Oh right she still hasn't explained. :There's not going to be much point to the Cures more powerful than what you're calling Cure Light. People from our world don't have the - extra life-force capacity? - that spellcasters from your world seem to get, even if they're very powerful and experienced.:

Pause: :- Definitely use both Lesser Restorations now, or rather after the healers say they're ready for that. That isn't what I wanted to space out. He's got barely any of - the thing our cleric was calling Endurance? - but it's very recent damage, I think Lesser Restoration ought to put it back, and we can keep one in reserve. And then probably burn the Comprehend Languages for a Cure now, I can just translate with Mindspeech anyway if there would be a need for that, and that leaves us with up to four more to spread through the day– er, remind me what Remove Sickness does? I'm not sure if it's going to be directly useful...: 

Samora has fourth circle spells!!!! That probably changes a lot of things but Shavri needs more breathing space to think about it, she'd been forming her own mental plan entirely around Blai only having up to third circle. 

"I can do that. Remove Sickness makes it easier to recover from diseases and if you're nauseous it makes you not nauseous for a little over an hour. I've been expecting to turn them all into Cures." Do the other Earth medics look like it's a good time for the Lesser Restorations now?

(She has, and then tosses aside, the thought that if Leareth starts attacking people once he's healthy the lack of adventurer vitality will help her odds of stopping him. Most Evil people are saner than the ones she's been dealing with under the Gauntlight.)

(Given everyone else's symptoms, something to fix nausea might be a little bit helpful, but it's only an hour, and it's not critical, they can keep him well-hydrated regardless - which is so useful!!!!! - and whether Leareth is comfortable is currently very far from the top of Shavri's priority stack.) 

Dr Chadra would like to see this guy try to cast a portal spell while on 50 mcg/kg/min of propofol and a 100 mcg/kg loading dose of vecuronium plus an infusion at 50 mcg/kg/hour. 

"...Ummm yeah now would be a good time for more healing." His blood pressure really hates it, despite the fact that they've given him at least 15 doses of epinephrine over the last however-long. Marian is briefly filled with a mental image of all of that hitting him at once and him literally turning into the Hulk or something. 

Lesser Restoration! Does it do anything, either to his face or to the beeping Earth machines' symbols?

Marian thinks he looks better! It's the kind of thing where she has no idea what she's noticing, specifically, but it's gone from "she would be incredibly freaked out and frantically trying to summon help if she were alone in the room with him" to "well, it's not great, but he's really only around 80th percentile on Concerning Vibes."

It's also definitely helping with his vital signs! Not the part where he's still in some kind of truly bizarre wide-complex rhythm – it's at, like, 90 bpm, which would be a perfectly sensible and unsurprising heart rate if he were in sinus rhythm, but it's insanely fast to be an idioventricular escape rhythm and not nearly fast enough to be V-tach, what even is that. But - with a lot of additional help from the ECMO, admittedly - it's producing an art line blood pressure reading of 103/63 which is actually a lot higher than the bare minimum she's looking for. O2 sat reading at 97%! That could still be mostly the ECMO and not him but it's a happy number. She likes that number. 

It's a drastic improvement on Healing-Sight! It's a little bit complicated to compare, because Randi had no injuries – a channel would never have done anything for him at any point, she doesn't think – and Leareth has an awful lot of injurylike things wrong with him even if they're not visible to the naked eye, but...the part where some kind of fundamental underlying stamina for being alive is draining away is very recognizable. Leareth...looked about as badly off on that particular aspect as Randi did before his first Lesser Restoration. (And would have died of it a lot faster with only her efforts, because he's also injured and barely had any capacity to absorb or benefit fro Healing; Randi probably had weeks, but even a moderate injury - a fall down some stairs and a broken hip, say - would have finished him off within a day.) 

Anyway, just like with Randi, it hasn't brought him anywhere near back to normal but the relative difference is almost absurd. It's easy tripled his total capacity to hold life-force and tolerate Healing. 

...It didn't do much for the injuries, of course, and it didn't touch the ongoing life-force drain. She knew that already, though, it was the same for Nayoki. 

They have...five?...total Cures that won't come at the cost of stronger spell slots. If she assumes dawn was four hours ago, that's twenty hours - no, twenty-one, the prayer itself takes time - one every four hours. 

She's...not sure that Leareth right now could hold onto enough of the positive energy from a channel to get him through four hours. 

:I think he'd benefit a lot from one more: she sends to Samora. 

He can have another Lesser Restoration, then, and probably she should immediately follow it up with a Cure Light while he's most able to benefit from it, does that sound right to Shavri?

Yes, that's Shavri's thought! It probably doesn't matter much if it's within literally six seconds, she thinks he's going to re-accumulate the damage that the Lesser Restoration addressed but it's a lot slower than the life-force draining out of all the metaphorical cracks in him. 

It really doesn't seem physically possible for him to wake up and try to portal out of here on this much sedation, but apparently Marian is going to be anxious about that possibility anyway!

Positive energy: it solves like 20% of all problems. Minus one Comprehend Languages, plus one Cure Light Wounds.

Okay that was more like it!!!!!!!

...He's still worse off than anyone else looked when she left. Not, specifically, in ways that are going to kill him that much faster? The worst element is the life-force drain and he's...not, actually, leaking faster than the others were. His brain looks okay. Structurally, at least, she's not a Mindhealer and she has no idea if there are subtler problems that will affect his mental functioning. 

There's definitely a lot of other damage they didn't get, damage that has more in common with what was wrong with Randi than with an injury. Some kind of inflammatory nerve damage in particular, she's sure some of that was happening with the others but...Leareth got most of the way to dead, he really should be dead, and it's a lot more advanced, and apparently a Cure doesn't fix it. He's going to have a lot of trouble moving his limbs on purpose even once he's awake and not paralyzed. (And they should not arrange for this to happen in that order! It's very important that it should be the other order!) 

...Also his lungs are surprisingly problematic! Shavri had really thought most of the problem was them having spent more than thirty minutes pounding on his chest as hard as possible, on top of whatever direct injury the attack inflicted, but...there is definitely a non-injury problem in there.

(Shavri is thinking out loud to Samora and Marian and Dr Chadra and honestly anyone else who seems like they might hold still for it. She's having a lot of thoughts very fast and they don't want to stay trapped in her head.)

....It looks like an infection, actually, ohhhhhh, that makes perfect sense, Leareth was alone and slowly losing consciousness and also suffering from a problem that they know caused severe nausea for everyone else, yeah it's not surprising at all that he got a bunch of vomit in his lungs. The Cure fixed all the direct tissue damage but it doesn't get diseases, and that's a surprisingly severe pneumonia for it having been less than two hours, but there was a whole period when his body's defenses were totally down. The lungs have various active processes for getting rid of things that should not be in them and they weren't doing any of that for a while. 

They have a Remove Disease but that's a particularly expensive spell and she'd love to hear other ideas. 

Oh they should definitely put him on alll the antibiotics. And then maybe wait a while and see how much difficulty it's actually causing him? If his lungs are in enough trouble that they can't get him off the ECMO at all, it's probably worth a third circle spell up front to address that, but if he just needs ventilator support for a few days while the antibiotics work, that's fine. There are almost certainly other patients in the hospital who aren't likely to die of an infection today but a Remove Disease could still get them from a 50% chance of leaving the hospital alive to a lot better than that. He's definitely nervous about doing anything other than the maximum they can possibly do for this guy, so...ideally they would keep it in reserve as long as possible in case he does need it today? But he might not, it seems like having an infection isn't nearly at the top of his list of problems by severity. 

(Leareth is going to HATE the tube for helping him breathe, Shavri is pretty sure, so it's not entirely "fine", but...he probably wouldn't want her to prioritize that over maybe saving someone else's life even if it's the probabilistic kind of saving-a-life. She's happy with that plan.) 

"Uh, is Remove Disease more likely to work if you use it early? I remember you said there's a failure chance but I'm not sure if anything affects that or if it's, like, random?" 

"I've never heard of any patterns in it other than some diseases being harder to get rid of--scarlet leprosy is especially difficult, diarrhea is especially easy, that sort of thing. Which doesn't mean there aren't any, but if I had to guess it'll be as good odds tonight as now."

:I’m inclined to wait: Dr Chadra tells Shavri. :But do tell us right away if you see significant deterioration. For now, we’ll leave everything exactly as it is and recheck labs in an hour.:

Shavri has plenty to do but just holding a link and monitoring him with Sight doesn’t take her full attention, and right now Shavri feels a desperate need to be fully occupying her brain with something useful at all moments.

Marian is clearly busy and will resent a conversation but Samora doesn’t seem busy at all!

:I’m curious what you know about how the healing spells work?: she asks. :I never had a chance to get into it much with our cleric, there was an - emergency that wasn’t mostly healing related - more or less the entire time. Or I can answer questions about how our healing works, if you’re curious!:

"It sounds like you know a lot more about your healing than I do about mine; I mostly fight things. Is your healing the sort of thing anyone can learn, or is it inborn or from a god?"

:Inborn! Or, rather, potential is inborn, and sometimes it awakens but we're not sure of the conditions for that. And it has to be learned – I mean, even entirely self-taught Healers will usually figure out how to do basic things without killing their patients, but without any instruction they probably will kill at least one patient in the process of figuring it out, and only genuine prodigies can get very far that way. With training, though, there's - I don't know that there is a limit to how complicated the things you can do are, though there's a limit to how much Healing a given patient can take at once, because even with a really skilled Healer, almost all of it works through the existing pathways for natural healing in a patient's body, and some of the energy has to come from them. I'm mostly avoiding doing any direct Healing on our guy, other than holding a link, because I don't think he would have much stamina for it right now.: 

How does their guy look now? 

Not worse! Like, really terrible, but not deteriorating fast enough that Shavri can see a difference from three minutes ago. 

She'll take it! 

"That's really cool! And it sounds like it might combine well with divine healing, since positive energy basically works by giving the body more energy to heal itself with. If there was some way to 'catch' the positive energy from a Cure spell and feed it to a Healer and their patient at a pace where the Healer could direct it, maybe. Celestial healing works sort of like that but it needs angel blood and I don't have it or the spell for calling an angel to buy blood from today."