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[insert your name here] Crew
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 Posted: Wed Feb 02, 2005 6:13 pm
-Banner, someday..-
Welcome to The Chunsa/Akma Hospital!
Have you been a negligent parent? Has your child been hurt? Well, come here then! This is a simple, three story building, with a small basement and such, but we'll go over that later..
I am the head Docter, Ishikawa Ruriko, but i'll leave the details to the staff description.
Anyways.. To the directory!
Directory:
-coming soon-
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Posted: Wed Feb 02, 2005 6:14 pm
Workers
Ishikawa Ruriko
Head Docter/President
_Shouko_
Head Nurse
Le Fromage
Part-Time Receptionist
-more coming soon. xD-
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[insert your name here] Crew
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[insert your name here] Crew
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Posted: Wed Feb 02, 2005 6:15 pm
Building Layout
First Floor-
10 Rooms, 5 placed in each of the hallways. There are two hallways, each placed on the sides of the main reception area. They are mainly used for emergency cases, where the patient must be taken care of quickly. There are also at the end of one of the hallways an ER room, and at the other hallway's end is a child's care area. The main erea, a large room. Contains mainly just chairs, magazines, and a reception desk. You'll find a few gourneys lying aeround, they'll usually have cloths lying on them, they are usually just as while as the walls surrounding them. The Right side, the side that contains the Er is for Emergency stuff. While the other side is for checkups, children hold, and such.
Second Floor-
This floor has about 15 rooms, There are about four hallways. On two of the hallways, are ten rooms, well on the third there are only five. These five rooms are contamination rooms, which are to keep certain ailments someome may have from spreading. They have special cleaning equipment. Only four of these rooms are designed for this purpose though, as their is the last one, which is a bit far off from the others. This is for baby cleanup, as the chunsa and akma DO give birth. The last hallway, contains a coffe lounge/lunch area, the docter's station, and the nurses station. Aswell as a small supply room. There is also an examination room here.
Third Floor-
Nobody but the most skilled Docter's and staff go up here. This is where the examination room is. Aswell as the special 'punishment rooms'. These rooms are to keep rowdy paitents on control. By placing the patients in the rooms and giving them medication, they are used to both teach them a lesson, and keep them out of harms way till they're medications works. There is also the file room, aswell as the patient bathrooms. these bathroom are only used by the rowdy patients. As the second and first floor have regular ones.
Roof-
Not really a floor, but not very safe. Just take the stairway up here, as the elavator doesn't work very well on the roof. Here is where the generator room is, aswell as the fan mecanisms and such. It is surrounded by a gate, to stop potential jumpers and accidents.
Basement-
Very few choose to come down here. This is where the secondary generator is, aswell as the morgue. The elavator doesn't work here either, sadly. The morgue is usually empty, as very few chunsa die. Still, the place is creepy. As there is a crematory there to. And strangely.. a soda machine?!
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Posted: Wed Feb 02, 2005 6:29 pm
Appointments
Appointments can be made for checkups, surgeries, medications, and all sorts. These are mos common. To get one of these, simply PM one of the staff mebers(Preferebly me) and make an appointment. Just give us a day, then come in..
There are currently no appointments.
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[insert your name here] Crew
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[insert your name here] Crew
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Posted: Wed Feb 02, 2005 6:33 pm
Morgue Login
Here is where I take hold. Whenever a chunsa dies, I will make a log. I will put certain things, like cause of death, burial crap, you know, typical.
No bodies today, folks!
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Posted: Wed Feb 02, 2005 6:34 pm
| Shouko's Log File |
Treatments For the Day:
None
Paperwork To Be Done:
Lenne's Child's Birth Certifiacte
Perscriptions To Be Filled Out:
Riku's Welbutrin
Therapy To Be Undertaken:
None
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[insert your name here] Crew
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[insert your name here] Crew
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Posted: Wed Feb 02, 2005 6:36 pm
Patients
Andrea
Hospitalized due to extreme exhaustion caused by lack of eating, drinking and sleeping. Patient also has an animal bite on leg. Discharged
RJ
Taken in for hypothermia caused by sleeping outside for a whole night. Temperature has stabilized, but patient is still sleeping.
Fromage
Pretended to break her arm so she could get it cushy. We kicked her out because she has no insurance. Loser.
Lenne
Patient currently going through childbirth, will probably delivery child naturally, btu will stay for acouple fo days due to frailness in body structure.
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Posted: Wed Feb 02, 2005 6:38 pm
Ruriko's Logging area
Mental Diseases and Disorders
Acute Stress Disorder - Acute Stress Disorder is a variation of Post-Traumatic Stress Disorder (PTSD) that lasts for a minimum of 2 days, but lasts a maximum of 4 weeks, and occurs within 4 weeks of the initial stressor. The initial traumatic event must have involved actual or threatened death or serious injury or a threat to the physical integrity of self or another person, and the person must have felt fear, helplessness or horror. During the event or immediately after, they must have experienced some of the following: numbing, detachment, derealization, depersonalization or dissociative amnesia. They must continue to re-experience the event through such methods as thoughts, dreams, or flashbacks, and avoid stimuli that remind them of the stressor. During this time, they must have symptoms of anxiety, and significant impairment in at least one essential area of functioning.
Alcohal Addiction - Alcohol Addiction, or dependence, is defined as having at least 3 of the following signs: a tolerance for alcohol (needing increased amounts to achieve the same effect), withdrawal symptoms, taking alcohol in larger amounts that was intended or over a longer period of time than was intended, having a persistent desire to decrease or the inability to decrease the amount of alcohol consumed, spending a great deal of time attempting to acquire alcohol, and finally, continuing to use alcohol even though the person knows there are reoccurring physical or psychological problems being caused by the alcohol.
Adjustment Disorder - Adjustment Disorder is defined as a maladaptive response to a normal, psychosocial stressor that has occurred in the past three months, and is not caused by another mental illness or grief due to bereavement (the death of a loved one). Adjustment Disorders generally last no more than 6 months and is usually less in adults than in children or adolescents.
Agoraphobia - Agoraphobia is the fear of being in places where escape might be difficult or help is not available. It accounts for the majority of phobias. Places avoided by those with agoraphobia include most places outside of their known and secure environment including open spaces, driving a car, standing in lines, walking through crowds, and going through tunnels. Being exposed to these situations often results in physical symptoms of distress. They may eventually be able to travel outside the home only with a trusted person, on a limited basis.
Alzheimer's - Alzheimer's Disease (AD) is a type of dementia that usually has an onset after age 65, although early onset AD is becoming more common. In approximately 20% of the cases of AD, the first noticed symptoms are personality changes of either negative types such as withdrawal or apathy, or positive types such as agitation, or suspiciousness. The common symptoms in all cases are the gradual decline in memory function (losing current memories, and retaining older memories) and intellectual ability. Those afflicted do NOT have changes in personality from day to night, in what is called "sundowners syndrome."
Anorexia Nervosa - Essential features of Anorexia Nervosa are that the individual refuses to maintain a minimally normal body weight, is intensely afraid of gaining weight, and exhibits a significant disturbance in the perception of the shape or size of his or her body. The individual maintains a body weight that is below a minimally normal level for age and height.
Amnestic Disorder - Amnestic Disorder manifests with the person having difficulty either remembering past events or forming new memories, but are able to talk coherently and appropriately. This can be caused by events such as a stroke, for example, where events after a certain date may never be remembered, but events before that stroke will be remembered.
Antisocial Personal Disorder - Antisocial Personality Disorder results in what is commonly known as a Sociopath. This disorder is defined by an ongoing disregard for the rights of others, since the age of 15 years. Some examples of this disregard are reckless disregard for the safety of themselves or others, failure to conform to social norms with respect to lawful behaviors, deceitfulness such as repeated lying or deceit for personal profit or pleasure, and lack of remorse for actions that hurt other people in any way. Additionally, they must have evidenced a Conduct Disorder before the age of 15 years, and must be at least 18 years old to receive this diagnosis.
Anxiety Disorder NOS - Anxiety Disorder NOS (Not Otherwise Specified) is diagnosed when patients have symptoms of anxiety disorder or adjustment disorder with anxiety disorder or mixed anxiety and depressed mood. The category generally includes patients disorders with prominent anxiety or phobic avoidance that do not meet criteria for any specific anxiety disorder, adjustment disorder with anxiety, or adjustment disorder with mixed anxiety and depressed mood.
Asperger's - Asperger's Disorder is a separate Autistic Spectrum disorder which does not meet criteria for other Pervasive Developmental Disorders or Schizophrenia. Features of Asperger's Disorder are severe and sustained impairment in social interaction and the development of repetitive patterns of behavior, interests and activities, and significant impairment in social, occupational and other important areas of functioning. Because there are no significant language delays or cognitive deficits, Asperger's is considered a form of high functioning autism.
Attention Deficit Hyperactivity Disorder - Attention Deficit Hyperactivity Disorder (ADHD), sometimes inaccurately referred to as ADD (There is no clinical term by this name) is a disorder usually first diagnosed in infancy, childhood or adolescence. There are 4 recognized types of ADHD. They are: Predominantly Inattentive type; Predominantly Hyperactive-Impulsive type; Combined type (inattention and hyperactivity-impulsivity); and ADHD - Not Otherwise Specified. There is a high level of correlation between children with ADHD and other psychiatric illnesses. This included illnesses ranging from behavioral, mood, family, anxiety, cognitive, social to school functioning, with the greatest increase in those with the ADHD - combined subtype.
Autism - Autism may manifest in early infancy, with the infant shying away from the parent's touch, not responding to a parent who returns after an absence, and inappropriate gaze behavior. The Autistic child may fail to meet early language and other developmental milestones. And there can be as much as a 3-year delay between the report of symptoms and the diagnosis, which is usually made at around age five.
Binge Eating Disorder - A binge is defined as eating in a discrete period of time (a limited period, usually less than two hours) an amount of food that is definitely larger than most individuals would eat under similar circumstances. A binge is not limited to a single sitting and typically includes sweet, high caloric foods and is characterized more by abnormality in the amount of food consumed than by a craving for a specific nutrient such as carbohydrates.
Avoidant Personality Disorder - Avoidant Personality Disorder is where a person has an extreme fear of being judged negatively by other people, and suffers from a high level of social discomfort as a result. They tend to only enter into relationships where uncritical acceptance is almost guaranteed, undergo social withdrawal, suffer from low self-esteem, but have a great desire for affection and acceptance. However, they do not want the affection as much as they fear the rejection.
Bipolar Disorder - Bipolar disorder (also known as manic depression) is an affective disorder that causes periodic mood swings in which they cycle from depression to mania. Depression may be characterized by having a lack of motivation, difficulty doing tasks, short attention span, decreased appetite, crying spells, difficulty in getting to sleep or sleeping too much, and in the more severe cases thoughts of self harm. Mania is separated into two types: Full mania and hypomania. Mania may be characterized by a decreased need for sleep, decreased self-control, overspending, increased sexual activity, irritability, rage, risk-taking behaviors, and in the more severe cases psychotic states. Hypomania is described as having the same behaviors, to a less extreme level.
Body Dysmorphic Disorder - Body Dysmorphic Disorder occurs in people who are normal-looking. However, they are overly concerned with a small defect in their appearance, or they are preoccupied with an imagined defect in their appearance. In order to qualify for this diagnosis, this preoccupation must affect their lives in at least one situation, be it work, leisure or marriage, or cause significant distress. Oftentimes, those with this disorder may go so far as to have plastic surgery.
Borderline Personality Disorder - Borderline Personality Disorder (BPD) is characterized by a pattern of unstable personal relationships, a self-image that is not well formed, and poor impulse control. The person suffering from BPD fears abandonment and will go to any length to prevent this, including threats of suicide and self-harm.
Bulimia Nervosa - Bulimia Nervosa is a pattern of binge eating and purging, in which the bulimic view themselves as unable to control their eating, and feel guilty and angry after binging. Nearly 90% of bulimics engage in self-induced vomiting after binging, although this is not a requirement for a person to be diagnosed with this disorder. They can also be diagnosed if they engage in any inappropriate weight control method such as misuse of laxatives, taking diuretics, fasting, use of enemas, or excessive exercise. Bulimics, through binging or weight control measures, can vary their body weight up to 10 pounds per day.
Brief Phycotic Disorder - Brief Psychotic Disorder is a psychosis that has a rapid onset, generally following a major stressor. Its hallmark is emotional turmoil, mood lability, and confusion. The sufferer must have one of the following symptoms: delusions, hallucinations, grossly disorganized or catatonic behavior, or disorganized speech. A brief psychotic episode is time limited, lasting at least a day, but less than a month. As a rule, the quicker the onset, the faster the recovery.
Conduct Disorder - Conduct Disorder is essentially a disorder where the person violates the social norms and rights of others. Those with this disorder are habitually in trouble, either with parents, teachers or peers. Despite presenting a tough image to those around them, they have a low self-esteem. Their frustration tolerance, irritability, temper outbursts and recklessness are hallmarks. Conduct Disorder may lead to adult antisocial personality disorder.
Conversion Disorder - Conversion Disorder is a psychologically caused alteration or loss of physical function, such as blindness or paralysis. This alteration often has significance psychologically to the patient, even if they are unaware of it, and can persist for years.
Delerium - Delirium is a state where there is a shadowing of consciousness, disorientation, and loss of recent memory. The onset is quick (hours to days), and the symptoms may worsen as the day goes on, which is known as "sundowners syndrome". This may be caused by a medical condition, substance use, substance withdrawal, or medication side effects.
Delusional Disorder - There is not a single type of Delusional Disorder. There are a number of subtypes, but they share a major common feature. This is that the person has a nonbizzare delusion - a delusion that could occur in real life, that is. For example, a person that feels they are being followed or poisoned is nonbizarre, while a person who feels their parents are from mars is bizarre. The subtypes are erotomanic, in which the person believes that a person of usually higher status is in love with them; grandiose, which is delusions of inflated worth, power, knowledge, identity, or special relationships; jealous is that where they believe the sexual partner is unfaithful; persecutory by which they believe they or someone they are close to is being maltreated; somatic, in which they believe they have a physical problem, defect, or illness; or, the mixed type, in which more than one of the previous types is present.
Dementia - Dementia is categorized as being caused by four subtypes: Alzheimer's disease (the most common subtype, accounting for 50% of dementias); Vascular reasons (such as a stroke or hypertension, accounting for 9-15% of dementias); Substance abuse persisting dementias (accounting for 7-9% of dementias, with alcohol the major cause of most of these; and General medical conditions such as Parkinson's disease, Huntington disease, and other neurological illnesses (accounting for 20-30%). Psuedodementia can also be caused by other mental illnesses such as Major Depressive Disorder and Psychosis. Regardless of the cause, the dementias all have common factors. Initially in dementia, there is memory loss for recent events such as stoves being left on, keys being misplaced, conversations forgotten. Later, people begin to get lost while driving roads that they once knew very well, and questions must be repeated because the questions and answers are quickly forgotten. The long-ago memories are retained and dwelled upon. Personality changes occur, and the person may manifest changes that are the complete opposite from their previous personality. Poor judgment and impulse control often go hand-in-hand. They may speak crudely, make lewd gestures and display their genitals.
Dependant Personality Disorder - Dependent Personality Disorder is manifested via passively allowing others to assume responsibility for major areas of ones life due to lack of self-confidence or lack of ability to function independently. This leads to the person making their own needs secondary to the needs of others, and then becoming dependent on them. While everyone is dependent on others for some parts of their lives, those with dependent personality disorder are dependent on almost all major areas of their lives, and view themselves poorly, and good only as extensions of others.
Depersonalization Disorder - Depersonalization Disorder is where a person "looks at themselves from the outside", and observes their own physical actions or mental processes as if they were an observer instead of themselves. This often brings a sense of unreality, and an alteration in the perception of the environment around them, as well as the person fearing they are not in full control of themselves. Depersonalization can occur during a number of different times, and not be a disorder. In order to qualify as a disorder, it must be recurrent to the point that it interferes with daily functioning in at least one major area of life.
Depression - Major Depression affects 15% of Americans at some point during their lives, and 100 million people are affected on any given day. The age of onset is fairly evenly spread among people. The mean age is 40, but Depression can onset from childhood to seniors. It can come on suddenly in days, or build over years. Anxiety, phobias, panic and Dysthymia can predate it. On average, the course of Major Depression runs 3 to 9 months if untreated, and 85% cases resolve within 1 year. Over 1/2 of people who experience major depression only have one episode. With each successive episode, the patient has a 15% risk that their next episode will be a manic episode, changing their diagnosis to Bipolar Disorder. In the end, approximately 15-20% of those with major depression become chronically depressed. Approximately 15% of patients with major depression may commit suicide, as well, with men committing suicide at a rate 2 times as often as women.
Depression Disorder NOS - If a patient exhibits the depressive symptoms as the major feature of their disorder, but does not meet the criteria for any other mood disorder or any other mental disorder, then the depressive disorder, NOS is used.
Dissociative - In Dissociative Amnesia, the person is unable to remember personal information. They are aware that they have forgotten information, but do not know what they have forgotten. While they are able to perform simple tasks, they usually are unable to perform more complex ones such as shopping and cooking, instead wandering aimlessly. This type of amnesia usually lasts for a period of hours to days follows a severe stressor, and may be selective for a traumatic event.
Dissociative Disorder NOS - This is applied to disorders with dissociates features that do not meet the diagnostic criteria for dissociative amnesia, dissociative fugue, dissociative identity disorder, or depersonalization disorder. Examples include a second personality who is not sufficiently distinct, or the patient has no amnestic period. Also, derealization in the absence of depersonalization would fit in this category.
Dissociative Identity Disorder - Dissociative Identity Disorder (DID), formerly known as multiple personality disorder, is a disorder in which a person has more than one discrete, separate identity. Each identity is unique, and has its own sets of memories, ideas, thoughts, ways of thinking, and purposes. One identity may be the protector, while another may be a child. On average, a person with DID has between 8 and 13 separate personalities. DID generally results from a severe traumatic experience during the early childhood years.
Drug Addiction - Drug Addiction, or dependence, is defined as having at least 3 of the following signs: a tolerance for the drug (needing increased amounts to achieve the same effect), withdrawal symptoms, taking the drug in larger amounts that was intended or over a longer period of time than was intended, having a persistent desire to decrease or the inability to decrease the amount of the drug consumed, spending a great deal of time attempting to acquire the drug, and finally, continuing to use the drug even though the person knows there are reoccurring physical or psychological problems being caused by the drug.
Dyslexia - Dyslexia is a specific learning disability that is neurological in origin. It is characterized by difficulties with accurate and / or fluent word recognition and by poor spelling and decoding abilities. These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction.
Gender Identity Disorder - Gender Identity Disorder is where a persons anatomical sex and their gender identity conflict. This is also called transsexualism. In this disorder, there is a desire to be rid of one's own gender appropriate anatomy and to live as a person of the opposite gender. These people often, but not always, cross-dress to be in line with their gender identity. Increasingly, numbers of those with this disorder are choosing surgical interventions.
Insomnia - Insomnia is defined as a person being unable to fall asleep or maintain sleep. They feel tired or irritable the next day often worry about sleeping, and at night fear going to bed because they don't think they will be able to sleep. During they day they may fall asleep at unexpected times. In order to be diagnosed, the difficulty must last for at least a month, and cause a significant impairment or distress in an important area of functioning.
Hypochondriasis - Those who have Hypochandriasis have a constant overwhelming preoccupation with the physical symptoms, signs and sensations that they might have, and make unrealistic ominous interpretations. While there may truly be a physical disease present, it is the constant preoccupation and ominous interpretation that sets them apart from the regular medical patient.
Pain Disorder - Pain Disorder is when a patient presents with actual pain, and the pain causes significant distress or impairment. The pain must be judged to have psychological factors that have played an important role in the onset, severity or maintenance of the pain.
Obsessive-Compulsive Personality Disorder - Obsessive-Compulsive Personality Disorder is characterized by a person who has a decreased ability to show warm and tender emotions, a perfectionism that decreases the ability to see the larger picture, difficulty in doing things anyway but their own, and an excessive devotion to work, as well as indecisiveness. Essentially, everything must be just right, and nothing can be left to chance.
Obsessive-Cumpulsive Disorder - Obsessive-compulsive disorder (OCD) means that the person has illogical and irresistible thoughts or impulses (Obsessions) that they consider absurd and actively attempt to resist. They are acted out physically as a way to reduce the anxiety associated with the obsessions (compulsions). There is usually a feeling that something bad will happen if they do not act upon the obsessions (catch a disease, thus they wash their hands very frequently and ritualistically).
Nightmare Disorder - A Nightmare Disorder consists of repeated awakenings from sleep, normally in the second half of the sleep period, with detailed memories of long and very frightening dreams. These dreams normally consist of threats to physical survival, security or self-esteem. Unlike sleep terrors, the person with nightmares becomes quickly oriented to their surroundings.
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[insert your name here] Crew
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[insert your name here] Crew
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Posted: Wed Feb 02, 2005 6:40 pm
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Posted: Wed Feb 02, 2005 6:42 pm
-Reserve for rant about how I plan to perform surgery on Moros-
((.....*dashes away* ))
Ruriko: You won't get away!
::Grabs scissors::
(( gonk ))
heart
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[insert your name here] Crew
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[insert your name here] Crew
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Posted: Wed Feb 02, 2005 6:44 pm
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Posted: Thu Feb 03, 2005 4:38 pm
(( 10% more malpractice biggrin !!!!
XD Lucky Mary, she gets to be the first patient admitted!
Mary: -_o?
Maria: You're supposed to be knocked out >>
Mary: x_x
Laura: gonk ))
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Posted: Thu Feb 03, 2005 4:46 pm
Maria and Laura had made their way to this new hospital. Apparently, Maria was right and there was a hospital back in the safe confines of the Chunsa guild. And it did serve Akma.
Both girls looked behind them to make sure that James was following them, with Mary safely in his arms. Laura was willing to keep her mouth shut and refrain from antagonizing James during this rather rough time period.
"This should be the place... Fromage said it was here..." Maria tried to reassure herself.
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Posted: Thu Feb 03, 2005 4:51 pm
He really couldn't stand it, but managed to put up with it. Looking at Mary, she was so hurt, and he was so worried. He really hoped she was okay.
"Good, it's here."
He said, camly.
"Then we better hurry up and get Mary taken care of."
He moved on forward, holding Mary carefully.
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[insert your name here] Crew
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Posted: Thu Feb 03, 2005 5:00 pm
"Yeah..." Maria agreed, holding the door open for James so that he and Mary could get through. She immediately winced at the... too-clean smell that filled with the hospital air. It appeared that they were in look, because there was someone sitting at the reception table.
Gah! Fromage!
"Ah HA! I knew you did it again!" Fromage cackled, pointing to James evilly. She was immediately silenced by a brick.
"...?" Both Maria and Laura exchanged confused glances.
"Anyway, this is a self-serve hospital!" Fromage said, pointing to the stairs. "Just take Mary up the stairs and pick a hospital room. Everything else will do the rest."
Fromage's instructions didn't seem correct, but Maria wasn't really in the mood to argue. Turning to James, she motioned towards the staircase.
"Might as listen to the crazy old bat. Let's go."
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![[insert your name here]'s avatar](https://a1cdn.gaiaonline.com/dress-up/avatar/ava/f4/e4/30a6138d2e4f4_flip.png?t=1172281814_3.00_11)
