HI ER LOVERS,
AS USUAL I COULD NOT FOLLOW UP EVERYTHING IN TONIGHT EPESODE ,SO I WONDER IF ANYONE CAN HELP ,
FIRST WHAT WAS KARTER'S GRANMA'S DIS.
SECONDLY WHAT IS WRONG WITH THE SECOND YEAR MEDICAL STUDENT..WHAT DID THEY GIVE HER ??
AND THANKS IN ADVANCE.
ALI

Hello Allawi

Carter's grandmom has what is called Shy-Drager syndrome which is is a rare, progressively degenerative disease of the autonomic nervous system. It is named after Dr Milton Shy and Dr Glenn Drager, who identified this syndrome in 1960.

It was officially deprecated as a disease entity in 1996, and existing cases were redefined as multiple system atrophy with autonomic phenomena. The name "Shy-Drager syndrome" is still used occasionally for multiple system atrophy when the primary symptoms are autonomic failure.
A notable sufferer of Shy-Drager syndome is the singer Johnny Cash.

(the medical info r taken from: http://en.wikipedia.org/wiki/Shy-Drager_Syndrome)
(Wikipedia ROCKS! )

Now, your second question, the med student has a psychiatric problem in which she causes those wounds to herself (something known as self harm, helps to relieve stress in such troubled people), this is probably because she has a history of emotional abuse by her parents and because she's under alot of stress since she's studying medicine AND law at the same time.
They injected her with haloperidol which is an antipsychotic drug to calm her down.


I hope this was helpful for u brother

Thanks alot Kadum for the explanation of the Shy-Drager syndrom..

TY Ali for question and TY Kadhum for explanation .....
But i wonder how u reached the diagnosis? I thought she had "postural hypotension "thats all what I reached |o| so how did u do that , brother?

did not expect that from u!! 3aleee
hay shino kady

REALLy Thnx 4 the explanation
..

I love ER

You're most welcome guys, but I didn't diagnose anything! Carter said that they're suspecting Shy-Drager to dr. Lewis, then he said it again when he was talking to his grandmom about it too.

hi ali
his grandma has what is called(shy Dragger syndrome )i don't want to embaress myself but i guess it is some sort of variety of parkinson+hypotension which lead to syncope attacks...inused my memory sorry if am wrong but i'll check it now

the girl is having what is called (جروح ترددية)it is either due to trying to commit suicide (it is a usual finding)cause usually the person will not have the gut to killhimself from the first time
or it is just to relieve the pain of thinking by deviating the person thinking of problems(make the brain distracted ) it usually gives to the person relieve by stimulation of pleasue pain complex....
p.s these things happened in psychotic patients and i think the gave her some tranquilizer

i hope you got benefit from what i have said
Take care
Farah Baha

hi everyone,
i missed the drug dr.karter's mother was taking because of the power went off, so what was it?? and everything about it
and thanks in advance.
ali

it is called ZANAX or Xanaxit is aloprazolam(the scientific name)

Alprazolam is a benzodiazepine anxiolytic commonly prescribed as a sleep aid and for the treatment of anxiety disorders. It is considered to be one of the shorter duration benzodiazepines.

and it shouldn't be used with alcohol


thanx
Farah Baha

merci farah.
ali

hiiii docs,,,
I'm a freshman here in the college & in this marvelous forum, and I've really impressed we i saw you talkin' about ER series,and how far u understand every detail in it (i hope i'll be like u someday,,, )

me also,recently of course(after i entered the BCM), began to watch n' enjoy this great show, i even got the video-game of it (called ER) and going to get the newest release (ER code red)..hope u'll try it.. it's really amazing .

This is my first participation in the bcmf,and just wanted to say : Keep forward & insha'allah u'll be our doctors of the future & ... be the best of it all..

plz,check this site :
http://www.ertv.co.uk/main.html

MY WISH is that U ACCEPT ME AS A BROTHER & FRIEND OF URS...

thnx...urs : A.Y.N

Welcome doctor

Of course we're very delighted to have you among us, to enlarge the family of BCMF, and it's very good that u like ER coz it's my favorite show ever

You'll get to understand what they're saying, believe me, it's just a matter of time.

Thanks for the link, it's really nice

Keep up the good work, and welcome again

welcome to bcmf
and welcome to the ER fans associations ( )
hope you like it ...just try to focus when you see the episode not just watching it and you will find it easy


thanx
Farah Baha

a question about ER sometimes when they recieve a case they order a bunch of test one of them as i heard it (chem 20)?does anyone know what is this?

Hello Farah, how r u doing? inshalla great...

I did some googling for you , and here's what I got:

Chem-20 is a group of 20 chemical tests performed on serum, its alternative names include:
SMA20; Sequential multi-channel analysis with computer-20; SMAC20; Metabolic panel 20

And here are the tests (with their normal values ):

1. Albumin: 3.9 to 5.0 g/dl
2. Alkaline phosphatase: 44 to 147 IU/L
3. ALT (alanine transaminase): 6 to 59 IU/L
4. AST (aspartate aminotransferase): 10 to 34 IU/L
5. BUN (blood urea nitrogen): 7 to 20 mg/dl
6. Calcium - serum: 8.5 to 10.9 mg/dl
7. Serum chloride: 101 to 111 mmol/L
8. CO2 (carbon dioxide): 20 to 29 mmol/L
9. Creatinine: 0.8 to 1.4 mg/dl
10. Direct bilirubin: 0.0 to 0.3 mg/dl
11. Gamma-GT (gamma-glutamyl transpeptidase): 0 to 51 IU/L
12. Glucose test: 64 to 128 mg/dl
13. LDH (lactate dehydrogenase): 105 to 333 IU/L
14. Phosphorus - serum: 2.4 to 4.1 mg/dl
15. Potassium test: 3.7 to 5.2 mEq/L
16. Serum sodium: 136 to 144 mEq/L
17. Total bilirubin: 0.2 to 1.9 mg/dl
18. Total cholesterol: 100 to 240 mg/dl
19. Total protein: 6.3 to 7.9 g/dl
20. Uric acid: 4.1 to 8.8 mg/dl

Take Care