Still 24.

The staff stand around awkwardly for a minute, waiting to see if anything else is going to happen. They take another blood pressure. 

Her heart rate starts rising again, and her blood pressure is headed back to normal, too, when the machine gives its report.

"- Well, whatever that was, she's stabilized now," the resident says finally. "Uh, I...guess call me if she goes brady again? And keep the defib in the room just in case." 

The nurses disperse. 

The rest of the night is quiet.

The night shift nurse is in a very pissy mood by morning shift report, less because of this patient in particular and more just how the night's been going in general. 

"Mostly boring. She did the black-blood thing again. Your IVs were no good, I put in a new one, old ones I kept around." She shows Marian the black-pearl-stuff clogging the ends of the little plastic catheters. 

Ohhhhh gooood she is going to DIE of HUMILIATION she totally didn't check those IVs for...most of her shift... 

"Oh. I'm really really sorry about that -" 

"Whatever. She got another litre of fluids for low urine output, it bumped up after that but - hmm let's see what's in the bag since midnight..." 

10 ccs an hour times however many hours is... yeah, they're getting out almost exactly what they're putting in.

"Well, there's that. Electrolytes were beautiful though - I got them at midnight when she wasn't black, uh, just an FYI the lab won't run blood for her anymore if she's doing the black veins thing. What else - oh right she did a brady episode on us around four am. She responds bizarrely to meds but she stabilized. That's why the defib's at the beside." 

"- Huh. I don't get her body at all, she did a tachy episode for me but never brady. Why's she on propofol? She didn't have any sedation my last shift." 

"Huh– oh, that, I nearly forgot. She woke up on me a bit? Sat up, looked like she was about to bite someone's head off, then passed out again. I got the sedation order just in case. Resident came by at six and did a full neuro eval at the bedside, though, and no change from before. I think it's almost got to be a weird psych issue, don't you?" 

"...Nnnno? I have no idea what it is." Marian is trying very hard to tell her imagination that 'possessed by demons' is DEFINITELY NOT a real disease. "Anyway, thanks - looks like I've got your other two as well?"

Coma Guy and Leg Lifts Lady. Hopefully not as - interesting - as 113. 

The nurse gives report and flees in relief. 

Marian starts doing an assessment. Realizes she completely forgot to ask about GI stuff. She listens to the patient's bowel sounds, expecting to hear some more activity now that they're feeding her. 

...nope.

Uh oh? 

She gets out the 60cc syringe to pull back from the feeding tube and check the residual amount in the patient's stomach. 

She fills the tube.

Ummmmmm. 

After a few seconds of blankly staring at the contents of the syringe, which looks exactly like the tube feeds did when they went in, Marian goes and finds a clean plastic measuring-jar and dumps the contents into that. She tries pulling more into the syringe - can she get another 60ccs out? 

Yep.

...Concerning and kind of gross? Though it helps a bit that there don't even seem to be the usual stomach juices or bile mixed in, it's literally just...completely unmodified, undigested tube feeds formula. 

Marian dumps that into her measuring jar as well, and keeps pulling out syringes and adding them to the jar until she can't get any more. 

There's just over 250cc, all told.

Blehhhhh. 

She leaves it on the counter, and goes to find Dr Millinger, currently chatting with the exhausted-looking night resident. "I, uh, my patient in 113. Doesn't have any bowel sounds. And her tube feed residual was - everything that went in, I checked. She's, uh, just not digesting things. At all." 

"Oh. Well, hold feeds until rounds today, I guess." He clearly does not want to have to think about this right now. 

"Uh, sure." 

She goes back, discards the gross contents of her jar into the sink, and finishes her assessment. Anything else weird?