#speaking of pain meds that's what i'm on right now and i'm H Y P E R

[raposarealm]

A break from the disastrous Kimochi, because I feel like crap! And what better way to distract myself from feeling sick than to talk about a sick boy!

Not the Yuyoyuppe album, this but this specific scene from Axess I’ve meant to rag on for a while now, from Episode 50.

(A read more for minor spoilers, I guess. And also because this got hella long.)

You might remember this as being right after the final fight versus Dark Blues, and also after the stupidest stunt the egghead pulls all season, which lands him in the hospital. 

First off, I’m going to bitch about this shot for a second:

(Credit to @panningexe​ for these shots, by the way, because I physically cannot bring myself to rewatch Axess.)

(This would be a good time to add in a disclaimer: I’m not a nurse or other medical professional, I’m a pharmacy technician who still doesn’t have her license in this state because I’ve been too busy to take the PTCB test. I did some preliminary research for the stuff beyond the pharmaceutical aspect, but most of that was just ‘stuff I learned from my mother who was an RN 20 years ago’. Take the finer details with a grain of salt, and please correct me where I’m wrong.)

Series never get medical things right, but, shockingly, that IV line is correctly set up. Taping down the extra line isn’t usually done from what I’ve seen, but it’s not wrong. Tangled lines are more of a danger, as long as the taped lines there are still loose enough to not impede the flow rate. But. You want me to believe this is a patient in critical condition, in a hospital in a large city, in the future, and all you have to regulate flow rate is a roller clamp?

But Rapo! you say, clamps can be used along with other regulators! Yes, but, lemme direct you to this other shot from the same scene:

It’s harder to see here, but: there really is just that one roller clamp and the drip chamber built into the line (which doesn’t really regulate drip rate well on its own.) Yeah, those work just fine, but they’re harder to use, and are therefore more prone to human error. Hospitals are already phasing them out, like, in real life. 

There’re two LVP bags (Large Volume Parenteral bags, large amounts of sterile fluid used usually for regulating essential bodily functions,) on the stand there. If I remember the episode correctly, Enzan was out of commission for multiple days following his dumb stunt, but I don’t remember how long he was unconscious. 

Quick rundown of some common LVPs for context: Normal Saline contains sodium chloride (usually 0.9%, but treatment of severe dehydration and NPO/’Nothing By Mouth’ patients often receive 0.45% instead,) is used on nearly everyone who’s admitted to the hospital, since it’s used to help with dehydration, and especially on critical patients and those with blood loss (and is sometimes co-administered with blood products.) Also containing sodium chloride with other compounds are Ringer’s Solution and Hartmann’s Solution (also called Ringer’s Lactate.) Both contain other electrolytes (calcium chloride and potassium chloride are pretty standard, for instance,) but Ringer’s Solution contains sodium bicarbonate in place of sodium lactate (hence “lactated” Ringer’s.) When high sodium is a risk, such as with renal impairment or some chronic conditions, or when a patient’s body is especially acidic, such as suffered with sepsis, then Ringer’s or Hartmann’s may be used in place of saline. (Source because it’s long.) Lastly, Dextrose 50% in water, usually abbreviated to D5W, can be used when the body is malnourished. Note that these might have to be switched around depending on the SVPs (’Small Volume Parenteral,’ or just normal medicine that’s injected or otherwise administered parenterally) given, e.g. nitroglycerin and norepinephrine, medicines used in cardiac emergencies, can’t be used with Hartmann’s. 

Side note over. Anyways, there’s only two bags present on the stand there, and the line’s only attached to one. Sometimes LVPs can be used to keep an IV line open while no medicine is being administered, but. This is, again, an unconscious, critical patient. From the first picture, we can see bandages on both Enzan’s hand and head, which I’ll guess are probably burns from the forced Fusion attempt (he was holding the PET and smacked into Blues head-on.) Burns are one of the worst things to treat, as they’re excruciating for the patient. Plus, there’s a chance that said head-on impact could’ve cause some head injuries. Why isn’t he on pain medication? A conscious patient can take medication orally, but that’s kinda hard to do when someone’s out cold. Burns carry significant risk of infection, too, and IV anti-infectives are often injected into the LVP bag directly, or ‘piggy-backed’ onto the IV line, which requires them to be placed on the stand higher than the LVP so that gravity pulls the piggyback medicine into the main line. I don’t see a connector on that line, but I suppose the medicines could have been injected directly. However, due to the manufacturing of that type of bag, there’d be a stopper on it to keep sterility, which maybe it’s there, but I don’t see it.

Also, can we take a look at the rest of the room? WHY ARE THE MONITORS OFF?!!? The only time you shut those things off are when you take someone off life support. That’s why hospital halls are filled with those annoying ‘bing’s -- those monitors have to be there. You never know when someone who looks stable suddenly become tachycardic. You never know when someone’s IV line fell out and now they’re not getting the medicine they need. You get the point. Not only are those monitors not connected to Enzan there, they’re not even on! For God’s sake, the closest he has to a monitor right there are Anetta and Netto standing next to him! 

As side not that I don’t know how to work into the rant, I’d say I’m surprised he’s not on oxygen, not even the nasal cannula you’d see in every soap opera episode that takes place in a hospital. I had one of those in for a sleep study, for God’s sake. But, since this is a medical device that I wasn’t actually taught about because my class sucked, I’ve now been informed that cannulas aren’t used unless the patient shows explicit difficulty breathing, but doesn’t require intubation (endotracheal tube, AKA tube down the throat,) or mechanical ventilation (partial or complete respirator.)

It’s nearly 1am and I’m done ranting, but TL;DR, if I lived Akihara, I’d have sued this hospital by now.

#speaking of pain meds that's what i'm on right now and i'm H Y P E R #i almost wrote kamihama instead of akihara so i guess enzan gets to stay in the satomi medical center along with mitsune that one time #like i said before i have three modes #a) madoka b) rockman and c) pharmacy #now i need to cover the one hospital(?) scene from the manga vol 5 because it actually wrote a cardiac emergency accurately! #'rapo you want to be an emt don't you?' how dare you but also kinda #i told ma that who was also an emt and she goes 'i shouldn't have told you so much about emergency medicine growing up' #don't let me watch a medical drama. EVER. #rockman exe #ijuuin enzan #because he's the unfortunate but idiotic victim here #rapo rants #i aspire to try and teach y'all medicine but i don't know much myself beyond drugs i just like to pretend i do

[morgansunflower]

TLMC

Batman/Bruce Wayne X Wife! Reader

Damian Wayne X mom! Reader

Words:1249

Warnings: blood. Major character injury. Angst.

TLMC. Tender Loving Mother Care

Arthur's notes. In this Talia is the main villain. Hope you all enjoy the story!

I laid on the cold concrete inside a warehouse where Talia had ambushed me. She had a grudge against me for many reasons. Damian gazed at me with a utterly horrified look. My abdomen bleeding out and my head throbbing. I had jumped in front of the gun, Talia had aimed at Damian. I had knocked her unconscious but not before she shot me and slammed my head to the wall. My chances of survival are slim. I held my bleeding wound to lesser my chances of dying.

Damian ran to me with ragged breaths "Y/H! Y/H! Y/N!" I touched his hand as he knelt down.

My heart then breaks knowing my injuries are surely fatal.. This will likely be the last time I see my little boy "y-your g-gonna do g-great in life" I hiss in pain "I love--" I uncontrollably stammered. The ability to speak is too painful for my ribs.

I blinked for a few seconds "don't shut your eyes father well be here soon"

He put pressure on my wound I winced. He shut his eyes guilty. His actions more careful than I have ever seen him. He helped me stand. I place my left arm over him. He carefully placed his arm across my back and held my hand. We walked safely from the building finally outside of the warehouse. We made it to the alleyway walking to the zeta tube to the Bat-cave. My joints weaken further. I feel my knees began buckling. I try to prevent from doing so but I fell. Damian caught me and laid me against the hard wall. He took his cape off and put it on my wound causing me to hiss. He opens the mini first-aide in his utility-belt.

My blood soaking his cape "sorry bud" I smiled

"tt focus on yourself breathing"

Tears began streaming down his little face. My heart breaks for his heartache. He shouldn't have to watch me die, not like this. I used my fingers to dry his tears. He held my hand and moved my hand away has he stuttered. I shut my eyes only seeing black and faintly hearing pained yells.....

Damian's P. O. V

My mother cannot die.. Y/N from now on will always be my mother. She laid in the medical center in the watchtower. She laid hooked up to a heart monitor, IV fluids and her wounds bandaged. She went into a comatose state causing my heart to fall. I remain by her as I stared at her not taking in my surroundings. Days past Todd came home. I stayed close to mother not caring about myself, then it turned to dreadful weeks. I gazed at her intently. Richard walked in with a plate of food and a glass of water. His demeanor gentle as he is carefully prepared for my outburst likely.

"little D you need to eat" his tone soft

"I'm per-fectly fine Richard!" my voice cracking from lack of water

"c'mon Dami mom would want you to eat something. Would you please eat something?" he pressed on. He will not stop until I comply, I'm certain

I scoffed knowing my older fool of a brother is right. I grabbed the plate eating feeling a little bit better. I drank some my throat easing as I feel hydrated. Though she's still in pain. How could she be so selfless to me? I've never been so scared.

"there you feel better now little D" he said with a chuckle

"perhaps when mother awakens" I muttered with heaviness, the emotions I've buried are threatening to dig their way out

Grayson took the plate and glass from me.

"please don't think that this is in any way your fault Dami" he said genuinely. I can't. "you did everything you could have done. She has been through worse. I promise you when I say she will be OK" he added with a sad smile. He's lying to me. He's worried for her as I am.

Late at night. With father in the Med-bay with mother I lay on my bed at the tower. I can't sleep worrying for my mother. What if I never get a chance to beg her for forgiveness? What if she dies? It'll be my fault I always fail those whom I love. I walked to by the Med-bay. The double door shut. I sat by the door frame. First my throat shakes followed by a shake to my eyes.

Bruce's P. O. V

I gaze at my wife worried for her sake and Damian's. He's been neglecting himself I've been a terrible example for him. I gently kiss her cheek. I hear soft crys by the door.. Damian. My heart sinks Y/N could console him better than anyone else. I opened the door and saw him. He jumped onto his feet and stood straight, as if he was never sitting on the floor.

"father I intended not to bother you. I sh-shall depart for my bed"

He dried his tears. I sighed with a gruff. I kneel down to my son's eye level. He's worried so much, that it is causing him physical pain. I touch his shoulder sympathetically. Poor champ.

"come in son. It's been a long day for each of us. You may sleep with me on the couch"

He walked with me into the Med-bay. I step to the couch. I take the blanket and hear his footsteps stepping to the stretcher where my love laid. I turn my head seeing my son by my wife. He had his hand by her own.

"this is all my fault" he mumbled crying

Before he fell from emotional exhaustion, I hold him in my arm's.

"son listen to me. Y/N loves you more than you can ever comprehend. The last thing she would ever want is you to blame yourself, for something that is not your fault"

He started sobbing allowing his pain to be heard, his face within my neck. I rubbed his head. He moves from my grasp and kisses her head.

"f-forgive me" he mumbled with a quaver to his breath

Y/N's P. O. V

I faintly hear beeping the last thing I remember is Damian crying. I gently groan feeling pain. I opened my eyes and keep myself from yelping as I see both Damian and Bruce. Damian thinner, and his eyes swollen. Bruce's hair as grown out and he looks emotionally exhausted as Damian.

"I wish you too could learn to take better care of yourselves when I'm absent" I mumbled with a soft smile

Damian gasped causing my heart to fall. He hugged me carefully while burying his head in my neck crying. I was in shock though swiftly returned the affection. I place my hand on his head and kiss his face.

"oh sweetheart" I soothed to him "shhh shhh I'm here"

"I'm so sorry mother" he said nearly shaking from his deep emotions.

"shhh honey it's not your fault mother's here I'm here" I softly said

I looked at my husband smiling. He kissed my lips, he wrapped his arms around us both carefully. I ran my fingers through their hair.

"you boys need a lot of TLMC" I smiled with a slight worry to my tone

"I thought it was TLC" Bruce said with a half smile

"hmm no TLMC, tender loving mother care"

#batfamily #batman #bruce wayne #Batman/Bruce Wayne #Bruce Wayne X Wife! Reader #Bruce Wayne X Reader #Batmom! Reader #Batmom #Whump #Angst #Worry #Crying #Talia al ghul is a bad parent #Damian Wayne #Dick Grayson #Batfam #Hurt #Tender Loving Care #Tlc #TLMC #Tender Loving Mother Care