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Faith Augustin Champion
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Keeping it on the inside...

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18th Vhalar 716
T
hey were both injured, but they were both working. Earlier, Faith had treated Symbri for her wounds but she had promised that the young dancer would be able to help her when she awoke. The slave had been true to her work and, four breaks later had been there, insisted that Symbri had something to drink and then checked her over one last time before declaring her fit to assist. "What we do here", Faith explained after leading Symbri over to where she could find a white jacket that fit her and put it on "Is a thing called triage. It means, fundamentally, treating people in the order they need to be treated, not the order they came in. So, the bleed always gets treated before the break, the bigger the bleed, the more quickly it gets seen." Once Symbri was in her jacket, identifying her as working and so making it easier for those who came in to know who to grab, Faith led her to where she could dip her hands in buckets of ice and then wash them "Bleeding is one of the main things to look for. A break might be more painful than a cut, but if that cut is to an artery, then you'll be dead in less than a bit. So, we check that they are breathing, then we check for blood and make sure that they aren't bleeding out somewhere we can't see."

Once Symbri's hands were clean, Faith washed her own "The trick with blood is we want to keep it on the inside. So, if someone is bleeding, we have to put pressure on the wound. I'll do that and you can help by...oh. We're up." Another group of injured had been brought in and Faith moved over. They were the only ones there for a little while as the three injured people came through the entrance. Two of them were walking, the other one was on a stretcher and there was a gaping wound all the way down his leg. "Bed two" Faith said and the nurses took the stretcher. Faith grabbed ahold of his leg as they were walking and was quickly covered in blood, but kept her hands on the wound, holding the edges together.

Once they had him on the bed, Faith spoke to Symbri. She sounded composed, but there was an urgency in her tone "Symbri? Get me a medical tray, over there. The nurse will show you which one I need, it's the one for stitching. Then I need you to help hold this wound." She made sure that Symbri knew that so she could back out if needed. She didn't think that she would though, that young woman had a backbone, Faith was sure.

When she came back, Faith nodded and explained "Alright, I need to stitch", thankfully the patient was unconscious, so still. Good job, they were running out of analgesics "I need you to hold the wound closed and press down on it as hard as you can while I do. First thing I'm going to do is tourniquet the leg, to lessen the blood supply, but the more you do, the more likely he is to live. Alright? So, see where I'm pressing, I need you to put your hands over mine, then I'll take them away and tourniquet him." She looked at Symbri and smiled a brief, but very genuine smile.

"You can do this, I have no doubt. We will do our best and that is all we can do. Do you understand what I need you to do?" Having asked that, Faith waited to see if Symbri would do it, ask a question and then do it or what, exactly her response would be. She understood entirely; there was a lot of blood and it was unnerving, but right now they were the best, and only, chance the man had.
word count: 668
"Every evil has its good, and every ill an antidote."

~ Rharne HQ
Dust Quarter Satellite Clinic ~ Order of the Adunih~Soup Kitchen & Community Center
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Symbri
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18th Vhalar, 716
When she was awoken by faith it seemed like the first few moments were a blur, the woman working at what felt like a ridiculously rapid pace, insisting on her to drink one moment before continuing to fuss over her making sure she was fit to help, beyond being tired though she felt able enough to be of assistance, getting a white coat and again having triage explained to her Symbri tried to quickly take mental notes of all that was going on,. Keeping up with the woman felt like it was going to be all sorts of work. That said she did take mental notes of what the woman was saying.

Bleeding wounds to precedence over broken bones and bludgeons, and the worse the bleeding the more important rapid treatment was. To stop bleeding one needed to put pressure on the wound, but even as she was trying to store these thoughts time did not slow and Faith was already giving orders while getting herself covered in blood by a man's leg wound.

Quickly fetching the Suture kit Symbri watched wide eyed as Faith went to giving orders again unphased by the situation, having her Hold onto the wound Symbri bit her bottom lip as she touched the man's wound pressing down on it as warm blood welled around her fingers, she'd worked with raw meat before but seeing a human reduced to a similar state was in it's own way mortifying, seeing the muscles that lied beneath one's flesh was mildly disgruntled to say the least. As she was holding the wound however faith was already busying herself to uniquetting the man's leg, something She'd never seen before, but if Faith was right then it would slow the bleeding.

Looking over to her Faith smiled, and gave Symbri a much needed reassurance that things were gonna be fine, smiling weekly back Symbri tried to not let her discomfort with the new situation show, it wasn't all about the blood it was different, she'd had peoples lives depend on her and vice versa when they were fighting, she'd had her comrades backs and they hers, but now she wasn't just protecting them from harm, but trying to undo harm done. It was an odd sort of guilt she felt, maybe if she'd been out their fighting she could have prevented this man's wound from ever taking place. Swallowing hard before she answered Faith Symbri nodded once.

"I.. I won't fail more than I already have today... I'm understand and am willing to do whatever it takes to help these people."

Pulling a brave face Symbri grinned thinly back at Faith Symbri put her hands where she was told and put all of her weight down on the spot grimacing at the blood that now covered her hands. She wouldn't let this man die, not if she could help it. Physically doing what she could to help Symbri also mentally willed the man the strength to keep fighting.
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Alex pushed open the flap, ducking inside the dark tent. Her eyes quickly adjusted to the change in light as the smell of iron assaulted her. Two patients were just inside the door, sitting down on makeshift chairs as a group of nurses gathered around a bed.

Alex cleared her throat several times, trying to get their attention, but no one seemed to notice her. Finally, one of the sitting soldiers looked up at her and chuckled. "Honey, you'd better just go over there and get their attention. RIchard's leg looks like his mam's hoohaw, so they'll be focused on that for a while."

The other soldier laughed at his remark, Alex forcing a smile as she turned away from the pair.

"Excuse me. I was sent here from the southern tent, and was told you needed help here. What do you need me to do?" The nurse's eyes were wide, her hair sticking out in every direction, but she nodded and grabbed Alex a jacket.

"Wear this, it'll mark you as one of us. We have herbal remedies over there, fire, water and clean bandages over here and the rest of us are around if you need any surgery supplies." She quickly gave Alex the tour of the tent, shooing her towards the two waiting soldiers before returning to her rounds.

Alex did up the coat and returned to the pair at the entrance. "So. What seems to be the issue for you two?"

The one that had spoke up first looked at her, all smiles. "I think I might've broken my ankle, and Peter here cracked his head pretty good on the rocks. He couldn't talk at first, and he's been complaining of pain since."

Alex knelt down, cupping Peter's chin as she stared at his face. The eye was drooping, and it didn't look pretty. She had heard of the danger of head wounds before, and had actually treated a few with Mr.Gardener, but this was her first one alone.

Carefully, she felt his head for blood, sighing in relief as she didn't find any. His skull seemed firm, without any soft spots. She continued to palpate the skull as she tried to remember what came next. "Just wait here for a second." She darted over to the supplies, shuffling through the pile. They didn't seem to have any Red Dress, but they had tons of Moukou Beans. She grabbed a handful, returning with them. "You can only have a few of these- too many and they'll make you tired. Also, you need to wake him up every couple of hours tonight," she said to the talkative one, handing the beans to Peter. "What's your name?"

She lifted the injured leg, pulling up the pant leg. "Johnathan," he gasped out as Alex prodded at the swollen joint.

"Well Johnathan, I think you're right. Try to move it up and down for me?" He gasped as it twitched.

"That's all I can do." His hands gripped his legs, the knuckles white.

"Yeah, that's what I thought. Okay, well I think it is broken, so I'm going to cast you a quick cast, though you can't move for a bit. Let me check if we have any Rockmaze Moss left behind- that'll help as well. And I'll grab you a handful of those beans too." She stood, gently setting his leg down, and grabbed a nearby nurse. "Rockmaze Moss and stuff to make a cast?" She cut out the excess chatter, knowing how busy things were.

The woman disappeared, returning with the supplies. Together they knelt down next to Johnathan. They wrapped the foot in cloth, smearing the thick clay around. Once a thick layer was applied, they dragged him over to the side and propped his foot up near a brazier. Alex nodded her thanks to the nurse, turning back to her patient.

"Let this dry- a few breaks at least before you can leave. Then you and- Peter was it?- can leave." She smiled at him, realizing she still needed the tea. She held up a single finger, darting back to pour the water. "Careful, it's hot. This will help you heal a lot faster though, so make sure to drink it all."

The tea would taste horrible, but the grittiness was necessary, and she needed to make sure he didn't just dump it out when she wasn't looking.

She rose, stretching her back as she turned to look at the rest of the tent.
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"Failure isn't important. Do your best and you won't fail, even if it's not the outcome we want. The next patient needs you to have put aside whatever happened with the last one, and just be focused on them." It was absolutely true as Faith saw it, that sort of negative feeling might well pull her down and that would be no use to the next patient. Plus, if you gave up upon losing a patient, no one would ever be a doctor, Faith was quite sure. So she gave Symbri a quick smile and nodded "Good. Good technique, all fine. Alright, I'm stitching now, notice how I put the stitches outside the wound, not too close? You don't want to risk ripping the skin further or the stitches slipping" Faith worked efficiently, clearing her head of all distractions, blocking out the people that she wasn't helping right now because right now she was doing a job and that job had to be done. Help one, or help none, those were her options and so she helped them, one at a time.

She was just finishing the stitching, talking to Symbri as she did, explaining what she did, how she had started in the middle of the cut because the wound was so big and jagged. So, closing up the middle first made sense. That was also, she explained, why she hadn't elevated the leg. Normally, when bleeding occurred, one could use physics to one's favour, she had smiled when she said that "If we lower a bleeding limb, the blood more easily just leaves. If we raise it, we lessen the bleeding. Physics and medicine. She had gestured, however, to this wound "But it was tearing further with every movement, so I made the decision not to. It's a personal call, but normally, you clamp on pressure and elevate. This one was too big and ripping too much. But we're getting there now"

He'd lost a lot of blood, this man. Faith wasn't sure whether he was going to make it, but she was sure that what she and Symbri were doing would make it a possibility and before they had worked here, it had not been. Faith continued to stitch and had just said to Symbri "Just a few more and we'll be done here, then we...." Whatever was going to be next was lost as a group burst in, five walking and three being carried by their companions. There was blood everywhere and two of the ones being carried, looked to be about as close to death as it was possible to be and still breathe. Faith looked down at what she was doing and stepped to the side, pulling Symbri to place where she had been moments before. "Finish this, five more stitches. Then knot it like I did on the other side and come over to help. Be effective, be efficient and be brave. I believe in you"

She didn't wait to see if Symbri did it, she moved over to the new arrivals. One was way beyond anything they were going to be able to do for him, at a glance. She prayed to Famula that She might come and ease his passing, that his blood had been shed in service to the city and that Her lantern migt light his way to where She deemed him to go. A brief trill, it was all she had, but she had to make the prayer. She motioned to the nurse "Take him to the green bay, thank you. Alright, lets have a look at you" She looked at the others and said to the man who was carrying his companion or friend "Just lay him down here, please. Let me just see, thank you." The man in question was covered in deep gashes and Faith took the time she needed to just judge which one was the worse and she started her treatment there. Another medic, a woman with long red hair was there and seeing to the second most injured. Faith glanced at the man who had brought his friend, carried him all this way and her sharp eyes caught sight of the cut on his arm. It was pouring blood and Faith looked around for a nurse. There was none and, if she left this one, then he would die. "Sir, your arm, that cut there that's bleeding? I'd like you to raise it above your head, sit down there and grab hold of the wound with your other hand, pressing as hard as you can, alright. That's it. Excellent. Help is just on the way"

And indeed, she prayed to her beloved Famula that it was. Symbri was about to get another new experience, she considered, ignoring the blood that pooled around her and instead holding a vein closed in one hand, whilst she started to stitch it. Almost literally elbow deep in the man she was working on, she had to stem this bleeding now or he was going to exsanguinate. If Symbri came over, she would smile at the young woman with a very calm expression. "Examine that wound, please, and tell me what you're seeing. Thank you"
word count: 886
"Every evil has its good, and every ill an antidote."

~ Rharne HQ
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18th Vhalar, 716
watching the woman work without flinching or taking any heed to the viscera she worked in, more than that she was quick and able to talk while she did it, Symbri wondered if she'd ever reach a level where she could do anything and teach it at the same time. listening to her talk was enchanting in its own sort of way, she just seemed so calm amidst all that was going on, like an Anchor amidst a maelstrom. Learning about blood was certainly neat though, and useful knowing how raising or lowering a limb could prevent blood loss, she could probably apply that on a battlefield and save a life, trying to tuck away as much knowledge as she could Symby nodded dutifully.

ut when the woman abruptly left to find another patient, leaving her with directions to stitch up the patient she'd been working on, she wanted to ask the woman to wait, to say she wasn't ready, but there were lives at stake, she could do it. looking at her hands she steadied their shaking and looked at the wound, she had Faith's stitches to use as a template, and if she just copied those she would be fine. Slowly drawing the thread through the soldier's flesh Symbri tried to ignore the still warm feel of fresh blood and the fact that she was sewing a person, not cloth. In and out, in and out, in.... and ... out...and... done. Tying a not in the thread Symbri looked at her work, the spacing wasn't as regimented as Faith's but at the very least it looked like the wound would hold.

When she looked up from her work she witnessed something that wrenched her heart, Faith had passed up one of the wounded... And if she'd had the time she would have railed against the woman's decision to leave the man to fate, she'd seen people die from lesser wounds, but the man was still breathing fighting to live, was it fair to let him die without even trying, she... Clenching a fist Symbri vowed that she'd hit the frontlines stronger, no matter how good a doctor Faith might be, the best cure, was to prevent the wound from ever taking place.

"... I'll make whoever brought this upon us pay.. ten times over"

Snapping out of her grim thoughts at the sound of Faith calling her over Symbri watched the woman stick a hand into a man without even looking remotely bothered by it, but then she asked her to Examine the man's wound. Looking at it all Symbri could see however was lots of blood, was there more to it though was there something she was supposed to see?

"Faith... all I see is blood... is there more?"
Last edited by Symbri on Wed Dec 07, 2016 12:26 pm, edited 1 time in total. word count: 477
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The new wave of patients took Alex's attention, and she walked briskly towards them, a dark-haired and pale woman cutting between them. She quickly took away the most injured, but when she directed them towards the green section, Alex's lips pinched in sympathy. The woman seemed to know what she was doing, judging by her stitch work with the other patient.

As she rose and claimed the next stretchered patient, that left Alex to take the last one.

"Hi there, I'm Alex. I'll be taking care of you today," she prattled as she drew near and quickly scanned him. A rough tourniquet was tied around his leg, the edges of the wound ragged and the stump of bone protruding. Blood was seeping through, even with the tourniquet, and Alex surpressed a curse.

"Shit. You two, carry him over here. Quick!" She shouted, the pair moving too slow for her tastes. As they set him down near the fire, she rolled her sleeves up.

"You, go find me a bone saw. This tourniquet probably saved his life, but it's terrible. You need to do it tighter, whoever did this. No blood- none." She set her jaw and grabbed a leather strap. She wound it around the man's leg, just above the existing one, speaking as she worked. It seemed to help her in these high-pressure situations.

"We can't take this off or he'll bleed to death before we have a chance to do anything else. Pass me his sword? Yeah, I don't care that it's broken," she answered his unasked question.

Alex tied the leather tightly around his leg, and placed the handle of the proffered blade directly over the knot. She tied it tightly about the sword and nodded to the pale-faced soldier opposite her. "This makes it far tighter than you could ever tie it."

She twisted the handle, tightening the leather strap. Her patient grunted, his hand grasping at her before he sighed and went limp.

"There, that makes things easier." Alex tied the strap once more around his leg to keep it in place, and waited for the bone saw to return.

The soldier opposite her swayed, nearly falling over from his crouched position, and Alex narrowed her eyes. "You okay there?"

The soldier waved off her concerns, though Alex studied his face carefully. He was very pale, and his hands shook as they hovered over his friend. Just then the bone saw arrived, with it a surgery kit, and Alex set about to the grisly work.

The new tourniquet had done its job, so she carefully cut off the old one, leaving a few inches of skin to work with. She took the scalpel and cut the skin back, peeling it off the flesh to reveal the muscle beneath.

The man opposite her held the skin back as she worked, his shaking getting worse. Alex pushed the thought from her mind and focused on her patient. She cut away the jagged ends of the muscle, revealing the shattered thigh bone. Once she had a fairly uniform end, she set her hand on the bone saw, and began to cut.

The sound it made was horrendous, and it sent shivers down her back, but she kept on working. Once the bone was cut smooth, she could cauterize the end, and sew the skin back up over the end of the wound. She felt herself begin to relax, the worst of the danger passed.

Then the other soldier collapsed to the side, and she caught a glint of metal sticking from his side. The blood had begun to pool beneath his feet, though the armour had kept her from seeing it. Cursing aloud, she shouted for help, "Shit. Hey! I need a hand over here!"

It looked like a piece of a sword, broken off near the skin. He would be lucky if it didn't pierce anything vital, but she couldn't stop what she was doing now. She was too far in now, but without care the man would die soon.

"HELP!" She shouted once more, awkwardly twisting to look for help as she continued to saw away at the bone.
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All Symbri saw was blood, and Faith understood that reaction "Forgive me, I was not clear. The wound. I need to know about the wound, please. How deep, where exactly, anything in it, that kind of thing. I'm nearly done here. You're doing a very good job, Sir, very good, Symbri, lay him down and get that arm as elevated as we can, please. Make sure that we're stemming the blood flow. That's it. Excellent work." She didn't lift her head, she was too focused on what she was doing here. If she didn't stitch this properly, then this man that she was working on was going to die. She'd already sent one to his death this trial, she had no intention of letting this one go, unless Famula willed it so.

Stitching, she kept talking to Symbri. It was chaos and one of the medics had resorted to swearing and yelling. Faith did not approve of such unprofessional behaviour, but she said nothing about it. She finished the absolute bare minimum she would need to in order for this one to live long enough that she could take stock of what was happening.

"On my way", she called back as she finished up with the man she was tending and glanced at what was happening. The red-haired woman was swearing and shouting, but she could see that what she was working with was tricky. "Symbri. I know it's hard. I need you to get a tourniquet on that. See, that leather there? Tight. As tight as you can two inches below the wound. It should stop the blood completely. If it's still bleeding, it's not tight enough, Symbri, alright? You can do it. I'll be right back. Once you've stopped the blood, you examine the wound. You can do it"

She moved over to Alex, although she didn't know her name and nodded. "Got it", was all she said. Kneeling next to the collapsed one, Faith set about removing the armour so that she could get to where she needed to get to and assessing the wound. Kneeling on the floor, the young slave simply worked, first getting sight of what she needed to get sight of and then she bit back a sigh. There was a sword, snapped off and in his side. It had punctured deeply and there was blood everywhere. It wasn't that which bothered her, though, it was the colour of the blood. Judging by what she was seeing here, something vital had been punctured and that suggested that this man's chances were less than not very good. "How are you doing over there, Symbri? How's the bleeding?" She called. If she needed to, she'd abandon this one to help Symbri, because the chances of this man living were slim indeed. But if Symbri was holding her own, Faith had to try. Because, unlike the other one, this one had hope. Slim. Miniscule. But hope. So really, it all depended on Symbri.
word count: 515
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Tightening down the stra as Faith had instructed Symbri grunted with effort, she might be causing the man more pain but if it saved his life in the long run it was worth it. Glaring at the wound like it was her mortal enemy Symbri grunted and strained tell no more blood drained from the wound. Sweat collected on her brow as she looked for anything that wasn't flesh in the wound until her eyes alighted on what looked like a giant wooden splinter in his arm, some sort of rubble that he'd been stabbed with.

"The bleeding is slowing down, Faith, But i think there's something in the wound some sort of rubble? What should I do, can I pull it out? It looks like... a really bug splinter I think?"

Looking at the wound Symbri looked at it from different angles and as the bloods flow stemmed a large splinter of a beam appeared to be lodged in the wound. Positioning the arm better Symbri looked at the wound and searched for an easy way to remove it. It looked painful but was it safe to pull it out? Would it make him bleed worse if it came out, she felt incredibly nervous she didn't know if it was safe she didn't have Faith's confidence when it came to working on wounds she'd.

"ok I think the bleedings stopped "

Biting her bottom lip Symbri looked at the chaos that Faith and the other doctor were dealing with and decided that she would have to go ahead with what she was doing and hope for the best, the man was depending on her to save him, and she wouldn't fail him, the blood was slowing down and she believed her tourniquet would hold. So reaching into the wound Symbri Felt around for what she was looking for, and finding the obstruction Symbri began to slowly pull it out, and with a small strain the sliver of wood came out of the wound bloody but intact, the hole in the man's muscle bled lightly but the tourniquet held.

"It's out faith... I think I can stitch him up"
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The woman rushed over, her reply nearly lost in the screams and cries of the wounded. With a nod, Alex turned the attention back to her own patient.

The rest of the work went quick- a nurse seared the wound shut as Alex held it open, then Alex stitched it shut carefully, using mulitple stitches to ensure the wound would stay closed. The thread was much thicker than the other threads used today, and would require a skilled doctor to take out. It was more likely to hold the skin shut, however, and given how much pressure it would be under when the swelling came, it was for the best.

It was barely a handful of bits later that she rose from her crouched position, stretching and helping her nurse carry the makeshift stretcher to a recently vacated bed. The man was still asleep, but Alex reminded the woman to give him pain medication as needed. If he was lucky, the leg wouldn't go septic, and if he was strong he might be able to move past this.

Too often she had seen beggars missing limbs, dressed in tatters of their old army uniforms to have any misconstrued ideas of what happened to soldiers who had outlived their usefulness. A stab of pity struck her, and she tucked a handful of nel into the sole of his remaining boot. She glanced around, making sure she wasn't seen, and walked crisply back towards the woman who had helped her.

The black-haired, quiet doctor was good- possibly better than Alex. She had reacted quickly and professionally, and Alex had been impressed. She felt the need to thank her, and find out more about her.

After all, who knows what, or who, the Cauldron would be interested in learning about?
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"Well done, Symbri. That's it. Stopping the bleeding means saving his life. Keep going" Her voice was light and almost breezy as she spoke, encouraging the young woman. Oh, by Famula this was bad. The black blood, which she was now covered in was from a puncture to one of his organs and Faith desperately tried to stem the blood flow. She grew more and more concerned that she was going to lose him, but then, thankfully, she found what and where. It was the tiniest of punctures, in his liver. Faith was elbow deep in the work by this point and she frowned. "It could be worse. Come on, come on"

Then, she set about trying to stitch him up. She did it by feel, she couldn't see in there at all so she did her best. Her efforts would show in time, or not and it was going to take time, she knew. "Oh excellent work, Symbri. Do that, that's great. Well done, and you just ask if you need anything." Whilst Symbri stitched, Alex worked and Faith worked. She did her best and, eventually, she finished sewing up the man with another prayer to Famula that Her light guide him where he needed to go, be that to remain on this earth or to pass to Her.

As she was cleaning up, the red haired doctor approached and Faith smiled. She dropped a curtsy to her and spoke in a soft voice "Good trial. I am Faith." She lived, it transpired, in Andaris, but was just visiting.
word count: 263
"Every evil has its good, and every ill an antidote."

~ Rharne HQ
Dust Quarter Satellite Clinic ~ Order of the Adunih~Soup Kitchen & Community Center
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