My verdict on Janeway is in after watching:
I was so nervous as to what this verdict would be that I had to go and get more wine even though it is Korean wine which is quite a contortion to get used to. As long as you don't breath in through your nose while drinking and have something to eat immediately after swallowing it's survivable.
Anyway, YES Janeway is a badass
And interesting about the medicine bundle. I guess he had the time and desire to get B'Elanna to construct her own medicine bundle to look for her spirit guide but with Janeway he sensed a crisis and let her use his.