Posted by Lieutenant Junior Grade James Rowe (Scientist) in Pre-Sim - Boarding Physical - James Rowe

Posted by Lieutenant Elaine Janvier (Chief Medical Officer) in Pre-Sim - Boarding Physical - James Rowe

Posted by Lieutenant Junior Grade James Rowe (Scientist) in Pre-Sim - Boarding Physical - James Rowe
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Rowe complied without complaint, taking a seat on the biobed. He shifted his weight a time or two to find a more comfortable position before responding to her query.

“A lot of the management deals with routine. I get up at 0430 to stretch and roll out with a lacrosse ball. I’m in the gym or holodeck by 0530, pretty standard strength routine and a walk. I had a coach one time who said ‘movement is medicine’ so I try to do what I can. Breakfast and a shower by 0700. I don’t work first shift, so that usually leaves me some time to read or entertain myself in other ways. I grab a quick bite before my duty rotation and go to work. I try not to sit or stand too long while I’m in the lab. When my shift ends, I grab dinner and go back to my quarters where I have a low stress yoga routine.” He shrugs.

Elaine nodded, routine was good and his was certainly a lot more stringent than hers which involved a lot of coffee, late nights and falling asleep at her desk. Enj was really the only part that sure she had at least a little routine as she’d take him for his routine walks and mealtimes. She had frequently had an on/off relationship with the running schedule she always intended to stick to.

“As far as more direct treatments go, I have weekly EMDR Pain Protocol sessions. It’ll bump to twice weekly on tough weeks. Previous docs have prescribed anti-inflammatories and nerve blockers, but I honestly don’t take those unless it gets bad or I can’t sleep. A good Old Fashioned or two have also been self prescribed from time to time.” He says casually.

Rowe

Elaine quirked an eyebrow at the last sentence but said nothing. She added it to her notes, but she wasn’t going to worry about it if it wasn’t frequent. The scans she’d do next would verify all the information he had just told her. Instead, she simply asked, “Do you know your shift schedule yet? I can book a regular appointment for your sessions, if you do. If you don’t that is fine, I’ll get your schedule off Lieutenant Commander Madison and have a nurse send through some appointment slots for you to choose from.”

Lt. Janvier, CMO

“My current duty rotation has me on second shift. No need to get the boss involved.” He said casually as a wry grin crossed his face, leaving the implication open as to whether he was referring to the CSO or the nurse as the boss.

Elaine nodded and added the information into her PAAD.

At the suggestion of regular appointments, it was his turn to quirk an eyebrow. “Regular sessions of what, Doc?” He asked, his tone suggesting genuine curiosity as opposed to any kind of concern.

• Rowe

“I’d like to do another scan with you each week for the next month.” Elaine spoke quickly, realising she’d been so eager to kick into working again that she was running ahead of herself. “It will give me a better baseline for where you are at. Since you have a lot of change, right now the scans I’m get today could show information that will be different to what I get next week. And to be frank there are parts of your medical profile that are vague or missing. I’m assuming that even my rank is too low for it’s classification. Or your doctor was incompetent. Either way with I’d like to have my own references.”

An amused smile crossed Rowe’s face at the doctor’s quip about his file, “Well Doc those truths aren’t mutually exclusive.” The humor in his tone was palpable as he found himself enjoying this appointment more than most medical interactions allowed for. It was nice to have a doctor who didn’t look at his file, throw up their hands, and do just enough to check a box before sending him on his way.

Elaine raised an eyebrow, “Aren’t they now?” she asked rhetorically.

She paused, “From my experience neurological conditions should have regular monitoring. At the end of the month we can discuss how regular those scans can be.

Lt. Janvier, CMO

James nodded at the statement, “Alright Doc, you’re the boss.” He said, the amusement never quite leaving his face.

• Rowe

Elaine looked satisfied, “Good. Now if only all of my patients respected that.” she grinned, “but where would the fun in that be? I love arguing with the stubborn ones about why they shouldn’t stop taking their seizure medication after they’ve decided to go off them because they are no longer having any seizures.”

“Now that we’ve finished the Q&A, make yourself comfortable and I can take a quick scan to add to your check-in documentation to say that you passed.”

Lt. Janvier, CMO

Rowe grinned at her statement about arguing with stubborn patients, “I don’t know if I should feel offended to not be among the ‘stubborn ones’ or if I should take that as an invitation to be more obstinate.”

Elaine laughed softly but made no comment.

Then Rowe settled himself into a more comfortable position on the biobed.

“I guess there’s plenty of time to change your opinion though.” He bantered casually.

Rowe

“Take your time, you have a whole career ahead to do that,” Elaine responded, beginning the scans, “Just when you do it, make sure you do it well.” she looked away from the monitor for a second and looked at Rowe, “You’ll only be doing it once,” she joked despite knowing well that nothing about her said intimidating.

The machine beeped stealing her attention back to read the results of his scan.

Lt. Janvier, CMO

The amusement lingered on Rowe’s face for a moment before fading into comfortable silence. He’d always found there was something reassuring about watching competent people work. Whatever else might be said about doctors, they tended to reveal who they were the moment a scan began.

SCAN RESULTS
Physical Assessment

General Physical Condition

Cardiovascular health well above Starfleet averages for age and assignment.
Musculoskeletal development consistent with regular strength training and conditioning.
No signs of current injury.
Minor compensatory asymmetry in weight distribution and posture consistent with documented gait irregularity.
Overall physical health assessed as excellent.

EMH Correlation Analysis:

Physiological condition exceeds projected benchmarks for patients exhibiting comparable chronic neurological findings.

Neurological Assessment

Baseline Findings

Elevated activity across several pain-processing neural pathways even while at rest.
Patterns consistent with a patient experiencing chronic neural discomfort.
No evidence of active degeneration or progressive neurological disease.
Neural architecture stable compared to prior records.

Interesting Observation

Despite elevated pain signatures, corresponding stress-response pathways remain unusually regulated.
Autonomic nervous system shows adaptation patterns normally associated with years of successful coping and conditioning.
In simple terms: the nervous system behaves as though it is carrying a constant burden, yet the rest of the body has learned to function around it with remarkable efficiency.

EMH Correlation Analysis:

Neurological compensation mechanisms appear highly developed. Chronic pain indicators remain present, but functional impairment remains minimal.

Flagged Observation

Unusual Neural Harmonics

Baseline scan confirms the presence of previously documented harmonic resonance patterns.
Resonance remains stable and appears integrated throughout multiple neural networks.
No evidence of active pathology.

However:

The harmonic signatures do not remain entirely static.
During active interpersonal engagement, harmonic resonance patterns demonstrated minor but measurable fluctuation that falls well within safe parameters.
No known neurological condition fully explains the phenomenon.

EMH Correlation Analysis:

Harmonic fluctuations appear responsive to cognitive or emotional engagement rather than physiological stress. Clinical significance unknown.

Elaine’s brow furrowed reading the scans before her. This was something interesting. Something she had never seen before and given how she spent most of her free time curled up with a coffee reading through medical papers and journals when she wasn’t going through staff records or puzzling over best treatments for complicated medical issues. She lived in the medical world, maybe more than she should and probably why her cousin had given her Enj. It was very rare that something presented itself to her that she hadn’t at least knew something of.

She decided she’d flag it to slot in amongst other cases she was studying and projects. She was glad that she was going to be getting him in regularly for a while because she’d be able to get a better idea of its patterns and give her more to study on the side.

“Well,” She looked up and smiled, “I’m happy to say that I happy to sign you off as fit for work. Unless you have any further questions then you are free to go and I’ll book you in for another appointment so I can have a follow-up check-up with you.”

Lt. Janvier, CMO