Week One Review and Ranking
The Good Doctor: 2x16 Believe
The new chief of surgery, Dr. Jackson Han, believes that Dr. Shaun Murphy is a liability an works to keep him out of the operating room permanently (from ABC).
The Good Doctor is the youngest show out of the three I am reviewing. It also seems to be medically accurate (but slightly outlandish). The episode follows two cases. The first involves a preacher with cancerous tumors along his spine and lymph nodes. The second involves a mountain climber that comes into the ER after symptoms of tingling hands, feeling of doom, and headaches. I want to start with the treatment of the pastor first, because it was very inaccurate. It wasn't the medicine that was inaccurate, his surgery was performed correctly with a stabilization of the spinal cord in order to properly remove the tumors in his spine, and the chemo needed for his lymph nodes. I have an issue with the doctor patient interactions. The pastor believed his pain was a punishment from God because he didn't help a friend and he committed suicide. The non-religious doctor proceeds to push the man to try and get him to get a surgery to remove the pain. She has several interactions where she questions the beliefs of the pastor and is blatantly disrespectful. The doctor is not allowed to share their religious beliefs, there are rules that protect patients from biases as well. The patient could have and should have reported the surgeon to the board. The surgeon can give their opinion on a treatment but cannot force a patient into completing it. The next issue I have is with the mountain climber. She is taken for a CT, and they find an aggressive malignant tumor within her brain. Dr. Murphy (the autistic main character) starts as a pathologist and finds that a blood test done doesn't match the diagnosis. He manages to find out her life story (by looking through her purse) and believes she has a worm in her brain. I have several problems with this because firstly, that's a big leap to go from a malignant tumor to a worm in the brain. Secondly, he went through her private property to try and find out about her life. Part of the intrigue of this show is the fact that the main character is autistic. There's an autistic spectrum, and there is a small possibility that autistic doctors exist, but it is not completely common. Overall this weeks episode was good medically, but didn't hit the mark on patient care.
Greys Anatomy: 15x17 And Dream of Sheep
Ties are strained as Andrew and Carina confront an unforgiving family history; Teddy and Owen work together on a married couple that is expecting; Amelia attends a conference for alternative pain relief. (From ABC)
Greys Anatomy has been a cult classic for years. It is the longest running medical show ever recorded. However, it is extremely inaccurate. The episode opens up with Meredith Grey and another doctor having sex in a supply closet. This is the most iconic aspect that Greys is known for. I want to address this now, but no doctors have an opportunity to have sex in a supply closet/on call room. The on-call rooms are separated by gender or if they aren't, people don't lock the door to keep people out. It is extremely unprofessional, and most doctors are so tired from their shifts that they just want to sleep ("Real Doctor Reacts to Greys Anatomy"). Another important thing I want to cover is that Greys has never been the best at portraying surgery. The doctors don't seem to wash their hands the proper way, and they never have eye protection. Now that we've gotten that out of the way, this episode focuses on a study on burn victims and a married couple in a car accident. The plastic surgeon was using tilapia skin as a way to treat burn victims. This is a very real discovery; tilapia skin is very moist and has lots of collagen that promotes skin growth. It is used in second and third degree burn victims. Studies show that it is more effective than pig skin, cuts healing time by several days, and reduces pain when changing the dressing. It is also a cheaper option than just traditional dressing changes because the skin doesn't have to be changed at much and the dressings are several layers of gauze and ointments (Whitaker). I am very excited that Greys writers are willing to showcase the new discoveries within the medical community. The second case the episode focused on was a young couple who had been in a car wreck. They both had serious trauma injuries and the mother was five months pregnant with bleeding in her abdomen. They looked with an ultra sound. Pregnant mothers are not encouraged to get x-rays or CT scans. Both involve radiation, and its not going to kill the baby, its just avoided by doctors and used as a last option. The mother was bleeding from her right uterine artery. This is a key blood source to the baby, and the surgeons cauterized the artery and claimed the left artery would be enough for the baby. The problem was the artery was still bleeding, and the woman would need a hysterectomy that would kill the fetus. This is accurate because the mother's health always comes before the babies, that has been the trend in modern times. The couple try to argue the diagnosis, but the doctors give her the ultimatum that she will either bleed out internally (killing her baby) or she will have a hysterectomy and survive and lose her child (Nishida). While this is a sad choice, it shows that doctors must make hard decisions that are best for their patients, no matter how sad or difficult. Overall, this episode was not amazing. There will always be bumps with Greys portrayal of medicine, but the stories of this episode were great.
Chicago Med: 4x16 Old Flames, New Sparks
Halstead treats a woman on the verge of freezing to death; Dr. Charles' ex-wife receives some concerning news; Choi handles a lymphoma patient with viral meningitis and a complicated family history; Manning makes a house call.(From NBC)
Chicago Med is a younger medical show that is extremely popular. Now on its fourth season, it has a deep following that makes sure it gets renewed. This episode dealt with three cases. The first was about a woman who was frozen in the snow overnight. She was at 31 degrees C. That equates to 87.8. The average human body temperature is 96 degrees F. While she was hypothermic, this is not the coldest she could've gotten and even gained consciousness very soon after she was warming up. The process of warming her up was correct. They put heating packs on her neck and armpits (bodies place to gain heat fast). They also started a warm saline drip to warm her up from the inside as well. Her extremities (fingers and toes) were frost bitten and the doctors tried to save them through bandaging them up but she wasn't informed of the symptoms of necrosis by doctors. The pain stops and tingling starts and then no feeling at all. This is nerve death because there is nothing for the body to feel without blood flow and nerves in the extremities ("Frostbite"). She had to have all five fingers on her right hand removed. They must be removed because the necrosis can spread and hurt healthy cells. The next case had to do with a cancer patient having a "double gallop" or a heart issue. The original surgeon didn't want to do surgery because of the risk of death on the table. The patient went to a different surgeon to do the surgery, but then both doctors got into an argument about the correct way to do it. This is extremely unprofessional and inaccurate. Doctors would never fight over a procedure. They also would never be able to work on a case that had a personal attachment, but that brings out the drama for the show. Overall, the medicine was accurate, but the patient care was not.
Week One Ranking
RANKING:
1. The Good Doctor
2. Chicago Med
3. Greys Anatomy
