AT/D08 - Medical Complex

[Tyra Crawford]

= The primary sickbay for the USS Artemis is designed to treat large numbers of injured or ill crew members. It consists of three primary wards: Triage/Main Treatment, Pre-Op/Trauma, and Intensive/Primary Surgery. Doors lead to labs (two located within the complex itself), restrooms, offices for the Chief Medical Officer and Head Counselor, a doctor's lounge, and a morgue.

Each ward has nurse stations, with that of the Head Nurse (or primary shift nurse) being located in Pre-Op/Trauma. These stations consist of a desk and computer terminal, with storage drawers and cabinets located above and to the sides. Larger storage lockers are located throughout the complex, as well as lockers for medication. Biobeds line the walls with sensor clusters above, allowing for the diagnosis and treatment of several injured simultaneously. Each ward has its own dedicated replicator used to produce materials as needed.

The main entrance to the Medical Complex leads to Reception, where a triage nurse is stationed at all times. New patients are assigned beds and appropriate medical personnel are notified. In Triage patients are diagnosed, treated, or transferred to Trauma or Surgery as needed.

In addition to its normal biobeds the Trauma Ward has four Isolation Bays where patients who are contaminated can be treated. These can be sealed with force fields set to various levels to screen out toxins, radiation, or disease. Dangerous individuals can also receive treatment in these bays with a minimum of risk for other patients and staff.

The Main Diagnostic Biobed (MDB) is located in the center of Intensive Care/Primary Surgery. It has a suite of powerful sensors and other tools to allow doctors to diagnose especially difficult cases. Eight intensive care biobeds surround the MDB, and two Surgical Bays are available as needed.

The Artemis Medical Complex is equipped with an Emergency Medical Hologram (EMH) to assist in times of emergency. Emitters are located throughout the Sickbay.

The Doctor's Lounge has numerous comfortable chairs, and a main table in the center. A replicator is available for food and drink, along with a notoriously old and cranky coffee machine. There are several ferns located in the corners, a viewscreen, and an on-call room available for doctors to rest.

Recovery rooms, storage, and break rooms for nursing staff and orderlies are located nearby. There are two smaller sickbays located elsewhere in the ship, mostly used for treatment of minor injuries and non-critical medical procedures.

All areas have the ability to use forcefields and holoprojectors for both containment, restful scenery, or even provide the assistance of an Emergency Medi
cal Hologram. ==

[Beka Sydesh]

Taking a sip from the mug of coffee that she was cradling in her hands, Beka leant her elbows against the main reception desk. In uniform, flame red hair tied back, vivid sleeve tattoos hidden under her tunic, she could pass for a normal Star Fleet officer.

I can hide the crazy for short bursts, but it has a horrible habit of erupting when we least need it to!

She smiled to herself and took another sip of coffee.

“Nice to see you’re hard at work.” The voice belonged to Nurse Golat, the older woman who had taken Beka under her wing when the now-Chief Doctor was a fresh midshipman. She was grinning as she spoke. “Almost didn’t recognise you without your scandalously tiny bikini.”

“Hey, by anyone’s standards, that one wasn’t bad at all,” Sydesh replied with a wolfish smile. “I really could have picked something that would have made her eyes pop, but even I’m not dumb enough to wear something like that at a crew gathering.” She paused a moment. “Well. Not normally dumb enough, anyway.”

Golat chuckled quietly to herself.

“You’ll be pleased to hear that the whole thing hasn’t remotely changed opinions of you in the slightest. Both team ‘Sydesh is a slut’ and team ‘Sydesh is given too hard a time’ have reinforced their viewpoints,” she said in an almost conspiratorial whisper.

Beka burst out laughing.

“I bet I know which team is the bigger one,” she managed, before laughing again.

“Best I don’t confirm that one,” Golat replied with a smirk, drawing another laugh from the redheaded doctor. “Have you managed to patch things up with Chief Calleja, or do we have to brace for finding your skinned corpse hanging from a gantry in the cargo bay?”

“So far she’s not shown an inclination to hunt me down, luckily for me,” Beka answered. “I know all too well I’m not winning that fight if it ever happened, black belt or not. I have designed her a couple of tops to help her out, but I’m waiting for the right moment to try and hand them over.”

“That’s a good plan. Unusually good for one of yours.”

“Thanks. I’m trying harder,” Beka quipped. “Back to business for a bit. How are we looking readiness-wise? Everyone finding their way over here?”

“So far so good.” Golat tapped a few commands into the terminal at the station. “Just the last few stragglers to report in, but nobody’s actually late yet.”

“Cool. Hopefully nobody actually needs my boot up their arse, but that would be a first.” Beka had no problem playing the bad cop in the double act she often played with Robin, the two friends almost instinctively able to play their parts in the dance after so long working together.

The quiet was broken by a pair of Security officers walking in, a Bolian cradling his arm with a deathly pale face and an embarrassed looking human woman trailing behind him.

“Oh that’s got to be a record. We haven’t even left dock yet,” Beka said. “I’ve got these two.”

She drained her mug and left it on the desk before moving to intercept the pair.

“OK, what have we got?” she said.

“We were stacking crates in the armoury, and I lost my grip. Ejid ended up taking the full weight and wrenched his arm.” The speaker was human, and she looked mortified at the pain on her Bolian friend’s face.

“This way, let’s get you patched up and back on duty before Calleja notices you’re gone,” Sydesh said with a reassuring smile on her lips. She led the way towards one of the bays and settled the patient down on the biobed before tapping her commbadge.

“Sydesh to Th’etellis. Can you join me in bay 4 please. I have your first patient.”

== Tag Tes! ==

[Tes Th’etellis]

“Sydesh to Th’etellis. Can you join me in bay 4 please. I have your first patient.”

“On my way,” came the response from the other side of the commbadge.

Tes came in soon after, the doors sliding open before him and sliding shut after. Now in uniform, he was pulling his white hair into a ponytail at the back of his head, snapping the band with finality as he walked in.

“Midshipman Tes Th’etellis reporting for duty.”

He spotted Ejid, the injured Bolian security officer and the other security officer, a human, as he came into Bay 4. He came over to the pair and stood beside Lieutenant Sydesh.

“What happened here?”

The question was directed towards the other doctor beside him. His antennae focused on Ejid. Seeing the way the Bolian was holding his arm, he was already making assumptions.

A dislocated shoulder, perhaps. Or a torn rotator cuff, depending on the direction of injury…

He saw the immense pain on Ejid’s face and the panic on the other officer’s face.

If he’s in that much pain, it’s probably not a sprain or a muscle strain. It could be a fracture, but- Tes, you should hear the damn story first…

== Tag Beka ==

[Beka Sydesh]

“Midshipman Tes Th’etellis reporting for duty.” The lanky Andorian arrived snapping her hair into a ponytail. “What happened here?”

“These two were loading crates in the armoury and fumbled one. Ejid,” Beka nodded towards the Bolian, “ended up taking the weight and wrenched his arm. Potential dislocation or rotator cuff damage, my guess would be glenohumeral ligaments. But this is your show now. Take the lead, doctor. I’m here if you need me.”

With the handover given, the redhead took a step back, leaning against the back of the cubicle. One of the nurses arrived with a triage kit including a tricorder and dermal regenerator and set it out in front of Tes, and then waited for instructions.

== Think of me as a GM for this one - you take the lead, I’ll answer input requests! Feel free to flesh out the nurse as much as you want to, they’re now your temporary NRC. ==

[Tes Th’etellis]

“Potential dislocation or rotator cuff damage, my guess would be glenohumeral ligaments.”

Tes nodded, his tone analytical. “That’s what I was thinking, too.”

“But this is your show now. Take the lead, doctor. I’m here if you need me,” Beka said, stepping back to observe Tes. Tes looked back and gave a nod, grateful at the chance to prove himself.

Alright, Tes. This is it. Don’t screw it up.

“Thank you, nurse,” he said as the nurse laid out the triage kit in front of him. She gave a nod.

He turned back to Ejid and grabbed the tricorder from the triage kit, scanning the Bolian’s shoulder whilst observing his glenoid fossa, trying to see physically if the head of the humerus slipped out.

“Since the accident, have you been able to move your arm at all, Ejid?”

== Tag Beka: results of scan, physical observation, and Ejid’s response, please! ==

[Robin Mayfair]

== Sorry I've been scarce. I'm getting over a really nasty flu and still feel wiped out, though better than I was. ==

[Tes Th’etellis]

== You’re alright, there’s no hurry! :) ==

[Beka Sydesh]

== Welcome back, Chief! And apologies for the delay. ==

Ejid winced as Tes carried out his scan.

"It moves, but I really wish it didn't," the Bolian replied. "It really hurts right at the very top of my shoulder. Feels like my arm is heavier than it was 10 minutes ago."

The scan showed an awful lot of swelling and bruising, to the point where it was very difficult to see much of anything that may have actually been causing the issue. On physical examination, there didn't appear to be much movement in the area of the humerus or glenoid area, but curiously there did appear to be something moving further along, closer to the patient's neck.

[Robin Mayfair]

Robin's first day back had been a pure paperwork day, an early start. Not fun. Granted, her brain was pretty much designed for keeping track of tedious minutiae and organization, but it was still the CMO's least favorite part of the job. She'd stuck a "Do Not Disturb" note on the outside of her door, and thankfully no one had decided to test it. She'd pushed to get it done. Crew records, medical cargo, and yet another repair order for the ever-cursed Biobed 2, bane of her existence. It had shorted out. Again. Engineering had ripped the whole thing apart during shore leave, gone through every circuit, and put it back together carefully. And it had lasted a day. 

It's haunted. There's absolutely no other rational explanation for it. 

The nurse rubbed her hand through her short purple pixie cut, leaving it no more and no less messy than before. She tapped the 'send' button on the work order, with a note that she wouldn't object if the biobed was ejected into space and burned up in the atmosphere. Robin decided she'd had enough. She grabbed her cup of now-cold coffee and put it into her office's replicator to be whooshed away. The office itself had finally been decorated, with multiple plants providing welcome greenery. A very large viewscreen had been mounted on the wall, almost covering it, both for official business and to provide her something pleasant to look at. Currently it was showing Earth orbit, with Spacedock coming into view over the horizon. 

She stood up. Time to go bother people. As CMO she was expected to circulate, even if there wasn't anything going on. 

But there was. She caught the tail end of Beka's request to Tes Th’etellis. Her friend was doing well running the floor and assigning people, and she certainly didn't need the CMO to intervene in anything. Robin quietly moved to the door to observe the new doctor as he worked, staying out of line of sight. The last thing a Midshipman needed was to have the boss breathing down his neck. 

== I'll take over from Beka as your temp GM. Feel free to treat the patient as you like, and I'll provide results and answer questions. ==
== Tag Tes ==

[Tes Th’etellis]

Tes nodded and pulled away for a moment.

“That’s what I thought,” he said. “Looks to be moderate tearing of the glenohumeral ligaments. An easy fix, not to worry.”

The Andorian noticed the moving near Ejid’s neck, his antennae involuntarily pointing towards it in interest.

“But… I’d like to run a couple of other scans before we treat you…”

He somewhat lied, at least lying by omission. He didn’t mention the moving to Ejid, not wanting to frighten or startle the Bolian. But he leaned forward again and began running the tricorder at a tilt so that he was scanning Ejid’s neck, but remained at Ejid’s shoulder as not to give away what he was doing.

== Tag Robin: Results of scan, please! ==

[Robin Mayfair]

The tricorder gave off a series of short beeps as it did its work. As Tes moved it towards the neck the small display registered what the problem was... a serious one, a broken clavicle. Three fractures ran from the upper part of the bone down at a 45 degree angle inward, not clean breaks but ones that were growing. They threatened to separate a 4 cm section of the upper clavicle entirely, something that would be a mess to repair. Every movement the Bolian made increased the fractures slightly more.

The glenohumeral ligaments had been damaged, but those were fairly simple to heal with 25th century medicine. Outpatient treatment and a couple days rest. But the clavicle? That couldn't be fixed up with an osteogenic stimulator. It was going to take surgery. It wasn't immediately life threatening, but delay only made the situation worse. The damage would have to be repaired by going in, putting in temporary pins to keep the fractures in place, and only then using the stimulator to fix the fractures.

Ejid looked nervous and winced. "How bad is it, doctor? Really hurts." He winced.

== Over to you. You're the lead on this, so you can handle it how you like. ==

[Tes Th’etellis]

Tes almost breathed a sigh of relief, but he caught himself, knowing how selfish it would sound. His anxiety had spiked and he had a horrible inkling that whatever was moving by his neck was some kind of alien parasite. At the Academy, he had heard the jokes that one would be treating a headache one moment, then fending off an invasion force the next.

A broken clavicle. It was horrible, to be sure, but much less so than Tes was worried about.

Really, Tes? You let your imagination run wild…

Ejid looked nervous and winced. "How bad is it, doctor? Really hurts." He winced.

“I don’t doubt it,” Tes said, quite relieved that he could be frank with the Bolian. “You’ve broken your clavicle. While it’s definitely treatable, we’ll have to get you into surgery as soon as possible so as not to complete the fracture. We can have you in and out of surgery. I wouldn’t worry. You’re in good hands.”

Tes looked up to the nurse on the other side of the biobed.

“Nurse Adhya.”

She looked up and gave a small “mhmm”, ready for instructions.

“If you would be so kind, please take Ejid here to Surgery Bay 1. Mind his clavicle, make sure he stays fairly still. Scrub in, and I’ll meet you there in a moment.”

“Yes, Doctor,” Nurse Adhya replied, nodding her head and carefully helping Ejid up to his feet. She sat him up so he didn’t have to use his arms and move his clavicle further.

== Tag Robin! ==

[Robin Mayfair]

== Adheya and Ejid ==

Nurse Adhya helped the Security officer up, making sure that his upper torso moved as little as possible. "This way," she said as she guided him to the surgical bay. He hissed once in pain as they turned and she made an apologetic comment. "Sorry, I'll get you some pain medication as soon as you're settled."

"It's OK," Ejid responded. "I work for Chief Calleja. I'm used to pain." He grimaced as he realized the lameness of his joke, but it had been all he could come up with on the spot. "But actually it's not my first broken bone, and it won't be my last. Kind of goes with being a Security officer."

The nurse gave a dry chuckle. Patients often responded with jokes, she was used to it and tried to at least give them a bit of a laugh. It helped reassure them. As the two entered the surgical bay she helped him onto the surgical biobed. "Don't lay down yet. Computer, activate Surgical Biobed One. Activate sterilizing field." There was a brief shimmer as the force field buzzed on, followed by a glow as an emitter destroyed the microorganisms in the small bay. 

An orderly brought in a wheeled cart with surgical tools as Adhya stepped over to a cabinet and took out a laser cutter. She carefully sliced the upper uniform off of Ejid without leaving the slightest mark on his skin. She handed the sliced-up uniform to the orderly to be recycled by the replicators. 

"All right, you can lie back. Carefully." She guided him down, making sure that he kept his shoulders as still as possible. "I'll be back in a minute. If you need anything please ask the orderly. No food or water, though." He nodded in response and regretted it.

The whole procedure was something she could practically do in her sleep. She hadn't been long out of the Academy but they drilled it into medics. Adhya changed into scrubs and scrubbed up. While she was changing she had the computer pull up Ejid's records and search for any allergies or other information that might be of note. The Security officer didn't have any serious problems. A slight cobalt deficiency that was treated with daily medication, nothing important. With that she stepped back in.

"All right. I'm going to give you an analgesic. This is Terakine. It will completely numb the area. The doctor will make a further determination once he steps in. He might decide to sedate you, though that's unlikely for this sort of procedure." she waited for Ejid's affirmation and applied the hypospray carefully to the area, then counted down mentally from ten. 

"Woah," Ejid said. "That's so much better." 

That got a smile out of the nurse. "Sure, but the bone is still broken. You just can't feel it." She cleaned the clavicle area with a sanitizer, not strictly necessary but she preferred to take no chances. Technology wasn't always the best answer. 

One last task, important. Adhya examined each device and tool on the cart, making sure they were functional. Commander Mayfair was a stickler for equipment inspections and was even less trusting of modern gadgetry than she was. Verify everything was something she trained into her staff. Osteogenic stimulator, regenerators, a case full of pins that were designed to either dissolve in a month or two or (when required) be literally beamed out of a patient's body when they were no longer necessary. Medical tricorders, not strictly necessary since the biobed was superior but still occasional useful for spot checks. Laser scalpels, old-fashioned metal scalpels (for those on the staff like Dr. Sonaalk who preferred them), and the usual assortment of other bandages, sutures, and tools. The idea was to have anything the doctor needed available instantly. Since the nurse had no idea of the young Andorian doctor's style in the operating room it was best to be prepared for anything. 

She'd assisted Sydesh, Sonaalk, and Giddrin on numerous occasions. They all had wildly different ways of working. Sydesh was a whirlwind, flying by the seat of her pants but always in control. She controlled her team during operations like a symphony conductor. Sonaalk, the Vulcan cardiologist, was as logical and procedural as might be expected, but he sometimes seemed almost supernaturally aware of everything that was going on. Giddrin, the Saurian neurologist, was incredibly detail oriented and expected her staff to anticipate her needs. But Th’etellis was new. How would he work? 

Everything was set. She tapped her combadge. "Adhya to Dr. Th’etellis. The patient is prepped for surgery." 

== Tag Tes ==

[Tes Th’etellis]

“Adhya to Dr. Th’etellis. The patient is prepped for surgery." 

“On my way,” came the reply. Soon after, Tes stepped into the surgical bay, snapping on a pair of gloves. His hair had gone from a ponytail to a tight bun at the back of his head, to keep his hair extra out-of-the-way.

He saw the setup and stepped towards the biobed.

“Well, Ejid, we’ll begin the surgery now. You’re welcome to watch, or you can close your eyes. Either way, you shouldn’t feel a thing. If you do, however, just let us know, and we’ll administer more Terakine.”

Tes kept a poker face, but his antennae betrayed that he was anxious about the surgery. He knew what to do, of course, but there was still that nagging feeling that something would happen. It never usually did, but that didn’t stop the feeling.

“Alright,” Tes breathed out. “Let’s begin then.”

He grabbed the metal scalpel from the tray, quite thankful that it was included in the assortment. It may have been outdated, but Tes trusted his sense of touch better than his sense of sight, and consequently worked better with an old-fashioned scalpel than with a laser scalpel.

He began by making a small incision above the clavicle, just to test the waters, then expanded the incision with care until the clavicle was exposed.

“Let’s see here…”

== Tag Robin: observations, please! ==

[Robin Mayfair]

The incision was clean, expertly made. Blue blood began to pool, and nurse Adhya applied suction to ensure that the Doctor's field of view was clear. Peeling the skin and muscle back carefully, the clavicle became exposed, and immediately Tes would see that he was right to be pessimistic. The bone fragment had already worked itself free. This wouldn't be a simple patch and pin. Not only that, but the sharp chip had just cut into the Bolian's primary subclavian artery, as cleanly as a knife. The penetration wasn't deep, yet, but the artery carried blood to the brain. There was a risk of serious blood loss, even a spurting geyser if left alone.

Adhya said nothing, but turned the biobed's monitor so that Tes could see it while the patient couldn't. She tilted her head slightly to indicate the scanner's warning and its image of the bone fragment's depth.

"How's it looking, Doc?" There was a nervousness in Ejid's voice.

== There you go. Welcome to FedSpace, where nothing is ever simple. ==

[Tes Th’etellis]

Tes saw the monitor and froze. He didn’t pull his hands away or physically react, other than a blank look, but his antennae shot up straight and quivered once in horror. He finally pulled his hands away and thought, deeply.

His heart raced and his stomach turned into knots, but he wouldn’t let himself break down. Not here, not now.

“…Right then…”

He placed the scalpel down on the tray and gestured for Nurse Adhya to join him aside.

"How's it looking, Doc?" There was a nervousness in Ejid's voice.

“Just a minor setback. We’ll be right with you,” Tes replied, trying to keep a certain tone, although in reality, he was trying not to panic.

Tes was not one to shy away from asking for help, at least in the field of medicine, and so to Nurse Adhya, he spoke in a hushed tone. “So, um, ideas? We can’t leave the fragment, but if we move it, we run the risk of cutting off circulation to his brain.”

== Tag Robin! Let the games begin haha! ==

[Robin Mayfair]

==  Continuing temp GM ==

Ejid started to nod, then realized what a bad idea it was and stopped before anything bad happened. "Thanks," he said nervously. The doctor's tone evidently had him worried.

Adhya thought for a moment. She was concerned, but was enough of a pro to understand that things often went wrong. She spoke quietly after giving it a bit of thought. "I could clamp the artery. Bolians have a secondary that can take over briefly, though with reduced flow. He won't suffer brain damage for a few minutes with the minimal circulation. That should give you time to get in there with a suture followed by regeneration." She paused again. "Recommend we sedate."

His Academy knowledge and training gave Tes an edge here over civilian doctors. Starfleet medics were trained to do 'meatball surgery,' fixing problems on the fly and ranking them in order of seriousness. It seemed like a plan, but relied on Tes getting the fragment out quickly and cleanly. If he failed there would be a gusher and a risk of further damage, possibly severe enough that he wouldn't be able to prevent oxygen starvation. Once the bone shard had been removed he could seal up the artery and the nurse could remove the clamp. Once the crisis was averted they could concentrate on the original task, repairing the other damage the poor Bolian had suffered.

Adhya waited for the Andorian doctor's response. He would have to make the call.

== Tag Tes ==
== We'll finish playing this out, but then there will be a time skip of a few weeks since the mission has started. Please read Commander Soval's log for details. You can continue to post in this *and* the new timeline. Just tag your posts with == Surgery TL == or == Launch TL == as you see fit. I'd like to have Robin talk to you after the surgery. ==

[Tes Th’etellis]

==Surgery TL==

"Recommend we sedate."

Tes nodded. “Yes, it’s best if we sedate.”

Tes didn’t trust in many things, but he trusted in the steadiness of his own hands, and he knew that he could reasonably complete the surgery without complications.

“Alright. Let’s do it.”

But he knew he wouldn’t be able to stave off the waves of residual anxiety after the surgery was done.

That’s a problem for future Tes. Pull yourself together.

Even though the rest of his body was beginning to become twitchy, his hands remained steady as he returned to Ejid’s side.

“We’re going to sedate you for the rest of this procedure, just so you’re not accidentally causing more damage than is already there. The surgery will be over once you wake up again, and we’ll have you recover before we send you back to Chief Calleja.”

He turned his attention to Nurse Adhya.

“Nurse Adhya, please start Ejid on Neurozine gas, but have Anesthezine on standby just in case.”

And to Ejid he said…

“Alright. I’d like you to count down from ten, and get to one if you can.”

…even though Tes knew full well that the Neurozine would kick in hopefully before seven.

== Tag Robin ==
==Got it! Also, sorry for not responding a lot sooner. College applications have been kicking my ass!==

[Mara Calleja]

Robin's commbadge chimed. The voice on the other end was clearly Calleja's - the COS had been one of the senior officers who had taken Bridge shifts to cover for the lack of a CTO, so it shouldn't have been a complete surprise for her to be the one calling.

[Bridge to Mayfair. Artemis ‘as been signalled by the planet designated 285-U-2 II, an’ we’re makin’ best speed there now. They’ve requested urgent aid an’ said somethin’ ‘bout a drought before the message cut out. 2 things please. Do we ‘ave any medical information at all about the inhabitants of that planet? An’ can you take the lead on gettin’ a relief mission equipped. We may have to treat mass dehydration an’ malnourishment. How do we do that? I need your planet sized brain for that one. Call Engineerin’ an’ Support if you need to.]

There was no hint of mockery at all in the calm voice - Mara had nothing but respect for Robin's capabilities, and she was counting on them coming to the fore.

[Robin Mayfair]

== No problem. Very sorry about the delay. Got sick, and then got hit with a couple of emergencies that have really, really not been fun. Things have calmed down, for the moment... and I probably shouldn't have written that. ==

== Continuing temp GM Surgery TL ==

“We’re going to sedate you for the rest of this procedure, just so you’re not accidentally causing more damage than is already there. The surgery will be over once you wake up again, and we’ll have you recover before we send you back to Chief Calleja.”

Ejid didn't try to nod this time, instead giving a simple "OK." He wasn't happy about it, clearly, but there wasn't anything to do except trust the Andorian doctor. Who looked really, really young now that he thought about it.

“Nurse Adhya, please start Ejid on Neurozine gas, but have Anesthezine on standby just in case.”

The nurse calmly repeated the order and administered the gas through a breathing mask. She gave the doctor a nod. He seemed nervous, but this was what he'd trained for.

“Alright. I’d like you to count down from ten, and get to one if you can.”

"Ten, nine, eight, potato..."

With that the patient was ready. Adhya moved in with a surgical clamp, stopping the blood flow temporarily. They'd only have minutes, but it honestly wasn't a concern. They wouldn't have a gusher, at least.

"The artery is clamped, Doctor. We're ready to go."

== Tag Tes Th’etellis ==

[Robin Mayfair]

== Current Timeline ==

Robin sat in the Doctor's lounge, sipping a cup of coffee that made her wince. The antique coffee machine, reputed to be older than human civilization and most certainly haunted, produced a foul brew that the doctors seemed to like. Or perhaps they only drank it because alcohol was off limits during a shift. Regardless the CMO needed somethings stronger than her usual super-sweet French vanilla standby from the replicator. She stifled a yawn. Her shift was almost over, and a warm bed and holonovel awaited her in her quarters.

So of course her combdge chirped. It was Mara. Robin had heard that the Security Chief had begun taking occasional Bridge shifts. It had been something the nurse had considered, but it had been put off. She was usually busy with Sickbay matters.

[Bridge to Mayfair. Artemis ‘as been signalled by the planet designated 285-U-2 II, an’ we’re makin’ best speed there now. They’ve requested urgent aid an’ said somethin’ ‘bout a drought before the message cut out. 2 things please. Do we ‘ave any medical information at all about the inhabitants of that planet? An’ can you take the lead on gettin’ a relief mission equipped. We may have to treat mass dehydration an’ malnourishment. How do we do that? I need your planet sized brain for that one. Call Engineerin’ an’ Support if you need to.]

Mara wasn't mocking her. She'd been a little on edge around the Chief since the incident in Sickbay, but Mara had never mocked her talent for running her department and she appreciated being treated as a professional. Not only was this a problem she could wrap her head around, the idea cleared her cobwebs better than the coffee.

She thought about it for a moment. The Artemis, like all Starfleet vessels, was equipped for disaster relief, and coordinating that was actually part of the CMO's job. She knew the disaster equipment carried by the starship down to the number of bandages. It would depend on the size of the relief needed, so she'd have to coordinate with Cera. Robin had never heard of any such planet, so they did have to hope that the natives didn't drink ammonia or any such thing, but most sentient life in the galaxy hollowed the standard carbon-based humanoid pattern.

She tapped her badge to open the reply channel. "Understood, Bridge. I'll see what I can find out for you, Commander. And we have two GR-77 water replicators in Cargo Bay 3, along with eight collapsible cisterns. Engineering can make more of both without too much effort. Plenty of emergency food rations in Cargo Six, and we can turn the replicators on the ship loose to make as many more as we can. I guess it'll depend on the needs of the planet, but I'll get my people organized so we're ready to go as soon as we arrive."

She tapped her badge again to switch channels. "Mayfair to all Medical personnel. Please report to your designated Sickbay and prepare for disaster relief. Your shift doctors will give you your assignments once we have more information. Lieutenants Rose and Soril, please report to Cargo Bay 3 and begin unpacking the emergency cisterns and getting them ready for transport. Take anyone you need to help. Don't fill 'em yet. We can replicate water into them before beaming them down. Just set them up."

She closed the channel and prepared for the flood of irritated medics who'd just had their downtime cut off. The purple-haired nurse stepped out of the lounge and over to the nearest console. "Computer, locate all records on planet 285-U-2 II. Priority any biological and medical information on the inhabitants as well as environmental information."

One last thing. This might be a big job, probably would be, and she would need help... someone to coordinate. Her first thought was her best friend Beka, of course, but honestly she needed the redhead coordinating her team. She tapped her badge again. "Mayfair to Tes Th’etellis. Doctor, please report to me in Main Sickbay."

== Tags Tes and Mara ==
== GM Info please: What medical and environmental information can the computer find on the planet? ==

[GM-02]

As the Artemis is well beyond Federation territory, the computer has no information to convey. A scan of the planet showed nothing obviously problematic to Federation sentients, though obviously direct scans of any substances would be advised before eating, drinking, or rough handling. However the air and soil appeared benign at this time.

[Robin Mayfair]

The computer dutifully showed what was available: nothing much. Robin suppressed a groan. Instead she forced her face into a pleasant expression and turned. Medical crew were already entering Sickbay and she basically had nothing to tell them except "get ready." She could keep them busy for a while, and honestly it would be good to put them through their paces. This was part of the job they'd signed up for, and it was one of the primary duties of a Federation starship to assist with disaster relief.

The CMO tapped her combadge. "Mayfair to Bridge. Unfortunately we've got no more information than you have access to. There's no medical info available on the planet. We'll have to wing it. Recommend I join whatever initial away team you organize. I'll need to assess the situation on the ground and take some scans."

With that she began organizing her people into teams.

[Tes Th’etellis]

==Current TL==

"Mayfair to Tes Th’etellis. Doctor, please report to me in Main Sickbay." 

“I’m on my way,” came the response.

Moments later, Tes came into Sickbay, tying his white hair into a bun at the back of his head. He had been sleeping when his combadge chirruped. It was clear when he yawned as he stepped in.

“Tes Th’etellis-“ he yawned a little. “-reporting for duty, sir.”

He pushed through his weariness and stood at attention.

“I’m ready to help.”

Once he was given his task, he’d grab a strong cup of coffee to power through. But first things first, after all.

Truth be told, Tes was nervous, at least more than usual. If he was called out during his down time, it must be important.

==Tag Robin!==

[Robin Mayfair]

== I'm going to go ahead and wrap up the surgery timeline, then post in the current TL ==

Carefully, so carefully, Tes worked the fragment out. It took intense concentration because the shard of bone was exceedingly sharp. He'd studied wounds like this. They were rare but always a possibility. Thanks to the clamping the bleeding was kept to a minimum.

With that done an old-fashioned suture was used to close the artery. A tiny machine no larger than a fingernail was placed next to it. It would regenerate the tissue, monitor the closure, feed information to Sickbay computers, and dissolve in a week. With that done the pressure was off. Adhya released the clamp and blood began to flow again.

The rest of the surgery was routine but lengthy. Bone reconstruction and repair. The shard was fitted back into place and pinned, with growth started using an osteogenic stimulator. Damage to the shoulder and joints was repaired and healing stimulated. Finally, after an hour and a half the job was done. Tes could leave the nurse to close up.

Now the only thing Ejid needed was rest. A few days in Sickbay followed by bed rest in his quarters. He was going to be off duty for a week, minimum, assuming he didn't do anything stupid like starting to work out.

== ETL (which means "End Time Line," something you can use when you're done posting in a storyline or just want to wrap up and bow out in a social situation.) ==

[Robin Mayfair]

Tes reported promptly and without complaint, something that pleased the CMO. Especially since he had clearly been woken up. More than a few doctors weren't as prompt, and she'd have to have words with them. Later. He did look a bit nervous.

And I was no different just a couple years ago. Eager to impress Dr. Tyrol, nervous around any of the veterans, and afraid that they were judging me because of my freaky genes. He'll build confidence, the same as I did. Though sometimes I feel like a fraud.

"I’m ready to help," the Andorian Doctor said, obviously still trying to get himself truly awake. 

"Good deal. OK, I don't know what's going on yet and we're still waiting for word from the Bridge, but we've got a world that sent out a distress call. Starvation and drought, it looks like." The purple-eyed Augment motioned him over to a monitor station.

"I'm going to need you to be my gopher." She laughed musically. "Sorry, it's an old Earth term. It means 'go for.' Go for this, go for that. Handle a team, or direct supplies, whatever needs to be done. I'll make sure the teams understand that you're acting on my orders so they don't give you any lip. I'll also probably have you on the first away team that beams down so we can assess the situation."

"We can pull up information here." She pointed to one of several wall-mounted screens above. "I had those installed so we could keep track of ship course and speed and get real-time information from the Bridge." Another laugh. "Got sick of only finding out about the latest crisis when the ship started shaking and we went to Red Alert. Nobody tells Sickbay anything." 

The information from Commander Miller's Science station popped up on the monitor station. A Class-M world, mostly dry, with 55% water coverage. One settlement, colony sized. Robin looked a bit relieved. 

"That gives us an idea of what to expect. I was worried it was going to be a job bigger than we could handle. Federation starships do disaster relief, but we're one ship. If there are millions of people there's only so much we can do to help." She shrugged. "So now we wait. Grab yourself a cup of coffee if you want. We should be in orbit soon."

== Tag Tes ==

[Mara Calleja]

The reply came from the Bridge shortly afterwards.

[Thanks. An’ agreed. Havin’ someone view this from a humanitarian standpoint is exactly wha’ we need. Get a team of your own ready in case we need more than just th’ one medic. Will update you when I know more. Bridge out.]