Nellie sighs and dons a mask as well. She needs to be on-hand for troubleshooting any weird vital sign fuckery, and bringing supplies as needed so Emmy doesn't have to contaminate her sterile field. Fortunately, the giantass central line, complete with a circulating system of balloons that can have hot or cold water pumped through them while hanging out directly in the patient's vena cava, has to be inserted femorally - because it's over a foot long - and thus the guidewire insertion is less likely to cause horrible arrhythmias. Nellie is very glad of this. She does not at all trust this patient to stop having horrible arrhythmias if they set one off. 

In the meantime, though, her hands aren't urgently needed. She texts Dr Zee. 

[thinking whether the low sugar is bc he has Ma'ar's thing] 

[can't confirm now but should we iso him just in case]

The typing-dots aren't there for very long, this time. 

[Yes] 

[I'll email bert at public health] 

[but probably wait and see before we do more] 

[got it] 

Is their patient behaving? 

Well, his heart rate is still at 41 and he's throwing ventricular beats ever 4-5 normal beats, sometimes in couplets, and his blood pressure is just barely tolerable on a medium rate of dopamine. The temperature reading on the monitor is up to 28.9 though. 

That's still colder than Ma'ar was at any point, and he managed to have some serious difficulties about it - maybe wizards have more trouble? if it happens along with the magic-overuse low blood sugar thing? - but also Ma'ar did NOT get adequate early treatment in the ER, and nobody really knew what was going on with him for ages. Whereas this time Nellie at least has the hypothesis in mind. 

...Marian is going to feel a way about it if she comes in and finds out she has TWO wizard patients, Nellie thinks. 

"Line's in!" Dr Beckett says cheerfully after a couple of minutes. "Just suturing it now - machine should be primed and programmed, you can hook him straight up." 

"Oh goody." Nellie glances at the clock. "Christ. It's nearly eleven. Uh, has anyone checked on Ma'ar recently? I didn't especially get a report on him or anything." Or, come to think of it, give a report on the patients she was supposedly handing over to Loren and Chantal. 

Dr Beckett is giving her a 'why would you expect me to know' sort of look. 

"Um, I think it was Isobel who had him before? - She's still in 196, probably." 

Great. Wonderful. 

"Keep an eye on dumbass kid while I go get report from her?" 

Nellie is already halfway down the hall. 

She pauses briefly at the nursing station bank of monitors. Glares at them. ...Both of her former patients who she failed to give report on appear to be alive with stable vital signs, thank the Virgin. She doesn't even know who the heck was supposed to end up with which one. 

- not her problem now - 

....Okay, fine, she will swing by 195's room and offer the police officer outside a sloppy salute. "Hey. Did he get turned anytime recently." 

He blinks at her. "Not since the last time you got me to help?" 

Nellie HATES HER LIFE. 

"Sorry, not his nurse anymore."

(When was that even. She left for the ER almost immediately after shift change - she had taken report and laid eyes on both her patients and called Marian, so it must have been before 8 pm - and she wouldn't have dived in to turn Coma Guy except that she had checked the charting and he was already hours overdue...) 

It's now nearly 11 pm.

"We're really busy tonight but I'll either send his new nurse over in the next ten minutes or I'll help turn him with you," she says, and escapes. 

198's curtains are open and the lights are on. Loren is standing awkwardly next to the patient's bed, holding a toothbrush in one hand and a cup of water in the other. 

Perfect. Everything looks under control and now she knows to look for fucking Chantal to turn fucking coma guy in fucking 195. 

...Chantal is charge nurse and Nellie can neither pass any judgement for her failure to turn coma guy, who is definitely not leaving this hospital alive, for an entire three (3) hours, nor feel okay dropping anything else on her plate for tonight. FINE. She will do the fastest turn ever on her way back around. 

Loren spots her walking past and tries to catch her eye, hopefully lifting a hand. 

NOPE. 

All the lights are on in 196. The floor is spotless. 

The patient is now in a hospital gown. Her glittery makeup is still mostly in place. Her blonde hair is mostly coiled to one side of her head but fluffed in a halo around her face. Her heart rate on the monitor is racing past at 170 bpm. 

There is a CRRT* machine apparently primed and ready, stashed in the corner of the room. 

Isobel is standing by the bedside table, checking her phone. 

*continuous bedside dialysis, used for very sick patients who are too unstable to tolerate regular dialysis. 

"Hey." 

"What." 

"Report on Ma'ar?" 

Isobel rolls her eyes. Slightly. 

"He's fine. No real change. He was anxious when Elle answered the call bell an hour ago so I asked her to give him the PRN olanzapine, this is not a good night for him to be setting anything on fire." 

Great. 

Nellie is not shouting which she personally feels is showing great restraint. 

"Anything else? Any changes with neuro status, vent settings, tube feeds, last bowel movement...?" 

(Nellie is in fact up to date on this because she skimmed Ma'ar's chart before calling Marian earlier, but it's not like Isobel knows that.) 

Isobel sighs and flips over a couple of sheets on her clipboard and reads off a proper report, very fast. 

"Thank you. When was he last turned?"