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let's find out if Marian's ICU and two different kinds of magic healing can save radiation-poisoned Leareth
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'Friend'. Ha. ...Shavri's fine to leave it at that, though, it's a lot to explain and it mostly doesn't matter for this.

 

:A god exploded a country at him.: Wow that was not a very clear description at all. :I, er, I don't really understand it, but there was a country with a miraculous shield around it, and it exploded, and something starting there - some kind of attack - went a hundred miles and straight through ten feet of stone. Hit some other people too, they - it seemed like a channel helped a little, didn't actually fix it but they were alive and conscious when I, er, when the magical accident happened - but we couldn't get to him for almost half an hour. By the time we got to him the spells didn't work anymore.: 

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Clarice takes about ten seconds to decide that she's not even bothering to try for an IV on this man right now. "IO kit?" she yells, and someone gently lobs it to her, and then she can skip right to drilling a giant needle into his shinbone. 

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What the fuck. Why are they– oh they're putting...something...in him...but why in the world is that supposed to help??? 

:...My colleague has a mind-Gift that lets her see - if there's a mind - even if someone's unconscious, and she saw something: she sends, because that's pertinent information. :But that was - two minutes ago? He might already be gone.: 

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Marian documents 9:47 am, rhythm: asostole, pulse: absent (no kidding), IO access established, 1 mg epinephrine. 

...Is Samora possibly continuing to have a telepathic conversation that Marian wasn't invited to. 

She clears her throat. "Samora, um, did you learn anything else about...?" 

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"Good heavens! Which god? Uh, she said a god exploded a miraculous shield around a country and something came out of the explosion and went a hundred miles and through ten feet of stone and hit him."

Possibly she shouldn't be hoping he recovers, if he's Evil and a god personally tried to kill him? But maybe she's misunderstanding and he was collateral damage, or maybe an Evil god tried to kill him for Evil reasons she'd object to, and anyway this building is clearly committed to healing everyone who comes in so as long as she's in here that's what she's doing. 

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What

 

 

That's a thing???????? 

 

 

Marian....will re-translate it to English for a hovering Dr Chadra in case he has the slightest idea how to translate that into, like, a diagnosis or a treatment plan. 

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:Vkandis. Our world has different gods than Golarion.: And a lot of other differences but now really doesn't seem like the time to get into explaining all of that. 

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Wow that's spectacularly unhelpful! 

"Ask about the initial presentation, were there symptoms before he collapsed? And how long since the arrest?" 

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Marian is feeling kind of overwhelmed at simultaneously being the translator and the person who has to Write Down All The Things, but there is an argument that it saves a step over having to convey the things to someone else who's writing them down and also it should get Marian out of having to do literally anything else.

"Samora, the doctor wants to know if she can tell us what it looked like when he was first injured, were there specific symptoms before he collapsed? Also if she knows how long ago he stopped breathing or his heart stopped beating." 

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Samora relays these questions! And adds "I think whatever you're doing is working, I can still see his aura."

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!!!!!!!!!!!!!!!!!!!!

Marian hadn't even considered that aspect of Samora's magical powers. What does that mean! How does it work, what can she– nevermind, later. It does leave Marian feeling like it's super fucking weird that Samora's magic can see him but not actually target him? But she's just going to report it to Dr Chadra and wait for answers on the other questions so she can report those too. 

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:I don't know his initial symptoms, but the others - a lot of vomiting, disoriented, most of them lost consciousness before the channel but it got them back up. There's some kind of damage everywhere in their bodies and they can't hold life-force properly, either what their body produces naturally or my Healing-energy or the energy from a channel. Lesser Restoration might help somewhat, one of the mages got one and was able to Gate them to safety, but I don't think it fixed the underlying problem. ...I think the most lethal damage was to the blood vessels, especially in the brain, it was causing the tissue to swell and that's dangerous very quickly. I think probably that happened to him and eventually his body forgot to breathe, but I can't actually see very much with Healing-Sight right now.:

Right, and there was another question. :...He was already like when we got to him. I don't know how long it's been. If - if I had to guess, more than a couple of minutes, probably less than ten.: 

Shavri has never actually sat and watched with Healing-Sight after a patient's heart stopped in order to gauge how long it would take to go from a weak but still-coherent life-force to the faint scattered-and-disconnected remnants she's seeing now. 

...Slightly brighter remnants?? That's really weird! Where would he be getting any additional life-force, it wasn't her, she hasn't at any point been able to get a useful link and she would need several million separate links anyway, which she cannot do because Healing-Gift doesn't work that way at all. 

She blinks, re-focusing on what she can see with her actual eyes rather than Sight. :What are they doing?: she asks Samora. 

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Right now, Dr. Harrison is preparing to intubate this guy! They know very little about the problem but they've already seen Samora fix someone who was literally brain-dead, it seems plausible that if they can get this guy back into some kind of spontaneous rhythm for, like, three seconds, then Samora might just be able to restore him to perfect health and that would be awesome. 

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Ohhhhhhh Shavri thinks she gets the thing they're trying to do and that's actually brilliant! She wasn't going to be able to get anywhere with Healing on convincing Leareth's body to start breathing again, that requires a working energy-loop in the relevant pathways and there's no way, but - if they can just avoid it entirely, make him breathe without any involvement in the process, that solves at least one problem.

Unfortunately it doesn't solve the problem where she also can't get his heart to do anything, and their technique for trying to do that is...doing more than literally nothing, going off the very very slight brightening of the bits and pieces she can still make out with Healing-Sight, but it's not working incredibly effectively. 

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9:48 am, patient intubated, still in asystole, pulse still absent, is she due for epi– no, but they're absolutely due to have someone relieve poor Fraser, he started at 9:46 am. "Switch on compressions," she calls out, and Lia takes over. 

(Marian briefly wondered if she should just ask Samora to ask the telepathic woman to include her too, since the telepathy clearly works on her and it seems dumb to be doing this much telephone about it, but on reflection, no, she absolutely cannot document an ongoing code and translate for their D&D cleric from another world and also be the contact point for their newly-arrived telepathic witch or whatever the heck she's supposed to be. That's too many things even if it feels like she's been Excluded From The Conversation and it's mildly upsetting Marian's brain can shut up about her stupid social-rejection feelings that should not even slightly apply here.) 

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"Vomiting, confusion, falling unconscious. There's some kind of damage everywhere in their bodies, they can't hold positive energy or generate any life-force themselves, sort of like an ongoing life drain? Lesser Restoration helped at an earlier stage. She thinks the most dangerous problem is damage to the veins in his brain making his brain swell up and forget to breathe? She can usually see a lot of this stuff but not right now, not sure if that's because he got worse or she's having a different problem. She found him like this, probably somewhere between two and ten minutes after he went down."

Relaying! Keeping the Detect Evil going! Being ready to pounce with a Cure Moderate Wounds the second the psion-or-something says it's a good idea! Refusing to feel embarrassed about how useless she's being, because everyone is useless sometimes! Honestly she should probably be being even more useless, she's the worst person to be relaying what with how only one other person can understand her, but everyone is busy and she doesn't want to make anyone do any more thinking unless the current situation becomes unworkable.

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Okay. Um. Wait how the hell does the telepathic person know how long, is she just guessing– oh Marian had failed to properly parse the earlier bit, apparently because she can literally see it, like she has CT scan vision or something, that's wild and Marian viscerally covets it. 

Also that would be so incredibly doomy if not for the fact that Samora can fix brain damage. But Samora can do that so they just need to...figure out why this guy isn't currently fixable with Samora's magic at all, and deal with that? Ugh, did Samora mention Lesser Restoration previously, Marian thinks she did but she failed to take notes on it or remember properly what it does except that it didn't necessarily sound like it would fix kidney failure or advanced COPD. 

Relaying to Dr Chadra! "She thinks he's been down somewhere between two and ten minutes? But the arrest was unwitnessed, they only got to him later for some reason. They, uh, I think they can guess his initial symptoms because there were other people affected – uh, vomiting, confusion, loss of consciousness. And an - ongoing...life...drain?" Marian isn't going to attempt to turn that into correct medical terminology because she doesn't know what it means but she feels so stupid saying it like that. "There's a spell called Lesser Restoration that Samora has, that helped, but at an earlier stage with the other patients. There's some kind of central nervous system dysfunction from vascular damage causing edema and rising intracranial pressure? She thinks that triggered a respiratory arrest."

Pause for breath. "She, I mean the robe lady not Samora, can normally - see problems directly? Like some kind of magic scan vision, I think, maybe? But it's not working, either because of his condition or, I don't know, maybe it doesn't work on Earth or something." 

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Well, Samora can at least see auras, right? Can she see anything useful for diagnosis? Also (Dr Chadra has been peering at Marian's documentation), she should have unlimited Stabilize, right? Is there any reason not to try that at regular intervals as a test of whether he's targetable yet? 

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Oh that's a good question. "Samora, Dr Chadra wants to know if you can see anything in his, um, aura, that might help us figure out what's going on? Also he's asking if you can just keep trying Stabilize on him repeatedly – uh, would there ever be a case where that doesn't work but a stronger spell would, or should it be a decent test for whether he's targetable at all?" 

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"The aura just tells me that he's fairly powerful and, ah, Evil, but yeah I can just spam* Stabilize, if it doesn't find a target then a Cure won't and vice versa."

Stabilize. Stabilize. Detect Evil. Stabilize.

*Term for using the same spell several rounds in a row. No etymological relationship to canned meat or bad emails.

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There’s nowhere on Marian’s paper to document that a patient is evil

…It’s irrelevant to his medical care and seems kind of personal. “She can just see it or not,” she tells Dr Chadra, “there’s no, like, health metadata.”

Marian thinks to worry that Samora might it distracting to be telepathied and need to relay it when she’s supposed to be casting her spell, which is the impetus Marian needs to realize that the whole telephone situation is dumb. Samora should ask the telepathic healer-themed-superhero-with-CT-vision to talk to, hmm, Dr Chadra directly. 

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There is some debate with the less-currently-occupied members of the medical team over what pathologies are implied by the list of symptoms plus “direct attack by a god”, which is foundering on the fact that it’s deeply unclear to anyone what gods can do.

“Let’s get some iSTAT labs and see what we’re dealing with,” Dr Harrison declares briskly. 

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Stabilize with an infinity symbol in her margin, mental note to get the iSTAT results written down as soon as anyone yells them because she’s learned the hard way that they don’t sync to the computer if a patient doesn’t exist yet in the hospital system, OH SHIT it’s 9:50 and Marian’s on timekeeping.

“Trade off on compressions! And I think we’re due for epi!”

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Stabilize is continuing not to work.

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Well maybe they have an explanation for why not! That’s the worst venous blood gas reading that Fraser has seen in his nursing career. Those are not numbers compatible with life.

“I’ve got pH of 6.17, bicarb of four, pCO2 of 110. Lactate is, uh, 21. …pO2 32 but it’s venous.”

     “Can we get an arterial—“ Dr Harrison starts.

“Please feel free, I’m not trying for an arterial stick when I can’t even palpate a radial pulse!”

     “Lytes?”

“I’m working on it, okay, you’re lucky I got a vein on this guy at all, it’s a slow one.”

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