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Medical Consultations (Tag Solal)

Posted Nov. 20, 2021, 10:59 p.m. by Lieutenant Junior Grade Solal Segal (Oncology and Immunology) (Lucas Foxley)

Posted by Lieutenant Alexis Bonner (Assistant Chief Medical Officer) in Medical Consultations (Tag Solal)

Posted by Lieutenant Junior Grade Solal Segal (Oncology and Immunology) in Medical Consultations (Tag Solal)

It wasn’t that Alexis had forgotten about Gerald, but given current circumstances and the fact he was stable allowed her to focus else where. Gerald had been dealt a bad hand medically. He wasn’t born that way, Star Fleet made him that way. She was currently going through his current medical file. His immune suppressant medications were working much better now. His previous medication hadn’t been adjusted for his metabolism and so his body had burned through it. Things seemed to be stabilizing now, but there was still a lot of work to do. Alexis had a call in to Dr Asimina on the Saracen. She was a prosthetic expert, for ideas for replacements for his implants, but that wouldn’t solve the problem completely. Gerald’s immune system was still being pushed past safe limits. As she read and researched and contemplated and ran scenarios Alexis tapped a stylus rapidly against her hip. Then twisting her hair up into a bun and shoving two (or three) styluses through the bun she tapped her combadge. =/\=Lt Bonner to Lt Solal. Come to my office for a consultation at your earliest convivence.=/\=

Bonner, AMO

=^= One moment Lieutenant, and I’ll be right there. =^= His response to her was near instant. It took longer, however, for him to actually show up. Solal was in contact with a scientist aboard the Ark Angel and he’d been writing a letter when Bonner chose to ask for him. He took ‘at your earliest convenience’ to mean, ‘finish what you’re doing first’. And so, about twenty minutes later he arrived, wondering what exactly the consultation he had been called for was. “Lieutenant Bonner, you called for me?” He asked upon stepping through the door to her office.

~ Lt JG Solal, Immunology

“Please have a seat Lt.” Then Alexis passed Solal a PaDD. “This is Warrant Officer Gerald Hopkins, engineer.” She gave Solal a moment to skim the contents. “You can see from his file he’s undergone quite a bit. When he first boarded the Ogawa I adjusted is immunosuppressant because it wasn’t calibrated to his metabolism correctly. So naturally he was burning through it and in consequence he was having a great deal difficulty, and having to replace parts every few days. The length between cybernetic parts has increased, and we successfully replaced is old ocular pieces with newer models with great success. His immune system is still trying to reject the original ‘modifications’.” The way she said that last word left no doubt to her opinion of the so called doctors that had done this to him. “With your expertise in immunology, I wanted to bring you into his care team.”

Bonner, AMO

Solal took a seat and took a look at the PaDD as it was handed to him. “It’s impressive he’s alive,” he replied, after having skimmed the file. His accent was lightly French, influenced by his native language. From what it said, it made sense to Solal that he was having to replace parts so frequently. “Much like a transplanted organ, I doubt there’s any way to prevent rejection entirely, and it appears a great effort has been made to lessen the symptoms of rejection.” Her opinion on the modifications was quite clear to Solal. He couldn’t say she was wrong from a logical perspective either. The modifications had done their job sure, but it was a massive waste of resources trying to keep the rejection at bay. “What exactly are you hoping my expertise can do for him?”

~ Lt JG Solal, Immunology

“I am hoping your expertise can keep his immune system functioning. Due to the immunosuppressants not working, not being calibrated correctly for his body, his immune system has been working in over drive for far too long and it’s beginning to break down. He is doing better with the new regiment, but he also has a long way to go. Most of his implants, cybernetics, and prosthetics have to be replaced. It will take time and a huge toil on an already weakened body. I know there is no way to really stop his body from attempting to reject what is foreign, but can we give him a better quality of life than he has now?” Alexis had no delusions that Gerald would ever be totally healthy again. His body would always fight with what had been done to him - to enhance him in the name of protecting the Federation. Gerald had somehow beat the odds, when others involved in the ‘project’ had not. When Gerald had first come to her for his ‘check-in’ he had been content to continue on until his body simply failed. Alexis couldn’t accept that, when there were things they could do to improve his health. Alexis had seen a lot in her short years as a doctor, but the butchery that had been performed on Gerald went against everything they were taught and trained for at Star Fleet Medical.

Bonner, AMO

To Solal, the project seemed a fruitless endeavour. It was cold, his parents would tell him, but it was logical to him that the endpoint was inevitable. He may be able to slow the breakdown of this patient’s immune system, to ease the load on it, but he wasn’t sure it could be averted entirely. “The quality of life may be improved, though I cannot guarantee by how much.” He answered Bonner’s question at last.

~ Lt JG Solal, Doctor

Bonner nodded, “Quality of life is subjective and in the end is really a determination the patient will make. Right now he’s replacing parts every few days to at most 2 weeks, that should be lasting months. He has asked me for medical help, for our collective expertise, to help heal his body. The end result won’t change, but if he wants to prolong when it arrives, then it is my responsibility to do so. Any knowledge, skill, or theories you can provide are welcome.”

Bonner, AMO

Solal nodded. “With the time to review everything properly I should have a few ideas.” He was already considering the different immunosuppressants that existed, how exactly they worked, and how that might change the outcome. But he wasn’t prepared to make any official suggestions. “I’ll also need time to read up on the type of implants he has, and how they interact with the body and more specifically the immune system. How it rejects and attacks them.”

~ Lt JG Solal


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