View source for Lhandon Nilsen/Medical Record

[[Category:Medical Records]]
[[Category:Lhandon Nilsen]]

== Basic Information ==
Name: Lhandon Joseph Nilsen

Date of Birth: 237702.04

Species: Human

Gender: Male

Height: 6'4" (193 cm)

== Medical History ==

=== Stardate 239706.25: Walk in: Broken Nose from Rugby Injury ===
'''Location:''' 

San Francesco Medical Facility

'''Initial Assessment:'''

* Upon examination, the patient presented with a broken nose sustained during a rugby match. He reported a direct impact to the nose from a collision with another player.

'''Treatment::'''

* Broken Nose: The physical examination confirmed a displaced fracture of the nasal bone, resulting in significant swelling and tenderness around the nasal region.
* Epistaxis: The patient experienced a moderate level of epistaxis (nosebleed) as a result of the injury, which was managed promptly.
* Pain Management: Appropriate pain medication was prescribed to manage discomfort and promote a more comfortable recovery. Cadet refused stating that “he was fine and had much worse on the farm”

'''Follow up:'''

* Patient comment caused concern, prior medical logs were requested from Gault. Found these logs to be lacking in detail. Suggest further guidance and training for medical professionals on Gault in the logging of patient records.

=== Stardate 239803.12: Incident during Helm Training ===
'''Location:''' 

USS Conway Sick Bay

'''Emergency Treatment:''' 

Severe physical trauma sustained from shuttlecraft inciden'''t:'''

'''Initial Assessment:'''

* Upon arrival via emergency transporter to the USS Conway, Cadet Lhandon Joseph Nilsen was unconscious and presented with a severe broken ankle as the primary injury. Further examination revealed possible signs of a concussion. Vital signs were stable, but immediate medical intervention was required.

'''Treatment::'''

* Broken Ankle: A complete fracture of the right ankle was diagnosed. Stabilization and immobilization were performed using a hypospray to administer a bone-regenerating agent. A medical brace was applied to support the affected area.
* Concussion: Due to the impact of the crash, signs of a concussion were evident. Nilsen was closely monitored, and cognitive tests were conducted once he regained consciousness.

'''Follow up:'''

* His ankle fracture is healing with the applied bone-regenerating agent and the use of a medical brace. The concussion will require close monitoring, and he is advised to rest and avoid strenuous activities until fully recovered.
* As a survivor of a traumatic event, Lhandon may benefit from counseling or support group sessions to address any emotional or psychological challenges resulting from the shuttle crash

=== Stardate 240101.05: Seizure ===
'''Location''': 

Deep Space Nine

'''Initial Assessment'''

Six weeks post-Alpha Brenkelvi II mission, Ensign Lhandon Joseph Nilsen presented with a severe neurological event. Primary symptoms included loss of ability to speak Federation Standard language, defaulting to Klingon, and experiencing a seizure affecting motor and speech functions.

'''Diagnosis'''

Medical scans revealed unusual neural pathway branching, attributed to:

# Previous consciousness transfer incident
# Newly acquired telepathic communication abilities from Alpha Brenkelvi II Bajorans The patient likely experienced a focal seizure affecting the left hemisphere, particularly the Broca's area and arcuate fasciculus. This resulted in disrupted speech production and temporary loss of muscle control in the legs.

'''Treatment'''

* Immediate transfer to Hathon Medical Facility on Bajor for specialized treatment
* Implementation of neuro-devices provided by Dr. Brzezinski to facilitate communication
* Administered hydrocortilene
* Intensive physical therapy and rehabilitation
* fMRI scans
* Speech therapy focused on relearning Standard Federation language

'''Follow-up'''

Recovery period extended over several weeks, involving:

* Continued physical therapy to regain full motor function control
* Ongoing speech therapy, progressing from basic words and phrases to more complex language use
* Regular neurological monitoring to assess progress and prevent recurrence
* Psychological support to address emotional impact of the event
* Involvement of medical team, crew members, and family (particularly brother Madison) in the recovery process
{{ExpandableSummary |Title=Further Details

|Short Description=

Click expand for further details about this incident

|Long Description=

Six weeks after the Alpha Brenkelvi II mission, Lhandon Nilsen experienced a severe neurological event, causing him to lose the ability to speak Federation Standard language and default to Klingon. Medical scans revealed unusual neural pathway branching as the root cause, in part due to the effects of his consciousness leaving and returning to his body and in part because of the new telepathic communication abilities that the Bajorans of Alpha Brenkelvi II gave him.
These branching pathways caused Nilsen to experience a seizure — a temporary disruption in neural networks related to motor and speech function. The delayed onset of symptoms could be explained by the brain being in a hyper-excitable state for weeks before the event, with the actual seizure serving as the breaking point.

The seizure was likely a focal seizure and might have affected his left hemisphere, impacting his Broca's area, which is responsible for speech production. The seizure specifically disrupted the neural pathways linked to his native language.

It is likely that the arcuate fasciculus, nerve fibres that connect the Broca's and Wernicke's areas and facilitate communications between them, were affected. However, his brain quickly defaulted to a language stored in an alternate or less affected area, such as Klingon, which he knows well but does not use as often. Simultaneously, his legs gave way as the seizure disrupted signals in the primary motor cortex, which is responsible for coordinating leg movement. This caused a temporary loss of muscle control, leaving Lhandon unable to stand.

Due to the severity of his condition, Lhandon was transferred to Hathon Medical Facility on Bajor for specialised treatment. Neuro-devices provided by Brzezinski allowed him to converse without panic, though still in Klingon. Throughout the ordeal, his fear and frustration were evident despite his attempts to maintain a jovial demeanour.

His recovery from this took weeks and involved intensive physical therapy and rehabilitation. Lhandon had to relearn how to speak Standard, starting with basic words and phrases, while also working on regaining full control of his motor functions. During this period, he relied heavily on the support of his medical team, fellow crew members, and family, particularly his brother Madison.

|SimRefs=

https://bestpractice.bmj.com/topics/en-gb/544

https://en.wikipedia.org/wiki/Focal_seizure

https://sites.utdallas.edu/fas/

https://www.theguardian.com/lifeandstyle/2019/may/31/experience-i-woke-from-coma-speaking-french

https://en.wikipedia.org/wiki/Xenoglossy

}}
=== Stardate 240109: Post-Unity Dow Mission Medical Check ===
'''Initial Assessment'''

Symptoms: Pain, difficulty breathing, radiation exposure

'''Treatment''': 

Administered Hyronalyn for radiation exposure

'''Notes''': 

Patient initially reluctant to seek treatment, convinced by fellow crew members

=== Recurring Condition: Ankle Injury ===
'''Origin''': 

Initial injury as SAR pilot, exacerbated by rugby and mission activities

'''Recent Aggravation:''' 

Injury worsened during Cheyd'lang mission (jailbreak incident) and fall down turboshaft

'''Treatment''': 

Ongoing. Patient often downplays the severity of the condition.

== Additional Notes ==

* Patient has a history of downplaying injuries and reluctance to seek medical attention
* Neurological monitoring advised due to multiple incidents involving unusual brain activity
* Regular check-ups recommended for ankle condition to prevent further deterioration