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

Entry tags:

FTEC - Wednesday Day Shift [1/31]

It was Wednesday morning, which meant clinic time for Wilson. Checking in with the duty nurse and confirming there were no occupants in the clinic, Wilson grinned at Aziraphale as the angel settled into his habitual chair. Getting coffee started, the young doctor set up his laptop on the front desk and set about putting the finishing touches on their trip up north.

Flat | Top-Level Comments Only

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."

Flat | Top-Level Comments Only

FTEC - Wednesday Day Shift [1/31]

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia

Re: Exam 1 - Nadia