Refugee Round Robin

Posted on Thu Apr 22nd, 2021 @ 4:48pm by Vincent Anjes MD & Micheal Robertson & Beya & Oliver Lucas & Lieutenant Junior Grade David Jameson
Edited on on Thu Apr 22nd, 2021 @ 4:49pm

Mission: Mission 12 - Railway
Location: S.S. Mary Rose, Sickbay
1478 words - 3 OF Standard Post Measure

Vinny took in a deep breath as the refugees began coming into the Sickbay unit. "Wow, that is a lot of people." He looked over towards Michael. "Good news, your healed. Get in a wheelchair and get your ass over here, Mikey. You're helping with triage. If they are bleeding, like a lot, or gave opened wounds, or missing pieces, they come back and get a bed."

Nodding to Vinny, Micheal slowly stood and carefully lowered himself into the wheelchair that had been replicated for him. It was a compact number, that would allow him to move about the ship easy enough, while he was going throughhis physical therapy. "They look like they've been in poor shape for awhile," he said, looking at the sorry state of the civilians being beamed over from the refugee ship.

"This reminds me of a bad mission that went worse back on the old Nimitz". He looked for Beya and Oliver. "Find the worse ones and let's get ready for surgery and a long day. Also, can someone start a pot of coffee? Everyone else here, grab blankets, pillows, and plenty of water . I have a few hyposprays that will have a light sedation that you can use on someone that's overly excited. And by that I mean a patient, not you."

"Right away, Doctor," Beya replied enthusiastically, though trying to keep her enthusiasm below a level where Dr. Vinny would think she needed sedation. Her went out to the refugees, who looked like they had been through quite an ordeal, but getting to do real medical like this was exciting! Zeroing in on a teenager with an ugly gash, livid with signs of infection, she grabbed antibiotic and a dermal regenerator. "Hi, I'm Beya," she said smiling kindly. "I'm going to treat your arm," she explained as she began doing just that. "Are you injured anywhere else?"

The Romulan looked at her and the rest uncertainly. Only one Orion, so probably not slavers... "No, just... thirsty."

"Someone will be bring food and water," she assured him and seeing how tense he was, started talking to take his mind off what had to be an overwhelming experience. "Just relax. We're helping the Fenris Rangers. I know that's not usual for an Orion, but really I'm a Federation citizen. I've never even been to the homeworld, grew up on a space station..."

Not being much use for medical aid, Micheal took it upon himself to replicate a tray that fit on his lap, plus a small assortmant of sweets and pantries, plus a pitcher of water and some glasses. He began moving from one refugee to another, offering what he had to the poor people around him.

Vincent noticed a young man being helped into the ward by two others. He had a wrapping around his left arm, from the tips of his fingers to just below the shoulder. It appeared soiled from blood and maybe some sort of grease. It was hard to tell what colored the bandage red and greenish-blue. "Bring him over here, please." he said. Once the patient was on the table, the two others were dismissed and Vinnie started to cut off the dressing. The smell was almost overwhelming. "Beya, Oliver, can one or both come here please?"

"Right away, Doctor," Beya called, finishing with her first patient's arm, and touching his shoulder to offer brief reassurance. "Rest. That should be good now."

Vinny asked the patient, "What happened, son?" while grabbing one of the medical tricorders to run over the arm. The young man winced some and told of how he tried to fix the ship but a conduit overloaded and burnt his arm. That was several days ago, maybe more, and infection set in. He had no feeling left and the skin was necrotizing. "Well, the infection is bad. It's into your bone and quite complex..." he studied the monitor to verify the results of the scan and shook his head some. "and aggressive. If we don't amputee, you may lose more than your arm. Cybernetics are quite advanced and you can get fitted for one, later. I know someone on Betazed that will do it for you, no charge." The man simply nodded as doom glazed over his eyes, realizing what was needing to happen. "Let's prep him for surgery."

"Don't worry. Doc is the best," Beya told the man as she placed a delta-wave inducer on his forehead and began to set up the steri-field.

They young man barely had time to nod before he was out. "This"ll be a quick surgery, thankfully." remarked Vinny, more to himself than anyone. "Beya, have you ever assisted in an amputation? It's fairly straightforward. Make incision was locate and clamp off major arterial and venous supply to area, cut more, repair area of stump."

Beya shook her head. "First time." The prospect was both somewhat horrifying - removing part of someone's body after all - and fascinating.

"First, let's have a look at the skeletal scan." Vinny looked at the scan and gave a small curse in Romulan. "See that shadowing along the clavicle? That's infection. That has to come out too, so it'll be a forequarter amputation. His recovery will take longer because of balance issues, but with therapy and a prosthetic, he'll be better than ever. I and a couple other physicians started a foundation back on Betazed that pays for cybernetic prothesis for those that need it from wartorn systems. We started it after the Betazed occupation and the results have been great. While I was back on Betazed, working in the hospital, we were able to streamline it and started taking in non-Federation patients. Anyway, ready to assist? Grab the plasma scalpel first, then make your initial incision...there, about four centimeters deep."

She nodded at ready to assist, but was surprised. What most doctors meant by 'assist' was hand them instruments, provide suction, at most position clamps. Being directed to make the incision... wow. Containing the momentary thrill (which she felt just a bit guilty about given the patient's condition), she took the plasma scalpel and followed his directions. "Like this, Doctor?"


Vinny eyed the incision closely and gave a nod. "That was perfect. Your grip on the scalpel is unorthodox and your instructors may try and tell you it's wrong. What's wrong is doing it in an uncomfortable grip that could lead to a miscut."

After studying the screen for a moment after applying a gauze sponge to the incision line, Vincent grabbed a dermal cauterizer and activated it for a second, to confirm it's functionality. "Now if you can part that incision about three centimeters apart from the margins, I can use the screen to allow me to place the cautery."

Vincent waited for the spread and then nodded towards the screen. Once the device was inserted into the flesh. "Now there we are, that large one there is the subclavian artery. We cauterize that one first. Always watch the screen. You have to learn how to now watch your hands, and trust your memory muscle to perform. It's like playing piano and getting used to where the keys are that you no longer have to watch." For a brief moment Vinny paused and made sure his placement was perfect. "There we go." he said as a small buzz came from the device. Next he quickly moved to the next target. "And that is the subclavian vein. Same steps." He repeated his motions and removed the cautery."

Beya followed his instructions trying to keep her eyes on the screen as she worked, nodding as she watched and tried to absorb everything he was teaching. It was fascinating and she could hardly believe he was showing her all of this - and without requiring compensation up front.

Vinny then used the screen to manipulate the perimeters to the surgical amputation dematerializer. "So we set our location here and measure up where we want the separation. The borders then are to line up exactly between the cautery spaces of those severed arteries."

Vinny took a deep breath and then nodded toward Beya. "So the margins are locked and we energize. As soon as that is complete, we apply the compressional self-seal wrap and then they go to recovery. Let's get the seal ready and you can apply it to the site. In three, two, one, energizing."

As he'd explained, Beya had readied the self-seal wrap. She held her breath, not even conscious she was doing it as he activated the device, but as soon as the glow of dematerialization vanished she moved, applying the wrap and securing it in place. She looked at the monitor. "It appears to be holding, Doctor," she reported, barely containing her excitement and relief.

One more patient handled. Now they could move on to the rest...