We've dealt with unique challenges before. [At his mention of doctor-patient confidentiality, she shuts the door behind her. She'd have done that anyway, of course, but it's got a little more significance with that question being raised.] And you can be assured of my discretion. I don't make public the difficulties of even my most trying patients.
[She gives him a little smile with that, an attempt to lighten the mood, since Jim is clearly worried about this matter. Then she fetches one of many spiral-bound notebooks from the cabinet and a pen.]
You don't strike me as the gossiping type anyhow, Doc. Promise I'll be a peach, though.
[ It's more than his regular doctor gets, that's for sure. But the cussin' Bones did was just his way of showing he cared, and Jim being an idiot was part of the package. Ethlyn gets out the notebook and offers him a smile that Jim returns, before he settles into the difficult area of how to begin, exactly.
The start's a good a place as any, he guesses. ]
As I'm sure you're no doubt aware, Spock and I are from a different universe. We're also from the future. [ Jim's never said it in so many words before; some might have deduced it, based on their advanced knowledge about certain things, but they've been trying to keep it to a minimum. Ethlyn, however, is now in the need-to-know category, and Jim's going to trust she'll stand by her word and keep it to herself, which is more important than the rest of his health information, truth be told. ] I was born in space.
[ Jim's hands fold over each other in his lap, fingertips running over the back of his knuckles absently. ] There were extenuating circumstances that made it a necessity, but that also makes it a rarity. Comes with a lot of side effects; we still don't fully know all of the implications.
My eyes, for example. [ He tilts his head, gesturing up to his eyes, the unnatural blue color. In another life, they'd been brown. ] Side effect of unshielded exposure to radiation.
My immune system is shot to hell because of it. So my allergy list - [ Despite the fact that Ethlyn has a notebook, Jim still pats his pockets and pulls out a folded note to hand to her. ] - is extensive. Kumquats, peanuts, almonds and most other tree nuts, shellfish, grapefruit, pineapple, soybeans, beets, raspberries, papaya, pears, avocados...I'm probably forgetting something, I wrote them all down. Nickel, though that's unlikely to be found in food. You know they use it in the buttons here, on most jeans? Found that one out the hard way.
Even allergic to the anti-allergy medication we have back home, which should be impossible, but that's my forte. [ Jim snorts and offers a helpless shrug. ] So uh, first order of business is to probably get one of those...I don't even know what you call it, we call them hyposprays? The thing you inject into me when I'm dying, so I don't die from accidentally eating something I shouldn't have. They're full of epinephrine?
[It's interesting, Ethlyn thinks to herself, how certain words have become shorthand for people to describe their homelands to each other. As far as she was concerned, up until arriving here, she was born into modern times. That meant a time ruled by a king who was beholden by responsibility to his vassals instead of an imperial tyrant, public windmills and plate armor instead of hand-turned grindstones and chain mail with leather. Only after meeting people here did she learn the word medieval, an era far beyond the state-of-the-art times enjoyed by most others.
The future, Jim says, as though it is a future relative to him--when of course to him, it must simply be normal.]
...When you say born in space, I expect that means aboard a vessel of some kind. I'm given to understand that there isn't actually any air beyond a planet's borders. [But it's an interesting side effect. Ethlyn knows of allergies; she's heard of people who have had one or a few of those.
Jim rattles off an impressively long list of them. It takes a little bit of exertion for her not to raise her eyebrows or wince. Good grief, the grocer's must be an absolute minefield for the poor man.] I believe you're talking about a hypodermic needle?
[She finds one and shows it. Sadly not the kind of hypospray he's used to--something far more invasive. But really, the anticipation is the worst part.]
We do have a stock of epinephrine. A simple and yet very impressive medicine. I can set you up with it--are you all right with giving injections to yourself?
[ A future relative to their current surroundings, that's for sure. The equipment available around them was several hundred years old by Jim's standards; there were no dermal regenerators here, no tricorders save the one Spock had arrived with, no replicators - hell, Jim had a keyring. Actual, physical keys were used to open doors. Imagine that. ]
Aboard a passenger shuttle, during an emergency evacuation. [ Jim clarifies, nodding at her assessment. ] No, there isn't. A planet's atmosphere keeps it in - it also filters out a lot of radiation, hence, you know. Unshielded exposure.
[ It's a big fuckin' needle, and Jim makes a face, unable to help himself. Oh yeah, that'll be super fun when his throat is closing up. ] Yeah, that would be the one. I should be okay; if I'm incapacitated, hopefully someone around me can administer it.
I'll send over my full records to you, I need to get them printed. [ He'd rather not download them off his comm just to plug them into the Aldrip system, on the off chance it gives the AI far too much access to his information (as if they didn't already know everything - though curiously, there were some gaps in the Council's knowledge that had already been made apparent). ] I have a complicated history, but hopefully none of it becomes imminently relevant.
[ Like the fact that he had a complete osteoregeneration at age 15, a procedure common in people over age 70 - or his induced puberty, to manually trigger the growth spurt he'd skipped out on. Or the more recent, curious entry that entered a time of death - and then a miraculous resuscitation 2 full hours later.
Best not to worry about it. ]
I should also submit myself to an eye exam. [ Jim admits this ruefully; clearly, if it were up to him, he wouldn't. ] Council forgot to send me here with my reading glasses.
[Ethlyn grimaces. She still has a hard time envisioning space travel--what she imagines is akin to trying to give birth on a tiny rocking boat thanks to shipwreck. It sounds like a hellish experience.
And at least the worst thing your child would get hit with was sea spray.]
Don't worry. It's not nearly as painful as you're imagining. You should still know how to do it yourself just in case something happens and you're isolated--we can make some time to practice together. I'll set up some dummy needles and you can try it out on oranges.
[She grimaces when he mentions the lack of reading glasses. Glasses are something fairly new in her time, and she knows how much of a godsend they are to those who need them.]
No allergy medication and no glasses... that really isn't acceptable at all. [You know, as though any of this is.] How can you atone for your crimes if you can't even read what they are?
[ From what Jim understands about the whole experience, he can't imagine Ethlyn is very far off in her assessment. ]
It looks pretty...invasive. [ Jim hedges, clearly reluctant, though in the end he'd do what needed to be done. Hypos weren't that bad, a pinch at most - sometimes more painful, especially the way Bones tended to do it, jamming the damn thing into his major artery. A vicious kind of glee to be had in it, at Jim's expense - but that's just how they showed their love. ] But probably a good idea, thank you.
That's a good question. [ Jim snorts, amused by the fantasy of taking the complaint all the way to the top. What he'd give to wipe the innocent expression off Jerry's face. ] I mostly just squint at the words until I'm too tired to try anymore.
[It does look intimidating, Ethlyn can't deny that. It definitely took her a long time of practicing before she felt confident using a hypodermic needle on a person.]
I know. But trust me, you'll get used to it before you know it.
[Really, what hypodermic needles can do was more than enough motive for her to not be frightened of doing it. Preventing disease before it starts? Putting medicine right into a person's veins so it's carried through their body in one beat of the heart? Allowing people to live for years with diseases that would have killed them before they could live their life?
It's nothing short of miraculous. And the fact that it was invented by ordinary people doesn't change that.]
But the reading glasses should be easier to fix. There are several glassworkers in this town--I'm sure one will be able to make a pair of lenses for you.
You got it, doc. My life in your hands. [ Half a joke, half not. It's a miracle he hasn't accidentally eaten something yet that sent him into anaphylactic shock. Spock has been diligent in ensuring they don't keep anything in the house that would set him off, but even from a stray snack or something he picked up at a food cart - so far, he's been all good.
...he probably just jinxed it by thinking that, didn't he? God, he hopes that's not foreshadowing, but then, who is he kidding, with his luck?
Glassworkers. Wild. Usually Jim just got a test done for his rating and replicated his own glasses at home. He nods his acquiescence. ] Great. We'll just have to see how bad I am. It's been getting worse, the near-sightedness.
[ Especially since his death-and-resurrection, with so much radiation damage. Which, speaking of - ]
There's one other thing you need to know. [ Jim's hand absently moves to encircle his wrist, squeezing the joint. Partially to relieve joint pain, as he's so accustomed, but also an anxious gesture, to anyone who can read him particularly well. ] As I mentioned, I'm from a future time, so what I'm about to tell you is more advanced than Aldrip, and it's imperative that we keep this between us.
The file you're going to receive is...dense, and we can discuss it in more detail if you have any questions, but ah. Well. [ Jim squeezes his wrist and continues, blue gaze fixed on Ethlyn's unique pink. ] There was a period of time in my childhood where I suffered from severe starvation.
[ The report details Kodos' insanity in neat bullet points, but it's easier for Jim to just disassociate and barrel through. ] As a result, I had a stunted puberty, which they fixed but - anyway, part of my recovery required a full osteoregneration, which is a procedure where they regrow your bones.
[ Yeah. And he said full. ] Normally, the bones are just as healthy as the originals, but about two and a half years ago, I was irradiated. It weakened them severely, and I was diagnosed with osteoarthritis. [ Which, good God, the fucking irony. ]
At the same time, I was also diagnosed with SPS - stands for Stiff Person Syndrome. It's an autoimmune neurological disorder, and my immune system has always been shit. Guess the radiation pushed it over the top. [ A flash of a smile, and a helpless shrug. ] Not to mention the hypertension - I'm getting off track. Point is, SPS in this time has a 10 year life expectancy, and no known cure.
[ Jim reaches into his pocket and frees the hypospray from the confines, offering it to Ethlyn. ] Back home, we've developed a medication. Makes it survivable, hell, livable. Spock synthesized it here, so that's the good news. I want to give you this one to hold on to, but Ethlyn - I cannot stress this enough - no one else can see this. I don't know if what we do affects time, here, but...Spock and I are doing our best not to mess it up by accident.
Ethlyn's seen the word in a few of her books. She knows about solar radiation, and how it's the cause of sunburns and the malignancy that can follow in later years, something about how it disrupts the mechanisms of cellular replication. And she's seen mention of something called radiation sickness, but its causes seemed so remote and unlikely that she had moved past it to other things.
She'll have to check it again.
She accepts the offered device. It's not unlike a syringe, but she can tell that it's different. It doesn't have the big needle on the end, for a start.]
Do you mean that knowing the wrong thing about the past or the future might have an effect if you're sent back?
[ Jim's definitely just pushed her medical knowledge quite a few steps further; like he said, if she has further questions he's happy to help her with what he can. While he's not a medical doctor, he knows enough about the advanced treatments he's a recipient of to be useful.
He nods, leaning back to brace his hands against the table again. ] It's possible. For all my time might know about space travel, time travel is still a mystery we're in the process of unfolding. I don't know what it could mean for my world, your world...if it has an effect at all, if it's negligible, if it's not.
To be honest, there are a few things I would change about the history of my world if I could. But that's my world, not yours. [She smiles, a little sadly.] I can understand your desire to be careful with it, especially if you don't know what will happen if anything changes.
So would I. [ The smile Jim offers her is gentle, empathetic. No one here has an uncomplicated history, of that, Jim's sure. He doesn't want to pry, but maybe if she comes over for tea sometime, they can talk in a more relaxed environment. ] But there's no way to anticipate what would change, yeah. It's more delicate than we can know.
You can't help but wish for more time. [ Jim knows exactly how that feels. Maybe they're all pretty similar, that way. ]
We try to focus on the here and now. [ They might not even have a future outside of this place, but the thought is too dark to voice for pre-10AM. Besides, Jim is…well, he’s guilty of telling Spock a helluva lot. Not anything he thinks could get them into hot water, but… ] And it's true...it could be an over-abundance of caution. But it won't hurt to be safe.
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[She gives him a little smile with that, an attempt to lighten the mood, since Jim is clearly worried about this matter. Then she fetches one of many spiral-bound notebooks from the cabinet and a pen.]
What do I need to know about?
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[ It's more than his regular doctor gets, that's for sure. But the cussin' Bones did was just his way of showing he cared, and Jim being an idiot was part of the package. Ethlyn gets out the notebook and offers him a smile that Jim returns, before he settles into the difficult area of how to begin, exactly.
The start's a good a place as any, he guesses. ]
As I'm sure you're no doubt aware, Spock and I are from a different universe. We're also from the future. [ Jim's never said it in so many words before; some might have deduced it, based on their advanced knowledge about certain things, but they've been trying to keep it to a minimum. Ethlyn, however, is now in the need-to-know category, and Jim's going to trust she'll stand by her word and keep it to herself, which is more important than the rest of his health information, truth be told. ] I was born in space.
[ Jim's hands fold over each other in his lap, fingertips running over the back of his knuckles absently. ] There were extenuating circumstances that made it a necessity, but that also makes it a rarity. Comes with a lot of side effects; we still don't fully know all of the implications.
My eyes, for example. [ He tilts his head, gesturing up to his eyes, the unnatural blue color. In another life, they'd been brown. ] Side effect of unshielded exposure to radiation.
My immune system is shot to hell because of it. So my allergy list - [ Despite the fact that Ethlyn has a notebook, Jim still pats his pockets and pulls out a folded note to hand to her. ] - is extensive. Kumquats, peanuts, almonds and most other tree nuts, shellfish, grapefruit, pineapple, soybeans, beets, raspberries, papaya, pears, avocados...I'm probably forgetting something, I wrote them all down. Nickel, though that's unlikely to be found in food. You know they use it in the buttons here, on most jeans? Found that one out the hard way.
Even allergic to the anti-allergy medication we have back home, which should be impossible, but that's my forte. [ Jim snorts and offers a helpless shrug. ] So uh, first order of business is to probably get one of those...I don't even know what you call it, we call them hyposprays? The thing you inject into me when I'm dying, so I don't die from accidentally eating something I shouldn't have. They're full of epinephrine?
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The future, Jim says, as though it is a future relative to him--when of course to him, it must simply be normal.]
...When you say born in space, I expect that means aboard a vessel of some kind. I'm given to understand that there isn't actually any air beyond a planet's borders. [But it's an interesting side effect. Ethlyn knows of allergies; she's heard of people who have had one or a few of those.
Jim rattles off an impressively long list of them. It takes a little bit of exertion for her not to raise her eyebrows or wince. Good grief, the grocer's must be an absolute minefield for the poor man.] I believe you're talking about a hypodermic needle?
[She finds one and shows it. Sadly not the kind of hypospray he's used to--something far more invasive. But really, the anticipation is the worst part.]
We do have a stock of epinephrine. A simple and yet very impressive medicine. I can set you up with it--are you all right with giving injections to yourself?
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Aboard a passenger shuttle, during an emergency evacuation. [ Jim clarifies, nodding at her assessment. ] No, there isn't. A planet's atmosphere keeps it in - it also filters out a lot of radiation, hence, you know. Unshielded exposure.
[ It's a big fuckin' needle, and Jim makes a face, unable to help himself. Oh yeah, that'll be super fun when his throat is closing up. ] Yeah, that would be the one. I should be okay; if I'm incapacitated, hopefully someone around me can administer it.
I'll send over my full records to you, I need to get them printed. [ He'd rather not download them off his comm just to plug them into the Aldrip system, on the off chance it gives the AI far too much access to his information (as if they didn't already know everything - though curiously, there were some gaps in the Council's knowledge that had already been made apparent). ] I have a complicated history, but hopefully none of it becomes imminently relevant.
[ Like the fact that he had a complete osteoregeneration at age 15, a procedure common in people over age 70 - or his induced puberty, to manually trigger the growth spurt he'd skipped out on. Or the more recent, curious entry that entered a time of death - and then a miraculous resuscitation 2 full hours later.
Best not to worry about it. ]
I should also submit myself to an eye exam. [ Jim admits this ruefully; clearly, if it were up to him, he wouldn't. ] Council forgot to send me here with my reading glasses.
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And at least the worst thing your child would get hit with was sea spray.]
Don't worry. It's not nearly as painful as you're imagining. You should still know how to do it yourself just in case something happens and you're isolated--we can make some time to practice together. I'll set up some dummy needles and you can try it out on oranges.
[She grimaces when he mentions the lack of reading glasses. Glasses are something fairly new in her time, and she knows how much of a godsend they are to those who need them.]
No allergy medication and no glasses... that really isn't acceptable at all. [You know, as though any of this is.] How can you atone for your crimes if you can't even read what they are?
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It looks pretty...invasive. [ Jim hedges, clearly reluctant, though in the end he'd do what needed to be done. Hypos weren't that bad, a pinch at most - sometimes more painful, especially the way Bones tended to do it, jamming the damn thing into his major artery. A vicious kind of glee to be had in it, at Jim's expense - but that's just how they showed their love. ] But probably a good idea, thank you.
That's a good question. [ Jim snorts, amused by the fantasy of taking the complaint all the way to the top. What he'd give to wipe the innocent expression off Jerry's face. ] I mostly just squint at the words until I'm too tired to try anymore.
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I know. But trust me, you'll get used to it before you know it.
[Really, what hypodermic needles can do was more than enough motive for her to not be frightened of doing it. Preventing disease before it starts? Putting medicine right into a person's veins so it's carried through their body in one beat of the heart? Allowing people to live for years with diseases that would have killed them before they could live their life?
It's nothing short of miraculous. And the fact that it was invented by ordinary people doesn't change that.]
But the reading glasses should be easier to fix. There are several glassworkers in this town--I'm sure one will be able to make a pair of lenses for you.
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...he probably just jinxed it by thinking that, didn't he? God, he hopes that's not foreshadowing, but then, who is he kidding, with his luck?
Glassworkers. Wild. Usually Jim just got a test done for his rating and replicated his own glasses at home. He nods his acquiescence. ] Great. We'll just have to see how bad I am. It's been getting worse, the near-sightedness.
[ Especially since his death-and-resurrection, with so much radiation damage. Which, speaking of - ]
There's one other thing you need to know. [ Jim's hand absently moves to encircle his wrist, squeezing the joint. Partially to relieve joint pain, as he's so accustomed, but also an anxious gesture, to anyone who can read him particularly well. ] As I mentioned, I'm from a future time, so what I'm about to tell you is more advanced than Aldrip, and it's imperative that we keep this between us.
The file you're going to receive is...dense, and we can discuss it in more detail if you have any questions, but ah. Well. [ Jim squeezes his wrist and continues, blue gaze fixed on Ethlyn's unique pink. ] There was a period of time in my childhood where I suffered from severe starvation.
[ The report details Kodos' insanity in neat bullet points, but it's easier for Jim to just disassociate and barrel through. ] As a result, I had a stunted puberty, which they fixed but - anyway, part of my recovery required a full osteoregneration, which is a procedure where they regrow your bones.
[ Yeah. And he said full. ] Normally, the bones are just as healthy as the originals, but about two and a half years ago, I was irradiated. It weakened them severely, and I was diagnosed with osteoarthritis. [ Which, good God, the fucking irony. ]
At the same time, I was also diagnosed with SPS - stands for Stiff Person Syndrome. It's an autoimmune neurological disorder, and my immune system has always been shit. Guess the radiation pushed it over the top. [ A flash of a smile, and a helpless shrug. ] Not to mention the hypertension - I'm getting off track. Point is, SPS in this time has a 10 year life expectancy, and no known cure.
[ Jim reaches into his pocket and frees the hypospray from the confines, offering it to Ethlyn. ] Back home, we've developed a medication. Makes it survivable, hell, livable. Spock synthesized it here, so that's the good news. I want to give you this one to hold on to, but Ethlyn - I cannot stress this enough - no one else can see this. I don't know if what we do affects time, here, but...Spock and I are doing our best not to mess it up by accident.
no subject
Ethlyn's seen the word in a few of her books. She knows about solar radiation, and how it's the cause of sunburns and the malignancy that can follow in later years, something about how it disrupts the mechanisms of cellular replication. And she's seen mention of something called radiation sickness, but its causes seemed so remote and unlikely that she had moved past it to other things.
She'll have to check it again.
She accepts the offered device. It's not unlike a syringe, but she can tell that it's different. It doesn't have the big needle on the end, for a start.]
Do you mean that knowing the wrong thing about the past or the future might have an effect if you're sent back?
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He nods, leaning back to brace his hands against the table again. ] It's possible. For all my time might know about space travel, time travel is still a mystery we're in the process of unfolding. I don't know what it could mean for my world, your world...if it has an effect at all, if it's negligible, if it's not.
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[Hell, even an hour, a minute.]
It must take so much self-control not to tell each other everything you know.
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We try to focus on the here and now. [ They might not even have a future outside of this place, but the thought is too dark to voice for pre-10AM. Besides, Jim is…well, he’s guilty of telling Spock a helluva lot. Not anything he thinks could get them into hot water, but… ] And it's true...it could be an over-abundance of caution. But it won't hurt to be safe.