The underworked weblog of an resident that is overworked
Sunday, Might 15, 2005
Grey’s Physiology — «Save Your Self Me Personally»
This episode’s name had been «Save Me,» while the plot synopsis from the abc.com internet site is really as follows:
Meanwhile, Alex treats Devo, someone whose spiritual opinions jeopardize her possibilities for data recovery; Izzie contemplates reconnecting along with her estranged mom; Zoey, a woman that is pregnant her 40s that is been clinically determined to have cancer, disagrees with Cristina’s medical advice; together with interns are mystified by Cable, a client that is being addressed for seizures and whom believes he is psychic.
The show appears to be striking its rhythm when it comes to developing the partnership between Meredith (Dr. Grey) and Derek (the neurosurgeon), with a good amount of witty banter and a gradual peeling back of Derek’s levels. Regrettably, Cristina — the heartless mannequin in scrubs — will continue to make me wish to send the handy remote control hurtling through the tv screen screen. I am able to fortunately state I hope that trend continues that I have yet to encounter any such insufferable personalities in medicine, and.
When it comes to medical information on the show — well, i believe they nevertheless need severe help from an actual physician. If some of the article writers would really like my support for the reason that respect and take place upon this web site sooner or later in the foreseeable future, I hope they think about this my offer to deliver much needed consultation for a nominal charge.
* one of many clients regarding the show had a temporal lobe arteriovenous malformation (AVM). Interestingly, the article writers hit upon a truth in suggesting that such a lesion may cause seizures and behavioral changes that could be recognised incorrectly as psychic phenomena; certainly, temporal lobe public such as AVMs are classic factors that cause «uncinate fits,» by which clients display strange habits of activity, olfactory hallucinations, along with other uncommon phenomena. Regrettably, the authors missed the mark in suggesting that an AVM is a lesion necessitating instant treatment. Unless it offers currently started to bleed, AVMs typically have a lifelong threat of rupture of approximately 2-4% each year. Considering that the individual at issue had been young, he must have been encouraged to receive therapy, however it neednâ€™t have proceeded in almost any kind of hasty fashion. In reality, dependant on the dimensions and precise located area of the AVM, he could have now been an applicant for non-invasive radiosurgery to ablate the lesion instead of an open neurosurgical procedure. Such remedy takes a lengthier some time carries along with it the possibility of rupture associated with the AVM before effectiveness is accomplished, nonetheless it spares the individual the considerable risks of morbidity/mortality from surgery. * Another patient in the show had an ascending paralysis that prompted Derek to just take him towards the working room for elimination of a presumed growing hematoma. It is pretty darn unlikely that an MRI would lack the sensitiveness to visualize a lesion big enough to compress the back; the only path that such situation will be more likely to take place will be in the event that spinal canal had been especially slim, which needless to say would it self be obvious on MRI.
All of those other content that is medical fairly simple, making precision more straightforward to attain. Iâ€™m still rather astonished after all the hook-ups using put on the show. How can all of the interns find time to have carnal relations with their attendings?
At 2:35 PM, Anonymous stated.
Hm. I don’t understand if you have mentioned this before, but I noticed something which really disturbs me personally whenever this episode was being watched by me.
Whenever one of several interns (Christina?) had been checking for pupil reactions, she aimed the light from her pen torch straight into the man’s eyes (the psychic?). Now, if she can read MRIs, exactly why is she doing the pupilary reflexes wrongly? The way that is right to shine the light through the part rather than directly into a person’s eye.
Health dramas constantly fully grasp this bit incorrect, like defibrillating asystolic clients.
Happy to observe that you are straight back!
I believe you are formally addicted now.
Thank you for the back that is welcome! I can not guarantee that I will not just take another break soon, when I intend to go out of city immediately after my graduation. But, all this work studenthood can come to a finish quickly, as well as perhaps i’m going to be capable of finding (just a little) time for my pursuits that are own.
Tonight hope you can find time for House. Brand new episode 🙂 actually have always been happy you might be straight back. a nearby had been wayyy too quiet 😛
despite having most of the errors, it absolutely was a fairly entertaining episode. once I was viewing it, i thought of two things:- AVM psychic man had been hot.- Devo is a fairly name that is badass.
We have actuallyn’t heard of show (when I do not acquire a television anymore..), therefore I do not have every detail, buttemporal AVM may be a particularly good prospect for surgery, good chance of total removal without having any ensuing defects. Possibly there clearly was a small bleed which caused the focal seizures? If that’s the case, surgery would certainly be a strong choice, vs prolonged radiation therapy, which while you properly described involves a heightened danger of bleeding.
When it comes to paralysis that is ascending we agree totally that spinal-cord compression might have been obvious on MRI. That which was the reflex status? Possibly it absolutely was Guillain-Barre?
In terms of the pupillary reflexes, it really is most likely one among those actions, neurosurgeons aren’t neurologists, sufficient reason for crisis neurosurgical clients that you do not spend attention that is much impertinent nuances. Neurosurgical medical assessment is simple, when compared with examination that is neurological. You have a tendency to concentrate on what is actually highly relevant to the truth. After the procedure, it’s the perfect time for the neurologist to take control – they will have the information and inclination to take into account matters that are such.
Shopping for gross physiology information for my thesis i ran across your post. It’s interesting!!
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