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Merrin working in Exception Handling
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In that case Merrin isn't going to feel too terrible about turning up the dimmer switch on the lights a little so she can safely unhook the dialysis circuit once it's done, just over 55 minutes in. 11:25 am. 

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Kalorm's eyelids flicker open just as she's finishing. 

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"Hey," Merrin says, making sure he can see her lips, since he's still wearing noise-cancelling headphones. "Be right with you." She finishes flushing and clamping the dialysis line, and fastens his pajamas over it. "...Great, done. Headphones off?" She mimes it as well. 

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Nod. Kalorm licks his lips under the oxygen mask. "Lights?" he says hoarsely. "Not. Too bright." 

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Merrin beams at him as she reaches in and gently lifts the noise-cancelling headphones off. "You're talking so much better today! Okay, I'll just slowly turn the lights up, wave your hand if it's too much." 

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Kalorm's head feels substantially better! He doesn't object to having nearly all the lights on (except for the very bright spotlight-type ones for bedside procedures). 

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Merrin taps at her portable console to turn on the display of LCD screens behind him, so she can directly watch his vital signs and the Treatment Planning updates. 

"Okay. I'm really proud of how well your breathing is doing! But we were super mean to your body, before, and your digestive system is kind of in trouble. Um. So we really need to address that today. The initial plan is to give you an enema, and help you have a bowel movement without having to, like, strain for it, because like you noticed, that makes you feel terrible right now. We think what's going on is that the nerves in your gut are upset by all the stuff going on there, and they're sometimes sending signals to your brain and heart that make your blood pressure drop. It's kind of a similar mechanism to the thing where some people faint if they see blood? Except with a different trigger, obviously." 

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Kalorm is making such a face. "Why. That's...stupid." 

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Merrin flings up her hands. "Look, I'm not disagreeing! Biology is stupid sometimes! But on the bright side, we're pretty sure we know what the problem is, and the markets are thinking, uh, let me check -" she tabs through a few screens, "- looks like 70% that there's no problem worse than the ones we know about, and that the worst symptoms are mostly from you being overdue for a bowel movement, and that stretching your colon and telling the nerves something is wrong. In which case the next couple of hours probably won't be that much fun - sorry! - but you're likely to feel a lot better once we're done." 

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Kalorm nods. Makes a face. "Get it...over with?" 

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"My attitude exactly!" Merrin smiles at him again and pats his arm.

(Resists, yet again, the urge to give him a hug; on top of all the other reasons it's inappropriate right now, he's probably really not in the mood to have any pressure on his torso.) 

"Right. So the first thing we'll want to do is get you positioned. The best position for this, for the first round, is probably going to be lying on your left side โ€“ turned a little further than usual, with your right leg sort of folded over on a pillow. I'll give you a pillow to lay against with a heat-pad function, it should help you relax and ease the cramps a bit, and then I'm going to slip a thin tube a few centimeters in and run the enema in slowly โ€“ it's about 500 ml of fluid, but it'll be over ten minutes, and warmed to body temperature so it shouldn't be too uncomfortable. You'll have your button for the pain medication, you should feel free to use that, but also tell me right away if you have abdominal pain, especially if it's sharp and sudden, or any sudden nausea. If you start feeling like you need to go - you might not, the sensory nerves in there are probably still pretty confused - try not to bear down or strain, just stay as relaxed as you can. It should be coming out pretty soft, or liquid; I'll have an ultra-absorbent pad set up to catch everything so it doesn't irritate your skin. The solution we're using has a bunch of things in it - glycerin and an oil emulsion and a soap-like compound to lubricate everything, plus some drugs that will gently stimulate muscle contractions in there, and it's hypertonic and will draw water into your gut. We'll give you some IV fluids at the same time, and aim to replace the total liquid volume that comes out, and we'll give more if you have symptoms of dehydration. I'm going to be monitoring things with the ultrasound - if your large intestine is getting more distended but nothing is coming out, I may need to sort of go in there with a suction tube thingy, or a probe with a tool to help break up solid chunks. Does that make sense?" 

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Merrin is so much better than most people here at talking SLOWLY and using words that aren't hard to parse, but that was still SO MANY words. Kalorm blinks at her. 

"...Think so. Sounds. Gross." 

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Shrug. "It really doesn't bother me. And you won't have to see it. I'm more worried about it being really uncomfortable, but hopefully we can minimize that. You ready to get set up?" 

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Kalorm rolls his eyes. "I...guess...fine." 

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Then Merrin will get some pillows in position, and request permission to call in Tharrim to help turn him onto them. They keep his head elevated at around a 30 degree angle, and Merrin arranges his legs so they're bent and curled in a little toward his chest. 

"There, you can sort of hug this pillow. Comfortable? I know you're kind of lying on your arm, it doesn't need to be comfortable for hours or anything, just fifteen or twenty minutes." 

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Nod. 

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"Good. Okay. I'm going to have to take off your pajama bottoms, but you can have a blanket draped over your legs. And I need to tuck this absorbent pad under you - need to lift this leg a bit to put a pad there..." 

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This is already kind of horrible! Also now Kalorm's butt is cold. 

"Are - cameras on?" Kalorm manages. "Don't. Want. People watching." 

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"That is incredibly valid of you. Uh, I think we can turn them off, though I want to transmit the ultrasound imagery so smarter people can also look it over and tell me if I'm missing something." 

She does that. She collects the bag of warmed enema mixture from the pharmacy chute and hooks it onto a mechanical arm to keep it elevated. It has a long tube with a roller clamp on it to control the flow rate, currently turned to "off". 

Merrin puts a bit of numbing gel around Kalorm's anal sphincter, because she might as well, and waits a minute, and then very gently slides the delivery tube in, only about 5 cm. 

"- Is that okay?" 

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"Mmm." Kalorm is mostly trying not to pay too much attention to that entire area. 

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"Okay. Good. You're doing great." Merrin lightly tapes the delivery tube to his skin so it'll stay in place and not get jarred if he moves. "Starting it up now. This is probably going to feel weird, and a bit uncomfortable, but it shouldn't hurt at this stage. Reminder, tell me right away if there's any sharp pain, or if you feel - nauseated, lightheaded, too warm, just generally like something is wrong..." 

She gradually turns up the flow until it's running at a little under one milliliter per second, 50 ml per minute. 

"Doing okay?" 

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Nod. It does, indeed, feel very weird and kind of wrongbad, but - in a normal way, not a scary way. 

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"Good! You're still doing really well. Ten minutes - uh, do you want me to talk to you to distract you, or play nature sounds, or something -?" 

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Kalorm considers this. "...Work story?" 

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"Do you mean about my work, like a sim I've done? Uh. Sure. Just give me a second to think of one." 

She can tell him about a multi-casualty "earthquake in a small town" scenario. She wasn't alone in this one, they had a team of twenty medtechs and some other Exception Handling staff, but it was pretty intense! There were a lot of gruesome simulated injuries. It wasn't strongly a limited-equipment or limited-backup sim, but the simulation writers did make the internet access go out at one point, so they lost the prediction market feeds until the Exception Handling technical-engineering-troubleshooting people could kludge together a link. It was really fun, honestly. Merrin likes working alone in intense low-backup sims, but she also likes her colleagues. They were all so smart and impressive and good at things. Though half of them were pretty dead by the end, and it was only a four-hour sim. 

 

This covers the first five minutes. Merrin checks the fluid bag - yep, 250 mls in. "Still feeling okay? Any cramps?" 

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