A girl with a sword on her back limps into the infirmary. She has a pretty bad gash on her leg, which she has tied up with a sock, and looks very pale, but she bows to Marian anyway and offers her the apple and roll she's holding from the cafeteria.

Yikes! That doesn't look great! 

"Here - let's get you sitting down," Marian interjects, diving in to offer the girl her arm and help her get some of the weight off that leg. "On the gurney, just here - how much blood did you lose -?" She tries to see how bloody the sock-bandage is. 

She's followed by Wen Qing, who bows and says to Huang in Mandarin, "I'm Wen Qing and this is Marian. Do you speak English or is Mandarin more comfortable?"

"I don't speak English," she replies to Wen Qing in Mandarin. Is Marian going to take the food or not.

Marian will take the food and shove it in her nearest available scrubs pocket, but she's mostly focused on getting the injured kid onto the cot and horizontal. 

"Wen Qing, can you please ask her what happened, how long ago, and how much blood she thinks she lost?" 

Oh lying down that's nice.

"Wen Qing, get vital signs and start a notebook entry, please. And tell her I need to have a look at the wound." 

Marian, fortunately, has GLOVES now. They're extra large, clear vinyl-y, and labeled in Russian. She didn't even know gloves came in XL size and she needs rubber bands on her wrists to keep them on, but at least she won't be getting her hands in blood and possibly mal-ichor. Or whatever mals have inside them. Probably it varies? Probably the weird metal kind don't have any blood or equivalent fluids... 

Focus. She's going to hastily glove up - damn it she needs to remember to add 'hand sanitizer' to her alchemy requests list - and grab three rolls of gauze from her box and a non-adhesive dressing and a suture kit and the ancient crusty bottle of iodine. - Mental note she needs a rolling table on wheels, this is super unwieldy to carry over and there's nowhere to put it except on the gurney beside the girl's legs. 

Does Wen Qing have vital signs for her yet or an answer on what happened to the kid. 

"I'm taking your vital signs," Wen Qing says, putting her fingers on Huang's wrist. "What happened, how long ago, and how much blood did you lose? The nurse is going to need to take a look at your wound."

"A scratcher scratched me, about ten minutes ago - it took me some time to get up the stairs. Beyond what's on the sock I believe there was a little puddle, yea big -" She gestures a bagel sized disk. "Of course she may look."

Wen Qing translates and adds, "Heart rate of 120, blood pressure of 115/70."

"- Okay, that's not worrying - heart rate's probably just up because she had to climb a bunch of stairs? If her blood pressure stays stable I don't think she needs IV fluids - remains to be seen if she needs stitches..."

Marian gets her gauze and dressing pad ready in case there's a lot of bleeding when she loosens the sock, though she doesn't expect it to spurt or anything, the girl would be in much worse shape if the 'scratcher' whatever that meant had hit an artery. 

"Sorry, this might hurt - I need to see how deep it is." Peek. 

"I have bacteria-killing spell ready if you need it."

"- Oh, yeah, that's a good idea - I was going to disinfect around it with iodine but that'll sting like fuck, if the spell doesn't have nasty side effects or risks it seems clearly better." 

She is trying to wipe away the blood around the site now so she can get a good look at how deep the wound is and whether it's going to need stitches. 

Huang does her best to hold very still.

"It's Arabic," Wen Qing says to Huang.

She covers her ears.

She recites a poem quickly in Arabic. 

...Well, that's a pretty nasty laceration but it's not as deep or gushing blood as much as she feared. It's still bleeding but more a slow leak. 

"- I think this needs stitches, and to take it easy on this leg for a day so it can knit up, but it should heal fine? ...Wen Qing, can you ask her if she needs something for pain, or for me to do it under local anesthetic, I don't have any but the void might give me some..." 

There is a soft, tentative knocking on the door. 

Wen Qing translates for Huang, then gets the door. "I'm Wen Qing and this is Marian. Is this an emergency?"

"--No, sorry." 

"Wait a minute please and we'll be with you shortly."

"Okay." 

She stands off to the side of the door making herself as unobtrusive as possible. 

....Apparently, when it rains it pours. 

"Sorry, a bit in the middle of something! You can go sit on the other gurney and Wen Qing will be over to take your vital signs when she's done helping me here."

Stitches. Great. She doesn't love the idea, having never done stitches before, but probably, technically, she can. 

...She tentatively enters the room and makes her way to the gurney, careful to not get anywhere near anywhere that looks like it might be in either Marian's or Wen Qing's way. 

Marian is setting up her extremely questionable ""sterile field"" for doing stitches, but spares five seconds to glance over at the new girl and get a quick sense of how she looks. Basically healthy, or sick? 

She does not look great, but she also doesn't look like she's about to barf or code or fall over. 

She's sweating slightly despite the fact that the entire Scholomance is a very neutral temperature and she isn't out of breath as though she had just been exercising, and her skin is a little flushed, and she distinctly looks like she is Not Having A Fun Time. 

"Wen Qing, please ask - uh what's her name again -" vague handwave at the girl they're currently treating, "- if she wants the local anesthetic or if I should just get it over with. I don't think it'll need a lot of stitches, maybe, like, five. ...Uh and once you've explained what I'm going to do and asked her, can you get a set of vital signs on our new girl?" 

"I can do my pain spell, also, it's less bad if I can take it off when she's done."

"- Okay yeah that'd be good, less time to kick in and I won't have to stab her with a lidocaine injection needle. Ready?" 

She casts the spell.

Oh that's better.

.....Okay wow doing stitches is weirdly hard? Probably because she's missing a lot of equipment, she's seen doctors do it with two clamps but she has zero clamps and is forced to resort to trying to knot the sutures with her extremely clumsy oversized-gloved-fingers. 

She gets it eventually but it takes a bunch longer than she'd been hoping. Maybe Wen Qing can go ask the new arrival what's wrong and get vital signs on her in the meantime? 

"What's wrong?" she asks the new arrival. "I'm going to take your vital signs. --Also, what's your name? I need this for my notebook."

"My name is Anna-Sabrina Sarno. My leg hurts." She gestures tentatively at her right calf. 

"Temperature 102 degrees Fahrenheit," she reports. "Heart rate 124, blood pressure 140/90."

Marian is trying to TIE A KNOT and this is stupidly hard but she can multitask a little. "Ask her how long her leg's been hurting and when she started feeling feverish?" 

"Uh, I hurt my leg a little less than a week before induction...it didn't get better, though, and it's been getting worse since like the day before. I'm not sure about my temperature. I...think Friday? Maybe? I'm not sure."

"I'm nearly done over here. Ask what kind of injury. ....Also do you think you're up for trying an IV or should I do it when I'm done here? Either way get the supplies for it please." Wen Qing has at this point watched Marian insert a couple of IVs with realtime narration, but they don't exactly have spares for practicing with. 

"I banged my leg against a broken piece of fence." 

Aaaaaand stitches are in! Marian will cover and wrap the laceration! They are not particularly skillful or beautiful stitches but they should keep the would closed so it'll heal clean. She's trying to remember how much she has in the way of IV fluids. ...She does have antibiotics, even IV ones, the void had a really hard time with the concept of "antivirals" yesterday and kept trying its best. 

Wen Qing has prepped the supplies. "I'll try an IV but I want the supervision while I do it."

"One sec, be right over." Marian is trying, via facial expression and mime, to ask Huang if she's doing okay and also communicate to her that she should stay lying down on the gurney for a bit, and does she want a blanket? 

Huang will accept a blanket and is content to lie here. Although she is trying to fish her Korean history book out of her bag.

Wen Qing notices and gets it for her.

Marian will get her a blanket, though it's the horrible synthetic fake fleece kind that the paramedics use, the kind that has a texture a teeeeeny bit like fiberglass insulation. 

And then she can supervise Wen Qing on her first try for an IV! And give advice if Wen Qing is having trouble finding a place to stick. 

Huang reads Korean history as fast as she can and holds still for the pros.

Marian will keep an eye on Huang from a distance while she helps walk Wen Qing through the IV on...damn it what was her name, miserable-looking girl with a fever - Anna something, Marian thinks... 

If there's two things the Scholomance trains it's precise fine motor skills and carefully following instructions you've heard twice.

And the Anna-something girl is also not horrifically dehydrated or in shock, at least not yet - the way she looks isn't setting off blaring siren alarms in Marian's head just yet but it's definitely, like, giving her the metaphorical qualia-equivalent of one of those polite yellow flashing traffic 'caution' lights. Wen Qing can get the IV on her first try. 

Marian is JEALOUS. She calmly gets her (once-used) IV tubing, with the painstakingly refilled bag of alchemy-shop Lactated Ringer's solution made by a fourteen-year-old. She hooks this up. 

"Let me have a look at your leg, please?" she says to Anna-something. 

She rolls her pant leg up. 

There is a bandage wrapped around her right calf. It doesn't particularly look like it's been changed in the week plus since the original injury was inflicted. The skin above and below the bandage is red and hot and the leg is visibly swollen. 

"I'm sorry, this is probably going to be uncomfortable but I need to have a look at that. Are you allergic to anything? It looks pretty infected and I think you'll need antibiotics but lots of people are allergic to penicillin so I'd better check." 

"I don't think so? I don't know that I would know."

She starts stripping off the bandage. 

.....Yyyyyyyyyep that sure is infected. 

"Wen Qing," Marian says levelly, "do you have a diagnostic spell that can check if someone has bacteria in their bloodstream and not just in a wound?" 

"Yes. Let me see. --Classical Chinese," she says to Anna-Sabrina.

She covers her ears and starts humming. 

She mutters in Classical Chinese and the meridians of Anna-Sabrina's body that have something that's alive and not supposed to be there light up.

"...Well, that's not great. Okay. Antibiotics. ....Fuck if I know what antibiotic is supposed to work on - I think that's probably cellulitis and I fucking hope it's not tetanus." Kid is hopefully still not listening to that part. "I should ask the void for a reference book, I guess. Does your bacteria-killing spell work internally and do you have mana to cast it?" 

"Yes. --We should get the probiotics from the void, maybe?"

"Yeah. I'll ask. And figure out what IV antibiotics we can give her, we want to get on that ASAP." To Anna, "- How have you been eating and drinking recently? Should we get you some water to drink, as well as the IV?" 

"I've been eating better than I would at home...and I've been able to find groups to get water from the bathroom with. I think I'm fine?"

....Well. That's some kind of red flag? Marian exchanges a look with Wen Qing. "I - what was your food situation at home, before this?" 

"Uh." 

She looks at the two of them and makes some quick calculations. 

"My foster parents withheld food for 'bad behavior' a lot."

The bad parents!! It's an epidemic! Wen Qing is going to write a monograph.

Marian goes very still. Takes a deep breath. 

"I - listen, so first of all I should make clear that we're going to keep anything you see here confidential. ...We can go into my bedroom or something if you want actual privacy, sorry, we don't normally have two patients at once." Another breath. "You also don't have to answer any questions you don't want to, but I'm going to ask anyway. What else did they use as punishment for 'bad' behaviour? Are - did they hit you, or hurt you otherwise...?" 

"I've been trying to tell people they hit me since my parents died and I went to live with them. But I didn't know how to find any wizards who would care, and whenever I told a mundane my foster mother would make them forget and then punish me for bad-mouthing them." 

“…I’m so sorry.”

"I'm probably going to die in here. But at least it'll be in here and not out there, with them, and whatever mal gets me will do it because it was hungry, and not because it hated me."

"There is the medicine for the bad parents, Marian-laoshi can ask the void for it."

"Does it help for foster parents too? The only thing my birth parents did wrong was dying and not specifying that I not go to my mother's cousin and her husband."

"I don't see why it wouldn't help."

"Well, magic is weird, and I don't know of any non-magical treatment for abuse besides, like, therapy, which I don't think you can pull out of the void." 

Oh man it's the facepalm-inducing explanation again. "Uh, she's - actually mostly just talking about antidepressants. Or anxiety meds. At least some of the time they do help a lot with trauma, including from abuse I think. And I actually can get therapy books from the void! I'm, uh, not trained in it though, it's not really a nursing thing. But I - I'm going to get people whatever they need, if I can." 

"Oh. I don't think I'm depressed, I never internalized the awful things they said to me. I'm pretty anxious though." 

"- That's really impressive, I think? I - good for you." Is that a horribly awkward thing to say? Marian isn't sure. "Uh, what kinds of situations tend to make you anxious, and how does that affect you?" 

"Uh, inconveniencing people. People who are stronger than I am paying a lot of attention to me. Raised voices. Anything that looks like it might be a prelude to physical violence. I'm not particularly scared of mals, comparatively, which isn't great, it's just people."

"Mmm. Yeah, that all makes a lot of sense. Uh, what are your main anxiety symptoms that bother you? Is it, like, panic attacks, or being really jumpy, or more doing a lot of worrying and ruminating on things that could go badly...?" 

"Uh, being really jumpy, and--flinchy--it makes me look weak, which is probably true, but it's more true if people think it, just for normal social dynamic reasons not magic reasons."

"Right. Hmm." Marian glances over at Wen Qing. "I should do some research, but I think there are meds that could help with that a lot. I know beta blockers are prescribed for, like, stage fright and maybe some phobias? They work by, like, sort of turning down how intensely your body responds to adrenaline?" 

"I don't know much about it." 

"I wonder if there's a spell for that."

"Maybe! It'd be neat if there were a spell that had fewer side effects, too. But you'd want to know how it worked really solidly, and I don't think Gray's Anatomy has reference material on psych meds, most of the field is newer than that. I - hmm - maybe the void will give me something...?" 

The void is trying very diligently and it can do this! 

It gives her an only slightly coffee-stained copy of Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 5th Edition.  

Anna-Sabrina looks at the book with mild (for her) alarm. 

Marian isn't sure why she finds the book alarming! "Uh, it's fine, I'm not expecting you to research it yourself or anything! It's mostly for Wen Qing, since she's apprenticing with me." 

"--Oh okay." She relaxes. 

"Anyway I think that's less urgent than your infection problem. Wen Qing, you should feel free to take this one home and study it, right now I'm going to see if I can get a reference guide on antibiotic selection for different problems..." 

Nice void good void she's asking it to do so many hard things and it's doing so well, patpatpat. 

And? 

It will give her a nice laminated pocket card of some kind!

"Right, cool, we need... Looks like cephalexin or doxycycline are probably both decent, and maybe clindamycin? I know we've got oral doxycycline but I think this is bad enough that we'd better get her something IV. I - hmm - cool, we've got cephalexin! I just need to mix this up - Wen Qing, you can watch me do it, this'll be pretty standard..." 

She dilutes the shelf-stable powder with a bottle of sterile water and...damn it...puts it in a 10cc syringe rather than a bag because the void did not provide her with 50 or 100cc bags of saline or of anything else. 

"- Okay, damn it, we're going to have to push this directly into the IV. But really slowly. Over, like, five minutes. Sorry." And Marian is going to delegate to Wen Qing the task of standing there for the next five minutes and  v e r y   s l o w l y  injecting the drug into it. 

Wen Qing is SO good at paying attention to extremely boring tasks. This is another skill trained by the Scholomance.

She's earning so much mana for this.