At the Lower Quay clinic, Dr. Sena Vale puts the night schedule, medicine cupboard log and referral slips beside the second healer crosses the river after the last regular ferry. The detail is easy to miss in a summary, but it determines whether a posted rule describes the place people actually use.
Dr. Sena Vale is the night physician and rota delegate. On this cold harbor visit, the work begins with a dated entry and ends with a second check from someone who did not make the first one.
The the night schedule, medicine cupboard log and referral slips lists 94 urgent visits reached within the posted interval; the previous window lists 96. Ada Merrow checked both against ward records and interviews with people who use the service. The number is one part of a larger handoff between the office, the people who use the service and the staff expected to maintain it.
The roster counts an assigned healer. Patients count the time between a call and a person at the door. Residents and workers have asked the clerk to keep their accounts beside the source count rather than turn them into a single average.
Anew review window opens with a dated question and a named clerk. The Year first, cold harbor window 1 file remains open for its scheduled decision. The clinic will compare call and arrival times before changing the rota.
