This episode of The Good Doctor was the season finale, so the cases caught the viewers attention. Two out the three stories during the episode are intertwined. The cases are with Dr. Murphy and another man from a bar. The man in the bar assaults Dr. Murphy and he pushes back causing the other man to fall. He is knocked unconscious and has a head laceration. Immediately the doctors are thinking a brain contusion which can cause a multitude of injuries or be inconsequential depending on the severity of the fall. A brain contusion is the bruising of the cortical tissue, or the tissue around the sharper ridges of the brain and under the frontal lobe. The bruising can cause a brain bleed or several other issues. The doctors were correct in ordering a CT scan to see if there were any brain bleeds ("Brain Contusions"). The patient seemed to be fine, and all other blood samples were normal. Suddenly, the patient crashes out and Dr. Murphy passes out from the injury he is hiding from the other doctors. Before passing out, Dr. Murphy leaves the message of "trampoline". The message was meant to convey that the patient's aortic artery in the neck couldn't be seen bouncing like a trampoline on the outside of his body. The correct diagnosis was that the patient had an aortic arch aneurysm with a pending rupture. Aneurysms happen all over the body, and this one specifically was blocking the major artery in the neck that supplies blood to the brain and could possibly push the aneurysm to the brain. Aneurysms clog arteries and don't allow the blood to flow, they are extremely dangerous no matter where they occur. A ruptured aneurysm could lead to fatal results (MacGill). The team managed to get the patient into surgery to evacuate the aneurysm and save the patients life. The other interesting story in this episode had to do with doctor romantic working relationships. The Good Doctor isn't known for sex in supply closets like Greys Anatomy, but in every medical show there are work place relationships. Doctors are no means allowed to date or contact any patients. This is strictly against the law in all hospitals all over the country. However, it is not as easy for doctors to date other doctors in hospitals as the shows portray. It depends on the specific hospitals policy (some are very lenient). However, most hospitals allow workplace relationships as long as there is no favoritism or fraternization while at work. This basically means that the people in the relationship cannot choose one another to do certain tasks and show favoritism especially if it is a doctor/nurse or older doctor/younger doctor situation. Hospitals want their patients to feel comfortable during their stressful time in the hospital. Therefore, seeing two doctors/medical professionals making out in the hallways would not be something that they would want to see. All relationships must be reported to HR (human resources) so that the couples can sign a contract and be interviewed about the relationship. The procedure is like many other work-related romances, but there is a lot more on the line between medical professionals (Cannada). The show does a great job of showing the accuracy of the number of interviews and questioning about the relationship. Overall, this episode did not disappoint. There was lots of accuracy in the medical knowledge as well as the hospital culture. 

This Greys Anatomy episode covered a very important topic in today's current political climate: rape treatment. No matter what the story is about or the nitty gritty details that I watch and correct, I am extremely impressed that the writers decided to take this risk with this topic. The story starts out with a woman coming into the ER who has clearly been attacked and her injuries can show that she was sexually assaulted. At first, she doesn't want to admit being assaulted. It is not uncommon for patients to lie about their injuries, the reasoning can range from being scared to feeling stupid. They check her for internal injuries, which is very good procedure because she had extensive bruising. They find that she has a diaphragm tear from her attack, and the diaphragm prevents other organs from shifting up into the chest cavity. Since there was a tear, they did an ultrasound and CT to show that her organs had moved into her chest. This requires immediate surgery because the bacteria/other debris in the gut would cause an infection in the chest cavity (Nguyen). They don't rush her into pre-operative care because her injuries are consistent with sexual assault. Medical professionals (doctors and nurses alike) are trained to look for a combination of injuries that would match the pattern for domestic abuse and assault. There are about 125,00 cases of sexual assault in the USA, and medical professionals must be trained in how to care for the victims. Their statements about the injuries can be essential to police in solving the cases (Saude). The doctors are supposed to open a line of communication without pressure and offer a rape kit. Rape kits are extremely in depth and take lots of time and extreme precision. There are several swabs that cover every part of the body. Pictures are taken and the swabs are taken to see if DNA can be found that was left on the victim's body. The most inaccurate, yet most powerful part of the episode was when the hallways were lined with all the female staff members in the hospital so the victim wouldn't see any male workers. This is unfortunately extremely inaccurate because the field of doctors is still dominated by men. It would be nearly impossible to get a fully female staff and this is a real trigger for victims that are women. It is a beautiful statement to make as a tv show about the MeToo movement. The only downside is that it romanticizes the way that hospitals treat victims. Hospitals don't have the resources to leave one doctor with a victim, especially a resident who would have several other patients on their service. Overall, the show made a bold statement about rape and victims of assault, but it didn't represent it properly on the medical side. 

This episode of Chicago Med was the season finale, so its cases did not disappoint. The episode starts with a 17-year-old girl coming in with stomach pain for past three days. She wants to deny treatment and the doctors pick up on her reluctance and get blood work to see what she is hiding. Her blood work comes back that she is pregnant. She wanted to take a two-part pill to try and abort the baby but didn't take the second part and was having complications. The pill she took is called Mifeprex or mifepristone. It is a hormone drug that controls the amount progesterone hormone that is produced. It is an essential pregnancy hormone and without it the tissue in the uterus can't develop for the fetus (Mifeprex). This pill can be dangerous because it has a large risk factor because it can cause an incomplete abortion. This occurs when some of the tissue from the pregnancy isn't expelled from the uterus. It can cause heavy bleeding and that is what happens to the patient (Mifeprex). Originally, she didn't want her parents to know about her pregnancy and by law she didn't have to tell her parents because she was still pregnant and technically emancipated. There is a large divide between two doctors on how to treat the patient and they have to consult lawyers before they can fully treat her. This is extremely accurate because the board of the hospitals are extremely attuned to doctors and malpractice. Hospitals must avoid being sued at all costs. In the end, the patient tells her own mother. She has to have a procedure called a D&C or dilation and curettage. It is the procedure that would get the excess tissue out of the uterus and stop the heavy bleeding. If the bleeding isn't stopped there is a chance the patient could internally bleed out ("Dilation and Curettage"). The other case in this episode was an FBI agent that had been in a meth explosion. He took the brunt of the blow for his partner and it hit his chest directly. He had to be intubated immediately. They found pulmonary contusions which are basically bruises on the lung and are normally caused by brunt force trauma (like a meth explosion). The doctors got a chest x-ray immediately because that can show the severity of the trauma ("Chest Trauma Pulmonary Contusion"). The problem with meth explosions is the chemicals involved such as acetone peroxide and red phosphorus. Acetone peroxide is dangerous because of how explosive it can be and can cause severe chemical burns, and if ingested it can cause irritation of eyes and nose as well as a possible coma. Red phosphorus is also extremely flammable and can cause irritation of eyes, nose, and lungs. ("Methamphetamine Laboratory"). He had to be put in observation because of his chest contusions that don't need operation to be fixed. This situation the doctors needed to wait and watch because he didn't have any internal bleeding because it would've been seen in the x-ray. These cases were both extremely interesting to me. Both were pushing the normal rules of a hospital and brining up interesting cases that haven't been seen on any other medical shows. The treatments done by the doctors were very accurate and well represented on the screen. I commend Chicago Med for having a wonderful episode this week.