Red = Grey's Anatomy
White = Findings/Personal Summary
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*Katie* - Mid 20's female patient - Complete Vascular Ring and an Aneurysm
Vascular Ring - "Vascular ring is an abnormal formation of the aorta, the large artery that carries blood from the heart to the rest of the body. It is a congenital problem, which means it is present at birth." http://www.nlm.nih.gov/medlineplus/ency/article/007318.htm
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*Katie* - Mid 20's female patient - Complete Vascular Ring and an Aneurysm
Vascular Ring - "Vascular ring is an abnormal formation of the aorta, the large artery that carries blood from the heart to the rest of the body. It is a congenital problem, which means it is present at birth." http://www.nlm.nih.gov/medlineplus/ency/article/007318.htm
Aneurysm - "An aneurysm is an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel. http://www.nlm.nih.gov/medlineplus/ency/article/001122.htm
-BEFORE SURGERY - Dr. Yang and Dr. Thomas checks out some pictures of a complete vascular ring and Dr. Thomas notices one of the biggest aneurysms' that he has ever seen. Dr. Yang says it formed because of a congenital heart defect and it has been there for a long time.
-They explain to Katie that there are going to be 2 surgeries: The first one will repair the aneurysm, and the second will deal with the defect to prevent another aneurysm.
-IN SURGERY - The aneurysm blew and the hole keeps getting bigger and blood keeps gushing out. They hold the pressure with their hands and cloths. She is losing a lot of blood at this moment. A different doctor jumps in and says to put her on bypass which is "a surgical created pathway that is circumventing the normal anatomical pathway..." http://medical-dictionary.thefreedictionary.com/bypass
-AFTER SURGERY - She is lying there with a tube in her mouth. Yang says, "When the patient wakes up, if she can speak and move her arms and legs then they will know that she will have good blood flow."
-She then wakes up and is responsive. She is awake, speaking, and moving her extremities which is a limb of the body which could mean her hands or feet. She says that they can do the second surgery.
-The risk of the second surgery is very risky and the patient could die. Katie had to sign a paper for the second surgery to happen. If she didn't sign the papers then a different route would have been that she could live with this for years with another risk of an aneurysm.
-Again, Grey's Anatomy isn't making up information when it comes to problems with patients. For an example, a doctor in the show says that the aneurysm during the surgery could have blown which in Katie's case it did. When I was looking on a reliable website http://www.nlm.nih.gov/medlineplus/ency/article/001122.htm they also explain that a possible complication during surgery was, "Rupture, which can cause massive bleeding... Massive bleeding is commonly seen with abdominal aortic aneurysms, mesenteric artery aneurysms, and splenic artery aneurysms. Therefore, when the doctors in this episode say that during the surgery that the aneurysms could have blown, its very common when it comes to this type of surgical procedure which means that Grey's Anatomy is not making this stuff up.
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*Melissa* - Young woman - Cyclist versus auto accident
-Dr. Grey comes up to an accident where a young female was hit on her mike and her right shoulder is underneath the tire and is responsive while talking to Dr. Grey. She can barely breath and Grey says that if they (the crowd) don't move the car off of her then she is going to die. About 10 people help her move the car off of her till the paramedics get there.
-They bring her to the hospital and she is Grey says that she has multiple crush injuries and that she needs a trauma OR open right now.
-They are in surgery and there is a lot of blood that the suction keeps clogging up. The doctors say "that the break is near the femoral artery and she is losing a lot of blood."
-Femoral Artery - "The continuation of the external iliac artery after it passes under the inguinal ligament. The femoral arteries supply oxygenated blood from the heart to the lower extremities." http://www.medterms.com/script/main/art.asp?articlekey=40601
-I can see this to be a true definition compared to a scene in Grey's Anatomy of when Melissa was lying down with the car on top of her shoulder, she was loosing oxygen and was going in and out of consciousness. Comparing that to the definition of a femoral artery, there is very similar information that is very accurate compared to the show.
-After surgery they monitor her for the next 24 hours because its a crucial time after what surgery they did to her (they don't tell what surgery it is that they did).
-Dr. Grey keeps an eye on her patient to make sure she is okay and to make sure her vitals are correct.
-In this scene, Dr. Grey doesn't get much sleep and keeps an eye on her patient. This could mean that doctors are really dedicated to their work and do really try to save each patient that they can, no matter how tired they are. This is a positive stereotype in this type of media towards real doctors in real life.
-Melissa wakes up and is being fed from a doctor. Dr. Grey meets Melissa and all she remembers is that she was trapped under something and that Dr. Grey was there. Grey seems very happy and appreciated of her work to see that he patient is healthy.
Dr. Meredith Grey in this episode is showing how much she cares about this patient because she wants her patient, and all her patients, to see their families because that is very important to her.
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*Dr. Thomas* - An older doctor - collapses out of nowhere
-Dr. Thomas and Dr. Yang are doing a surgery...
...and during it, Dr. Thomas stares for about 5 seconds and collapses to the floor. Dr. Yang is in a judgement call on what to do because when he collapsed to the floor, the patient started bleeding out. Dr. Yang tries to stop the bleeding while watching Dr. Thomas lay there unresponsive.
-Nurses react to Dr. Thomas and say that they don't have a pulse. They shock him with a charge of 200. There is no response so they charge him with 300. A doctor comes in and then does CPR and he is still unresponsive. He then is pronounced dead right there in front of Dr. Yang.
- CPR - "Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in many emergencies, including heart attack or near drowning, in which someone's breathing or heartbeat has stopped. http://www.mayoclinic.com/health/first-aid-cpr/FA00061
-When it comes to Dr. Thomas, it is thought that he had a heart attack which is the reason for his collapse.
-The shock charge that the nurses were giving Dr. Thomas is called a Defibrillator.
- Defibrillator - "Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmia's, vetricular fibrillation and ventricular tachycardia...consists of delivering a therapeutic dose of electrical energy to the affected heart..."
-When it comes to Dr. Thomas in this episode of Grey's Anatomy, again, I can see how treatments to help Dr. Thomas are accurate to try and revive him to where is heart is working. In this particular case, he dies in the show and the doctors and nurses tried to bring him back to life by doing CPR and also to try and give him electrical energy which wasn't a success. The way's that the doctors and nurses went to try and bring him back to life were accurate.
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