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Author Topic: Medical Files - Pieter Tuulinen  (Read 3101 times)

Pieter Tuulinen

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Medical Files - Pieter Tuulinen
« on: 29 Jun 2013, 23:37 »

Note:- These files are under digital lock and key with Pyre Falcon. All Medical files are protected and special medical or executive clearances are required to access them, normally. Obviously whatever can be protected can also be made vulnerable - but access to them should not be a trivial matter.

Do not make IC references to information in these files, unless you have IC access to the information!
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Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #1 on: 29 Jun 2013, 23:37 »

Pale Mountain Medical Facility - CasRep

Incident Report #: PMCR-1001115-035
Date: 10.01.115
Patient: Esk. Pieter Tuulinen
Incident: Training Accident
Attending Physician: Doctor Kenji Watanabe

Incident Report:
Patient reported a minor incident during hand-to-hand combat training. Claimed that his attention was distracted during a controlled training bout, leading to accidental injury.

Symptoms Observed:
Simple Closed Head Injury
Comminuted Fracture of the left Infraorbital margin
Significant subdural hematomas of both eyes
Significant subdural hematomas of the Abdomen, Quadriceps, Adductors and Deltoids.
Partially remodelled recent fractures of the Metacarpals and Phalanges.
Stage Three General Adaptation Syndrome and mild Post Traumatic Stress Injury.

Physicians Notes:
The patient is a capsuleer and has had this particular clone for less than a week, but already has a series of injuries complete with remodelling that suggest profound and repeated trauma. The incident, as described, could certainly account for the Concussion and the cheekbone fracture, but the amount and age of the bruising, the partially remodelled fractures of the bones of the hand and fingers and some of the bruising in the face suggest that this incident has occured before.

The psychological indicators are that the patient has reached Stage Three of General Adaptation Syndrome, indicating recent changes in his routine or mental wellbeing that are acting as a stressor. This is most likely to be issues concerned with the ongoing Audit of the company as well as the current situation within the Warzone.

The patient displays several symptoms congruent with a mild case of Post Traumatic Stress Injury. Enquiries and the medical dossier forwarded from Sukuuvestaa Corporation's Peace and Order division seem to indicate that the trigger event was some time in the past and patient is coping well, apparently unaware of his symptoms.


Physicians Recomendations:
Several hours of sedated bed rest before the Patient is cleared to depart the Pale Mountain Facility during which the fractures will be treated with a general focus nanite repair solution (minor). During this time the patient's cranium should be scanned to monitor the concussion.

The patient's flight status is downgraded to 'grounded' for 24 hours whilst an implanted monitor assesses his concussion with an automatic return to 'Flight' status at the end of that period, unless contra-indicated.

I am tagging the Patient as 'excused from combat operations' for a period not less than two-weeks to allow him to naturally progress his General Adaptation Syndrome to a satisfactory level. (Note: Physician reccomendations are overruled during the current state of emergency. Pilot remains cleared for Combat Operations.)

I am reccomending the Patient recieve counselling to assess the current state of his Post Traumatic Stress Injury, but the current symptoms don't mandate enforced counselling or suspension of duties. The patient's psych profile suggest he will likely refuse counselling and I reccomend this be covered at his next performance appraisal.

The Physician reccomends that un-monitored combat training be discontinued to prevent incidents like this. If further reports are recieved Internal Affairs should seek to establish whether a pattern of abuse is forming. (Note: Physician reccomendations are overruled during the current state of emergency. Unmonitored training is upheld.)
« Last Edit: 10 Jul 2013, 22:09 by Pieter Tuulinen »
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Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #2 on: 29 Jun 2013, 23:38 »

Kaalakiota 112th Striker Regiment - Initial Triage CasRep

Incident Report #: 112SR-2901115-06
Date: 29.01.115
Patient: Pieter Tuulinen
Incident: Combat
Attending Physician: Corporal Anien Haakan

Incident Report:
Firefight between Insurgents and off-duty Caldari Militia capsuleers on Hill 25.

Symptoms Observed:
GSW Left Bicep
30cm Laceration, Left forearm
Bullet Fragments, Lower back
Various small lacerations
Shock.

Physicians Notes:
Patient was responsive and mobile. Treated blood loss with sealant and irrigated/covered the GSW and major laceration. Left the smaller injuries untreated and applied notraum to treat shock.

Physicians Recomendations:
Assessed at triage as "Yellow" and referred to Camp Unity surgical staff for treatment due to bleeding and internal injuries from fragments.



Kaalakiota 112th Striker Regiment - Camp Unity Surgical Unit CasRep

Incident Report #: 112SR-2901115-06a
Date: 29.01.115
Patient: Pieter Tuulinen
Incident: Combat
Attending Physician: Captain-Doctor Astitoh Ihora

Incident Report:
Triaged from field personnel assessed category 'Yellow'

Symptoms Observed:
GSW Left Bicep
30cm Laceration, Left forearm
Bullet Fragments, Lower back
Various small lacerations
Loss of blood.

Physicians Notes:
Patient arrived suffering from excessive bleeding in addition to assessed symptoms. Started replacing blood, sedated and moved to surgical unit three. Surgical team was pre-scrubbed and standing by.

Explored the back injury and removed several larger fragments of metal that were close to the spine. Irrigated wound to remove smaller fragments and sealed it. Some smaller pieces were too close to the spine to be removed and were left in place.

GSW, Left Bicep was explored and found to be a clean 'through and through'. Packed wound and injected patient with anti-infection nanite baseplate at wound site. No bullet fragments detected. Bone uncompromised.

Laceration, Left Forearm was cleaned and major blood-vessel damage was repaired. Wound did not require packing, but injected patient with a second anti-infection nanite baseplate and sealed it.

Assessed various small lacerations, grazes and contusions and cleaned them of debris. No further treatment required.

Physicians Recomendations:
Patient is fit to travel when he awakes. Reccomend follow-up visit at duty-station medical facility for assessment and any further treatment that is indicated.
« Last Edit: 10 Jul 2013, 22:10 by Pieter Tuulinen »
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Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #3 on: 29 Jun 2013, 23:38 »

Files regarding the infamous Jello Incident go here.
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Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #4 on: 29 Jun 2013, 23:39 »

Kaalakiota Tasti System - C-SAR Vessel 'Infinity' Initial Triage


Incident Report #: INF-1406115-01
Date: 14.06.115
Patient: Pieter Tuulinen
Incident: C-SAR Recovery
Attending Physician: Lieutenant-Doctor Lek Taalnen

Incident Report:
Subject recovered from deep-space shipwreck.

Symptoms Observed:
Large burn on neck. Deep tissue affected and some infection.
Weakness from extended period in capsule.

Physicians Notes:
Patient was decanted and cleansed/dried. Treated for shock and dressed burn until escalation to surgical unit. Pushed IV fluids. Administered oxyrich air. Administered mild sedative for shock and trauma and began warming.

Physicians Recomendations:
Assessed at triage as "Red" and immediately escalated to a surgical unit due to the severity of the burn, duration in capsule and underlying trauma.



Kaalakiota Tasti System - Surgical Unit


Incident Report #: INF-1406115-01a
Date: 14.06.115
Patient: Pieter Tuulinen
Incident: C-SAR Recovery
Attending Physician: Captain-Doctor Eino Huovinen

Incident Report:
Triaged from field personnel assessed category 'Red'

Symptoms Observed:
Partially healed and heavily infected internal electrical Third-Degree burn on the back of the neck between C3 and C6.
Weakness from extended period in capsule.
Borderline malnutrition/dehydration.
Shock and Trauma.
 
Physicians Notes:
Addressed Burn, finding it to have occured due to a malfunction of the Patient's implants fitted into sockets numbered two and five. Layers of tissue were necrotic, inflamed, scarred and badly healed. Debrided wound where needed, packed it and covered it. Patient's spine was reinforced and limited infection fighting nanites had deployed from nearby baseplate - nanite production was limited by type of injuries and patient installation in Capsuleer Pod.

Immediately began IV supplements to increase patient's reserves of energy and counter malnutrition. Dyhydration itself had been countered by Paramedic use of IV fluids, although some weeks will be required to fully hydrate deep tissues.

Prescribed sedation to aid in pain management and reduce the trauma to the patient's system.


Physicians Recomendations:
The Patient is far from treated and requires the immediate attentions of a specialst neurology unit. Spinal damage is moderate, but the effect of the overload in the patient's implants could be far-reaching. The damage will need to be rebuilt by surgery, the implant sockets will need to be fully replaced.

Physical weakness will likely continue for some weeks, until the patient has rebuilt his muscle mass and returned to a normal nutritional regime. Due to the condition of the CSC Dread's life support system there may be problems with systemic infections and weaknesses that will need to be addressed. Patient is likely to be immunodepressed in at least the short term.

There has been no time to do a psych-workup of the Patient due to the need to medevac him and the other wounded from this outpost. From interviews with other surviving crewmembers there is likely to be significant trauma. A full psychiatric evaluation should be undertaken before clearing the patient for flight duties - or any duties where he will carry significant responsibilities.
« Last Edit: 10 Jul 2013, 22:11 by Pieter Tuulinen »
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Anslol

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Re: Medical Files - Pieter Tuulinen
« Reply #5 on: 01 Jul 2013, 06:40 »

Pieter has horrible luck with health, but all the luck with the ladies.
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Lyn Farel

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Re: Medical Files - Pieter Tuulinen
« Reply #6 on: 01 Jul 2013, 12:23 »

Jealous ?  :D
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Morwen Lagann

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Re: Medical Files - Pieter Tuulinen
« Reply #7 on: 01 Jul 2013, 12:34 »

Files regarding the infamous Jello Incident go here.

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Morwen's Law:
1) The number of capsuleer women who are bisexual is greater than the number who are lesbian.
2) Most of the former group appear lesbian due to a lack of suitable male partners to go around.
3) The lack of suitable male partners can be summed up in most cases thusly: interested, worth the air they breathe, available; pick two.

Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #8 on: 01 Jul 2013, 19:12 »

Pieter has horrible luck with health, but all the luck with the ladies.

Honestly, if every capsuleer built themselves a medical history it would look this bad or worse. Wait until the psych workup joins it.
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Anslol

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Re: Medical Files - Pieter Tuulinen
« Reply #9 on: 02 Jul 2013, 07:48 »

Wait was I supposed to write the jello thing?
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Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #10 on: 02 Jul 2013, 11:59 »

Actually, it really ought to be you or SchereSchere.
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Anslol

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Re: Medical Files - Pieter Tuulinen
« Reply #11 on: 02 Jul 2013, 12:28 »

Ugh....fine...
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Pieter Tuulinen

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Re: Medical Files - Pieter Tuulinen
« Reply #12 on: 02 Jul 2013, 13:03 »

Thanks!
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Ava Starfire

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Re: Medical Files - Pieter Tuulinen
« Reply #13 on: 07 Jul 2013, 08:49 »

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Ollie

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Re: Medical Files - Pieter Tuulinen
« Reply #14 on: 10 Jul 2013, 00:59 »

Very well done and quite consistent with actual medical/trauma reporting and management, Pieter. The (very) few things that aren't consistent are unlikely to be noticed by anyone outside the health professions.

That said, if you're OCD on details and want any advice/feedback feel free to ask me - I spent a bit over a decade as a general surgeon dealing with trauma similar to what you seem to like your toon experiencing :)
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