Edenbrook Medical Charts



Listed are Edenbrook Hospital's former and current patients, their diagnoses and treatments, and their physicians.

Female (name: unknown)
Female patient collapses in waiting room, presents with bruising (suggesting hemophilia) and blue fingertips (suggesting low blood oxygen). Quick check of her lungs shows no lung expansion on one side. You diagnose hemothorax and perform an emergency tube thoracostomy to drain the fluid around her lungs. Once successful, patient is wheeled into emergency surgery.
 * Diagnosis
 * hemothorax
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Treatment
 * tube thoracostomy (mistermed thoracotomy) and surgery
 * Status
 * Alive

Annie
Annie, female in her twenties, presents with headaches, nausea, and vertigo. Upon examination, she is noted to have some marbled patches on her arm, a rash on her neck, and a cut on her ankle. History reveals she just returned from vacationing in Indonesia, going for her scuba diving license in Pulau Menjangan. She also states she is prone to panic attacks when she feels stressed. Lab results show she picked up an uncommon strain of bacteria; she was started on cefpodoxime but had an anaphylactic reaction. Code blue procedures were carried out. Afterwards, she was diagnosed with labyrinthitis and prescribed antihistamines to treat it.
 * Diagnosis
 * labyrinthitis
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Dr. Jackie Varma
 * Treatment
 * antihistamines
 * Allergies
 * cephalosporins (cefpodoxime)
 * Status
 * Alive

Teresa Martinez
Teresa Martinez was diagnosed with Rhodes disease approximately ten years ago. She was a long-time resident of the hospital, needing daily treatments. When you and your friends discover medical literature on Huntington's disease treatments, you find that one cured a percentage of Rhodes disease patients. However, the fatality rate was 40 percent. With those odds, she decided to risk it and accept treatment. She was cured for a few weeks before she passed away.
 * Diagnosis
 * Rhodes disease
 * Doctors
 * Dr. Taylor
 * Dr. Ethan Ramsey
 * Your Character
 * Treatment
 * experimental treatment created by Panacea Labs (originally marketed for Huntington's disease)
 * Status
 * Deceased

Male (name: unknown)
Male patient, mid-sixties, transferred from Mass Kenmore, presents with sustained seizures, vitals tanked en route. Originally admitted to Mass Kenmore for stomach pains and trouble breathing. Suddenly started convulsing; benzodiazepines failed to stop seizing. Patient also determined to have been hallucinating en route (speaking to EMT like she was his wife, who has been dead for seven years). Once diagnosed, patient is presumed to have anti-neuronal antibodies (which are present in the serum of patients with paraneoplastic disorders affecting the nervous system) and patient is placed in pharmacological coma to confirm diagnosis.
 * Diagnosis
 * F.I.R.E.S. (febrile infection-related epilepsy syndrome), most likely caused by paraneoplastic disorder
 * respiratory infection
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Naveen Banerji
 * Treatment
 * pharmacological coma via midazolam
 * possible recombinant IL-1R antagonist therapy
 * Status
 * Alive

Kyra Santana
Kyra Santana presents with a fractured radius and Your Character is assigned to cast her arm. Her underlying condition is large-cell neuroendocrine carcinoma, which is treated with a lung lobectomy and chemotherapy. However, months later, her carcinoma has returned and spread to her pericardium (the lining surrounding her heart). Dr. Lahela suggests a risky surgery -an extrapleural pneumonectomy- to remove the cancer, and the patient agrees. He surgically removes the diseased lung, part of the pericardium, part of the diaphragm (muscle between the lungs and the abdomen), and part of the parietal pleura (membrane lining the chest). He uses Gore-Tex to replace the portions of removed pericardium. If Dr. Lahela decides to hand the rest of the surgery to Dr. Tanaka, Dr. Tanaka continues after Dr. Lahela is done with the Gore-Tex.
 * Diagnosis
 * large-cell neuroendocrine carcinoma (in left lung)
 * fractured radius
 * Doctors
 * Dr. Ethan Ramsey
 * Your Character
 * Dr. Zimmerman
 * Dr. Bryce Lahela
 * Dr. Tanaka (Determinant)
 * Treatment
 * lung lobectomy and chemotherapy (10% chance of success)
 * extrapleural pneumonectomy
 * cast
 * Status
 * Alive

Mike Knoblauch
Mike Knoblauch, 43 year old male, presents with lacerations and internal bleeding post-vehicular-accident. Bleeding is not severe enough to warrant surgery. During visits, he complains about migraines, but has no prior history of migraines and a negative tox screen. He admits to having them for a few days, the pain progressively getting worse. You and Dr. Olsen deduce amphetamine (such as methylpenidate) withdrawal, imbalancing his dopamine levels.
 * Diagnosis
 * stimulant withdrawal
 * Doctors
 * Your Character
 * Dr. Landry Olsen
 * Treatment
 * rest and symptom control
 * Status
 * Alive

Dolores Hudson
Brought in by paramedics from an office building on fire, Dolores -26 weeks pregnant- presents with elevated blood pressure and smoke inhalation. Dr. Ramsey tells you that her blood pressure should be low after smoke inhalation and requests a urine sample. Protein in urine confirms diagnosis of preeclampsia. Patient progresses into eclampsia during the night and is wheeled into emergency surgery, where she delivers her son at 26 weeks. She does not survive.
 * Diagnosis
 * preeclampsia which progressed into eclampsia
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Treatment
 * surgery
 * Status
 * Deceased

Ethan Hudson

 * Diagnosis
 * extremely preterm (born at 26 weeks)
 * Doctors
 * Dr. Lozoya
 * Treatment
 * possible extended stay in the neonatal intensive care unit (NICU)
 * Status
 * Alive

Jake Sandburg
Jake Sandburg is a 22 year old male, unconscious after a bout of emesis. He presents with shallow breathing, possible fluid buildup in his lungs. Teammates and coach report him clutching his ribs and back, and hyperventilating in the past. A locker search revealed fluoxetine (used for his panic attacks) and celecoxib (used for his soreness). The five of you determine it is a drug interaction between the two and inform paramedics of your diagnosis.
 * Diagnosis
 * drug interaction between fluoxetine and celecoxib
 * anxiety
 * possible ankylosing spondylitis
 * Doctors
 * Your Character
 * Dr. Elijah Greene
 * Dr. Landry Olsen
 * Dr. Sienna Trinh
 * Dr. Jackie Varma
 * Treatment
 * supportive therapy, monitor renal function
 * Status
 * Alive

Shonda Turner
Shonda Turner is a post-op patient. She presents with respiratory distress, pulmonary edema, atrial fibrillation, hypotension, and fever. To stabilize her, you have the nurses prep an IV to get fluids in her, use ice packs to reduce the fever, defibrillate, and intubate.
 * Diagnosis
 * post-op complications
 * Doctors
 * Your Character
 * Treatment
 * IV fluids, ice packs, defibrillation, intubation
 * Status
 * Alive

Remy
Remy, male in early to mid-twenties, presents with calf covered in small reddened nodules. Patient just cleared a respiratory infection, lungs sound clear, with no reports of wheezing or coughing. You decide to do a biopsy and genetic test to check nodules. Biopsy shows panniculitis related to infection, which should clear soon, but genetic test shows markers for distal muscular dystrophy, late onset, which he may develop in his forties.
 * Diagnosis
 * panniculitis secondary to respiratory infection
 * distal muscular dystrophy
 * Doctors
 * Your Character
 * Treatment
 * none mentioned
 * Status
 * Alive

Naveen Banerji
Naveen Banerji presented with symptoms two months ago, first as cough, fever, confusion. Then it progressed to severe headaches (later thought to be caused by encephalitis), high fever, and the inability to keep fluids down. Then, breathing trouble and organ dysfunction. Then, sepsis and renal failure. His condition was deemed terminal, with only a month to live. When the source of his symptoms was determined, phage therapy was initiated to pass the blood-brain barrier and eradicate the bacteria, Acinetobacter baumannii. Supportive treatment for septic shock is presumed to have been given.
 * Diagnosis
 * bacteriophage (c2) and bacteria (Acinetobacter baumannii)
 * Doctors
 * Dr. Ethan Ramsey
 * Your Character
 * Dr. Landry Olsen
 * Treatment
 * phage therapy to eradicate bacteria, and supportive treatment
 * Status
 * Alive

Willow
Willow presents with pruritus (itchy skin) that she has had for a few weeks, spider angiomas, jaundice (noted in the whites of her eyes), and ascites. Preliminary diagnosis is Hepatitis C, but cannot perform laboratory tests because patient has no insurance and cannot afford hospital visit or treatment. You find a clinical trial that she and her fraternal twin brother to join, where in exchange for testing new medications, her Hepatitis C medications would be provided and covered.
 * Diagnosis
 * Hepatitis C
 * Doctors
 * Your Character
 * Treatment
 * antiviral medication(s)
 * Status
 * Alive

Nigel Platt
Nigel Platt presents with tingling in his arm, hair loss, cold sensitivity, trouble hearing, constant burping, and chest pain. The first four are symptoms of hypothyroidism, and the last two are symptoms of a hiatal hernia. A barium swallow X-ray confirms the second diagnosis.
 * Diagnosis
 * hypothyroidism caused by Hashimoto's disease
 * hiatal hernia
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Treatment
 * thyroid medication (levothyroxine)
 * laparoscopic surgery
 * Status
 * Alive

Mr. Russell

 * Diagnosis
 * food poisoning
 * Doctors
 * Dr. Bryce Lahela
 * Treatment
 * symptomatic relief
 * Status
 * Alive

Tommy Liu

 * Diagnosis
 * microbial toxin
 * Doctors
 * Your Character
 * Dr. Aurora Emery
 * Treatment
 * antibiotics
 * Status
 * Alive



Crash victim (name: unknown)

 * Diagnosis
 * Doctors
 * Dr. Aurora Emery
 * Treatment
 * Status
 * Alive
 * Status
 * Alive

Tamara

 * Diagnosis
 * Doctors
 * Your Character
 * Treatment
 * Status
 * Alive
 * Status
 * Alive

Manuel

 * Diagnosis
 * broken arm
 * Doctors
 * Your Character
 * Treatment
 * possible splint or partial cast
 * medication for pain control and to decrease swelling
 * Status
 * Alive

Rafael Aveiro

 * Diagnosis
 * Doctors
 * Dr. Harper Emery
 * Dr. Bryce Lahela
 * Your Character (Determinant)
 * Treatment
 * Surgery
 * Status
 * Alive
 * Alive

Mateo
Mateo, a 16-18 year old male, has stage 3 liver cancer and has been in Edenbrook for six months. Original treatment options included full liver transplant, but chemotherapy began to shrink tumor to the point that surgery was feasible. After surgery, patient was deemed cancer free.
 * Diagnosis
 * hepatocellular carcinoma (liver cancer)
 * Doctors
 * unknown oncologist
 * Dr. Rosa
 * Treatment
 * chemotherapy and surgery
 * Status
 * Alive

Dakota Winchester
Dakota, a 19-year old student at Willow Creek High, presents with acute lymphoblastic leukemia. He/she was diagnosed at age 6, and was in remission for almost 5 years. Leukemia became more aggressive, and complete bone marrow transplant was considered necessary. Patient received transplant; however, after a month in ICU, transplant was rejected and patient died.
 * Diagnosis
 * acute lymphoblastic leukemia
 * Doctors
 * Oncologist
 * Dr. "Woods"
 * Treatment
 * bone marrow transplant
 * Status
 * Deceased

Justin Neworth
Justin Neworth, 35 year old unconscious male, presented with fever, vomiting, bloody diarrhea, and petechiae; has a history of eczema, hypertension, thrombocytopenia, and low haptoglobin. Labs indicate an elevated count of creatinine. Dr. Ortega and you diagnose reduced kidney function and hemolytic-uremic syndrome. He is a Jehovah's Witness and refuses a blood transfusion; so you agree to give him steroids instead.
 * Diagnosis
 * reduced kidney function and hemolytic-uremic syndrome
 * Doctors
 * Dr. Esme Ortega
 * Your Character
 * Treatment
 * corticosteroids
 * Status
 * Alive

Eric
Male, aged 45, Asian-American, presented with fever, vomiting and diarrhea, and was treated for the flu. He returned several days later with enlarged lymph nodes, abdominal pain, and a rash on his shoulder. Six months prior, he was admitted for flu-like symptoms and a rash on his arm.
 * Diagnosis
 * Kikuchi disease
 * cholecystitis
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Dr. Esme Ortega (Determinant)
 * Treatment
 * Nonsteroidal anti-inflammatory drugs (NSAIDs) and/or corticosteroids
 * bowel rest, intravenous hydration, correction of electrolyte abnormalities, analgesia, and intravenous antibiotics
 * Status
 * Alive

Jaime

 * Diagnosis
 * cervical dystonia
 * Doctors
 * Your Character
 * Treatment
 * analgesia
 * Status
 * Alive

Lamar Stevenson
Lamar presents with several weeks of severe headaches and most recently a loss of peripheral vision. The CT scans of his brain show nothing wrong but his blood tests had markers for meningitis and antibiotics didn't improve his condition. You note that Lamar's discriminative touch is failing. When he hallucinates and calls you, Dr. Ramsey, and his wife by different names, you decide to look up his old Green Corps records and then run a VDRL test to test for syphillis.
 * Diagnosis
 * tertiary syphilis
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * penicillin
 * Status
 * Alive

Evelyn de la Vega
Evelyn de la Vega is a 60 year old female, presenting with a sudden onset of total vision loss. Personal history shows she is a painter who stands for long periods of time and has leg cramps from that. Red reflex test shows no opacification, and rules out vitreous hemorrhage and endophthalmitis. Test for V.Z.V. (varicella-zoster virus) proves negative; test for A.B.I. (ankle-brachial index) shows some peripheral artery disease in limbs but is not the cause of vision loss. If you visit Evelyn's gallery with Dr. Ramsey, you note areas that are missing details in her paintings, and organize them chronologically. You determine she has a scotoma which was not sudden but has been gradual and she did not notice, as her mind was filling in the gaps. You deduce she had been taking quinine for her leg cramps, leading to toxicity which caused the scotoma.
 * Diagnosis
 * scotoma secondary to quinine toxicity
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * supportive care
 * Status
 * Alive

Will
Will is a male child who stuck a Lego head into one of his nostrils. You presumably remove said object with tweezers and possibly use a topical anesthetic.
 * Diagnosis
 * foreign body in the nose
 * Doctors
 * Your Character
 * Treatment
 * removal of object
 * Status
 * Alive

Gwyneth Monroe
Gwyneth presents with severe weight loss (20 pounds in 3 weeks) with no change in diet or exercise, low energy, tiredness, and dizziness. Previous doctors have told her that she is doing it to herself and have recommended psychological evaluation. She has not travelled outside of the country for over a year. Tests prove she is negative for human cytomegalovirus, ulcerative colitis, I.B.D. (Inflammatory Bowel Disease), gastroenteritis, and hyperthyroidism. If you decide to search through her social media account with Dr. Ramsey, you find a video of her and her friend making steak tartare. That sparks an idea to test for Taenia saginata in her stool, which is positive. It is a tapeworm which your team estimates is about thirty-three feet long as an adult in her intestines. With treatment, you tell her that she will need to return for a follow-up in a few months.
 * Diagnosis
 * Taenia saginata
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * Medication (Anthelminitics)
 * Status
 * Alive

Leland Bloom
Leland Bloom is an elderly male patient, complaining about pain. His wife states he has been getting sick more often lately. His previous doctors thought it might be due to a tumor, but his scans are negative. Others said he was suffering the effects of old age. He has high blood pressure, and his urine shows high levels of protein, red blood cells, and elevated potassium; negative for bacteria or fungi. White cell count ruled out likelihood of Hodgkin lymphoma and lupus. The protein plus elevated potassium indicate worsening kidney function. You suggest a kidney ultrasound to locate the source of the bleeding, but Leland refuses to cancel his yachting meeting. If you choose to join them on their yacht, you and Ethan bring a portable ultrasound machine to use. Upon your results, you tell him he needs to come back to the hospital. There, Ethan tells him he has high levels of immunoglobulin A, which has been building up in his kidneys for decades and is now damaging them. You inform him that he has advanced Berger's disease, and if he were to be put on a transplant list, he could die waiting. Berger's disease eventually recurs in all transplant cases as well. Because he has the funds and the means to secure a pair of kidneys and bypass the transplant waiting list, he is able to go through transplant surgery.
 * Diagnosis
 * Berger's disease
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Dr. Bryce Lahela
 * vs
 * Dr. Aurora Emery
 * Dr. Tobias Carrick
 * Treatment
 * double kidney transplant
 * Status
 * Alive

Stephanie Hill
Stephanie Hill slipped into a coma at age 17 after overdosing on a benzodiazepine. The police believed that she had tried to commit suicide. After 13 years, patient regains consciousness. She is disoriented and weak. Once she has regained her cognitive ability, she chooses to be discharged from the hospital.
 * Diagnosis
 * Benzodiazepine overdose induced coma
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * Physical Therapy
 * Status
 * Alive

Ed Farrugia
A Mass Kenmore transfer, Ed Farrugia presents with headaches, stomach aches specifically in the lower abdomen, constipation, and bloating. He has also been experiencing some tingling in his hands and feet. He denies contact with anyone who might be ill, stating the only person he has been in close capacity is his aide, Travis Perry. Past illnesses include a few bouts of influenza and prior concussion due to a vehicular accident over five years ago. This rules out possible bacterial infection and meningitis. Patient states he recently purchased a home by the river and has started working on it. Test for West Nile virus is negative. Ed mentions slight memory loss and Travis confirms this started a few months ago. Ed has no new vision problems; he has had reading glasses since 2017. Blood test reveals high levels of lead, possibly due to old paints in Ed's fixer-upper. When test for the paint comes back negative and more research is done, you conclude he has been poisoned with contaminated water over a period of time by his aide.
 * Diagnosis
 * Lead Poisoning
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Dr. Aurora Emery (Formerly)
 * Dr. Tobias Carrick (Formerly)
 * Treatment
 * Regular injections of ethylenediaminetetraacetic acid (E.D.T.A.)
 * Status
 * Alive

Garrett Thorne
Garrett Thorne presents with lost of bladder control (incontinence) and falling. (As B.P.H. -benign prostatic hyperplasia- is the most common prostate problem in men older than age 50 and Garrett mentions it "happens to plenty of men once they reach a certain age", it is assumed Garrett is around or older than 50 years old.) He states he has had no other incidents and no other symptoms and insists that he be diagnosed with B.P.H. and be prescribed alpha blockers.
 * Diagnosis
 * B.P.H. (benign prostatic hyperplasia) and later hydrocephalus induced dementia (Path A) or
 * Transverse myelitis secondary to normal pressure hydrocephalus (Path B)
 * Doctors
 * Dr. Esme Ortega
 * Your Character
 * Dr. Harper Emery (surgical consult; Path B)
 * Treatment
 * Alpha blockers (Path A) or
 * Surgical insertion of a shunt (a long, thin tube) to drain the excess cerebrospinal fluid (CSF) from the brain to the abdomen (Path B)
 * Status
 * Alive

Dependent on Your Character's advice as the resident advising Dr. Ortega, she will either placate him, diagnose him with B.P.H. and prescribe him alpha blockers. No further testing was conducted and the patient was discharged. Later, the patient was discovered to have hydrocephalus induced dementia while he was operating on a patient of his own. His current treatment is unknown, and the patient has resigned from his professional duties. (Path A)

Or Dr. Ortega will refuse to follow the patient's demands. His prostate was checked and was not enlarged. Patient also presents with lower back pain. Both sides of his spinal cord show inflammation (transverse myelitis), which is interrupting communication between his nervous system and his bladder. Blood tests rule out viral causes. A spinal tap reveals normal pressure hydrocephalus. (Path B)

Danny Cardinal
During an altercation between Travis Perry and Bobby Gunderson, Travis assaulted Bobby with an unknown aerosolized biological weapon. When Bobby went into cardiac arrest, Danny attempted to assess his symptoms, touching Bobby's neck and coming into contact with an oily transparent substance. Travis deployed the weapon again, droplets settling into Danny's skin and inhaled into his lungs. Within moments, Danny presents with vomiting, fatigue, hard breathing, and glassy eyes. After the CDC quarantines the area, Danny is loaded into a sealed glass box. He presents with violent shivers and remains weak. He falls into a coma and dies.
 * Diagnosis
 * Maitotoxin poisoning (established post-mortem)
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Treatment
 * None
 * Status
 * Deceased

Rafael Aveiro
During an altercation between Travis Perry and Rafael Aveiro, Travis deployed an unknown aerosolized biological weapon, the brunt of which hits himself and Rafael. Droplets settled into Rafael's skin and inhaled into his lungs. It is possible his clothing shielded him from a majority of droplets, as he did not present with symptoms as quickly as Travis or Danny did. Rafael presents with nausea, stomach cramps, a metallic taste in his mouth, itching, the sensation that his teeth are loose and going to fall out, and a reversal of hot and cold sensation. Later, he falls into a coma. When Dr. Ramsey and the team of doctors synthesize a chemical compound to neutralize the maitotoxin, they administer it to Rafael. The progression of the toxin is halted, and Rafael wakes from his coma approximately two days later.
 * Diagnosis
 * Maitotoxin poisoning
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Dr. Elijah Greene
 * Dr. Sienna Trinh
 * Dr. Jackie Varma
 * Dr. Bryce Lahela
 * Dr. Aurora Emery
 * Dr. Tobias Carrick
 * and other Mass Kenmore and Edenbrook physicians
 * Treatment
 * Chemical compound synthesized to bind to maitotoxin, preventing it from attaching to plasma membranes
 * Status
 * Alive

Your Character
During an altercation between Travis Perry and Rafael Aveiro, Travis deployed an unknown aerosolized biological weapon, the brunt of which hits himself and Rafael. Droplets settled into your skin and were inhaled into your lungs. You present with the same symptoms as Rafael: nausea, stomach cramps, a metallic taste, itching, as well as low blood pressure, dilated and unfocused eyes, and oral paresthesia. When Dr. Ramsey and the team of doctors synthesize a chemical compound to neutralize the maitotoxin, they administer it to you. The progression of the toxin is halted.
 * Diagnosis
 * Maitotoxin poisoning
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Dr. Elijah Greene
 * Dr. Sienna Trinh
 * Dr. Jackie Varma
 * Dr. Bryce Lahela
 * Dr. Aurora Emery
 * Dr. Tobias Carrick
 * and other Mass Kenmore and Edenbrook physicians
 * Treatment
 * Chemical compound synthesized to bind to maitotoxin, preventing it from attaching to plasma membranes
 * Status
 * Alive

Farley
Patient presents with rash and stiff and sore muscles. Tests result in diagnosis of Lyme disease.
 * Diagnosis
 * Lyme Disease
 * Doctors
 * Dr. Ethan Ramsey
 * Your Character
 * Treatment
 * Tick Removal (if present), Antibiotics
 * Status
 * Alive

Levi Coates
Levi is a 20-something male who suffers from chronic pain, peripheral neuropathy, and nerve damage status post car accident three years ago. Patient had a severe concussion and associated brain trauma. Patient has had three surgeries to repair the nerve damage but the last one left him paralyzed for two weeks. His current treatment is just to reduce the pain. The last trial with medicine by Panacea Labs damaged his kidneys, and exacerbated his pain. If asked, he states a good day's pain ranks 8 out of 10 on a pain scale, while most days are 10 out of 10 or even 29 out of 10. His prognosis is that he has a few years left as his body is starting to deteriorate. After his birthday, he dies from a morphine overdose, a dose that was not adjusted for his renal impairment.
 * Diagnosis
 * Chronic Pain, Reduced Kidney Function
 * Doctors
 * Esme Ortega
 * Your Character (as resident)
 * Treatment
 * Diuretics (to lower blood pressure and reduce extracellular fluid volume), possible dialysis
 * Status
 * Deceased

Louise Ramsey
Patient, female in her fifties, presents to emergency room unconscious. She has blue lips and fingertips, shallow breathing, and track marks on her arm. Naloxone is used to reverse the opiod overdose. After treatment, she is sent to the Willow Hill Recovery Center to begin rehabilitation.
 * Diagnosis
 * Opiod Overdose
 * Doctors
 * Dr. Ethan Ramsey
 * Your Character
 * Treatment
 * Naloxone
 * Status
 * Alive

Paula
Paula presents with headache and rash after hitting her head against a tree in a skiing accident. Upon observation, you also note shortness of breath (which is uncommon for her) and bloodied tissues (from nosebleeds after the accident). She states she only takes ibuprofen for headaches, and is using hydrocortisone cream for the rash. Dr. Ramsey investigates the area of the accident and concludes the rash was caused by poison sumac, and is separate of the cause of the headache and other symptoms. Later, Paula develops a fever of 103 degrees Fahrenheit and her heart rate increases to 110 beats per minute. Paula displays two episodes consistent with bipolar disorder (hypomania then depression). Once transported to the hospital, the fever and heart rate return to normal. Upon further questioning of her son, Timothy, it is revealed that he had been giving her lithium to help with her bipolar disorder. The lithium caused light sensitivity, which caused her skiing accident, which led to her headache. She took ibuprofen to alleviate the headache, but that increased the lithium concentration in her blood stream, which led to hypothyroidism. This caused low hemoglobin which then caused altitude sickness, which made her headaches worse, for which she took more ibuprofen and continued to spiral. Depending on the levels of lithium, treatment ranges from supportive to more intense (such as whole bowel irrigation and hemodialysis).
 * Diagnosis
 * Altitude sickness, Hypothyroidism secondary to increased lithium levels
 * Rash
 * Bipolar disorder
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * Supportive care, hydration
 * Status
 * Alive

Ms. Thompson
Patient, female in her twenties, presents to emergency room with headaches, stomach pain, and dry mouth. You and Dr. Emery note a sallowness of her skin. Patient states she only drinks a couple of glasses of wine on the weekends, and only takes birth control pills and Tylenol (acetaminophen) for her headaches. Lately, she has been taking more than ten tablets of acetaminophen a day.
 * Diagnosis
 * Acetaminophen toxicity
 * Jaundice
 * Doctors
 * Dr. Aurora Emery (Determinant)
 * Your Character (Determinant)
 * Treatment
 * Hydration
 * Discontinue acetaminophen
 * Status
 * Alive

Marisa Flores
Female patient presents with red palms, and starting two weeks ago, stomach pains, lethargy, cramping, nausea and vomiting. You test for a parasitic cause, such as giardiasis or cryptosporidiosis, and tests prove positive for the latter. Because sepsis is a contraindication for the liver transplant procedure, the cryptosporidiosis must be treated and cured within 24 hours as the patient has a viable donated liver available. However, since cryptosporidiosis treatment takes 3 days and the donated liver can only be stored for 24 hours (editor's note: realistically a donated liver lasts less than 12 hours), the liver must be given to the next candidate on the liver transplant list. When you run into that candidate and hear that her brother was going to donate part of his liver to her, you convince him to return in 3 days to donate that portion to Marisa instead.
 * Diagnosis
 * Sepsis caused by intestinal cryptosporidiosis
 * Hepatitis C with advanced cirrhosis
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * Nitazoxanide
 * Liver transplant
 * Status
 * Alive
 * Alive

Male 2 (name: unknown)
Male patient presents with irregular heartbeat, strained breathing, and blood in his urine. He is immediately transferred from the outpatient clinic to the emergency room.
 * Diagnosis
 * Hypertensive Crisis
 * Doctors
 * Dr. Ethan Ramsey
 * Treatment
 * Transferred to Emergency Room
 * Status
 * Alive

Caroline Bloom
Female patient presents with anaphylactic shock upon arrival and is given epinephrine. After the attack has passed and her blood pressure has stabilized, she still experiences stridor in her breathing, rashes in multiple regions of her body, and vomiting. Blood tests prove she has selective IgA deficiency, and bacterial infections which are exacerbated by the fact. Upon discharge, she goes into anaphylactic shock again and is given another dose of epinephrine. An allergy test proves she is allergic to IgA, and because her husband has Berger's disease and is over-producing IgA, he is exposing it to her in his saliva and sweat. Antibiotics are given to combat the bacterial infections, but there is no cure for SigAD or Berger's disease.
 * Diagnosis
 * Selective IgA deficiency (SIgAD)
 * Bacterial infection
 * Hypersensitivity to IgA
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * Antibiotics for infection
 * Status
 * Alive

Martha Herringbow
Female patient, 46 years old, presents with significant abdominal swelling, stomach pain, recent weight gain, raspy voice, dry skin and dry throat. She states that the symptoms began a few weeks ago. She had recently returned from a cruise around the Mediterranean, and thought she had gained weight from eating too much. She states infrequent alcohol use. Blood pressure is normal. Initial scans show no signs of tumor, but show ascites of the abdomen. Tests for cancer markers show negative; liver and kidney function tests show normal; negative bacterial cultures. If Your Character decides to run a full body scan, it shows no abnormalities. When you decide to run blood tests to check her thyroid hormone, you determine she has hypothyroidism.
 * Diagnosis
 * Hypothyroidism
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * levothyroxine (presumed)
 * Status
 * Alive

Andrew Polowsky
Male patient, college student, age 21, presents with flu-like symptoms and "psychic powers". In the summer, he worked as a fishing guide in the Boundary Waters near his hometown in Northern Minnesota. He denies drug use, has no history of mental health issues, and has never been outside of the country. He states his "powers" started last night. Dr. Ramsey theorizes the patient may have a brain tumor. MRI, blood panels, bacterial cultures, and tox screens come up negative. Later, he presents with confusion, slurred speech, hyperosmia, sensitivity to bright lights, neck pain and then seizures. A lumbar puncture confirms Powassan virus, which is tickborne and more common in the Great Lakes region. You surmise he picked it up over the summer but his symptoms did not develop until he returned to college. The first MRI missed the only place that was swelling at that point, around the olfactory nerve which caused the hyperosmia. His "psychic powers" were actually due to his hyper-acute sense of smell, but would disappear when the infection cleared.
 * Diagnosis
 * Encephalitis secondary to Powassan viral infection
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Your Character
 * Treatment
 * Supportive care such as I.V. fluids
 * Status
 * Alive

Suzette Esfahani
Female patient, 45 years old, presents with fatigue, dizziness, achy joints, and significant weight loss (twenty pounds since last doctor's appointment). She was admitted due to fainting spells, three times in the past week. During a body scan, she is noted to have difficulty swallowing. She tests positive for anemia; negative for hyperthyroidism, celiac disease, Crohn's, colitis. Blood work tests positive for amyloidosis.
 * Diagnosis
 * Amyloidosis
 * Ovarian Cancer (in remission)
 * S/P Radical Hysterectomy
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Your Character
 * Treatment
 * Supportive care
 * Possible chemotherapy
 * Status
 * Alive

Francis Llewellyn
Francis, male, 49 years old, is admitted for seizures. He had been experiencing intermittent headaches, and over the past few days, he has also experienced muscle weakness. He states no changes in his routine or diet except increased fiber intake, and has not traveled abroad recently. During initial consult, patient experienced sudden blindness. He tests negative for Lyme disease, measles, mumps, and sexually transmitted diseases. Later, he suddenly showed signs of severe confusion and distorted speech. Either Dr. Carrick (confirmed by an additional CT scan) or you make the diagnosis of arteriovenous malformation. If the former, it started hemorrhaging extensively; if the latter, you catch it as it begins to hemorrhage. Patient is prepped for surgery. If you decide to comply with the patient's earlier sentiment (do not resuscitate, even though no DNR form was signed), the team calls the patient's husband who decides against emergency surgery and patient is placed on life support until husband can say final goodbyes. If you decide to try and save the patient, he goes through emergency surgery. If the hemorrhage was caught early, he regains consciousness after surgery and is able to breathe on his own but does not speak nor appear cognizant. If the hemorrhage was caught too late, patient remains unconscious after surgery with no sign of brain activity.
 * Diagnosis
 * Arteriovenous malformation (A.V.M.)
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Your Character
 * Dr. Tobias Carrick
 * Treatment
 * Determinant
 * Status
 * Determinant

John
John is a patient assigned to the Diagnostics Team. He has been previously diagnosed with cutaneous prophyria, which they do not discredit.
 * Diagnosis
 * Cutaneous Porphyria
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Your Character
 * Dr. Tobias Carrick
 * Treatment
 * Symptom management
 * Status
 * Alive

Michael
Male patient, 38, is admitted for gynecomastia. He and his wife also state infertility problems and fatigue. No signs of kidney or liver failure, no medications, no changes in weight or diet. Travel history reveals he and wife went to Ireland six to eight months ago; involved in vehicular accident and given pain medication and muscle relaxants. Tests show no markers for cancer, no hormone deficiencies. During examination, he exhibits difficulty swallowing. His wife also mentions that his hands keep shaking and he had a muscle spasm. His muscles feel limp and week against your pushback, and he lacks reflex response. The team diagnoses him with Kennedy's disease.
 * Diagnosis
 * Kennedy's disease
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Your Character
 * Dr. Tobias Carrick
 * Treatment
 * Symptomatic and supportive management. Physical therapy.
 * Edenbrook muscular degeneration treatment clinical study.
 * Status
 * Alive

Becca
Patient, female, graduate student at Mather College, referred from E.R., presented with bloody urine. Both kidneys and bladder appear normal. A full S.T.D. panel was performed and came back negative. She reveals she decided to go vegan when she returned to school this year. Upon further questioning, she states that she has been eating beets. You tell her that consuming beets will discolor her urine and make it appear "bloody". No further examination or testing is performed.
 * Diagnosis
 * None
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Your Character
 * Dr. Tobias Carrick
 * Treatment
 * None
 * Status
 * Alive

Mac
Male patient, post-vehicular accident, is enrolled in Edenbrook's free inpatient physical therapy program.
 * Diagnosis
 * None
 * S/P vehicular accident
 * Physical Therapist
 * Rafael Aveiro
 * Treatment
 * Exercises
 * Status
 * Alive

Grace Liong
Female patient, 31, is admitted for swelling, fever, fatigue, and liver-related symptoms. She states that she has had a low-grade fever over the past two weeks, nausea, vomiting, swollen legs, and dark urine. She drinks "less" than other day traders, and states she only takes vitamins and melatonin. All vaccinations are up-to-date for the traveling she does, and other than an odd occurrence of food poisoning or flu, she is healthy. If you decide to visit her home with Tobias, her apartment verifies her statement. You are inspired to believe an excess of copper in her body may be to blame, indicative of Wilson's disease. It can be escalated by her diet consisting of pate, oysters, nuts, chocolate. To test for it, you shine a special light on her eyes and find Kayser-Fleischer rings, darker rings around her iris which is a classic sign of excess copper.
 * Diagnosis
 * Wilson's disease
 * Doctors
 * Dr. Tobias Carrick
 * Dr. Harper Emery
 * Your Character
 * Treatment
 * copper chelation
 * Status
 * Alive

Janice
Female patient presents with sharp pain and bloody cough. A chest x-ray reveals she accidentally inhaled an earring when she was using her asthma inhaler. Patient was scheduled to have bronchoscopy to remove object.
 * Diagnosis
 * Foreign Body Aspiration
 * Doctors
 * Your Character
 * Treatment
 * Bronchoscopy
 * Status
 * Alive

Roger
Male patient presents with accidental adhesion of both Hands with super glue. Acetone was applied to dissolve the glue.
 * Diagnosis
 * Accidental Adhesion of Both Hands with Super Glue
 * Doctors
 * Your Character
 * Treatment
 * Acetone
 * Status
 * Alive

Male 3 (name: unknown)
Male patient presents with foreign body (flashlight) inserted into rectum. Surgery is scheduled to remove object.
 * Diagnosis
 * Foreign body, rectum
 * Doctors
 * Dr. Sienna Trinh
 * Treatment
 * Surgery
 * Status
 * Alive

Vik Atwal
Male patient presents with stomach pain and vomiting. He admits to eating undercooked chicken two days ago, and first diagnosis is infection due to it. Antibiotics are prescribed. Later, a repeat scan is performed and patient's appendix appears inflamed. Patient is then scheduled for an appendectomy.
 * Diagnosis
 * Appendicitis
 * Doctors
 * Your Character
 * Treatment
 * Appendectomy
 * Status
 * Alive

Greg Mariano
Male patient, 38 years-old, presents with fatigue, weight gain, and swollen feet and ankles. He works as an airline baggage handler, and states he has not travelled internationally. Lab tests reveal high protein levels in his urine, and ANA (Antinuclear Antibody) looks normal. Dr. Carrick diagnoses him with membranous nephropathy and starts patient on diuretics and ACE (angiotensin-converting enzyme) inhibitors to relieve the symptoms. The next morning, his symptoms have not disappeared. Upon further questioning, he states he has been working extra shifts lately and planes are coming in from tropical destinations all the time. Insects come in with the cargo all the time no matter the time of year. You diagnose him with malarial nephropathy.
 * Diagnosis
 * Malarial nephropathy
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. Harper Emery
 * Dr. Tobias Carrick
 * Your Character
 * Treatment
 * Antimalarial medications (assumed)
 * Status
 * Alive

Bret Hilliard
Teenage male, one of the members of the local high school's wrestling team, presents with weakness. Compared to the rest of the wrestling team, he appears to be improving and has a healthy appetite. He had gained weight before the team's first tournament, but then he became sick and was unable to compete. He still feels week but he no longer feels lethargic. He denies spending more time with his teammates after school since they see each other a lot due to classes and sports. Common pathogens and parasites were ruled out; no history of international travel. Denies drug use. Labs show elevated creatinine levels. Trip to local high school reveals wrestling uniforms and equipment saturated with mothballs. You determine naphthalene toxicity as each member absorbed the chemical through their clothing and equipment. Dr. Bonet affirms that naphthalene can be stored in fat cells for years; as each wrestling team member rapidly lost weight, the cells released the stored naphthalene dependent on the patients themselves.
 * Diagnosis
 * Naphthalene Toxicity
 * Doctors
 * Dr. Tobias Carrick
 * Dr. Harper Emery
 * Your Character
 * Treatment
 * Methylene blue, ascorbic acid
 * Status
 * Alive

Miguel
Teenage male, one of the members of the local high school's wrestling team, presents with severe nausea, vomiting, pale skin, later jaundice. Compared to the rest of the wrestling team, he appears to be worsening. Common pathogens and parasites were ruled out; no history of international travel. Denies drug use. Labs show elevated creatinine levels. Trip to local high school reveals wrestling uniforms and equipment saturated with mothballs. You determine naphthalene toxicity as each member absorbed the chemical through their clothing and equipment. Dr. Bonet affirms that naphthalene can be stored in fat cells for years; as each wrestling team member rapidly lost weight, the cells released the stored naphthalene dependent on the patients themselves.
 * Diagnosis
 * Naphthalene Toxicity
 * Doctors
 * Dr. Tobias Carrick
 * Dr. Harper Emery
 * Your Character
 * Treatment
 * Methylene blue, ascorbic acid
 * Status
 * Alive

Thomas Lang
Teenage male, the local high school's wrestling team's manager, is admitted for the same symptoms. Common pathogens and parasites were ruled out. He just returned from a three week trip to Iceland and has not been in contact with other team members. Denies drug use. Labs show elevated creatinine levels. Trip to local high school reveals wrestling uniforms and equipment saturated with mothballs. You determine naphthalene toxicity as each member absorbed the chemical through their clothing and equipment. Dr. Bonet affirms that naphthalene can be stored in fat cells for years; as each wrestling team member rapidly lost weight, the cells released the stored naphthalene dependent on the patients themselves.
 * Diagnosis
 * Naphthalene Toxicity
 * Doctors
 * Dr. Tobias Carrick
 * Dr. Harper Emery
 * Your Character
 * Treatment
 * Methylene blue, ascorbic acid
 * Status
 * Alive

Anika Grover
Female patient is admitted under Diagnostics Team's care. She is placed on high doses of non-steroidal anti-inflammatory drugs (N.S.A.I.D.s) to treat inflammation and ease symptoms while diagnosis is being ascertained. When aspergillus poisoning is diagnosed, patient is started on voriconazole. She goes into anaphylaxis due to drug interaction. Dr. Banerji performs tracheostomy and nicks her larynx slightly.
 * Diagnosis
 * Aspergillus poisoning
 * Doctors
 * Dr. Naveen Banerji
 * Dr. Ethan Ramsey
 * Treatment
 * N.S.A.I.D.s (Discontinued)
 * Voriconazole
 * Status
 * Alive