Chapter 303 Nystagmus

Kraft urgently retrieved the information about brain damage in his brain, but the brain did not give any information that could explain the current situation.

There are many consequences of central nervous system damage, and changes in the eyes are certainly one of them. From vision to movement, it includes abnormal pupil size, blurred vision, abnormal eye movement, etc.

Generally speaking, patients have a considerable probability of picking one or more of them, depending on the location and severity of the damaged part.

From an anatomical point of view, the source of nystagmus may be located in several different functional areas. The vestibular system that perceives posture and position is in the inner ears on both sides; the oculomotor nucleus is in the midbrain of the brainstem; the cerebellum responsible for coordinating movement is located at the back and bottom of the skull.

So, what kind of trauma can so accurately strike several functional areas, resulting in consistent vertical upward nystagmus when other symptoms are different?

Rather than believing this kind of thing, it is better to believe that the falling objects from high altitude happened to loosen the old blood clots and necrotic areas in the pedestrian's brain for many years, and the perfusion and re-opening of the necrotic area in one day - those who believe it should also go and see.

There should be other reasons, simpler and more direct reasons, and most likely through normal channels, rather than pathological reasons. After all, it would be outrageous if random different injuries happened to cause the same specific pathological manifestation, but it would make sense to say that it was caused by some unknown situation through normal and inherent reflexes of people.

Just like in a dark dormitory, everyone's early alarm clock suddenly rang. The most suspicious thing is not that everyone set the alarm clock to midnight for different reasons, but whether it was rainy or the curtains were not opened.

The logical process is a bit complicated, but it only takes a moment in thinking. Kraft temporarily ruled out the seemingly most reasonable explanation of intracranial injury and turned his gun to think about normal situations.

This involves the physiological significance of nystagmus.

When accelerating, the scene in front of the eyes flashes at a speed far exceeding the usual speed. In order to adapt to this situation, the visual system will spontaneously adjust and try to offset the impact of movement.

Reflected in the eyeball, it is a high-frequency turn to track the flashing scene.

Imagine sitting on a moving train, with your eyes tracking each roadside tree that is thrown behind and then constantly straightening, which makes it look like it is shaking, and the direction of the shaking is exactly opposite to the direction of the body's movement.

If explained from this perspective, the consistent vertical upward nystagmus of deep coma patients actually reflects their cognition of their position changes.

[The body is falling]

The clues point to a very bad direction, just like when hunting, you follow the clues you found through the fog with pride, and what appears in front of you is not elk or wild boar, but strange and shaped things walking in the woods.

"How is it possible?" Kraft heard his own mumbling, and no one answered his mumbling, "It doesn't make sense."

Combined with abnormal earthquakes, it can almost immediately be linked to the possibility of deep impact. But these are not patients with a clear history of contact, so why did they progress to the feeling of falling so quickly?

In the slight nystagmus, he seemed to have seen the omen of the approach of something incredible. Although it had not arrived, the aftermath of its movement had penetrated the spatial barrier and stirred the consciousness in the spiritual world that was in a deep coma.

This kind of influence that does not require a medium will only occur when the two are close enough.

"It's really a ghost."

It's better to guess in the wrong direction. He could only comfort himself in this way. A doctor who is not a neurology specialist, with some textbook knowledge, is ultimately subjective and arbitrary.

What should be done now is not to continue to dwell on this issue, but to continue to treat the patients, and then 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 patients casually, so they just prayed in a low voice and then tapped the patient's forehead.

In terms of effect, this move comforted most of the conscious patients very well and calmed them down a lot.

And Kraft began to deal with those parts that were heavier and currently conditionally treatable.

He checked Kupp's puncture effect and the blocking 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.

Kupp watched in amazement as Kraft shuttled through the crowded gaps between the patients, as if he had suddenly become dexterous.

It was not that the professor was usually clumsy, but that his movements suddenly received a kind of guidance beyond the limitations of vision. Even without looking at his feet, he could accurately avoid the patient's clothes and moving hands and feet.

Kraft squatted briskly beside the patient with cervical dislocation and inhaled a little ether that was always available in the tool box to relax his consciousness and muscles. Then he held both sides of the patient's head with both hands and slowly pulled upward steadily and forcefully.

Long-term learning made Kupp know the complexity of the neck. Just a little insignificant force could cause the position of several vertebrae that looked similar but actually had different shapes to change, and such a position change could cause effects ranging from pathogenic to fatal.

He had also seen the usual manual reduction method, which required inferring the situation through the position of those bony landmarks on the body surface, and then carefully pulling, and there was a possibility of reduction failure.

However, the purpose of those hands was very clear, without adjusting back and forth, and after pulling, they turned a decisive angle, and then released and pushed to reduce.

The neck was straightened, and the expression on the patient's face in the coma was relieved. The sides and front and back of the neck were padded with cotton pads and tied with thick bark strips.

"This is not a standard operation, but a compromise due to limited time." Kraft took time out of his busy schedule to point out that his behavior was not worth learning. "You should honestly look for bony landmarks and try carefully in normal times."

But he immediately reset several fractures with obvious limb deformities in the same way, bandaged and fixed them, and asked for a review later.

The speed and effect were faster than anything Kupp knew, and even more perfect than Kraft himself.

Even the church staff who were watching gave layman praise. After learning from Brother Wadin that Kraft had rescued a colleague with a head injury who was not from the University of Dunling Medical School, they expressed rare recognition.

As a student and assistant, you should feel proud of your mentor's skills. But Coop only felt that he had an unreasonable emotion, which was projected onto his mind like a long shadow in the night. It took him a while to distinguish that it was a twisted fear.

This fear does not come from the unknown, but from the known. It is because of understanding that it feels incomprehensible.

Kraft began to shave the hair of the comatose patient and draw circles on his head with a pen, some on the same side of the skin injury, and some on the opposite side.

The long-lost sense of isolation hovered over his head. The room was full of people, watching the same scene, but no one could empathize with what he found. The invisible barrier separated him from the crowd and left him alone with the incomprehensible phenomenon. Even though he knew rationally that he was safe, the fear from biological instinct was still growing.

Once he realized this, he began to feel that something was moving around him. The illusory part of that thing swayed like a breeze and passed through his face and body, floating freely, constantly touching and depicting things, like an incredibly large anemone, unconsciously perceiving the world around it with its blooming tendril corolla.

It stretches in the tide that belongs to it, with a comfortable and free posture.

"What are you standing there for? Come and help me!" Kraft 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 want to talk to you about something."

"Of course, after I'm done."

A group friend recommended "You Don't Even Want to Call Me a Priest", I opened it and took a look, I thought it was quite interesting, and took another look.jpg

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