Sunday, December 2, 2012

Season 9 Episode 5: "Second Chance"


Opening Message:

"Doctors have never had all the answers.  There was a time when you were sick; we just drained your blood like you were getting an oil change.  Were constantly having to rethink what we thought was true, and redefine it."

Red = Grey's Anatomy
White = Findings/Personal Summary
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*Brian* - 17 yr old male patient - Liver Cancer Symptoms

- Brian passed out in class, has severe abdominal pains, tremors, and he is hyper sensitive.  He has severe pain in his stomach.  Doctors check him out and say, "He is distended and has tenderness in the upper quadrant."   
-Dr. Grey goes up to the patient and lays his head back on the pillow and gets a clump of hair from his head.  She says that they need to get tox screens and an abdominal CT.  They don't know what it could yet.

- Tox Screens - Toxicology tests "checks blood, urine, or saliva for the presence of drugs or chemicals.  In rare cases, stomach contents or swear may also be checked.  Drugs can be accidentally or deliberately swallowed, inhaled, injected, or absorbed through a skin surface..." http://www.webmd.com/a-to-z-guides/toxicology-tests

Abdominal CT - "An abdominal CT scan is an imaging method that uses x-rays to create cross-sectional pictures of the belly area.  CT stands for computed tomography.  http://www.nlm.nih.gov/medlineplus/ency/article/003789.htm
-Dr. Grey checks the liver on a the CT screen and looks very concerned about what it looks like.  Doctors are now talking to the parents that they don't know if it's cancerous but there is a mass on his liver and they want to do a biopsy and the parents give the go ahead to do so.  

-That isn't the only thing.  The doctors then tell the parents that Brian as the symptoms of: john disk, hair loss, and high blood pressure that is all consistent with the use of anabolic steroids.  

- Anabolic Steroids - "Most anabolic steroids are synthetic substances to the male sex hormone testosterone.  They are taken orally or are injected.  Some people, especially athletes, abuse anabolic steroids to build muscle and enhance performance." 


-Parents are upset as Brian gets defensive.  The parents say that he isn't even an athlete, he is a model.  He says that the reason why he took steroids is that he wanted a shot with a girl to like him and that he barely uses them.  

-DURING SURGERY - They find out that he has cancer and they get all of the cancer out, but there will be a re-occurrence if he continues to abuse steroids.  

- In this episode, the doctors explain how Brian's symptoms of anabolic steroids is that he there is hair loss and also high blood pressure.  This is very accurate to real life symptoms of anabolic steroids which, according to http://www.drugabuse.gov/drugs-abuse/steroids-anabolic they are: high blood pressure, liver damage and baldness.  In Brian's case, this is an easy comparison to real life and Grey's Anatomy's definition of anabolic steroids and the symptoms of it.  Also, Grey's Anatomy includes the whole thing about cancer in his liver which in comparison to this reliable website that I stated in this section is that a symptom can also be liver damage.  
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*Older male patient* - Homeless person - Mitochondria Disease

- Mitochondria Disease - "Mitochondrial myopathies are a group of neuromuscular diseases caused by damage to the mitochondria-small, energy-producing structures that serve as the cell' 'power plants.'  Nerve cells in the brain and muscles require a great deal of energy..."  http://www.medicinenet.com/mitochondrial_disease/article.htm

 -The patient tells the doctors that he starts puking and then it goes on for days.  Doctors believe that the reason for this is because of alcohol in his system.

-He says that he hasn't been drinking anything and that his stomach hurts so bad that he gets so nauseous that he wishes he would die.  He then pukes on a doctor on accident for the 3rd time.  

-Doctors gives him tests and they come back negative for drugs and alcohol.  Patient also says that he is freezing to death which is another symptom that he is having.  Doctors then order an abdominal CT scan which comes back completely clean.  

-Another symptom that he is having is that he gets headaches as if his head has gotten run over by a truck and "the whole world gets louder and brighter and he has migraines."  

-Doctor then says that he comes up with a cyclic vomiting syndrome which has been linked to mitochondria disease.  They usually see it a lot in kids which the symptoms are: extreme nausea and vomiting for days.  The migraines is what triggers the vomiting. There is no cure but since he has migraines, they can treat the migraines.  They give him a box of "Sumatriptan 100mg" that helps migraines.  

- Sumatriptan - "Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light).  

- When looking at Grey's Anatomy and this particular patient and the symptoms that he has, I find it accurate to real life situations when it comes to someone having migraines.  When the patient explains that he has symptoms to where he is sensitive to sound and light, Grey's Anatomy actually gives him Sumatriptan in this episode which is a cure for symptoms of sound and light.  So far, Grey's Anatomy's medical health portrayals have been very accurate to what I have been looking up while comparing the TV show and to sources that I have been looking at.  Also, symptoms of mitochondrial disease that he has of vomiting is 100% accurate to http://www.medicinenet.com/mitochondrial_disease/article.htm when they explain how vomiting is a symptom of this disease that they talked about in this episode.  
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*Jamie* - young female patient - Lumierre Disease

- Lumierre Disease - "A potentially lethal form of sore throat caused by the bacterium Fusobacterium necrophorum, a common inhabitant of the mouth... Lumierre syndrome develops most often after strep throat..." http://www.medterms.com/script/main/art.asp?articlekey=21380

- Doctors tell the mother that Jamie's throat causes a concern to them.  Mother asks if its just a sore throat and the Doctors say that its probably just an infection and the swelling is abnormal.  They want to run some tests to be for sure.  

-Dr. Miranda Bailey says that Jamie has a persistent sore throat and that there is sever swelling on the left side of her neck.  

-Doctors get a CT scan and says that she might have lemierre disease.  Lemierre has symptoms which is pneumonia.  

- Pneumonia - "Pneumonia is a lung infection that can make you very sick.  You may cough, run a fever, and have a hard time breathing... They (people) may need to be in the hospital."


-When comparing Grey's Anatomy definition of lemierre disease and also pneumonia to the webmd source that I found, I find both comparisons very accurate in the definition of each other.  Jaime was hospitalized and also had the symptoms of these health problems.  Again, the comparisons are accurate which I believe that the Grey's Anatomy health side of the show is to be true and very accurate.  

Closing Message:

"It can be scary to find out you've been wrong about something.  But we can't be afraid to change our minds, to accept that things are different, that they will never be the same.  For better, or for worse.  We have to be willing to give up what we used to believe.  The more were willing to accept what is, and not what we thought.  We will find ourselves exactly where we belong."  
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