paradisalost | (no subject)

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allen walker

(no subject)

[Private]

There's no records at all of Timothy or...even the orphanage. It's as though they never existed.

I suppose it was too much to hope for, but...at least I tried.

[a pause]

I hope Father Abel is all right.

[Christmas Filter]

Ah, thank you very much for the gifts! I'm very grateful for all of them!

[/Filter]

[Allen is sitting outside a cafe, about a block away from the hospital he's been volunteering at, enjoying his lunch break with...well, many plates of food. There's a cell phone (that is strangely gold in color..) sitting on the table, in case he receives any calls to head back. Mostly he just seems to be enjoying himself. ]

I wonder how long this world change will last...

[OOC: Open!]

Flat | Top-Level Comments Only

[Well, maybe you should have picked a career better suited to your limited mental capacity. Like being a doorman.]

Which sound do you hear with the pulse?

[Hint: say S1 and you get a cane to the gut.]

[a pause, concentrating...]

S2?

Remember that. Only way you'll differentiate between S3 and S4. Now find the pulmonic valve. Go the left of the sternum and then up a rib. If you hit the clavicle, you've gone too far.

S3 and S4...?

[He nods and moves his hand over to the left side of the sternum, feeling around to find it, muttering some apology in french to the coma guy out of respect, of you know, invading his space]

Dude. He's in a coma. He doesn't care about what we're doing.

[He waits until Allen's hand alights on the correct spot.] What do you hear?

So? I like showing respect, whether a person is comatose or deceased.

[Disrespecting is best to the face of a conscious person anyway] The beat is..splitting?

[Eye roll.]

Why do you think that is?

[He knows that probably got an eyeroll, he don't care. a pause as he thinks about the placement of where he is and what he does remember of heart diagrams]

Is it...because the arteries that are connected to the different valves are splitting off into different directions around this area?

[The iPod suddenly belts a buzzer sound a little too loudly for comfort.]

Wrong. Try again.

[He is glancing pointedly at French Coma Guy's chest. Specifically, its rise and fall.]

Edited 2011-12-30 21:40 (UTC)

[Wince oh my god why did this world change have tolet him have sound effects; and with that pointed glancing...]

B-Breathing?

[Because sound effects are indispensable teaching tools. Also they get hilarious reactions.]

Close. It's due to inspiration. Inspiration here meaning inhalation, not something that stimulates you to put in effort. When you inhale, it creates a difference in pressure. I would explain this in greater detail, but I figure your crippled brain needs to take it slow. Like your sex life apparently.

[Yes. He went there. And he continues without giving Allen a chance to respond.]

Blood flow into the lungs is affected so the pulmonic valve closes a little after the aortic. If you hear it on every beat or the gap between the two sounds is wide, that's a problem. Otherwise it's completely normal. Now move your stethoscope down in a straight line until you can't hear anything. And then keep on going down until you do.

[Moving on to the mitral valve and S3 heart sound. You better be paying attention because he is not repeating this lesson.]

-- My brain is not crippled! [And he is DEFINITELY not talking about his sex life with you ever.]

What's the problem if that happens? [But he'll follow the instructions and move the stethoscope down]

[It's not like he'd then post all your secrets in the journal...! No, he'd do that. Just don't share. Never share. Don't do that to yourself.

His tone is almost bored as he recites the conditions mechanically. At least the crazy, unethical doctor knows his stuff?]

A fixed splitting points to a septal defect, holes in the walls of the heart separating the four inner chambers. Can be atrial or ventricular. Abnormally wide splitting can result from stenosis, the narrowing of openings, like say a pulmonary valve stenosis. The thinner the neck, the longer it takes to empty the bottle, longer it takes to put a lid back on. It can also result from delayed depolarization like in left or right bundle branch block. Bottle metaphor again. If it takes too long to flip it over and pour everything out, it'll take longer to put a lid on it.

[A beat.]

Bottle's no good. The contents need to be under pressure. Picture a fire hose. [You might want to interrupt or you'll get stuck with another metaphor.]

[House you're the textbook example of why employees should do wtfever they can to keep their private life private. And he'll interrupt because he's getting where he's going]

-- If there's not enough pressure, the fire hose won't work properly and the building will burn. But if there's too much pressure, the hose will burst. [Not...a pretty picture for a heart]

[The longest pause ever.]

No. And don't ever try to use a metaphor again.

[WHAT? IT WAS A GUESS OKAY; He sighs]

Fine by me. [Metaphors are stupid anyway!!!]

I found the pulse. Which one is this?

[USE OF METAPHOR IS AN ART AND YOU BUTCHERED IT. Also you totally didn't understand anything he was talking about, nice to know.]

No, you found the tricuspid valve. Your other hand better not be off French Coma Guy's pulse. [Craning his neck to see what's going on at French Coma Guy's other side.]

[Sorry art wasn't covered in my education of making sure I don't die. And his hand is still on the pulse!]

It's not. So this is S1?

The first and louder one in this case. You should still hear two sounds. Unless his aortic and pulmonic decided to take the day off in the twenty seconds since you stopped listening to them.

Edited 2011-12-31 19:47 (UTC)

[Listening closely, oh hey there's that familiar beat] No, I hear them still.

Now open your shirt and find your tricuspid valve. Tell me if the beat is the same.

[Staaare...]

What?

Aww. Are you shy?

Tt...

[Shy and weirded out by this yes. But he'll pull away from french coma guy and turn to an angle to attempt to make it hard for House to see any of the chest scars as he unbuttons his shirt]

[This is House. Leaning back in his chair. Trolling. ~~Never mentioning the reflective surfaces that are just about everywhere in the room~~]

Wow.

Edited 2012-01-01 19:09 (UTC)