2020-02-28 - Doctor My Eyes

Doctor My Eyes
Summary: Adam's coming in to see Doctor Alexander Rebane about his left eye, damaged in the crash that nearly took his life. The news isn't good, but there's a couple options... Who: Adam Weissman, Alexander Rebane When: February 28, 2020 Where: Mabase Medical Clinic	The information contained within this log is to be considered information gained Out of Character (OOC). This information may not be used as In Character (IC) knowledge or in roleplay unless it has been learned in-game or permission has been granted by the parties involved. Questions should be directed to staff. Mabase Medical Clinic A large medical clinic that takes up an entire side of the 3rd floor. There are two doors here byond the one that leads to the main hallway. One leads to a surgery room and the other to a recovery room. Next to the surgery room is a red light that is lit when the room is being occupied. Here in the main room is a medical table next to a cart covered with various instruments used in examinations. At the rear of the room is a large desk where the resident doctor does his paperwork and addresses potential patients as they come in. Normally there would be a reception area here but the desk is on backorder so no one has bothered to partition the room yet. It's early in the morning, and Adam has gotten up before Shiro. Why? So he can come in for his checkup! Living with Takashi has been awkward as all hell thanks to their previous relationship and Adam's injuries. Bad enough they were once engaged and they're living together again, but he also has to help Adam bathe these days. Awkward! And Adam hated awkwardness. So he's coming in a little early today, so Shiro can sleep. Not to worry, he's left a note in case he's not back before Shiro wakes up. The crutches have been traded out for a cane, which is a good thing, because those crutches were killing his torso. Crutches and broken ribs do not mix well, considering crutches force the upper body to do the work of half the lower body as well. Also if they're not used right they can actually cause broken or bruised ribs. Give Adam's were already broken? Yeah, not a good time with those crutches. The leg pain has mostly subsided, but he's still being careful, since he doesn't know if the bruised bone is healed enough to walk around or not. Currently he's sitting in the waiting room with a book, leg slightly stretched out to rest it, waiting for his appointment. He came in pretty early, but he's prepared to wait until the proper time. The receptionist at the front counter idly flips through a magazine of some form, glancing every so often at the injured man sitting not to far from her. Her blue skin strikes a very stark contrast with her snow white hair, with two antennae randomly flicking back and forth. Eventually she does set down the magazine, and touches the screen in front of her. Her eyes scan across the information that pops up, only to nod to herself. As she speaks, her voice is rather curt as if there were really better things to do with her time, but who is she to disregard orders. "Doctor Rebane will see you now, Pink Skin." At least, when it comes to the doctor, she's willing to provide him some respect. Unlike the rest of these Pink Skins, running around, acting like they own the place. "Room Three. Well, go on Pink Skin. Just because you decided to show up early doesn't mean he'll have extra time to spend on you." Adam pauses, looking up as the woman speaks to him. He winces a bit, first at her tone, then at his protesting leg and ribs as he stands. "Thank you. And I apologize for the inconvenience," he offers quickly, but earnestly. He hadn't meant to upset anyone with his early arrival. But he's not going to waste any time with a lengthy explanation. He just gets his cane under him, and heads into room three. Once Adam enters the room, he'll find that it appears to be a rather normal examination room like one would find in a neighborhood medical clinic. There's nothing really that stands out as odd or out of place, which in itself is rather uncommon in a place like Mabase. All of the cultures and timelines smashing together to create an intergalactic melting pot of tech should mean that there is some of the best treatments available. Apparently, whenever Doctor Rebane is on duty, he prefers to keep it simple. There's a faint knock on the door, the Doctor himself stepping into the room. He wears a blue duty uniform, with a solid gold braid around his wrist, with a broken gold braid just above it. He's followed closely by a younger man in blue as well, with no bands upon his sleeves. A cursory glance is given towards Adam, with Doctor Rebane nodding approvingly. "It's good to see you up and moving, Mister Weissman." The doctor doesn't waste any time, moving now to kneel down before Adam, retrieving the smaller silver capsule he used to scan the younger man after providing his last bit of medical treatment. "Bruising is minimal Doctor with no signs of splintering," the young man in blue states as he looks at a large tablet like device. It too gets an approving nod from the Doctor, who then sits down on a stool, staring at Adam. "All right Mister Weissman. How have you been handling yourself?" Adam sits down on the examination table as he enters the room, having a bit of trouble getting up there. Though not too much, which Adam views as a sign of improvement. He waits until the doctor arrives, and then nods in greeting. "Hello." He pauses, quieting for the scan... though thinking of just how excited Takashi woudl be to see this -- it's almost exactly like the little medical scanning device they use on that science fiction show he used to like! He gives a sigh of relief -- a small one -- at the news. Good, he won't need surgery, more than likely. The question draws a response! "About as well as I could. Glad to be off those crutches, they were hurting my ribs," he replies. "Bathing is still a problem, since raising my arms hurts. I wouldn't, but I kind of need to. I've been trying to be careful, though." "Well, I'd still suggest keeping them handy for a while longer. The priority right now is your leg. Broken ribs are dangerous, yes, however I don't forsee them giving you much more trouble." Doctor Rebane moves the small device over the ribs, as the young man in blue speaks once more. "Fractures on ten and eleven are knitting correctly. Prognosis is good, Doctor." Doctor Rebane places the device back into his pocket, retreiving a small pen light. "Glasses off please. This will only take a few moments." It does take only a few moments, while the Doctor passes the glasses off to the younger blue shirt to check out. "Mister Weissman, now that the danger of a concussion has passed, I'm going to check your vision out to make sure your prescription is up to date." Adam sits still for the scanning of his ribs, and then removes his glasses when asked, offering them to Doctor Rebane. There's a bit of a squint there as he does, but that's probably not surprising. It's also worth noting that the vision in his left eye, the one that apparently had enough trauma to it to change its color, has worse vision than before. And he does note that, too. "I feel like the left lens isn't helping as much lately. Though that doesn't really surprise me, considering..." "Hmm." Doctor Rebane pulls the small device out once more, and starts to run it across Adam's left eye. It's pretty obvious to the doctor that there is most likely something going on there, and the young blue shirt confirms it. "Significant corneal scarring, Doctor with a partially detached retina." This causes the doctor to finally frown. He rolls back slightly, staring at Adam for a few moments. He leans forward once again, this time running the device over the right eye. "Partial occular degeneration. Within acceptable range for minor corrective lenses." The small device is laid down next to Adam as the doctor seems to mull this information over. He moves over to look at the tablet himself, reading over the information before sliding back in front of the exploding space pilot. "Well Mister Weissman. Your right eye should be fine with corrective lenses.. Your left eye however.... It will require surgery to repair the damage. I hope your friend doesn't mind pirates, because you'll be wearing an eyepatch for quite some time after this." Adam at least knows what that means, when the younger fellow relates the damage done to his left eye. He knows it's bad. It sounds bad. And he frowns too, though he's quiet. Nobody likes being given bad news, particularly about their eyes. The mention of a patch gets a bit of a chuckle, actually. "I doubt he'd mind. Do you think a contact lens for the right eye would be advisable? The damage there isn't bad enough that it should hurt anything, would it?" he inquires. He's not vain, but a full pair of glasses plus an eyepatch? He doesn't like that idea. The frown upon the Doctor's face finally cements itself as he leans closer again to Adam, this time placing both hands upon the younger man's face to keep it in place. He stares directly at the heavily damaged eye, almost as if he were trying to decide on just what the odds of success would really be. Eventually, he releases Adam and turns to his assistant. "...I need you to go run a few simulations for me." Rolling back towards the nearly empty counter behind him, he opens a drawer and removes a simple pen and a pad of paper. He hastily fills the first page on the pad and then hands it to the blue-shirted assistant. "They shouldn't take long. Return with the print outs once they finish." Once the pad is in the young assistant's hands, they rush out of the room, nearly bumping into people audibly in the hallway, which causes the doctor to grimace slightly. Turning his attention back to Adam, Doctor Rebane once more shines a light into the left eye, carefully watching how the retina retracts. A soft hiss escapes his lips as he slowly starts to speak once again. "Adam. I'm going to be extremely honest here. Your eye is hanging on solely by a thread, and the thread is already frayed to the point of snapping. Surgery is the first option, however there may be damage that my tricorder might have missed, which means that it could be in vain. However, before I even present the list of options I need to impress upon you that no matter which option we persue... You will never have one hundred percent vision in that eye again. Some of the damage is going to be beyond repair, even for someone of my talents." Doctor Rebane getting so close and holding onto Adam's face like that would be weird if it wasn't a doctor. Adam holds still for this. Though as this simulation business is mentioned, Adam frowns a little. Medical simulations usually aren't needed unless there's something serious. He figured there would need to be some fixing up, but... this sounds really bad. He keeps this quiet, though, and holds still as Doctor Rebane shines that light into his left eye. Though he does visibly wince. The light being shined in that eye doesn't 'feel' right somehow... And it seems to be true, his eye is pretty badly damaged. It's disheartening to hear, but... "...I kind of expected something like that," he admits. "It's been giving me trouble -- some pain, nothing serious yet, blurriness in the morning..." As for his eye never getting better? "Having even half the vision in that eye is better than having no vision in that eye," he reasons. "And if something's not done, I have a feeling I'm going to lose it completely -- is that about what's going on?" "Even with the surgery.. the best possible scenerio I'd give is around seventy percent, but the eye is going to continue to degrade with time again. There will be no avoiding that. So eventually, your vision with it will diminish. Ocular injuries are extremely delicate and hard to fully diagnose. They're easy to misdiagnose because while it could be one thing, there's plenty of others that could be hiding just behind it." The penlight is set down on the doctors lap as he carefully chooses his next words. "The second and third options I'm going to give you as well to think about. The second would be full amputation, as your right eye is in good enough shape to repair without corrective lenses ever being required. There is always a chance something could go wrong and your eye will be left worse. The third... Is one I'm hesitant to even give, but I would be doing my profession a disservice by not mentioning it." "The third... is tricky enough, but it could be possible to replace the eye with a donor entirely. Which, I'm fairly certain I don't need to tell you just what it would imply." Adam listens carefully to all this. He has his serious face on for this (which he usually does, but that's neither here nor there). And yes, he does wince a little at the third option -- that's not something he wants to consider, either someone else having to give up an eye or having to get one from a corpse. And then probably anti-rejection medicine, immune response suppressing, possibly making him more susceptible to serious illnesses... Yeah... that, especially, is not a route he wants to go. He takes a breath, pauses. "Is there time for me to weigh my options before making a decision?" he inquires. "I know it's incredibly important I decide quickly, but I don't want to rush to make a decision like this." All things considered, he seems fairly calm about it all, thankfully. "No matter which option you chose, it would still take me time to schedule any surgeries, as well as ensure that I have a solid medical workup for you to rely on. Medicine throughout history has always had it's practitioners who fly fast and hard, however I am not one of those. I was trained by some of the greatest minds in the Sciences, and the more you know and prepare, the better an outcome will be." Doctor Rebane stands up and moves to open the door at the exact moment the Assistant stands outside it, getting ready to knock. The papers in the blue-shirted young man's hands are quickly taken and then the door shut in his face. Five minutes of silence pass as Alexander Rebane carefully reads through the papers, nodding his head slightly. A slight look of surprise is given as he reaches the end of the stack, but then he holds the papers out towards Adam. "Right now, the timeline we're looking at would be a month. That would give me enough time to prepare anything I would need no matter which option you chose, even if its the last one in those print outs. I hadn't thought that one would be a viability, but it seems that you would eventually be a canididate for it. It's an option, but.. My professional opinion is this. We should go with option one, and then gauge how your situation progresses from there." Adam takes the offered papers, beginning to read through them. Surgery would help in the short-term but would probably ultimately fail in the long run. But it would be at least a few more years with some degree of vision in that eye. Removal would instantly remove the vision and he could start gettng accustomed to not having the vision in that eye -- but he doesn't know that his eye will eventually completely fail with surgery. Transplant... yeah no, that gets skipped pretty quickly. But then the last option... he pauses at this, blinks. And yes, he has been listening to the doctor's words. He looks up. "A month is all the time the eye has? Or that's the quickest things can be gotten ready?" he inquires. One is... sliiiiightly more urgent than the other, after all! Looking back down to the papers, turned to the fourth option, he notes, "I'm... not altogether adversed to this option. That said, I do agree with you, surgery does seem to be the best option for right now, particularly if my vision's going to deteriorate anyway. I might be able to get some extra time out of that eye. But I do want to talk it over with the fellow that came in with me when I first arrived, since he'll also be affected by whatever choice is made." Adam continues, though, "But, as you said, this may eventually be an option. Particularly, again, if my vision's going to deteriorate even with the surgery. I'm not what one would call vain, I don't really care terribly much what things look like." "It is of course, your eye. So it's understandable about any scenerio that may see it removed from you altogether being one you may want to avoid. I myself would most likely make the same choice. As for how long your eye has until surgery is no longer an option? I would give it at least a month before it starts to degrade further. So long as you maintain a relaxed life and avoid anything that could cause strain to it. For a surgery like that... it's possible I could do it as early as next week if you wanted. So while there is a rush, it isn't as immediate as you may have thought at first." The doctor finally rises once again and moves to the empty counter, and opens a drawer to remove a prescription pad. He carefully writes on it in the hypnotic mess that most doctors across the centuries have seem to mastered. "There are three prescriptions here, which if you take it to the front desk, they'll be able to fill for you in a few minutes. The first is for a new pair of glasses. The second, is an eye drop I want you to use on your left eye three times a day. It'll help keep the retina relaxed and assist in preventing strain. The third, is another anti-inflammatory agent that should help with the discomfort on your ribs. Once you've decided on a course of action, let the front desk know. I'll know to clear my schedule then and set a date for you." Adam nods, and reorganizes the stack of papers properly, putting them in their proper order, and making sure they're in a neat stack. Then he places the prescription on the top of the stack neatly. "Thank you, Doctor Rebane," he replies gratefully. Though he does have one question. "After the surgery, how long will it take for the eye to recover so that I can see out of it?" He's not asking this in a worried tone, though -- just being thorough with questions of a doctor. Also, the more questions are got out of the way now, the less he'll have to answer later. "Well, it could take between five to ten days for the eye to fully recover. However it will be usable after twenty four hours. You'll most likely notice some spotting and blurring that will clear up over time. It will need ample time to rest, which is why you'll have an eye patch to cover it when you notice it starting to tire. It's imperative that you keep the eye patch on you at all times." The doctor opens a cupboard and roots around it for a few moments, before closing it and moving on to another. Eventually he retreives a shrinkwrapped package with a black eye patch which he then holds out towards Adam. "I'd suggest you wear this for two to three hours a day until the surgery while using the eye drops. It will help prevent further damage until I'm able to repair whatever I can." Adam accepts the information, as well as the shrinkwrapped eye patch, with another nod. "Is there a particular time of day when it needs to be worn? During hours I'm reading or actively using them, or more during rest?" He can see it being either one. Adam does have a lot of questions, but he's wanting to make sure he's doing everything right. Better to ask now than to damage something due to not knowing something. "I'd suggest after applying the eye drops for a half an hour to an hour. So as you'll be using the drops three times a day, that's when I'd suggest. Also whenever you do notice the eye starting to hurt, or tire out would also help. As for reading and things that require additional eye activity... For the time being there isn't much more I could suggest except for what I've already stated." The doctor doesn't seem to mind these questions, as it does at least show to him that Adam is taking this as seriously as one truly can. The hard part will be seeing just how dedicated Adam will be to it when he's on his own. Fortunately for them both, Adam has had direct contact with someone who continually disobeyed doctors' orders (goddammit, Takashi), so in all likelihood, he's going to be taking care of this as well as he's able to. There's a pause then, and Adam seems to be thinking. Probably going over all the information, all the answers, and seeing if he has any questions that he needs answered, off the top of his head. Rebane can't tell him how it's all going to shake out, only time will tell that. There doesn't seem to be anything he can think of off the top of his head. He'll try to call or visit if he has anything else. "Thank you again, Doctor Rebane. Particularly for putting up with the questions. But I think I have the information to go into this with a clear picture." Pause, and he smirks. "Figuratively speaking, of course."
Sort by date Sort by score Enable comment auto-refresher You are not allowed to post comments.