ATPnovel Chapter 14 You're about to die, you're about to die...
Chapter 14 You're about to die, you're about to die...
Even the junior assistant, who had been working in the containment system for many years, was stunned.
Chen Yisen, on the other hand, having systematically studied chemistry, had already roughly figured out the ins and outs.
The so-called "AB agent" should not refer to AB glue, but rather to "liquid silicone rubber" in the strict sense.
It is the raw material used to make soft items such as sealing rings, phone cases, and baby pacifiers.
Agent A is a catalyst, and Agent B is a crosslinking agent. When they are mixed together and then heated, they will solidify.
Of course, you can do it without heating, but the reaction will be very slow.
Meanwhile, because sulfur, phosphorus and amines are present in the human body, silicone can never cure and its surface becomes sticky, thus serving to fix the main material, silicone oil.
In industry, this is considered catalyst poisoning, but for implantation, the feel and shaping effect may actually be better than regular medical-grade silicone.
But no matter what, daring to hit someone with this kind of thing...
Even in the illegal medical field, this is considered an extremely dangerous and ruthless act.
Using the human body directly as a reaction vessel is an example of this.
Eva was getting restless: "So doctor, what... what happened to me?"
Chen Yisen thought to himself, "You're about to die."
Given the other person's financial situation, where they can't even afford proper cosmetic surgery, it would be very difficult to treat their pulmonary embolism.
However, the current evidence is still insufficient to support a diagnosis from a medical perspective.
He can't possibly write that he discovered a foreign object through mental perception.
So one last piece of the puzzle is needed.
"If possible, do you need to contact any relatives?"
Eva shook her head frantically: "No, I have no family."
"Then I'll take you for a blood test first, before I can draw a final conclusion."
He gestured for the nurses to help the other doctors, while he, along with his assistant and Eva, went to the medical vehicle outside.
The two medical students had also realized that the community doctor in front of them was exceptionally skilled, and they were determined to stay close by, so they followed him closely.
Anyway, no one was really expecting them to play any positive role, so nobody really cared.
The group of five quickly boarded the vehicle and collected venous blood according to the test form signed by Chen Yisen, in preparation for D-dimer testing.
It must be acknowledged that the United States is indeed advanced in medical technology.
Even an ordinary mobile medical station has quite complete testing equipment and professional staff.
Chen Yisen originally thought he needed to specifically emphasize the collection requirements to the operator, which is why he came along.
The person worked incredibly fast, handling several blood samples for different tests simultaneously without any confusion, which impressed him greatly.
D-dimer testing usually takes half an hour to forty minutes. Chen Yisen couldn't stay out there slacking off, so seeing that he wasn't needed, he took his medical assistant and one of the little tails back to the shelter restaurant.
On the way to find the next patient, the medical student behind him finally got a chance to speak freely.
"Dr. Chen, how did you manage to detect such detailed heart and lung sounds in that kind of place?"
Chen Yisen: "Experience, I guess...maybe."
"But Dr. Chen, you've only just started practicing?"
"That could also be talent."
This time, Chen Yisen wasn't lying.
Since electrical impedance tomography is a kind of "characteristic gene", how can something at the genetic level not be considered a talent?
But the other person clearly didn't understand this: "Is it because you have sensitive hearing?"
Chen Yisen was a little overwhelmed by the questions, so he pretended to look around.
Just then, I saw Natalia nearby.
Sitting opposite her was Gao Hua, Amber Zheng, the very person who had refused to be diagnosed by Chen Yisen earlier.
This guy is incredibly lucky; he still managed to get such a high position after the redraw.
Natalia didn't seem to like this madman much either, her tone tinged with impatience: "The echocardiogram shows your left ventricle is enlarged and your ejection fraction is low. You've also been working under high pressure for a long time, which are typical signs of dilated cardiomyopathy. Combined with the ultrasound B-line data, it can be confirmed that the pulmonary edema is caused by dilated cardiomyopathy..."
Amber Zheng had probably wanted to argue with the doctor about medical knowledge, but now she was completely confused: "Then... what should we do?"
"I'll prescribe you an injection of furosemide and a bottle of nitroglycerin, which can temporarily relieve your symptoms." Natalia sighed in frustration. "But ultimately, to solve the problem of dilated cardiomyopathy, it's best to be hospitalized and undergo quadruple therapy for a period of time to restore the geometry and biological characteristics of your heart."
Upon hearing that he needed to be hospitalized, Amber Jung's face darkened.
For her now, the high cost of regular hospitals is hard to accept.
Natalia noticed his embarrassment and took out another tablet from the side: "You're lucky. The New York Health Equity Foundation, which is sponsoring this medical tour, has a medical debt relief program, and I happen to be one of the approvers..."
Upon hearing this, Amber Zheng's breath caught in her throat for a moment.
Who wouldn't want to be healthier if given the chance?
"This program is specifically for uninsured patients who have accumulated huge medical bills. By regularly participating in the foundation's 'Community Health Advocacy Program,' most of the debt can be reduced." Natalia pushed the iPad forward. "You fill out a registration form here, and if you meet the requirements, you'll receive a notification soon."
Hearing this, Chen Yisen also found it somewhat interesting.
Eva's non-thrombotic pulmonary embolism undoubtedly requires surgery.
If I can join this project, there might still be a chance to be cured.
So they changed their route and went over there.
However, upon closer inspection, his gaze was firmly drawn to the inside of Amber Zheng's arm—
Along the basilic vein (the one that extends upwards from the inner side of the forearm and eventually enters the armpit) and the median cubital vein (the one most commonly used for blood draws in the cubital fossa), there is a dense row of more than a dozen needle marks!
Natalia was clearly used to this, after all, at West University, there were people who would do all sorts of things to get the enhancement drugs.
However, Chen Yisen felt that although Amber Zheng was a bit crazy, he had a normal physique and moved quickly. Even if he had used enhancement drugs, it was unlikely that he would be able to do so frequently.
On the other hand, it is indeed hard to imagine what other occasion could produce so many pinholes.
At that moment, Amber Zheng also sensed that someone was standing next to her.
Looking back, I saw it was Chen Yisen.
His face immediately turned cold: "What do you want to do?"
After saying that, he grinned at Chen Yisen.
With the help of this movement and the natural light shining from behind, Chen Yisen finally saw clearly.
There was a distinct bluish-gray line deposited along the edge of the other person's gums.
This is a characteristic of prolonged blood transfusions!
In that instant, his mind suddenly became clear—
In his previous life in China, he had heard that some Chinese, especially second-generation Chinese, were specifically seeking out white blood to "change their blood" due to their fanatical conversion.
So Amber Chung's statement that she "receives white blood" is not a metaphor, but rather that she actually receives regular blood transfusions through some channel.
The so-called "wheat skin" is not the result of any genetic modification, but rather the iron deposition caused by excessive blood transfusions!
There are more than a dozen needle marks on one arm, and he must have had at least dozens of blood transfusions.
This frequency of unofficial blood transfusions...
Even if myocarditis is cured, transfusion-related complications are probably not far away.
"Why are you still looking?" Amber Zheng was completely unaware of the seriousness of the problem.
Chen Yisen rolled his eyes, thinking to himself, "You're about to die too, you bastard."
But since they weren't his patients, and both of them had a history with him, there was no need to make a fuss about it.
He shook his head and turned to Natalia: "Nothing, I just wanted to ask Dr. Lynch about that debt relief you mentioned earlier... what's that all about? Can everyone apply for it?"
Unexpectedly, Natalia's expression also became wary.
"I need to pre-screen her first; no one else is qualified." She covered the screen in front of Amber Zheng with her hand, preventing Chen Yisen from seeing the private content. "If you think anyone needs it, you can have them come to me."
Chen Yisen felt a little confused, but Americans were indeed very sensitive about this, so he deliberately looked away: "Okay, then I'll talk to her about it..."
……
Most of the illnesses suffered by residents in shelters are actually not complicated.
In no time, Chen Yisen saw four more patients.
Two cases of diabetic foot, one of external injury, and one of feigning joint pain to scam a prescription for painkillers.
Just then, Frank, who had been left in the car, came over with Eva.
He was also holding a report in his hand.
"Dr. Chen, here are the D-dimer test results." Frank handed the paper to Chen Yisen. "4675 ng/mL FEU, almost 10 times the reference value."
This result was not unexpected.
Chen Yisen nodded, then looked at Frank: "So, have you figured out which disease it is?"
The latter's expression stiffened again, but he finally guessed the correct answer: "Pulmonary embolism?"
"This is the most likely possibility." Chen Yisen handed the report to Eva, then looked down at his iPad to open a referral form. "Ms. Atkinson, if you want to be further certain, you can have a CT pulmonary angiography, but the current evidence basically indicates that you have a non-thrombotic pulmonary embolism, which means there is a foreign object in your pulmonary artery that is blocking the blood vessel."
Eva didn't know much about medicine, but she could tell from Chen Yisen's tone that there was a serious problem: "Then... what kind of medicine should I take?"
"Medication probably won't work," Chen Yisen explained. "Non-thrombotic pulmonary embolism means that what's blocking your blood vessel is a foreign object, most likely silicone microparticles or silicone oil deposits from your chest implant... In short, it's impossible for medication to dissolve it."
"Then..." Eva's lips trembled.
"A pulmonary artery thrombectomy is necessary... and there may be follow-up procedures such as plasma exchange or hemoperfusion."
It's another few terms that most people don't understand, but the fact that they don't understand them is enough to illustrate the point.
Eva swayed slightly: "I have no money..."
"I'm heartbroken, but there really isn't any other way." Chen Yisen closed his iPad and emphasized, "Anticoagulants and thrombolytics are not only ineffective for your condition, but they could also directly cause hemorrhagic pulmonary embolism, so you absolutely must not use them."
Then, he gestured towards Natalia and said, "You could try to find Dr. Lynch over there. She has a medical debt relief program. If you're lucky enough to get approved, you might be able to be admitted directly for treatment."
Eva's eyes lit up instantly, her hope for survival rekindled: "Okay, okay... thank you, Dr. Chen."
After saying that, he bowed deeply to Chen Yisen and quickly jogged towards Natalia.
Watching the other person's retreating figure, Chen Yisen sighed.
He didn't have much sympathy for people like Eva.
But in such a bewitching world where gender freedom propaganda is everywhere, it's hard to say that it's entirely an individual's responsibility.
"What a tragedy..."