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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Shes having absence seizures- it makes you look like you're zoning out.[/quote]
But they told us there is more to the story with her and the baby- not to minimize her medical condition. [/quote]

2 things can be true. But if she’s having absence seizures with a history of epilepsy, she should not be operating in an ER.[/quote]

Absence seizures can be triggered by emotional distress. We know Al-Hashimi was working in an Afghan hospital that was subject to a terrorist massacre back in 2020. I think the implication is that the baby, or the baby crying, may have triggered a seizure, perhaps through Al-Hashimi's association with that event. I wonder if potentially Al-Hashimi's condition had been dormant since childhood but PTSD from that attack has led to it recurring. Her response to the seizure was to immediately call her neurologist and request and urgent appointment, so it's not like she dismissed it or didn't view it as problematic -- she's concerned.

In general I agree that having an attending with epilepsy and a pattern of absence seizures running an ED is a problem. However, if the condition was dormant and she was frequently tested and taking medication to control it, and obviously it was disclosed, I could see it being okay. ED doctors don't "operate" -- they aren't surgeons. And I do think that normally an ED would have enough duplication of roles that a doctor with this condition wouldn't be a liability. Or at least not any more of one than having an attending with a history of migraines, or with a bad back (like Langdon), or who is pregnant, or has any of a variety of conditions that might require someone have to step out of a trauma room or turn control of a case over to another doctor. I have a family member with well-controlled epilepsy dating from childhood and she can go years between seizures and they are momentary -- a few seconds. If it happens, she goes to her neurologist immediately and they can sometimes adjust her medication but generally the seizure is not repeated and everything goes back to normal immediately. She is really not limited by it. That could change with time, as with many neurological disorders, but right now she could definitely be an ED doctor.

Just not in the Pitt which is structured in a totally unrealistic way with one attending and very few residents (with only two of them senior) and severely understaffed.[/quote]

The chart said she has been having them for 35 years since she was 5. She’s playing a 40 year old? How could an attending be only 40?

Duke coming to the ER for a test that should be done at a PCP is very annoying

Why so much focus on Whitaker losing his badge?

I loved the scene with Langdon saving the patient from paraplegia!  That was so good. [/quote]

It said her seizures started when she was 5. This was similar with my family member, who was diagnosed at age 10. It doesn't say she's been having them frequently for 35 years. Early diagnosis and treatment can control this sort of epilepsy and keep it from getting worse, and some people can go very long periods between seizures and lead completely normal lives with very little issue. I am a migraine sufferer and I miss more days of work and struggle more with getting migraines at work than my family member with epilepsy. She couldn't be a fighter pilot or a neurosurgeon because of the risks associated with her having an absence seizure at an inopportune moment. But she could be an ED doctor (I actually don't think I could because stress, lack of sleep, and dehydration trigger my migraines and I think the pace of emergency medicine would be hell).

And most doctors become attending in their late 20s to mid 30s. Residency is usually 4-7 years, and some specialities require one or more fellowships. But most people are attending within 10 years of graduating from med school, at the outside. So almost all 40 year old doctors are attending. Even McKay, who started very late, will likely be an attending before 40 (I think she's mid-to-late 30s, but she's already an R3).[/quote]

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