S01.E07: The Domino Effect

[Whimsy]

With a big domino transplant procedure on the line, Max must decide if he can be present in the hospital while also dealing with his illness. Meanwhile, a bond with a patient makes Bloom consider her personal life and Iggy makes progress on a long-standing case.

[catrice2]

I hate when shows find the need to just be ridiculous to tell a story. To be a donor they check you for so many things to even insinuate that this could happen in one day regardless of the urgency of the situation is insane. Unfortunately this episode makes me think that his wife is not going anywhere anytime soon, and it also makes me think that they don't have sense enough to move Bloom away from the surgeon. Let him have his other girlfriend, although I don't like that pairing either.

 I guess my suspicions about her pill-popping will be true.

I always fast forward through the psychiatrist so I don't even know what that was about

[eel2178]

16 hours ago, catrice2 said:

I hate when shows find the need to just be ridiculous to tell a story. To be a donor they check you for so many things to even insinuate that this could happen in one day regardless of the urgency of the situation is insane. 

Once again, we weren't given any explanation as to why a neurologist and an oncologist needed to play such a prominent role in the quest to find liver donors. 

[doodlebug]

2 hours ago, eel2178 said:

Once again, we weren't given any explanation as to why a neurologist and an oncologist needed to play such a prominent role in the quest to find liver donors. 

Or how a child diagnosed with lung insufficiency that very day managed to jump the transplant line ahead of everyone else waiting for a lung bypassing UNOS, which would then remove New Amsterdam from its list of transplant centers for violating protocol.  No mention of how they were able to get full HLA typing for transplant on her dad in just a couple of hours and then somehow get him fully evaluated physically and mentally to be sure he was a suitable donor.  In real life, weeks and weeks.  Not to mention the bad PR for the hospital once it became known that they'd sacrificed their entire transplant program to give a free lung to a kid who didn't appear to be all that sick and hadn't been vetted.

Finally, we've  got Dr Max the Magnificent, who has known about needing radiation therapy to his head and neck for a couple months, just now getting around to getting the necessary dental extractions done?  Why?  And how did his not-so-magnificent wife manage to find an oral surgeon (and usually it's an oral surgeon who specializes in cancer cases, not exactly a lot of them out there) to pull 4 teeth at a moment's notice?  Why did he wait?  How was the dentist available?  Why did he have the mask made for radiation therapy weeks ago when he should have known he couldn't start until the dental work healed in 2-3 weeks? Shouldn't he have started with the dental work? So many questions... 

[eel2178]

On ‎11‎/‎14‎/‎2018 at 5:30 PM, doodlebug said:

Or how a child diagnosed with lung insufficiency that very day managed to jump the transplant line ahead of everyone else waiting for a lung bypassing UNOS, which would then remove New Amsterdam from its list of transplant centers for violating protocol.  No mention of how they were able to get full HLA typing for transplant on her dad in just a couple of hours and then somehow get him fully evaluated physically and mentally to be sure he was a suitable donor.  In real life, weeks and weeks.  Not to mention the bad PR for the hospital once it became known that they'd sacrificed their entire transplant program to give a free lung to a kid who didn't appear to be all that sick and hadn't been vetted.

They made a point of telling us that she had to have a directed donation, so she could bypass the system. (None of the liver transplant patients looked all that sick either).

In addition, that was the world's fastest recovery from a lung transplant: no need for a ventilator or any type of ICU care at all. They also didn't explain how her family was now going to pay for her anti-rejection meds for the rest of her life. I suppose Dr. Wonderful is going to let New Amsterdam absorb that cost to the tune of millions of dollars because they owe him for not saving his sister. 

Edited November 16, 2018 by eel2178

[doodlebug]

14 minutes ago, eel2178 said:

They made a point of telling us that she had to have a directed donation, so she could bypass the system. (None of the liver transplant patients looked all that sick either).

In addition, that was the world's fastest recovery from a lung transplant: no need for a ventilator or any type of ICU care at all. They also didn't explain how her family was now going to pay for her anti-rejection meds for the rest of her life. I supposed Dr. Wonderful is going to let New Amsterdam absorb that cost to the tune of millions of dollars because they owe him for not saving his sister. 

 

There is also the absolute fact that that child dare not return to her former home where things like anti-rejection meds are going to be out of her reach.  So, if ICE does ever catch up with her father, she may have to remain in the US even if he gets sent back.  And, you're absolutely correct, the average child who is an organ recipient is going to accrue literally millions of dollars in expenses over their lifetime and someone is going to have to provide that money.  Giving that little girl a lung didn't do her any favors.  Although, at magical New Amsterdam, she was making an incredible recovery to the point where she was hangin' with her dad extubated with no concerns for infection despite her immunosuppressive therapy just hours later.

I actually have a friend who works for a major hospital coordinating care for kids being brought from overseas for medical care.  One of their main rules?  No kids needing organ transplants because of the tremendous expense and ongoing care that they need and probably cannot obtain in their homeland.  It's hard to make these choices, but, for what it costs society to give that little girl a lung, thousands and thousands of other children could've received lifesaving care.  They could've done dozens of heart and lung surgeries for the price of that one lung transplant.  

[catrice2]

44 minutes ago, doodlebug said:

Or how a child diagnosed with lung insufficiency that very day managed to jump the transplant line ahead of everyone else waiting for a lung bypassing UNOS, which would then remove New Amsterdam from its list of transplant centers for violating protocol.  No mention of how they were able to get full HLA typing for transplant on her dad in just a couple of hours and then somehow get him fully evaluated physically and mentally to be sure he was a suitable donor.  In real life, weeks and weeks.  Not to mention the bad PR for the hospital once it became known that they'd sacrificed their entire transplant program to give a free lung to a kid who didn't appear to be all that sick and hadn't been vetted.

Finally, we've  got Dr Max the Magnificent, who has known about needing radiation therapy to his head and neck for a couple months, just now getting around to getting the necessary dental extractions done?  Why?  And how did his not-so-magnificent wife manage to find an oral surgeon (and usually it's an oral surgeon who specializes in cancer cases, not exactly a lot of them out there) to pull 4 teeth at a moment's notice?  Why did he wait?  How was the dentist available?  Why did he have the mask made for radiation therapy weeks ago when he should have known he couldn't start until the dental work healed in 2-3 weeks? Shouldn't he have started with the dental work? So many questions... 

 exactly. We were never able to find a donor for my mom and the one time I was a doner I can't begin to tell you the paperwork and interviews Etc that I went through only for my recipient to die before the transplant could be completed. For them to condense that down to a few hours really pissed me off.  maybe it's different in different states and maybe it depends on the type of donation but we were also told that unless it was a family member or friend we were not allowed to meet the donor or know details for I believe it was two years afterwards and  only if both parties agreed. You certainly didn't know their name and all this info.

 I believe the reason that Helen was involved was sort of alluded to that the whole thing started with one of her cancer patients that also needed some type of transplant and while she was working on that she had the idea of developing this chain. 

 I still don't like the wife, I still think he and Helen have more chemistry I still think he overacts or plays that role with some type of weird energy.  as I type this I realize that the only person I don't have a problem with is Helen and possibly the Indian doctor but I know so little about him I can't make a decision

[yourdreamer]

Wasn’t there a similar domino story told in another medical show? It’s friving me crazy trying to think of which show. 

[doodlebug]

7 hours ago, yourdreamer said:

Wasn’t there a similar domino story told in another medical show? It’s friving me crazy trying to think of which show. 

There was an ER episode called The Domino Heart but it was a bit different.  A young woman got a heart transplant but had a stroke on the table which put her in a permanent coma and they took her newly transplanted heart and gave it to someone else.

Domino transplants where they link donors and recipients and do a series of transplants are becoming more common.  But, of course, because each of these surgeries is quite long and involved, they take place over several days as each transplant is done and organs become available. They also tend to take place at multiple facilities in the same region since transplant teams are human and can’t work continuously for days.  So, the show having a dozen potential lung donors assemble to make the father agree to the plan was just one more unrealistic point.

[txhorns79]

Quote

Wasn’t there a similar domino story told in another medical show? It’s friving me crazy trying to think of which show. 

There was a one season medical show on CBS called Three Rivers that aired a few years ago that was all about the transplant process.  They had a similar episode about this type of transplant procedure.  That might be the show of which you may be thinking.

[Aliconehead]

18 hours ago, eel2178 said:

Once again, we weren't given any explanation as to why a neurologist and an oncologist needed to play such a prominent role in the quest to find liver donors. 

I believe she is also a hematologist.  I know both my mom's oncologists are hematologists.

[sempervivum]

4 hours ago, doodlebug said:

So, the show having a dozen potential lung donors assemble to make the father agree to the plan was just one more unrealistic point.

Yep, within HOURS they find a dozen donors. (I have to say that I had no idea they use only PART of a lung as a transplant).

Dr. Magic Max gets pulled out of all his actual leadership responsibilities (ie, raising funds) to come up with diagnoses which his supposedly brilliant team can't manage. This reminds me of an episode of House where they simply sent out a request online, and actually did get a correct (IIRC) solution for the patient. 

Meanwhile, Dr. 'Looks Like Jack Black' the psychiatrist has found time to get the Moody Teen and her prospective foster mom vetted and approved at multiple levels in the wink of an eye. This reminds me of how many months it took Julio Sanchez (Major Crimes) to become a foster to Mark.

[doodlebug]

27 minutes ago, Aliconehead said:

I believe she is also a hematologist.  I know both my mom's oncologists are hematologists.

Yes, the specialty is hematology/oncology; but it still doesn’t explain why she was coordinating the transplants; there are specialists in that field, but they’re not heme oncs.

[MoreCoffeePlease]

I watch a lot of medical shows, but I also cannot pinpoint which other show did an organ donation chain recently.   Grey's Anatomy?  Haven't watched for a few seasons. Code Black?  This year I watch this show, The Good Doctor, and The Resident. I do like Ryan Eggold and most of the characters, but this show is on the bottom of the list.

[llongori]

1 hour ago, sempervivum said:

Dr. Magic Max gets pulled out of all his actual leadership responsibilities (ie, raising funds) to come up with diagnoses which his supposedly brilliant team can't manage. This reminds me of an episode of House where they simply sent out a request online, and actually did get a correct (IIRC) solution for the patient. 

OT:  I saw this episode of House recently.  It was when House had quit after his drug rehab and Foreman was heading the group.  There were conflicting diagnoses coming from Foreman & other members of the team, so the patient, who ran a game-development company, put his symptoms out on the internet.  The correct diagnosis came from House.

Edited November 15, 2018 by llongori
grammar

[izabella]

4 hours ago, MoreCoffeePlease said:

I watch a lot of medical shows, but I also cannot pinpoint which other show did an organ donation chain recently.   Grey's Anatomy?  Haven't watched for a few seasons. Code Black?  This year I watch this show, The Good Doctor, and The Resident. I do like Ryan Eggold and most of the characters, but this show is on the bottom of the list.

There was a recent medical show that had some kind of software genius running his own medical center...can't remember the name.  But I think that might have been the show with a donation chain.  The show was canceled after its first 10 episodes run.

[catrice2]

4 hours ago, sempervivum said:

Yep, within HOURS they find a dozen donors. (I have to say that I had no idea they use only PART of a lung as a transplant).

Dr. Magic Max gets pulled out of all his actual leadership responsibilities (ie, raising funds) to come up with diagnoses which his supposedly brilliant team can't manage. This reminds me of an episode of House where they simply sent out a request online, and actually did get a correct (IIRC) solution for the patient. 

Meanwhile, Dr. 'Looks Like Jack Black' the psychiatrist has found time to get the Moody Teen and her prospective foster mom vetted and approved at multiple levels in the wink of an eye. This reminds me of how many months it took Julio Sanchez (Major Crimes) to become a foster to Mark.

Julio!!! Oh how  I miss the Closer!!!! 

[sempervivum]

3 hours ago, llongori said:

The correct diagnosis came from House.

Heh. Of course it did.

 

2 minutes ago, catrice2 said:

Julio!!! Oh how  I miss the Closer!!!! 

Me too. I haven't checked yet, but I believe that I saw it's now available on Hulu-

[eel2178]

10 hours ago, doodlebug said:

  So, they show having a dozen potential lung donors assemble to make the father agree to the plan was just one more unrealistic point.

 The psychiatrist said trying to convince the sister to give her brother part of her liver would be coercion; however, telling a dozen of the other family members if they didn't cough up part of a lung the liver transplant chain couldn't proceed was somehow okay.

[doodlebug]

5 minutes ago, eel2178 said:

 The psychiatrist said trying to convince the sister to give her brother part of her liver would be coercion; however, telling a dozen of the other family members if they didn't cough up part of a lung the liver transplant chain couldn't proceed was somehow okay.

Yeah, I was thinking the same thing.  Their loved one was already scheduled for the transplant, presumably after a lot of testing and anguish and intensive planning.  To then approach the friends and family living under this sort of pressure at the last moment and essentially demand another organ would seem to be, at the very least, unethical.  Even though these transplants were being done outside of the usual UNOS system because they were directed donations, I cannot see UNOS allowing them to remain part of their group after such a debacle.  UNOS is built upon trust and integrity and the promise that organs will be allotted fairly according to honest need; what the docs at New Amsterdam did was really pretty egregious.  They held the livers for ransom demanding a lung in return. 

[eel2178]

20 hours ago, catrice2 said:

 I believe the reason that Helen was involved was sort of alluded to that the whole thing started with one of her cancer patients that also needed some type of transplant and while she was working on that she had the idea of developing this chain. 

Transplant patients have a cancer rate 80 times higher than the general population. Treating cancer with an organ transplant is probably going to lead to more problems than it solves.

[doodlebug]

12 minutes ago, eel2178 said:

Transplant patients have a cancer rate 80 times higher than the general population. Treating cancer with an organ transplant is probably going to lead to more problems than it solves.

And, as usual, the show essentially ignored this.  I don't recall if the patient was getting a transplant for liver cancer or if chemotherapy had caused liver failure; but, either way, it is a huge risk to transplant an organ into someone and give them immunosuppressives  when they are at risk for a cancer to spread.

Mickey Mantle very famously got a liver transplant years ago only to die a couple months afterwards because his liver cancer had spread to his lungs.  He was a big time drinker who had cirrhosis, hepatitis and liver cancer.  He was only on the organ list for a couple of days before getting a new organ.  There was speculation that he was put on the list and placed closer to the top than he should have been due to his celebrity.  His doctors later claimed that they had no idea that his cancer had already spread or they wouldn't have done the transplant; they didn't even begin to speculate as to how the immunosuppression required for the transplant might have sparked the remaining cancer and shortened his life.  In the end, his surgeons claimed it was justified because it brought national attention to the shortage of donor organs and a great number of people signed up as donors as a result.  I doubt that was much consolation to the family of someone who didn't get a liver so Mantle could have it.

https://www.washingtonpost.com/archive/lifestyle/wellness/1995/08/08/mickey-mantle-tough-call/063c9eaa-4335-47e1-8cb7-089a9a24e041/

[Janie430]

I have to say, I wish they had shown the sister and brother together at the end.  That would be interesting.  How do you respond to your sister being willing to let you die because of your past?

How do you live with knowing that when it was really on the line, you didn't come through for your sibling?  You were willing to let your sibling die?  They weren't making it seem like she was scared that she would die on the table, but that she would be laid up during her recovery and not able to take care of her kids. I mean you have to really believe your sibling is a piece of s--t who doesn't deserve your sacrifice, or you have to face that you're not as good a person as you think.  This character would have to come to terms with the fact that even if she thought her brother wouldn't do the same for her, when the time came, she was the one who actually wouldn't do it for him.  That could be a great storyline. 

[eel2178]

1 hour ago, Janie430 said:

I have to say, I wish they had shown the sister and brother together at the end.  That would be interesting.  How do you respond to your sister being willing to let you die because of your past?

How do you live with knowing that when it was really on the line, you didn't come through for your sibling?  You were willing to let your sibling die?  They weren't making it seem like she was scared that she would die on the table, but that she would be laid up during her recovery and not able to take care of her kids. I mean you have to really believe your sibling is a piece of s--t who doesn't deserve your sacrifice, or you have to face that you're not as good a person as you think.  This character would have to come to terms with the fact that even if she thought her brother wouldn't do the same for her, when the time came, she was the one who actually wouldn't do it for him.  That could be a great storyline. 

I knew someone who had a brother who was a diabetic and never took very good care of himself. When he got to the point of needing a kidney transplant, both she and her sister told him no.

[eel2178]

9 hours ago, sempervivum said:

Yep, within HOURS they find a dozen donors. (I have to say that I had no idea they use only PART of a lung as a transplant).

She would have been too small to be able to fit a whole adult lung into her chest cavity. 

9 hours ago, Aliconehead said:

I believe she is also a hematologist.  I know both my mom's oncologists are hematologists.

Hematologists treat diseases of the blood. Hepatologists treat diseases of the liver.

Edited November 16, 2018 by eel2178

[Dowel Jones]

On 11/14/2018 at 4:30 PM, doodlebug said:

Not to mention the bad PR for the hospital once it became known that they'd sacrificed their entire transplant program to give a free lung to a kid who didn't appear to be all that sick and hadn't been vetted.

Omigod, what will they do come next year at the Gala?

[starri]

4 hours ago, doodlebug said:

Mickey Mantle very famously got a liver transplant years ago only to die a couple months afterwards because his liver cancer had spread to his lungs.  He was a big time drinker who had cirrhosis, hepatitis and liver cancer.  He was only on the organ list for a couple of days before getting a new organ.  There was specu that he was put on the list and placed closer to the top than he should have been due to his celebrity.

With acknowledgement that without Steve Jobs, I wouldn't have the computer I'm typing this on, I'm still fucking furious at the way he manipulated the UNOS network to score a liver.  Despite hitting the Powerball combo of being incredibly wealthy AND having the forture to come down with the type of pancreatic cancer that is actually very survivable, he eschewed actual evidence-based medicine for some holistic bullshit.  Then, with the liver metastases that were completely avoidable, he could use his private jet to put himself on the list at every transplant center in America.

Similarly, when Lou Reed managed to score a liver (at the Cleveland Clinic, no less), my husband turned to me and said "Don't worry, I'm sure he's probably not still using heroin."

As a gay man, I'm not allowed to donate blood or bone marrow, but I can still donate solid organs.  After experiencing working with a few donors when I was in the ICU as an intern, I made my wishes on the matter pretty clear:  Let them take whatever they can use, sign all the forms, stay out of the doctors' way, and I'll see you at the funeral.

[Danielg342]

After a few episodes of watching this show, I'm convinced the producers have the following policy:

"After every scene, make sure they cry! Doesn't matter if they're happy tears or sad tears, make sure your payoff is tears!"

Make no mistake- they do a pretty good job of that. At some point during the show you will cry, because no matter how much you try to resist the show eventually pull you in.

Seriously...if you have dry eyes after watching an episode of New Amsterdam, you probably don't have a soul.

(In which case I'm not sure I would want to provoke you anyway, but still...)

Still...as stirring as this show is, there comes a point where it just becomes overwhelming. Everything becomes this grand emotional ride that leaves you exhausted by the end...there's no let up or relief from the onslaught...it's just heartstring after heartstring pulled, again, and again and again and again...

I still think this show has plenty going for it- most notably Ryan Eggold's Max Goodwin and Tyler Labine's Iggy- but I'm beginning to think they need to re-evaluate the tone they have for this series. They can't bog down their viewers with emotions every week.

[Dowel Jones]

Not to be too disparaging as everyone gets it differently, but I guess I better start checking eBay and Craig's List for a soul.  The round robin transplant?  Been done (somewhere).  The manic teenager that no one understands? Code Black. The tender moment between Max and wife after the trauma?  Mark Greene called. He wants residuals.  It's an interesting show, but it doesn't have me on the edge of my seat.

[ManekiNeko]

Max was rendered mute after having molars removed?  I'm sure they were not impacted and were just a simple extraction.  I had 4 pulled pre-braces, and it was done under local anesthesia. Even if he had the procedure done under general anesthesia, it looked like he was over the wooziness and disorientation.   Is he that big of a baby?

On 11/15/2018 at 9:12 AM, MoreCoffeePlease said:

I watch a lot of medical shows, but I also cannot pinpoint which other show did an organ donation chain recently.   Grey's Anatomy?  Haven't watched for a few seasons. Code Black?  This year I watch this show, The Good Doctor, and The Resident. I do like Ryan Eggold and most of the characters, but this show is on the bottom of the list.

They did a domino transplant on Grey's Anatomy,  

[doodlebug]

33 minutes ago, ManekiNeko said:

Max was rendered mute after having molars removed?  I'm sure they were not impacted and were just a simple extraction.  I had 4 pulled pre-braces, and it was done under local anesthesia. Even if he had the procedure done under general anesthesia, it looked like he was over the wooziness and disorientation.   Is he that big of a baby?

They did a domino transplant on Grey's Anatomy,  

Apparently, yes, he is that big of a baby.  His wife said it was noon the next day, so he wasn't able to go to work; it's no wonder he's worried about radiation therapy if a tooth extraction is that tough for him.  A friend of mine had all 4 wisdom teeth removed this week and was back at work, taking Tylenol as needed, the next day.  The dental extractions he had were in preparation for the radiation, so it's not like the molars were infected or impacted or otherwise abnormal.  Extracting healthy teeth isn't common, but it is fairly simple.

[Danielg342]

17 hours ago, Dowel Jones said:

Not to be too disparaging as everyone gets it differently, but I guess I better start checking eBay and Craig's List for a soul.

I think I saw their prices rolled back at Walmart...I'll need to double-check that.

For me, I think it's more about the acting and the story choices than anything else, and I get that stuff is subjective. I know I've watched a lot of "emotional moments" in my day and I've never had my heartstrings pulled like New Amsterdam pulls them.

I don't know why...maybe it's my discount Walmart soul. :p

[alexvillage]

On 11/15/2018 at 6:25 PM, Janie430 said:

I have to say, I wish they had shown the sister and brother together at the end.  That would be interesting.  How do you respond to your sister being willing to let you die because of your past?

How do you live with knowing that when it was really on the line, you didn't come through for your sibling?  You were willing to let your sibling die?  They weren't making it seem like she was scared that she would die on the table, but that she would be laid up during her recovery and not able to take care of her kids. I mean you have to really believe your sibling is a piece of s--t who doesn't deserve your sacrifice, or you have to face that you're not as good a person as you think.  This character would have to come to terms with the fact that even if she thought her brother wouldn't do the same for her, when the time came, she was the one who actually wouldn't do it for him.  That could be a great storyline. 

It could have been worse. I know siblings who are in a situation where one needs a kidney and one sister is a perfect match. After agreeing to do the transplant, sister decided that it was too risky because maybe her children would need a kidney at some point (!?!) - that was the sister's husband thing, but she went with it. And the siblings are really close. I can't find words for this attitude. 

[Janie430]

25 minutes ago, alexvillage said:

It could have been worse. I know siblings who are in a situation where one needs a kidney and one sister is a perfect match. After agreeing to do the transplant, sister decided that it was too risky because maybe her children would need a kidney at some point (!?!) - that was the sister's husband thing, but she went with it. And the siblings are really close. I can't find words for this attitude. 

Wow.  That's messed up.

[LittleIggy]

Why did Max have to have his molars extracted?

[doodlebug]

13 hours ago, LittleIggy said:

Why did Max have to have his molars extracted?

Because he is going to receive radiation therapy to his throat to treat the cancer there.  One of the side effects of the radiation is that it will cause osteoradionecrosis of the back of his jaw where the molars sit.  This damages the bone there and destroys the blood vessels and lymphatics that keep the bone healthy, so, in a sense, the bone at the back of his jaw will be essentially dead and incapable of healing after surgery.  Meanwhile, the radiation often destroys the salivary glands, too, so people who've been radiated have chronic dry mouth.  Our saliva, in addition to its digestive properties, helps prevent tooth decay.  So, people who've been radiated are more likely to get cavities and other dental problems. 

Once he's been radiated, if Jack were to get cavities or an infection in his back molars in the part of his jaw that has been damaged by radiation; it is very difficult to treat because his jaw doesn't have circulation to the area and so, infections don't resolve and, if the molars have to be pulled, the jaw will very likely never heal.  In order to prevent ongoing chronic open draining painful abscesses in the jaw, it is usually recommended that the teeth in the part of the jaw that is likely to be in the field of radiation be removed.  That's why Jack had to have his back molars removed.  Once that has healed, in 2-3 weeks, he can get radiation and not have to worry about the teeth causing chronic problems.

[LittleIggy]

Thanks, doodlebug, for the info.

[Lovecat]

On 11/15/2018 at 10:55 AM, txhorns79 said:

There was a one season medical show on CBS called Three Rivers that aired a few years ago that was all about the transplant process.  They had a similar episode about this type of transplant procedure.  That might be the show of which you may be thinking.

Oh, hi!  You must be the other person that watched that show!!  I have to admit that my ears perked up when I herd "Pittsburgh" on the conference call.  I was hoping Alex O'Laughlin would show up :)

On 11/17/2018 at 11:22 AM, ManekiNeko said:

Max was rendered mute after having molars removed?  I'm sure they were not impacted and were just a simple extraction.  I had 4 pulled pre-braces, and it was done under local anesthesia. Even if he had the procedure done under general anesthesia, it looked like he was over the wooziness and disorientation.   Is he that big of a baby?

Right?  I had all 4 *impacted* molars removed, and tried to flirt with the dental student assisting with my case immediately after the surgery.  Granted, it came out as "Show, arr yew a schtudennnt?" but I could still talk.  Somewhat.  I also remember trying to tell my mom that I needed her to get the "Kee-ee leer" (kitty litter) from the car when we got home, but again, still tried!

[Dowel Jones]

That could be the reason he was muted.  Max, being Max, would be jabbering away at everything and everyone in the hospital, and then they would have to coach him on proper slurring, or endure thousands of posts to the tune of "That doesn't happen after molars are removed."

[bros402]

On 11/15/2018 at 11:46 AM, doodlebug said:

Yes, the specialty is hematology/oncology; but it still doesn’t explain why she was coordinating the transplants; there are specialists in that field, but they’re not heme oncs.

Maybe she was there because she had a patient involved?

On 11/15/2018 at 4:21 PM, izabella said:

There was a recent medical show that had some kind of software genius running his own medical center...can't remember the name.  But I think that might have been the show with a donation chain.  The show was canceled after its first 10 episodes run.

Pure Genius! That was one of the three "libertarian takes over a vital service" shows that season

[doodlebug]

5 hours ago, bros402 said:

Maybe she was there because she had a patient involved?

She wasn’t just there to support her patient, she had seemingly come up with the idea and coordinated the process.  This is pretty common on medical shows: TPTB want to tell a story, they want their main cast front and center; so they ignore the real life details and we see doctors doing things outside their training.  For that matter, in real life, hospitals have transplant coordinators, usually nurses with advanced degrees, who would’ve been in charge of planning and the logistics of the process.  Dr Miracle Max would’ve shown up at the press conference and photo op after the transplants, but would’ve never had direct involvement.

[bros402]

18 hours ago, doodlebug said:

She wasn’t just there to support her patient, she had seemingly come up with the idea and coordinated the process.  This is pretty common on medical shows: TPTB want to tell a story, they want their main cast front and center; so they ignore the real life details and we see doctors doing things outside their training.  For that matter, in real life, hospitals have transplant coordinators, usually nurses with advanced degrees, who would’ve been in charge of planning and the logistics of the process.  Dr Miracle Max would’ve shown up at the press conference and photo op after the transplants, but would’ve never had direct involvement.

Maybe she was there because she is a celebrity doctor :P

[Superpole2000]

I'd love to see someone die on this show. Anyone really. A medical show where everyone survives is not just unrealistic, it's boring.