Thirteen years of inactivity… unable to walk now.
Prolonged immobility.
Severe deconditioning.
Almost certainly profound disuse atrophy across major muscle groups like my quadriceps, gluteals, paraspinals.
If I wasn't or this body rather doesn't have changes on the weight for over a decade.. then joint contracture isalready setting in, especially on the ankles and knees. I should expect reduced range of this body's motion, or maybe even fixed deformities depending on positioning. God.
And it won't just be muscle right?
Bone density… I can't afford to ignore that. Disuse osteoporosis is inevitable after that span of time, at this rate I would just pray that it's not that serious. I am yet to examine this body.
Even minimal loading could risk microfractures if I'm not careful.
This body's proprioception is probably impaired too.. her nervous system has had no reason to maintain efficient motor coordination for ambulation.
Am I overanalysing here? I touched my chin and looked on my legs while the family physician's still chatting with my family.
But I need to be precise with myself: I am immobile because I was in a coma, then this is a rehabilitation case. But if there's an underlying condition during my long sleep like neuromuscular disorder, chronic illness, congenital weakness—then the approach will be different. The timeline suggests disuse is primary, but I can't rule out a baseline pathology layered underneath it. Hmmm..
Still… functionally, the working diagnosis is clear.
So this is just my self-diagnosis: Severe chronic deconditioning syndrome secondary to prolonged immobilization. Secondary muscle atrophy. Probable joint stiffness and early contracture formation. Likely bone demineralization. High fall and fracture risk on attempted mobilization. Yeah, this must be it.. when I woke up.
*sigh*
Rehabilitation wouldn't be simple that's for sure.
It would be slow, and staged reconditioning.
If I were to be my own physician, here's my plan:
- Passive range-of-motion therapy
- Assisted weight-bearing, and then graded muscle activation.
- Nutrition support would be critical. Increase of protein intake, micronutrients, maybe vitamin D analogs if I could somehow justify the equivalent in this world. I don't even know if these terms existed here nor how fast the body regenerates.
- Lastly, patience.
Weeks would not matter. Months might not be enough.
I exhale slowly, realizing the most difficult part isn't the diagnosis.
It's that this recovery would depend less on what I know… and more on whether this world allows enough time, structure, and consistency for what I know to actually work.
" —venom of Skraptika."
I snap of my anaysis when I heard a "venom of what?", I asked.
My family was confused and just stared at me.
I looked at them.
"What? skra— what? what venom?"
"Oh my lady is pampered as I known. In order for you to be treated, you need to take and drink the venom of Skraptika for a month. It's proven and effective. My ancestors has been using this method for decades on soldiers. This is the fastest route aside from I mentioned earlier."
The physician described the whole details proudly in a slow manner while making hand gestures
What the hell is that?
My father then turned his gaze on the physician seriously.
There's no way you will allow your daughter to drink a venom of an unearthly creature are you?!
"So where can we find this Skraptika thing?", the Duke asked.
Seriously?
What to do?
If I blurt out any related to medicine, they might be suspicious of me right? I've been asleep for the very long time. How would someone in a very long sleep knew about medicine?!
"There's no need to worry Duke, we have supplies of Skraptika. My family has been incharged of its production since it was first discovered."
"So when will she start taking that medicine?", my curious mother cannot do it anymore and asked.
"Shouldn't you tell us more? is there something we should observe? her diet and nourishment that you mentioned a while ago?"
"If I find out your venom is fake, I will be the one to kill you", brother added.
*sigh*
"I will write a prescription right away"
Oh my God, I still have to learn more about this world.
But again what does that Skraptika looks like. I guess we'll find out later.