"Mr Wayne ."

"Dean , please call me Dean . Apparently I'm gonna stay here more that what I thought ."

Reynolds smiled in pity ."I'm sorry ,but yes , we have to check you in . You already have had an hearth attack , which I think is the one that caused the breathing problem you mentioned earlier .And we need to run a few more tests before starting the treatment . We'll start them after you settled in your room in CCU .I'll see you up there and we'll talk more about your problem then ."

"Yeah , alright ." Dean sighed as Reynolds wrote something down on his chart and left the room .


Sam joined Dean once he settled in his room . He leaned on a wall ,looking like he was lost in his thoughts and memories .

"Wipe that look from your face . He didn't say I'm gonna die in 2 weeks ." Yet. Dean added silently .

Sam looked at Dean ."There's no faith healer this time , Dean ."

"Yeah , thank God for that . Cuz if there was any , we had to stop him again , and I hate to do that . Besides , who said I'm gonna need any faith healer ? It's just an angina ."

"Yeah ? Just ? "Sam was breathing rapidly ." O God , I thought it was food poisoning and .. I should've known , we could get here sooner . I'm sorry Dean..I'm -"

Dean rolled his eyes ."Whoa , whoa ..Sam .First of all , why do you think you should always know every thing ? Second of all , We got here soon enough , I haven't died because of a heart attack , have I ? There was no way to stop things to go this way . Stop blaming yourself . It's not your fault ."

"But what should we do now ?" Sam asked ruefully .

"Waiting for test results ." Dean shrugged .

"We need to run tests to be able to give you the results , you know ." A blond girl entered the room , smiling ."Hi . I'm Katie .I'm your nurse here ."

"Hi Katie ,I'm Dean .I'm gonna be a good patient ." Dean grinned .

"Everybody in this ward already knows that ." she grinned back and looked at Sam ."I'm sorry , but I've to ask you to wait outside , while we work here . You can join your brother once we're done ."

"Can't I just stay here ? I won't say anything ." Sam protested .

"I wish I could help , but no , you can't . You can go downstairs and get some coffee , you clearly need it ." She replied .

"Ah Sam , I'd kill for a coffee right now . Go get that , man ."Dean sighed ." And make sure you'll finish it before coming back , cuz I can't say that I'll behave when I see a cup of coffee in your hand ."

Sam shook his head and left the room with no more words as Reynolds and another old doctor walked into Dean's room .

"Hi Mr Wayne , I'm Chambers , I'm your cardiologist .Doctor Reynolds told me about your case but I still need to ask some questions ." he shook Dean's hand .

"It's OK . Go a head . Ahh , and Katie ?" Dean turned toward her ."Would you please make sure everybody here would call me Dean ? I'm meeting a new guy every hour and I really can't ask all of them to call me Dean instead of Mr Wayne ."

Katie laughed ."Alright , consider it done ."

"OK Dean . I gotta get back to ER . I just wanted to see if you're doing ok here . Doctor Chambers will also answer all your questions . Is there anything I can do for you ?" Reynolds asked .

"O, No thanks , for everything ." Dean shook Reynolds hand before he left the room .

"Alright . You're 27 . And , can you tell me if you have had any kind of infection , bad flu or pneumonia ?"

Dean thought before answering ."Ah well yeah I've had infection and pneumonia , but not recently , and I healed just fine .Besides I've never had any kinda heart problem , or any pain in my chest. "
'Well, that's the truth ,since I walked out of the last heart problem totally fine .' Dean convinced himself .

Chambers nodded ."What about heart problem in your family ? Does anyone ever suffered from any kind of heart disease ?"

Dean scratched his head ."Not as far as I know ."

"Do you smoke ? Do you have any regular exercise ? "

"No , and no one in my family ever does . And yes , always , doing exercise is part of my life ."

"OK , That's it . Now I'm gonna do a sonogram of your heart , which we call it ECHO -"

"Yeah , yeah Doc .I know what ECHO is. Just do it ." Dean interrupted .

"You do ? Well not everybody knows about this kind of things .What's your job ?" Chambers looked interested .

'Great , What should I say ? I know because this is not my first time ? ' "I.. I know about ECHO because I've had this friend who died from a heart disease , I was there with him . "

"Oh , I'm sorry ."

"It's OK . "Dean smiled ."Just if you wanna give me the result , please wait for my brother , I don't wanna be the one who explains the situation for him ."

"As you wish ." he nodded .

...

Half an hour later Sam came back to the ward , all he wanted to do was go inside Dean's room and know what's going on .Right then as if someone was listening to him a nurse approched him."Mr Wayne , I was looking for you . The test is done and Doctor Chambers is waiting for you to talk about your brother's situation ."

Sam's heart skipped a beat , he couldn't stop thinking about last time in Nebraska and couldn't help thinking things were really bad again .He nodded his thanks and entered Dean's room . Dean had a nasal cannula but it wasn't weird for a patient with heart disease , so Sam decided to don't feel bad for that . he hesitantly approached Dean's bed ."You wanted to see me ?"

"Hey , How many coffee did you get ? What took you so long ? Doctor here doesn't have all day , man ." Dean teased .

"I'm here now . What's up . What's wrong ? He's gonna be fine , right ?" Sam couldn't hide the concern in his voice , but he couldn't care any less about it.

"Sorry , he's not the most patient member of the family ." Dean apologized .

Chambers nodded , smiling ."You'd feel the same if you were in his shoes ."

"Well , thank God I'm not . And good for you , cuz I'd be much worse ." Dean confessed ."Now , tell him the good news ."

"The good news ?" Sam's eyes shined .

"Well , I don't know how you call it a good news exactly , but it could be much worse anyway ." Chambers looked at Dean ."Alright here's the news , anyway . Unfortunately the problem is a coronary disease which means coronary arteries can't supply adequate circulation to cardiac muscle and surrounding tissue . This is due to the buildup of fatty deposits and cell-proliferation on their inner walls. There're several alternative treatments for coronary disease , but in your brother's situation the bypass surgery is the best and .. well , kinda the only way to help him , though we need to perform an angiography before anything and if that's possible we wouldn't go to bypass surgery and hopefully angioplasty would be enough ."

"Bypass surgery ?" Sam had heard about it before , but none of them have never been close to this kind of things .

"Yes .To perform heart bypass we graft an artery or vein from elsewhere in the patient's body to the coronary arteries .We usually use the great saphenous vein from the leg ."he defined and then looked at Dean again ." Coronary disease is the most common form of disease affecting the heart and an important cause of premature death . It usually affects people in their old ages and considering your health it looks kinda weird for you to suffer this disease . It seems you're in a good shape and other than your recent heart disease you're quite healthy , which is good , 'cause it means the surgery could go with no complications and with a little rest and some care you'd be able to go back to your usual life in a short time ."

"What about angioplasty ? " Sam asked ,the word 'surgery ' was still echoing in his ears .

"In angioplasty we insert an empty and collapsed balloon on a guide wire into the narrowed location and then inflate it to a fixed size using water pressures. The balloon crushes the fatty deposits, so opening up the blood vessel to improved flow, and the balloon is then collapsed and withdrawn .It's safer than heart bypass , but sometimes it just doesn't work , and like I said , if we could open the artery with angioplasty we would avoid bypass surgery . "

"Bypass or angioplasty , will they affect my activities ? I'm .. I've lots of activities and I need to be able to do them ." Dean needed to know he'll be able to hunt , he couldn't leave everything .

"You sure need to be more careful . Light activities are allowed after surgery , but you need to rest a lot . After a short time you can start your usual activities little by little , but you shouldn't push hard . You need to change your diet and increase plant based foods in that .I assume it won't be necessary to mention that you shouldn't smoke and do exercise ,as you're already on the right side . You need to be under medication to avoid the disease to come back , though ."

"Great , I thought you said I can go back to my usual life in a short time ." Dean complained .

"You'll , you just need to be more careful .That's all ."

"When are you gonna perform the angiography ?" asked Sam .

"I'd like to do it sooner . I'm not gonna lie to you , your heart isn't in a good shape , we can't waste any more time . I have no idea how and why , but it's worsening pretty fast and since I hate to give bad news , I'd prefer to perform the surgery sooner . If you don't have any other question or any problem , Katie will prepare you and we can do that by midday ." Chambers surmised .

Dean nodded ."OK , I think I'm good ."

"Alright then . I'll see you ." and with that Chambers left the room .

"Umm , Katie . Would you please give us some minutes ? " Sam asked .

Dean looked surprised but smiled at Katie as she said "Sure , call me if you need anything ." and left the room .

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... TBC ...

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