Read Online Deep Storm by Lincoln Child - Free Book Online Page B
Authors: Lincoln Child
Tags: Fiction, General, thriller, Suspense, Science-Fiction, Fantasy, Atlantis, Thrillers, Mystery & Detective, Espionage, Body, Mind & Spirit, Mystery And Suspense Fiction, Technological, Atlantis (Legendary place), Lost continents, Geographical myths, Fiction - Espionage, Mythical Civilizations
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Dr. Crane, Korolis said softly. Mary Philips works in a classified area of the Facility on a classified aspect of the project. You will not be permitted to ask work-specific questions.
Crane wheeled back. You cant he began. Then he stopped, forcing down anger with effort. Whoever this Korolis was, he clearly wielded authority. Or thought he did. Why all this need for secrecy, Crane wondered, at a scientific establishment?
Then he paused, reminding himself he was the newcomer here. He didnt yet know the rules overt or covert. It seemed likely this was a battle he couldnt win. But hed sure as hell bring it up with Asher later. For the moment, hed just have to diagnose this patient as best he could.
He stepped back into the hospital room. Dr. Bishop was still beside the bed, her expression studiously neutral.
Im sorry for the interruption, Ms. Philips, Crane said. Lets proceed.
Over the next fifteen minutes, he performed a detailed physical and neurological examination. Gradually, he forgot the watchful presence of Commander Korolis as he grew absorbed in the womans condition.
It was an intriguing case. The bilateral weakness to both the upper and lower facial muscles was marked. When tested for pinprick sensation, the woman demonstrated significant impairment in the trigeminal distribution. Neck flexion was intact, as was neck extension. But he noticed that the sensation of temperature was greatly reduced across both the neck and upper trunk. There was also surprisingly noticeable, and apparently quite recent, wasting of the hand muscles. As he checked the deep tendon reflexes, then the plantar responses, a suspicion began to take root in his mind.
Every physician dreams of stumbling across a particularly rare or interesting case, the kind one reads about in the medical literature. It rarely happened. And yet, in all observations so far, Mary Philips was presenting with precisely such a condition. And Crane, who often stayed up late catching up on medical journals, thought perhaps just perhaps he had just identified such a case. Maybe there is a special reason Im here, after all.
On a hunch, he examined her tonsils: markedly large, yellowish, and lobulated. Very interesting.
Thanking the woman for her patience, he stepped away, picked up the clipboard, and glanced at the blood work:
White-cell count (per mm) 3,100
Hematocrit (%) 34.6
Platelet count (per mm) 104,000
Glucose (mg/dl) 79
Triglycerides (mg/dl) 119
Erythrocyte sedimentation rate
(mm/hr) 48.21
He withdrew to speak with Dr. Bishop. What do you think? he asked.
I was hoping you could tell me, she replied. Youre the expert.
Im no expert. Just a fellow doctor looking for a little cooperation.
Bishop simply looked back at him. Crane felt the anger returning, stronger now: anger at all the inexplicable secrecy, anger at the meddling Commander Korolis, and particularly anger at the unhelpful, resentful Dr. Bishop. Hed take her down a peg, show her how much he did know.
He closed the clipboard sharply. Did you think to do any antibody tests, Doctor?
She nodded. Viral hepatitis A and C, sulfatide IgM. All negative.
Motor-conduction studies?
Normal bilaterally.
Rheumatoid factor?
Positive. Eighty-eight units per milliliter.
Crane paused. These were, in fact, the tests he would have performed next.
There was no history of arthralgia, anorexia, or Raynauds phenomenon, for that matter, she offered.
Crane looked at her in surprise. It wasnt possible the same exotic conclusion had occurred to her as well. Was it?
He decided to call her bluff. The incipient wasting of the hand muscles would seem to suggest syringomyelia. So would the loss of sensation in the upper trunk.
But theres an absence of leg stiffiness, she replied immediately, and little to no medullary dysfunction. It isnt syringomyelia.
Crane was now even
Dr. Crane, Korolis said softly. Mary Philips works in a classified area of the Facility on a classified aspect of the project. You will not be permitted to ask work-specific questions.
Crane wheeled back. You cant he began. Then he stopped, forcing down anger with effort. Whoever this Korolis was, he clearly wielded authority. Or thought he did. Why all this need for secrecy, Crane wondered, at a scientific establishment?
Then he paused, reminding himself he was the newcomer here. He didnt yet know the rules overt or covert. It seemed likely this was a battle he couldnt win. But hed sure as hell bring it up with Asher later. For the moment, hed just have to diagnose this patient as best he could.
He stepped back into the hospital room. Dr. Bishop was still beside the bed, her expression studiously neutral.
Im sorry for the interruption, Ms. Philips, Crane said. Lets proceed.
Over the next fifteen minutes, he performed a detailed physical and neurological examination. Gradually, he forgot the watchful presence of Commander Korolis as he grew absorbed in the womans condition.
It was an intriguing case. The bilateral weakness to both the upper and lower facial muscles was marked. When tested for pinprick sensation, the woman demonstrated significant impairment in the trigeminal distribution. Neck flexion was intact, as was neck extension. But he noticed that the sensation of temperature was greatly reduced across both the neck and upper trunk. There was also surprisingly noticeable, and apparently quite recent, wasting of the hand muscles. As he checked the deep tendon reflexes, then the plantar responses, a suspicion began to take root in his mind.
Every physician dreams of stumbling across a particularly rare or interesting case, the kind one reads about in the medical literature. It rarely happened. And yet, in all observations so far, Mary Philips was presenting with precisely such a condition. And Crane, who often stayed up late catching up on medical journals, thought perhaps just perhaps he had just identified such a case. Maybe there is a special reason Im here, after all.
On a hunch, he examined her tonsils: markedly large, yellowish, and lobulated. Very interesting.
Thanking the woman for her patience, he stepped away, picked up the clipboard, and glanced at the blood work:
White-cell count (per mm) 3,100
Hematocrit (%) 34.6
Platelet count (per mm) 104,000
Glucose (mg/dl) 79
Triglycerides (mg/dl) 119
Erythrocyte sedimentation rate
(mm/hr) 48.21
He withdrew to speak with Dr. Bishop. What do you think? he asked.
I was hoping you could tell me, she replied. Youre the expert.
Im no expert. Just a fellow doctor looking for a little cooperation.
Bishop simply looked back at him. Crane felt the anger returning, stronger now: anger at all the inexplicable secrecy, anger at the meddling Commander Korolis, and particularly anger at the unhelpful, resentful Dr. Bishop. Hed take her down a peg, show her how much he did know.
He closed the clipboard sharply. Did you think to do any antibody tests, Doctor?
She nodded. Viral hepatitis A and C, sulfatide IgM. All negative.
Motor-conduction studies?
Normal bilaterally.
Rheumatoid factor?
Positive. Eighty-eight units per milliliter.
Crane paused. These were, in fact, the tests he would have performed next.
There was no history of arthralgia, anorexia, or Raynauds phenomenon, for that matter, she offered.
Crane looked at her in surprise. It wasnt possible the same exotic conclusion had occurred to her as well. Was it?
He decided to call her bluff. The incipient wasting of the hand muscles would seem to suggest syringomyelia. So would the loss of sensation in the upper trunk.
But theres an absence of leg stiffiness, she replied immediately, and little to no medullary dysfunction. It isnt syringomyelia.
Crane was now even
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