"It's unlikely to be lupus," said Gregory, who returned from Matsumoto's house. "It's hard to worsen so quickly, and it usually has joint pain - of course, if you're really worried, you can do a check."

"All allergies are negative, and the newly included heavy metals have also returned ineffectively. Mercury, sulfur, arsenic and other things are completely negative." Firefly spread his hands.

"Although the symptoms are indeed very similar to heavy metals, … we may be really concerned about the possibility of atypical lupus now. After all, we have carefully examined the most common cases of heavy metals."

"Yes," Gregory nodded. "So this is very-"

The alarm bell was once again made.

"Why is something wrong again?" Gregory frowned. "It was obviously okay before, but why did the patient's family come..."

"That is not strictly considered a patient's family, but her friend." Qianyu looked at Fujiwara and Ying rushing out and said this. "But to be honest, she can still bless them so sincerely after being stolen... Anyway, it's hard for me to imagine how he was so generous."

"What?" Gregory turned to look at him. "Snatched her boyfriend?"

"Well, because Toshihiko Takasugi wanted to take revenge, I broke up with this Miss Ichimi Takenaka. But although Miss Sayuri was very concerned, Ichimi Takenaka did not hate her, but instead persuaded Toshihiko Takasugi to surrender." Haibara Ai smacked his lips when he said this. "If I encounter this situation, I might be poisoned directly - by the way, I can also provide more data for our experiments."

Qian Yu suddenly had a cold war.

"What do you mean?" Haibara Ai immediately stared at Qianyu. "You won't..."

"Uh..." Qian Yu quickly denied. "No... it's just that what you said is too creepy..."

"Okay, don't worry about that," Gregory interrupted the quarrel between them. "I'll go and see again, maybe I'll find nothing."

...

At the same time, the special ward.

"It's coming again!" Takenaka Ichimi stood by the door and looked at Fujiwara and Takashi who were doing first aid in horror. "She seemed to be as she described before, and she couldn't breathe!"

Fujiwara didn't pay attention to her at all, but checked the trachea according to standard procedures. "Where is the lungs when the trachea is closed?"

"It works normally," said Firefly, wearing a stethoscope. "Intubation?"

"Yeah—" Fujiwara was about to respond, but found that Matsumoto's half-lying body suddenly twitched forward, and a large amount of vomit was sprayed out of her mouth.

"Ah!" Takenaka Ichimi screamed.

"Use the catheter to suck out those things... No, help me clean my neck first!" Fujiwara shouted to Firefly. "I need to do a tracheotomy, and help clean it up from the midline of the sternum part!"

In this case, the patient's vomit must have accumulated a lot of accumulation in the mouth and throat, and the way to insert the trachea into the catheter for ventilation requires a lot of time to clear these things. Therefore, in order to relieve breathing difficulties as soon as possible, Fujiwara can only choose to bypass this part and directly cut a wound from the middle section of the trachea to give another passage of air.

They move very quickly and have a high level of tacit understanding. When Firefly finished cleaning and disinfecting iodine, Fujiwara had prepared a scalpel for cutting. "Start."

With his voice, the scalpel pulled a longitudinal incision into the neck without hesitation. "Retractor!"

Firefly had been waiting aside, and immediately used a retractor to open the incision made by Fujiwara to facilitate Fujiwara to continue cutting. It is not enough to use only one knife in tracheotomy, because after the skin is incised, there are obstacles such as the superficial cervical fascia, lats and deep fascia under the skin, and the cutting must be continued to break through to the front of the trachea.

When Fujiwara finally used a scalpel to cut the thyroid gland in front of the trachea from bottom to top, and then used a retractor to spread it to both sides, the trachea protected by annular cartilage finally appeared in front of them.

"The circumference of the two and four trachea is cut open," Fujiwara said, gently cutting the scalpel into the trachea about 3 mm, then moving the knife upwards, breaking the two pieces of cartilage, and holding the cannula next to it in his hand. "Distractor."

After Firefly operated the dilator with the hand that was not holding the retractor to open the tracheal incision, Fujiwara inserted the tracheal cannula in. "Check the airflow."

"Everything is OK," answered their words, Gregory, who had stood beside them at some point. "It was done well."

It was not until this time that Fujiwara breathed a sigh of relief - this was the first time he had performed such an urgent tracheotomy on a living person.

But why did she still do everything as usual until a few hours ago, but now the disease develops so rapidly?

Just as Fujiwara and others present were thinking about this issue, Gregory suddenly walked out.

The reason is very simple. There was someone he wanted to meet and asked him out.

...

One hour later, the special ward.

"Your urine test results show that protein and red blood cells are rising further," Gregory said as he looked at Matsumoto Koshuri and Takenaka Ichimi who was feeding her easy-to-digest pastry with her hands. "We call it 'proteinuria', which means your kidney function is failing."

"Can it be cured?" Takenaka Ichimi asked immediately.

"We..." Gregory said after hesitating for a moment. "It may be lupus, and the symptoms are consistent, and this disease is characterized by the lack of typical symptoms, which is extremely difficult. Diseases in the lungs, kidneys and throat areas that have been discovered are one of its characteristics - lupus erythematosus causes the immune system to be overactive and attack itself. So we will arrange steroids for him immediately and be prepared for things like cyclophosphamide or immunosuppressants at any time."

"She can recover, right?" Takenaka Ichimi asked.

"It's OK in theory, so I hope you can come with me and I'll get you something you might be able to use in the next few hours." Gregory said so.

"Then I'll go first?" Takenaka Ichimi stuffed the last pastry in the bag into Kosairi Matsumoto's mouth and asked.

"Well~" Although Matsumoto Koshuri was still very weak, she still showed a smile and licked the two fingers that were put into her mouth mischievously.

"Ah!" Takenaka Ichimi exclaimed in a low voice, then pointed at Sayuri's head with these two wet fingers. "You guy! I won't deal with you when I come back!"
Chapter completed!