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  <title>Dr. Tam's Diary</title>
  <subtitle>The infirmary</subtitle>
  <author>
    <name>drtamsdiary</name>
  </author>
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  <updated>2004-09-04T03:40:37Z</updated>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:10300</id>
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    <title>Monday, February 1</title>
    <published>2004-09-04T03:40:37Z</published>
    <updated>2004-09-04T03:40:37Z</updated>
    <content type="html">Succeeded in goal of the day, which was to get cup of coffee in morning.  In fact, drank three.  Proceeded to vibrate for next several hours.  Must rebuild caffeine tolerance.  Went through pots of the stuff while at Medacad; cannot imagine how it has decreased so.&lt;br /&gt;&lt;br /&gt;Am not on Inara's bad side, as she is not linked to ship's main plumbing system.  V. relieved.  Shall drink pot of coffee before visiting her, as suspect she will enjoy vibration.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:10194</id>
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    <title>Sunday, January 31</title>
    <published>2004-09-04T03:32:05Z</published>
    <updated>2004-09-04T03:35:06Z</updated>
    <content type="html">08:35&lt;br /&gt;&lt;br /&gt;I'm missing two bottles of sedatives and several vials of smoothers.  Must ask around, but immediate suspicion is items were taken by Jayne.  Also missing hairbrush.  Hopefully crew will see hairstyle as "artistically tousled".&lt;br /&gt;&lt;br /&gt;09:15&lt;br /&gt;&lt;br /&gt;Sat down to breakfast.  Jayne took the last of the coffee before I could get to the pot.  Tried to get everyone's attention to ask about the medicine, but was roundly ignored by all as they chatted and began eating their tinted protein (&lt;i&gt;jin huang&lt;/i&gt; is apparently the color of breakfast).  Repeatedly looked up only to find Captain looking away - could not catch his eye. Shepherd Book, oddly, was late.  He finally arrived, barefoot, and sat down.  Yes, barefoot.  &lt;br /&gt;&lt;br /&gt;I think Shepherds are taught how to make an entrance in their monasteries.  When Book doesn't want to be noticed, he can be in the same room and yet entirely invisible; when he chooses to make his presence known, all eyes turn to him - and yet, I don't think I've ever heard him raise his voice. &lt;i&gt;Wo ju de ci ji&lt;/i&gt;, especially when I've spent fifteen minutes lowering my expectations from trying to get everyone's attention to trying to get &lt;i&gt;anyone's&lt;/i&gt; attention.&lt;br /&gt;&lt;br /&gt;"Hey, Shepherd.  Did God need a few extra words this morning?" the Captain asked.&lt;br /&gt;&lt;br /&gt;Book cleared his throat.  "No, actually.  There appears to be a problem with the plumbing.  The toilet...burped."&lt;br /&gt;&lt;br /&gt;"Burped?" Zoe asked.&lt;br /&gt;&lt;br /&gt;Jayne belched, as if we were unclear on the definition.&lt;br /&gt;&lt;br /&gt;"Yes," Book said.  "Only with more...effluvia than Jayne there."&lt;br /&gt;&lt;br /&gt;"I'm plenty effluvient," Jayne said.&lt;br /&gt;&lt;br /&gt;"Yes, especially after your run-in with that &lt;i&gt;di lian biao zi&lt;/i&gt; on Persephone," I snapped.  I'm so charming when undercaffeinated and underfed in the early morning.  Jayne should fear me.  Next time he takes the last of the coffee, I will replace his sugar with a powdered emitic.  Would serve him right; he got off far too lightly after the stew incident.&lt;br /&gt;&lt;br /&gt;The Captain cleared his throat.  "Leaving aside Jayne's personal issues for the moment - Kaylee, you notice any problems with the plumbing lately?"&lt;br /&gt;&lt;br /&gt;"No, cap'n, I haven't," she said, perkily.  I'm sure she got coffee.  "I've been spendin' most of my time babyin' the compression coil, though."&lt;br /&gt;&lt;br /&gt;The Captain nodded.  "Okay - when you're done eating, I want you to check out the septic system, see if we're about to have a problem."  He glanced at me for a moment, but before I opened my mouth, he looked away again.  He grabbed his plate and his coffee cup.  "I got some important business I need to attend to."&lt;br /&gt;&lt;br /&gt;"Captain, before you go - " I interjected.&lt;br /&gt;&lt;br /&gt;He cut me off.  "Sorry, Doc.  It's gonna have to wait." &lt;i&gt;Wang ba dan&lt;/i&gt;.&lt;br /&gt;&lt;br /&gt;10:26&lt;br /&gt;I would describe it as "vomiting", not "burping".  Wonder if shoes are salvageable.  Or socks.&lt;br /&gt;&lt;br /&gt;10:32&lt;br /&gt;I'm missing a shirt, as well.  This is decidedly &lt;i&gt;mo ming qi miao&lt;/i&gt;.&lt;br /&gt;&lt;br /&gt;10:41&lt;br /&gt;Went toward bridge to notify Captain of new issue.  While walking past crew quarters, heard him shouting, "&lt;i&gt;He chusheng zajiao de zanghuo!&lt;/i&gt;" He scaled ladder so quickly I wondered if Kaylee had altered the gravity in his quarters.  "That ain't burpin', that's -"&lt;br /&gt;&lt;br /&gt;"Vomiting.  That's what I came to tell you," I said.  His shirt-tails were hanging out of his pants, but did nothing to hide the bulge underneath, especially since the front of his pants were still unfastened.  "Important business. I see.  Was your membership to Chloe's Live Nude Cortexxx Review about to expire?"&lt;br /&gt;&lt;br /&gt;The captain stuffed his shirt into his pants, fastening them up.  "Never mind what I was doing.  We got us a real problem."  He came the rest of the way up the stairs.  His boots were dripping.  "Kaywinnet Lee Frye!" he shouted.  "Time for us to take a look at the septic line."&lt;br /&gt;&lt;br /&gt;12:20&lt;br /&gt;Beginning to understand why doctors on Earth chained their patients to walls.&lt;br /&gt;&lt;br /&gt;"There's a bundle trapped in the septic line," the Captain said to me.  "An' I know for sure I don't have a shirt that fine, nor does Wash or Jayne.  Got anything you want to be telling me, Doc?"&lt;br /&gt;&lt;br /&gt;I sighed and let my head hit the wall.  "River.  I tried to tell you this morning; some meds had gone missing.  She must have taken them and tried to get rid of them."&lt;br /&gt;&lt;br /&gt;"Right.  Well, it ain't comin' back up - it's got nowhere to go but out."  He gave me a narrow-eyed stare.  He doesn't need to shout - when properly angered, I think his eyes emit laser beams.  I was certainly pinned to the spot.  "We're gonna have to do a septic flush.  Get suited up."&lt;br /&gt;&lt;br /&gt;"Me?"  My voice may have broken twelve years ago, but it still squeaks in times of duress.&lt;br /&gt;&lt;br /&gt;"Oh, don't you worry, Doc.  You'll have company.  After all, you gotta learn to do it right.  Think we're gonna cycle through it three, four times.  Hope you're good for a long time outside."&lt;br /&gt;&lt;br /&gt;"But...my sister..."&lt;br /&gt;&lt;br /&gt;"Book can watch her," he growled.  "Stop stallin', go change into somethin' a little more practical and get suited up."&lt;br /&gt;&lt;br /&gt;Can think of far better ways to spend four hours with Malcolm Reynolds that involve far less clothing.  Still unclear on what Captain thinks of as "more practical".  Have removed coat and tie.&lt;br /&gt;&lt;br /&gt;16:50&lt;br /&gt;Hate leaving ship.  Hate spacesuit.  Hate septic system.  Hate Captain.  Hate sister.  Hate Alliance, for making sister crazy.  Hate chocolate for abandoning me in moment of need.  Hate Jayne - not that he has done anything in particular since taking last of coffee, but on general principle.  Hate sewage.  Hate sewage very much.  Hate Jin Tao Bergman, for pinning me down in schoolyard and making me eat dirt in third grade.  Recognize this has no bearing on current situation, but felt this should be comprehensive list.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;Ta ma de&lt;/i&gt;.  Am going to sulk and read &lt;i&gt;Jinping Mei&lt;/i&gt;.  Would eat chocolate, but it is all gone.  There is no justice.&lt;br /&gt;&lt;br /&gt;17:20&lt;br /&gt;I can't even be left in peace to sulk without a medical emergency happening.&lt;br /&gt;&lt;br /&gt;17:40&lt;br /&gt;Have successfully removed Jayne's hand from jar of candies.  As am not man-ape, also slipped hand into jar while he was not looking and liberated several.  Fair compensation for annoyance.  Stormed back to cabin in full huff. &lt;br /&gt;&lt;br /&gt;18:10&lt;br /&gt;Knock on door.  &lt;i&gt;Chi shi!&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;18:11&lt;br /&gt;Oh, no. That was Kaylee.  Obviously must not show face in public tonight.&lt;br /&gt;&lt;br /&gt;20:24&lt;br /&gt;River slipped into my cabin a few minutes ago.&lt;br /&gt;&lt;br /&gt;"You feel like stormclouds and pitchforks," she said.&lt;br /&gt;&lt;br /&gt;I didn't raise my head.  "You flushed your medicine down the toilet."&lt;br /&gt;&lt;br /&gt;"It makes me feel fuzzy."&lt;br /&gt;&lt;br /&gt;"In my &lt;i&gt;shirt&lt;/i&gt;!"&lt;br /&gt;&lt;br /&gt;"Can't touch the bottles.  Could get hurt."&lt;br /&gt;&lt;br /&gt;"And the dress Kaylee gave you?"&lt;br /&gt;&lt;br /&gt;She scowled.  "&lt;i&gt;Zhen ta ma de hao kan&lt;/i&gt;."&lt;br /&gt;&lt;br /&gt;"&lt;i&gt;Our&lt;/i&gt; mother."&lt;br /&gt;&lt;br /&gt;"No, just yours."  She sat down next to me.  "They gave me to Father for opening a new bank account."&lt;br /&gt;&lt;br /&gt;"I thought it was a set of knives."&lt;br /&gt;&lt;br /&gt;"No, those are Mom's. They're your sisters.  Don't you see the family resemblance?"&lt;br /&gt;&lt;br /&gt;Sometimes I can't decide if she's slipped out of reality or is merely making a joke that I, with my deficiencies of intellect, can't grasp.&lt;br /&gt;&lt;br /&gt;She leaned against me.  "Sorry."&lt;br /&gt;&lt;br /&gt;"Oh, no, it's fine.  Just the way I wanted to spend my day - standing in the bleak emptiness of space as fecal matter flowed over my spacesuit, trying to catch all the things you'd flushed before they went tumbling toward Andromeda."&lt;br /&gt;&lt;br /&gt;She laughed.  Brat.  "Did you rescue it all?" she asked.&lt;br /&gt;&lt;br /&gt;"Some Alliance cruiser is going to find a pink frilly dress stuck to its side," I said.&lt;br /&gt;&lt;br /&gt;Must admit, the thought of Alliance soldiers attempting to scrape that horrible dress off the side of their ship is very amusing.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;i&gt;jin huang&lt;/i&gt; - golden yellow&lt;br /&gt;&lt;i&gt;Wo ju de ci ji&lt;/i&gt; - It's annoying&lt;br /&gt;&lt;i&gt;di lian biao zi&lt;/i&gt; - cheap whore&lt;br /&gt;&lt;i&gt;Wang ba dan&lt;/i&gt; - bastard&lt;br /&gt;&lt;i&gt;mo ming qi miao&lt;/i&gt; - mysterious&lt;br /&gt;&lt;i&gt;He chusheng zajiao de zanghuo&lt;/i&gt; - pig-fucker (more or less)&lt;br /&gt;&lt;i&gt;Ta ma de&lt;/i&gt; - fuck&lt;br /&gt;&lt;i&gt;Jinping Mei&lt;/i&gt; - classic work of Chinese erotica&lt;br /&gt;&lt;i&gt;Chi shi!&lt;/i&gt; - Fuck off!&lt;br /&gt;&lt;i&gt;Zhen ta ma de hao kan&lt;/i&gt; - looks as good as your mother</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:9624</id>
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    <title>Saturday, January 30</title>
    <published>2004-08-26T21:01:59Z</published>
    <updated>2004-08-26T21:01:59Z</updated>
    <content type="html">Dryden's translation of the Aeneid is interminable and dull - an appropriate reflection of this journey.  I'd give it up, but River consistently demands more; it seems to be a far more effective sedative than any of the drugs I've given her.  Kaylee has begun dropping by River's cabin at night, as well, to listen to me read the Aeneid.  She seems utterly rapt.  Had not pegged her as classical literature fan.  Obviously, as the one person in the room that is &lt;i&gt;bai wu liao lai&lt;/i&gt; by this, there's something about Dryden's poetry I'm just not getting.&lt;br /&gt;&lt;br /&gt;The visit with Inara provided an interesting counterpoint, although why she is sexually obsessed with Odysseus I'm not sure.  I feel that my education in early Earth history is, at this point, rather well rounded.&lt;br /&gt;&lt;br /&gt;Dr. Arienzo once said in class, "Anyone can teach themselves a new skill, if only they are willing to dedicate two hours per day to it."  Of course, the scandal with the unlicensed Companions, the feathers, the large case of &lt;i&gt;jin&lt;/i&gt; hallucinogens and the illegally obtained vat of honey gave some indication as to what he'd been practicing, but it remains good advice.  I have been addressing River's issues in the wrong way, attempting to treat her while lacking the necessary background in psychiatry, thinking I could gain the necessary knowledge by reading a few papers that seemed linked to her symptoms.  The only way to tackle this problem, I suspect, is from the ground up.  I plan to spend the next several months reading the textbooks used in Medacad's psychiatry classes.  I'm sure, if only I'm dedicated enough, I can find a cure for River.  The answer has to be there, somewhere.  I just need the knowledge that will allow me to find it.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;bai wu liao lai&lt;/i&gt; - bored to tears&lt;br /&gt;&lt;i&gt;jin&lt;/i&gt; - contraband</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:9235</id>
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    <title>Friday, January 29</title>
    <published>2004-08-18T20:27:28Z</published>
    <updated>2004-08-18T20:27:28Z</updated>
    <content type="html">23:15&lt;br /&gt;&lt;br /&gt;River seems - well, whatever passes for normal - today.&lt;br /&gt;&lt;br /&gt;Did dishes after breakfast and dinner.&lt;br /&gt;&lt;br /&gt;Gave Wash analgesics for sore wrist and finger.&lt;br /&gt;&lt;br /&gt;...wait a minute.&lt;br /&gt;&lt;br /&gt;I have written the same thing for the past three days running.  This means &lt;ol&gt;&lt;li&gt;I am &lt;i&gt;bai wu liao lai&lt;/i&gt;&lt;/li&gt;&lt;li&gt;Someone's been taking advantage of my distracted state and leaving me with dish duty (and I am sure I know who)&lt;/li&gt;&lt;li&gt;I need to do something to get out of this rut&lt;/li&gt;&lt;/ol&gt;&lt;br /&gt;Shipboard living seems to settle into an incredibly dull routine, especially when one is traveling in a small ship with a long distance between planets.  There's no room for active games, due to the cattle in the hold, and Mal has made it clear that no one is to come near the cattle except to feed and water them after he overheard Jayne telling Kaylee about a planned cow-tipping expedition.  The &lt;i&gt;nai chou&lt;/i&gt; from the cattle means one cannot &lt;i&gt;bu ke kao jin&lt;/i&gt; the cargo bay.  &lt;br /&gt;&lt;br /&gt;I thought treating River would take up all the time on my hands; obviously, I was incorrect.  My goal for this week: find something to do.&lt;br /&gt;&lt;br /&gt;Time to read another chapter of the Aeneid to River.  If it were written in prose, it would be twelve paragraphs instead of twelve books.  It would also be far less dull and thus unlikely to lull River to sleep.&lt;br /&gt;&lt;br /&gt;23:50&lt;br /&gt;Inara has asked me to visit her.  Apparently, boredom is catching.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;bai wu liao lai&lt;/i&gt; - bored to tears&lt;br /&gt;&lt;i&gt;nai chou&lt;/i&gt; - unbearable stench&lt;br /&gt;&lt;i&gt;bu ke kao jin&lt;/i&gt; - cannot go anywhere near</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:9163</id>
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    <title>Thursday, January 28</title>
    <published>2004-08-18T19:49:18Z</published>
    <updated>2004-08-18T19:49:18Z</updated>
    <content type="html">River seems - well, whatever passes for normal - today.&lt;br /&gt;&lt;br /&gt;Did dishes after breakfast and dinner.&lt;br /&gt;&lt;br /&gt;Gave Wash analgesics for sore wrist and finger.&lt;br /&gt;&lt;br /&gt;Researched various chemical treatments for River's issues.&lt;br /&gt;&lt;br /&gt;Read part of "The Aeneid" (the Dryden translation) to River to lull her to sleep.</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:8886</id>
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    <title>Wednesday, January 27</title>
    <published>2004-08-18T19:48:52Z</published>
    <updated>2004-08-18T19:48:52Z</updated>
    <content type="html">River seems - well, whatever passes for normal - today.&lt;br /&gt;&lt;br /&gt;Did dishes after breakfast and dinner.&lt;br /&gt;&lt;br /&gt;Gave Wash analgesics for sore wrist and finger.&lt;br /&gt;&lt;br /&gt;Researched various chemical treatments for River's issues.&lt;br /&gt;&lt;br /&gt;Read part of "The Aeneid" (the Dryden translation) to River to lull her to sleep.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:8450</id>
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    <title>Tuesday, January 26</title>
    <published>2004-08-18T17:27:56Z</published>
    <updated>2004-08-18T17:27:56Z</updated>
    <content type="html">Cabins decorated: 1 (not by me) - Monologues listened to: 1 (endless) - Sisters cured: 0 (and holding)&lt;br /&gt;&lt;br /&gt;When I left to do research, River was still talking in her sleep.  When I returned with her breakfast, she was writing on the walls of my cabin with a brush and ink (with perfect penmanship, of course).  The walls were nearly full.&lt;br /&gt;&lt;br /&gt;"Are we fingerpainting now?" I said.  Note to self - in future, please disengage mouth until brain has begun operation.&lt;br /&gt;&lt;br /&gt;"I need to get the words out," she mumbled.   She took the calligraphy brush, dipped it in ink, and started dragging it around the corner and into the hallway.&lt;br /&gt;&lt;br /&gt;I grabbed her arm.  "&lt;i&gt;Mei mei&lt;/i&gt;, I think it will make the Captain angry if you write on his entire ship."&lt;br /&gt;&lt;br /&gt;She looked frantic.  "The words need to get out," she said, tapping her head and then her throat.&lt;br /&gt;&lt;br /&gt;"So, talk," I said, taking her hands.&lt;br /&gt;&lt;br /&gt;"They need to go somewhere!" she said, frantically.&lt;br /&gt;&lt;br /&gt;I pulled her back to the bed and sat her down.  "Talk," I said.  "I'll listen."&lt;br /&gt;&lt;br /&gt;I've been listening for eleven hours, now.  She's followed me to the infirmary, to the passenger lounge, and even to the kitchen, where she gave Jayne and Wash a stirring lecture on the mating habits of the sipuncula.  (Jayne, for once, seemed too stunned to speak; I should sic River on him more often.)  Any time it seemed I was not paying attention, she would develop an ominous fixation on the nearest writing implement and flat surface.  I hoped that she would tell me something about what had happened to her, but unfortunately she didn't.  The experience was like listening to someone vomit an encyclopedia; she gave immense amounts of information, on a jumble of topics linked by who knows what connection.&lt;br /&gt;&lt;br /&gt;Kaylee was kind enough to spell me for a while, a few hours ago.  When they came back from the engine room, she shook her head and said, "I sure know more about the elements in a fuel cell than I did when I went down."&lt;br /&gt;&lt;br /&gt;River's words are starting to slow down, and a few minutes ago, she said, "You don't need to hold them anymore," and sat down with her back to mine.  She's leaning against me, reciting trigonometric tables quietly to the ceiling, while I make this entry.&lt;br /&gt;&lt;br /&gt;My walls give an exceptional explanation of the evolution of Asiatic languages on Earth; it even has lingual family trees.  It's informative, and, of course, every character is beautiful and perfectly drawn.  I just wish she'd written something more useful to our present predicament, like large sections of the DSM XXXI or perhaps the contents of "Surviving the Outer Colonies Without a Gun on 35 Credits a Day".&lt;br /&gt;&lt;br /&gt;I think she's fallen asleep.  Tonight I'll carry her into her own room; if she has another urge to redecorate, she'll have clean walls from which to start.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:8253</id>
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    <title>Monday, January 25</title>
    <published>2004-08-09T17:28:20Z</published>
    <updated>2004-08-09T17:28:20Z</updated>
    <content type="html">River finally fell asleep sometime yesterday.  I'm not sure what time it was; we'd been awake for most of three days running.  Life seemed to condense down to a small, white room in which my sister cried and trays of food would occasionally appear. The protein lumps are largely the same whether it's breakfast, lunch, or dinner, so they didn't provide much of a cue as to what day it was.&lt;br /&gt;&lt;br /&gt;I fell asleep close to when she did, curled up on the bed with her like when we were children, and she had nightmares, and Mother told her to go back to bed and stop being &lt;i&gt;nan ai&lt;/i&gt;.  The tyranny of the bladder woke me at some point, and I stumbled to the head and then came back to curl up on the floor next to her bed.  Um, my bed.  The bed in my quarters which she was occupying.&lt;br /&gt;&lt;br /&gt;When I woke up again, it felt like I'd been drugged.  My brain seems to be one step behind, or off center, like the distortion one finds with a bad Cortex connection.  I was also hungry.&lt;br /&gt;&lt;br /&gt;I found the Captain making coffee when I entered the kitchen.  "We thought you might've left us for good, there," he said.  "You've been out a while."&lt;br /&gt;&lt;br /&gt;"How long?" I asked.  I haven't pulled a long stint like that since I was an intern.  I tried to stretch the muscles in my neck while I talked to him; the floor is not an optimal place to sleep.&lt;br /&gt;&lt;br /&gt;"Close to a day and a half, now," he said.  &lt;br /&gt;&lt;br /&gt;"&lt;i&gt;Cai bu shi&lt;/i&gt;!" Although I remember sleeping like that as an intern, as well.  Waking up this late in the evening will make it difficult to set my internal clock to a normal daytime rhythm.  &lt;br /&gt;&lt;br /&gt;The Captain added some more coffee to the pot.  "You look like you could use some," he said.  "How's your sister?"&lt;br /&gt;&lt;br /&gt;It seemed such a casual question until he looked up.  For all his effort to &lt;i&gt;ai li bu li&lt;/i&gt;, I do believe our Captain has a heart, after all. Also, such stunning eyes.  For a moment, I thought about telling him everything.&lt;br /&gt;&lt;br /&gt;"She's getting better," I said.  "She's sleeping."&lt;br /&gt;&lt;br /&gt;"Well, you get her fixed up soon," he said. "We'd like to see you at breakfast.  Jayne's fixin' on becoming intolerable without you around to bust on."&lt;br /&gt;&lt;br /&gt;Captain only wants me as cannon fodder.  How depressing.  On other hand, suspect any affair with him, if even possible, would be short-lived and possibly deadly.&lt;br /&gt;&lt;br /&gt;River is beginning to mumble in her sleep.  She doesn't appear to be in pain anymore.  Will try to get more research done before she wakes.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;nan ai&lt;/i&gt; - trying (in the sense of difficult or annoying)&lt;br /&gt;&lt;i&gt;Cai bu shi&lt;/i&gt; - no way!&lt;br /&gt;&lt;i&gt;ai li bu li&lt;/i&gt; - look cold and indifferent</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:8018</id>
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    <title>Saturday, January 23</title>
    <published>2004-08-09T11:59:43Z</published>
    <updated>2004-08-09T12:00:03Z</updated>
    <content type="html">Worse.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:7896</id>
    <link rel="alternate" type="text/html" href="http://drtamsdiary.livejournal.com/7896.html"/>
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    <title>Friday, January 22</title>
    <published>2004-08-09T02:34:46Z</published>
    <updated>2004-08-09T02:34:46Z</updated>
    <content type="html">River is sleeping, now, but I don't know for how long.  I had considered giving her a tranquilizer, but many of them seem to have unpleasant interactions with the acaptrazinophinol.  Also, after the first time that she fell asleep...I can tell when words appear in her dreams.&lt;br /&gt;&lt;br /&gt;I can't find anything that will hasten the decay of the acaptrazinophinol, either.&lt;br /&gt;&lt;br /&gt;Book and Kaylee have both been very kind - trays of food appear on the table while I'm caring for River.  Kaylee reached over and stroked my hair once, briefly, when she came in.  I think she stroked River's hair, too.&lt;br /&gt;&lt;br /&gt;I think River's waking up again.</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:7460</id>
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    <title>Thursday, January 21</title>
    <published>2004-08-08T15:03:01Z</published>
    <updated>2004-08-08T15:03:01Z</updated>
    <content type="html">River gave up her perch and curled up next to me in the middle of the night, clutching a chocolate bar in one hand. (Nothing I do, obviously, will render it safe.)&lt;br /&gt;&lt;br /&gt;"What's wrong, &lt;i&gt;mei mei&lt;/i&gt;?" I asked.  &lt;br /&gt;&lt;br /&gt;She hunched her shoulders as if someone were beating her and put one hand over my mouth. She closed her eyes tightly for a minute, and then opened her lips slightly and said, "Words. Hurt."  It was as if each syllable were ripping her mouth apart as she said them, and she began crying as soon as she'd finished.  I held her and stroked her hair until she fell asleep.&lt;br /&gt;&lt;br /&gt;Book brought a tray in with breakfast.  He began to speak, and River immediately woke up and began crying soundlessly, her hands over her ears.  I motioned to him to stop, and mouthed "Thank you" to him.&lt;br /&gt;&lt;br /&gt;I tried signing to her briefly over breakfast; her hands flew up to her eyes and, for a moment, I thought she was going to do a reproduction of Oedipus, replacing Jocasta's golden &lt;i&gt;fibulae&lt;/i&gt; with a breakfast fork. She did not, but it's apparent that sign language is no better than speech.  As written language in part uses the same areas of the brain as does sign and spoken language (and as I suspect she discovered this problem when she read the words on the chocolate wrapper), I do not think it is in her best interests to try communicating in that way.&lt;br /&gt;&lt;br /&gt;As long as she cannot hear anyone speak, she exhibits no pain, but the sound of language, even if the person in question is not speaking to her, is apparently excruciating.  Kaylee came down to the passenger dorm singing, and by the time she got to our cabin, River was a crying, writhing mess.  I took her outside and explained the situation in the barest whisper, and she's since kept everyone away from the infirmary, common area and passenger dorm - except for Book, who silently delivered another tray of food several hours ago.&lt;br /&gt;&lt;br /&gt;Part of me wishes I had pursued psychiatry instead of surgery, but had I done that, I could never have saved Kaylee, and River and I would be in Alliance hands by now.  &lt;br /&gt;&lt;br /&gt;I am aware one proper way to do an assay of psychiatric medications is through trial and error; one tests the medicines that may theoretically help the patient until one arrives at the most effective combination of pharmaceuticals with the least significant side effects.  I did not consider when beginning, however, that I might inflict this level of torture (for torture it is) on River.  The acaptrazinophinol has a three day half life; it's very likely that words will hurt her for several more days, and it's my fault.  I can't even do anything for her, as I don't think analgesics would help the situation; I can only stay silently by her, and hold her, and cry when she does.&lt;br /&gt;&lt;br /&gt;I am not intelligent enough.  I am not intelligent enough.  If our positions were reversed, this wouldn't be happening.  If River were herself, and had to care for me, she would know what to do.&lt;br /&gt;&lt;br /&gt;I am failing her.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:7376</id>
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    <title>Wednesday, January 20</title>
    <published>2004-08-06T03:23:07Z</published>
    <updated>2004-08-06T03:25:09Z</updated>
    <content type="html">Got very little sleep last night, as moans, sighs and cries of "&lt;i&gt;Ta ma de!&lt;/i&gt;" from hay stack in cargo bay were loud enough to travel down to the passenger dorm.  Obviously, crew quarters must be better soundproofed - and next time, Zoe and Wash can stay there.  I did not need to know about Wash's "&lt;i&gt;da diao&lt;/i&gt;", and certainly not to that level of detail.&lt;br /&gt;&lt;br /&gt;We all learned the dangers of putting the euphemism "A roll in the hay" into practice.  Zoe, it turns out, is allergic. She spent much of breakfast glowering stonily at everyone present while scratching incessantly. Wash announced at breakfast that he had some "important pilot-y things to do" and locked himself in the bridge. Captain mumbled something about "paperwork" and fled back to his quarters. Kaylee said she had to feed the cows, Jayne rushed off to perform septic flush of ship and Book said that his orders called for him to perform a day-long meditation one day of the year and hastily retired to his cabin, thus leaving me alone with Zoe, accompanied by the sounds of cutlery on plate and fingernails on skin.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;scratch scratch scratch&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;I looked up from my plate to see her scratching under her arm.  Serenity does not need laser cannons; one look from Zoe is enough to let the atmosphere out of any ship.  I looked down at my food.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;scratch scratch scratch&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;I thought of the old story of the mouse and the lion with the thorn in its paw.  There was no doubt which one I was.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;scratch scratch scratch&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;I cleared my throat. "Zoe?"&lt;br /&gt;&lt;br /&gt;&lt;i&gt;scratch scratch scratch&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;"What?" she growled.&lt;br /&gt;&lt;br /&gt;I looked up, saw where she was scratching, and looked down again, as was not worth bruising and mutilation at Zoe's hands to be caught staring at her &lt;i&gt;there&lt;/i&gt;.  In the mood she was in, she was only seeking an excuse, which was probably why Jayne found the septic tank flush preferable.  "Would you like an ointment for that?"&lt;br /&gt;&lt;br /&gt;"No, Doc.  I prefer scratching my rutting..." She cut herself off at that unfortunate curse word, and I managed to refrain from laughing (self-preservation instinct apparently not entirely eradicated). &lt;br /&gt;&lt;br /&gt;Brought Zoe to infirmary, and dispensed hydrocortisone creme.  Began applying it to the rash on her neck, and could feel her beginning to relax.  As I began spreading it down to her collarbone, she was almost...purring.&lt;br /&gt;&lt;br /&gt;Oh, no.&lt;br /&gt;&lt;br /&gt;Am obviously suffering from some twisted version of Stockholm Syndrome. Conditions leading to it, according to psychiatric encyclopedia, are:&lt;br /&gt;&lt;br /&gt;&lt;ul&gt;&lt;li&gt;Perceived threat to survival and the belief that one's captor is willing to act on that threat (am fully aware that the Captain, Zoe and Jayne, at least, would be very comfortable killing me if needed, though &lt;i&gt;wo bu mi lian&lt;/i&gt; JAYNE. EVER. )&lt;/li&gt;&lt;li&gt;The captive's perception of small kindnesses from the captor within a context of terror (I'm not dead yet, and in fact have a job)&lt;/li&gt;&lt;li&gt;Isolation from perspectives other than those of the captor (have been largely unable to get a perspective from River)&lt;/li&gt;&lt;li&gt;Perceived inability to escape (Serenity vs. some colony world = frying pan vs. fire)&lt;/li&gt;&lt;/ul&gt;This is the obvious explanation for apparent sexual attraction to half of crew.  Were it not for psychological handicap, would undoubtedly be able to perform medical duties without noticing the smell of Zoe's skin, for example. &lt;br /&gt;&lt;br /&gt;Handed her tube of cream and suggested she ask Wash to continue with application.  Wished for cold shower, but none is available on board - began testing acaptrazinophinol's effects on River, instead.  She has become very quiet, but does not seem much more coherent.  For two hours, she's been perched in a corner of the table in my room, staring at my new hiding place for the chocolate (how did she figure that out?), as if she is expecting it to come out so she can pounce.  Fortunately, will physically block her access to candy while sleeping - although is only marginally less creepy to have her staring at me in same fashion.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;Ta ma de!&lt;/i&gt; - fuck me blind&lt;br /&gt;&lt;i&gt;da diao&lt;/i&gt; - big dick&lt;br /&gt;&lt;i&gt;wo bu mi lian&lt;/i&gt; - will not get a crush on</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:6499</id>
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    <title>Tuesday, January 19</title>
    <published>2004-08-05T03:30:15Z</published>
    <updated>2004-08-05T03:30:15Z</updated>
    <content type="html">Inara, it turned out, wanted to use the flowers as props for a game - Odysseus and the Sirens.  Despite my complete lack of acting ability, it went well until she dragged me down on the rose-covered bed. Would beat Homer soundly for his &lt;i&gt;shi yi&lt;/i&gt; writing about "field of flowers", were he not already dead, crumbled to dust, and probably molecularly destroyed with rest of Earth.  We spent the majority of the evening removing thorns from each other's tender areas.  River was awake when I returned, so I have slept exactly not at all.  Am queasy; feel like I am vibrating slightly.  Could be a sign of caffeine overdose.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;shi yi&lt;/i&gt; - poetic</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:6302</id>
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    <title>Monday, January 18 - Simon: 1, Persephone men: 0</title>
    <published>2004-08-05T03:26:11Z</published>
    <updated>2004-08-05T03:26:11Z</updated>
    <content type="html">Kaylee, it turns out, has a significant pollen allergy and has spent past 18 hours sneezing and sniffling. Not only am I no longer the last man to poison her, but can now be her knight in shining armor - or at least knight in white lab coat,dispensing antihistamines and decongestants. &lt;br /&gt;&lt;br /&gt;Kaylee came to the infirmary before breakfast, her nose an incredibly brilliant shade of vermillion. As I was handing her medication, she suggested that at our next landfall, I accompany her around town on Jiangyin.  I said, "&lt;i&gt;Duo me qi miao&lt;/i&gt;. It sounds like a lovely afternoon.  You, me and a platoon of Alliance security officers - I can't think of anything more pleasant."  She stormed out in a huff. &lt;br /&gt;&lt;br /&gt;I am &lt;i&gt;yi guan ben dan&lt;/i&gt; with beautiful women.   Need warning sensor that will trigger vocal paralysis when I am about to say something truly stupid - or, perhaps, trigger an epileptic fit, which could not be much more humiliating than present situation.&lt;br /&gt;&lt;br /&gt;Inara just knocked and has asked my help in moving flowers up to her shuttle.  Perhaps this means I've returned to her good graces after the dreaded stew incident.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;&lt;i&gt;Duo me qi miao&lt;/i&gt; - how wonderful&lt;br /&gt;&lt;i&gt;yi guan ben dan&lt;/i&gt; - a consistent idiot&lt;/i&gt;</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:6076</id>
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    <title>Sunday, January 17</title>
    <published>2004-07-28T03:56:36Z</published>
    <updated>2004-07-28T03:58:28Z</updated>
    <content type="html">Patients treated: 1 - roses purchased: 1 - roses delivered to Kaylee: possibly hundreds (none mine) - chocolate obtained: not nearly enough&lt;br /&gt;&lt;br /&gt;Was woken in middle of night to learn Captain would be forced to fight a duel in the morning, and until said duel was complete, we were all hostages of a rather repulsive man named Badger.  Did not think much of this - after all, have seen him dispatch men with guns and bare-handed - but learned that he has apparently never learned to use a sword.&lt;br /&gt;&lt;br /&gt;It seems that even when I am not aware I am making assumptions in this new life, my assumptions are wrong.  Still, reassuring to know there is at least one weapon with which I am more proficient than anyone else on board.  If we ever have to conquer a medieval castle, I'm sure it will be a useful talent.&lt;br /&gt;&lt;br /&gt;Crew joined together to plot a way to escape the ship.  Jayne threatened to take his clothes off to provide a distraction.  Just when I thought the situation could not possibly worsen, River appeared.  (I will note that the preceding sentence has become a common sentiment in my journal.  I hope that changes soon.)  I tried to find a way to subtly get her away, but before I could, Badger took note of her.&lt;br /&gt;&lt;br /&gt;See above statement about assumptions.  I was envisioning babbling, and hysteria, and a quick trip to an Alliance prison.  Instead, she spoke to him as if she came from his own world.  It reminded me of when we were children at the summer cottage, and snuck down to the village to pretend we were locals.  Just like then, River gave a perfect performance, completely setting Badger back on his heels and shocking the rest of us.  After turning Badger into a simpering, cowering idiot, she turned on her heel, said to me, "Call me if anyone interesting shows up," and left.&lt;br /&gt;&lt;br /&gt;As Jayne pointed out afterward, "That was exactly the kind of distraction we could have used."&lt;br /&gt;&lt;br /&gt;By the time we put a plan together that didn't involve Jayne stripping his clothes off or making sexual advances on Kaylee, Zoe, or myself (the thought of the last still makes me shudder), Inara and the Captain arrived.  Quite a relief, as I don't think I could have pulled off the distraction in question.  The Captain had taken rather a bit of damage in the duel; I dragged him off to the infirmary as quickly as possible.&lt;br /&gt;&lt;br /&gt;I convinced him to lie back on the table so I could treat his wounds.  He shut his eyes for a moment, let out a sigh, and then looked at me...&lt;br /&gt;&lt;br /&gt;...oh, no.&lt;br /&gt;&lt;br /&gt;Must have been the combination of sleep deprivation, stress, sexual deprivation, and chocolate withdrawal.  Could &lt;i&gt;not&lt;/i&gt;, not, &lt;i&gt;not&lt;/i&gt; have been the combination of the smell of sweat, grass and blood, the way the dress shirt showed off his shoulders, his slightly battered, beaten appearance, or the sudden vulnerable look in his eyes. (Blue eyes.  Very blue.  Am restraining self from making comparisons to sapphires.)  For a moment, I thought he might kiss me.  The ensuing medical care was difficult, as I was unable to maintain the detachment appropriate to a medical procedure and was instead acutely aware of exactly how many centimeters away from his skin I could still feel his body heat, and strongly focused on only touching him as many times as needed to complete the procedure.&lt;br /&gt;&lt;br /&gt;Not only as delusional as River; also losing ability to construct sentences properly.  Sadly, cannot treat both of us simultaneously. Sleeping with arrogant, acid-tongued captain with severe deficiency in self-preservation instinct seems &lt;strike&gt;exciting&lt;/strike&gt; height of lunacy.&lt;br /&gt;&lt;br /&gt;First Kaylee, now Captain.  May have some heretofore undiagnosed weapon-wound fetish.  If so, pray Jayne does not get shot, stabbed or otherwise wounded in battle; I refuse to date &lt;i&gt;wu zou miaozi&lt;/i&gt; Neanderthal.&lt;br /&gt;&lt;br /&gt;Did not leave infirmary for several hours, as was searching for drugs to block libido.  (Sadly, none on hand that do not have severe side effects, such as temporary death.)  Entered cargo bay to find delivery man balancing two dozen roses.&lt;br /&gt;&lt;br /&gt;"Hey, you!" he said.  "This here's for the lady of the ship."&lt;br /&gt;&lt;br /&gt;"I can summon Ms. Serra for you," I said to him.&lt;br /&gt;&lt;br /&gt;"Who?" he asked.  "Naw, lad.  These'm're for a Ms. Frye."&lt;br /&gt;&lt;br /&gt;They were the first delivery for Kaylee, but not the last.  By the time we left Persephone, she had received sixty roses (two dozen pink, one dozen red, one dozen white, and one dozen mixed coral and orange - am contemplating chemical castration for the man with temerity to send those), four boxes of chocolate, a basket of strawberries, a pineapple, and - the gift she was most excited over - a box of long-handled wrenches and some sort of power drill.  I do not know who the Mr. Murphy is that sent the last one, but if we were remaining on Persephone I obviously wouldn't stand a chance. &lt;br /&gt;&lt;br /&gt;Chocolate boxes seemed to lose a few grams between their arrival and my delivery of them to her. Obviously learning lessons in thievery from crew. Desperately needed chocolate as emergency bandage for hemorrhaging ego; only feeling slight pangs of guilt.&lt;br /&gt;&lt;br /&gt;As Captain, Jayne, Wash and Zoe drove the cows onto the ship, Book returned with chocolate and a rather battered-looking, wilted rose.  Could not bear to hand it to Kaylee after carting armloads of perfect hothouse blossoms to her.  I gave the rose to River, who promptly fed it to a cow.  The Captain shouted at me, "Don't let your damn sister poison the cattle!" and banned her from the cargo bay until the cattle reach their destination.&lt;br /&gt;&lt;br /&gt;Kaylee has offered to share the fruit from her admirers with the crew after dinner.  Will attempt to feign cheer.  Then will retire to cabin to hide most of chocolate in highly secretive, River-safe location, and devour the rest.  Shall obviously become criminal, obese, loveless doctor with disgraceful &lt;i&gt;fat hau&lt;/i&gt; for wounded crew members.  &lt;br /&gt;&lt;br /&gt;&lt;i&gt;wu zou miaozi&lt;/i&gt; - filthy barbaric&lt;br /&gt;&lt;i&gt;fat hau&lt;/i&gt;- lustful feelings</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:5444</id>
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    <title>Saturday, January 16</title>
    <published>2004-07-26T03:39:36Z</published>
    <updated>2004-07-28T02:00:15Z</updated>
    <content type="html">Book has agreed to make purchases for me off ship.  Asked him to purchase a dozen roses and chocolate (to resupply new, VERY secret cache).  He looked at the money I was handing him, looked at me, and said, "Son, do you have any idea how much roses cost, here?"&lt;br /&gt;&lt;br /&gt;Now I do.  Have never had to budget before; purchases smaller than a vehicle or a flat were always well within my means.  Fortunately, Kaylee used to living on shoestring; hopefully single rose will be enough to impress.  Considered sacrificing chocolate, but Book assured me that significant amounts of chocolate could be found for less than the cost of a second rose.&lt;br /&gt;&lt;br /&gt;I'm not certain of Book's profession prior to his assumption of religious orders, but the long list of chores I accrued during tonight's card game makes it a safe bet that he was once a card shark.  Although if Book were offering me that bet, I doubt very much I would take it. Loud screaming, moaning and caterwauling from Wash and Zoe's room significant distraction during card game.  Think Jayne was almost as handicapped as I by the noise.  Perhaps vow of celibacy gives Book significant edge.&lt;br /&gt;&lt;br /&gt;Game was interrupted when River began tearing labels off food cans.  Cannot figure out why she did it; nothing she said made sense.  Imagine she also took wrappers off chocolate.&lt;br /&gt;&lt;br /&gt;There is some kind of logic here, some kind of code I should be able to figure out.  The letters seemed insane, but there was a code inside; I just had to learn to read it.  It took me months to crack that one. This may take longer.  I'm beginning to wish I had trained as a psychiatrist rather than a trauma surgeon.  Everyone on board seems to think I should be able to cure her.  I don't think any of them realize that in this particular field of expertise, I'm only slightly more knowledgeable than they are.&lt;br /&gt;&lt;br /&gt;When I was told they were hurting her, I had no idea this was what they meant.  I keep trying to access journals, papers, anything that could give me some hint of what has happened to her.  I need an expert's help, but out here I AM the expert.&lt;br /&gt;&lt;br /&gt;"Top three percent of your class," the Captain keeps saying.  It doesn't matter.  Right now, I'm useless.  I can only watch, and work by trial and error, and pray that I don't make her any worse.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:5228</id>
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    <title>Friday, January 15</title>
    <published>2004-07-25T06:53:22Z</published>
    <updated>2004-07-25T06:53:22Z</updated>
    <content type="html">Number of physicals performed: 1 - number of times avoided by Kaylee: 190 - number of breakdowns by River: 3 (relieving tedium of day) - bars of chocolate eaten: 2 (out of sheer necessity)&lt;br /&gt;&lt;br /&gt;Tried to see Kaylee for physical today, but was unable to speak to her even briefly.  Upon seeing me, she either flees or becomes deeply engrossed in conversation with Zoe or Captain or Inara.  Need to find some way of making up whole toxic-stew incident to her.&lt;br /&gt;&lt;br /&gt;Was given inspiration for gift by Wash during his physical.  He was discussing his courtship of Zoe (in light of imminent invasive examination, seemed to feel need to prove himself as heterosexual as possible).&lt;br /&gt;&lt;br /&gt;"It was just after she got shot in the leg.  You don't want her as a patient, Doc.  She's mean when she's hurt.  She threw a shoe at Mal when he tried to bring her soup.  Or maybe it was her hairbrush.  Anyway, she was saying she could take care of herself, growling at everyone and about to rip open those stitches any minute.  Probably not the best time to try something, but I figured &lt;i&gt;bu ru hu xue, yan de hu zi&lt;/i&gt;, right?  And, you know, since she was hurt it would give me the advantage if I had to run away.  I spent the last of my cash on two oranges and a rose.  Brought them to her while she was trying to get down to her quarters without putting any weight on that leg, and she just about fell the rest of the way down the ladder."&lt;br /&gt;&lt;br /&gt;Unfortunately, missed rest of story, as was trying to plot way to purchase dozen roses without leaving ship.  May enlist Book as partner in crime.  Would ask Inara, but she is far too busy with work to be disturbed.&lt;br /&gt;&lt;br /&gt;After learning Wash's family history, am not surprised he became pilot - with so much melanoma in family, spending majority of time in outer space seems sensible way to avoid UV rays.&lt;br /&gt;&lt;br /&gt;Came back to cabin to find River crying in middle of floor, surrounded by naked chocolate bars from my hidden cache.  Could not find out why she was crying, or where wrappers had gone.  Ate chocolate as pure stress release - must not let such items go to waste.  River watched me eat and said "N-oleoythanolamine and N-linoleoylethanolamine delay the breakdown of anandamide in the brain.  Addict."  Then she stole one of the chocolate bars and ran into one of the hidden cargo areas.  It has been two hours and I still have not been able to find her, but another chocolate bar has gone missing. &lt;br /&gt;&lt;br /&gt;She will eventually need more chocolate.  Am wrapping a bar in plastic and placing it under pillow before going to sleep.  Will inject her with sedative while she is distracted by rich cocoa confection.&lt;br /&gt;&lt;br /&gt;03:15 - River is more sneaky than previously imagined - chocolate bar under pillow has vanished! Considered baiting her bed with last remaining bar, but ate it instead. Cannot be expected to stick to nutritious diet when insane, stealthy, chocolate-addicted sister roams ship freely and unmedicated except by tryptophan, caffeine, sugar and phenylethylamine.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;bu ru hu xue, yan de hu zi&lt;/i&gt; - if you don't enter the tiger's lair, you can't catch any cubs.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:4690</id>
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    <title>Thursday, January 14</title>
    <published>2004-07-21T03:39:57Z</published>
    <updated>2004-07-21T03:39:57Z</updated>
    <content type="html">Crew members injured: 2 (only slightly) - physicals performed: 1 - sisters cured: 0 - planets abruptly departed from: 1&lt;br /&gt;&lt;br /&gt;Performed Book's physical today.  He is in remarkably good health for a man of his age; has also apparently had several injuries treated with the sort of skill one only sees at the best Core hospitals. V. curious as to his occupation prior to becoming Shepherd.  Had not imagined discomfort of performing proctological exam on man who generally cooks one dinner; strange to have casual conversation about need for new kitchen supplies while three fingers inserted into Book’s rectum.&lt;br /&gt;&lt;br /&gt;Thought we were staying on planet longer, but we left Santo like thieves in the middle of the night.  (Of course, other options would be to leave like thieves at dawn, or like thieves in the middle of the day, or perhaps like thieves during a particularly brilliant sunset.)  Mal and Jayne robbed some slavers over a game of pool and got into a bar fight for their trouble.  Knew uninjured state of crew was too good to be true.  &lt;br /&gt;&lt;br /&gt;Otherwise, things largely in stasis.  River still not well.  Kaylee still avoiding me.  Wash's wrist still hurts, and he still says he must consult with Zoe before I can investigate their work area.  Inara marginally warmer, but not yet to levels of warmth previously enjoyed.  On bright side, Jayne no longer &lt;i&gt;chou&lt;/i&gt;; apparently blackmail of Book has been sufficient.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;chou&lt;/i&gt; - smelly</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:4419</id>
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    <title>Wednesday, January 13</title>
    <published>2004-07-20T15:54:55Z</published>
    <updated>2004-07-20T15:54:55Z</updated>
    <content type="html">Professor Bovoin once said in class that the life of a trauma surgeon was "boredom punctuated by moments of sheer terror."  That actually seems far more descriptive of life as a fugitive.   &lt;br /&gt;&lt;br /&gt;Between tests on River (which she is enduring with less and less grace), have been reading &lt;i&gt;Li ji&lt;/i&gt;.  Continual messages of filial piety rather distressing; after rescuing River against Father's orders and "going on the lam" (lam/Tam - there's a piece of doggerel just begging to be written), have completely tossed aside most Confucian ideals.  Am considering tossing aside Confucian texts, as well.  Book would make much more satisfying thud against wall if was old-fashioned paper volume; deleting file from notebook seems anticlimactic.  Notebook really should have option of loud crashing noise on deletion, and perhaps an image of flames, just to provide one with visceral thrill of destroying offending text.&lt;br /&gt;&lt;br /&gt;Will apparently be on Santo for several days.  Am planning to perform crew physicals, as would be nice to get baseline when no one is injured or sick, and am beginning to think this would be rare time when neither of above is true.&lt;br /&gt;&lt;br /&gt;&lt;i&gt;Li ji&lt;/i&gt; - Book of Propriety (early Confucian text)</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:3914</id>
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    <title>Tuesday, January 12</title>
    <published>2004-07-19T05:25:20Z</published>
    <updated>2004-07-19T05:27:21Z</updated>
    <content type="html">Kilos lost: 2 (food poisoning obviously counteracts chocolate binge) - Sisters cured: 0 - Potential romances ruined: 1 (no! no! NO!)&lt;br /&gt;&lt;br /&gt;Will be landing on Santo overnight.  Captain admonished me not to leave ship and not to discuss cargo.  V. silly: am obviously not security risk for following reasons:&lt;br /&gt;&lt;ol&gt;&lt;li&gt;Over past several days, have been too busy testing River/having professional-level sex/monitoring River/treating Wash's RSI/chasing River/giving Jayne rabies shots (since he is not &lt;i&gt;domesticated&lt;/i&gt; animal, cannot expect him to have had them already)/cooking toxic-mushroom-laden food/ruining chance at perfect romance/vomiting/etc. to have even figured out what cargo is&lt;/li&gt;&lt;li&gt;as previously mentioned, never going outside ship again, ever&lt;/li&gt;&lt;li&gt;even if knew what cargo was, would not know who to contact on Santo to turn in Captain for money&lt;/li&gt;&lt;li&gt;even if knew where to turn in Captain, suspect authorities would consider fugitive like myself more lucrative find than Captain's cargo&lt;/li&gt;&lt;/ol&gt;&lt;br /&gt;Was able to continue testing River today.  Tests seem to be revealing very little.  Can find no significant changes in her body aside from obvious pubertal development, no unusual drugs in bloodstream.  Psychological issues far too severe to be strictly post-traumatic stress disorder, although suspect that is one element of problem.  Medication for PTSD and apparent panic disorder seem to be less and less effective; suspect may be high tolerance in  benzodiazepine receptors, but am not seeing usual withdrawal symptoms to support that theory.  Must give medications more time to build up before trying new combination.&lt;br /&gt;&lt;br /&gt;Saw Kaylee in kitchen this morning. Hesitated to say hello, as was concerned she might be upset about whole vomiting/IV thing.  Evidently so: she immediately stopped eating and said she needed to check on a catalyzer - practically ran out of room in order to avoid me. Avoided engine room as did not want to trouble her.  She did not even walk by infirmary all day. At dinner, she sat at other end of table and did not look at me once, but instead engaged in loud conversation with Wash about dinosaurs.  Have obviously DESTROYED whatever chance at romance I had with her.  Want to make amends, but not clear how; feel offerings of food in light of stew incident might be exactly wrong thing.  Inara also chilly; apparently poor talent at cooking also ruins all chances for sex.&lt;br /&gt;&lt;br /&gt;Rest of crew seems to be recovering. Wash said this morning, "I know things get boring between jobs, but you don't have to poison us just to give yourself something to do."  Began telling me story about failed dinner prepared by Zoe; unfortunately, story was cut off when Zoe threatened to give me more work in infirmary at Wash's expense.  Captain threatened to enter lucrative weight loss market with "Dr. Tam's Weight-Away Stew"; apparently, his pants are significantly less tight in aftermath of that dinner.  Had to endure Jayne's comments about my cooking while giving him last rabies shot; even acute pain was not enough to quiet him.&lt;br /&gt;&lt;br /&gt;Gave Book galactosidase to place in Jayne's dinner as cure for flatulence problem.  Book protested at medicating Jayne without his knowledge or consent.  I responded that I would be perfectly happy to discuss it with Jayne, and would also talk to Captain about Book's mushroom-picking expedition, which added such flavor to my stew.  Book raised one eyebrow and said, "On second thought, this isn't a topic that really needs thorough discussion."  Should feel guilty about blackmailing Shepherd, but feel I am doing it in best interest of all crew.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:3815</id>
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    <title>Monday, January 11</title>
    <published>2004-07-17T04:54:53Z</published>
    <updated>2004-07-17T04:56:25Z</updated>
    <content type="html">Obviously dinner more complex than previously thought.  Stew should not have been that particular shade of violet.  Thought biggest mistake was accidentally dropping entire shaker of salt (plus lid) in pot.  River looked in the pot, went to cabinet, peeled the last two potatoes, and dropped them in. She stopped me when I tried to pull them out.  "Osmotic flow always occurs in the direction that favors dilution," she said.&lt;br /&gt;&lt;br /&gt;Stew was surprisingly unsalty, but something else was odd.  River refused to eat it.  Rest of crew seemed &lt;i&gt;buay kum guan&lt;/i&gt;; Wash commented that it reminded him of place where he learned skills with shadow puppets.  (Am assuming that does not mean it reminded him of home.)  Kaylee complimented me, gave rest of crew significant looks until they finished servings of soup, and ate second bowl.  Am unclear if she has no taste buds, or was attempting to make me feel better.  Either way, was forced to insert IV to rehydrate her after her 13th hour of illness.  Am positive that any chance I had with her is ruined.  Poisoning object of affection followed by skewering her with needles not way to woman's heart.  Also, think she may be embarassed about vomiting on my shoes.  Rest of crew has been rather quiet around me, except for the moaning.&lt;br /&gt;&lt;br /&gt;Suspect issue with stew may have been wild mushrooms, picked by Book on Antilles. Adding them was very much &lt;i&gt;hua she tian zu&lt;/i&gt;.  Must not allow Book to pick mushrooms on next planet.  Just because he once had garden does not make him mycologist.&lt;br /&gt;&lt;br /&gt;Was too busy tending to crew (between own bouts in bathroom) to run tests on River today.  Must continue them tomorrow.&lt;br /&gt;&lt;br /&gt;Worst part: Jayne did not eat last night due to rabies shots, and is healthiest among us.  Spent day eating large amounts of non-toxic, non-mushroom food in kitchen, and telling us about it in excruciating detail - and of course, Jayne is &lt;i&gt;pi wang&lt;/i&gt;.  Am nearly positive that it is not medical issue; instead, think he saves it all up until mealtime out of sheer perversity.&lt;br /&gt;&lt;br /&gt;Captain just knocked on door. Still green around edges. He said, "Doc, I think we'll just let ya have double dish duty from now on."&lt;br /&gt;&lt;br /&gt;-------&lt;br /&gt;&lt;br /&gt;&lt;i&gt;buay kum guan&lt;/i&gt; - reluctant&lt;br /&gt;&lt;i&gt;hua she tian zu&lt;/i&gt; - ruining something by overcompensating, "gilding the lily"&lt;br /&gt;&lt;i&gt;pi wang&lt;/i&gt; - king of farts</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:3368</id>
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    <title>Sunday, January 10</title>
    <published>2004-07-16T03:06:58Z</published>
    <updated>2004-07-16T03:06:58Z</updated>
    <content type="html">Huai le! I think I just gave us all food poisoning.</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:3080</id>
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    <title>Saturday, January 9</title>
    <published>2004-07-15T03:16:00Z</published>
    <updated>2004-07-15T03:16:00Z</updated>
    <content type="html">Sisters cured: 0 - intensely painful medical treatments given: 1 (v. satisfying)&lt;br /&gt;&lt;br /&gt;Have spent day working with River.  She decided to hang upside-down from stairs over cargo bay.  Was nearly paralyzed with fear.  Coaxed her from high place, and tried to entertain her in less coronary-seizure-causing fashion by showing her vid on Cortex; she became hysterical and took hours to console her.  Tried to play games with her, but can only keep her attention for a few seconds; tried to converse with her but she was non-linear and scattered. &lt;br /&gt;&lt;br /&gt;I cannnot predict her moods, and the drugs I give her are not helping much.   Am concerned I will run out. When left Osiris, had not truly considered difficulty of acquiring medication on the Rim, or cost thereof.  As licensed doctor, am permitted to requisition drugs from government; however, as wanted fugitive, think such request might provide Alliance with hint as to our whereabouts.&lt;br /&gt;&lt;br /&gt;One bright spot in day, however.  While crew was picking up cargo on Antilles, Jayne decided to pet some sort of feline, and was bitten by said creature.  Crew neglected to capture it.  In absence of animal to test for disease, insisted on beginning course of anti-rabies shots as soon as possible as precautionary measure.  Considered giving Jayne two shots in arm, as is normal, but after his commentary on my uselessness, decided for safety's sake to perform traditional method of anti-rabies shots - purely as prophylaxis, of course.  Fortunately, have syringes with needles long enough to inject anti-rabies serum into his stomach via his navel.  Gave him first phase of ten injection course of treatment this afternoon.  He was remarkably quiet at dinner.&lt;br /&gt;&lt;br /&gt;Was told this evening that my duty tomorrow in chore rotation will be preparation of dinner. Am sure can produce something better than Mal's protein a la protein.    &lt;br /&gt;&lt;br /&gt;Inara has asked to see me.  Must assume, since she keeps inviting me to her shuttle, that she, like Jayne, does not consider me part of crew.  Am far less offended that she considers me separate, as perks are quite nice.  Am taking non-steroidal anti-inflammatory drugs before going to shuttle as precaution, and preparing ice packs for tomorrow's anticipated muscle strains.</content>
  </entry>
  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:3046</id>
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    <title>Friday, January 8: My Captain Killed a Reaver and All I Got Was This Lousy T-Shirt</title>
    <published>2004-07-12T22:03:51Z</published>
    <updated>2004-07-12T22:03:51Z</updated>
    <content type="html">Chocolate eaten: too much - Weight gained: surely enormous amount - sexual thoughts about shipmates: 8,639&lt;br /&gt;&lt;br /&gt;Have been assured, repeatedly, that life on a spaceship is dull.  Am still looking for evidence to support this theory.  Constant flood of adrenalin from exciting life on run is sure to lead to hypertension, stroke, and/or coronary issues.&lt;br /&gt;&lt;br /&gt;Not to mention the women.&lt;br /&gt;&lt;br /&gt;Took River on excursion around ship yesterday, before finding creepy space cemetary, Reavers, Alliance, et. al. Crew was in cargo bay playing some insane anarchic game. While watching, Inara came onto catwalk.&lt;br /&gt;&lt;br /&gt;Conversation, including subtext:&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Me:&lt;/b&gt; Hello.&lt;br /&gt;&lt;i&gt;Translation: So, uh, haven't seen you since the wild hours of sweaty acrobatic copulation in your shuttle last night. You're looking ravishing. Should I give you a kiss...somewhere?&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Inara:&lt;/b&gt; Who's winning?&lt;br /&gt;&lt;i&gt;Translation: Oh, you sweet, darling boy. Also, no.&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Me:&lt;/b&gt; I can't really tell; they don't seem to be playing by any civilized rules that I know.&lt;br /&gt;&lt;i&gt;Translation: Ah, I see. That bad, huh?&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;&lt;b&gt;Inara:&lt;/b&gt; Well, we're pretty far from civilization. How's your sister?&lt;br /&gt;&lt;i&gt;Translation: Hey, my options are a married man, a celibate Shepherd, a barely evolved primate, a psychotic captain, and you. Good thing I've got my day job.  Let's change topics, and if you're lucky and I'm bored I'll give you another shot.&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;I'm not clear if my experiment in non-celibacy will continue, or if this is mere blip on otherwise empty, sexually void radar.&lt;br /&gt;&lt;br /&gt;Short summary of rest of day: find ship full of corpses and one survivor who apparently planned to kill us all. Concept of gratitude on Rim seems sketchy. Interrrupted in my treatment of psychotic soon-to-be scalpel-wielding maniac by arrival of Alliance.  River got her wish: we went outside.  Next time she asks for something, I am taping her mouth shut.  Spent three hours clinging to ship's hull; thin layer of Mylar all that stood between me and cold, lonely death in space.  Jayne slapping me on shoulder and saying, "Remember, worst thing you can do is puke in your spacesuit" absolutely no help, as gave me second fear to focus on during experience.  River, on other hand, treated it like day at amusement park.  Have sister that is not only smarter than me, but more fearless.  Also, crazy, which appears to be survival trait out here.  Is infuriating to have sister who is eight years younger and yet eight times smarter than one; since age of twelve only way to prove superiority is to place her dolls on high shelves.&lt;br /&gt;&lt;br /&gt;On upside, got to see Jayne turned into sniveling cowardly neurotic wreck by presence of Reaver while I showed myself cool and fearless in the face of corpses.  Simon: 1, Jayne: 0.  After lowering bodies to floor of other ship's cargo bay, tried to lock him in with dead bodies, but was told by Book this was unkind.  Book's argument was weak, but his grip when I attempted to shut door was strong - in fact, potentially wrist-breaking.  &lt;br /&gt;&lt;br /&gt;Slept through breakfast due to stress and sugar withdrawal.  Had lunch with River, who seemed remarkably lucid.  Perhaps should shove her out airlock more often.  Dinner was with whole crew.  Am considering paper on Jayne's intestinal disorder as effective appetite suppressant for weightloss.</content>
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  <entry>
    <id>urn:lj:livejournal.com:atom1:drtamsdiary:2446</id>
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    <title>Thursday, January 7</title>
    <published>2004-07-09T22:14:24Z</published>
    <updated>2004-07-09T22:17:27Z</updated>
    <content type="html">15:20:&lt;br /&gt;Must abandon patient in infirmary due to imminent Alliance presence.  River is excited at chance to go outside.  Prospect at death in vacuum only marginally preferable to Alliance imprisonment.&lt;br /&gt;&lt;br /&gt;23:45:&lt;br /&gt;Hate Jayne, hate Alliance, hate Reavers, hate sister who thinks clinging to outside of ship's hull is a fun day out, hate spacesuits, hate creepy corpse-laden spaceships, hate cannibalistic homicidal castaways, hate having one handlehold being all that separates me from a prolonged death of suffocation alone in outer space.  But hate Jayne most of all.  Wish Jayne would have scrotum ripped off by freak gravitational field accident.  Searching for loophole in Hippocratic Oath.&lt;br /&gt;&lt;br /&gt;Am exhausted.  If Inara needs massage tonight, she can ask Shepherd Book.  Plan to devour hidden store of chocolate and sulk.</content>
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