Plague Doctor

Chapter 428: Peristalsis under the gastroscope [ask for a monthly ticket, ask for a subscription]

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Several isolation wards are connected to the office area in the middle from both sides. At this time, there are only three people in the huge office area: Wang Ruoxiang, Lin Shizhe, and Chen Xiang.

They sat in front of rows of monitoring screens and watched the situation in one of the wards. The patient Zhou Kewen was frantically eating the 50 grams of abnormal soil.

"Uh, uh..." A strange swallowing sound came from the computer speaker. The patient was still gobbling, only eating faster than last time, like some walking dead swallowing rotten food. It's stuck.

After eating all the soil, Zhou Kewen yelled anxiously: "I want more, I want more, it's not enough, is there more, I want more!"

"Student Zhou, calm down." Wang Ruoxiang only comforted her, but did not respond to the patient's request.

In the previous experiment, after eating ordinary soil, the patients had a food poisoning reaction in less than a minute, so whether there is any difference in abnormal soil will be known soon.

Tick, tick, tick, the second hand of the clock on the wall was spinning, one minute passed, then two minutes, then three minutes.

After a full five minutes passed, Zhou Kewen had no food poisoning reaction, his vital signs were stable, and he was conscious, but he kept asking for more soil.

"There is a difference, the abnormal soil is accepted by the sick body." Lin Shizhe said, this is exactly the situation at hand.

"On the contrary, the patient's blood pressure is more stable." Chen Xiang said another situation. Judging from various indicators, the patient seemed to have taken some panacea.

Wang Ruoxiang thought about what this meant, but the soil called by the sick body was simply ordinary soil in terms of composition...

"Student Zhou, now we will send you some bread, bananas and water. If you eat them, we will give you another 10 grams of soil."

She went on to the next step of this experiment first, and because the patient did not cooperate, she could only use this method.

Soon, another remote-controlled unmanned vehicle drove into the ward, bringing 100 grams of bread, 50 grams of bananas and 200 milliliters of water.

Because of the temptation of soil rewards, Zhou Kewen also ate the food in a hurry, and after another five minutes, he had no adverse reactions. Wang Ruoxiang gave the patient another 10 grams of abnormal soil as planned, and everything seemed to be normal after the patient ate.

If it is only addicted to eating this kind of soil, it is in line with the diagnosis of pica, but... Are there any locusts in the sick body

It may take a while to check and confirm, from Arbor Day to Principal Cui's self-explosion, but four days have passed.

Because of the urgency of the situation, the medical team plans to conduct the first gastroscopy examination five hours after the patient takes the soil, and re-examination every five hours thereafter. Before that, the three continued to experiment with the next patient according to the original plan. This patient, Sun Cuiting, was a 37-year-old female teacher who had never eaten ordinary soil.

Soon, the six patients participating in the experiment all finished eating without any adverse events.

Wang Ruoxiang reported the experiment to the command center, and she learned that those patients who were not given the foreign soil were becoming more and more agitated.

If the worm does not appear in the test patient, if it can maintain this good state, there is a temporary remedy...

Early morning came, time entered March 18, at 2:34, less than four hours after the first subject took the soil, he suddenly developed symptoms of abdominal pain.

Zhou Kewen's complexion turned blue and white from the pain, and his head was covered with cold sweat. He described it to the medical team as "colic, as if something was moving".

Wang Ruoxiang and the other three took action immediately, but things still seemed to be going in the worst direction.

They don't know the principle, and this is not what they should worry about now, whether to have a gastroscopy first.

Normally, gastroscopy needs to be performed on an empty stomach, because food and digestive residues will affect the field of vision, making it difficult for doctors to see the mucosal tissue and other conditions clearly, and it is easy to cause nausea and vomiting during the examination. But now, instead of looking at fine-grained lesions, they look for parasites in the stomach.

After entering the ward, Wang Ruoxiang went up to inject Zhou Kewen with a larger dose of diazepam, and then sprayed an anesthetic into his throat for anesthesia.

"Doctor, I don't want to die..." Zhou Kewen wailed, his young face wrinkled with fear and pain, and tears came out.

Both Lin Shizhe and Chen Xiang were middle-aged men who had the strength to hold down the patient, but Zhou Kewen was still rational, and cooperated with knees bent and left lying position.

"I know, we will do our best, and we will do a gastroscopy first." Wang Ruoxiang comforted the patient and explained some items during the examination, and then gathered up his exhausted energy to prepare for the start. He had already learned and tried how to do a gastroscopy before.

The painless gastroscope instrument is located on the side of the hospital bed. She holds the front end of the mirror with her right hand and slowly puts the gastroscope into the patient's mouth to the base of the tongue.

At this time, patients often feel nauseated, like Zhou Kewen, so he swallowed, and the upper opening of the esophagus suddenly opened up.

At this moment of opening, Wang Ruoxiang inserted the gastroscope into the esophagus along the opening.

"Ugh..." Zhou Kewen sobbed uncomfortably.

The slender and flexible gastric tube is inserted into the patient's stomach bit by bit, and the images captured by the camera are displayed on the screen of the gastroscope in real time.

Wang Ruoxiang looked at the screen while probing, her heroic brows gradually furrowed.

There are fresh and tender red meat wriggling on the screen, which is the esophagus. After the gastroscope enters the stomach, the incompletely digested food is exposed. Some stick to the gastric mucosa, and some writhe with the patient's swallowing, brown and black. The mud was mixed with red blood, and the mushy liquid of the digesta, which looked like a mess.

On the gastric mucosa and in the mushy liquid, there are traces of translucent white silk, which completely ignore the gastric acid and twist and wriggle repeatedly.

It looked a lot like "Anisakis", a parasite that can parasitize marine fish and humans. First, fish were infected, and humans were infected by eating seafood.

Stomach acid cannot kill them, but they are very penetrating and can penetrate the stomach wall, causing the patient's stomach to perforate and even enter the muscle. At present, there is no specific medicine to treat this kind of pest. We can only take out the worm with a fiber-optic gastroscope, or perform laparotomy to get the worm.

People infected with Anisakis will develop symptoms within 1-5 days, and the clinical manifestations in the acute stage include nausea, vomiting, severe abdominal pain and other gastrointestinal symptoms...

If Zhou Kewen went to a general hospital at this time, and a group of uninformed medical staff examined him, he would most likely be diagnosed as infected with Anisakis.

However, Lin Shizhe had participated in dissecting Principal Cui as a nurse, so he could tell that it was not anisakis, but a different locust.

Wang Ruoxiang is more familiar with this. Every organ and structure in Principal Cui's body has such parasites, which are not yet mature and are the most visible larvae.

There are worms, there are worms in the test patient's body.

When Principal Cui blew himself up that day, Zhou Kewen was standing at the very back of the playground, and it was impossible to inhale the splashed parasites from a distance.

"What is that..." Wang Ruoxiang suddenly frowned, surprised to see a piece of gastric mucosa becoming translucent and quickly decomposing into a pile of worm silk. However, the original gastric mucosa became scorched brown, as if scalded by an electrocoagulation knife, and no blood seeped out.

Those newly decomposed worm filaments sway, wriggle, and submerge in the mushy liquid, and will follow into the intestinal tract, turning the intestinal tract into a sea of parasites.

"How could it be?" Lin Shizhe was at a loss, and also saw this weird and strange scene, the human tissue was transformed into a parasite.

Even though Chen Xiang is a member of the operations department, he knows how bad the situation is. If the gastric mucosa can be transformed, what about the muscles? What about the skin

Seeing the drastic change in their expressions, Zhou Kewen immediately whimpered more uncomfortable, obviously asking about his own situation.

Wang Ruoxiang was speechless, unable to utter comforting words like "You're fine, you're fine" against her will.

Thinking of Principal Cui's body full of parasites, even in the bones, she felt chills and her ears were buzzing...

No eggs are needed, and these infected patients don't need eggs.

It seems... It seems that any part of the patient's body can be transformed into this kind of worm, and eventually the whole person becomes a pool of worms.

Pathogens, are on a higher level.

The patient does not need to eat insect eggs, the patient is already an insect egg, eating abnormal soil is to obtain nutrients for growth...

Locust disease is indeed locust disease.