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let's find out if Marian's ICU and two different kinds of magic healing can save radiation-poisoned Leareth
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Which is very much appreciated, because moving a patient on VA-ECMO might be the single scariest thing that Marian has ever had to do in her nursing career. 

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It goes very close to as well as it possibly could have gone! Leareth's body really, really doesn't like being jostled at all, and his blood pressure drops and takes a while to recover, but none of the machines die, none of the tubes are yanked, and they make it to the freshly ultracleaned room without incident. 

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The room is a really cool concept! It has a main door that shuts and seals, and then there's a separate side door with a little vestibule-antechamber sort of room, so that you can enter and leave by opening only one of the vestibule doors at a time and never having a clear passage from the room to the hallway. The idea is that they're going to be at all times keeping the air pressure inside the room a little bit higher than the air pressure outside, so that any airflow is outward, and the air they're pushing into the room from their ventilation pipes in the walls is more or less guaranteed to be clean and free of anything that could cause an infection. They apparently use this system a lot more often for negative pressure - keeping the air inside the room at lower pressure than outside, so that air leaks in but never out, for cases where a patient is known to have a very contagious illness that they don't want spreading to the other patients. But in this case the priority is to avoid exposing Leareth to anyone else's illnesses, or even to completely harmless tiny-organisms that live in the air or on people's skin or in their noses or whatnot, and never cause problems for a healthy patient but could overwhelm him because he has no defenses. Anyone who goes into the room will need to wear all of this gear so that they're not going to touch Leareth with their skin bacteria or breathe on him. The nurses are complaining about it enormously, because it's uncomfortable to wear for a long time and it makes it really annoying to come and go frequently, but it's really, really impressive that they can do this at all! 

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That is really impressive! Are they sufficiently confident in it that they want her to use her last Remove Disease on him now, to get anything he might have been caught before the move before it can do any damage, or should she hang onto it in case he catches something later? And is he due for another Cure Light? Also she needs to go be somewhere out of the way for fifteen minutes to get the Restoration prepped at some point before casting it; if they're sure of the diamonds she should do that sooner than later.

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They would like to hold off longer on casting the Remove Disease, because they're predicting from all of their graphs that Leareth's defenses against infection will crater completely sometime tonight, and they can't keep away infections from sources inside him – the gut is full of organisms that are normally a healthy component of its functioning, but will absolutely cause problems if Leareth's gut lining is falling apart and all of the illness-defense cells in his blood are dead. If a Restoration brings back some of those cells, which everyone is really really hoping it might even if they proceed to die again later, then they'll probably want it right away to get him as ahead as possible; otherwise, they want to keep the gap between the last Remove Disease today and the new spells tomorrow as short as possible. 

He's probably ready to benefit from another Cure Light, though, his total life-force is getting pretty weak again and Shavri is suspicious that he picked up some new injurylike damage inside his blood vessels in the process of being moved with lots of gigantic tubes in him. 

 

 

...Shavri hasn't been tracking the diamond quest and will need to ask Marian about that. 

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Uhhhh going off body language it seemed like Catherine was hopeful she could make Dr Harrison's insane four-hour deadline on this fetch quest? Marian will have to ask around to determine if she told anyone her itinerary before leaving the hospital, though, and if not she'll try to find someone who has Catherine's cell phone number and can text or call for an update. 

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Catherine did not tell anyone her itinerary before leaving because until she got to the parking lot she still had hope someone would pick up the Uber and she could call them and ask them to bring her the package and she'd be back at the hospital in under an hour. She remembers somewhere around Placerville that she really ought to have done that. 

She gets to the ARCO Patrick agreed to meet her at, and gets the second bag, and looks in it right there and counts the tubes and makes sure they're the right kind, politeness be damned, and then she thanks him profusely and agrees that they should totally meet up for dinner sometime when she's not having a huge work emergency that will probably end up on the news, and then she gets back in the car and calls Marian with an update.

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Cure light wounds, converted from a Remove Sickness.

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Marian had not in fact managed to track down Catherine’s cell number yet - as a travel nurse she's not really in the personal-cell-number network at this point - but apparently Catherine can call her just fine on her hospital-portable-phone extension so that's convenient!

"Hey! I was actually just trying to - do you have an update? Are we going to be able to get the diamond dust?" 

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There's been a mildly distracting conversation going on next to her. Dr Chadra and Dr Harrison are setting up their work area outside the room, taking up approximately the entire "pod", and Dr Harrison seems to have gotten a specialist on the phone. 

"Have I reached Dr Chen?" A pause. "This is Dr Rupert Harrison at Renown Regional. Thank you for taking my call." Dr Harrison on the phone to a very busy expert doctor is, apparently, actually polite. "We have a patient presenting with what we believe is acute radiation syndrome from an extremely high-dose exposure - we're estimating at least 100 Gray whole-body based on symptom onset and lymphocyte depletion kinetics -" 

Pause.

"- Yes, in normal circumstances, yes, I'm aware, but we have access to some unusual resources -" Pause. "No, you wouldn't have, it's experimental." Pause. "It's a long story. Can we just -" Pause. "Well, on ECMO, admittedly, but we're planning another, er, experimental intervention that ought to improve his -" Pause. "30 minutes downtime, yes." Pause. "No signs of cerebral edema right now, but the experimental treatment is a temporary palliative, not a fix -" Pause. "Oh, no, sorry, it's - experimental imagery, I would definitely send the file if I could but it's, er, your system won't be compatible to read it -" 

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