Krafft's Anomaly Notes

Chapter 303 Nystagmus
Kraft urgently searched his brain for information about brain damage. The 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 located in the inner ears on both sides; the oculomotor nuclei are located in the midbrain of the brainstem; the cerebellum, which is responsible for coordinating movements, is located at the back and lower part of the skull.

So, what kind of trauma can hit several functional areas so accurately, resulting in consistent vertical upward nystagmus even when other symptoms vary?

To believe this kind of thing, it is better to believe that a falling object happened to loosen the old blood clots and necrotic areas in pedestrians' brains that have been filled for many years and can be re-opened - those who believe this should also go and get them cleared.

There should be some other reason, a simpler and more direct reason, and it is most likely 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 makes sense to say that it is caused by some unknown situation through people's normal inherent reflexes.

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 thinking. Kraft temporarily ruled out intracranial injury as the most reasonable explanation, and turned his gun around to think about normal conditions.

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 to try to offset the impact of movement.

Reflected on the eyeballs, it turns to follow the flashing scenery at a high frequency.

Imagine sitting on a moving train, and your eyes track each street tree that is thrown behind and jumps back again and again, causing it to look like it is shaking, and the direction of the jump is exactly the same as the direction of the body's movement.

If interpreted from this perspective, the consistent vertical downward nystagmus of patients in deep coma actually reflects their awareness of changes in their position.

【The body is falling】

The clues pointed in a very bad direction, just like when you are hunting and you are following the clues you have discovered through the fog with pride. 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 him, "It doesn't make sense."

Combined with unusual earthquakes, the possibility of deeper impacts can be linked almost immediately. But there are no patients here with a clear history of contact, 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 and stirred up the consciousness that fell into a deep coma in the spiritual world.

This kind of influence, which does not require a medium, only occurs when the two are close enough.

"What a ghost."

It's best to guess in the wrong direction. He could only comfort himself that a non-neurological doctor's interpretation based on some textbook knowledge was ultimately subjective and arbitrary.

The thing to do now is not to dwell on the problem, but to continue working with the patient and ask them later if they remember what they sensed when they were on the verge of death—if ever.

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 then tapped the patient's forehead.

In effect, this approach calmed most of the conscious patients and made them calm a lot. And Kraft started working on those parts that were heavier and currently conditioned to handle.

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 maneuvered through the crowded spaces between patients, as if he had suddenly gained dexterity.

It's not that the professor is usually clumsy, but that his activities suddenly gained a kind of guidance that goes beyond the limitations of his visual angle. Even without looking at his feet, he can accurately avoid the patient's clothes and erratic hands and feet.

Kraft knelt down briskly next to 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 hold both sides of the patient's head with both hands and pull upward slowly and steadily.

Long-term study has taught Kupu how complex the neck is. With just a little bit of force, several vertebrae that look similar but actually have different shapes can change their positions. And just a little change in this 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 back.

The neck was straightened, and the expression on the comatose patient's face relaxed. The sides, front and back of the neck were padded with cotton pads and tied with thick bark slats.

"This is not a standard operation, it is just a compromise due to limited time." Kraft still had time in his busy schedule to point out that his behavior was not worth learning. "Usually, you still have to look for the bony landmarks honestly and try carefully."

But he immediately reset several fractures with obvious limb deformities in the same way, bandaged and fixed them, and ordered them to be reviewed in the future.

It was faster and more effective than anything Coop had ever known, even more perfect than Kraft himself usually was.

Even the church staff who were watching gave out unprofessional praise. After learning from Brother Wading that Kraft had rescued a colleague who had a head injury and was not yet a student of Dunling University School of Medicine, they even expressed rare praise. recognized.

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

This fear does not come from the unknown, but from the known. It is precisely because of understanding that we feel 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 and left him alone with the incomprehensible phenomenon. Even if you know rationally that you are safe, fear from biological instincts still breeds.

Once he realized this, he began to feel something moving around him. An illusory part of that thing was swaying past his face and body like a breeze, floating freely, constantly touching and tracing things, like a big giant to incredible sea anemones, unconsciously sensing the world around them with their 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!" 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 have something I want to talk to you about."

"Of course, let's wait until we're done."

A group of friends recommended "You Don't Even Want to Call Me Father". I opened it and took a look. I thought it was quite interesting. I took another look.jpg
(ω)