MDtoCRNP

Draft 1

Item #: SCP-3436

Object Class: Safe

Special Containment Procedures: SCP-3436 is marked by a 11.5 x 12 hectare, 2.5 meter-tall chain-link of commercial quality. The fence has been lined with privacy tape to discourage visualization into the area by passersby. Additional diversional measures include prominent signage indicating the prohibition of trespassing, and an industrial-grade gate lock at the fence’s sole entrance. The gate’s perimeter is subject to continual surveillance by an installment of personnel stationed in camouflaged outposts.

Military-grade containments for SCP-3436 were denied by Foundation resource officers citing the need to minimize civilian attention in the setting of several historical, upper-class suburban developments surrounding the site, which the city is intolerant of evacuating to our full operational control. Additionally, the construction of complete enclosures would effectively blind researchers to the solar behaviors that are unique to the site.

In the event of an identified trespassing, said personnel are to respond on foot into SCP-3436 for immediate civilian retrieval. Amnestic interventions may be indicated if the retrieved subject is not in need of immediate medical care, in which case amnestics should be conserved until vital signs have been stabilized, and a medical professional’s assessment has confirmed the presence of sufficient neurological activity to justify their use.

The use of thermal goggles inside SCP-3436 is no longer recommended (see Addendum 1). Agent ████ ███████, et al. demonstrated that when coupled with tactical incursion, night-vision goggles alone are sufficient to complete retrievals within the estimated time allotted by SCP-3436, after which spontaneous abduction is highly suspected to occur (approximately [DATA EXPUNGED] minutes). As of ██/██/20██, it is mandatory that responding personnel administer the aerosolized anxiolytics made available to them a minimum of 2 minutes prior to entering SCP-3436.

Description: SCP-3436 is a FEMA-designated flood plain situated within the dense suburbia of ████████, Mississippi. Since 19██, it has been a Foundation-registered Class IIb area of paranormally frequent disappearances. It was previously the site of the ███████ Golf Course and Club, which ceased operations in 19██. The terrain is characterized by undulating landforms and is flanked by fluvial terraces. It retains human-made artifacts which are now overgrown with invasive flora. Current data is insufficient to suggest whether the paranormal elements of SCP-3436 are native to the land or are the effect of an entity, or entities, within it. The initial stages have begun for a multidisciplinary research effort that aims to better understand the etiology of SCP-3436.

Analysis of botanical samples from SCP-3436 reveals species that are inconsistent with the surrounding ecology. In 19██, 14% of plant-life retrieved from SCP-3436 were species otherwise exclusive to well-documented geographical locations (n=35), the most remote being Restrepia schizosepala of Ecuador. Statistical analysis of serial surveys in 19██, 19██, 20██, and 20██ correlated increasing percentage of atypical flora with flooding incidents (P<0.001 for all comparisons) and confirmed that 100% of the atypical species documented were collected from overgrowth upon vestigial human-made objects. Recent projections estimate the ratio of endemic to atypical species could now be as high as 57% (SD +/- 10.43%).

From the time the Foundation has overtaken management of the plot, hundreds of trespassers have been retrieved. 86% of these civilians experience complete and successful return to civilian life within hours. 16 (sixteen) civilians confirmed to have entered the borders of SCP-3436 have never exited. Several more historical disappearances in the area are inferred with moderate probability to have occurred within SCP-3436, although they predate the Foundation’s study and cannot be verified. Of the sixteen, none have been successfully relocated. (See Addendum 2.)

Empirical data suggests that the solar behavior in SCP-3436 is dependent upon the presence of human beings. Case studies report that upon entering the area during daylight hours, a sunset invariably occurs respective to the viewer(s), and approximately [DATA EXPUNGED] minutes later, night falls. By all objective means, the area follows normal weather patterns and has identical sunrise and sunset times as its geographic coordinate. Thus far, this phenomenon is always observed, regardless of the time of day one enters the area. No change in solar behavior has been observed when entering the area at night. Individuals who enter SCP-3436 during daylight hours experience temporary blindness lasting 2-4 hours after exiting the premises. It is theorized that SCP-3436 prefers visual obfuscation for the observation and obtainment of potential abductees. Use of optoelectronic devices, such as infrared and night vision prevents adverse effects of the sunset event.

+ ADDENDUMS

Addendum 1 - SECURITY CLEARANCE LEVEL 4: ACCESS GRANTED (11.2.3.38.01)

It was previously encouraged to use infrared-imaging guidance to locate and retrieve civilian trespassers in order to achieve the most time- and decibel-efficient operations. However, as the number of individuals who are seemingly lost to SCP-3436 has grown, infrared technology has become less reliable. Field personnel have increasingly reported disorienting figures in their FOVs that range from floating orbs to bipedal figures approximating the height of the surrounding arboreal life. Simultaneous video feeds of field personnel, though limited by poor natural lighting, reveal no such figures.

The last known use of infrared perception in a retrieval operation inside SCP-3436 was by staff-member ███ █████, who currently is in long-term residence at ████████’s Center for Psychiatric Medicine in ███████, MS. Discharge date and disposition is pending.

ADDENDUM 2 – SECURITY CLEARANCE LEVEL 7:
ACCESS DENIED (11.3.2.49.01)
ACCESS DENIED (11.3.2.49.02)
ACCESS DENIED (11.3.2.49.03)
(No more than three consecutive log-in attempts are allowed.)

ACCESS GRANTED (11.3.2.50.01)

On ██/██/20██, an individual fitting the description of a 45 year old Hispanic man who entered SCP-3436 on ██/██/20██ and who was not successfully retrieved was reported to local authorities at 17°57′43″S 122°14′10″E (Western Australia). The individual, named █████ █████, was discovered alone in a field belonging to local farmers.

Mr. █████ was not clothed and showed pronounced, disfiguring edema of the limbs, face, and chest. It was later estimated he carried an additional 5 liters of fluid in his tissues. He had no known prior medical conditions which could produce these symptoms. While he could not speak as a result of pitting angioedema, he was able to vocalize his distress in a primitive manner, which is what alerted the locals to his presence.

Upon being confirmed through dental records as a missing individual from SCP-3436, witnesses were treated with combined sedative, anxiolytic, and amnestic agents, and the abductee was evacuated to our service for further workup.

Radiological data, interpretations, and excerpts from relevant medical documentation can be accessed under medical record number ████████████, dates ██/██/20██ - ██/██/20██. (See Addendum 3)

ADDENDUM 3 - Excerpts from MRN ████████████ -
██/██/20██ 15:43,

Medical treatment began with intravenous diuretics to pull off the accumulation of fluid in the patient’s tissues. Diuresis was abnormal in that the patient’s urine was measured at a high specific gravity and contained serum-level percentages of red blood cells despite normal kidney function. Ultrasonography suggested the signature of the remaining fluid to be consistent with frank blood. Orthopedic services were consulted to tap a site of the fluid collection. The serology reports are reproduced below:

██/██/20██ 18:43,
Access Site: Left Forearm
Interpretation: In Error - Specimen contaminated, possible practitioner error. Abnormal concentration of erythrocytes in interstitial fluid suggests accidental access into vasculature. Recommend redraw.

██/██/20██ 20:14,
Access Site: Right Forearm
Interpretation: In Error - Specimen contaminated. Abnormal concentration of erythrocytes in interstitial fluid suggests accidental access into vasculature. Recommend redraw.

██/██/20██ 21:
Access Site: Right upper extremity, left upper extremity, right upper extremity, left lower extremity, peritoneal cavity.
Interpretation: In Error - Specimen contaminated. Abnormal concentration of erythrocytes in interstitial fluid suggests accidental access into vasculature. Recommend redraw.
*Serum assays performed on collected specimens per MD verbal order (Dr. ████████████ MD, PhD). ELISA tests indicated no human-specific antigens or proteins. In the absence of alternate explanations, this result suggests the fluid is blood not of human origin.

██/██/20██ 06:23,

MICU Progress Note:
No acute events overnight. Patient's ventilations improving, spontaneous breathing trial with cessation of sedatives today; will extubate if bloodwork allows. Edema is resolving, hematocrit and vital signs stable.

██/██/20██ 18:43,

MICU Progress Note:
Extubated yesterday to supplemental oxygen. Patient is not oriented to time, place, or person; speech is defined by ceaseless echopraxia. Psychology consulted, we appreciate their recommendations.

██/██/20██ 20:02
Psych Consult Note:
Assessment and Plan - Mr. █████ was referred to our service the the medical home team for complaints of repeated vocal utterances without apparent meaning. An interpreter provided by the facility is present. Upon initial exam, the patient is lying supine and comfortably in a hospital bed. No conjugate gaze, eyes are widened with dilated pupils despite the cessation of epinephrine and norepinephrine drips yesterday. Pt's repeated phrase, per interpreter, is "[DATA EXPUNGED]", at a high volume with audible strain on the vocal cords. We suggest frequent neurovascular checks as well as re-orientation to time, place, and person. Will begin low-dose SSRIs and follow daily.

██/██/20██ 05:14
Death Note
- Time of Expiration: 0254
- Physician Declaring: Dr. ████████████ MD
- Deceased by: Acute exsanguination
- Patient experienced tonic-clonic seizure-like signs and symptoms, which eventually was
accompanied by apparent disseminated intravascular coagulation refractory to standard
interventions.
- Organ donor: Yes
- Donor status honored?: [DATA REDACTED]
- Autopsy ordered?: Yes
- Family notified: [DATA REDACTED]

██/██/20██ 07:14
MICU Progress Note:
At approximately 0013, pt was found by unit orderly convulsing in bed, experiencing a possible seizure. 2 amps of bicarbonate, 4 mg of midazolam administered via peripheral IV. Seizure persisted, another 4 mg of midazolam administered. Blood was observed to precipitate from facial orifices by RN staff member, STAT labs displayed markedly low hemoglobin, hematocrit, platelets and fibrinogen. Code blue initiated. Bleeding was resistant to emergency administration of coagulation factors including fresh frozen plasma and cryoprecipitate, as well as 12 unites of packed red blood cells, IV erythropoietin, and the re-initiation of IV vasopressors. Acute, severe facial, abdominal, and extremity swelling noted. Exophthalmos noted with subsequent proptosis bilaterally. Attending physician, Dr. ████████████ MD called the code blue at 0254.

██/██/20██ 23:54
Autopsy Report:
The cadaver has been adequately prepped with a cholorhexadine gluconate bath. I was present, scrubbed, and attentive during the extent of the examination along with my advanced practice provider, █████████ █████████ CRNP.

There is sustained and severe edema of the entire body. Palpation reveals the material responsible for swelling to be semi-solid. There are several locations of pronounced [DATA EXPUNGED] across the body, which appear to be intentionally carved to mimic glyphs or pictograms. The patient had no known episodes or history of self-mutilation nor had contact with any item of capable of producing the damage observed. The record does not document any previously noted lesions or burns upon the patient. The sequence of glyphs suggest a narrative, the interpretation and reproduction of which is beyond the scope of this autopsy.

Livor mortis is highly exaggerated. All subdermal tissues have been saturated with blood, now coagulated secondary to administered blood products at the time of death. Global thromboembolectomy performed. Samples were saved in vitro within 1000mL of 0.9% normal saline at 23 degrees Celsius in [DATA REDACTED] on the [DATA REDACTED] floor of building [DATA REDACTED].
…
The cause of death is incontrovertibly DIC. However, how the patient suffered the condition in such an acute manner is indeterminable. Possible pathophysiologies may include chemical-induced acute liver toxicity secondary to an intolerable medication started while in recovery. Given the extraordinary circumstances preceding the patient's arrival to our service, [DATA EXPUNGED] secondary to [DATA EXPUNGED] is a more likely albeit non-medical explanation.

I attest that the above document reflects my and my colleagues' professional conclusions and recommendations.

Electronic signature:

_
█████████ █████████ CRNP.

_
████████████ MD, PhD

-End of Report-

Draft 2

Draft 2 pending recommendations/criticisms.