"Before we get started, I just wanted to make sure that it is known that all parties involved in these videos have agreed to let me use their footage for training purposes, though they may not be used for anything else in accordance with Human Medical Privacy Laws. These tapes will go directly to the intergalactic college of interspecies biology and medicine. Those who are found to use this footage in any way contrary to its original purpose will be prosecuted to the full extent of the law"

-

The camera turns on shaking form side to side over the floor spinning quickly from the right and then to the left before finally leveling out on an image of a hallway. The Vrul scuttles along the floor with great purpose small fleet clattering against the cold metal. He turns to look at the camera, "I just got a call up the Medical bay for a human in significant respiratory distress also complaining of chest pain, so we are going to head up there and see what is going on. Now I have been the operational medical officer aboard this ship for a while now, and I have seen almost everything there is to see. Doing medicine for humans is.... Well it's a wild ride simply because of their combination of durability and breakability. They break horribly easily and in horrific ways, but are able to live through it when they do, and that leaves it up to the medical staff to make sure that they are quickly treated so that the shock of their injuries doesn't send them down the road of you know.... Not being alive."

They hurried up a hallway following after the little doctor pausing for a few seconds before the medical bay doors which opened with a hiss. A wave of sound washes over the camera, people talking and someone breathing rather heavily. The camera pans up to show a group of humans gathered around a third sitting on the edge of one of the hospital beds. They are breathing fast and heavy a hand on their chest eyes wide panicked.

The crowd opens up as the little doctor walks in.

"What do we have?"

"30 year old male with racing heart, difficulty breathing, tingling hands, dizziness, and chest pain."

The human was breathing even harder now looking around frantically, "I....I....I'm dying..... I think I'm having a heart attack.....I can't breathe."

"Alright, let's get an EKG going first thing." The little doctor gets to work very quickly all four arms working as he begins to speak, "Now the obvious worry here is the case of chest pain, which in humans can be an indication of a heart attack. Now the heart is a very major organ in a human, and acts as a pump to move blood around the body. The blood contains oxygen and infection fighting cells etc. With a heart attack one of those little vessels in the organ is blocked, usually by plaque or fatty deposits causing death in parts of the heart muscle. Now this human is generally too young and too fit for any of that to happen..." He turns to the human, "Is there a history of heart attack or heart disease in your family?"

The human shakes their head.

"Has this every happened to you before?"

Another head shake.

The doctor ripped off a couple of sticky white circles and attached them to the human's chest, "Now this will give us a good look of what is going on in there." There was a pause for a minute as they continued working.

The doctor glanced at the instruments once the information began coming in, "Alright, so this is good news, the heart IS beating fast, but there does not appear to be any blockage, and it is not fast enough to be considered tachycardia. Also their blood oxygen level is within acceptable range meaning that it isn't likely to be some other issue. Now that leaves our post likely option as being a panic attack."

He walked over to the human to get their attention, "Do you have a history of anxiety disorder in your family?"

"A few .... Uncles." He panted, "But it has to be.... A heart attack."

"Well your heart is actually fine. I think in this case you ARE having a panic attack, now you are alright, this can happen to anyone not just people with a disorder, ok. Now just humor me, and I and I want you to take in one big breath counting to seven, hold it for five and then blow out at five seconds." The human looked very skeptical, but at the order of the doctor they began.

He left the instruction to one of the other attendees, "You see, this is actually quite common in humans. Emotional functions are very closely intertwined with their physical functions mostly due to their greatly superior fight or flight mechanism. Humans have a very quick physical reaction to panic that causes the heart to beat faster, digestion to shut down and the pupils to dilate. The breathing will also speed up as you have seen. The problem is the human body reacts to the stress of being chased by a predator in the same way it reacts to, social stress, or an approaching deadline.

In this cause stress, and an elevated heart rate could have trigged a panic attack, where the body is having these physical symptoms despite the brain, and now they are trying to figure out an explanation. They generally assume they are having a heart attack or that something else horrible is about to happen, even if it is not.

He turned back to check on the human, whose heart rate had gone down a bit. They were looking a little better, but there still seemed to be a way to go.

"We are just going to have him continue this breathing exercise which is designed to activate the parasympathetic nervous system and calm down the feelings of anxiety and panic. I always find it interesting that the one thing that makes humans the best and dealing with extreme stress, is also the one thing that makes them crumble under more mild states of stress.

***

"So we have been called in again this time, we have a 25 year old male presenting with, extreme abdominal pain, vomiting, nausea, and a low grade fever." The doctor walked in wearing more protective gear than he had last time. The camera pans up to another human lying on one of the beds curled into a ball moaning, face screwed up in pain, hands clutched around his middle rocking slowly back and forth in a writhing sort of way. One of the other doctors had placed a metal bowl by the human's head as they groaned.

The doctor moved forward and had the human roll onto his back, though the human did not seem as if he wanted to. The alien doctor listened to the human's innards, and then began lightly pressing on the abdominal cavity. As soon as he did, the human yelped in pain and curled up again looking as if he was about to be sick.

"Abdominal pain in the lower right quadrant, I would wager to say this is probably a case of appendicitis." The doctor motioned for one of the orderlies to grab a machine and roll it over, "Now the human appendix is a part of the intestines that was long thought to be useless or a vestigial structure that humans used more when they had to clear large amounts of plant material through their digestive tract. In many cases it acts as a blind pocket that sometimes collects bacteria and then becomes inflamed. You CAN fix it with antibiotics, but the general consensus is removal." He pulled the machine into position, using a short wand covered in cold gel to pass over the human's skin just above the problem spot.

"Ah, just like I thought, you see that right there." He pointed to the screen, "This right here is the inflammation being caused by the infection, and the reason that the human is going to be in so much pain right now. I would suggest at this point that we just go in and remove it with a simple laparoscopic appendectomy. As far as procedures goes, this one is actually relatively easy and should take no more than a few minutes for me to perform. Now before you go questioning me about the time frame for this surgery, I do remind you that I am the most experienced surgeon in the galaxy. I guarantee the prep for this surgery will take longer than my ability to actually preform it."

The human groaned.

"Don't worry, we will have you fixed up almost immediately."

***

"I find that there are a few general things you want to look for when treating humans. The first big one is energy level. Your average human is going to be very.... Sharp you will see it in the eye and head movements, they will, or should be very energetic with their head and arm movements, especially around the chest and shoulders. Humans like using their hands to talk. A lot of the time you can tell something is wrong with a human when they are listless and slow to respond. You may see their eyes wandering and they won't focus on you, now some humans behave that way, but your average human will generally try to make eye contact with you at some point. Watch to make sure they are supporting their own heads, or does it seem to be bobbing or tilting in one way or another. A few other things is a general change in appetite from what is considered usual. A stressed or sick human may eat too little or too much. If your human appears confused or is having trouble answering simple questions, you will want to check them over straight away. As I said before, a sick human might appear listless, lethargic, they will tend to sleep a lot, and they may be irritable. I would make it a point to warn most students about that fact when dealing with humans, sometimes in cases of serious injury humans tend to act in anger to pain, so they might try to fight you off or to get away, especially if the pain is really bad, they are sort of resorting back to their more baser instincts. Occasionally you may have to strap them down, or even sedate them , while there are a few humans who like comfort when they are in pain, there is a large group of them who do not like to be touched or talked to when they are. I would say that is also an important thing to note, both psychological and physical pain can cause a human to isolate themselves form you, so just make sure you are watching for those signs because they can be indicators that something is seriously wrong."