fandom_clinic | FTEC - Wednesday Day Shift [1/31]

...

Yuki walks in looking exhausted. After his little outburst (http://community.livejournal.com/fandomhigh/1213540.html?thread=70838628#t70838628) today he felt it was about time he found himself a psychiatrist. OR at least someone to renew his perscriptions. Ugh this god forsaken island was drving him further towards insanity...

At the sound of the door opening, Wilson looked up and smiled at Yuki.

"Hello, can I help you?"

"Hi. Do you have some kind of therapist here?" He tries to smile back, but it comes out flat and mostly monotone.

Wilson winced and shook his head.

"I'm afraid the therapist we had on staff left us at the beginning of the semester and the position hasn't been filled."

Tilting his head slightly to the side, he studied Yuki intently and then motioned back towards the exam rooms.

"But, doesn't stop us from talking, if an MD would do?"

Yuki shrugs. "I don't mind as long as it'll help."

"Can't hurt." Wilson said with a smile.

Then he stood up and lead Yuki down the hall to Exam 2 (http://community.livejournal.com/fandom_clinic/273883.html?thread=7312347#t7312347).

Nadia came in sometime around third period. It would have been earlier, but she dithered for awhile before deciding that Marty might just be right in thinking she should at least ask a doctor about the weird sleep stuff.

Even if she was pretty sure it was just a spell.

"Oh. Hi, Dr. Wilson."

Looking up from his laptop, Wilson smiled warmly.

"Hey there, Nadia. What brings you down here?"

"Marty told me I had to come. 'Cause I was falling asleep in class." She bit her lip. "And I fell asleep really randomly on him the other night, and he's worried I'm sick or something. I don't feel sick," she hastened to add. "Just tired a lot."

Frowning worriedly, Wilson stood up and dug Nadia's file out of the cabinet where it was kept.

"Well..." given what happened the last time we didn't listen to Marty... "Let's just take a look and see if we can set everybody's minds at ease okay?"

With a nod of his head, he lead Nadia down to Exam 1 (http://community.livejournal.com/fandom_clinic/273883.html?thread=7311835#t7311835).

Don't mind the angel, bouncing in the corner.

The angel was totally not bouncing. He was just...very obviously cheerful. And possibly a bit fidgety. In a 'excited about something' sort of way.

Okay, he was bouncing.

But he was trying to behave himself and not pester Wilson too much. Except for the occasional question about the crossword he was working, interjected with suggestions for their trip.

Wilson held the door and waved Nadia on in to the room.

"Okay, let's start with the standard questions. Have you experienced any other symptoms? Headaches, dizziness, nausea?"

Nadia shook her head, jumping up slightly to sit down on the exam bed. "Just being tired. Like, I'll be really exhausted, but can't go to sleep. And other times, I'm just kinda tired, and then suddenly I'm really, really, really tired and I just . . . fall asleep."

Given everything that Nadia had been through recently, Wilson was not happy with what he was hearing.

Coming over to her, he began to examine her...heart, bp, respiration, neck poke for enlarged nodes, stethescope...all that good stuff.

"How about your appetite? Has that been normal? You said Marty's witnessed a couple of these black-outs, have you been asleep or conscious but unaware of your actions at the time?"

Nadia thought about how she'd poked at her salad for awhile during lunch, yesterday.

Though, to be honest, considering how much she'd had on her mind, that was normal.

"My appetite has been fine. And Marty said I passed out, but I really think I just feel asleep. Dreamed and everything."

Making a note on the chart, Wilson also filled her her vitals, which were all normal.

"Anything different about the dreams?"

"They weren't about Bel or the thing possessing him," Nadia said, a little bitterly. "Just Jake in a room with no coffee and Luke getting electrocuted and Professor Orpheus in a Bitterwoman costume and some guy dancing with a blow up doll and Mel with an elephant and babies."

"Is it normal for you to dream about schoolmates and teachers and...well, all things Fandom?" Wilson asked a little curiously.

". . . Not all the time. But I've been having prophetic dreams about people and Fandom stuff since my first semester here."

Finishing up his notes, Wilson crossed his arms, her file tapping lightly against his hip.

"Well." He began. "What you describe would normally sound like part of the symptomology of narcolepsy. However, given what has been going on in our lives recently and everything you've been through, I am hesitant to put you through the rigerous tests that would be required to make a definite diagnoses. Especially as my gut is telling me, that's not what this is about."

Leaning back against the counter, he watched her for a moment, then pursed his lips.

"That said, what I'd like you to do is to actually follow the non-medical treatments to help narcolepsy. Namely. Regulate your sleep pattern. Set yourself a reasonable 'to bed hour' and stick to it. It doesn't have to be 8pm at night, just make it something you will stick to night after night. Avoid heavy meals, avoid smoking and alcohol. If your day time schedule allows for it, schedule yourself some small naps. Even if you don't sleep at first, as with your bed time, make yourself lay down and just be quiet for 15-30 minutes but make it on your schedule."

Sighing softly, he again tapped the file on his thigh.

"Let's try this for a week. If nothing drastic changes between now and next Wednesday, come back in and we'll talk and see if you've seen any improvement. If, however, the episodes start to become more frequent or you notice anything odd about the dreams or your own physical state, come in immediately."

Reaching into his pocket, he pulled out one of his little cards.

"Aziraphale and I are going to be out of town the next couple of days but I'll be back for my Saturday evening shift. However, if something happens between now and then, please...call me on my cell. Okay?"

Nadia took the card, repeating the instructions to herself and nodding absently. "Um. What's narcolepsy?" It sounded . . . gross.

"Narcolepsy is a neurological disorder that affects the control of sleep and wakefulness. People with narcolepsy experience excessive daytime sleepiness and intermittent, uncontrollable episodes of falling asleep during the daytime. These sudden sleep attacks may occur during any type of activity at any time of the day. It can also affect your ability to fall asleep at night." Wilson ~~cribbed from WebMD~~ explained.

"In a typical sleep cycle, we initially enter the early stages of sleep followed by deeper sleep stages and ultimately -after about 90 minutes- rapid eye movement -REM- sleep. For people suffering from narcolepsy, REM sleep occurs almost immediately in the sleep cycle as well as periodically during the waking hours. It is in REM sleep that we can experience dreams and muscle paralysis which explains some of the symptoms of narcolepsy."

Nadia just kind of gaped.

". . . oh. I kinda thought someone had just put a spell on me, or something."

"Well... Alanna might be able to look you over with a 'magical' eye and see if there was anything of that sort going on. I'm afraid I'm more your systemic diagnostic tool." Wilson said with a wry smile.

Nadia nodded. "Well, thanks, anyway. I'll try the scheduling stuff."

Holding the door open for Yuki, Wilson nodded towards the fairly comfortable exam bed.

"Grab a seat. I'm Dr. James Wilson by the way. I teach up and the school and work here as well."

He sits down and makes a bit of a noise of displeasure upon hearing his name. "You share a last name with my roommate."

Keen to the spoken and the unspoken language Yuki was displaying, Wilson made note of the displeasure in the noise and the defensive, passive aggressive response to his name but merely shrugged good naturedly and grabbed a little spinny stool to sit on.

"You'd have to take it up with my grandfather, who didn't feel Waldemar," Wilson rolled the W into a V with the classic German harshness. "Was a good surname for his new American start."

Smiling, Wilson set his ankle on his knee and flipped open a blank chart.

"Name? For the chart at least?"

"Eiri Uesugi. I prefer Yuki though." He's not adverse being honest as long as he was around someone who wasn't likely to use it against him.

Wilson wrote the name he gave down on the chart but he made a note about 'Yuki' for future reference.

"Well then, it's a pleasure to meet you, Yuki. Are you new on the island? Sometimes it feels as if I've seen or at least briefly treated or taught just about everyone here and I don't recall having met you before."

He sat back with a smile and then quickly held up his pencil, motioning it around the room.

"And since you haven't been here before, I'd like to assure you that the squirrels respect the privacy of patient confidentiality. You'll never hear anything you say here spoken of on the radio."

"I came at the start of the semester. I teach writing. Though don't feel too bad about not noticing me, I work a lot so I'm not very social." He has an urge to smoke but he knows that stuff drives doctors nuts. So he just reaches into his pocket and touches the pack of cigarettes rather than actually pulling one out.

"And it's been a busy semester so far." Wilson said a little ruefully.

"So, what brought you down here today, Yuki?" He bit back any questions that might lead in one direction or another, simply trying to prompt without pushing.

"I was going to move into a house by myself here just to get a chance to write in peace. I'm a professional author in Japan, and I really needed a break from the publicity. So, like I said. I got a house and the writing teacher job. I got to the house and there was some sort of a paperwork slip and I ended up having to share the house with another teacher. Wade Wilson, or Deadpool. You might know him, you're lucky if you don't I suppose." He's twirling a cigarette between his fingers in his coat pocket. "He seems to enjoy irrating people. He's not awful but it really doesn't help my stress. And rescently he picked up some freeloading kid who works at that club. He's even more annoying than Wade. But at least he's more good looking. If you don't mind the honesty doc I've been mesing around with him but he asked for it. He keeps talking about how he can'ts stop thinking about me. I told him he couldn't write for shit, since he's some kind of "musician," and even since it's like he's obsessed."

Wilson sat and just let Yuki talk through it all, letting the other man put the issues that were upsetting him out in front of himself to look at them rather than holding them in.

"What about all this brought you here though?"

"Mm. I see a shrink at home any way. I figure with this added stress I should start seeing someone again. Since I can't quite figure out what my problems are I figure it's best to see someone whose job it is to figure them out."

"Well, I'm afraid as I told you, our on island therapist left at the beginning of the year." Wilson said.

"And unless you're a terminal cancer patient, I'm probably not the sort of psychological expert you would need. I can refer you to a clinic on the mainland?"

"Sure." He wishes problems could be solved with simpler solutions. Ugh.. such a hassle.

FTEC - Wednesday Day Shift [1/31]

Front Desk - 1/31

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For the angelic one

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Exam 1 - Nadia

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Exam 2 - Yuki

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