Sunday, December 2, 2012

Season 9 Episode 3: "I Saw Her Standing There"

Opening Message: 

"The lab coats, badges, and scrubs all work together to indicate a person of authority.  Someone you can trust."

Red = Grey's Anatomy
White = Findings/Personal Summary
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*Mr. Mays- A male patient in his 30'sRare Retroperitoneal Tumor

Retroperitoneal Tumor - "Pertaining to organs closely attached to the posterior abdominal wall and partly covered by peritoneum, rather than suspended by that membrane."                                                http://medical-dictionary.thefreedictionary.com/retroperitoneal

-This episode starts off with a doctor telling an intern to do an MRI and a hemoccult because an intern believes that she found a rare retro peritoneal tumor.  The results come back and the radiologist report indicates a retro peritoneal tumor in the male patient.  
    -Doctors check the results and say, "That you have to work around the azygos vein and the hemiazygos vein and also there is fatty tissue, lymph node, lympathic tissue and sympathetic change.  It's gonna be a mess."
    -Doctors tell Mr. Mays the news about the tumor and he starts crying because he says that he works out all the time, reads men's health magazine, doesn't eat anything to injure himself, and he feels like he is going to die for no reason.  He is scared for his live and is very emotional because of this random health problem that he now has to deal with.  He tries to run away and ends up outside the hospital where he is then confronted by Dr. Grey and she explains how it's a scary thing to go to and that this is a serious surgery.  



    -The doctor then tells him that the tumor is difficult to re sect and that it's not impossible.

    -During surgery - With a tumor like this, the surgeon will know what to do when he is open and on the table so that the surgeon can get a good look at the tumor and then decide on what to do.  They split his chest open and see the tumor that they need to take out and successfully does that. 

    -After the surgery, the doctors talk something about a Maddox Maneuver which they explain is a trauma move. 

    -"Maddox Maneuver was developed by Cattell and Braasch for right medial visceral rotation takes advantage of the avascular right colonic gunner in mobilizing the colon so that the surgeon might inspect the retro peritoneal structures behind it." - A book by Stephen R. T. Evans, M.D. called "Surgical Pitfalls: Prevention and Management.

    -While looking at this case, the medical issue is rare and points out that anyone can get it, even if you are very healthy.  In Mr. Mays case, he was very active and did the right things, but that doesn't mean that anything can't happen to him randomly.  With this case, it shows that things do happen but the doctors are there to help you because that is there job which they to take seriously.  
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    *Bryant* - A male patient in his 20's. - Scrotum Lymphedema 

    -Scrotum Lymphedema - "Scrotal swelling and enlargement can be caused by a variety of disorders.  One of the more common causes of an enlarged scrotum is a hernia."  This is very rare.
    http://www.impotence.org/other-disorders/scrotal-lymphedema.htm



    -Bryant is lying down on a hospital bed and Dr. Catherine-Avery walks in and see's something the size of a basketball in his pelvis region.  He says that he can barely walk and that a few months ago it just randomly blew up.  He has seen other doctors and all they did was prescribe him pills that never seemed to work. 

     -The website that I referred to about scrotal lymphedema also added that, "In many cases, our patients report that they were previously seen by number of doctors, advised to lose weight... and scheduled for various X-Ray rests, but not offered treatment."  This is exactly what the doctor in Grey's Anatomy said during this episode about how Bryant has seen other doctors and they really don't do anything for it.  Therefore, this is true in regards to this certain health issue in reality.  

    -The doctors take X-Rays and look over them and say, "He is so swollen that the surgeon has to use a scalpel to dig out the excess tissue until the testicles and cords hit the open air."  



    -Surgery happens and after the surgery, the procedure went as planned and was a success.  They surgically removed the problem and Bryant can now freely move his legs while sitting down in his bed at the hospital.  

    -The scrotal lymphedema website that I am referring to in this section also talks about how this kind of problem has to be treated by surgery by removing the great amount of tissue, with regards to Bryant, that is exactly what they had to do.  The episode gives good evidence and information about scrotum lymphedema that was very accurate to websites that I had looked up information about this type of problem.  


    Closing Message: 

    "It might be hard for a surgeon to admit, but there is no shame in simply being human.  It can be a relief to stop hiding, to accept who you really are and to let the world see you that way too.  A little self-awareness never hurt anybody.  Because when you know who you are, it's easier to know what you're about and ultimately, what you really need."  
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