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Go to their health overview tab and change the medicine allowance from "best allowed" to "medical care but no medicine" and your doc will treat them without using up meds.
Yes. With mechanites severity increases by 25% per day, above 50% severity the pain increases significantly as does restfall rate. When tended at 100% quality the severity decreases at 100% per day, this means if you get a tend quality of below 25% the severity will still increase, just more slowly, and if you get a tend quality of like 40% while they are already at 100% severity, then it's not going to drop in severity enough over those two days for the pain to drop to the lower stage.