:Awesome: She can focus on the heart, then.

It's still the heart of a fifty-year-old man who hasn't lived a particularly active or health-encouraging lifestyle, and there's a little bit of additional damage from when the tissues were starved of oxygen - this patient won't be climbing any mountains - but the electrical pathways that control the heart rhythm are pretty much okay now!

His kidneys are working! They'll probably never be as good as new, but it looks like, given another few days of lighter workload, they should be able to function well enough to get him off the machine. As of yet they're not putting out a lot of volume, in terms of pee, but with his circulation stronger, it the dialysis machine was able to filter some of the excess fluid out as well as the waste products in his blood, and his lungs are a lot less soggy now. 

The main lingering issue is from the broad diffuse inflammation in his body, a runaway out-of-proportion response to his injuries that's ended up doing more harm than good – though the glass city healers must have something to help with this, her Sight can faintly pick up that there's something nudging back against the relevant metabolic processes. Still, the immune response is making his blood form miniscule clots wherever there's irritation in his blood vessels, which has the dual effect of leaving him deficient on all the clotting-substances when it comes to actual injuries, and also threatening to clot off yet another of the plaque-narrowed heart arteries, though as yet it's only partly blocked.

She will get more saline and clear out some arteries and generally push against the inflammation response.

With a couple of hours of sustained work, she can get a noticeable improvement in both! Calming down the inflammation seems to be doing the patient's kidneys a favor, too.

Alice does at one point, while handing her a sub sandwich and giant cup of Coca-Cola from the Subway across the street (a food run was done by a bored resident), ask if she can aim a bit more Healing at his kidneys in particular. :It'll be easier on his body if we can get him off the dialysis at the same time as the bypass - he's nearly there but his kidneys aren't passing enough output yet: 

Coca-Cola is STARTLING. :Yeah, I can work on those a bit more:

Down the hall, Leareth dozes on and off; Marian's given him a cold pack to put on his forehead, which helps keep the headache to tolerable levels as long as he holds still. He's still waking a bit disoriented, but has the range back to Mindspeak Belrun for reassurance. 

Marian spends most of the morning in 114's room. 

She carefully and thoroughly bathes him, recruits Elaine to help change the sheets. Combs his hair. Shaves his stubble. She can't get him looking healthy or normal, given all the tubes, but she can get...somewhere. 

When the glass-city-Healers are ready to get 110 off some machines, Belrun's standing by in case this goes horribly wrong somehow.

His blood clotting is still a bit screwy and they would appreciate her help making sure he doesn't bleed when they remove the tubes going to the heart-lung machine! They leave the dialysis line in place, just to keep for a few more days in case he needs it again; it's a little smaller and less invasive, more tolerable from the point of view of infection risk. Though they'd appreciate if she could check for signs of infection just in case? And do something about it if there are any?

(There's a thin film of bacteria growing on the inner lining of the tube; they don't seem to be causing particular trouble yet but are murder-able.) 

Marian finishes her project, and talks for a few minutes with Dr Millinger, and then gives Leareth his antibiotics and refills his water and parks herself by his room to chart. 

Belrun tells the locals about the bacteria in case they have a better solution than her murdering them all. Also if they want her to draw one of the bacteria maybe they will know if it's even a bad kind?

Alice is so surprised and impressed! :Uh, sure, just a second - I'll get a specimen jar, you can pop it right in. Though it needs to be enough to get a culture of them going in the lab: She frowns. :I don't know what else we'd do about it; we know biofilms happen sometimes, we don't really understand how often they'll end up causing issues: 

:Okay, well, I can kill them if I need to but it's easier if there are fewer so it would be good to know if I need to soon:

:Oh - hmm, let me talk to Dr Millinger - I think the thin-film of them may not multiply fast? Maybe we can have you check it again in an hour: Her eyes twinkle. :You'd be incredible for research. Just so you know, if you mention this to Marian she won't stop asking you questions before tonight: 

:That's what I do at home, I'm a microbiologist:

:Wow! That's really quite something: Alice seems not to have time to dwell on it much, though. 

And when 110 is stable she goes back to Leareth to see how he's doing. Are any of HIS tubes growing anything?

No! Not yet, at least; he's had them in for a much shorter length of time. One of his arm IVs is a bit red and inflamed, though; not infection, but some sort of irritation in the vein. 

Well, that's relatively straightforward to handle with her skill level, which, like she keeps telling people, mostly befits a microbiologist. After that she mostly concentrates on his head.

It's making a pretty noticeable difference! Leareth is still immobile-by-preference, but mostly just because any exertion still leaves him short of breath; he's noticeably more alert and interactive with her, and when he dozes off and wakes - he's going to be sleeping a LOT for the next few days, Healing is exhausting - he immediately remembers where he is. 

Marian finishes charting and slips into the room, waving at Belrun. 

:Hey. I, uh, just wanted to apologize if it feels like I'm ignoring you this morning. Dr Millinger called 114's family and...told them the prognosis. Which we were already pretty sure of, at this point, you just confirmed it. They're coming in now - probably they'll want to be in there for a bit with him and then I'll take him off all the machines. I might be distracted by that: 

:That's okay, I can find Alice if I need anything:

:Thank you: 

The family trickles in; a wife with dyed-blonde hair showing dark at the roots, two teenage children. They go into 114's room. 

Marian fetches Dr Millinger, who goes in and talks to them in a quiet, gentle voice. (He's so much more friendly and warm and reassuring with patients than with the nursing staff.) 

He leaves, and Marian goes in and pulls the curtains closed. 

She comes out about five minutes later, head down, and slumps wearily into a chair by the desk in their pod, bringing up the patient's monitor display on her local screen; she's switched it to private mode in the room itself, and turned off every alarm. The family doesn't need to see or hear the details on their husband/father as he dies.