Chiaki’s blue eyes scanned the next tent, her navy hair billowing in the draft that came from the other end of the tent. Her eyes held no emotion, only scanning the crowd of hospital beds, some resting on rocks, some on pieces of discarded wood, a couple were on kunai and bedpans, enough to make them stable and level. They were all full, and with each passing moment, she could hear more people being run into the camp. There was one person trying to help those in this tent. It was a small woman, about five to six inches taller than Chiaki herself, not much in the way to look at, with brown hair, brown eyes, a tanned complexion, and whiter than white teeth as she smiled at Chiaki, “Ah, some help from the medical corps.”
“I have chakra exhaustion, so I cannot weave any hand seals though.” Chiaki said plainly, her voice hollow and her actions mechanical as she shut the tent flap behind her and walked towards the woman, her eyes on the patient being treated.
“He’s in critical condition, could you help me with this procedure?” She asked, a bit of sweat dripping down her face, it seemed like she wasn’t trained to do this. Well, none of them were, if Chiaki were being honest. Sometimes the best way to test a person’s mettle, and someone's knowledge was to throw them into a situation. She looked between the woman and the patient before rubbing hand sanitizer over her hands and putting on gloves. The woman took that as a yes, and Chiaki’s face felt unfamiliar to her. She felt tired, her eyelids drooped, and she felt like her muscles were made of sand. Still, once she got on the gloves, she looked at the doctor.
“What do you want me to do, Doctor?” she asked, “I am ready to assist in the procedure.”
“First I am going to tell you what is going on.” The doctor nodded as she worked, pulling back a piece of flesh with forceps. “Vertebral fracture from an explosive injury to the patient’s spinal column.” She nodded, looking back and taking a tool she dug out a piece of the bone, expertly, Chiaki noticed, and continued, “and while penetrating explosive spine wounds are not treated by operation, a vertebral fracture is. This patient has both. In a smaller number of patients with penetrating injury of the thoracolumabr spine and unstable fracture, debridement and fusion with or without spinal decompression are indicated.” She pointed to his leg, which looked like it had been blown partially off, “I need you to amputate the right leg of the patient, as an explosive wound to the leg and his medial left thigh and also, as you can see his hand was also caught in the explosion, damaging the distal phalanx of the index finger of the right hand.” She looked at the part she was working on, “I am working on his lumbosacral spine while he is under local anasthesia but we have to hurry or he will wake up and die from shock. There is O neg blood already in the transfusion bags, you will also be handling that while I do the delicate work here with the spine.”
Chiaki nodded and started her work, the doctor talked all the while that she got out the bone saw and started to hack through the leg, the tissue and bone separating under her precise and heavy sawing movements, “We don’t want him to be develop a purulent fistula as the foreign body could kill him in his old age, but he won’t be a shinobi anymore.” The doctor spoke like someone who had seen this many times over, and as she dug the foreign bodies out, she seemed to be more interested than annoyed, grossed out, or anything else. She seemed… like a machine. A well oiled medical machine.
Another person entered through the tent and started work on the other side of the room while the two women worked, “When you are done amputating the leg we will have to rotate the patient so that he is lying in the prone position. We also might have to put him under general anasthesia, I am sure that you know how to administer that?” Chiaki had read up on it, but she hadn’t ever done it before. She expressed this and the doctor said, “No problem,” She moved to his hand and started to amputate the finger slowly, so as to make sure that she didn’t remove any more than she had to. Chiaki hacked away for a while at the leg until she finally got through. Taking a bit of the skin from the thigh of that leg, the bit that wasn’t completely dead or charred, she took a scalpel and pried the hypodermal layer of the leg off in a size that would fit over the open wound and sutured it to the leg, making sure that she used small stitches. The shinobi wouldn’t thank her for her treatment later, but she couldn’t let him die of infection either, and she had no more chakra to help.
Gritting her teeth she looked up to the doctor, her senses were returning to her, the hurt she felt for the shinobi was real. The doctor gave her a smile and pointed to the general anesthesia, “I’ll walk you through it while I turn the patient.” She started to take the patient and roll them with the sheet that was on the bed, the disposable paper. He was heavy for her, but she was doing it gingerly and expertly, “What you are going to want to do is make sure that the patient is alright with the amount of blood that they currently have,” Chiaki looked and indeed the blood bag had been expended and she placed a new blood bag on there, tapping it to get the drip going again. “and then you are going to want to take the arm that doesn’t currently have the IV for the blood in it and insert another IV. Because the patient is prone, we will have to sedate them using the intravenal general sedative that we have.” Chiaki nodded and went over to the medicine cabinet, retrieving the sedative and hung it on the IV cart beside the blood.
Taking the patient’s arm, she prodded it to see where a suitable vein would be, and finding one, she stuck the needle in expertly. She had practiced her phlebotomy when she was in the hospital, and so she knew exactly how deep she had to go for this part. The next bit was to tape it to the patient’s arm, then wrapped it in gauze so that it wouldn’t wiggle its way out of the patient. She hooked up the push tab to the general anesthetic and watched as the doctor left for a bit to clean up the utensils she was using. “We will need to wait for approximately five minutes before he is completely under for that. Otherwise he might kick, squirm, or otherwise harm himself during the operation.”
Chiaki nodded and the doctor pointed at a patient with her forehead next to where Chiaki was currently, “Could you please go to the next patient and tend to their wounds?” It was a simple request, but Chiaki knew why the doctor was making it, it was to keep her off of the doctor’s back, and more importantly out of her way. It was not every day that a doctor like her had come to the battlefield, but she seemed hardened, deadened to the sounds, smells, and voices around her. It seemed like all of her energy was contained within the small medical tent, and that was where it would stay.
She went to the next patient and looked at her wondering if she was going to be alright. Then she shook herself and knew that she would be, if Chiaki were to be good enough. The doctor was already going over to suture up someone else. Chiaki disposed of her bloody gloves, washed her hands in the portable sink, dried them and put on new sterile gloves to go and check on the patient. She first looked at the wounds that she was dealing with. There was moderate bleeding in the left temporal region which was seeping out of a round shaped injury with a 1 cm diameter, irregularly edged. Multiple irregular shaped injuries, when she took off the patient’s shirt and looked at the wounds, were in her left anerolateral chest, each was around .5 cm to 2 cm in diameter. She looked at the woman and wondered how she was alive. First she took antiseptic bandages and applied them to the chest and temporal wounds, and took her pulse and respirations as she calmed the patient, who was gasping, and had completely gone blank and numb in expression. She wasn’t close to death, but she was definitely out of it.
She had a non perforating skull and brian injury which was keeping her from feeling pain, with an entrance hole in the squamous part of the left temporal bone. Areas of increased density of brain parenchyma were seen in the temporal lobe when Chaiki examined it with a flashlight, peeling away the bandage and letting the blood seep from the wound. And there was also brain parenchyma along the injury of the canal, and Chiaki would have to work quickly to keep the patient from hemorrhaging or contusing. She moved quickly and with precision to spread local anaesthetic and antiseptic to the non-vital areas of the patient’s wound before moving to the chest and peeled back the bandages, inspecting each wound as she did with the head wound.
Once she had inspected the chest and head she placed the bandages back and thought for a time. This would actually have to take precedence over the man on the table. “Can you handle him now?” Chiaki asked the doctor and the doctor nodded, “I don’t think we can save her dear, if you would like to put her under for the time being, make her passing better?” The doctor said, a cursory look over the patient. It seemed like she had already given up, and indeed, walked on like she had. Perhaps she was right, but… but something nagged at the forefront of Chiaki’s mind like a gnat in her eyelashes. Shaking herself out of her half stupor she looked around the tent, looking for something there.
“I think I might be able to get the shrapnel out, do you have a magnet on you?” The doctor shook her head, and Chiaki looked around. On one of the metal cabinets she found a neodymium magnet,holding up a patient chart. Walking over, she snatched this up and nodded to herself. Perhaps this would come in handy, if the fragments in the patient were at all susceptible to magnets. Chiaki peeled aside the head bandage once more and the blood and lymph seeped out onto the cart that the woman was laying on. Chiaki put her hand on the woman’s chest, as she stared straight ahead. Head wounds couldn’t be sedated. She was sorry that she had to do this but she had determined that the patient had a penetrating multi fragmental craniocerebral injury with at least three foreign bodies of metallic or bone density, perhaps chakra infused doton as well, in her temporal lobe parenchyma and focal temporal lobe contusions and intracerebral haematomas.
This was more important than the other things that she had been able to see, which was that the patient suffered from a penetrating heart injury with a foreign body in the myocardium, left lung contusion, and left sided hemopneumothorax. While the respiration was vesicular, at least it was regular enough for her not to worry about the haemopneumothorax that the patient suffered from. As for the penetrating heart injury, the head injury was more serious at the moment.
The patient started to seize as soon as she started to work and she asked for some help. Two brawny ninja came in and assisted her with holding the patient down while she put the bandage back on her head. She would have to make sure that she got that out when the patient was stable again. As soon as the patient’s seizures were no longer a factor, she started a blood transfusion, like the man on the table next to her had, running the line into the patient’s vein and keeping her stable with the use of restraints, should she start to seize again. The two ninja started to take their leave when Chiaki called after them, “Could one of you stay just in case she starts to seize again, please?”
The woman stayed, while the man went off to roam around the camp again. The woman was instructed by Chiaki to sit next to the patient and Chiaki put a cloth under the patient’s head, taking out the magnet, she placed it at the entrance to the wound, seeing if any of the shrapnel within the intracerebral tissue would be susceptible to her treatment. Pulling it away and frowning she stuck it to the underside of the table and growled. Of course it wasn’t going to be that easy. First she applied a dilator the outer part of the wound, pulling apart the viscera to show the skull underneath. The patient’s eyes went wide and her fingers clenched at this. “I know it hurts, but don’t let it get the better of you. You’re a Kunoichi. You’re stronger than this.” Chiaki looked down, saw that this was a kunoichi of the village hidden in the clouds, “You need to fight on for the sake of Kumogakure.” The doctor behind her, was she letting patients go that were from kumogakure on purpose?
As she took out some all spec tweezers and held a flashlight in her mouth, pointing the light at the wound and moving it around with her lips and tongue to get a better view inside. First came the ventral wound that was in the craniocerebral tissue. She put in the tweezers and hearing a click she wrapped the tweezers around it, and pulled, it snugged against some of the tissue inside and she wiggled it a bit, moving the bruising tissue out of the way of the sharp fragment. After pulling out one of the pieces successfully the patient relaxed visibly, she wasn’t done yet though. Inserting the tweezers another two times, she was successful with her treatment of the shrapnel wound. She took the dilator out and cut around the burned and already torn pieces of flesh, before suturing up the wound in a star-like pattern.
She was glad that she had moved from the head to the heart as now she instructed the ninja to grab the general anesthetic and as she was looking over the wounds, Chiaki administered the general anesthetic as she did on the other patient. She moved on to the Thoracotomy which was needed in order to reach the penetrating heart injury and foreign body in the patient’s myocardium. She would have to do this while the patient was still waiting for the general anesthesia to work, as time was of the essence, and nails ground themselves on the metal table underneath the woman as she worked. Chiaki pulled apart the thoracotomy wounds she created with the scalpel with clamps and kept them open, deflated the lung, and took out the part of the lung that was too badly damaged and hemorrhaging to work. Placing this part of the lung on the table, she sutured up the wound with self-dissolving sutures. She then reinflated the lung using a tubule, and the patient fell asleep under the general anesthesia. While she was performing the atypical resection of the superior lobe of the left lung and suturing it up, she found a .5 cm hole on the posterolateral wall of the left ventricle. She took a pair of suture grippers and sutured this shut with a U shaped seam. It was a good thing that it wasn’t in need of an artificial gasket.
Chiaki moved through the rest of the chest cavity, finding no less than 18 foreign bodies while the patient’s chest was open, and closed all wounds internally using self-dissolving sutures. Finally, the entrance wound that she performed with the scalpel to perform the thoracotomy was sewn shut and she sat back, wiping sweat off of her brow, getting viscera and blood over her forehead.
She grinned at the doctor, who had moved on to the next four patients that she had been treating and the doctor smiled back.
“You can go now, I believe that she is stable.” She said to the ninja that was across from her, who nodded as she left the tent.
Chiaki went on to treat some other minor wounds, most requiring little to no treatment, but more rest than anything. Some sutures here and there, but none as invasive or life threatening as the procedure that she had the woman endure.
Chiaki left the tent as a child was run on a gurney into a tent. The child was clutching at their chest and leg. There were holes where doton had punctured them, an indiscriminate jutsu used in his vicinity probably. Their lung had collapsed, and Chiaki could tell that there was damage to the pleural tissue without even treating the kid and knew that he was dying.
Running into the tent, the child was crying out in agony, pulling at the sleeves of the shinobi who brought him in there, he was scared, and pain and fear tore at his soul as the shinobi grabbed an empty gurney and started to make another journey out to the field. Chiaki took the small child’s hand in her own and she looked at his face. “I am Guanyin Chiaki, What’s your name?” She asked the child, he smiled at her and said, “Tam, Tam Tokohashi.” She smiled and held his hand, “I am going to try to heal you Tam.” She closed her eyes, tears streamed down her cheeks as he wiped them away with a shaky hand, a cold hand. She wasn’t going to let him die No, Not another one.
She wove Ram, boar, snake, snake, boar and the thread leapt into her hands and she held it up for the child to see, but as she opened her eyes she stared at his, they were glossing over and his breathing was becoming more shallow. “I need an MTP STAT!” Chiaki shouted out the tent, the flap was open and people were milling about, one or two were standing, staring in awe at the giant beasts fighting. “MTP STAT!” she screamed, placing her fingers to the boy’s chest, the sutures leapt out and attempted to sew the wound shut. They fizzled out of life, their bright teal color fading into a darker teal before they unravelled. The wounds were to grevious.
“Don’t cry miss, I am going to see my parents. They were both ninja of Kumogakure.” The child put his hand back on her cheeks as she wove hand signs again, her chakra burning inside of her, her reserves dangerously low.
“No, I won’t let you die, You’ll see. I’ll keep you alive and-” The child’s beath was ragged and his eyes were misted over.
“I’ll see them, there’s no need for tears or for you to worry, miss. I’ll tell them that you were kind.”
“No damnit!” she wove the hand seals and concentrated, concentrated hard, harder than she had her entire life and touched the child’s body, the chakra leapt out of her fingers and fizzled before it even got to the wound. The child’s arm was still out, supported by the impromptu hospital bed gurney that he was placed on, and Chiaki was too late.
The world swam before her eyes as she started to cry, didn’t have enough ener-
The world started to fade away in a pool of sparkling fireworks. They clouded her vision, growing ever darker and darker. Someone far away was asking if she was alright, she felt the cold ground, and she could almost hear the child say “thank you.” Before the curtain cut her off from the warpath.
_________________
Chiaki was transported away from the battle to be given 3 days mandatory bedrest. She kept herself there, not willing to cry, not willing to look out of the window for the three days. She was able to get up and go to the restroom, but completely shamed, she had completely lost control of her emotions, and she had completely lost her sense of duty to the others that were injured in and around the warpath of the Hokage. How many shinobi died? How many Kunoichi? How many innocents?
These questions rang in her mind, unanswered, rattling like old dry bones in a cave of hungry wolves, providing no sustenance, but rather an irritant, an annoyance.
|Exit Thread|
WC:
8046
Training: A-3 Dexterity A-3 perception