{"group":"shelter","pic":"living/pics/medical-city.webp","question":"Who looks after you when Earth's hospitals are a world away?","answer":"Arcadia's own hospital, under the soil: doctors, nurses and surgeons who live here, with specialists on Earth reading every scan by message.","play":{"label":"Walk the city","href":"play/?era=city&light=day"},"bends":{"title":"Thin air and your blood","line":"The halls hold {cabin_kpa} kPa of air and your suit {suit_kpa} kPa. Pick how you head out and watch your blood.","ways":[{"name":"Straight out","text":"Drop the pressure fast and the nitrogen dissolved in your blood comes out as bubbles, like a fizzy drink opened: the bends. Nobody in Arcadia heads out this way."},{"name":"Oxygen first","text":"Breathing pure oxygen while you get ready flushes the nitrogen out, so when the pressure falls nothing fizzes. Every suit does it for you before the hatch opens.","good":true}],"halls":"In the halls","flushing":"Breathing pure oxygen","falling":"Pressure falling to the suit's"},"bay":{"title":"Inside the bay","steps":[{"title":"Scans on the spot","text":"Ultrasound, a small X-ray, a blood analyser and a breathing machine sit right beside the bed."},{"title":"A bed in the daylight","text":"A skylight pours real Martian daylight onto the ward, and staff who live a few doors away look after you."},{"title":"Earth's specialists","text":"Scans and results go to experts on Earth as files, and their advice comes back on the next message."},{"title":"The pressure chamber","text":"A walk-in chamber takes a patient and a medic to {hb_bar} bar: like diving {hb_m} m, without getting wet."}]},"grows":{"title":"The hospital grows","line":"From a treatment room for the first crew to a hospital under the soil.","staff":"Staff","beds":"Beds","each_staff":5,"each_bed":2,"key":"Each figure stands for up to 5 staff and each bed for up to 2 beds. Pale ones show the top of the range."},"dive":{"title":"A dive without water","line":"The chamber reaches {hb_bar} bar, the pressure {hb_m} m under the sea, and cures the bends in {hb_lo} to {hb_hi} hours.","diver":"A diver","chamber":"The chamber"},"keeps":{"title":"How long blood keeps","line":"Fridges keep red cells for {rbc} days and freezers for up to {fz_y} years, so the city keeps both, and a register of donors for fresh blood from neighbours.","marks":["1 day","1 week","1 month","1 year","10 years"],"rows":{"platelets":"Platelets","whole":"Whole blood","rbc":"Red cells","plasma":"Plasma","frozen":"Frozen red cells"},"fridge":"Fridge or room","frozen":"Frozen"},"earth_mars":{"earth":{"head":"Help is a short ride away"},"mars":{"head":"The hospital is right here"},"pics":{"earth":"living/pics/em-medical-earth.webp","mars":"living/pics/em-medical-mars.webp"},"rows":[{"label":"Getting there","icon":"car","earth":"An ambulance, or a flying doctor out in the bush.","mars":"A pressurised rover brings anyone hurt straight to the bay's own door."},{"label":"Specialists","icon":"signal","earth":"A live video call away.","mars":"A message takes {d_lo} to {d_hi} minutes each way, so the city's own doctors take the lead."},{"label":"Gravity","icon":"walk","earth":"Blood falls and pools just as surgeons expect.","mars":"{g_pct}% of Earth's: enough for blood to fall, so surgery works much as it does at home."}]},"living":"Your doctor is a neighbour you see at the café. Check-ups are a short walk down the row, the bay is bright and calm, and every scan you have is read by the best specialists on two worlds.","fact":"In {fo_y}, two space station crew members with just {fo_h} hours of ultrasound training made complex scans with high accuracy, guided by experts on the ground over a link with about {fo_s} seconds of delay.","later":{"pics":{"city":"living/pics/medical-city.webp","far":"living/pics/medical-far.webp"},"city":{"tag":"A hospital under the soil","text":"Wards, an operating theatre, a dental surgery, a pharmacy and a walk-in pressure chamber, run by a staff of about {st_city}."},"far":{"tag":"A garden hospital","text":"Under a water roof, patients get better among trees and flowers, and the pharmacy makes some of its own medicines on Mars."}},"pin":[0.62,0.45],"scene":{"pic":"living/pics/scene-medical.webp","look":"03-14","shot":"ward","focus":"50% 50%","spots":[{"at":[0.13,0.5]},{"at":[0.39,0.55]},{"at":[0.55,0.36]},{"at":[0.9,0.5]}]},"proof":{"pic":"living/people/medical-proof.webp","place":"International Space Station","when":"{fo_y}","head":"A scan guided from the ground","credit":"Photo: NASA (public domain)"},"quiz":[{"q":"Why does everyone breathe pure oxygen before heading out?","a":["To flush nitrogen out of the blood","To warm up the suit","To fill the suit's tanks"],"why":"Drop the pressure fast and dissolved nitrogen forms bubbles: the bends. Oxygen first flushes it out, so nothing fizzes.","more":"In {lind_y} a surgeon in New York took out a patient's gallbladder in Strasbourg, {lind_km} km away, working robot arms over fibre-optic lines.","cite":"03-08 F-29, 03-14 F-13","from":"problem","fig":0,"icon":"air"},{"q":"How deep would you dive to feel the chamber's pressure?","a":["{hb_m} m","2 m","200 m"],"why":"The chamber reaches {hb_bar} bar, the same as {hb_m} m under the sea, and cures the bends in {hb_lo} to {hb_hi} hours.","more":"Villa Las Estrellas, Chile's village in Antarctica, has a hospital with {vle_beds} beds, X-ray, surgery and a dental clinic for about {vle_w} people in winter.","cite":"03-14 F-35, F-22","from":"why","fig":0,"icon":"target"},{"q":"How long do donated red cells keep in a fridge?","a":["{rbc} days","A day","Ten years"],"why":"Red cells keep {rbc} days in a fridge and up to {fz_y} years frozen. Platelets keep only {pl_lo} to {pl_hi} days.","more":"Medicines kept for up to {rc_y} years on the space station stayed within {rc_pct}% of matched samples kept on the ground.","cite":"03-14 F-32, F-28","from":"why","fig":1,"icon":"drop"}],"notes":[{"beat":"fix","text":"America's military tests old medicine stock past its expiry date: two-thirds of {slep_n} medicines tested still worked for at least {slep_x} more years on average.","cite":"03-14 F-29"}],"from":"From the medical bay","everyday":{"title":"A day of care","items":[{"time":"08:30","head":"Your record, for life","text":"The bay keeps one lifelong record of your health, from your radiation badge to every scan, and sends a copy with you if you ever fly home.","tag":"One record for life","pic":"living/pics/scene-medical.webp","pos":"40% 50%"},{"time":"11:15","head":"A scan seen on two worlds","text":"The medic scans your knee by the skylight. Before supper a specialist on Earth has looked at it too.","tag":"{d_lo} to {d_hi} min each way","pic":"living/pics/medical-city.webp","pos":"60% 50%"},{"time":"16:40","head":"Donor day","text":"Your blood group was on file before you flew. Today you give blood at the bay and your name joins the register of donors.","tag":"Fresh from neighbours","pic":"living/pics/medical-far.webp","pos":"50% 60%"}]}}