Well, the bishop is pretty confused by this male (???) dragon from another universe (???). But he will still take time out of his Saturday to explain things.

And Ipaxalon politely appreciates it despite all the INTERNAL SCREAMING. 

...eventually he will thank the good bishop for his time and depart. The man really did seem to be trying his best. 

Sigh. 

Despite absorbing a fair amount of wisdom and restraint from far kinder souls over the years, Ipaxalon is still a warrior at heart. Some part of him had hoped that figuring out what to do in this world would be as simple as asking the large, successful Church of the God of love and Goodness for direction. And they did have important context for him. 

But there's just too many red flags, even for a church in a foreign world with entirely different magic.

Among the bishop's suggestions for him was, roughly, "fight Papists and infidels." (He also suggested "demon-worshippers", which, fair enough, if Ipaxalon finds any of those there's at least gonna be a Talk. And "witches", which makes no sense, he thought those weren't a thing here and even if they were, that is not sufficient justification for violence.) 

He might end up fighting Evil humans at some point. But not on the word of their enemy. There's too much he doesn't know and can't explain. 

Ipaxalon would like a bit of distance right now. By any chance, is it perhaps cloudy today in southwestern England? 

It is! Not completely but pretty cloudy.

Then he'll curl up on a comfy stratus while he thinks about what to do next. 

Priority 1: Gather information. He's barely scratched the surface of this world's complexities. He's been too focused on a few sources of information, and needs to broaden his perspective. He's talked to the Church; he should talk to the local authorities, guilds, and common folk about their priorities. And ideally do so in other nations as well, in time.

Priority 2: Short-term wins. He can still do some good while he's orienting. Candidates for unambiguously helpful actions are healing and monster-hunting. He has a spell budget that includes powerful healing magic and he's among a population of people who don't seem to have divine healing available, so he can start with their hospitals.

Priority 3: Assemble a proper hoard. It's looking like this world runs on money just like the Northlands or Juthmar, possibly moreso in many ways. He has skills and spell slots that likely won't be earmarked for charity work for some time, and he'll need some kind of capital if he ever wants to make more of an impact than a particularly powerful magical creature. 

What next action best serves these priorities?

Framed like that, the next few days seem fairly straightforward, even if long-term plans remain in flux.

He descends to look for a hospital. It's perhaps beginning to get late in the day, but illness works all hours. 

The state of hospitals in this year is not amazing, but they do exist. They are slightly cheerier about an approaching dragon than most random people; it is always possible that a random dragon approaching a hospital is going to do healings even if it doesn't happen all the time.

This random dragon does! If that's a thing that happens at all, he might not even need to shapeshift! Do they have a setup whereby he can see patients while big? 

There's some windows? He might even be tall enough to see into the second story ones. The patients are kind of crowded but none of them find a dragon alarming. Everyone knows that magical girls who have abandoned their souls are still friendly.

He can see into the second story if he rears back and sticks his neck up there, yeah. 

He was hoping to actually talk to some people, so he elects not to pretend to be mute. He casts tongues and asks the hospital staff to please direct him to those whose condition is the most dire, first.

Okay that alarms some people. He is no longer a friendly local magical creature (subtype: unusually large dragon). He talks! In a masculine voice! What the fuck is that! Somebody tries to get out of bed and trips over another person and falls to the floor! Two people scream! The hospital staff look at him incredulously!

The sailors were much more practical about this. He retreats a few paces and addresses the staff. He is a silver dragon who only superficially resembles lost magical girls! He bears them no malice. His magic works differently than they are used to! He has some limited healing magic and would like to use it to heal people. He would also like to talk to whoever is interested in talking with a strange talking dragon. He will be visiting town for at least a few days.

If it would be more calming to the patients, he can adopt human form for a time.

1. Is this witchcraft?
2. How, exactly, does he come to be a "dragon who only superficially resembles lost magical girls".
3. The smallpox cases might be the most dire? Or the guy with the crushed arm. Does he do consumption?
4. The dragon form was FINE until he TALKED.

1. No, witch magic is different from his. (Technically.) 
2. He was hatched this way in a place where his species is normal. Then he wound up here. He's still a bit confused about why.
3. Smallpox and consumption are diseases? He can do a few of those and come back again later. Injuries are easy, including the arm. 
4. He does actually have to talk a little bit to do healing magic. 

1. So is it a miracle, does he do miraculous healings?
2. What place would this be exactly.
3. The injuries are over there.
4. ...why though.

1. They're not considered miraculous where he's from.
2. The Vanirn Mountains. He's pretty sure it's not a place on Earth. 
3. He casts a cure spell and pokes the tip of his tail through the window of Crushed Arm. The arm uncrushes. (Assuming it was still, like, attached. He doesn't have regenerate. It'll stop any bleeding though!) 
4. Good question! He does not know. That's just how magic works where he's from. (Oversimplifying a bit, but basically true.) 

1. Are they not considered miraculous because instead they are OF THE DEVIL
2. It's not like anyone here would know if those were mountains in India or something.
3. The arm was still attached! The guy with the arm is very happy!
4. So is he saying he has all this stuff instead of magical girls? How do you fight swarms without magical girls?

1. No, they're not considered miraculous because mortals can use magic just fine without gods getting involved. Or devils, for that matter. No devils are involved in his magic. If they happen to spot one, though, he can probably kill it. Demons and daemons likewise.  
2. Yep, he recognizes this is pretty weird. He's not sure how better to say it. 
3. Good! More cures for the injured.
4. There are a different sort of monster where he's from, and those kind can usually be stabbed or shot by skilled warriors. For the ones that can't, there's different kinds of magic and usually at least one of them works.

1. They'd BETTER not be.
2. So he might be from India or something, is that the idea here?
3. Yay!
4. Regular guys can kill swarms, it's just a lot harder and they have to get a visual because they can't sense them.

1. He agrees with not using magic from devils. 
2. He's definitely not from India. It's probably farther away than that. His best guess is "another plane of existence" but he recognizes that's not super helpful either. He didn't recognize any of the continents on their maps when he showed up. 
3. Cure, tailpoke, cure, tailpoke...(he can do about twenty of these and still have enough spells for emergencies. Then it's off to the most critically ill of the diseased.)
4. Neither can he, though he's pretty perceptive in general.
If any of the injured stick around curious, he'll ask them a few questions too. How were they injured, what's their profession, what do they think of the local authorities, what might they like to see change...

Wow what is he a cop. (Most of them will explain how they were injured. Workplace accidents, one guy with chunks taken out of him was fighting a swarm while his wife ran away, fell off a horse. Others won't explain if it looks like they can get away with that. He's got a baker and a chandler and a farmer and a farmer and a grocer and a chimney sweep and a farmer who'll own up to their occupations. They do not think much of his more provocative questions.)

(The comparison to Law enforcement is more apt than one might suspect.)

He won't press those who prefer otherwise. The questions they don't want to answer are informative too. He'll stop asking about the authorities after a while, though.

Curing diseases with a heal spell is a bit like killing a lone zombie with a necklace of fireballs. It's about as overkill as it gets. But it works! And the four sickest people in the hospital will feel incredible for a while. 

YAY PRAISE THE LORD and also this weird dragon.