Complaint

From afar, Aeryn waves. Got a minute?

You paged Aeryn with 'yup'.

Aeryn pages: I got your @mail about Journeyman healer. You may toss my reply if you want. Anyway… usually before approving journeyman for newcomers, we ask a few questions and depending on your answers is where we place you. So, if you don't mind me asking a few?

You paged Aeryn with 'go for it, I expected I might have to.'.

Aeryn pages: Can you please tell me what RP medical experience you ave, if any?

Aeryn pages: RP=RL

You paged Aeryn with 'Though I'm not dripping with RL medical experience, I have a decent understanding of the basics from my studies of forensics and osteology. Though I myself have not pursued (and probably won't pursue) any sort of medical degree, I grew up with a close friend of family who was a nurse and am currently living with a nursing student as well as having been to the doctor many times (like most people, I think). I'm certainly not an expert, but I think I have a decent base knowledge for general practice type things and a strong understanding of things like webMD as well as human resources.'.

Aeryn pages: How familiar are you with Pern's particular methods of treatment?

You paged Aeryn with 'I am fairly familiar with them as I run my own Pern game on a forum and have to monitor my healer PCs there. Admittedly, Pern's particular treatments are a bit different in this (post-aivas) time period than in the 'canonical' time periods. But for general practice type treatments I have a decent understanding of the Pernese medicines and herbs used and have them listed on the wiki I keep for my own game.'.

Aeryn pages: Okay… just so you know? Anything you do elsemu really has no bearing here. So I'm not interested to know about that. :) Next question: (Be specific, please) How are MOST maladies treated here at PW and what surgical limitations do we have?

You paged Aeryn with 'Cuts, bruises, sprains, and other relatively minor problems are treated with numbweed and otherwise much the same as they are IRL, stitches for large cuts, bandages when necessary, and tight wraps to prevent further damage on serious sprains. Breaks are treated with splints and tight wraps to limit motion as much as physically possible in addition to numbweed and/or fellis depending on the severity of pain. Infections and larger open wounds are treated much the same as they are IRL, the wound is cleaned to the best of the healer's ability with clean warm water, then sterilized with redwort and covered. Wraps must be changed daily to prevent (further) infection and to make sure the wound is healing properly. Except in sever cases, wounds are most often treated with numbweed on the spot (possibly not by a healer) and then cleaned and treated after the injured person has been moved to an infirmary or similar location.

Though surgery has come a long way since the discovery of Aivas and the medical files he (she? it?) held in stasis, Pernese surgery is still nowhere near where RL surgery can go. Because so many Pernese infirmaries are inside stone shelters, it is difficult to create a 100% clean environment to make a surgical area truly sterile. The same is true for sterilizing surgical instruments. Though they can be and often are heated to sterilize, as well as potentially treated with redwort, this isn't as clean as RL hospitals. Additionally, there is a lack of the truly fine tuned equipment necessary for the riskier and finer surgeries, limiting surgery on areas like the heat and brain to nearly impossible due to the lack of fine magnifiers or instruments. The riskiest surgeries are done only in emergencies.'.


1 From: Aeryn At: Sun Oct 4 21:26:45 2009 (Conn)
Fldr : 0 Status: Unread
To : Pralius
Subject: Re: Journeyman Status


Hey there Pralius,

Since you missed the app in character creation, I'll keep an eye out for you and we'll chat. It might be a day or two before we can meet up. If you would, please @mail me your online times.

Thanks. And welcome to PernWorld! :)

—Aeryn, Sr. Journeyman Healer, Healer Hall


Aeryn pages: Thanks for answering, but unfortunately I need to head out and just don't have time to finish the questions. I was able to get the App from a wiz and am forwarding it to you. Please answer in as much detail for me and get it back to me? Then I will consider your placement. :)


2 From: Aeryn At: Mon Oct 5 10:24:50 2009
Fldr : 0 Status: Unread
To : Pralius
Subject: Healer Application Questions


1) What experience have you had with this craft? Please list any resources you have read that would conribute to this.
2)/Briefly/ summarize how you (your background) came to join the Healers and be promoted to Journeyman. Your +info should contain more detail.
3)Describe what your character's daily activities and duties would involve. Offer some potential RP scenarios you think your character might encounter.
4) Do you have any ideas for tinyplots you might like to run? Or any other activities, OOC or IC, that you'd like to be involved in?
5)How would you rank your OOC patience with new players? Considering that being a ranked crafted often includes dealing with new players, are you interested in doing this? Why/Why not?
6)Explain why you-the-player have chosen to apply for a ranked crafter in the Healers.
7)Are you interested in being posted to another area? If you have one or more in mind, please state them.
8) Please tell us how you would RP though an unexpected scenario if it is beyond you-the-player's knowledge of how Pern's healers would respond? 9) Please tell us specifically what surgeries we CAN do and which we CANNOT do? (Be specific)
10) Please tell what herbs would be used for the following illnesses: Stomach trouble, heart problems, headache, joint pain, skin infection, common cold, pregnancy prevention.
11) Please tell us what standard of conduct (ICly) that would be expected of a healer when on duty (keep in mind the ethics and high standards of healer hall)


1) What experience have you had with this craft? Please list any resources you have read that would conribute to this.

OOCly in addition to having read almost all of the books (the only ones I haven't are Todd books, which I keep getting the impression aren't exactly loved on PW anyway) I have experience with cadavers and human remains through Forensic and Osteological training. Admittedly, this doesn't do much for dealing with live specimens, but it's given me a good knowledge of the way the body works, goes together, and falls apart. Like most people, I've spent plenty of time talking to nurses and doctors, usually about what's wrong with me, but still it has given me a knowledge of a lot of general ideas behind general practice healing, along with reading all those lovely educational posters most doctors put up in their offices and examination rooms as reading material while they go over files and whatever else it is they do when they leave you alone in the examination room. I also currently live with a nurse as an IRL resource as well as being more than willing to use the more-reliable websites such as webMD to verify symptoms and other details.

2)/Briefly/ summarize how you (your background) came to join the Healers and be promoted to Journeyman. Your +info should contain more detail.

Pralius was born to a lower caverns worker and an unknown rider at Telgar Weyr. Even from a young age he showed an interest in healing and when he was older would spend any time he didn't have assigned chores just watching the Weyr's healer and ocassionally asking questions. When he turned 12 he begged the WeyrHealer to recommend him to the Hall, not that much begging was necessary. His turns at the hall passed at a normal pace, neither especially slow nor fast, and he has only recently walked the tables to journeyman.

3)Describe what your character's daily activities and duties would involve. Offer some potential RP scenarios you think your character might encounter.

As a general practictioner, most of his days begin by checking patient files and meeting with anyone who comes for a checkup from a cold to a sprained ankle. He can certainly do pre-care for more, but he's not realy qualified for surgery, though he can set breaks if necessary. Much of his day would be sent treating any patients in the infirmary with lingering illness and any others who just happen to walk in and need help.%r%rThe most common rp scenario would probably be a cough, scratch, or cut, but there is also the possibility for house (Weyr?) calls and referrals to more experienced healers.

4) Do you have any ideas for tinyplots you might like to run? Or any other activities, OOC or IC, that you'd like to be involved in?

Tiny Plots aren't necessarily my strong suit, but generally once an over-arching plot is established I enjoy helping with a specific scene or two. My goal in creating a healer was to rp scenes that involved helping and healing people more than anything else, but not necessarily anything specific since most healing scenes are at least partially conceived by the injured/ill party.

5)How would you rank your OOC patience with new players? Considering that being a ranked crafted often includes dealing with new players, are you interested in doing this? Why/Why not?

I'm very patient with new players and have no problem helping them get settled into new areas/ideas/systems. In fact, I enjoy it. New players never cease to ask some of the most interesting questions.

6)Explain why you-the-player have chosen to apply for a ranked crafter in the Healers.

When I decided I wanted to make a healer alt, I also decided I wanted an older character, so that's part of it. Pralius is of an age where having recently advanced to journeyman isn't unreasonable. Also, journeyman rank makes it easier to explain beign posted elsewhere and implies a more experienced and capable character, which is what I most desire to contribute. As fun as it can be to play the young and learning, the concept behind Pralius required a capability and preferably Journeyman rank.

7)Are you interested in being posted to another area? If you have one or more in mind, please state them.

I am interested in being posted to Fort Weyr.

8) Please tell us how you would RP though an unexpected scenario if it is beyond you-the-player's knowledge of how Pern's healers would respond?

I would do my best to rp a believable solution based on knowledge of Pernese methods and RL methods for that scenario. For something particularly serious I would search for RL solutions and adapt them to Pern as best I could.

9) Please tell us specifically what surgeries we CAN do and which we CANNOT do? (Be specific)

I certainly don't know an exhaustive list of all surgeries ever, but I'll do my best. There is canonical evidence in MasterHarper of Pern that even then appendectomies could be done. This would lead me to believe that in post-aivas times most surgeries along the same lines could also be done (i.e. removal of the pancrease, liver, appendix, a single kidney, and possible even the removan and re-sectioning of damaged intestines). Knowing this, it is likely also possible to repair mild ruptures in the intestines so long as they are diagnosed quickly enough. It is also possible to surgically set particularly bad bone breaks. I would imagine, however, that heart surgeries, if done at all, would only be done in the most dire of circumstances and the same with brain surgeries and that transplants would be completely impossible due to the complications of maintaining a dead organ for even a few hours. Even in RL transplants are risky and hard-to-arrange procedures, on Pern they would seem impossible.

10) Please tell what herbs would be used for the following illnesses: Stomach trouble, heart problems, headache, joint pain, skin infection, common cold, pregnancy prevention.

Stomach Trouble: An upset stomach can be soothed with mint or willow. Alfalfa, ash bark, and other diuretics can also help by encouraging the passage of an irritant as can redfruit juice and other laxitives. Though sometimes the best option is Fellis and a good nap.
Heart Problems: Anodyne (created from aconite, whitehorn, adonis, glovecap, or hops) is a common treatment for heart palpitations.
Headache: Headaches and such pains are often treated with fellis as a soporific to encourage relaxation, but the more severe varieties can also be treated with red willow salic or meadowsweet.
Joint Pain: Mild joint pain is sometimes treated with a light numbweed decoction, but can also be treated by red willow salic or meadowsweet taken internally.
Skin Infection: Redwort is used as a disinfectant and cleansing agent and can be applied topically in cases of rashes or skin-deep infections to help sterilize the area. Deeper infections must most likely be lanced to release whatever fluids are building up and compolicating said infection before cleaning with redwort and water. In the case of mild rashes, Numbweed is often applied to lower pain and itching.
Common Cold: tissilago, confrey, hyssop, thymus, and borrago can all be used to treat coughs. Fluids other than klah should be consumed regularly to encourage the body to process and remove toxins. Fellis can help encourage relaxation and sleep in cases of particularly painful coughs. Garlic is also sometimes administered more often to help clear the sinus and pallate than as a treatment of the actual disease.
Pregnancy Prevention: Parsley, Ginger, Sage, Rosemary, and Feverfew can be used to delay mensturation, but the Earth-bound herbs most effective in the prevention of pregnancy (Heem, Wild Yam, and Wild Carrot (Queen Anne's Lace)) don't seem to have carried over to Pern.

11) Please tell us what standard of conduct (ICly) that would be expected of a healer when on duty (keep in mind the ethics and high standards of healer hall)

One word seems to sum it up for me: professional. A healer should be polite and professional, gathering as much information as possible and providing the best possible treatment. As much as any healer hopes never to have to see a patient again (it means they're healthy, after all) a patient should feel safe and comfortable returning to a healer if necessary.


4 From: Aeryn At: Thu Oct 8 13:30:03 2009
Fldr : 0 Status: Read
To : Pralius
Subject: Re: Journeyman Application


Thank you for taking the time for answer the questions on the application.

Based on the answers you gave, we've decided that you are better suited as Senior Apprentice at this time. I'll be happy to work with you to help you to advance to Journeyman (and it needn't take a long time).

Just a few things that might help you - While webMD /might/ help a person diagnose what the problem is, this resource really has no bearing on Pernese medicine and will be of little use here. What we were looking for is a mention of the two resources on the Pern Healer wiki under the 'Books' link - The Basic Healer Manual and The Plants of Pern. These are what you'd use if you run into a scenario where you aren't sure how to treat something. The following is just some information

All healers are posted for training whether Apprentices through Masters, so your reasoning about having a Journeyman for ease of posting is baseless. You may be posted wherever you like as long as the area admin agree.

Even though you want General for your specialty, you'll need to know what surgeries we do and do not do here at PW because you will run into this from time to time when players ask for a TP that requires them to have surgery (the files are outdated and this list needs to be added). Just so you know: We do minor, non-invasive type things like stitching surface wounds, maybe re-attaching fingers and limbs (tho success might be limited), we can repair organ damage by careful stitching of said organ and closing deep wounds. We CANNOT do: Heart and lung surgery (no heart-lung machine, so no way to re-route the blood and oxygenate it), brain surgery, organ replacement or blood transfusions. As we have no equipment to type and crossmatch. The closest thing we have is serum transfusions as we can separate the blood cells and use the clear serum. Pern has maybe the equivalent of Penicillin for antibiotics, but most other drugs on Pern are herbal and you should be quite familiar with them. Fellis is a narcotic on par with Morphine. It is VERY sparingly used and only for intense pain. Numbweed for topical use and/or willosalic (comparable to aspirin in tea or powder form) for internal consumption would be used for all other types of pain. Diuretics would NEVER be used for stomach ailments (diuretics affect the kidneys). Laxatives /might/ be used for the stomach, but only with questioning of the patient. Fellis - not at all.

There are several things you'll need to do for now:

1) Make any changes you need to in your history and +info to reflect walking the tables to Senior Apprentice
2) Please familiarize yourself with the files on-game and on the healer wiki. We expect anyone applying for Journeyman to have already done so.

To be promoted to journeyman: 1) Please read +hechelp promotions .

Let me know if you have any question.

Thanks.

-Aeryn, Senior Journeywoman, Healer Hall


Though I bow to your judgement, I will write some (hopefully) brief rebuttals to your comments.

1. I used the books on the wiki to answer some parts of the quiz and sometimes it didn't have complete answers or any answers. It seems somewhat unfair to me to require someone who may be new to the game to list a resource that exists only on a wiki when they may not even know the wiki exists.

2. It may be true that apprentices are posted places on this game, but it isn't as true canonically. You asked why. I told you. It also wasnt' my only reason.

3. I disagree strongly with the statement that fellis is used sparingly and is a strong narcotic since it is used multiple times /per book/ for things as simple as helping someone sleep after a traumatic injury.

4. I mentioned diuretics for stomach issues not because of any personal belief/knowledge, but because of the entry on /your/ website for Alfalfa: "Uses: medicinal, as a tea it is good for the stomach. diuretic." This was the only herb that even loosely mentioned the stomach, so perhaps the wrong answer is not entirely my fault.%r%r5. I have only been on PW for a few months oocly, but I have read almost all of the helpfiles that are available.%r%rI go now to do as you asked.


5 From: Aeryn At: Thu Oct 8 14:24:21 2009
Fldr : 0 Status: Read
To : Pralius
Subject: Re: Journeyman


Thanks for your feedback. While some of your answers on the application were good, the level at which your knowledge placed you is as stands: Senior Apprentice.

IRL diuretics are not used for stomach aliments (I am a medical professional irl, so this is based on my knowledge and research, not whether some herb in our file lists 2 different uses. The info was passed on to you for your benefit)

Fellis will be used SPARINGLY here on PW. It is the equivalent of a controlled substance akin to Morphine and that is how we use it here, regardless of how you interpret it's usage in the books. Using Fellis for a stomach ailment to help someone nap is a far cry from helping someone sleep after a traumatic injury. There are better herbs to provide relaxation and sleep. Fellis would be used for sleep-inducement only in an extreme situation.

As I mentioned, I will help you attain the rank you desire, but I will NOT debate the uses for herbs with you. I WILL RP with you if you need it for the required logs of RP. Be aware that the final decision of promotion rests with us. The decision stands, regardless of your agreement with it. And though you do not have to agree with it, I will appreciate it if you will abide by the decision without any further debate. I prefer not to hear anymore mention of 'fairness'. This has the appearance of whining. Promotions are also based on OOC behavior, so be aware of that.

-Aeryn, Senior Journeyman, Healer Hall


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