#maybe i WILL write this one someday just for the fun of it!! | Explore Tumblr Posts and Blogs

dimiclaudeblaigan · 8 months

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uh-oh she's gushing about shinon again and it's super long

So you guys know I love Shinaff. BUT!!! I would like to explain to you part of how that came to be, i.e. how Janaff's supports with Shinon were both different and important!!! In other words, a direct exploration of his development involving laguz and how he's turning out for the better post Janaff A support and RD (and how it makes the most sense to have their A support slotted between the beginning of PoR and the end of RD for a full progression of his development)!

First of all, Shinon only has three supports; so unlike most characters, every line counts and needs to hold more weight to his conversations.

Rolf and Gatrie's supports portray different sides of him: the mentor and the friend. What we see in these supports is stuff we essentially already knew about him, but we're given more depth. The thing to note here is, again, we already knew these things about him. This is the man we started with.

What we don't get in these supports is proper development. Janaff is the only support he has that gives him that. Janaff's supports with him are the only ones that gives him any self reflection and improvement. This isn't necessarily a bad thing for the other supports, but it's more that it props up these ones a little bit more.

Also, when you get to RD, Shinon comes off as though he's already gotten this development. He feels like he's grown as a person. While that makes sense, from a player's perspective, we didn't really see that development in him (like we would have with characters like Ike, Mist, Soren, etc)... unless you supported him with Janaff.

In RD, Shinon has Gatrie and Rolf as bonded by defaults. These are basically internal bonds in RD - ones that aren't needed by supports. You can carry over support data from PoR to RD, and characters will receive a bond with the character they A supported. For some, like Ranulf and Ike, these bonds will be there regardless of if they got an A support.

That means that even without supporting them in PoR, Shinon will bonded to these two by default. Janaff is his only other support, so if they reach an A support and that data is carried over to RD, he now has his full list of supports bonded to him. Mind you, that's a liiittle bit of a big deal (and kinda cool to me!) as nobody else can do that (or almost nobody, since I'm not totally positive what Stefan and Volke's situations are and would have to check on that in my game, as the only other characters with an extremely low amount of supports).

So why do I say that's important? Because the only character he won't have by default as a bond is Janaff. You have to go out of your way to get their support bond (and when I say out of your way, I mean it pretty literally if you don't normally use one or both of them, due to how PoR's support system works). Janaff is the only character Shinon has to build up a bond with from scratch, which is something the player has to decide to do.

Gatrie and Rolf are the base - the bare minimum. It's given to you, no questions asked. Shinon doesn't have to develop as a person to have those bonds. When Janaff arrives in 3-7, if they were A supported in PoR (and your data was carried over), he and Shinon automatically have their bond show up in the bond list on each of their profiles as of the turn Janaff is on the map. This also means they can get a double A support, which is, again, something Shinon has very few options for.

Without Janaff, Shinon doesn't get that extremely direct development. In RD it's assumed all the characters had development of some sort (example, Shinon is much more chilled out and takes a much more active role in watching out for the GMs and making sure they're properly funded). However, with the way Shinon's development toward laguz went, you'd think something must have happened for him to change his mind.

However, it's an uncontestable fact that Ike stated everyone in the GMs decided to stay knowing full well they'd be fighting for the Laguz Alliance:

"I told the others they could leave if they didn’t want to work with laguz, but everybody decided they’d rather stay. Don’t worry about it, Ranulf."

If they didn't want to work with laguz (Shinon and Soren would be the primary candidates he brought this up for), they didn't have to go. They didn't have to take part. They didn't have to be there. Shinon decided to stay despite fully aware they would be the only beorc there. That's development already... but if he supported Janaff, it starts to make more sense and feels like a proper linear path for his development.

"But DCB, he was racist toward Lyre!" Sure! He's not perfect and there's still room for growth. In fact, Shinon started out calling her a sub-human but referred to her as a laguz when Gatrie was the only one left to hear him, so he either:

is trying to keep up appearances in front of laguz he doesn't like, using sub-human to their face but not using that term in private anymore (or to laguz he doesn't hate, i.e. Janaff in their A support where he catches himself about to use that term. Though he wasn't quite ready to say "laguz" yet, he stopped himself from using "you sub-humans" and instead said "you guys").

slipped up in using sub-human (from habit*) and called her a laguz when speaking to Gatrie because he's becoming more used to using that term regularly. That is to say, it's becoming more natural for him to say.

If you got his A support with Janaff, it makes sense that he slips up sometimes still but is trying to speak more properly about laguz. Getting out of old habits is hard. Feeling differently about something you've had a steady mindset for (in his case for 27 years as per his support with Janaff) is hard. There will be slip ups.

*It's possible Shinon uses "sub-human" as an insult aimed at individuals he doesn't like while not meaning it toward others (i.e. he doesn't like Kyza and Lyre). Yes, this is a big flaw! He could very well be using a racist term to express distaste toward someone specific but not mean it toward the whole of laguz. It's still racist and shouldn't be done, but the fact that he turned around and said "laguz" only a couple sentences later (if that) means that something is kicking in and some gears are turning.

Again, if you look at his A support with Janaff, he wasn't even at the point of using "laguz" at all! If you consider their A support part of his linear development, he starts as he is in PoR, supports Janaff and goes through their conversations while seeing laguz differently now, and ultimately ends at respecting Janaff. Despite this, he's not ready to use "laguz" yet because he experiences with laguz to date, prior to Janaff, had all been presumably negative enough for him to develop this racist mindset.

Linearly, that brings us to RD. He's suddenly fine staying with the GMs and fighting a war on behalf of the Laguz Alliance, even when he was directly given an out. Next, we have him refer to a laguz as a laguz - something he wasn't able to do yet in PoR.

Does the linear progression stop there? Not if you supported Janaff! Following those things, again, when Janaff arrives in 3-7, their bond will show up in their profiles. These bonds are separate from RD support bonds in that they're basically saying these characters were bonded before the events of RD and thus have special bonuses near each other, regardless of if you support them in RD.

So where does this lead us? Well, like in PoR, we start to lose focus on the GMs as a whole and only end up with focus on a few of them. Our next line of progression can only come from supports again. These are notable and extremely important if he's supported with a laguz.

If it's Janaff you support him with in RD, he gets one of his standard support quotes in battle. Maybe you're thinking that sounds unimpressive and unimportant... but this means he's responding to Janaff as someone he's familiar with and not treating differently from the others (which is not the case when responding to several others, which I'll get to). Normally you'd expect him to treat a laguz differently, but he speaks with Janaff like he would to any beorc.

It gives off an air of familiarity - like they already know each other, are passed all that nonsense and aren't even thinking about it anymore. This is, of course, the case regardless of if you supported them in PoR (but again, I find their PoR supports to be important in terms of a proper, full linear progression of Shinon's development, which is something not every character actually even gets, i.e. they don't get a fully fleshed out and ongoing development story between both games if they're not a main character).

It's almost like it's considering that you may have gotten their PoR supports. It has to leave it up in the air as to whether or not you did, because it'd be odd if he was suddenly treating Janaff like they weren't as familiar with each other after getting their PoR supports. In other words, by default, their relationship in RD is not as bad as it starts in PoR in their C support. It feels like they've already supported and are closer now to be at this point.

So why is it important that he acts no different with Janaff than anyone else? Because he does act different near laguz kings. He's given special, personalized lines to the laguz kings and refers to them sincerely as laguz. Important to note is that the laguz kings only become playable in part four (Tibarn and Naesala) and Endgame (Caineghis).

These are characters he would have absolutely no chance at having any development with in either game prior (even if you consider time spent in PoR, Tibarn and Naesala are not playable until the final chapter and you can only pick one of them. Caineghis, plain and simple, is not even an option). That means his supports with them are the very beginning of their relationship.

This is by part four. There's been development since part three in his character that we don't see. He's now openly referring to them as only "laguz" (remember, he was back and forth earlier in RD). He treats them with respect.

"But DCB, of course he does! They're kings! They're powerful!" But the Shinon we started out with in PoR wouldn't have cared less. To him back then a sub-human was a sub-human. Even as allies, he wouldn't have respected them (re: his C support with Janaff). Instead, here, in RD with these supports, he can talk with laguz directly, refer to them as such, and give them respect.

He also doesn't start out being intentionally racist toward them. He's at the point, by the time he can support the laguz kings, where he skips right past the active "sub-human" bullshit.

What do I mean by that? Well... I mean with Tibarn, he almost says sub-human but catches himself and doesn't just say "you guys" like he did with Janaff in their A support (which came before his C support with Tibarn if you consider his development linear and including Janaff). He corrects himself, and instead uses "a king" - similar to his "you guys" pull back, but outright referring to him as a king is actually a step above that (and again, this is their C support).

King Tibarn. It seems like a sub-hu– I mean–a king such as yourself can hold your own.

He's learning! He's growing! He's maturing! He's realizing he can get out of that mindset! All his experiences prior to PoR, based on his supports with Janaff, would imply he's only ever known that he has to protect himself against them. He never got to actually meet one. When he did, it was hard to pull himself out of old habits for new experiences. He was trying for Janaff, but he wasn't quite there yet. Here, he does something very similar.

With the other kings, he just outright refers to them as kings with no stumbles.

Hey, Lion King! Of anybody here, it seems like you’d be just fine.

Raven King, you seem all right. No need to be babied, I hope.

Mind you, the latter is pretty standard Shinon in personality. It's unrelated to Naesala being a laguz. However, both are these are completely respectful as a person talking to another person.

For his B supports we have:

I thought you were the all-conquering King Caineghis! And yet, you mess up. Bizarre. You better stay by me.

Hawk King, whew, even you mess up sometimes. Kinda makes me nervous. You better stay by me.

Raven King–your fighting? Not good. Just…stay by me and let me handle this.

Bizarre, he says, that one of the strongest people he knows is having trouble. He's actually surprised. No comment about how sub-humans suck or anything, not here!

Similarly, even Tibarn messes up sometimes. He's surprised. He expects basically perfectly from Tibarn (so this presumes he has positive expectations of him from what he knows of Tibarn).

Naesala's fighting isn't good? Well what does PoR Shinon care! Let him die! But that's not RD Shinon (and remember, these quotes could've been anything else considering he got specifically personalized quotes with these three, and personalized quotes for RD supports are somewhat few and tend to be for specific pairs).

Stay by me, he says! The same things he'll say to anyone! To any beorc and to any laguz. Again, personalized quotes did exist and they were there for certain pairs. Those pairs got special quotes specifically for their relationship). He didn't avoid saying "stay by me" just because they were laguz.

Mind you, his support quotes with these three are much more respectful than usual Shinon. He's very, uh, hilariously Shinon (there is a word for this, however at this time I cannot think of it 😔. I am not thinking of sarcastic, I am thinking of... something else. Granted, these lines are directed to Reyson and Rafiel, who technically can't fight... so I'll give him a break on that one) in most of his quotes, and some don't sound particularly respectful ("Prince ___, it’s really hard to watch you fight. Why don’t you stay by me and let me handle this?").

Now for the A supports (and BOY HOWDY I'M EATIN' GOOD HERE)...

You know, I’m not one for making friends and being nice. But, Caineghis, I gotta say, you are one bad laguz. In a good way! Hang in there.

I gotta admit… I didn’t like you when I first met you. But, Prince ___, I hope you make it through all this. I was wrong about you.

You know, I really don’t care who lives and who dies. But, Hawk King, for a laguz– hey, for anyone–you seem pretty decent. I hope you make it.

You know, I never thought I’d say this, but… King ___, I’m thinkin’ you should live. Don’t ask me why! Just a crazy notion. Maybe I like you?

Not one for making friends and being nice in general, with beorc, but he's befriending a laguz? Well now! What would PoR Shinon pre-Janaff say!

If you need me to explain the lines to Reyson and Rafiel to you, I have no hope for you at this point. If you can't read "I was wrong about you" and understand what that means, you might need to go back to school. In fact you definitely do.

For a laguz - no, scratch that because that doesn't fucking matter anymore - for anyone - you seem pretty decent (<-- this is the way Shinon talks to everyone).

Maybe he likes Naesala? Maybe they're friends? Maybe he just admitted he's fond of a laguz? Maybe he just said he likes a laguz??? Gosh jolly, early PoR Shinon is rolling in his grave!

So uhhh, what does this have to do with Janaff? Well, like I said, I feel like their supports slot perfectly into Shinon's development that's going to exist anyway. It's like the middle part of it that you get to see but also may miss out on. It's like jumping from PoR to RD and wondering what on earth happened in between to bring Shinon to that point... and if you consider his A support with Janaff, it makes sense that that's what happened. It fills that gap, and it also slots in perfectly with where he is in his development as a character between two games.

Timeline:

PoR start - Shinon hates laguz. He seems to hate them for reasons unknown. Greil dies; Shinon leaves. Chapter 18 is reached and Shinon is recruited back into the GMs. Despite that the GMs are now working with the Crimean army which has actively allied itself with the beast and bird tribes, Shinon whatevers his way through that fact and rejoins. He'll tolerate, he guesses. Fam is here.

Cue Janaff supports. New birb, who dis, except he's rude! Yes folks, it was Janaff who was rude first (his lines were also very Janaff... who is very like Shinon, so it makes sense that would get a negative reaction from Shinon even if he was a beorc). Shinon is set off and now thinks he was right to hate laguz. Look at this annoying birb face and his dumb lil hat!!! Better threaten to kill him just to be safe...

B support, they're having a conversation and learning from each other because Janaff came over to apologize. He knows he was in the wrong to nag at Shinon just for being an unfamiliar face. Shinon is still pissy though because it's a goddamn birb with a hat!!! Their conversation is a mix of ugh fuck this annoying guy to actually talking things out... and Shinon admitting why he hates laguz - because he's always needed to protect himself from "those half breeds". Sounds like his only experiences were very negative, so he ends up racist. Well, Janaff was also racist until very recently for similar reasons, and he used to think all beorc liked to kill. He, too, had misconceptions that bred a racist hatred. Now, though, with Shinon talking to him, he's realized he was wrong about beorc and is open to seeing things differently. Shinon backtracks, realizing he's having this conversation with the birb with a hat and wonders why.

A support, they talk more and it's getting better... and Janaff not only admits to relating to Shinon - which is a nice touch because they're two sides of the same coin who are both still very much learning about each other's races - and mind you Janaff was racist at 110 years old so he's been doing this shit for a while! It was because he talked with Shinon and learned more about beorc that, on top of what Ike did for Leanne, he's being more open minded now. Janaff, understanding where Shinon is coming from (ignorance and misconceptions), is much more polite and kind to him. Shinon, in response, backtracks when he almost uses the racist term "sub-human" so as not to offend Janaff, leaves off here respecting him and, when Janaff has to leave because the support is over, calls him back because he wants to hear more about the world from him because Janaff has lived for so much longer. Maybe the birb with the hat isn't so bad at all after all!!

From here the GMs fight with laguz allies until the end of PoR. Two or three years pass idk shit's inconsistent I guess, and we get to RD.

By this point Shinon has already been in an army that allied with and fought alongside laguz, and maybe that's tempered his feelings. When given an out from joining the other GMs in their aiding of the Laguz Alliance, and as the only beorc, he chooses to stay with the group.

At this point he's back and forth with "sub-human" and "laguz". There's definitely improvement, but old habits still get out sometimes. Still though, he's progressed from "you guys" to outright using "laguz".

The laguz kings join in the fight against Ashera. Shinon can support them, getting personalized quotes specifically for them (and for the herons). With Tibarn, he catches himself and corrects what he almost said - something he did once before with Janaff as per this linear timeline. That's the only instance left of a mistake in his wording. By now he's not using "sub-human" at all (B and A support with Tibarn or C-A with Caineghis or Naesala), or he's freely and without stumbling using "laguz" with no "you guys" esque backtrack.

This is obviously only one aspect of Shinon's development, i.e. the development of him growing out of racism similar to Janaff, and there are more aspects to him that did develop and grow throughout both games, but this post was specifically to highlight the importance of having Janaff there as part of his growth. Without it, it's like a blank, empty spot in his development where you don't know how it started happening and to such a degree (how did he go from outright using sub-human to using laguz at all? It feels like there had to be something in the middle of that growth, and without Janaff's supports it's just missing.

With them though, it's quite clear how he reasonably went from sub-human to "you guys" to laguz with some slip ups (ones that he corrects himself with if he actually respects the person, in this case Tibarn. He didn't bother correcting it with Lyre and Kyza because he didn't like them, which again, is still a flaw, but that was prior to his ability to support the laguz kings. It would be more reasonable to say he's starting to grow out of using "sub-human" just to specific people as an insult by this point.

Mans ain't perfect, but he's trying and he's working on it. Why is that without Janaff involved in his development? I 'unno, I guess he just had some random offscreen development between the games. With Janaff though? It actually works, fits and makes sense. It feels like that part of his development is meant to be there, as it compliments his development going forward.

that's it that's all i had to say bye now

#Shinon #there is quoted evidence so nobody can say im just bias and making shit up 😤#anyway he's a multi faceted character AND gets development which FE does NOT usually do for non-main characters!#they especially don't usually get BOTH of those things!#Shinon's extremely lucky in that regard (especially bc not even all of the GMs were given this treatment and good fortune)#It's also very fun seeing Shinon and Janaff develop simultaneously. you get Janaff a SINGLE chapter before you can #get Shinon back (actually use him again) and the very first time you can ever use Janaff is ON the chapter Shinon returns #cooooincidence? maybe but I choose not to think so #Janaff feels so integral in Shinon's character growth in this regard #at this point my brain has cemented their supports as canon #anyway they're a great couple they never kiss and they definitely don't admit to being in love #they think y'all are delulu for thinking they're dating but actually they're the ones who are delulu #i have a do not separate policy for them in part four so shinon always ends up in the hawk army #which rly i don't need to do bc it's not like i need as many shrieks as i end up with #so really janaff doesn't HAVE to be with ulki and tibarn but it feels right #also it's like the one time i have everyone from a respective class type (archer classes) in every army #ALSO also I think it's an interesting situation to have Shinon in the final chapter before endgame 1 #maybe it would be cool to write about someday. him seeing the feral drugged laguz and how nastily mindless/cruel/violent/etc they are #compared to the people he knows and starting to realize this was how he used to see ALL laguz #and now seeing it's only these mindless drugged ones and how the people he knows are nothing like this...

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skyloftian-nutcase · 2 years

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Giving Report with the Healthcare Boys (LU in Healthcare snippets)

What patient handoff and/or shift change looks like for some of the boys!

Wild stretched as he entered the staff lounge and caught sight of a coworker getting on shift. His feet were sore and he had a headache, but overall he felt pretty good despite the chaotic day.

"How was today?" his coworker asked.

Wild shrugged. "Busy."

His coworker smirked. "Well at least you're actually mostly in uniform today."

Wild looked down at his black scrub bottoms (that he absolutely didn't steal from Twilight), light blue polo, and sleeveless black jacket. "Yeah, I guess so."

"What kind of adventures did you have today?"

Wild laughed. "Only one, thanks. We eventually found MRI."

"How long did it take for you and your patient to find MRI?"

"Um," Wild shifted awkwardly. "Maybe twenty minutes? Didn't mess up her appointment, so it was fine. Besides, she got to see the ambulance bay and a friend of mine showed her the back of the ambulance, which she thought was really cool."

"That sounds like way more than twenty minutes!" his coworker laughed.

"We had fun and got there eventually," Wild shrugged as he crossed his arms. "That's all that matters."

When his coworker continued to guffaw at the entire situation, Wild rolled his eyes exasperatedly and clocked out. He was ready to have some of the dinner that he'd made for himself yesterday, and he was excited to get home and relax.

XXX

"I just fueled her up, she should be set to fly for you tonight," Sky said as he pat his hand against the helicopter with a warm smile. "The only thing I can think of is that you need to watch the cyclic; it's a little jerky if you adjust it too fast. I was going to see if maybe I could look it over but we kept getting calls."

Belari nodded. "Got it! I'll take a look at it with the shift checks. Sorry you were flying all night, though."

Sky shrugged. "It wasn't too terrible. But I'm definitely ready to go to bed."

Belari laughed at that. "Sky, you're always ready to go to bed."

XXX

Twilight grabbed a clipboard and his finger slid down across different names of patients. "So these two are the ones who have been the biggest ones to look out for. Airway issues for this kid, and the parents aren't in there, so just keep an ear out, especially if her nurse is busy. The other is on seizure precautions, everything's set up but he's already had one seizure today."

The tech he was handing off to sighed. "Poor kid. I thought they'd gotten that under control."

"Yeah, we all thought that," Twilight remarked sadly before continuing with his report. "This one here is a standby with one assist, usually uses a bedside commode for toileting. This one in room 12 needs a sitter, you might get stuck there a bit. He's not really bad, just developmentally delayed and likes to throw things. He's nonverbal, but he understands more than you think, so just redirect him. Loves to listen to Barney, so I've literally just been playing it on repeat all day. Kept him pretty preoccupied. Rooms 1, 3, 4, and 5 are night baths. The 24 hour QCs have been done, I think you'll just have to do the EKG machines."

"Is the lift still broken?" his coworker asked with dread.

Twilight grimaced. "Uh, yeah. But the only one you'd need it for is room 8, and she's pretty light."

His coworker crossed her arms. "Yeah, light to you, Mr. I-Can-Bench-Press-the-Planet."

Twilight couldn't help the laugh that escaped him, and then he spluttered to try and compensate when she waved him off.

"Get out of here, Twi," she said exasperatedly. "It's gonna be a long night and you don't need to be here for it."

XXX

Wind settled beside his preceptor as the night shift respiratory therapist pulled up a chair. He shifted nervously, knowing that Daphnes had said he would be giving report for one of the patients; this was Wind's first time even attempting to give report.

"All right, go for it," his preceptor's relief said, ready for report.

Wind swallowed and nodded. "Okay, so room 12 is a 54-year-old female, post-op day 1 for a CABGx3. She's still intubated because they can't get a good neuro on her, I think? Like for us she's been fine, breathing spontaneously on the vent, but they're afraid she can't protect her airway if we extubate."

Daphnes held out a small piece of paper to Wind, who jumped, realizing what he'd forgotten. "Oh! Right, her last gas looked good, but her lactate was high so that's another issue she's got going on. She's got a 7.5 ETT, 23 at the lips, cuff's fully inflated and intact. She's on 30% FiO2, PEEP of 8, pressure support."

"Tolerating the vent? Suctioning, any secretions you're getting out?"

Wind's heart skipped another beat as he felt like he was messing everything up. "She's tolerating it, yeah. Hasn't really bucked it all. Because, you know, no neuro and the like. She isn't following commands or anything. They're not sure what's wrong. She doesn't have a lot of secretions, last time I went in she was good. Lung sounds are clear, a little diminished in the bases."

The respiratory therapist finished scribbling notes and then nodded. "Okay, sounds good."

Wind leaned back heavily in his seat as his preceptor gave report on the other two patients they'd been caring for. When he was finished, Daphnes put a hand on Wind's shoulder.

"Good job on report," he said with a smile.

Wind watched him uncertainly. "I thought it sucked."

Daphnes laughed. "It's your first report. You went over the broad strokes. You'll get there, Wind. Good work today."

Smiling, Wind perked up and nodded. "Thanks."

XXX

Hyrule tried not to feel overwhelmed when he brought the stretcher into the large room filled with people waiting for him. He could do his job and take care of the patient, but giving report always made him nervous.

He caught sight of Legend in the corner, who gave him a smile and a nod.

Taking a deep breath, Hyrule stood beside the stretcher alongside a tech while Mo and another nurse moved to the other side of the hospital bed where they'd lined up with the stretcher, grabbing the sheet under the patient.

On three, the four slid the patient from the stretcher to the bed, and people swarmed around her as Hyrule stepped back.

"71-year-old female, stroke alert, last known normal was two hours ago at 1945," Hyrule started loudly so both Legend and the physician could hear him as they worked. "She's got right sided facial droop and arm weakness, as well as aphasia. No neglect or vision changes to my knowledge. She hasn't changed for us over transport, she's just been like this since we got on scene. She can follow commands, can't really say anything but she'll track your movement. Vitals have been stable throughout transport, glucose was 112. I've got bilateral 18s in both ACs, one's saline locked and the other's KVO. Sinus rhythm on the monitor. History of TIA and hypertension. Any questions?"

"Does she have family coming?" Legend asked as he labeled blood samples pulled from one of her IVs.

Hyrule nodded. "Daughter's on her way."

The charge nurse walked in. "CT 3 is ready for you guys."

Legend nodded. "Thanks, Roolie. We'll see you later."

With that, Hyrule stepped out of the room as Legend and a few others guided the patient's bed out of the room and headed off to get a head CT. He blew out a deep breath of relief and made his way to his partner, who was cleaning the stretcher.

"Well that was exciting," Mo commented.

Hyrule had to laugh. "Yeah, no kidding. Maybe we can sleep the rest of the night."

"You really think so?"

"...No."

"Me neither."

XXX

"Well you took your sweet time," Legend grumbled as Warriors plopped into a seat beside him.

"I can't help that morning huddle took an eternity," Warrior fired back, rolling his eyes. "I'm not charge today, and the one who is just stood there for like a solid five minutes figuring out where everyone should go. So what do you have for me?"

"In the twenty years it took you to get here, I discharged one of the patients," Legend explained, getting a good-natured chuckle out of his friend. He pulled up the other patients' charts. "You only have two to worry about. Room 28 is a 24-year-old female, A/Ox4, stable, she's here for generalized body aches, they're doing a flu workup for her so she's on droplet precautions. She's been stable, no known medical history, she's fine in there. I took care of all the orders for her, we're literally just waiting for results."

Warriors nodded, reviewing the chart briefly before Legend moved on to the next patient. "Okay, this other one is the issue. Roolie brought him in about an hour ago, respiratory distress CHF patient, was on CPAP with Roolie and then we intubated him here; he's on propofol for the sedation. He's gotten 60 of IV Lasix and 2 inches of nitro paste, got a Foley in and it's put out like 150 so far, so mostly responsive to the Lasix. But they did an echo on him and his EF is absolute garbage, so even though we're getting fluid off it isn't doing much. They're talking about putting him on a milrinone drip, I've got the tubing and stuff ready if they decide to do it. Big surprise, he's been consistently hypertensive for me, started out at 220/136 now his systolics are lingering in the 160s. He was tachycardic and I think the nitro didn't do him any favors for that, but the good thing about milrinone is that you got reflex bradycardia with it, so hurray."

Rubbing a hand over his face, Warriors grumbled, "You always manage to bring me such great patients, don't you?"

"Hey, I got rid of a stroke patient earlier, you should thank your lucky stars," Legend retorted. "Stroke alerted her and she went straight to surgery. These two are all you got. They're working on getting this one up to the ICU as soon as possible. You've got an 18 in the left AC and a 20 in the right upper arm. Your propofol is going at 30 in the AC. The tube is a 7.0 and it's 21 at the lips. They're alive. End of story."

"Well, that's all that matters, anyway," Warriors muttered, perusing the patient's chart before glancing at his friend. "You okay?"

Legend huffed. "Am I okay? Yeah, sure, we got our asses kicked last night. But it's over. Just going to stay a bit to catch up on charting and then I'm getting the hell out of this nightmare."

"Charting," Warriors said with as much disgust as he could muster. "I hate charting."

"You and me both. Good luck, Wars."

XXX

In the ICU it was typical to have only one to two patients. On a day like this, where staffing was short, however, it was surprising and rarely a good sign when one was lucky enough to be singled with a patient.

It usually meant the patient was a mess.

Four sighed as he grabbed his report sheet and his multicolored pens and sat down beside the nurse who he would be receiving report from. After pulling up the patient's chart, he gave his coworker an affirmative nod that he was ready.

"This is a John Doe, just got up to the unit at 1545 from the OR. He is approximately somewhere in his 30s. Involved in a motor vehicle crash, vehicle versus a tractor. He got extricated and flown here. He was awake and lethargic on scene, apparently, got RSI'd in the field when he couldn't really protect his airway from bleeding with facial trauma. Got 2 units of RBCs in the air, another in the ED, and another in the OR. CT showed right femur fracture, skull fracture with intracranial hemorrhage, multiple facial fractures, rib fractures, and cardiac contusion with tamponade. They placed a bolt in the OR, he v-fib arrested and they shocked him twice. We've given 1L crystalloid for more fluid resuscitation and 1 unit FFP. He's kind of vasoplegic but not by much, still he's on epi at 3 and Levo at 5. Still getting a fluid bolus right now. Ready for systems?"

Four scribbled feverishly, and then he paused. "Wait, who was the surgeon?"

"Time."

Four smiled. Good. That meant the team would be keeping a close eye on the situation. "Okay, I'm ready for systems."

"Neuro, he's a RASS -3 with a goal of -4. He's no longer paralyzed, it was reversed at 1600. He's got the bolt, it's subarachnoid. His ICP has been steady in the..."

The longer the nurse talked, the more Four realized this was going to be a long shift. But he'd get through it. They went through neurological, respiratory, cardiac, gastrointestinal, genioturinary, musculoskeletal, and skin individually before reviewing lab work, and then Four wrote down what points of access he had, including a central line, an arterial line, and three peripheral lines, as well as all the different medications going in through them. After finishing handoff with the other nurse, Four sat in his chair for a moment and just took a deep breath.

Time to get to work.

#I have no idea what kind of handoff pilots do with each other #so I just figured it would be maintenance related lol #at first I was like 'I should make this simple because non-medical audience'#and then I was like 'screw it let's have fun'#so then we just got increasingly more complicated with reports because this is what the boys would be doing for work anyway #so this one's for all the medical nerds #as a general rule ER is more concerned about what's going to immediately kill you while ICU needs to know everything about you #hence the difference in reports #respiratory therapists are concerned about respiratory stuff so they're very focused #techs care for a lot of patients on the unit and have specific things they look out for to assist the nurses and help the patients #I didn't even attempt to do Time's report because I know too little about surgical notes to fake one lol #maybe someday XD #lu in healthcare #writing

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