ER the T.V. Show

SookeyRN · Mar 5, 2005

If the stroke is embolic and is less than 3 hours old, tPA can be used to dissolve the clot. Function does return quite quickly as blood flow is restored to the watershed areas (hers was in the temporal area, where the speech centers lie). The tissues have not been deprived of vital oxygen long enough to cause tissue breakdown or permanent damage. This is the logic behind getting treatment for a stroke ASAP and not waiting - the damage can be reversed easily if treatment is begun before tissue breakdown occurs, but if it has been longer than 3 hours, the tPA treatment is said to be of little value.

An aneurysmal stroke is not treated in the same fashion, however. The moment there is bleeding into brain tissue, there is damage to neurons from the pressure of the bleeding (Munro-Kelly Hypothesis), and toxins (cytokines, etc) created by the inflammation. :)

Paula

I don't know. I think that if a stroke was reversed and it simply involved a clogged artery, I dont see they they shouldn't wake up right away. The debilitating severity of the stroke is brought on fast so why wouldn't the reverse happen just as swiftly? Of course there are different types of strokes where you need rehab. Maybe it depends on the length of time the stroke victim is out of commision. I agree, Cynthia Nixon did a great job! :)
Can anyone shed some light on this please?

myoshii · Mar 8, 2005

HOUSE is on Fox, Tuesdays at 9 ET/PT. Hugh Laurie (who played the dad in Stuart Little) is Dr. House, a grumpy, gnarly doctor who says all the sarcatic things most of us think but would never have the nerve to say out loud. He has chronic pain syndrome, which he believes makes it alright for him to disrespect everyone in his sphere of influence, including his patients and their families. In fact he goes out of his way to avoid having contact with patients. He butts heads with the hospital chief of staff over his bedside manner and behavior all the time. He has a team of young newly-fledged doctors (Omar Epps as a neurologist, Jennifer Morrison as an immunologist and Jesse Spencer as an intensivist) whose sole purpose appears to be to follow his bidding and prove his esoteric theories. (None of his patients has any common ailments, they all have rare and complex syndromes.) There are NO NURSES in their world. These young doctors do everything themselves, from drawing labs to giving meds to doing dressings to making beds, manning the defibrillator and putting in foleys. They even do all the diagnostic lab work themselves. Where do they find the time?

Thanks janfrn for the info on House. I will try to watch it tonight. No nurses! Not a reality show.

tiredfeetED · Mar 8, 2005

ER rox...I think i have watched them all...I wouldnt want to work there tho..To many damn doctors...

Scrubs is the best show! I love it when they stole jello/ pudding from the lounge because they were starving residents...remind me when i was school when me and my roomate would eat Top Ramen a week staight! AHH How thin i was!!

BeckyRN2006 · Mar 8, 2005

Scrubs is the best show! I love it when they stole jello/ pudding from the lounge because they were starving residents...remind me when i was school when me and my roomate would eat Top Ramen a week staight! AHH How thin i was!!

YES!! Finally someone else who loves Scrubs. It absolutely cracks me up. I really enjoy ER, but Scrubs makes me laugh. Tuesday night is one of the few times I actually put the books down for a whole 1/2 hour.

Gompers, BSN, RN · Mar 8, 2005

Scrubs is the best show! I love it when they stole jello/ pudding from the lounge because they were starving residents...remind me when i was school when me and my roomate would eat Top Ramen a week staight!

I forgot about that! I think that was one of the episodes that got me hooked. Turk: "I keep waiting to get sick of pudding, but it never happens!!!"

Chad_KY_SRNA · Mar 9, 2005

I watched House tonight on Fox, I wasn't impressed by it. Dr. House was rude, dismissive, and detached. I don't see it making it, in the long run. Next Friday on TNT the episode of ER where Dr. Ross saves the boy in the flooded storm drain and then uses a news helicopter to medivac the boy to the hospital is coming on. That is probably my favorite older episode of ER.

veronica77 · Mar 9, 2005

Hello,
I know most healthcare people are not very fond of E.R., but I ws just wondering if anybody watched the last episode. The lady from "Sex and the Cityy" was a guest star. She played a stroke victim.
I really thought that it showed the difference between the nurse and the doctor during that episode. Even though the doctor spoke to the patient, it was the nurse who seemed to be able to "read" the stroke victim's mind, even though the pateint couldn't say a word.
Would anyone agree with that assesment? (Or do most of you think it was way off base?)

Actually I think it was a great episode. I'm a pre-nursing student but I have a BS in psichology and when I watched ER I always thought that patients were not really listened all the time. Personally it was a great episode. It reminded me when I gave birrth to my second baby. .I don't remember the doctor face (it was really good by the way) but what I clearly remember are the two nurses that took care of me all the delivery process. And belive me, it wasn't easy, after that I decided to be a nurse.

It's a shame that was the last episode. I'm a great fan of it.

KRVRN, BSN, RN · Mar 9, 2005

Was it the last episode?

rnmi2004 · Mar 9, 2005

HOUSE is on Fox, Tuesdays at 9 ET/PT. Hugh Laurie (who played the dad in Stuart Little) is Dr. House, a grumpy, gnarly doctor who says all the sarcatic things most of us think but would never have the nerve to say out loud. He has chronic pain syndrome, which he believes makes it alright for him to disrespect everyone in his sphere of influence, including his patients and their families. In fact he goes out of his way to avoid having contact with patients. He butts heads with the hospital chief of staff over his bedside manner and behavior all the time. He has a team of young newly-fledged doctors (Omar Epps as a neurologist, Jennifer Morrison as an immunologist and Jesse Spencer as an intensivist) whose sole purpose appears to be to follow his bidding and prove his esoteric theories. (None of his patients has any common ailments, they all have rare and complex syndromes.) There are NO NURSES in their world. These young doctors do everything themselves, from drawing labs to giving meds to doing dressings to making beds, manning the defibrillator and putting in foleys. They even do all the diagnostic lab work themselves. Where do they find the time?

Excellent summary of this show. The writers seem to have a very vague idea of what goes on in a hospital. Last night's episode made "ER" seem like a true-life drama in comparison. Loved how hypothyroid was dx'd, the resident pushed the levothyroxine and then they decided to check TSH T3/T4. :chuckle

Pediatric Critical Care Columnist · Mar 9, 2005

Loved how hypothyroid was dx'd, the resident pushed the levothyroxine and then they decided to check TSH T3/T4. :chuckle

Yeah, reminds me of our docs who, when faced with a febrile PICU patient, will order serial pan-cultures even though the kid's been on pip-taz, amp, gent, meropenem and ampho-B for several days. What do they think we're gonna grow? :uhoh3: :uhoh21:

Chad_KY_SRNA · Mar 24, 2005

Tonight on ER doctor Gallant is back in Chicago with the little girl who was burned in Iraq. Sams ex-husband rears his ugly head again, and Pratt treats a chid who shot himself accidentally with a gun he recieved from an "unusual source". Their is a preview of the new ER game on the NBC website.

Here is a link for the most comprehensive ER website I have ever found. The episode summaries are incredibly well written.

http://www.erheadquarters.com/index2.htm

sunnyjohn · Mar 24, 2005

I liked Gallant. I am glad he is back.

I wonder if they are going to run a burn protocol on that girl?