Charting

Posted on Sat Aug 1st, 2020 @ 10:36pm by Lieutenant Tristian Hudson & Lieutenant JG Kara Quinn-Chaim

1,442 words; about a 7 minute read

Mission: Mission 3: Diplomacy, what’s that?
Location: Counsellors Office

[ON:]

Tristian crossed Faltan Station, noticing all the various departments, shops, cultural areas. He was pleasantly surprised. He enjoyed the artistic paintings and cultural artifacts of the planet and the people they were helping.

A day earlier, Hudson had sent a message to the Chief Counsellor requesting a time to meet and chart standard patient files. The counselor had medication privileges; Tristian wanted to overview.

Entering the spacious waiting room, Tristian nodded to the officer at the desk. “Hello. Doctor Hudson to meet with Counsellor Chaim."

The male Ensign handling the reception looked up at Hudson. “I see.” He gestured. “I will let her know you are here.” He offered a pleasant smile.

He paused a moment. “Did you bring your medication dosage, and what time did you say you were to meet with Counsellor Quinn-Chaim?” He raised a brow.

Hudson had been caught off guard. “Oh. Medication?” He was confused. “No. I am not her patient. I am here to speak with her regarding medical matters.” He wondered inside.

Kara could hear talking coming from outside her office, walking out she smiled politely as she saw the ship’s Chief Medical Officer. “Doctor Hudson, it’s nice to see you again.” She motioned him towards her office offering the Ensign a polite smile as she did so. “I apologise for not having been back to Sickbay since your procedure to help the baby. I’ve been kept pretty busy!”

"Well I would like to see you and Mr. Chaim as soon as you have the time. We can't have you over working yourself now." He gestured to the piles of the files on her desk.

As they entered the office she walked over to a chair and made herself as comfortable as she could be, given her 6+ months worth of pregnancy bump. “Feel free to get yourself a drink if you would like one Doctor.”

"I'm good thank you." He politely declined. "In the interests of coordination, I felt there were a few files that either need closure on my end, or some adjunctive therapies discussed."

"If you have the time right now, Counsellor?"

“Of course, and please call me Kara. Titles can be somewhat of a pain sometimes!” Kara grinned. “Feel free to make yourself at home.”

Hudson felt a bit awkward that he had brought his stainless steel mug of coffee along. "I apologize Kara. I was only thinking of myself. I can get you a coffee from the concourse outside if you would like one. The vendors have exquisite coffee here." He gestured.

“Oh, no thank you” Kara smiled warmly.

"Do not think for a moment I have forgotten about your invitro treatment Kara. There is the second treatment we still need to complete for your newborn." He paused. He did not want to push.

"Have you and your husband decided to continue? Again, therapeutic treatment is to ensure no complications. Kara, If you choose not to complete the treatment, for any reason, the baby should still be very healthy. It is only a precautionary measure. Some doctors in Starfleet would probably consider it overkill on my part." He shrugged.

“I’m happy to go with whatever my baby needs and you recommend.” She relaxed back in her seat. “You are the medical professional and I trust your judgement.

"Good. We can complete the process next time you and your husband are free." Hudson commented. He smiled. And then shifted his attention to his pads on his desk. "I understand we have mutual patient confidentiality, as we have access to review these files together for medical reasons."

“That’s correct” Kara smiled and nodded. “We’re both medical professionals so we are granted the same access to personnel files.”

"I had wanted to speak to you regarding LT. JG. Wilmont." He held the patient number coding they both had used in the department. "He has been undergoing anger management treatments with you. I only ask because he has been requesting information on Ceta Propaline. He heard that it was a good mood stabilizer for his condition. Has has the Lieutenant been diagnosed yet?"

“Well I’ve only seen him once so far” she looked through her PADDs and pulled one out for Tristian to see. “I did suggest a brief course of medication but only if you considered it suitable for him.”

"Ok, I see yes." He looked at the padd.

“The main problem is I don’t want the Lieutenant becoming dependant on drugs to help with his mood swings.” Kara looked at Tristian. “What would your opinion be?”

"I agree. I would be more comfortable once this Mr. Wilmont has a diagnosis. What do you think from federation mental health compendiums, would be his... diagnosis?" He had no idea what symptoms the man exhibited, other than the outward anger and bipolar issues. "Is he truly bipolar, or could he have a bit of anxiety mixed in too?" The counsellor's input was a chicken or the egg issue. The diagnosis then medication.

“I would differ from both of those the Lieutenant recently suffered a loss, his mother passed away unexpectedly and he’s been throwing himself into his work ever since. He’s angry because he never got chance to see her before she passed. In my opinion he’s suffering more from grief and guilt at not being there. It’s not going to be an easy transition for him, it’s going to be slow and hard but we’ll get there.”

Tristian felt deep compassion for the man once he had been privileged to his story. Tristian listened to Kara. She had the knack for easing people as all Counsellors did. "I understand." He paused. "I think if we keep Mr. Wilmont on his current anti depressant. Fluvoxitine .33 mcg and perhaps titrate him to a neuron inhibitor, he would experience much needed relief right now, with minimal side effects.

Kara nodded. ‘I’ll agree to that.”

"Good. I have reviewed Mr. Wilmont's neuro pathology and these drugs can be further tailored if needed." He felt that file was ok for now. "Would you care to go on to the next?" He smiled.

Kara nodded and offered a smile. “By all means Doctor.”

"Ensign Graves., Tanya." She claims her panic attacks are becoming more prevalent, and she fears that she will get hurt on the stations new environmental sub systems she is working on. She is an Engineer." Hudson looked at Kara. "Thoughts?"

“That’s an interesting one” Kara gave Tristian a curious look. “This is the first I’ve heard of it so I’d like to get more background from Ensign Graves on what started her panic attacks in the first place.”

“I have spoken to Tanya regarding her concern. I offered my support of course. I offered a referral to your Counselling services. She stated that she would like that. I treated Tanya for a panic attack, and I did not offer any medication past that episode.” He paused and took a drink of his mug of coffee.

“Perhaps some standard cognitive behavior therapy would be best. Thoughts?” He offered.

“Perhaps but there has to be an underlying problem, one that causes her fear to set off a panic attack in the first place.” Kara smiled. “I’d like to see her as soon as possible so we can get to the bottom of what’s going on.”

I stated I would refer Tanya to you. So she is aware. Good." He pressed in a few buttons on his padd stack. "And if you have any medication to be prescribed, you can send me a slip for Sick Bay to be ready for her." He stated.

Looking around the office he relaxed. "Do you have any other patients, concerning medical?" He always liked to be thorough just like Kara.

“Not at the moment” Kara smiled politely. “If there should be anyone else I’ll let you know and we can arrange another meeting.”

"Good. Thank you Kara for your time." Tristian got up and stretched a bit. "I think I need a bit of nap, or a caffeinated energy drink and a jog around the base."

Kara smiled. “I wish I could join you but I wear out far too easily at the moment.”

Hudson nodded and smiled. "I am sure you will be up and about very soon after your pregnancy. I will do my best to ensure it is as smooth as possible."

“Thank you Tristian I’m sure you will.” Kara smiled warmly.

With that, Hudson then let his self out to file away his portion of work.

[OFF]

 

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