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Merrin working in Exception Handling
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He wants to lie on the floor????

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Kalorm is nodding in relief! 

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Merrin is trying not to visibly make a face. 

"Kalorm, um, I want to - figure out which pieces of that are important, okay? We - I think we can do it, if it's important to you, but there are some issues to sort out with equipment and stuff. Um. Is it mostly that you’re used to sleeping on a hard surface and so a mattress feels wrong? We can switch the mattress to a fully rigid mode…”

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Kalorm looks dissatisfied and shakes his head.

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“Okay. That’s fine. Is it that you’re used to lying flat? We can try that, although I’m worried that you may have some trouble breathing, you weren’t really tolerating it before.”

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Kalorm rolls his eyes and points emphatically at the floor again.

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“I am guessing,” Khemeth says levelly, “that, yes, Kalorm isn’t used to beds and a mattress feels wrong, but so do a lot of other aspects, like being elevated off the ground and especially the fall-prevention railings.”

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“Kalorm, you are at high risk of falling and it could hurt you pretty badly and set back your recovery by weeks,” Merrin says. “But - I guess lying on the floor would actually avoid the risk of falling.”

It’s not great ergonomics for the staff, but Merrin doesn’t even need to ask whether Khemeth is willing to add on performance-incentive bonuses for that. 

“I’m more worried about whether you’ll be able to breathe adequately while lying completely flat. I - think I want to try that while you’re still in this bed, okay? So that if you do start decompensating we can respond fast. If you can handle ten minutes lying flat and you aren’t feeling short of breath,” and Treatment Planning signs off, “we can move you to the floor. If not, we can still move you to the floor and find a way to keep your head elevated a bit there. Okay?”

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That is not a delighted nod of agreement but it is, in fact, agreement.

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Then Merrin will adjust the controls on the bed so that Kalorm is lying totally flat! And toggle the mattress to maximum-rigidity, the setting approximately intended for cases where the staff need to start manual chest compressions pending getting the mechanical vest system in place. Maybe he will notice that it’s actually incredibly uncomfortable and change his mind???

Subvocalizing to the command room admin: [Can we get one of those thin gel floor mats from Rehab?]

Kalorm might refuse that too, but hopefully it will feel more natural to him while at least slightly reducing the risk of bedsores; he’s awake enough to notice discomfort, but Merrin isn’t sure if he’s physically strong or coordinated enough yet to shift his weight on his own, and he might be too stubborn to ask. 

[And one of those adjustable-depth wedges?] she adds. [As wide as possible so he can’t slip off by accident, and extra-hard foam rather than padded, if you can? I’m sorry this is so inconvenient]

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It’s really not that inconvenient.

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Kalorm is in fact having a much harder time breathing! 

It’s fine. He’s fine. He can do this. It’s kind of a workout but he’s not lazy. As long as he’s capable of making it work and doesn’t complain then no one will know or object, right? 

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It’s actually extremely obvious. 

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…It’s not an emergency or anything, though. He’s maintaining oxygenation with some additional effort, and given his age and fitness level, he can probably keep that up for like twenty minutes before he’s dangerously exhausted. Merrin is pretty sure it’s obvious to him too and he’s being stubborn.

Guess what Merrin is going to do? Nothing! She will leave all the ventilator settings as-is and act like everything is completely fine until Kalorm indicates otherwise! 

It’s probably not nearly as obvious to Khemeth or Nerdel, who don’t have thousands of sim-hours (and hundreds of real-patient hours) observing patients in varying degrees of respiratory distress. She has the alarms going to her earbuds and nowhere else. 

She will resume where she left off on recounting one of her sim adventures and watching Kalorm closely, but just enough in her peripheral vision that it won’t be obvious to him. (He mostly has his eyes closed in concentration, anyway.) She occasionally smiles at him and says something reassuring and positive.

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See, no one can tell if he doesn’t say anything, he’s totally getting away with it  On a scale of minutes it’s also more tiring than Kalorm expected, but it’s fine. Kalorm has never once in his life given up on something just because it was hard. Probably it’s been almost ten minutes now.

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“Five minutes, that’s halfway,” Merrin says cheerfully before going back to telling her story. 

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HOW WAS THAT ONLY FIVE MINUTES

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(Honestly, Merrin is pretty impressed! She isn’t sure this indicates great judgement, but it seems very characteristic of him so that element isn’t worrying-in-a-new-way, and he’s clearly working fairly hard to get enough air, but he’s still externally calm, evidently directing a lot of willpower toward keeping his breathing slow and deep and controlled, or as much so as he can manage right now. She hasn’t been sure if he would make it nearly to five minutes before starting to panic.)

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Kalorm is starting to feel really short of breath at this point! His chest muscles are burning and his sternum really hurts and even with the full effort he can manage, it kind of feels like he’s suffocating. 

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Yep, that’ll be the CO2 levels rising and now outside parameters. (Almost eight minutes in, which is a pretty good record given his overall condition.)

Merrin isn’t going to let him hang out like that for long, but his O2 saturation is still barely clinging to 92%, and literally one minute of high CO2 isn’t going to do his brain any real harm. He looks uncomfortable enough that she predicts he’s maybe thirty seconds away from admitting that he’s struggling and needs help. (And also predicting that if she says something first, he will react by being even more stubborn and resentful.) 

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Forty seconds, actually, and O2 sats down to 89%, before Kalorm’s CO2 rises high enough, and the feeling of suffocation becomes intense enough, that he starts to actually panic. His breathing goes rapid and shallow and he waves his hand frantically and, when Merrin doesn’t DO SOMETHING within 2.5 seconds, starts trying to grab at her scrubs. 

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Merrin has her entire response pre-cached and can carry it out in less than five seconds. Raise the head of the bed to a 60-degree angle, 100% oxygen and increase the inspiratory pressure support on the ventilator, dose of short-acting painkillers because his injuries are clearly causing him a lot of discomfort, and then Reassurance. 

(She really needs to suction him but on the next-fifteen-seconds timescale that is really not going to help with his understandable anxiety.)

[He’ll be fine, he’s just feeling short of breath] she assures Khemeth via the subvocalization microphone, and then squeezes Kalorm’s hand and looks into his eyes, gently holding his shoulder back against the mattress in case he’s disoriented enough to start fighting her.

“Hey, it’s okay. Kalorm, just look at me and breathe. You’re okay. Deep breaths.”

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…Kalorm’s vision un-greys-out within about five seconds and he’s back to “out of breath but not actually suffocating” within ten seconds.

Once he can form thoughts again, it's really obvious from the speed of Merrin's response that she was fully aware he was in distress and was just waiting for him to indicate that he wanted help. Which is, on one hand, kind of deeply obnoxious, but - also pretty gutsy for a medtech? Kalorm cannot help but slightly respect the fact that this surprisingly young-looking Exception Handling tech can’t just outfight him but can also apparently out-stubborn him. 

(And it’s not like he would have found it less obnoxious if she had just unilaterally announced he was in trouble and intervened. Actually, he probably kept trying longer just because she looked so completely calm and like nothing even a little bit stressful was happening.)

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(See, that was just at no point even close to stressful for Merrin! Surely Kalorm has noticed some patterns in what Merrin’s actually-stressful sims are like! This was just about clearing the bar for “not actively boring", but still. She had multiple lines of recourse against anything going seriously wrong, if something had managed to go wrong she has all the resources of a full specialized ICU and could have had five other medtechs in the room within seconds, and - has he noticed, yet - Merrin can be really very stubborn.)

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(She CAN. It’s great. Khemeth knows exactly what to read into that particular expression on his brother’s face, and while he was actually pretty stressed for the last several minutes of that, once he could pick on that something was wrong, he trusted Merrin. And this is kind of hilarious.)

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