Chapter 113:
He cleared his throat. “Your protocol—includes rituximab and pulse doses of cyclophosphamide?”
“Exactly,” Rylie nodded once. “We need high-intensity immunosuppression. Add plasma exchange, and it’s our best shot at halting the damage before it spreads.”
He blinked hard. “But the death rate — it’s nearly thirty percent.”
“If we don’t treat it, the mortality jumps to one hundred.” Her tone stayed even. “But I’ve adjusted the frequency and dosage. The risk drops to under fifteen now.”
It clicked for Leland right then. Her approach wasn’t guesswork. She had built it on firm science and lived experience. What seemed like reckless choices at first were backed by clear knowledge of how each drug behaved and what the illness demanded.
By the time they moved on to the next patient, Leland found himself hesitating before pushing back. This man’s symptoms were even stranger — a burning fever that wouldn’t quit, weakness in the limbs. But there were no signs of infection or swelling anywhere.
Rylie glanced at the older man’s face, mostly hidden under the blanket, and let out a soft chuckle. “Out of all three, he’s the easiest one to figure out.”
Leland stared at her, stunned. He’d combed through this chart more than once. Still, nothing had made sense.
“Really? But I don’t see it. I really don’t.”
Rylie gave the patient a quick once-over. After scribbling just a few words into his chart, she shut it with a calm finality. “Alright. We’re done here. Let’s wait for the official results.”
Leland blinked in surprise. “That’s it? You’re finished already? So, what’s wrong with him?”
Rylie gave him a small smile. “Nothing.”
That answer only deepened Leland’s confusion.
Outside the room, the other participants were still busy whispering about the patient’s symptoms. Rylie had been the last to enter, yet she was the first to walk out — barely fifteen minutes later.
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As soon as they saw her, the others dropped their serious expressions and began smirking.
“Wow, that was quick. Bet she didn’t understand a thing.”
“Just look at Leland. Poor guy’s face says it all. They totally missed it.”
Evita took it all in and felt her confidence rise. Without Selah guiding her, what threat could that girl possibly pose?
At the same time, Brad sat calmly at the head of the table. The butler brought over the final results, which Brock then handed off to a few seasoned physicians from the military hospital. Their review didn’t take long.
Brad gave the results a brief glance and barely reacted. “Go ahead. Announce it,” he told Brock.
Brock gave a small nod and left the room for the second-floor landing. “Everyone,” he began, his voice firm and steady. “You’ve all completed your assessments. The results are with me now. Ms. Wilde. Miss Wilde.”
Evita stood without hesitation, her lips fighting back a smile.
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