crystal & medical questionnaire.

[portalling]

FORM: Sending crystal + blank questionnaire available at the infirmary
SENDER: Stephen Strange
RECIPIENT: Everyone
NOTES: The form is below! Submit your character’s response as a reply to that sub-thread, and this will also be linked from the Riftwatch orientation & infirmary wiki pages for posterity, so you can edit/submit a new one if details change. Your character does not have to take this super seriously. Strange might just come nag if they don’t.

What with the new faces recently, I’ve been working on the medical curriculum and refreshing the infirmary’s recordkeeping. It’s high time to establish some better-kept patient files.

To that end, we’ve provided a written questionnaire at the infirmary — thank you to Amsel for her neat penmanship — and I’d appreciate it if you could fill out a form for yourself and drop it off. The records will only be referenced by healers in the course of their duties, and otherwise locked away; your personal details will remain private. Having as much information as possible will only help the healers take care of you properly.

If you don’t read Trade or otherwise require assistance filling out the form, say as such and we can have someone sit with you. Any other questions, let me know.

— but also, fill it out.

Comments

medical questionnaire.

[portalling]

<span style="font-size: 1.5em; font-weight: bold; ">medical details</span> <b>Name:</b> <b>Age:</b> <b>Rifter:</b> Y/N <b>Anchor:</b> Y/N, and if Y, location on body & how long you’ve had it <b>Pre-existing conditions:</b> Incl. food/herb allergies, poor eyesight, lung issues, old troublesome wounds or missing limbs, etc. <b>Any ongoing treatment:</b> E.g. lyrium regimen, elfroot for chronic pain management, mobility aids, physical therapy, etc. <span style="font-size: 1.5em; font-weight: bold;">contingency plans</span> <b>Emergency contact(s):</b> Is there anyone specific who should be kept apprised of your condition? Any next-of-kin outside Riftwatch to notify in the worst instance? <b>Belongings:</b> If something untoward were to happen, what would you like Riftwatch to do with your belongings? <b>Preferred burial practice:</b> Pyre, interment, ground burial, ashes scattered somewhere specific, or something else? If a shard-bearer, are you comfortable donating your shard limb to Research, so that we may better study the anchors?

medical questionnaire - tav

[tadpoled]

medical details
Name: Tav
Age: ???
Rifter: Y
Anchor: Y, R hand, seven months

Pre-existing conditions: Blackouts, amnesia, violent urges, sharing a body with someone else
Any ongoing treatment: Fade

contingency plans
Emergency contact(s): No
Belongings: Burn them
Preferred burial practice: Pyre

lazar

[extortionate]

medical details
Name: Lazar de Cygne
Age: 35 (?)
Rifter: N
Anchor: N

Pre-existing conditions:

Shot

Stabbed

Sliced

Poisoned

Cut

Bruised

Beat

Blistered

Battered

Basted

Scuffed

Kicked

Busted

Burned

Scratched

Shocked

Punched

Pinched

Clubbed

Bashed

Wet leg

Baby leg

Dry mouth

Smashed

Snapped

Abraded

Ennuis

Thrown off cliff (small)

Jumped off cliff (big)

Frostbite

Strangled

Suffocated

Crabs (figurative)

Crabs (literal)

Crabs (hypothetical)

Drowned

Bitten

Clawed

Broken nose

Wonky knee

Nut allergy

Any ongoing treatment:

You got something, I’ll take it.


contingency plans
Emergency contact(s):

Sybelle de Cygne, of Val Royeaux.

Belongings:

Return wedding band. If you can get some blood on it, figure that's dramatic.

Preferred burial practice:

Pyre.

Tell her I died heroic. Lie if you gotta, just make it impressive.

isaac; sorry i cant read "reply to this" buttons

[wythersake]

medical details
Name: Isaac
Age: 46
Rifter: N
Anchor: N

Pre-existing conditions:

No major injury or illness.

Limited ongoing exposure to toxins. If I didn't make it to an antidote before keeling over, then good luck to us both.

Any ongoing treatment:

Cigarettes, prescribed daily for health and good cheer.

Occasional lyrium use to supplement fieldwork.

contingency plans
Emergency contact(s):

In the event of my death, contact Mssr. Henrique, employed at the Barony of Val Revin regarding the dispersal of my Orlesian investments. There’s money in it for Riftwatch.

Belongings:

See that someone’s good to Smythe.

Preferred burial practice:

I don't intend to die. However, a pyre will do.

Abby

[armd]

medical details
Name: Abby Anderson
Age: 25
Rifter: Y
Anchor: Y, right hand. Three years.

Pre-existing conditions: Bursitis — right shoulder, TMJ dysfunction. Got a lot of old scarring but it isn't causing any problems
Any ongoing treatment: Nothing

contingency plans
Emergency contact(s): Clarisse la Rue. If something happened to Clarisse, alert Gwënaelle. If something happened to Gwënaelle we're probably all doomed so don't worry about it
Belongings: See above
Preferred burial practice: Pyre. Happy to donate my shard

cedric carsus

[dissolving]

medical details
Name: Cedric Carsus
Age: 28
Rifter: N
Anchor: Y - Left hand, 6 months. Does a shield.

Pre-existing conditions:
Right ear got bit a few years back, had to trim some more for fever. Hearing goes funny sometimes.

Any ongoing treatment:
Lyrium, 10 years. Can fight until about five days off.

contingency plans
Emergency contact(s):
N/A

Belongings:
Return Chantry property (arms, armor, & etc). Keep or sell the rest.

Preferred burial practice:

Preservation and possession. Head only. If there's no local necromancer, just pack it in salt.

Ship to Brother Teodor of Cumberland, he'll handle interment and pay you back any costs. There's a letter in my desk.

You can keep the arm.

ness

[aberratic]

[ updated as of 9:51 solace. ]

medical details
Name: Ennaris Tavane
Age: 20 21
Rifter: Y
Anchor: Y, Right hand, roughly a month N, amputated 9:51 Drakonis

Pre-existing conditions: N/A Amputated right forearm
Any ongoing treatment: N/A Ongoing monitoring for neuroma/nerve pain and other complications in amputated limb.

contingency plans
Emergency contact(s): N/A Stephen, please make sure to let yourself know if something happens to me.
Belongings: Donate them, or otherwise use them for something useful.
Preferred burial practice: Interment, please study my anchor. If the Grand Necropolis will accept my bones, they may have them. Otherwise, interment.

gwenaëlle baudin

[elegiaque]

medical details
Name: Gwenaëlle Clothilde Decima Baudin (Vauquelin)
Age: 30
Rifter: No
Anchor: Yes, left hand, eight years.

Pre-existing conditions: Missing left eye, require reading glasses for remaining farsighted right eye.
Any ongoing treatment: No.

contingency plans
Emergency contact(s): Dr Stephen Strange, or Lady Alexandrie d'Asgard, or Florent Vascarelle. Notify the present Duc de Coucy to carry out my final wishes.
Belongings: I have records of my wishes in my study and the most current version lodged with a representative for the de Coucy estate in Hightown.
Preferred burial practice: Take the anchor and do whatever's convenient with the remainder.

clarisse

[laruetheday]

medical details
Name: Clarisse La Rue
Age: 21
Rifter: Y
Anchor: Y, right hand, 2 years

Pre-existing conditions: Demigod
Any ongoing treatment: Nope

contingency plans
Emergency contact(s): Abby
Belongings: Do whatever you want with most of it, but DON'T give my spear away. It stays with me.
Preferred burial practice: Burial shroud + pyre. You can keep the anchor shard.

bastien

[cozen]

medical details
Name: Bastien
Age: Might turn 40 this year. I haven’t decided.
Rifter: N
Anchor: N

Pre-existing conditions: Deaf in left ear.

Any ongoing treatment: None.

contingency plans
Emergency contact(s): Byerly Rutyer & (if I am dead) the dwarven bank in Hightown.
Belongings: All to Byerly, unless he’s also gone. If he is give the cello to Alexandrie d’Asgard and give the lute to the bank to handle, and everyone can pick through what’s left.
Preferred burial practice: Pyre, ashes to Byerly.

kostos averesch

[exequy]

medical details
Name: Kostos Averesch
Age: 30s
Rifter: N
Anchor: N

Pre-existing conditions: None
Any ongoing treatment: None

contingency plans
Emergency contact(s): Nell Voss if she asks. Would prefer Isaac as a healer if too unconscious to say otherwise but don’t tell him I requested him. Inform Petros Averesch and Valaria Averesch. Make it sound painless.
Belongings: Talas can live in the rookery as long as he isn’t forced back into employment. Nell Voss has dibs on anything she asks for. Give the rest to my parents. [ For his crypt. When you’re Nevarran you can take it with you. ]
Preferred burial practice: Mummification. You make have to bring someone in or send the body to Nevarra. Not Ilias Fabria or Benevenuta Thevenet.

redvers keen

[atonally]

medical details
Name: Redvers Keen
Age: 47
Rifter: N
Anchor: Y, right hand, since Wintersend 9:48

Pre-existing conditions: Lyrium use. Sore knees.
Any ongoing treatment: Lyrium regimen (1 draught a day give or take).

contingency plans
Emergency contact(s): Inform Knight-Commander Beltrané Artiaga and Mother Leonarda of Starkhaven. Between them they’ll see to the rest.
Belongings: Templar equipment should be returned to the Order.
Preferred burial practice: Pyre. Ashes to Mother Leonarda as well.

[biggame]

medical details
Name: Lord Xiomara Asaaranda Novoa
Age: 29
Rifter: N
Anchor: N

Pre-existing conditions: I’m perfect.
Any ongoing treatment: None!

contingency plans
Emergency contact(s): Evelyn. Fivera and Fabrizio too if they’ve come back and I forgot to update the form. They know how to reach my parents. If none of them are here someone has to write to Asaara and Ramona, Iverranfar, Rivain.
Belongings: Caballero isn’t a belonging but he should stay with Evelyn, Fivera, or Fabrizio if he can. If he can’t, he can’t be released. He’ll be too friendly to people and someone will hurt him. So someone here will have to learn how to speak bear and look after him. If you give him to a circus or some fucking bear dancer street performer I’ll come back and haunt you so hard. Friends can pick keepsakes if they want them. Everything else, sell or send to Iverranfar depending on how big it is.
Preferred burial practice: Burn me. Make the fire a cool color if you can.

medical questionnaire - vlast

[allthatgleamsisgold]

medical details
Name: Vlast
Age:
Rifter: Yes
Anchor: Yes, right palm

Pre-existing conditions: A wound on my left side that requires occasional stitching.
Any ongoing treatment: I am able to manage my own needs.

contingency plans
Emergency contact(s):
Belongings: Split them among yourselves.
Preferred burial practice:

vanya orlov

[wearyallalone]

medical details
Name: Vanya Orlov
Age: 47
Rifter: N
Anchor: N

Pre-existing conditions: lyrium addiction; approximately 18 months off of regular use. Cravings occasionally persist, and it is possible that long-term effects such as memory loss could still be in play, though I have nothing specific to report.
Any ongoing treatment: n/a

contingency plans
Emergency contact(s): If I am killed, please send word to my parents in Nevarra City. I have attached their names and the address where a raven will reach them.
Belongings: Please forward any personal correspondence to the original letter-writers, if they can be reached. Any other personal effects may be used in the organization if desired, or sold to raise coin.
Preferred burial practice: If possible, please preserve my corpse in the Nevarran fashion. If costs allow, I would like my remains sent back to my family.

siegfried farnon

[inmycare]

medical details
Name: Siegfried Farnon
Age: 44
Rifter: N
Anchor: N

Pre-existing conditions: none of which I'm aware
Any ongoing treatment: n/a

contingency plans
Emergency contact(s): Please notify my brother, Tristan Farnon, should anything happen to me.
Belongings: I've a formal will, which Tristan has possession of. If possible, he should come to Kirkwall to retrieve Volonel, my medical equipment and any personal items. Any herbs, medications or other perishable goods may go to the Riftwatch infirmary, and of course any equipment issued by the organization will be returned.
Preferred burial practice: Pyre, though if practical, allow travel time for Ansburg family to attend the ceremony. (If not, please preserve some ashes to return to them with my effects.)

julius

[overharrowed]

medical details
Name: Julius
Age: 47
Rifter: N
Anchor: N

Pre-existing conditions: occasional stiffness or soreness from former injuries, but none preventing normal mobility
Any ongoing treatment: none

contingency plans
Emergency contact(s): Petrana de Cedoux and Marcus Rowntree
Belongings: I have a written will which can be found in my office. If for any reason that document should be destroyed or inaccessible, allow the two individuals above to take anything they wish and the balance may be returned to Riftwatch for general use.
Preferred burial practice: pyre

cosima niehaus

[youwonscience]

medical details
Name: Cosima Niehaus
Age: hard to be certain, but mid-30s seems more or less correct
Rifter: Y
Anchor: Y, left hand. Roughly 3.5 years (current tenure in Thedas). If previous time in Thedas turns out to be cumulative despite its noncontinuous nature, closer to 7 years total.

Pre-existing conditions: Possible tissue damage from since-resolved genetic illness; unclear whether such damage would have transferred through the Fade and without advanced imaging techniques, impractical to check. That said, no recurrence of symptoms thus far.
Any ongoing treatment: not at this time

contingency plans
Emergency contact(s): No one outside the organization. Obviously alert the other division heads immediately if I'm out of commission temporarily or permanently.
Belongings: I donate my belongings to Riftwatch as an organization. If there is any disagreement over my sentimental, rather than practical items, I defer to Stephen Strange to make the ultimate call.
Preferred burial practice: I am happy to donate any part of my body that can be helpful to the Research department. Any remains beyond those useful in research, or after research has concluded, may be burned or disposed of in any other respectful manner the new head of Research sees fit.

An extra note at the bottom: Nice work. This sort of record collection is way overdue. -CN

Barrow

[thereneverwas]

medical details
Name: Obeisance Barrow
Age: 54
Rifter: N
Anchor: N

Pre-existing conditions: rheumatism, bad knees
Any ongoing treatment: lyrium, elfroot when necessary

contingency plans
Emergency contact(s): Prudence [Barrow is scratched out] Milliner, sister. Crestwood
Belongings: someone feed the cats. otherwise, distribute as necessary
Preferred burial practice: pyre

Benedict Artemaeus

[altusimperius]

medical details
Name: Benedict Quintus Artemaeus
Age: 28
Rifter: N
Anchor: Y, left hand, five or so years?

Pre-existing conditions: none [apart from you know the addiction problems and recovering from starvation]
Any ongoing treatment: smoking elfroot?

contingency plans
Emergency contact(s): Byerly. Outside of Riftwatch, no.
Belongings: Give them to Byerly, to do what he wants.
Preferred burial practice: Pyre. Return my ashes to the Nocen Sea, if you can. Do what you want with my hand.

[bouchonne]

I don't want to sound judgmental -

[ Great start. ]

But could anyone explain to me the appeal of being entombed after death? Or buried? Or really anything but being burned?

[portalling]

Y’know this is the very definition of judgmental—

[ He doesn’t sound annoyed about it, just droll. ]

I don’t know if appeal is the right word, considering you won’t be around to experience it. Just whatever lets your loved ones feel better about it and prevents your corpse being possessed and walking around the streets afterward. Simple ground burial is more common where I’m from, since the whole demonic possession thing isn’t as much of a problem there.

private so so private

[sprent]

(In a whisper:) 'As much information as possible', meaning...?

∞

[portalling]

( Ah, right, this complication. )

Good question —

If something were to happen to me and Riftwatch takes on a new Head Healer, I don’t want your issue to fall by the wayside and be abandoned, but your trust and comfort is also important.

I’m thinking either I can seal your particular records so only the Head Healer will ever have access, or I could keep them entirely separate so no one else can see them, and you’d have to start from scratch and approach a new Head Healer on your own. Which would you prefer?

private;

[aberratic]

Captain Baudin told me that in order to become a more... permanently affixed resident of this plane, it may be necessary for rifters to amputate their anchor hand, perhaps the entire arm up to the elbow. While I am not ready to make that leap yet, I did want to register my willingness and, indeed, intention to take such an action, someday.

Not anytime soon, gods willing, but. Someday.

[portalling]

( Aw, Gwenaëlle’s getting to the newbies faster and faster. There’s also a flash of inadvertent warmth as he hears Ennaris mention that intention; it reminds him of Wysteria, and there’s far worse resemblances to have. )

Captain Baudin’s had hers for eight years, so god willing, you’d have plenty of time before amputation becomes relevant. But duly noted, and I agree that it’s a wise call. I’ll likely do the same someday if the anchor progresses far enough that it starts to hinder the rest of my health; given the choice between gruesome death or one-armed life, I’ll take the latter.

… Although, ‘permanently affixed’— does that mean your concern’s more about vanishing back into the Fade, less about the anchor devouring you?

( Strange is very matter-of-fact about risk. He doesn’t really sugarcoat things well. )

private;

[wythersake]

[ somewhat belatedly, not that he's been rooting through these — ]

You will, of course, be filling out your own forms. It would be positively foolish of me to assume otherwise.

[portalling]

[ grumble mumble ]

Yes, of course.

[ Strange considers. Herian might be the safest bet to take down his information, pathologically neutral as she is; but she’s also not a healer and he’s already demanded enough of her time to copy out that entire stack of templates for everyone else. Which leaves him with— ]

Do you have a moment to transcribe?

[undergrunn]

I'm going to do the form, I promise. I just need to figure out an emergency contact. It's too depressing to submit it with "none".

[portalling]

Pin the names of everyone on Riftwatch on the wall, throw a dart, pick whatever name it lands on.

( He’s joking. Mostly. Probably? )