Edenbrook Medical Charts



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

Woman (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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * Diagnosis
 * hemothorax
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Treatment
 * tube thoracostomy (mistermed thoracotomy) and surgery
 * Status
 * Alive

Annie

 * Diagnosis
 * labyrinthitis
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Dr. Jackie Varma
 * Treatment
 * antihistamines
 * Allergies
 * cephalosporins (cefpodoxime)
 * Status
 * Alive

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.
 * }

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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * 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)

 * 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

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.
 * }

Kyra Santana
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 * Diagnosis
 * large-cell neuroendocrine carcinoma (in left lung)
 * fractured radius
 * Doctors
 * Dr. Ethan Ramsey
 * Your Character
 * Dr. Zimmerman
 * Dr. Bryce Lahela
 * Treatment
 * lung lobectomy and chemotherapy
 * cast
 * Status
 * Alive

Mike Knoblauch

 * Diagnosis
 * stimulant withdrawal
 * Doctors
 * Your Character
 * Dr. Landry Olsen
 * Treatment
 * rest and symptom control
 * Status
 * Alive

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.
 * }

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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * 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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * 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

 * Diagnosis
 * post-op complications
 * Doctors
 * Your Character
 * Treatment
 * IV fluids, ice packs, defibrillation, intubation
 * Status
 * Alive

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.
 * }

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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * Diagnosis
 * panniculitis secondary to respiratory infection
 * distal muscular dystrophy
 * Doctors
 * Your Character
 * Treatment
 * none mentioned
 * Status
 * Alive

Naveen Banerji

 * 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

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.
 * }

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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * Diagnosis
 * Hepatitis C
 * Doctors
 * Your Character
 * Treatment
 * antiviral medication(s)
 * Status
 * Alive

Nigel Platt

 * Diagnosis
 * hypothyroidism caused by Hashimoto's disease
 * hiatal hernia
 * Doctors
 * Your Character
 * Dr. Ethan Ramsey
 * Treatment
 * thyroid medication (levothyroxine)
 * laparoscopic surgery
 * Status
 * Alive

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.
 * }

Mr. Russell
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 * 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)
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 * Diagnosis
 * Doctors
 * Dr. Aurora Emery
 * Treatment
 * Status
 * Alive
 * Status
 * Alive

Tamara

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

Manuel
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 * 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
 * }
 * }

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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * 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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * Diagnosis
 * reduced kidney function and hemolytic-uremic syndrome
 * Doctors
 * Dr. Esme Ortega
 * Your Character
 * Treatment
 * corticosteroids
 * Status
 * Alive

Eric

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

Lamar Stevenson

 * Diagnosis
 * tertiary syphilis
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * penicillin
 * Status
 * Alive

You note that Lamar's discriminative touch is failing.
 * }

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. {| cellspacing="2" cellpadding="3" width="100%" style="background-color:transparent; border:3px solid #C0BFC0"
 * Diagnosis
 * scotoma secondary to quinine toxicity
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * supportive care
 * Status
 * Alive

Gwyneth Monroe

 * Diagnosis
 * Taenia saginata
 * Doctors
 * Dr. Ethan Ramsey
 * Dr. June Hirata
 * Dr. Baz Mirani
 * Your Character
 * Treatment
 * Medication (Anthelminitics)
 * Status
 * Alive

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.
 * }

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