American drama life begins with Dr. House
Chapter 78: Toxoplasma = HIV? No! (5000 words~)
Cameron soon caught up with Duwei, who had difficulty walking.
Du Wei felt even more embarrassed when he saw someone following him. He tried his best to keep his expression and walk in a normal posture.
Cameron didn't notice Du Wei's weirdness. What she was thinking about was how to apologize to Du Wei for yesterday's incident.
After considering his words, Cameron apologized and said:
"Duwei... I'm very sorry about what happened yesterday. I, I know what Edward did was wrong.
But yesterday I didn’t dare, I didn’t dare to speak.”
Du Wei had no time to think about Cameron's problem at this time. He just wanted to get rid of Cameron who was wearing a low collar as soon as possible.
Otherwise, he would almost be unable to hold back his gun after seeing the infinite scenery.
"It's okay, who cares if an intern feels wronged?
Aren’t interns just there to take the blame? I understand that.”
Cameron felt even more guilty when he saw the open-minded smile on Du Wei's face.
It has become an unspoken rule in the industry that interns take the blame.
But interns are also individuals and have their own career plans. It is indeed too much to sacrifice the future of a very talented intern because of internal fighting in the hospital.
She gritted her teeth and suddenly promised:
"If something like this happens again next time, I am willing to take the initiative to resign to ensure that you have no worries."
Duwei smiled and nodded, knowing that Cameron could do such a thing.
But Edward is not in charge of the hospital now, and this kind of thing will never happen again.
Soon, while Duwei tried his best not to look into the abyss, he successfully arrived at the ward where Congressman Walker was.
Chase is already here. Judging from his progress, he must have just asked for basic information.
And the man behind HR, the black man Quinn, was also in the ward, with a worried look on his face as if he was really worried that Congressman Walker would fall ill.
Councilor Walker seemed to be in very good mental condition at this time. He smiled and comforted Quinn and said:
"You go back and do your work. Professional matters should be left to professionals.
We have to trust the doctor's diagnosis, and I heard that although the attending doctor, House, has a weird temper, his ability cannot be underestimated.
I will definitely recover quickly under his hands.
I don't think it's a serious illness. It might just be a heatstroke coma caused by the hot weather or the spoiled sushi.
After all, there are so many places where you need to give a speech these days.
As long as the doctor checks that there is nothing serious, I might be able to give a campaign speech again in the afternoon."
Quinn nodded and patted Congressman Walker on the shoulder:
"Okay, I'll leave now. I'll contact you anytime if anything happens."
Then when passing by Du Wei, he specifically asked:
"Congressman Walker is a good man. If he is elected mayor, he will definitely lead Princeton to a better tomorrow.
So you must cure him, and everything is left to you."
After hearing Quinn's words, Walker, who was sitting on the hospital bed, immediately smiled and said:
"Quinn, don't put pressure on them. It's just a common illness. You have to believe them."
Quinn smiled and walked out from Du Wei and the other two.
Chase, who was asking about family medical history and past illnesses, raised his head and glanced at Du Wei, and then told the basic information he learned:….
"Mr. Congressman suffered from nausea, vomiting, headache and mental confusion during his speech.
But according to what I just learned, Mr. Congressman has no other family medical history except that he almost broke the root of his tooth when he fell from a swing when he was six years old, leaving a scar on the right base of his tongue.
In addition, Mr. Congressman doesn’t seem to have any serious health problems. It may be that he is too tired from running around, has some heatstroke, or has acute gastroenteritis caused by food spoilage, just like he said.”
Du Wei shook his head:
"It will not cause heatstroke or acute gastroenteritis.
It's so fast. It's only been two hours since Councilman Walker had a problem.
Let’s do some basic checks on him.”
Chase spread his hands to signal Du Wei to please.
Duwei looked at Representative Walker's eyes, checked the base of his tongue, and listened to his heartbeat.
He took the percussion hammer on one side and tapped Congressman Walker's left knee. The Congressman's left leg subconsciously jumped.
This shows that he has a normal knee jerk reflex.
Walker couldn't help but smile when he saw Duwei's actions:
"Young man, although I am an old man, I still walk very steadily. There is no need for any knee-jerk reaction, right?"
Du Wei did not answer, but tapped Congressman Walker's right knee with a percussion hammer. There was no response from his right leg.
Now, everyone who had looked relaxed just now immediately focused their attention on Congressman Walker's right knee.
If there is no mistake in the operation, the lack of knee-jerk reflex means that there is something wrong with Representative Walker's nervous system.
Chase looked at the percussion hammer in Du Wei's hand solemnly and said:
"Did you knock in the wrong place? Try knocking again."
Du Wei followed his instructions and knocked twice more, but there was still no response. Then Du Wei handed the percussion hammer in his hand to Chase and asked him to try it himself.
Councilor Walker suddenly realized something when he saw the solemn expressions on everyone's faces. He suddenly became nervous, and then asked uneasily:
"What's wrong? Is there something wrong with my body?"
Chase did not answer, but just like Duwei, he hit Congressman Walker's right knee several times to confirm that Congressman Walker had really lost the knee-jerk reflex in his right knee. Then he looked at Cameron and said:
"Mr. Congressman, I'm afraid your problem isn't heat stroke or what you eat, but it's in your brain.
I'm afraid you won't be able to leave the hospital in the afternoon, and we need to arrange a full-body MRI and lumbar puncture for you."
Then Chase looked at Duwei, who nodded and immediately took Congressman Walker for inspection.
Because of the privileges of members, reports about members came out quickly.
In the conference room of the diagnostic department, Du Wei took the report and said:
"The lumbar puncture showed no infection, and the MRI showed no abnormalities.
However, an abnormality was found in Broca's area. It was very small and looked like background noise. It might 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 because of a spot on an MRI.
This is dangerous, and a brain biopsy can cause permanent neurological damage.
Moreover, he is also a politician. If he fails, it will easily cause the hospital to fall into negative public opinion.”…
House frowned and thought for a while before decisively adopting Duwei's opinion:
"Does it mean that because he is a homeless man, we can do a brain biopsy?
Everyone is equal in the hospital, at least that's the case here.
Permanent nerve damage is better than a thriving tumor.
That's it, Du Wei, go and inform the patient.
Chase, please notify the operating room and arrange the operation as soon as possible."
After finishing speaking, House limped towards the clinic.
Although the hospital has changed its owner, his extra six hours of outpatient duties have not been reduced.
So now he only has little time for consultation, and the rest of the time has to be spent in the outpatient clinic.
After House made the decision to open the skull, Duwei immediately found Congressman Walker who was sitting worriedly on the hospital bed.
He holds great power but is very 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 is the situation?"
"We found an abnormality in Broca's area of your brain, and now we need to do a brain scan
Partial biopsy."
"Brain biopsy?"
This word didn't sound so nice, and Representative Walker's face turned green on the spot.
"Then do you know what exactly causes my symptoms?"
Duwei could clearly feel Walker's panic.
"If we knew what was causing your symptoms, we wouldn't have to do this brain biopsy.
But it is obvious that an infection that cannot be detected by lumbar puncture may kill you.
So I suggest that for the sake of your life, you should sign this consent form for surgery.
After all, a brain biopsy may only cause neurological damage, and most likely nothing will happen.
But if you don’t do it, a growing tumor or other unknown disease may kill you.”
Congressman Walker, who is a member of HR, naturally made the right choice before receiving death threats and underwent what sounded like a horrific craniotomy.
On the way to the operating room, Walker kept asking Duwei what was the success rate of this operation? What were the side effects? Is the probability of recovery after surgery high?
Faced with the risk of death, he is no longer the superior congressman, 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. Mr. Congressman, you will be fine."
At the same time, Du Wei added in his mind that he still needed Walker as bait to get the list of HR's bribes to officials. How could he be allowed to die?
Under House's arrangement, Mr. Congressman immediately jumped in line for surgery.
As the anesthesia took effect, Congressman Walker, who had been worrying about his life, finally shut his mouth.
The next step is to open the skull with a drill. As white bone fragments fly out, a hole appears that leads directly to the inside of the brain.
Then the biopsy needle is slowly inserted, the brain tissue is taken out, and the skull is finally closed. The brain biopsy operation is considered a success.
Du Wei, who used his studies as an excuse to work as a handyman, silently observed the entire operation and once again increased his surgical experience...
After a while, Dr. Wilson, the oncologist at the hospital, handed over his report.
"This is not a tumor or a bacterial infection."
Dr. Wilson said in the consultation room with a strange expression.
"This is toxoplasmosis."
As soon as these words came out, everyone's expressions became strange.
As we all know, toxoplasmosis is common in AIDS patients, because AIDS patients cannot resist toxoplasmosis at all.
House chuckled, stood up, erased the marker on the whiteboard and started writing:
"Toxoplasmosis is a very common fungus.
Usually the way to get it is through eating undercooked meat, or touching cat feces, soil, etc. It is possible to get it.
There is a small chance that the fungus will travel to the brain with the bloodstream and attach, causing damage or inflammation.
But it can only cause brain damage in one situation, and that is if the patient's own immune system is already very weak.
The only disease that can weaken a patient's immune system is AIDS.
So, our great senator is an AIDS patient?"
What House meant was that everyone knew that there were only a few ways to contract AIDS.
First of all, to rule out mother-to-child transmission, the next step is blood-blood transmission that may exist during drug use, as well as body fluid transmission.
No matter what kind of illness it is, if word spreads, it will cause a major blow to Congressman Walker's reputation.
This matter is not easy to handle.
House continued to look at Duwei. It was obvious that he needed Duwei to inform Congressman Walker of the result.
However, Du Wei was not in a hurry to inform Councilman Walker of the result. He suddenly raised an objection:
"is it possible
Not AIDS?
Although the phenomenon of brain damage caused by toxoplasmosis is due to the patient's weak immune system.
But what if Congressman Walker’s immune system disease is not caused by AIDS?
Maybe he has an immune system disease due to other drugs?"
House shook his head and smiled:
"It's impossible. If you have Toxoplasma parasites in your brain, you definitely have AIDS."
"I stand by my opinion that a councilman who is running for mayor is not going to risk himself getting AIDS.
I think there is something hidden, not to mention whether he has AIDS or not. It's very simple, just give him a test.
To prevent mistakes, I recommend doing it twice."
House frowned. He had no idea why Duwei was so insistent this time.
"Twice? The probability of a false positive for AIDS is 1/5000, so it's not necessary."
"Do it one more time to make sure the result is correct. After all, this is an out-and-out scandal for MPs.
It’s better for us to be more vigilant in this matter.”
House shrugged and accepted Duwei's statement.
"Okay, let's do an enzyme-linked immunosorbent assay to test for HIV."
House paused and continued:
"twice."
…
After learning from House that he might be suffering from HIV, Congressman Walker's face was full of absurdity.
"Impossible, absolutely impossible!
I may have cancer or other diseases, but it definitely cannot be HIV!….
I don’t do drugs, I don’t go whore, and I wear a raincoat! There’s no reason for me to get HIV!”
The excited Congressman Walker immediately started coughing and could not even finish his sentence.
House quickly stepped forward to conduct auscultation and asked:
"what happened?"
Councilor Walker said with pain on his face:
"I seem to be out of breath. Is it caused by Toxoplasma?"
House's face changed when he heard the change in heart rate:
"Get the ventilator quickly."
After the first aid was completed, Du Wei walked in with the HIV report.
Looking at House who was meditating beside the hospital bed, Du Wei raised the report in his hand:
"One part positive, one part negative, he doesn't have HIV."
Even if he was proven wrong, House's expression remained unchanged.
"Really? That's too bad, once again we don't know anything about the disease that's causing his symptoms.
Currently, his respiratory system is severely damaged, his blood oxygen saturation has reached 89, and his T-cell index is very low.
Silver stain shows Pneumocystis carinii pneumonia (a lethal fungus), which is consistent with hairy cell leukemia.
So Du Wei, who has always been right, what do you think?"
Duwei ignored House's teasing, organized his words and said:
"Viruses, we can detect human T-cell tropic viruses and adult T-cell tropic viruses and make virus assessments."
"Okay, just do it according to your idea."
Chase looked at Du Wei who was walking away and couldn't help but said:
"Why does he know that the congressman is 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 perspective on disease is always surprisingly accurate.
There is no such perfect person in this world, are you right, Chase?"
Chase thought for a while and said:
"Maybe he's just lucky?"
House narrowed his eyes and began to review:
"Luck? We don't talk about luck, we talk about evidence.
Having said that, his theory is actually correct.
A congressman who is running for mayor must keep himself clean so as not to be picked out by his opponents.
Scandal comes.
Therefore, it is a small probability that he will contract AIDS. After all, if a congressman has AIDS, his future will be completely ruined.
And it is too arbitrary for us to judge that he has AIDS just because Toxoplasma causes brain damage.
Obviously, the current symptoms tell us that the virus may also cause damage to the immune system, causing Toxoplasma to cause brain damage.
Now we’re just waiting for Du Wei’s results.”
Even after hearing House's explanation, Chase still felt it was a bit far-fetched.
In this beautiful country, scandals among congressmen are nothing new. What if the congressman likes to make things difficult?
Raincoats are not 100% able to prevent the spread of HIV.
Chase shook his head and stopped thinking about it. In short, for some unknown reason, Du Wei was obviously right again.
Soon, Du Wei got the results.
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 is inconsistent with the symptoms of hairy cell leukemia.
But when doing the virus test, I found that the patient’s Epstein-Barr virus test was positive.”
House touched his chin and did not answer. Instead, he asked thoughtfully:
"So under what circumstances will the Epstein-Barr virus cause problems with the patient's immune system and be invaded by Toxoplasma?"
To his surprise, Du Wei seemed to be waiting for him to ask, and answered almost without thinking:
"The patient should have concealed his past medical records. Some of the medicines he took in the past should have reacted with the Epstein-Barr virus, causing immune system abnormalities.
Patients all lie, don’t they?”
At the end of the sentence, Duwei looked at Chase.
The early inquiries about the condition were all arranged by Chase.
Chase smiled bitterly:
"He is a congressman. It is very difficult to expect them to tell the truth.
Maybe he chose to lie because he was afraid that we would dig up some dirty information about his past?"
House tapped the ground with his cane, glanced around the meeting room, and finally looked at Duwei and said:
"Then I'll leave it to you, Duwei.
Your cliché skills have always been very effective, and I’m optimistic about you.”
Ala Mhigu reminds you: remember to bookmark [] w w w..com after reading it. I will update it next time so that you can continue reading more conveniently. Looking forward to the exciting continuation! You can also use the mobile version: w .com, and you can read it anytime and anywhere.
No hindrance....
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