It’s Monday night, you know what that means...time to roast episode 6 of the world’s goofiest medical drama #theresident.
What crime will our sociopathic hero Conrad commit tonight in the name of medicine?pic.twitter.com/dDe5afzDXY
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Plotline 3, "Chronic digestive pain" guy, showing that people who do have complex diseases often are excellent experts on their diseases.
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Okefor's mugger is now going bananas, because he's "going through withdrawal". That's not what withdrawal looks like. I'm going to guess his violence is just the outward symptom of some disease
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Oh man, yet another plotline with HODAD. The writers of this show should consider trying to decrease the complexity of their narrative structure, they barely can make 1-2 simple plotlines make sense. HODAD is asking about "a friend" who has a tremor to a neurosurgeon.
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Is the nurse calling the family to try to pick up Okefor's mugger? The only people who should pick up this guy should be the cops, he pointed a gun at a woman.
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Conrad creepy distance stalking nurse. Am I the only one who finds his staring at her from across two windows deeply disturbing?
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If Conrad is in charge of all these patients why are all these consultants here? Oh, his attending has shown up! Quick! Fire that guy for improper supervision. It's episode 6 before we've identified any actual supervision of Conrad by an attending.
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NP trying to find a ride for her mugger patient. If he's not going with the cops, you don't need a ride to leave a hospital. Feet work just fine. And woah! NP is now trying to give the mugger a ride home? Yes, Dr Okefor is right, this is a terrible idea.
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HODAD is now getting another plotline as recruiter for some guy named Carver. I guess the idea is he would be threatened by an actually competent physician? This show needs an editor.
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Conrad fighting the good fight against his consultants. Is this really about his patient with the digestive disorder or about his ego? I'm guessing ego. The patient is apparently tolerating multiple consults just fine.
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Now BMT girl Lily is showing she's fully aware of the risks of her disease and the mortality, morbidity and QOL issues. And onto the mugger plotline, NP and Okefor trying to convince mom to take a drug addict mugger who has previously robbed her business back in their house
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We have specialists, BTW, known as case managers and social workers who are experts in this stuff. It's probably best you don't just half ass a violent offender into a possible unstable family situation with no clear plan for drug rehab. Just saying.
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Wow, they don't even do ass-kissing right. HODAD is giving the new recruit a tour and he's being mobbed like Britney at the airport.
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Oh God. Now Conrad is lecturing on vestigial organs, saying the serve "no purpose". Can't they get anything right? Vestigial means it no longer serves its *original* purpose, not that it serves no purpose.
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An ostrich's wings are vestigial, they are no longer used to fly. That does not mean they do not help the animal with other tasks like running and balance.
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Similarly the appendix probably has some functions. Removal increases risk of Crohn's disease, it's been hypothesized they maintain gut microbiota, but it doesn't serve the original purpose - which would be like a "crop" in an animal that is primarily vegetarian.
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Ok, back to digestive guy. He doesn't want tests. Tell him to he doesn't have to do the tests! It's his body. You don't need to *hide* him in the hospital. Just have him refuse the tests he doesn't care for, or ID Conrad as the physician he trusts to Wilmot.
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They are introducing yet another story line? Dr. Okefor is now treating a kid outside the hospital? And no surgeon uses the pain scale. It is the devil, and clinically meaningless. Use your brain, not a subjective pain score.
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HODAD interviewing recruit, wants to know surgical error rates, suggests that some hospitals don't track them. Is this not a NSQIP hospital?
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Ok, back to what I think is the 6th narrative? Okefor is running a clinic out of her home. "All of the big hospitals are closing their clinics for profit reasons". Umm, such clinics never made profit. Don't blame the hospitals for the failures of the social safety net.
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Did we forget about the mugger? I must have missed it among the half dozen unconnected narrative threads tying this show together like a kindergartner practicing basket weaving.
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Back to digestive disease guy, he does a careful history and diagnoses median arcuate ligament syndrome - which you probably should have been able to diagnose with all the imaging he's already had, and indeed, Conrad looks at a CT on a laptop which seems to show free air.
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Wait, Lily's BUN is 27! Creatinine 2.1! Acute renal failure! Hardly dialysis level labs here, I don't know if a BUN of 27 means if you get a BMT you will *die* as the intern suggests. I mean, I'm not an oncologist or anything.
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MALS confirmed by ganglion numbing in IR for digestive guy. My guess is they're just plagiarizing this great "Think Like a Doctor" from the NYThttps://www.nytimes.com/2016/10/07/well/live/think-like-a-doctor-a-terrible-stomachache-solved.html …
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Now Conrad's dad is back to talk about not investing in the hospital (7th story line? Holdover from last week?) HODAD burns the bridge by bitching at him for wasting his time. And surprise, they didn't know that's Conrad's dad. So why do they put up with Conrad's BS?
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The conspiracy is unleashed! Lane ignored a BUN of 27, potentially killing Lily with a BMT, because they are the "superbowl of cancer treatments" when it comes to billing. Is that a metaphor that works? Who writes this dreck?
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Nepotism is definitely Conrad's best bet for eventual success. He should take the offer. Jobs are found by networking, who is going to write Conrad a recommendation letter? He's a monster who plays well with no one, sexually abuses colleagues and patients, and attempted murder.
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Would the superbowl of cancer treatments be a BMT? Or a clinical trial in which two cancer treatments are pitted against each other, with expensive ads? I think I'm better at this then the writers.
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So Lily's creatinine was 2.1 and BUN 27. I don't think that would exclude her from a BMT, and a quick search of the literature suggests renal impairment is not a contraindication as maybe it once was. Maybe the intern doesn't know as much as Lane? https://www.sciencedirect.com/science/article/pii/S1083879114001001 …
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You should also consider that in a young patient that is more likely to be resilient, and if the alternative is *death*, maybe you would accept a higher risk? Especially if the patient wants to take a chance at prolonged survival.
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I'd be happy to hear from the oncologists on this. But, for some reason, I suspect this is a bit overblown. But that's this show in a nutshell.
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