oopsie daisy!

She draws close, inspecting the embedded shell with her eyes. It would be hell on earth to walk about with that sticking out. "I shall yank it out" she tells him bluntly "once it is expelled, proceed to lick the cut until I say so." Sayuri wiggles a bit before bending her head, attempting to lick the blood and sand around the cut to clean it. She spits the excess to the side. Once it is clean enough, she grips the shell.

Tightly, in her teeth.

She does not yank or pull yet. Her blue eyes draw upward, waiting for a sign to begin. But that was the trick, no? She waited until he expected it, waiting further until she pulls. The movement is fluid; it does not drag out. It is one pull and the shell is gone from his paw pad. Blood pours from the wound, but it is a surface cut. It will bleed excess blood. "Lick!" Sayuri instructs, not wishing to see the boy bleed out.

"Do not get it on the water" she adds "do not let it touch; it will sting." Saltwater will do that.

"Speech"
1/3 - treat patient