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قراءة كتاب Pandemic

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‏اللغة: English
Pandemic

Pandemic

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دار النشر: Project Gutenberg
الصفحة رقم: 6

at those lungs." He swung a viewer into place so Mary could see better. "Look at those abscesses and necrosis. It's Thurston's Disease, all right, with secondary bacterial invasion."

The grayish solidified masses of tissue looked nothing like the normal pink appearance of healthy lungs. Studded with yellowish spherical abscesses they lay swollen and engorged within the gaping cavity of the chest.

"You know the pathogenesis of Thurston's Disease?" Kramer asked.

Mary shook her head, her face yellowish-white in the glare of the fluorescents.

"It begins with a bronchial cough," Kramer said. "The virus attacks the bronchioles first, destroys them, and passes into the deeper tissues of the lungs. As with most virus diseases there is a transitory leukopenia—a drop in the total number of white blood cells—and a rise in temperature of about two or three degrees. As the virus attacks the alveolar structures, the temperature rises and the white blood cell count becomes elevated. The lungs become inflamed and painful. There is a considerable quantity of lymphoid exudate and pleural effusion. Secondary invaders and pus-forming bacteria follow the viral destruction of the lung tissue and form abscesses. Breathing becomes progressively more difficult as more lung tissue is destroyed. Hepatization and necrosis inactivate more lung tissue as the bacteria get in their dirty work, and finally the patient suffocates."

"But what if the bacteria are controlled by antibiotics?"

"Then the virus does the job. It produces atelectasis followed by progressive necrosis of lung tissue with gradual liquefaction of the parenchyma. It's slower, but just as fatal. This fellow was lucky. He apparently stayed out of here until he was almost dead. Probably he's had the disease for about a week. If he'd have come in early, we could have kept him alive for maybe a month. The end, however, would have been the same."

"It's a terrible thing," Mary said faintly.

"You'll get used to it. We get one or two every day." He shrugged. "There's nothing here that's interesting," he said as he released the clamps and tilted the table. For what seemed to Mary an interminable time, the cadaver clung to the polished steel. Then abruptly it slid off the shining surface and disappeared through the square hole in the floor. "We'll clean up now," Kramer said as he placed the instruments in the autoclave, closed the door and locked it, and pressed three buttons on the console.

From jets embedded in the walls a fine spray filled the room with fog.

"Germicide," Kramer said. "Later there'll be steam. That's all for now. Do you want to go?"

Mary nodded.

"If you feel a little rocky there's a bottle of Scotch in my desk. I'll split a drink with you when we get out of here."

"Thanks," Mary said. "I think I could use one."


"Barton! Where is the MacNeal stain!" Kramer's voice came from the lab. "I left it on the sink and it's gone!"

"It's with the other blood stains and reagents. Second drawer from the right in the big cabinet. There's a label on the drawer," Mary called from the office. "If you can wait until I finish filing these papers, I'll come in and help you."

"I wish you would," Kramer's voice was faintly exasperated. "Ever since you've organized my lab I can't find anything."

"You just have a disorderly mind," Mary said, as she slipped the last paper into its proper folder and closed the file. "I'll be with you in a minute."

"I don't dare lose you," Kramer said as Mary came into the lab. "You've made yourself indispensable. It'd take me six months to undo what you've done in one. Not that I mind," he amended, "but I was used to things the way they were." He looked around the orderly laboratory with a mixture of pride and annoyance. "Things are so neat they're almost painful."

"You look more like a pathologist should," Mary said as she deftly removed the tray of blood slides from in front of him and began to run the stains. "It's

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