could kill you."
Congressman Walker, who is a member of HR, naturally made the right choice before making a death threat, and underwent this shocking-sounding craniotomy.
On the way to the operating room, Walker kept asking Dewey what was the success rate of this operation? What are the side effects? What is the probability of recovery after surgery?
In the face of the risk of death, he is no longer the high-ranking Mr. Parliamentarian, but like the patients in the hospital, he is an ordinary person who is afraid of death.
"Don't worry, our hospital has the best surgeons, and you'll be fine, Mr. Senator."
At the same time, Du Wei added in his heart that he still needed Walker as bait to get the list of HR bribed officials, how could he let him die.
Under House's arrangement, Mr. Senator immediately cut into the queue and lined up for surgery.
As the anesthetic effect took off, Councillor Walker, who had been worrying about his life, finally shut up.
The next step was to open the skull with a drill, and as the white bone chips flew out, a hole appeared that went straight into the inside of the brain.
Then the biopsy needle is slowly inserted, the brain tissue is removed, and finally the skull is closed, and the brain biopsy operation is considered successful.
Du Wei, who came in as a handyman under the pretext of studying, silently observed the whole operation and increased his surgical experience again. ….
Moments later, Dr. Wilson, an oncologist at the hospital, handed over his report.
"It's not a tumor, it's not a bacterial infection."
Dr. Wilson said in the consultation room with a strange expression.
"It's toxoplasmosis."
As soon as these words came out, everyone's faces became strange.
Toxoplasmosis is known to be common in people with AIDS, who have no protection against it.
House smiled, stood up, scribbled off the marker on the whiteboard, and began to write:
"Toxoplasmosis is a very common fungus.
Usually the way to get it is either by eating undercooked meat, or by touching cat feces, soil, etc.
In rare cases, the fungus will travel through the bloodstream to the brain and attach, causing damage or inflammation.
But it can only cause brain damage in one case, and that is when the patient's immune system is already weakened.
The only disease that can weaken the immune system is AIDS.
So, is our great Mr. Senator an AIDS patient?"
House's implication is that there are only a few ways to get AIDS.
First of all, mother-to-child transmission is ruled out, and then the next is the possible blood-to-blood transmission during drug use, as well as the transmission of bodily fluids.
Whatever the disease, if it spread, it would deal a major blow to Congressman Walker's reputation.
It's not a good thing to deal with.
House continued to look at Dewey, who clearly needed to inform Councillor Walker of the result.
However, Du Wei did not rush to inform Councillor Walker of this result, and he suddenly opened his mouth to object:
"Is it possible
Not AIDS?
Although the phenomenon of brain damage caused by toxoplasmosis is due to the patient's weakened immune system.
But what if Congressman Walker's immune system disease wasn't caused by AIDS?
Maybe he had a disease in his immune system because of other drugs?"
House shook his head and smiled:
"No way, if you have toxoplasma in your brain, it's definitely AIDS."
"I stand by my view that a councillor who is running for mayor does not risk AIDS.
I think there is something else going on, not to mention that if you want to know if he has AIDS, it's very simple, just test him.
To prevent mistakes, I recommend doing it twice."
House frowned, he had no idea why Du Wei was so insistent this time.
"Twice? The chance of a false positive for AIDS is 1 in 5,000, so there's no need."
"Do it one more time to make sure the result is correct, after all, this is a real scandal for the MP.
It's better for us to be wary of this."
House shrugged and accepted Dewey's claim.
"Okay, do an enzyme-linked immunosorbent assay to test for HIV."
Houston paused and continued:
"Twice."
……
When House learns that he may be living with HIV, Congressman Walker's face is full of absurdity.
"Impossible, impossible!
I could have cancer, or something else, but it could never be HIV! ….
I don't use drugs, I don't prostitute myself, and I have a raincoat! There's no reason I could get HIV!"
The agitated Congressman Walker immediately coughed, unable to finish his sentence.
House hurriedly stepped forward to perform auscultation and asked:
"What's going on?"
Councillor Walker said with a pained face:
"I can't seem to breathe, is it because of Toxoplasma?"
House's face changed when he heard the change in heart rate:
"Get a ventilator."
When the first aid was over, Du Wei also happened to walk in with the HIV report.
Looking at House, who was pondering at the bedside, Du Weiyang raised the report in his hand:
"One positive, one negative, he doesn't have HIV."
Even after being proven wrong, House's face remained the same.
"Really? That's too bad, we don't know anything about the disease that caused his symptoms again.
His respiratory system is currently severely impaired, his oxygen saturation has reached 89, and his T-cell index is very low.
Silver staining shows Pneumocystis carinii pneumonia (a lethal fungus), which is consistent with hairy cell leukemia.
So what do you think about Du Wei, who has always been right?"
Dewey ignored House's ridicule, organized the language, and said:
"Virus, we can test for human T-cell virus and adult T-cell virus, do virus assessment."
"Okay, just do what you want, do it."
Chase looked at Du Wei who was far away and couldn't help but say:
"Why did he know that the MP was not HIV?"
House rolled his eyes:
"How do I know? Sometimes I really want to cut open this kid's brain to see what is different from us.
His vision of illness is always surprisingly accurate.
There is no such thing as a perfect person in this world, right, Chase?"
Chase thought for a moment and said:
"Maybe he was just lucky?"
House narrowed his eyes and began to review:
"Luck? We're not talking about luck, we're talking about evidence.
Then again, his theory is actually correct.
A councilor who wants to run for mayor must be clean and self-conscious so as not to be picked up by his opponents
Scandal comes.
Therefore, it is also a small probability that he will suffer from AIDS, after all, if the parliamentarian has AIDS, then his future will be ruined.
And we are indeed judging that Toxoplasma is AIDS because of the brain damage caused by Toxoplasma desidus, which is too arbitrary.
It is clear that the symptoms now tell us that the virus also has the potential to cause a compromised immune system, which can lead to brain damage caused by Toxoplasma toxoplasma.
Now we have to wait for the results of Du Wei."
Even after hearing House's explanation, Chase felt a bit far-fetched.
In a beautiful country, it is not a new thing for a member of parliament to have a scandal, what if Mr. Senator likes it?
Raincoats are not 100% effective at indicting HIV transmission.
Chase shook his head and didn't think about it anymore, anyway, for some reason, Du Wei was obviously right again.
Soon, there was a result on Du Wei's side.
He returned to the conference room with the report and said:
"Human T-cell virus types 1 and 2 are negative, and adult T-cell virus is also negative, which does not match the symptoms of hairy cell leukemia.
But when I did the virus test, I found out that the patient tested positive for EBV."
House touched his chin, and instead of answering, he asked thoughtfully:
"So under what circumstances does EBV cause a patient's immune system to become invasive?"
To his surprise, Du Wei seemed to be waiting for him to ask, and replied almost without thinking:
"The patient should have concealed his medical history, and he should have had drugs in his past that reacted with EBV and caused an abnormality in the immune system.
Patients lie, don't they?"
At the end, Du Wei looked at Chase.
The early inquiring about his condition was all arranged by Chase.
Chase smiled bitterly:
"He's a councilor, it's too hard to expect them to tell the truth.
Maybe it's because we're afraid that we'll dig up some black material about his past, so I chose to lie?"
House tapped the ground with his cane, glanced around the room, and finally looked at Du Weidao:
"I'll leave it to you, Dewey.
Your cliché skills have always been effective, and I think of you."
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