Video

[deage]

[ Honestly, Haibara would have vastly preferred to do this as text, but that wasn't really an option on these things, unfortunately. In either case, both voice and video can't hide her age, so she doesn't bother.

The video feeds turns on to show a girl of about seven, looking fairly somber and serious. Once she begins talking, it's at least obvious that she's very mature for her age. ]

Hello, passengers. My name is Ai Haibara, and I had something to discuss with everyone.

I've been talking about the state of pharmaceuticals aboard the train with some knowledgeable individuals. The bottom line is that the train is not prepared for a large number of medical emergencies, incidents, or patients. I realize that some people have healing "powers" or "magic" [ you can HEAR the air quotes around those words ] but there's no guarantee those individuals will always be available, or effective.

I've compiled a list, arranged in terms of importance, of drugs I'd like to get stocked in the medical carriage. I'd like to ask for two things; first, if you have a medical condition that requires a drug, respond so it can be added to the list and-or prioritized. Second, if you have spare points, please purchase some of these drugs from the store. We're due, I believe, to be stopping soon, so we can stock up before then.

This list is posted in the medical carriage itself, by the way, if you need it for future reference.

[ Haibara simply holds up a list here. It's written in neat handwriting because she doesn't have a computer and printer, let's work on that too,,, ]

ANTIBIOTICS: Amoxicillin, Amoxicillin/Clavulanic acid, Ceftriaxone
PLASMA SUBSTITUTE: Dextran 70
ANTIDOTES/ANTI-POISONING: Activated Charcoal Powder (most important), Acetylcysteine, Atropine
ANTICOAGULANTS: Warfarin, Enoxaparin
IMMUNOMODULATORS: Cyclosporine
BETA-BLOCKER: Enalapril, Propranolol
ANTIULCERS/ANTACIDS: Ranitidine
DIABETES REGULATION: Insulin Injectors
ANTIHYPERTENSION: Hydrochlorothiazide/Lisinopril
ANTICONVULSANTS: Carbamazepine, Diazepam
ANTIDEPRESSANTS: Fluoxetine, Amitriptyline
ANTI-ANXIETY: Diazepam
HORMONE CONTROL/BIRTH CONTROL: Ethinylestradiol/Levonorgestrel
DIURETICS: Furosemide
ANTI-INFECTANTS: Albendazole, Potassium Permanganate
MIOTICS/MULTI-PURPOSE: Acetazolamide
CHEMO THERAPY: Carboplatin, Fluorouracil
RESERVE ANTIBIOTICS: Ceftazidime/Avibactam

[ That list is left up for, uh, a while, before Haibara speaks, the page still being displayed. ] The antibiotics are probably most important to get a stock on. Dextran 70 will be important in order to save lives from blood loss, which knowing how missions are, will come up sooner rather than later. Activated charcoal powder can treat overdosing and certain poisons. Those are the top priority.

Not listed, but we could also use supplies for drawing, storing, and giving blood. We would need a cooler to store the blood first, though.

[ Now the page gets pulled down. ]

It's something to think about. Thanks for your time.

Comments

[dredefulchilde]

Are you a friend of Conan Edogawa, by chance?

[deage]

[ Hmm. Pointed. ]

I suppose you could say that.

[dredefulchilde]

You remind me of him.

[deage]

Of that Holmes fanboy?

[dredefulchilde]

Very much so.

[deage]

We're classmates, and maybe friends, and I go along with the Detective Boys and their shenanigans, but we don't have that much in common.

[dredefulchilde]

Are you quite certain of that?

[comingorgoing]

I have little need for points, which seem to be mainly for frivolities. It seems I only have 3 points to my name, which isn't a lot, but if I find myself with more, I will happily donate them to this cause.

[deage]

[ If the response is video, 10VG is getting a long pause as Haibara eyes over this DUDE IN GIGANTIC ARMOR. If voice then just, you know. Either way, she replies in a calm and measured tone. ]

Thank you. I'm in a similar boat myself as far as points go. I do hear that we get some more just before we stop at a station, so I suppose we'll see how we're both faring then.

[comingorgoing]

[Whups, let's say it's video since that's what she used.]

Very well!

[deage]

It'll be good if we can get the medical carriage fully stocked, but that'll take quite a bit of work and a lot of points.

[comingorgoing]

It's impressive that one so young as yourself would think of something like that. Or have the knowledge to enact such a plan.

[deage]

[ Ah, right. Young. As Haibara definitely is. ]

Like I said, a lot of this comes from talking with other people. All I did was make a suggestion and get the list together, really. [ ...which is like 100% of this, Haibara, ]

[comingorgoing]

Still, I commend your efforts, young lady.

You are young, right? I have trouble telling sometimes, with humans.

[deage]

[ So he ISN'T human. She had suspected. ]

I'm seven years old. In human terms, that's old enough to be in the first year of grade school. One generally isn't considered an adult until eighteen in my world.

voice

[aluciner]

What about [uhhhhh he doesn't remember the fancy name] adrenaline? Allergic reactions and cardiac arrest.

[You ever just get really traumatized by your best friend's refusal to carry an epi-pen for the bee allergy that literally killed him even though he's rich and he can fucking afford it?]

video

[deage]

Epinephrine autoinjectors. They're one of the few drugs the train stocks by itself. Enalapril can also assist in the event of cardiac arrest, that's why I have it listed fairly highly.

[ Her tone is fairly... educational? Teacher-ly? But her expression is a kind of a flat one. ]

[strawberryprotector]

Only thing I'm planning to buy currently is a takoyaki griddle, after that my points are completely for med supplies. I did get a stack of reference books that are in the library at the last platform. We should get a list of passengers with phlebotomy training, too. If situations get dire, it would help to have someone with that doing draws or prepping transfusions while folks with medical training are triaging or operating.

[deage]

[ Honestly, if things get to the point where they need an immediate phlebotomist, Haibara can do it. But even she sees how going "oh I can do that" might seem a little off for a seven-year-old. ]

We do have a few doctors on board, but I suppose if we're in an emergency situation, they'd be better served doing the actual surgery or emergency medical care.

It's a good reason to try and get things set up early though. If we get all the equipment and can get enough stockpiled, they can take care of it themselves.

[strawberryprotector]

I wonder if we should look into setting up a blood reserve for each passenger. With so many different worlds, races, and even species, there's no way to have any kind of universal supply. But if we could get people in to do a pint every other week or so, we could stockpile per person.

[alilyinthemoonslight]

[Sigh.] I figured there'd have to be a catch on essentials, but I guess I didn't even think to look into that...

I'll certainly keep this in mind. [Probably before... much of anything else, really.]

[deage]

What the medical carriage itself keeps stocked are only antihistamines, analgesics, epinephrine, and a number of anesthetics for surgery. The first two are most likely to be needed in a person's day-to-day life, and we need epinephrine for allergic reactions, so they're good picks for drugs to keep stocked... but it's still woefully under-prepared.

[alilyinthemoonslight]

And something else to worry about...

[Because, even if her own powers were technically magic, she also wasn't the sort to rely on such things for health, well being, or forbid, a life or death situation.

Still, she nods.]

Well, thank you for the information, anyway. You're quite well read on this. [This is, mercifully, delivered in a fairly sincere way and not a, "gosh you're so young to know all this stuff" way. Given what even those younger than her have pulled off, she's pretty nonplussed by that much.]

[laurefindil]

I spent three millenia serving Lord Elrond of Imladris. Several of the things you are looking to treat have a natural alternative, which I am currently cultivating. Primarily to make the healing salve which can be used to treat bruises and minor wounds to save those resources needed for more serious injuries.

Please do not discount the plants. We from low tech worlds are quite medically savvy, as well.

[deage]

I'm well aware of the usefulness of plants. A lot of modern medicine is derived from or originates from plants. Scientists have spent decades studying them to find out what it is that makes them effective. Then they isolate the chemical or process, manufacture it, make it widely available.

[ She's a biochemist. Biochemist. Why do people assume she discounts plants?

If anything, it sounds like people are discounting modern medicine instead. Which is a thing people have to deal with even where she's from - people don't understand what medicine is, see a chemical or medicine name and shy away from it, searching for "natural" alternatives, as if the medicines they're discounting didn't originate from nature in some form or another. Nature is chemicals as well. ]

Amoxicillin is derived from penicillin, a type of mold that's been cultivated for almost a century now to treat infections. A number of other medicines even on this list have their origin from other plants or fungi. Ceftriaxone and cyclosporin both come from fungi, warfarin originated from sweet clover, atropine comes from nightshade, as examples.

The medicinal industry is built on not discounting plants.

[laurefindil]

[A biochemist? I thought she was seven!

Seriously, though, to Glorfindel, healing salve IS modern medicine where he's from. But he's been reading and...in books, doctors scoff at Traditional Cures. So he nods and looks quite interested in what she has to say.]

I see. I have been reading some 'modern' books and they tend to treat plants like they are a joke, so I apologize for reacting as I have. I come from a world where my Lord Elrond has spent the better part of three centuries working on a Healing Salve that is quite effective on all races: Elven, Human, Dwarf, Hobbit, Eagle, and even Ent.

In fact, I am almost ready to harvest to make up a triple batch of it. This should be sufficient to give a little to everyone who goes on the missions. It isn't magic. But for minor injuries, scratches, and bruises, it will speed healing, so that a person will recover overnight. For major injuries it will stave off infection and speed recovery time, which will hopefully help conserve our resources.

I would be happy to supply you with a sample if you wish to use your science on it, once I am done. If anyone is interested in helping, they are also welcome. It does require cooking at a high heat and stirring for the better part of two days, per batch.

video

[mtsilver_conquor]

I'm willing to see if I can get a medical item, a 'Lucky Egg', from home which is used in the rapid treatment of broken bones.

It can probably be cut into a dozen or so pieces and made into something to drink. It wouldn't be as useful, but it'd still fast track healing.

[deage]

[ ...how do you cut an egg into pieces? is it hard-boiled? ]

I'd still prioritize getting a batch of antibiotics first, but that does sound fairly promising for injuries. Which given the nature of things here... are probably more common than illnesses or other medical conditions.

[mtsilver_conquor]

[Sorta. It's more like if an unfertilised egg had the texture of soft tofu and the look of an egg. And then tastes really sweet.]

Yeah, though I'd recommend using it alongside antibiotics/whatever plant-based medicines can do the job. Just because it can heal broken bones rapidly doesn't mean anything if the breaks broke the skin.

It doesn't heal anything else though. I've also got a handful of plants from my world, but they're not as effective on humans.

[so_dark_a_road]

I currently have 567 points, and I'd be happy to donate most of them. I'd just need a list of what is the most important.

By the way, I'd like to order a stretcher or two, if you don't already have any. The last two times I brought a person to the Medical Carriage, I carried one person and practically carried the other. I can do this, but a stretcher would have been better.

But I have to say, please don't discount magical abilities and herbal knowledge. Both of those have saved countless lives in my original world. As Glorfindel has already said.

1/2

[deage]

I can't, and won't, discount herbal knowledge, since many medicines, even on this list, were derived or originated from plants. A major component of biochemistry is studying things like that and figuring out the exact causes and processes that make them so useful, and then refining them.

[ Is she a biochemist? Yes. That's actually her profession. She won't say as much but she does have a certain amount of pride in it. ]

All that said, thanks for the help. [ Although she's not really the one benefiting from it, the train as a whole is. Still. ]

The medicines we'd need the most quantity of are the three antibiotics; amoxicillin, amoxicillin and clavulanic acid mix, and ceftriaxone. Individually, no one can cover every bacteria, but together they're effective against a very wide range.

Past that, we'd need a good supply of dextran 70 - it serves as plasma replacement in the case of shock from massive blood loss. It's a liquid, and you typically use one or several containers at a time, so you need to have more on hand than other things on this list.

Activated charcoal powder is used in a wide variety of cases, so it's also important, but you don't need quite as much on hand. Enoxaparin and cyclosporine are both important for surgery, and enoxaparin can also be used during a heart attack.

I'd personally feel safer having a supply of acetylcysteine and atropine on hand, too, given both are useful in the cases of overdoses and certain poisonings, and those are something that can happen to anybody. They both also have other uses, if given in proper dosage.

Everything else on the list are for treating certain symptoms or conditions, and I have them arranged in what I think the likelihood of occurring on board the train are. I don't have access to any medical information for people on board, though, so I don't know if there's a demand for them right now.

2/2

[deage]

Oh right, I don't think we have stretchers, that would probably be a good call.

Two seems about right.

Re: 2/2

[so_dark_a_road]

[ He respects her for her knowledge of biochemistry and the part that plants have played in the creation of medicines. ]

You're welcome!

All right, I'll go to the train store and see if I can get all those antibiotics and medicines, and how much it would cost to purchase them all. If I can't buy them all, I'll get them in the order you've said is the order of priority.

I'm bound to get more points in a few days -- I always do. So, if I can only order, say, half of what you've listed above, then I'll get more of your list next month.

Also, I'll get two stretchers.

[so_dark_a_road]

[ Later, when he has had a chance to order the items from the train store. ]

Okay, both orders are placed! The stretchers and the medicines will be both delivered on the next platform day.