The Dreaded Itchy Plumbbob
Take Me to the Moon 6.19
Family leave was over. It was time for Fearghus to return to work. Between his mom’s death, his mother in law’s death, and Grayson’s birth, he hadn’t been to work in a while. He stared into his empty coffee mug, missing Alyse, and Fox, and little Grayson.
The drive he’d had to become a doctor seemed to be gone, and all he wanted was to be home with his family. Fearghus started to try to shift his focus to the patients he would be seeing, starting in a few moments, when his shift as Assistant Nurse began.
He walked into the ward, and saw his first patient of the day sitting up on the examination bed, looking at him. He gave her a cheerful smile and tried to brighten her day. Fearghus started feeling much more competent and ready to face the day.
“Let’s see what we’ve got here, Ms. Swift, … tiger rash… could be gas and giggles or itchy plumbob. Let’s see if you have a temperature”
“And listen to your heart and breathing…”
“you don’t seem too giggly; I hope it’s not Itchy Plumbob,” Fearghus thought to himself.
Fearghus took a swab sample and went to analyze it, but someone had left the analyzer filthy. He quickly cleaned it up.
Fearghus’s great uncle Dennis, a doctor, came in with a new intern and introduced him to Fearghus.
“I’m off on a fishing trip to Granite Falls,’ Dennis said, “Look out for this guy and show him the ropes.”
Dr. Foley came on duty after Uncle Dennis left. Fearghus finished up his analysis of Taylor’s sample, and logged it in the patient files.
When Fearghus returned to his patient, she was grabbing her stomach and looked like she was about to throw up. “I hope it’s not burning belly,” Fearghus thought.
“Better take an x-ray to rule it out , since that requires surgery.” His patient groaned and moaned with her stomach ache.
After the results came back from the X ray tech, Fearghus went to check on Ms Swift again and make sure his diagnosis was correct. Even though she didn’t have the giggles, he thought it must be Gas & Giggles, because he hadn’t observed any itchiness at all.
Fearghus handed Taylor Swift the medicine for Gas & Giggles and told her she’d feel better in a jiffy.
His diagnosis was good! She hopped up, put all her clothes back on, and looked as right as rain.
Fearghus looked to his next patient. The chart said she needed a treadmill test.
Fearghus thought it was odd to give a pregnant patient a treadmill test, but she did ok.
Fearghus logged the results from the test, and researched what might be ailing the pregnant patient, he overheard Dr. Foley and the intern chatting. Dr. Foley had already treated his female patient. It turned out she wasn’t sick, maybe just not eating enough protein and feeling light-headed from the pregnancy.
With only a few minutes left in his shift, Fearghus went to check on one last patient in his ward. But before he could run any tests, he was relieved of duty by the next nurse.
This update followed the actual gameplay for Fearghus as an Assistant Nurse. To be promoted, he has to have high performance and correctly diagnose two patients. Taylor Swift is a sim I downloaded from the Gallery to be a potential spouse for Fearghus, and it was fun to see her show up on his shift at the hospital.
Fearghus actually went up to the next level of charisma when he greeted Taylor cheerfully. This was his thought bubble– a drum — it made me think he was complimenting her on her music, or thinking how much he liked it, which was fun. I actually don’t even know if Taylor Swift Sim has musical traits or aspiration, but I bet she does.
I just noticed that Taylor was playful! So even though she didn’t appear giggly, I could have narrowed her diagnosis quicker if I’d paid attention to that while playing.
Dennis started the medical career a long time ago, and I thought it was really cool the game has promoted him to doctor at this point.
I’m seeing if I can manage to put together a flow chart for diagnosis, or if it’s too complex for me to figure out how to fit it on a page. (I’m new to creating flow charts on software). If I figure it out, I’ll post it. I’m using the information on Carl’s Guide to Get to Work: Doctor to learn to diagnose patients. It said that a tiger rash means the patient has gas & giggles or itchy plumbbob, or very rarely, Burnin’ Belly, which can only be treated with surgery. Gas & giggles usually includes lots of laughing and a stomach ache, whereas Itchy Plumbob presents with itchiness. The system is fun; you have to observe the patients over time sometimes to see what they have. I wish they’d not made them such silly sicknesses, but I guess it’s more light and playful than real world sickness.
This may be the last Tesla update for a few weeks if a patch for Dine Out and MC Command Center updates take a while. I’d rather be safe than sorry about opening this game until some of the initial bugs are worked out. Sometimes, like the black plant bug, they aren’t fixed completely by patches.