It takes Marian, like, an hour to get through all of that, significantly because every five minutes she has to swap out to clean gloves and take a blood sugar and about 1/3 of the time she has to treat it with more D50. Does the patient stay basically stable through that whole period? 

Towards the end of that period she starts looking . . . kind of off, in some hard-to-define way. Also she shifts around in her sleep a bit and makes the one noise it's possible to make with a breathing tube in.

...Shit. 

The rest of the stuff does not have to go in the cabinet all nice and sorted, it can get wrapped in the counter incontinence pad and shoved in there to tidy up later.

Is there anything obviously newly wrong with the patient's vital signs, urine output, stuff coming out of her abdominal drains, et cetera? 

Her temperature is 99.8 where she had previously been a bit on the cool side, and there's . . . something grey-green . . . coming out of the abdominal drains.

Shiiiiiiit. 99.8 isn't a fever yet but it sure is warmer than she was running before - in fact, Marian can check the history and note that her temp is up nearly a degree in the last, like, ten or fifteen minutes. 

...Also WHAT THE FUCK is coming out of her drains. Seriously, what is that??? Bile?? That would already be super worrying, since it would mean that something opened up again in her gut or that they didn't successfully patch all the damage in the first place, but it's not even really a normal color for that. 

Marian sticks her head out the door. "Kristy! Hey! Can you, uh, go find a resident right now to come look at something?" - also, separately, the patient looks like she might be starting to wake up, or at least be uncomfortable? "Oh, and can you pull a bag of fentanyl for me and bring it to cosign?"

And then she’ll do a neuro assessment. She stands at the head of the bed and reaches to take the patient’s hand. “Hey! Can you open your eyes for me?”

At some point the sedation transitioned into regular sleep, but Marian touching her hand wakes her up. 

She orients more quickly, this time. Everything is the same but she feels differently horrible and is more effectively strapped to the surface she's on, which is completely to be expected. Maybe if she pretends to be worse off than she is she'll get some time unobserved to start working on the restraints. Her eyes open just a crack, enough to get a blurry sense of the general sort of room she's in, and then fall shut again.

Okay, that looks like - a little more responsive, which is a good sign, but not fully conscious yet? 

How much does she respond to having her nailbed pinched? 

They won't catch her out that way; she's had way worse. She barely twitches.

(The Inheritor gave Samora the powers She believed would be the most effective, and Samora will not question Her wisdom, but it would be really nice to have a paladin's perfect fearlessness right now.)

In that case Marian is going to go on believing her patient is mostly unconscious! Though, like, surprisingly so given that Marian is pretty sure she was moving spontaneously at least a little bit? 

…She’s still going to talk to her, though. “Sorry about that. My name is Marian and I’m your nurse - you’re in the ICU, you were badly hurt and just had surgery - we’re going to give you something for pain, okay, so you'll be more comfortable..." 

Kristy and a bag of fentanyl and IV tubing make it over well before a resident does to look at the horrifying drainage. "Hey, sorry, they're doing a procedure in 101, it'll be like five minutes." 

Marian would prefer SOONER THAN THAT but sure, okay, the patient is not in fact unstable at this point there’s just clearly a problem. “Uh, I think the order parameters start at 25 mcg/h but that’s, like, almost homeopathic, I kinda want to start at 50 and go down if her blood pressure isn’t coping…”

Samora lies motionless and attempts to assemble various facts into a coherent picture. She's restrained and has various devices attached to her. None of the people who have come near her while she's awake read Evil, and none have reacted at all to her Protection from Evil aura (which was down while she was actually unconscious, but is back up now). They've taken her weapons, armor, boots, Cloak of Resistance, and Belt of Strength, but not her Headband of Wisdom or her holy symbol. That last makes no sense and if she was a little less drained and exhausted and a little more cunning maybe she'd be able to figure out why. Did Tris do something to disguise them somehow, but wasn't able to get her out? Is someone here trying to help her? The person who spoke to her in a strange language had a kind voice, and picked an oddly harmless way to hurt her, but that's not enough evidence to trust her.

Kind-voice fiddles with something and there's a weird sensation from the tube going into Samora's arm. A few minutes later, she feels . . . less pain than she was previously? That's unexpected and probably good but she goes over all her thought processes with a suspicious eye, looking for anything that might be the result of a mind-affecting potion. Everything seems fine, but she can't be certain of that; her will has to be seriously weakened right now. Still, it's a piece of evidence that kind-voice might secretly be on her side. If only she could recognize that language--it's not Taldane or Celestial, she's heard enough Necril to be pretty sure it wasn't that even though she only knows like six actual words of Necril . . . maybe it was Undercommon? This sort of thing was always Tris' or Marshall's job, and she simultaneously wishes they were here and hopes they're safe in Otari.

It's more like ten minutes before anyone comes to see her patient. Marian paces and takes another blood sugar and watches her patient's vital signs closely. Is her blood pressure holding up with the fentanyl? Is her temperature stabilizing at 99.8 or continuing to go up? 

- she also obsessively refreshes the computer, and will see right away when the repeat coagulation panel comes back. 

Her blood pressure is stable, but her temperature is up to 100.4. The coagulation panel looks a lot better when it finally arrives, though.

That's...confusing (DIC does not normally get better) but Marian is certainly not complaining. Maybe the first set of tests was wrong somehow - no, she also got in report that the patient was in fact bleeding uncontrollably with basically no clotting activity - and the D-dimer is still positive... Shrug. Right now it's not something wrong and other things are wrong and it can wait. 

A harassed-looking resident does eventually arrive. "Someone said you were worried about the drainage, is it– holy shit, what is that?" 

"I don't know! I noticed it pretty suddenly, like, ten or fifteen minutes ago? She's spiking a fever and looks - worse -" 

Wow. Okay. He...had better have a look at the incision site? 

Her incision site is also weeping horrible slime! When the dressing comes off and some of it hits the air they will discover it also smells like something fell in a bog and died.

(Samora hears a new voice say something shocked and the potential-ally voice say something nervous and then one of the horrible devices stuck in her is prodded and it smells like one of the necromancer's disgusting puppet creatures. She holds very still and has an internal debate with herself about whether, should the two people start fighting, she should (or can) attempt to intervene on kind-voice's side.)

That’s so alarming and upsetting! Marian has about 10% of a normal human sense of smell (honestly fortunate in her line of work) and even she can smell it, and bile does not smell like that! Nothing she’s ever seen come out of a human body smells like that! Aaaaah! 

The resident swallows hard, like someone unfortunate enough to have nausea hooked up to his sense of smell. “Oh. That’s - bad. I…think I should go get Dr Harrison.”

“Yeah. I think you should do that.”

Thoooough from experience, that might still somehow take another ten or twenty minutes.

“- Uh, I think we should do another set of labs.” It’s only 3:45 pm but she does NOT want to wait until 6 pm. “And should I give her another liter of fluids? Her BP is already marginal and if she’s going septic now…”

At least she already has orders for a second pressor, and if she’s remembering right, dopamine is maybe actually pretty good for sepsis? 

“- oh and IV Tylenol? Her temp is going up really fast and I don’t have anything ordered?”

“….Uh, yeah, that sounds good.” 

The resident leaves.