Posted by Lieutenant Junior Grade Leah Hart (Nurse Practitioner/Counseling) in Sunrises on Risa

Posted by Lieutenant Junior Grade Leah Hart (Nurse Practitioner/Counseling) in Sunrises on Risa

Posted by Lieutenant Kreed (Chief Medical Officer) in Sunrises on Risa
Posted by… suppressed (8) by the Post Ghost! 👻

(snip)

Reems’ frown deepened. “I have no idea myself, but I promise you I’ll look in to it. I will say, and I’m not trying to make excuses, but we are a much smaller facility and we don’t have the resources of one of the full trauma centres in the cities do. But I will investigate,” she said in earnest.

“Anything else you need in the meantime?”

Downstairs in the ICU, the Sentinel’s med staff went about their orders, with Syliva leading the very careful examination of their coworker. It was unfortunate that it was so much later, and that Leah had fallen into the water. It made certain aspects of this trickier. McMahon was recording everything they did and adding it to the new copy of Leah’s admission file. The ward staff seemed to have at least gotten the message that their cooperation was in everyone’s best interest and they were not interfering and making sure the trio had the resources they needed, though for the moment Kham stood as a sentinel at the door to Leah’s room until security arrived.

~Leah Hart, NP

The monitors suddenly beeped urgently. Hunter read the screen and was on the move to Leah just as she started to have a clonic seizure. “Kham, we need you!” Sylvia said. “Call one of the nurses too.”

“You two, get her on her side and protect her airway,” Hunter told Sol and Kham. “I need a moment to work out our drug options.” The seizure wasn’t necessarily dangerous, but it was the third one since Leah’s surgery. Regardless of the risks, they needed to get the psilocin out of her system to reduce the more serious risk the seizures posed. They had no way to know if it was the hallucinogen and or the concussion, but either way, her nervous system ultimately needed less input.

One of the nurses hurried in. “What do you need?” she said, highly focused as she watched their patient seize. Sylvia held up a finger.

The challenge was that the standard seizure treatments were both stimulants and neither was ideal for Leah’s ‘high’. Ideally, they’d use a depressant. However, tricordrazine was also good for reversing hallucinogens and the alternative Sylvia had mentioned earlier wouldn’t work fast enough. Unfortunately it was also a stimulant. It was a balancing act: they could treat the seizure and the psilocin but not actively at the same time. Sylvia blew out a breath and grabbed a padd, calculating dosages of both drugs that factored in Leah’s higher metabolism.

She moved back over where Leah was still seizing. “Time?”

“Two plus,” McMahon said, watching the time on the screen.

Sylvia felt more confident that the seizure needed treatment, but they still had time. Not a lot, but some. “Okay, we need 10 ccs of impedrizine, now. Then we’ll follow up shortly after with 1.5 cc of tricordrazine.”

The nurse moved over to the secure med storage and used her access, prepped the hypos and handed the first to Hunter.

“What about her heart given everything?” Sol said.

Hunter nodded. “I know,” she said, injecting the impedrizine into Leah. It would kill the effects of the psilocin immediately. She counted to ten. “Time?”

“Coming on three minutes.”

Sylvia blew out a breath. She held out her hand and the nurse set the hypo with the tricordrazine. Hunter checked the dosage (this one was particularly potent) and then administered the drug. Within a few seconds, Leah stopped shaking and they sighed a collective breath as her vitals stabilized.

“We’ll keep a really close eye on her cardiac function and I suspect she’ll wake up anytime now,” Sylvia said, though she was in no hurry to rush the woman to consciousness. “Kham, we’re good for the moment. You can go back to waiting at the door for security.”

Kham rested a hand on Hart’s head for a moment and focused on their new friend. ” You be good, you hear?” she said softly, before moving back into the hall so security would know where to find them.

Sylvia took up a spot on the other side of Leah and finished the last bit of the exam. So far, nothing concerning as far as unnoted injuries but there was one detail that may or may not be important for Leah herself later. There were just too many variable here that made unravelling this situation clearly so much more difficult.

~Leah Hart, NP

It was in the midst of all that chaos that Lt Tracy Morgan had arrived. She’d only been told there was an issue and a crew member was unconscious in the hospital. That was all Tracy needed to be on the war path. She recognized most everyone, she made a point of it. She’d been with the Sentinel since she had been recommissioned. When Kham came to the door she was standing, back to the door, watching the corridor. She glanced over, “What do you need?” she asked kindly.

Morgan

Relief swept over Leah’s face and then braced herself with a steadying breath. “Lieutenant Hart has had an accident and ended up in the hospital with a head injury that required surgery. The accident occurred while on a hallucinogenic drug. As best we can, the hospital staff assumed that it was some fun gone bad, but the amount still in her system suggests it was a really high dose, which would have been potentially dangerous given her metabolism and we question whether Leah would have done that intentionally. Dr. Kreed doesn’t want to assume so and thus need someone to investigate. The local constabulary were not notified when she came in as an unknown patient, but I think someone might know now and I assume someone would come by anytime now.” Not that Kham was certain about that either.

~Leah & Co.

In all the things Morgan had seen Hart do since she came aboard, over indulging in recreational drugs was not one of them. “If that is the case, and Lt. Kreed is not one to exaggerate, then we need to leave someone here. I will contact Lt. Anders to send an investigative team down, and I will stay to guard her. I will need written statements from all of you. The last time you saw her, who she was with, what she was doing, when you noticed her missing, as well as your Medical evaluations. I know you all are caring for her, but if you could start on those while the memories are still fresh.”

[O] Morgan to Anders. We need an investigative team here at the hospital on Risa. Lt. Hart was assaulted.[C]

Cpt. Asam, CO

Bump

“Potentially, Lieutenant… potentially.” the Saurian doctor said from the doorway. “We are simply not dismissing the possibility.” He walked up to the bed and looked at Hart. The horizontal lids blinked, followed by the vertical. Shifting his vision through the light spectrum, he saw the heat coming off of her as she cooled down from the previous episode, and saw the cold mark of the hypo. He turned his head and looked at Kham. “Another seizure?” he asked flatly.

Kreed, CMO

Kham nodded but Sylvia answered. “Three minute duration. Not terrible, but not ideal. Given it was her third seizure, I weighed the risks and it no longer seemed prudent to let the psilocin dissipate on its own, especially if it was potentially causing the seizures. Which we still don’t know. But I gave her impedrezine to kick the psilocin out of her system, gave it a short time before I gave her tricordrazine for the seizure. So, given the stimulants, she’ll likely wake up soon. But we do need to monitor her heart function carefully. I had to give her a fairly large dose because of her metabolism.”

Kreed nodded once in approval.

”=^= On my way Captain,” Marcus replied. Mere minutes later, the Security Chief - along with two of his junior officers, armed with phaser pistols materialised in the centre of the area surrounding the body, “How long since the assault took place?” Marcus asked, all business.

-Lieutenant Junior Grade Marcus Anders: Chief of Security-

Kreed took a breath and said “We don’t know there was an assault, Lieutenant. But the circumstances surrounding Lieutenant Hart’s injury do need to be investigated in order to eliminate that possibility.”

Kreed, CMO

One of the ICU nurses came over, looking livid. “Excuse me, you cannot bring weapons in here. This is a hospital!”

Kreed looked at her and said “Our apologies, Nurse. It is, but Star Fleet Security Officers on duty are required to be armed. We can discuss the conflicting policies after we have ensured Lieutenant Hart is stable.”

It was about time that one of the local constables arrived on the ward and approached the group, studying the various dynamics at play. The Risian woman took everyone in in turn. “I’m Constable Tai Maliia. I’ve gotten a brief version of the situation. The security officers can stay but weapons must remain unarmed and holstered at all times. Now, Let’s see if we can figure this all out, shall we?”

Kham handed the constable a PADD. “That’s everything we can collectively remember from last night and this morning. The hotel can confirm times of our coming and going.”

~Leah Hart, NP

Kreed didn’t acknowledge the Constable at all, he simply began running specific scans to either eliminate or confirm the possibility Lt. Hart had been assaulted. The thought made him grind his teeth together, although he remained nonplussed to anyone looking at him.

Kreed, CMO

Sylvia watched Kreed for a moment before tapping the padd on which she was gathering the full case history. “I went through the ER report and it matches what I’ve found so far. There’s no obvious signs of injury other than the ones she sustained from her fall. That includes some contusions and abrasions along her side when she hit the patio lounger and then the deck,” Hunter said. “I’ve seen no other signs of injury that they might have missed due to being focused on her more obvious and serious injuries.”

His scans would show much the same. Other than the increased heart rate from the medications she had just been given and the need to check her neurological status once she woke up, Leah seemed okay. But there was one detail he would note in one of the scans that Dr. Hunter also had, which she showed him on the padd: the presence of seminal fluid with DNA corresponding to a male Ardanan. Sylvia knew it still didn’t mean anything but it was something Leah would have to reconcile and contend with once she woke up.

Which given her LOC (Level of consciousness) had been on the rise, it was not a surprised when Leah started to stir. “People coming out of a psilocin high can still have effects lingering in spurts for hours or even days after, so we should keep that in mind as people interact with her,” Sylvia said to Kreed.

Leah murmured and blinked her eyes open but then closed them for a few moments before trying to open them again. “Dios mío… my head. Hurts,” she said, keeping her eyes closed given that everything hurt so bad.

~Leah Hart, NP

Kreed set his scaled hand on hers and said “It’s Kreed. Stay still, Lieutenant. You have had an accident, but you will be fine. You suffered some head trauma, but you are in the hospital. We are with you. I need you to relax though. There will be time for questions when you feel up to it .”

Kreed, CMO

Leah nodded slowly and tried to open her eyes but squinted. Her head was pounding and it made everything in her head echo. Her heart rate was also still a little higher than was ideal.

“Hey, it’s Sylvia,” Hunter said, touching her other arm briefly. “How bad is the pain on a scale of one to ten?”

“Eight,” Leah said softly.

“Okay, we can help with that, just hold on.” Slyvia moved over to the cart they still had there from earlier and grabbed an analgesic. She moved back to Leah and administered it. “Morphenolog,” she said and held up two finger to Kreed so he knew how many milligrams she had given. It was a moderate dose and they could have given her more but Slyvia didn’t want to add too much more to her system just now.

As the medication moved through her system quickly, Leah felt the pressure and pounding in her head lessen and she breathed out more easily. “Hospital. Where are we?”

~Leah Hart, NP

Bump

Bump