Posted by Captain Dira Myqian (Commanding Officer) in Primary Sickbay- Private Consultations

Posted by Lieutenant John McCandless (Head Nurse) in Primary Sickbay- Private Consultations

Posted by Lieutenant Solal Segal (Oncology and Immunology) in Primary Sickbay- Private Consultations
Posted by… suppressed (8) by the Post Ghost! 👻
<snip>

At first Dira said nothing, but then she nodded. “Let’s keep going then,” she said softly. Myqian had a medical degree, but she residency had been in psychiatry. Still, she knew physiology enough to parse the potential problems they were facing.

Captain Myqian, CO

John raised an eyebrow. Hashimotos. Intriguing he thought as he listened to the next lot of required tests. John grabbed a second hypospray and walked over to Dira, ready to take more blood samples for the antibody tests.
“May I Captain?” He asked waited for permission to proceed.

Lt John McCandless, Head Nurse

Dira gestured with a flourish towards her arm. “By all means,” she said. At least she could sound neutral about the whole situation, even if inside, she was stressed. But answers were the goal, so she had to be open to the process.

Captain Myqian, CO

John placed the hypospray on Dira’s arm and drew the required blood again and walked over to the testing station. He ran the scan of the blood sample and waited patiently for the results. He was surprised that she was seemed so outwardly in control of her reaction to the news that she might have an autoimmune disease. He made a note to talk it about later when it would be more appropriate..
Lt John McCandless, Head Nurse

His surprise floated over her sense and Dira just watched as he took the sample. She wasn’t sure if she should say something, and as she had more or less reminded herself lately, just because she sense something or picked up on someone’s thoughts to easily, didn’t mean it was okay to let them know that. She chided herself for not wearing the headband Solomon made for her.

As the computer analyzed her blood, the antibody test results were very curious: there were negative for all the conditions they were testing for. Whatever it was, it wasn’t a specific autoimmune disease, even though it was making her body react as if it was.

Captain Myqian, CO

John looked at the results, if he was surprised before he was certainly was now. Dira would be able to feel it. He turned to Solal.
“Doctor, come and take a look these results.” He said thoughtfully wandering what the Doctor would think when he saw the negative results.

Lt. John McCandless, Head Nurse

Solal checked the results. “Well, Captain, you do not have hypothyroidism. I still find myself certain we’re looking at an autoimmune condition, but finding which one can be tricky. Unfortunately, which one plays a major role in treatment.” He thought a moment, “Are there any other symptoms you might have forgotten earlier? Perhaps even something minor you didn’t think worth mentioning?”

~ Solal

Dira steadied herself by taking a slow inhale. “I told you about the sleep issues, so um… ” She frowned, racking her brain for anything that she should mention. She went to say something and then stopped herself, frowning more deeply. “Well, I feel warm after a workout. But not the usual sort of heat that comes with exertion. Like really warm? But it goes away when I have a sonic or water shower and I just assumed it was the rest. But I also feel rather tired after those workouts too. Even doing the simple rehab exercises for my dislocated wrist and shoulder. The wrist required further surgery so I’ve been extra careful with it and doing the physical rehab I was prescribed.”

“And I know after the whole thing with Franks”-she waved her hand dismissively-“I was having some… issues, afterwards, but the anxiety and panic attacks have been… easily explained.

Captain Myqian, CO

John listened as Dira spoke, she hadn’t mentioned the sleep issues to him. He wrote it off as something her and Solal discussed before brining him in. He notice that she went to say something but didn’t. He made a note to ask her about that later. He listened to the rest of the symptoms. Could it be diabetes? He thought to himself. The symptoms sort of fit, but he wasn’t a Doctor so didn’t suggest it outright.
“Do you have any pins and needles or numbness in your feet or hands?” He asked.

Lt. John McCandless, Head Nurse

Dira shook her head. “No, nothing like that. Just the aches around my body, especially areas I’ve recently injured.”

Captain Myqian, CO

No nerve disorders, then. Connective tissue perhaps? But which one? “Feeling tired with exercise can be the fatigue. The warmth could be an autonomic nervous system problem, but it’s a reach…” Solal frowned. “How are your reflexes?”

~ Solal

Myqian blew out a breath. “I mean, fine? I guess. When I’m tired, obviously things are more difficult, but I don’t feel like things are impacting me in that way. Then again I haven’t exactly been doing range practice lately.”

Captain Myqian, CO

John listened intently to Dira, his thoughts racing trying to think what it could be. So far the only tests they’d done had been blood work, maybe a scan might show something? he thought. It was definitely a puzzle, they just had to fit all the pieces together. John turned to Solal.
“Is it worth doing a scan and or testing her reflexes Doctor?” John asked.

Lt. John McCandless, Head Nurse

“Do both,” Solal said to McCandless. “What we need is more information, and while testing randomly would be illogical, a scan and a quick reflex test do not take long and may give us relevant information - even if that information is we’re not on the right path.”

~ Solal

John nodded those were his thoughts exactly. More information was required.
“Aye Doctor.” He replied picking up a medical tricorder from the table and walked over to Dira.
“Captain, I’ll do the scan first. Then we’ll test your reflexes. Let’s see what’s going on.” He stated with a smile and began to scan Dira.

Lt. John McCandless, Head Nurse

She gave a small nod, and though she managed to smile back, it didn’t quite reach her dark eyes.

As the tricorder displayed her results, a few things would be of note when compared to her baseline:

-her cortisol levels were 30% higher than normal, not only indicating that she was stressed, but that her body itself was stressed. This could indicate an issue with her adrenal glands.
-her weight had dropped 6%, which might not be too much considering her previous good health, but was currently unexplained given her fatigue made exercising harder for her recently.
-it was brief, but it seemed that her heart beat was irregular beyond a single skipped beat, but then it went away.

As he did the scan, Dira braced her hand on the bed as if to hold herself up and closed her eyes. “There’s that dizziness again. It was only slight though.”

Captain Myqian, CO

John tapped the desk thoughtfully as the the scan results came in. The issue with her cortisol definitely could indicate adrenal issues. He immediately though cancer, but he had thought that had been ruled out. He could be wrong though. He turned to Solal.
“Doctor, the results of the scan are in.” He said handing Solal the medical tricorder.

He then noticed Dira and made to support her. Feeling concerned.
“Are you alright Captain? Please lie down.” He said.

Lt. John McCandless, Head Nurse