21st Century Necromancer-Chapter 386 Skull Base Fracture (Please Subscribe, Please Vote for Monthly Tickets)

The next morning, the girl who had arranged to meet with Doctor Jounouchi Hiromi brought her mother to the hospital.

Through prior phone contact and the help of the nurse, the girl and her mother quickly met with Jounouchi Hiromi.

"Doctor Jounouchi!" The girl greeted Jounouchi Hiromi, and also introduced her mother, "This is my mother, Mom, this is Doctor Jounouchi, she's the one who suggested I bring you in for an examination."

"I'm so sorry to trouble you, Doctor!" Keiko's mother, upon seeing Jounouchi Hiromi, hurriedly apologized, feeling that her daughter had caused the other party trouble and inconvenience. After all, in her view, her condition was not serious enough to necessitate a hospital visit.

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Previously, she had only fallen off her electric scooter while turning a corner. Although her head had hit the ground, her thick winter clothes prevented any scrapes, so she just sat on the ground to collect herself, then stood up, checked herself and the scooter, and feeling there were no issues, rode home.

However, in the following days, she occasionally felt an inexplicable urge to sleep and often forgot what she planned to do, but she just thought she was tired and hadn't rested enough.

It wasn't until she started showing mild symptoms of a cold these past two days, with persistent headaches and a runny nose, that her daughter grew very concerned and mentioned she had made an appointment with a doctor, prompting her to agree to come to the hospital for an examination.

Jounouchi Hiromi, seeing the girl's mother apologizing, quickly said, "Ma'am, you're too kind; this is just part of my job, there's no need for such courtesy. It should be said that you have a good daughter; she really cares for you."

"It's my good fortune to have a daughter as sweet as Keiko! She's very sensible and has never given me any worries," Keiko's mother said, her face breaking into a smile when she heard Jounouchi Hiromi praising her daughter. Her daughter had always been her pride.

But as she was speaking, a clear watery liquid again flowed from her nostrils. She bent her head to reach for her handkerchief, but the flow intensified even more.

Seeing this, Jounouchi Hiromi quickly stopped her, gesturing not to bend over, "This may not be a cold; I'll take you for a test right away!"

Saying this, Jounouchi Hiromi led the puzzled mother and the seemingly frightened girl toward the examination room.

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"Focus on this area, especially the skull base and the meninges," Jounouchi Hiromi instructed the technician operating the CT machine, emphasizing the areas she wanted to be examined as she stood outside the CT scan room.

"I understand," the examining physician nodded and focused on scanning the mother's head as Jounouchi Hiromi had instructed.

"Doctor sister, is my mom very unwell?" a girl named Keiko asked Jounouchi Hiromi in a worried whisper, watching her focused manner which indeed made her very anxious.

"Don't be too nervous. Your mom might have suffered a basal skull fracture when she fell, which means a break in the bone at the back of the head. Right here..." Jounouchi Hiromi explained, touching the girl's occipital bone to show her the location: "A fracture here could have torn her dura mater and arachnoid mater, the two layers of tissue that encase the brain, leading to some of the brain's fluids leaking out through her nose. That's what you see coming from her nose."

"Is that fluid leaking from my mom's brain?" Keiko looked at Jounouchi Hiromi with a terrified expression. After all, the brain is a very important organ, and anything related to it can easily cause distress.

"It's not accurate to say it's leaking from her brain. There are fluids present in human tissues, like our blood and lymphatic fluid, which are widely found throughout our bodies. However, the brain, being the most important organ, doesn't contain lymphatic fluid. What is present around the brain and spinal cord is cerebrospinal fluid.

This fluid surrounds and supports our entire brain and spinal cord. It effectively reduces the weight bearing on the brain and provides some protection. So a leak of cerebrospinal fluid can cause certain conditions. For instance, your mother's drowsiness and memory issues might be due to intracranial hypotension caused by the leak of cerebrospinal fluid," Jounouchi Hiromi explained the role of cerebrospinal fluid to Keiko, also trying to reassure her: "But don't worry too much. This kind of injury is a common symptom at traffic accident sites, and the body produces new cerebrospinal fluid every day. Although it can cause many adverse effects, your mom's condition is not serious."

"Doctor Jounouchi! Please come and look at this," the examining physician suddenly called out to Jounouchi Hiromi.

Jounouchi Hiromi returned to the control panel. Looking at the CT scan images of Keiko's mother on the screen, she couldn't help frowning: "It's a basal skull fracture and tears in the arachnoid and dura mater! With this extent, she'll need surgery!"

"Doctor sister, how is my mom doing?" Keiko saw Jounouchi Hiromi frown and her heart, which had just settled, was suspended once again.

"The situation is a bit more serious than I expected. Under normal circumstances, cerebrospinal fluid rhinorrhea can be cured with medical treatment, but your mom might need surgery," Jounouchi Hiromi said to Keiko in a somewhat stern tone while also trying to comfort the girl who was worried about her mother: "However, there's no need to worry too much. It'll just be a minimally invasive surgery. She'll be fine, and I'll arrange for your mother to undergo the surgery as soon as possible. Rest assured, our hospital's doctors are very skilled!"

"Thank you, doctor sister!" Upon hearing Jounouchi Hiromi's words, Keiko hastily expressed her gratitude, but the thought of her mother's surgery costs made her head bow again, her heart aching over where to gather such a sum. Could it really be necessary to accompany old men on walks in Shibuya, as her classmates had suggested?

"No need to thank me. Let me arrange for your mother's hospital admission first. Don't worry about the cost—I'll cover it for now," Jounouchi Hiromi offered, noticing the young girl's worry and volunteering to help.

"How could I accept that! Doctor sister, you have already done so much for me!" Keiko immediately refused, not wanting to owe Jounouchi Hiromi so much.

However, Jounouchi Hiromi responded to her refusal by gently patting her head and smiling, "You will have to repay this money, but there's no need to rush. You can give it back when you start working in the future. When I visited your school, many girls said they wanted to study medicine and become doctors. Maybe you should consider it too?"