Kraft urgently searched his brain for information about brain damage, but his brain gave no information that could explain the current situation.
The consequences of damage to the central nervous system are diverse, and eye changes are certainly one of them. From vision to movement, including abnormal pupil size, blurred visual field defects, abnormal eye movement, etc.
Generally speaking, patients have a high probability of picking one or more types, depending on the location and severity of the damaged area.
Anatomically speaking, the source of nystagmus may be located in several different functional areas. The vestibular system that senses posture position is in the inner ears on both sides; the oculomotor nuclei are in the brainstem and midbrain; the cerebellum, which is responsible for coordinating movements, is located in
Lower back of skull.
So, what kind of trauma can hit several functional areas so accurately, causing consistent vertical upward nystagmus despite other symptoms being different?
To believe this kind of thing, it is better to believe that a falling object happened to loosen the old blood clot in the pedestrian's brain for many years, and that the necrotic area can be re-opened once it is perfused - those who believe it should also go for it.
There should be some other reason, a simpler and more direct reason, and there is a high probability that it is through normal channels rather than pathological reasons. After all, it would be outrageous for random different injuries to cause the same specific pathological manifestation, but it is said that it is a certain pathological manifestation.
This unknown situation is caused by people's normal inherent reflexes, so it makes sense.
Just like in a dark dormitory, everyone's morning alarm suddenly rings. The most suspicious thing is not that everyone mistakenly set the alarm clock to midnight for different reasons, but that it is raining or the curtains are not open.
The logical process is a bit complicated, but it only takes a moment in his thinking. Kraft temporarily ruled out intracranial injury as the seemingly most reasonable explanation, and turned his gun around to think about normal situations.
This involves the physiological significance of nystagmus.
When accelerating movement, the scenery in front of you flashes by at a much faster speed than usual. In order to adapt to this situation, the visual system will spontaneously adjust in an attempt to offset the impact of movement.
Reflected on the eyeballs, they turn to follow the flashing scenery at a high frequency.
Imagine sitting on a moving train, your eyes tracking each street tree that is thrown behind and constantly returning to the right position, causing it to look like it is trembling, and the direction of the steering tremor is exactly opposite to the direction of body movement.
If interpreted from this perspective, the consistent vertical upward nystagmus of patients in deep coma actually reflects their perception of changes in their own position.
【The body is falling】
The clues pointed in a very bad direction, just like when you are hunting and follow the clues you find while triumphantly walking through the fog. What appears in front of you is not an elk or a wild boar, but a strange and special thing walking in the forest.
"How is that possible?" Kraft heard his own mumbling, and no one answered his soliloquy, "It doesn't make sense."
Combined with the abnormal earthquake, we can almost immediately link to the possibility of deep impact. But here are not patients with a clear history of exposure, so why did it progress to the feeling of falling so quickly?
In that slight nystagmus, he seemed to have glimpsed a sign of something incredible approaching. Although he had not yet arrived, the aftermath of its progress had already penetrated the space barrier, stirring up the consciousness in the spiritual world that fell into a deep coma.
This kind of influence that does not require a medium will only occur when the two are close enough.
"What a ghost."
It was best that his guess was in the wrong direction. He could only comfort himself that a doctor who was not a neurologist, relying on some textbook knowledge, was ultimately subjective and arbitrary.
What we need to do now is not to continue to dwell on this problem, but to continue working with the patients and ask them later if they still remember what they felt when they were on the verge of death - if there is a future.
The monks in the church were also busy. They followed the advice not to touch the patient casually, so they just prayed in a low voice and tapped the patient's forehead.
In effect, this approach has calmed down most of the conscious patients and made them calm a lot.
And Kraft started working on those parts that were heavier and currently conditioned.
He checked Kupp's puncture effect and the sealing of the puncture point, expressed his affirmation of his technique, and asked the assistant to move the selected patients together and place them more densely.
Coop watched in amazement as Kraft moved through the crowded spaces between patients, as if he suddenly became more agile.
It's not that the professor is usually clumsy, but that his activities suddenly received a kind of guidance that exceeded the limitations of his viewing angle. Even without looking at his feet, he could accurately avoid the patient's clothes and erratic hands and feet.
Kraft knelt down briskly next to the patient with cervical spondylosis and inhaled a little ether that was always available in the toolbox to relax his consciousness and muscles. Then he held both sides of the patient's head with both hands and slowly and steadily moved his head upwards.
Traction.
Long-term study has taught Kupu how complicated the neck is. With just a little bit of force, several sections may look similar. In fact, the positions of the vertebrae of different shapes change. And just a small change in position can cause serious injuries.
Effects ranging from illness to death.
He has also seen the usual manual reduction, which requires inferring the situation through the positions of those bony landmarks on the body surface, and then carefully pulling, and there is a possibility of failure of the reduction.
However, the purpose of those hands was very clear. They did not adjust back and forth. After pulling, they turned a decisive angle, then released and pushed to reset.
The neck was straightened, and the expression on the comatose patient's face relaxed. Cotton pads were put on the sides, front and back of the neck, and slats made of thick bark were tied to fix it.
"This is not a standard operation, it is just a compromise due to limited time." Kraft still found time in his busy schedule to point out that his behavior is not worth learning. "Normally, you still have to honestly look for the positioning of bone landmarks and then try carefully."
But he immediately reset several cases of fractures with obvious limb deformities in the same way, bandaged and fixed them, and ordered them to be reviewed in the future.
This chapter is not over yet, please click on the next page to continue reading the exciting content! The speed and effect are faster than anything Kupp has ever known, and even more perfect than Kraft himself.
Even the church members who were watching gave out unprofessional praise. After learning from Brother Wading that Kraft had rescued a colleague with a head injury and was not a student of Dunling University School of Medicine, they even expressed their rare praise.
Recognition.
As a student and assistant, you should feel proud of your mentor's skills. But Kupp only felt that he had an unreasonable emotion, which was projected onto his soul like a long shadow in the dark night. He spent a lot of time
It took a while to realize that it was twisted fear.
This kind of fear does not come from the unknown, but from the known. It is precisely because of understanding that it feels incomprehensible.
Kraft began to remove the comatose patient's hair and draw circles on the head with a pen, some on the same side as the extracutaneous injury and some on the opposite side.
The long-lost feeling of isolation hovered above his head. The room was full of people, watching the same scene, but no one could empathize with what he had discovered. Invisible barriers separated him from the crowd, leaving him alone with incomprehensible phenomena. Even rationally
Knowing that he is safe, the fear from biological instinct is still growing.
Once he realized this, he began to feel something moving around him. An illusory part of that thing was swaying from his face and body like a breeze, floating freely, constantly touching and tracing things, like a big giant
See incredible sea anemones and unconsciously sense the world around them with corollas of blooming tendrils.
It stretches in the tide that belongs to it, with a comfortable and free posture.
"What are you doing standing there? Come and help me!" Craft shouted with his back to him, "We have to move this patient back to the clinic, we can't handle it here."
"Okay, okay." Coop shivered and felt a little cold, "Are you free later? I have something I want to talk to you about."