paradisalost | (no subject)

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allen walker

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[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!]

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Ah-

No, that's at another spot, isn't it?

At least you're paying attention.

What you're listening to is S3. You'll hear it a lot clearer at the apex of your heart, close to your mitral valve, which is what you'll be listening to next. Out of the three of us in this room, you're the only one who has that. Why is that?

Why...?

[That was a rhetorical question and there's a long pause as he thinks. Can't be a 14th thing, there wouldn't be a term for it then. House doesn't know that his heart got patched up, so can't be that either. So for the first time ever, the difference must be something normal for once. Something that sets him apart from House and the coma guy...]

[Well, the heart pumps blood right? And that gives fuel to the other parts of the body- energy. The man in the coma doesn't need that much. And House, well....]

Because...my lifestyle requires more energy so my heart has to pump more blood?

[And House, well, what? B|]

Basically.

[Probably don't hit the gym a lot?!]

Okay! [Feeling a bit proud he got an answer RIGHT.]

Do I have to listen to my own heart anymore or can I button up my shirt again?

[That a crack about his leg?]

Only if you want to. [And back to sounding bored.] S3 is a rare heart sound. At your age, it's normal because you exercise routinely. Also normal in children. In most adults, it's pathological. The third sound is caused by extra blood entering the ventricles from the atria. Most of the time it's a problem with the leaflet. The tricuspid or mitral valves don't close properly so blood leaks back into the atrium. Next time the valve opens, the ventricle is overfilled. There are other causes like a stiffened ventricular wall or septal defect, but the sound is always the result of too much blood in too little time.

Last auscultation site, the mitral valve. Move the stethoscope to your left and a little down. Tell me when you find it.

[Could be your lifestyle! You are pretty lazy; he'll repeat to himself so he remembers better] So the sound is all right if it's in children or exercising young adults- but a problem in other adults because the valves are not shutting properly....

[He really wants to, but if this is the last site then he can get it over with without using the comatose guy right? So he'll follow the instructions until he hears a different beat]

Ah- I think I found it.

Describe the sound.

Um...it sounds similar to the tricuspid, but S2 and S3 seem more prominent than before.

Why?

[Grabbing Allen's discarded notepad and pen, he scribbles down four different room numbers.]

Um...it's closer to the area of the heart that S2 comes from? While further away from S1.

Mm.

[He tears the page out and holds it out.]

Find these patients. Auscultate the four areas of the heart, describe every sound. Find me when you're done.

[He turns the television back on.]

[He'll take the page and look down at them]

-- Wait, isn't some of these in ICU? I'm not allowed in there.

When has that stopped you?

[....]

[Grabbing Houses phone so he can get the number]

If I get caught by security, I'm calling you.

[Not paying attention anymore! TV is more interesting.]

[FFFF. Fine while you do that, he's also setting your phone to full volume and the ring tone that has the most annoying name, before setting it on the table and heading out. Make it just a bit harder for you to ignore.]

[After a few more minutes, House is bored and leaves. And is caught by the administrator.The horror.]

[Hey not his problem! You knew the halls were full of dangerous administrators! Meanwhile Allen will be successful on a few of the patients, but finally meet his match when one of the patients turn out to be a pregnant woman who decided that she didn't need main medication through her labor]

[How wrong for the rest of the people around her she was.]

[House cares less about your problems. He's being wrangled into looking after a bunch of idiots with runny noses and heart attacks. Diagnostically dull.]

[Somewhere out there, House, is a very very tiny violin playing "My Heart bleeds" just for you. ]

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