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

Brain's like a muscle. It needs regular exercise or it atrophies. Like yours.

[He nods to the television.]

Theories say comatose patients can still hear. Even if they don't register on a conscious level, the brain is still working to make sense out of noise. Like sounds, [He holds up a cheeseburger.] smells are registered by the temporal lobe. That's one of four lobes being activated just because of this. Or two actually considering there's one on each hemisphere. If you want to get further into it, smell and sound are two senses highly linked to primitive brain functions. So I help maintain nervous connections French Coma Guy will appreciate if he ever wakes up and take my lunch break at the same time.

[House: mixing fact with bullshit seamlessly since God knows when]

[....]

That's very interesting, but hasn't your lunch break lasted since you came in this morning?

[You picked him, Allen. No returns even with receipt. :D]

I felt bad for him. No visitors.

[He sighs and rubs his forehead; muttering]

I'm getting a headache. Maybe one of the other doctors will allow me to shadow them for the day.

[One the one hand, he would have peace again. On the other, his ego does not appreciate this other doctor business. :|

His phone starts vibrating again and he tosses it to Allen. He grabs a handful of fries.]

Tell them I'm busy.

[He'll catch the phone and look at it, weighing his options. It would be right for the staff to know where he was, on the other hand, ratting him out might make Allen pay for that later down the line. While the hospital staff can only make him pay for any lies until they go back to the castle..]

[After this pause, he pulls out his own phone and slowly types "Sorry, he's busy with a distressed patient" and shoves his phone back in his pocket.]

[He can guess as to the reason why Allen didn't sell him out. That it's self-serving don't phase him in the slightest. He bends down to grab a satchel near his feet and pull out a portable iPod boom-box, with iPod already attached. Setting it on the bed, he switches the television off and turns the iPod on. The room is filled with the sound of a heartbeat (http://www.youtube.com/watch?v=dDg7GDpR1RE). That done, he leans back in his chair again.]

Sound normal to you?

[Hey if it's a true emergency they will call again okay....alright no he's a bit self-serving. He listens for a moment, thinking...]

Yes, it does.

[He selects another audio file. Again normal sinus rhythm fills the room, except after the first lub-dub, the second dub splits (http://www.wilkes.med.ucla.edu/SplitS2main.htm), producing three sounds. The next beat is normal again. On the fourth beat, the same splitting occurs on the last sound heard. And so on.]

How about now?

[A long pause as he listens ]

It sounds a bit different but...it as though there's two different beats...?

Mm. Now for the million euro question, physiologic or pathologic?

[a pause as he thinks]

Physiologic.

I think there would be more attention drawn to diseases that gives you two heartbeats, so it must be some trick.

Actually, it can be both. [So no money for you.] And it's not two heartbeats; heartbeat just happens to have an extra sound.

[He switches back to the normal heart sound.]

First sound you hear is S1. Makes second sound S2. S1 corresponds to bicuspid and tricuspid valves closing. S2 to the aortic and pulmonary valves. If you don't know what those are, get a textbook. I refuse to teach high school biology. [He pauses.] You should probably be writing this down. There's going to be a test later. Get over here.

[He digs around in his satchel again and comes up with a stethoscope.]

I'll review them tonight.

[He remembered Bak and the Asian Headquarters explaining that stuff in regards to his own heart- but it's amazing how little you listen when you're in a great deal of pain. But he'll also pull out a notepad from his bag and a pen and jot a couple notes before walking over to House.]

Unless you have two more arms, drop the notepad. You'll need both for this.

[He holds out the stethoscope.]

Find the aortic valve and palpate for French Coma Guy's carotid pulse.

But you just -[Fine dropping the notepad on the nearby table. Way to tell him to write this down and then tell him to ditch the notepad]

So..find S2?

[Taking the stethoscopes, he'll cautiously put them on (though not quite fully in) before trying to use it to find heartbeats like he's seen on tv...though totally frowning cause he's not hearing it]

If you only hear S2, he's dead. Or seconds from it.

[He grabs the bell of the stethoscope and flicks it before speaking into it.]

Can you hear with it half-out of your ears?!

[A wince and yelp from that action]

Ow! Stop - [He'll try pulling that away from House before putting them more in with a huff]

[He lets him have it. :|]

Do you know where the sternum is?

[He'll point to it on the French Coma Guy :| Right in the top middle the chest.]

Here.

Good boy! [He's smiling like one would smile at a pet who learned to pee in the shoes of someone you don't like.] Do you know what ribs are?

[....someday he will find a way to make the dog analogy stops, he swears. But he'll wave his hand over where the rib cage are. You know all about bone structure when you've broken most of them]

Bones that protect the chest cavity.

Intercostal space between ribs two and three just to the right of the sternum. And feel for his pulse. You might want to take your glove off for that.

Ribs two and three...

[Okay peeling off those gloves to feel for the ribs to count down, finding the intercostal space. He seems to be trying a few different places along there, to find the spot to hear the heart beat. But hey at least he knows how to take a pulse from the wrist. It'll take about a moment or two of fiddling around before finally]

-Ah! Think I found it!

[House just looks utterly unimpressed.]

Carotid pulse, you idiot. The one in the neck. Please tell me you know what the neck is.