"I, um, I think we should have enough extra that we can afford to waste one tube." Marian would kind of rather think about this in an hour, after she’s dealt with her stupid labs. “I guess if you’re actually not busy you could look at ways to test it sooner? - sorry I was about to go in, I need five billion labs -“

Everything is put in stat, and within twenty minutes or so they are all, once again, crowded around the computer. 

Shavri cannot read the numbers but she demands an immediate mental explanation of what they meaaaaaaaaaan.

Marian is unfortunately limited in being able to explain everything because she's not sure why they're checking a bunch of the new ones!

Cytokine panel is...inflammatory stuff? Marian is not really sure what to make of it because she mostly thinks of it as related to immune response to infection and Leareth does not, currently, have an immune system to speak of, so what gives? 

Going back to the top. Reticulocyte count is - wow this is making Marian feel like she's back in nursing school taking a quiz she forgot to study for - she thinks it's the...baby...red blood cells? She doesn't think she ever learned the reference range, but the lab is nice and provided one, and unsurprisingly given everything they know, Leareth is not making very many new red blood cells. Maybe none at all, those could be all that's left of the number that were in his blood right before this happened. 

Electrolytes are still abnormal but better, that's entirely the work of the dialysis but Marian still feels a quiet internal moment of pride toward her patient. Hemoglobin is fine! Like, technically a little low but by ICU standards that's more or less normal! ...Blood gas got worse again, she doesn't love that, it looks like it's just the lactate going up again by why his blood pressure is adequate he's satting at 100% what's wrong -

- well, his clotting panel is worse across the board, and a positive D-dimer, that's a sign that his body has been making clots, probably everywhere in his body - his vasculature is damaged on the inside throughout his body, there'll be rough spots and tiny "injuries", plus all the inflammation - that's disseminated intravascular coagulation and Marian is scared of it, though admittedly for Leareth it's, like, not even in the top three scariest things wrong with him and she's vaguely hopeful that it's the sort of thing a Restoration fixes. 

Liver enzymes are worse, that's not surprising, if anything they're not rising as scarily fast as Marian might expect - ammonia is high, that's something the liver should handle and isn't, it's not great for his brain especially if it keeps going up but it won't kill him. Cardiac markers are still rising, so there's damage that the latest Cure spell didn't get, but - again, it's not a catastrophic rate of increase. Elevated CK is from muscle breakdown, also not surprising but it's really going to mess with his kidneys, also not going to kill him especially when they've already got him on dialysis.  

LDH, Marian has no idea, what is that, her brain keeps autocorrecting to "the bad cholesterol" but that's LDL. Haptoglobin sounds like it's related to red blood cells but who knows what it means that it's low, except 'be worried'. Ferritin is...iron stores? Marian only knows what it means when it's low (iron deficiency anemia boo), high...is plausibly because his cells are breaking down and the iron formerly in their hemoglobin is loose now? Marian will go with that and look it up later. Procalcitonin is an infection marker! It's high but not 'fifty times the upper-normal cutoff' high, which makes sense, he's got a known infection in his lungs but it might not even make the top ten worst problems. 

Amylase and lipase are pancreas stuff! His pancreas is kind of dissolving or something, great, just what they needed. 

Central venous O2 saturation is...high...? Why are they even checking that, Marian's lost, but - well, maybe it's just high because his arterial blood oxygenation is high, does that make sense - that can't be all of it, it's saturation (of hemoglobin) not partial pressure (of directly dissolved gas), most people have a baseline hemoglobin-saturation near 100%, so you just can't go much higher than normal, and that's where nearly all the oxygen in the blood is. So Leareth's tissue must be using less? That seems related to the lactate rising - he's not burning oxygen even though it's there, his cells are going anaerobic instead - but the part she's not getting yet is why and what that means in context... 

Shavri will drink all of this in like a person dying of thirst in a desert who's just found an oasis, and then - because there are too many thoughts in her head again and she's got to spread the joy around or explode - rapid-fire it over to Samora with commentary. 

...It is interesting that his blood is full of vital air that his body can't use properly. There's a vague shadow everywhere (it's actually not entirely unreminiscent of Randi's wasting illness, just worse) - it feels like it's got to have something to do with the tiny libraries, maybe the cells need to refer to those instructions in order to do whatever it is they do with the vital component of air, and now some number of the cells are just failing to complete that process at all, or doing it with terrible inefficiency...