In this episode of "Grey's Anatomy," the characters engage in various medical and personal dramas. Dr. Luis Espina joins for a review, discussing cases like a patient using pornography to manage pain, a gunshot wound victim, and a woman with stress cardiomyopathy. There are also interpersonal conflicts, such as discussions about divorce and relationship issues among the doctors. The episode highlights the complexities of medical ethics, patient care, and personal relationships within the hospital setting.
Here are the key facts extracted from the text:
1. The speaker did residency with Dr. Luis Espina.
2. Dr. Espina was the speaker's senior resident.
3. Harry Lamont, age 42, is scheduled for a spinal implant with Dr. Shepard.
4. Harry Lamont is allergic to all pain medication.
5. Pete Willoughby, 25 years old, suffered a GSW to the chest with immediate return of 860 cc's of blood.
6. A patient named Anna has a mixopapillary ependymoma.
7. Anna has a 95% chance of full recovery with surgery.
8. Without surgery, Anna risks permanent paralysis within 24 hours.
9. A patient named Verna presented with lateral ST elevations and reciprocal inferior changes consistent with an MI (heart attack).
10. The protocol for a STEMI requires the patient to be in the cath lab within 90 minutes for evaluation and possible stent placement.
11. A PCA pump is used for patient-controlled pain relief, usually containing an opioid.
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