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dath ilan marian alt in atlas shrugged
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Merrin nods and smiles and ducks away to head back to bed twelve, where she explains to Sherry Williams that she's going to be away for a few minutes helping another patient, but she's asked a colleague to keep an eye out, and she would like Sherry to please try to get someone's attention if she's feeling any worse. 

She takes Sherry's blood pressure while she's talking. 

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Sherry is looking at her with blank confusion. "....I don't want to bother anybody?"

Her blood pressure is up to 90/50. 

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Merrin takes a deep breath. And then another, because she isn't sure that she's calm enough yet. 

 

 

"- Sherry, listen to me. You're doing better now, but you had me pretty worried before this! And, um, you - I think maybe you were trying too hard not to bother anyone, and so you were very quiet and it was hard for us to notice that you were sicker than we'd thought. But, trust me, it'll be a lot more bother for everyone - and it would upset your son Terrence a lot - if you don't tell us you're feeling worse and then something bad happens." 

Merrin is pretty sure that she's not handling this perfectly and not using the right words, but to be fair this is somehow the first time ever that she's encountered this particular concern! Despite the absurd quantity of training she's had for weird circumstances! 

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Sherry looks uncertainly at her. "- Yes, dear."

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Merrin goes back to find the nurse she just spoke to. 

"- So I just checked on Sherry Williams in bed twelve again - her blood pressure's up, um, some quick background, she came in after a fall, suspected broken hip, but she was looking pretty sick - she's got a history of UTIs and I think she was starting to go septic, but she's had two litres of IV fluids and antibiotics and hopefully she'll turn the corner now. I've just checked on her again and all her diagnostic tests are sent, so there's nothing for you to do except watch her and, um, send someone to grab me if she seems to be getting worse?" 

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"Okay, I can do that."

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Then she will take her other patient down to the X-ray department! 

Merrin is still noticeably preoccupied, and mostly not even trying to chat while she figures out how to unlock and maneuver the cot/gurney that her patient is on, which seems a lot simpler than getting him into a wheelchair. (She had a brief look at the wheelchairs in storage, and is very unimpressed by the ergonomics, and especially by the fact that it appears patients have no ability to steer or move themselves.) She's at least had a look at the map, first, and she has a decent spatial memory and manages the route with no mishaps. 

"Hi! I'm Merrin, one of the nurses in the emergency department - is this the X-ray department? I'm bringing my patient for an X-ray of his leg after a fall." 

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"Does it look like the physical therapy lab? Course it's the x-ray department. Roll 'im on over here."

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Merrin wheels her patient in. "Do you need my help getting set up? Sorry, I'm new here, this is my first day." 

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He shows her how to get the gurney angled correctly and gets out the lead drape for roof guy's torso.

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Merrin looks curiously at it. "Huh, what's that for?" 

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"So the stray x-rays don't give him cancer!"

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Merrin now has ADDITIONAL QUESTIONS. 

 

...Now is not the time and this obviously-very-busy X-ray technician is not the person to ask. Merrin will help him get the gurney in position and lay out the drape. 

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Roof guy cooperates with this. Clicking noises ensue.

"Alright, it'll be in the doc's queue in half an hour and in his chart at some point."

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'At some point' is less clear than she would really prefer! This patient is not at risk of imminent deterioration in his condition, though, so Merrin will have to, for now, trust the hospital's triage systems. (Even though in the privacy of her head she is adding SO MUCH uncertainty about any of their procedures being functional at all.) 

She thanks the X-ray tech and smiles reassuringly at her patient and wheels him all the way back to the emergency room, where she deposits him in his cubicle. "Um, sorry, I'll have another look for reading materials for you but I haven't seen any lying around. Are you all right for pain, or do you think you need more medicine?" 

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"I'm good for now; it hasn't worn off yet. If you're going to be back sometime in the next couple hours I might want more then. But it's not as if I'm going to be doing much of anything either way," he says with a sardonic smile.

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Merrin smiles at him. "Try to get some rest, then. I'll check on you in the next hour, and I'll let you know as soon as the doctor's had a chance to assess your X-ray images and decide on a treatment plan." 

She goes and checks on Sherry in bed twelve again. Is her son there yet? 

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He is! He's found a chair somewhere and is sitting by her bedside chatting about his daughter and looking fretful.

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Merrin heads over. "Hi! Terrence Williams, right? I'm Merrin, I spoke to you on the phone earlier." She sidles up beside the gurney and rests her hand over Sherry's, with the double purpose of being reassuring and also checking if her skin feels warmer. "Sherry, how are you feeling?" 

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"My hip is very sore, dear." 

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"Oh. That makes sense. I'm so sorry, I'll ask the doctor if we can give you something for pain as soon as I can. Um, he may want to hold off for now because your blood pressure has been a bit low." Dath ilan would have options for drugs that were safe anyway, or additional treatments to compensate, but she doesn't want to assume that the same is true here. 

She turns back to Terrence. "Did anyone have a chance to check in with you and answer your questions? If not, I can spare a couple of minutes now." 

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"You're the first. Is she going to need surgery? Will she be able to walk eventually? How long is she going to need to stay in the hospital?"

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"I don't know for sure yet if she's going to need surgery, but she should definitely walk again! And, my guess is that she'll need to be in hospital for a couple of days at least, to make sure the infection is resolving. If she does need surgery, the doctor may not want to do it until she's definitely stable. Her blood pressure was a little low when she first came in, she may have been dehydrated. Anyway, I'm hoping to speak with the doctor again very soon and find out from him what the plan is next." 

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"I'm glad to hear it. Do you know anything I can do to prevent something like this from happening again?"

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Merrin considers this. If she were back home, there would be a protocol for this kind of issue; then again, if she were back home, this would be unlikely to come up at all. Everyone she's ever met who is Sherry Williams' chronological age is either still in reasonable health, or already cryopreserved. 

"I'll talk to the charge nurse about whether there are any home-assistance services you could access," she says slowly. "Other than that - you may want to go by her place while she's hospitalized and try to fall-proof it as much as possible? People tend to have worse balance and strength to catch themselves after tripping, as they get older, and of course she's going to be less mobile for a while after this. ...Actually, she's likely to need help at home while she heals - I'm guessing you work during the day, but is there anyone who could stay with her?" 

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