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One of the first things folks learn in Organic Chemistry is oxygen--especially that bound to Hemogloblin is a good leaving group especially when adding ammonia (NH3 or amide).
And adding ammonia to the nose to "revive or keep consious", means that it surpasses the blood-brain barrier. No telling what the sickle cell trait or misfolded hemoglobin with several polymorphisms does at the neurological level...
I say all of this to say that there are VERY FEW RESEARCHERS that study at this level of detail.
Yes, the boy suffocated, but it was precipitated very rapidly due to this boy's adolescence and medical condition. Either way, the personnel should have never added ammonia to someone known to be carrying the sickle cell trait.
Moreover, there is an increase incidence of cancer in those who carry the sickle cell trait. That has been proven. All cancers... It is called angiogenesis and sickle cell exacerbates the problem even when carrying just the trait.
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