Medical Emergency

Posted on Thu Feb 11th, 2021 @ 11:58am by Captain Rueben Gregnol & Vincent Anjes MD & Micheal Robertson & Beya & Oliver Lucas

Mission: Mission 12 - Railway
Location: SS Mary Rose, sickbay
Timeline: MD04 09:00
Tags: Challenge 1
2438 words - 4.9 OF Standard Post Measure

Less than seven seconds after he was rescued from the dead Klingon shuttle, Micheal’s unconscious form began to materialize on the deck of the Rosie’s sickbay.

Oliver scrambled across the room - Rosie's alert systems were hardly state-of-the-art and he hadn't been expecting any medical emergencies at such short notice.

"Oh! What? That's..." He floundered for a second. "Beya? You here?"

"Yes," the Orion said, already starting to run the diagnostics. "Goddess, he's a mess! Broken bones, high G trauma, and that's on top of malnutrition and dehydration... We need to work fast. He's on the edge of multiple organ failure."

"We need some serious help here," Oliver exclaimed, studying the patient in front of them.

Gregnol wandered down and stopped dead in the door as he took in the man lying on the bio bed. “You come back at the worst timing.” He hissed relieved that everyone in this room knew he was Gregnol. “It’s looks bad?”

"Probably...?" Oliver stared at the monitors. "I mean, blood pressure...fractures...lacerations...I don't know how to fix all this, Captain," he explained bleakly.

Suddenly, from Micheal’s left wrist gauntlet can a woman’s voice. “Captain Gregnol! Captain, can you hear me? It’s Becca, Micheal’s AI!” Without waiting for a reply, she continued. “Sir, Micheal left a message in my files, for you and each of your crew. If you could eject the data card located in this gauntlet and reinsert it into the matching slot in Micheal’s shuttle, at the pilot’s seat, I will be able to unlock it for you.”

“I can hear you, Rebecca.” The man said knowing the AI would be confused by the female voice but this might be fortunate. He had not considered the scanners on the Alexandria or the AI to see if they could find the source. He left the little ship to his navigator. “Get that Ranger over from there ship,” Gregnol instructed listening to everyone admitting them were out of their league. He frowned at the gauntlet and nodded taking it off the man seeing he would be in surgery for a while, it would not be missed. “Do not let the bridge know who this person is.” He added as an afterthought quickly as he disappeared out of the sickbay. He needed Dixoho of all people on the top to get them through the minefield.

"Uh, right." Oliver slapped the comm. "Hello, this is sickbay. If there's a doctor in the house, we've got a medical emergency here and could definitely use some help!"

“We are sending her over to you.” The voice responded at the other end. It sounded like it could have been Indigo but it was far away.

When Tesha got the call that there was a severe medical emergency on the Mary Rose, she was in her quarters preparing to do some training with her ushaan-tor. Being a doctor, she had fallen out of practice. Since it seemed she would be working on the frontier for the time being, it was a good idea to get back to honing her skills. Not having time to change her clothes, Tesha grabbed her medkit and beamed into the Mary Rose sickbay wearing a sports bra, shorts, and tennis shoes.

Moving to the patient, Tesha placed her kit onto a table near the biobed and studied the scan results on the monitor. She addressed an Orion woman that was there. Her tone was commanding and stern. "If you have any surgical instruments, get them and spread them out next to the bed." She looked at another person, a Human man. "I need gloves and a gown. Now!"

"Yep, she's a real doctor," Beya snarked under her breath, even as she rushed to grab a tray of surgical instruments and wheel it over the bed.

Oliver did his best to grab the things the doctor needed - he wasn't completely familiar with the Andorian woman, but simply followed along with instructions. He'd not even thought about the sterilisation part of things, which showed his inexperience. Maybe he could learn a thing or two along the way.

While waiting to be gloved and gowned, Tesha emptied her bag onto the table. She had a standard Starfleet kit, but what she had, plus the meager supplies the Mary Rose had, she was seriously ill-equipped for the task. The patient needed a full, trained, surgical team, not one doctor with minimal surgical experience and two assistants with presumably only basic medical training. She was surprised the patient was still alive.

Tesha pressed a button on the side of the biobed and the surgical support frame arced over the patient. She looked at the Human. "Activate the sterile field." She quickly addressed the Orion. "Neural calipers."

"Of course, Doctor," Beya replied, handing her the instrument. She had already begun an IV drip.

Oliver scrambled to keep up, just following instructions and trying to listen to what the doctor wanted him to do. Thankfully, between himself and Beya, they could provide whatever was required. The only problem was he had literally no idea what the doctor was actually doing.

Tesha paused for a split second. They were as ready as they were going to be. Activating a laser scalpel, she made an incision.

"You. What's your name?" Tesha said to the Human. "Can you determine why the patient is bleeding from his ears and nose, then stop it?" Before he replied, she looked at the Orion. "I'm going to repair the tear in the aorta. Can you use the internal regenerator to repair the laceration in the liver? I can't do both."

A chance to do real surgery!! "Yes," Beya said, trying not sound as enthusiastic as she felt. It was a very serious situation and would be tricky after all. "Of course, doctor." She bent to the work, using the surgical support frame to help manipulate and select tissue type as she worked from deepest toward surface layers.

Oliver ran a scanner over the patient's head. "Ah! Compound fracture of the cheekbone. It'll need re-setting and the cavity draining," he explained triumphantly. "And there seems to be some damage to the eardrum. Hmm. How do I fix that?"

Vincent wasn't very sure of his fitting yet on the ship and was curious to explore around and check out the new working space that he would be utilizing for the foreseeable future, and hoped to run in to the ship's medical director. As he entered sickbay he immediately took notice of the situation. It was an emergency of some sort, and it was only instinctual for him to jump in. He greeted the other two working on the patient. "Hi, everyone. I'm Vinny, your new trauma surgeon.". He noticed the andorian was is casual clothing and smiled, "Looks like I'm overdressed. What can I do to....". His face went pale upon looking down at the patient. "Dammit, I know this kid. This is Victor Robertson's son."

Concentrating on the liver, Beya barely took in the arrival a new doctor other than too be grateful for more experienced hands for the work. But his remark caught her attention. "Will you still be able to work on him?" she asked.

Vinny nodded and stepped away to apply a mask and place his hands into the sterilizer. He walked back and stood on the opposite side of Beya then surveyed the imaging displayed over the bed. "Okay, looks like we to run a dermal regenerator over the tympanic membrane and we may have to manually reset that facial bone."

"I have the liver patched," Beya said, and glanced at the new doctor. "Do you want me to move onto the kidneys or change places and work on his eyes?"

Vinny shook his head in response. "You're already there, doctor. I'll take care of the eyes, ears and nose stuff. You have fun with those kidneys." Vincent ran a scan from the surgical arm and transferred the images to a screen that was positioned where he could see clearly. The eyes had gross subjuctivial hemorrhaging. He ran an occular scan and then applied applied a minimal setting of the dermal regenerator and passed it over the eyes. This did not erase the bloodshot, but did minimize it significantly. The ears were tricky, as the tempanic membranes are delicate and can not be repaired instantly. He set the regenerator on a repeating setting that would work in small bursts. The scope attachment that was placed into the ear allowed for precise placement. The nose was next. There was a microarterial bleed that was caused by part of the septum being crushed and fragments lacerating the nasopharynx. It took some time to locate and beam out each fragment, but it wasn't impossible. The osteoreplicator was able to rebuild a new septum, but he would be sore for several days.

Doctor? Beya nearly preened at being mistaken for a real doctor - and by one who, based on how he was handling the eyes, ears and nose, he knew his stuff! She was going to like this one. But she didn't want him to think she was pretending to be something she was not. "Thanks, but I'm not a doctor," she said as she began on the kidneys. "Just medic with a lot of experience from shadowing one."

Vinny raised an eyebrow and looked over to Beya. "No shit?" He asked bluntly. "Well, stick close and let me watch your work and you watch mine and maybe, after some time, we can see about fixing that. I may be an old fart, but I can spot potential. I'm sure between the CMO and I," he added while nodding towards Yeah, "we can get you med school prepped before you know it."

"You don't know what that means to me, Doctor." Beya beamed. "If I weren't wrist deep in this guy's insides, I'd hug you!"

Smiling Vinnie blushed slightly. "I don't usually go that far on a first date, especially with an audience. I do appreciate the thought, though." He answered before humming of Domenico Scarlatti's 'Sonata in C major', hoping to suppress some of the smile and blushing from his face.

Vinny looked over at the work Beya was doing on the kidney. "You do good work, there. If I ever need repair to a bruised organ, you're my gal. Once you finish that, could you please move to the lungs, especially that left lower lobe. It looks like he may have some blood in there."

Finishing the current repairs he was working on he turned to Oliver. "If you can set that right clavicle fracture and run a few swipes of the osteo-regenerator over it, I'll start working on the bilateral wrist fractures. Those radialcarpal joints and radialulnar joints are just completely screwed and will need complete placements in the future. I can repair most of it to make it functional, but the complete repair can wait."

Oliver stared a second then gave a reluctant nod of his head. He knew the basics of what the doctor wanted him to do. Mostly. He grabbed the regenerator and held it aloft. After a moment he felt Beya silently motion that he had it the wrong way up and reversed his grip rather rapidly. "Clavicle. Got it," he affirmed.

Noticing Oliver's awkward moment, Vincent looked over to the medic. "You're doing fine, son. I once injected my hand with midocaine by accident during med school, instead of my patient. Just move the regenerator over the collar bone to a count of, one Mississippi. Do that back and forth five times and then check the imaging display. Start about a centimeter to the left of the bone to a centimeter right of the other side of the bone. Never be afraid to ask for help. You don't know what you don't know. We gotta be a team and that requires trust. I trust both of you two."

Beya's heart swelled at that. This doctor was so good, not just at medicine, but at guiding others - he reminded her of old Dr. Beiru who encouraged her interest in medicine and had taught her most of what she knew. Still, she knew her limitations, and what was best for the patient had to come first. "Thank you," she said sincerely. "But I'm finished with the kidneys and you should probably check my work before closing."

Vinny gave a nod and finished his work before moving over to check the repair. He studied both the screen with all of it's data and the actual site. "Looks good. I the computer there shows a little irregularity...right there. But, that is not one. It's the software that is a little old and probably needs defragged. It's a clean repair and when my alcoholism screws my kidneys, you and Oliver there can do my surgery." He added a wink and although covered by a mask, an large grin. "Great work, both of you. Let's close up, clean up, and send this one to recovery. I'll take the recovery watch, you two get some rest after this."

Oliver just nodded, more relieved than proud. Especially that he hadn't caused more damage instead of making it better. He shared another look with Beya, who looked decidedly elated at their work.

"Thanks doctor...I'm really glad we had you here," he admitted.

"Yes, thank you," Beya echoed, all but glowing at the doctor's praise. At the same time, she filed the reference to alcoholism - it would explain why such a doctor was here on an old merchant ship, but she'd grown up around her mother's bar and knew it bore watching. And that it took a toll. "I'm not tired though. You should be the one to rest, Doctor. We'll be getting refugees that may need you. I promise to wake you if there's any sign of trouble."

Vinny shook his head at the young woman. "I remember being so spirited. I'll stay with the patient in recovery, I delivered him and his twin sister and he is like my own kid in many ways. You can get an inventory of the Sickbay if you'd like and make sure everything is stocked, recharged, and clean." Vincent looked down to Michael and sighed audibly. "Thank you, both of you, for being efficient and most importantly for helping save his life. His father is my oldest friend, and..." he took a long breath in and out before finishing, "and I know as a team, we have many more lives to save. Thank you."