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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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Shavri is now so desperately curious to know how in the world angel (??) blood produces positive energy, apparently even when separated from the "angel"!

:Where does positive energy - come from, in other spells? The other thing that's different about your healing is that it's not tiring for you, either.: 

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"From the positive energy plane! All positive energy healing involves opening a tiny portal to the positive energy plane and directing the energy that spills out into a person or an area or whatever."

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:Huh, that’s fascinating! I wonder if you could imitate it with - tiny Gates, or something - it's the kind of thing Leareth could figure out, I bet, if it would work in principle...: 

 

Stare stare stare at Leareth. He...continues not to be deteriorating, at least not fast, the life-force leak is still there. Shavri could really wish for some actual improvement, and it would be great if his heart could stop that and do a normal thing instead, but she doubts there's a Golarion spell for that if Stabilize didn't already get it. 

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(He's kind of debatably improving! All the epinephrine in his system has got to be slowly wearing off and this isn't causing his blood pressure to rapidly tank! Honestly Marian is mostly relieved that they haven't run into some kind of Horrible ECMO Technical Difficulty That She's Unqualified To Troubleshoot. It's enough of a workload when everything is going perfectly right.) 

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Dr Chadra is virtuously resisting the temptation to get new labs any sooner than after an hour. He wants to knoooowwww but it won't be that informative yet. 

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...After about ninety seconds Shavri's thoughts are once again too loud and fast and clamoring to be out of her head. She's just going to narrate absolutely everything she's noticing in Healing-Sight to anyone who'll listen. 

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Dr Chadra is RAPT. (And starting to be really quite incredibly jealous of the CT Vision which it sounds like is a lot more than just that.) 

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By the time another twenty minutes passes, Marian is finally feeling like she has enough of a handle on the situation that a monologue won't throw her off. She'd like to be included. Healing-Sight is really interesting and cool and it makes her feel - oriented - which with this patient she conclusively knows sooooo few medical facts about, other than "was recently clinically dead" and then the interventions they've done about it. They don't actually really know what's wrong with him! "A god did it" is not a diagnosis. 

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And finally it's been an hour and they can get a full set of labs and then decide what they're doing next! 

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RENOWN REGIONAL MEDICAL CENTER - LABORATORY RESULTS
Patient: PURPLE, NINETY-THREE Collection Time: 10:55
MRN: TEMP-93 Result Time: 11:02
ARTERIAL BLOOD GAS (ECMO CIRCUIT)
pH 7.18 LOW (7.35-7.45)
pCO2 38   (35-45 mmHg)
pO2 280 HIGH (80-100 mmHg)
HCO3 13 LOW (22-26 mEq/L)
Base Excess -15 LOW (-2 to +2)
Lactate 12.0 CRITICAL (0.5-2.0 mmol/L)
BASIC METABOLIC PANEL
Sodium 156 HIGH (136-145 mEq/L)
Potassium 6.8 CRITICAL (3.5-5.0 mEq/L)
Chloride 108   (98-107 mEq/L)
CO2 14 LOW (23-30 mEq/L)
BUN 35 HIGH (7-20 mg/dL)
Creatinine 2.8 HIGH (0.7-1.3 mg/dL)
Glucose 185 HIGH (70-100 mg/dL)
Calcium (ionized) 0.85 LOW (1.15-1.35 mmol/L)
Magnesium 1.4 LOW (1.7-2.2 mg/dL)
Phosphate 1.8 LOW (2.5-4.5 mg/dL)
COMPLETE BLOOD COUNT
WBC 2.1 CRITICAL LOW (4.5-11.0 K/uL)
Hemoglobin 11.2 LOW (13.5-17.5 g/dL)
Hematocrit 33.8 LOW (38.3-48.6 %)
Platelets 45 CRITICAL LOW (150-400 K/uL)
ANC 420 CRITICAL LOW (1500-8000 /uL)
COAGULATION STUDIES
PT 19.8 HIGH (11.0-13.5 sec)
INR 1.8 HIGH (0.8-1.1)
PTT 52 HIGH (25-35 sec)
Fibrinogen 180 LOW (200-400 mg/dL)
HEPATIC FUNCTION PANEL
AST 890 CRITICAL HIGH (10-40 U/L)
ALT 650 CRITICAL HIGH (7-56 U/L)
Alkaline Phosphatase 195 HIGH (40-130 U/L)
Total Bilirubin 1.8 HIGH (0.1-1.2 mg/dL)
Albumin 2.1 LOW (3.5-5.5 g/dL)
CARDIAC MARKERS
Troponin I 15.6 CRITICAL HIGH (<0.04 ng/mL)
BNP 2400 HIGH (<100 pg/mL)
CRITICAL VALUES CALLED TO: Dr. Chadra, 11:03
READ BACK CONFIRMED: Yes
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Everyone crowds around Marian's computer to check out the labs!

 

Those are. Bad labs. Marian doesn't like them!!!!

...They're not dead person labs, though, and honestly a lot of his numbers are better than they have any right to expect? She's definitely worried about the low white count and the clotting dysfunction and the blatant signs of cardiac muscle damage, and he's definitely in frank kidney failure and his liver enzymes are not headed in a happy direction either, but she's...seen worse numbers than this, for most of the individual numbers? Admittedly not all at once on the same patient, that part isn't great. And she's not sure she remembers ever seeing a troponin over 10 before, that's like (hasty mental math) at least 300x the cutoff for an abnormal result, oof. 

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Shavri cannot read the numbers and wouldn't know what they meant if she could but she is maybe just going to skim Dr Chadra's surface thoughts to figure it out. 

 

Their artificial Healing-Sight is very cool! Shavri things a lot of it ought to show up to Healing-Sight in some way, but - subtly, in many cases, and not quantitatively like that, and different Healers always have slightly different training and experience such that it's difficult to compare assessments and reliably follow changes and trends. 

Shavri had been aware and tracking that his body's defenses against infection were substantially weakened, but she hadn't actually quite noticed the problem with his blood clotting – it's very easy to see with Healing Sight if an injury is bleeding more and longer than it should, even when the 'injuries' are the kinds of tiny internal bruises that patients get from being moved in bed, but Leareth has none of those right now, since that's exactly what a Cure spell targets. The underlying propensity-to-bleeding is harder to see. 

...The combination does give her an idea, though, and she goes and has a look and - oh no. She was right and she did not want to be right. 

:His bone marrow is - dying?: she tells Dr Chadra (and Samora and Marian.) :It's not - there's still some life-force there - but I don't think I can Heal it. ...Samora, it's the part that makes new blood and new - the part of blood that defends against illnesses - do you know if there's a healing spell that would put it back, if it's gone?: 

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(That is very interesting and Dr Chadra needs to Google something real quick over here.) 

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"Hmmm. I'm not strong enough to cast Regenerate but it can grow a whole cut-off arm back, so it's definitely possible in principle. That might be the only thing that can do it, since it's the only thing that can replace bones, but if the bone is there and just not doing the thing that helps fight off illnesses--well, I didn't even know bones were involved in that, but Restoration usually fixes people's ability to fight off illness, if we can get the diamond dust for it."

If Marshall was here he could maybe just fix the dead bones, or find a recently dead creature with healthy bones and swap them in, but Samora is definitely not skilled enough to try that.

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They should get diamond dust then!!! …Unfortunately it’s not like they can put in a pharmacy order for it. 

“Clarice, you’re on finding out how we can source some diamond dust this afternoon. Make it happen. - how much does the spell need?”

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????????????? Why is this HER job?????????

…She’ll wait to find out how much the spell needs and then, uh, go investigate.

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"About this much--actually, here, it's as much as these coins weigh together." She fishes three silver pieces out of her bag and hands them over. "That might be a little heavier than we need but the spell won't consume more even if I'm holding more, you can sell back the extra or save it for another casting." (If anyone has a scale, the coins collectively weigh about 14 grams.)

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Catherine thinks going on a quest for magical gemstones finding some diamond dust sounds kind of awesome, actually? She's happy to do it if Clarice will cover her (basically fully healed) patient in the meantime.

"Does synthetic diamond count? What if it's, like, glued to sandpaper? How finely ground does it have to be, if I get a few bigger diamonds and smash them with a hammer will that work?"

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"You can make diamonds? Easily enough that you'd smash one with a hammer?"

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"Yeah! They're cheaper than mined ones, I think, and they're chemically identical."

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"I need to learn how to make diamonds. That's--if I can get that information home it could change the course of history." 

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"I'll pull up some information for you on the computer about it! Do you have an answer to the sandpaper thing?"

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"Nobody back home would glue diamond dust to sandpaper! Because diamonds are expensive! I don't think it would work, though, I need to sprinkle the diamond dust on the patient over the whole casting time. Maybe if the sandpaper was shredded really really small, so it was a sort of diamond-dust-and-paper-dust mix?"

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"I'll try to find it loose in a bag first. Dr. Chadra, what kind of time versus budget situation are we looking at here?"

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"- I think we absolutely need it today but not in an hour - Dr Harrison, what do you think?" Also Dr Chadra cannot answer the budget question because he has no idea whether the hospital has any system for procuring possibly-expense not-strictly-medical supplies in a hurry, and he's a resident, he's personally pretty broke. 

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