Thread:Fearless Diva/@comment-36277500-20190303102351/@comment-36277500-20190409124513

But it was quite inaccurate in medical sense, especially about preeclampsia. Not everything is said what should be said. Some things were not said in the book literally, because they are just too obvious.

1. You remember that Ethan ordered urine sample? Isolated hypertension in pregnancy isn't preeclampsia yet, it's just hypertension in pregnancy. Preeclampsia contains hypertension and proteinuria.

2. Eclampsia is not isolated seizures, but preeclampsia symptoms and seizures.

3. Also: preeclampsia and eclampsia is a threat for a pregnant woman in the first place, not only for a fetus. (I really don't know why Ethan, always such outspoken and joking about death, didn't say one of his smart text about her death won't help a baby, or it's better to be premature newborn than orphan, etc. Maybe if he threatened her a bit, maybe she would come to her senses? Blame the author...)

4. Dolores was brought to ER not only because of simple exposition to smoke inhaling, but exposition to smoke inhaling in pregnancy - it should be emphasized.

5. Though people in the book enigmatically call it delivering the baby, it's rather obvious that treatment of choice is caesarean section - you can imagine that it would be cruel to give her oxytocine and force the vaginal birth which would last for hours, while she may die in minutes.

Name of the procedure is important as much as name of disease, because it's too specific to be overlooked - there is just one and only "surgery" being "delivery" simultaneously. Anonymous word "surgery" means all kind of operations.

6. Operations in planned mode are more successful than these in emergency mode - patients are usually prepared (empty stomach) and premedicated, and their life parameters are stable. Emergency patients often fave full stomach, their life parameters are often unsettled, and there's often no time to premedicate them, so it's a very risky operation.

There was a chance to save Dolores if she was operated in planned mode, while her life parameters were stable yet. In fact, mother's state affects fetus' state, so her baby would have better chance in that case. Especially if she agreed to premedication, she would get steroid shot for baby's lungs maturing, what would strongly increase her baby's chances to survive. Due to her own stupidity and stubbornness, the operation was performed too late, in emergency, risky mode, what cost her life and baby's bad shape.

7. Saying that Dolores "died in childbirth" is misleading. For the first, it's an obsolete XIX century term, meaning woman giving vaginal birth and dying in torment. (However, Dolores has XIX century opinions about premature born children...) That thing didn't happen in this case. Dolores died during caesarean section executed in emergency mode, and actual cause of her death was eclampsia. It was just a chain of unfortunate events what killed her, not childbirth itself.

I propose such text (underlined text are fixes which I'm emphasizing, italic means footnotes):

She becomes your patient when Rafael brings her in to the ER after exposition to smoke inhalation in the 7th (26 weeks, if I recall correctly) month of pregnancy. At first she seems to be in a good shape and even flirts with Rafael and Ethan (it seems to be trait of her personality - however, I'm not insisting on this detail). Soon it's revealed that she has a preeclampsia - complication of pregnancy characterized by high blood pressure and proteinuria. Since this state may be a threat for both mother and child, Ethan attempts to convince her to deliver the baby immediately via caesarean section. Dolores refuses, thinking that premature delivery would be more risky for the baby than her current state. Ethan dismisses you from her case, since your shift ended long ago. Regardless of whether you decide to go out with Bryce or go to sleep in staff room, you lose her from your sight (this sentence needs polishing, I know). Some time later he informs you that Dolores' state progressed into full eclampsia (symptoms of preeclampsia complicated by seizures ) forcing doctors to deliver the baby in emergency mode. They managed to save the newborn, but Dolores died in process (or "didn't survive", or "they couldn't save her" etc.). Her character model resembles Eliana Vera from The Senior (this sentence might start from new line).

Sorry for bitching, but I'm not doing this for my aversion to OH nor Ethan. It's just gynaecology and obstetrics, as well as abdominal surgery, what I'm quite acquainted with. I'll insist only on correcting medical details which were underlined.

Also, I thought about giving her own site, with separated traits like looks, personality, relationships (MC, Ethan, child) etc. But it's not so important for me as medical details.