HCA 220 Text for Final Presentation
Confusion from High Above
It is Monday, July 12, 2010 in Ontario, Canada. High above the city streets is the Watchmen’s Tower, a fifty-story building filled with offices, a food court, and a gym. On the 50th floor, a credit card call center houses fifteen employees. At 10:00 a.m., three of the fifteen employees begin complaining of feeling ill. By the time noon approached, the employees, Sarah Johns; Emily Gadsphatchel; and Nick Cousins, complained of sudden fatigue as well as nausea and vomiting, and watery diarrhea mixed with blood and mucus. http://host7721.mytruvirtual.com/AudioAceHHS/?a=aFEIJ4lpJ0CauA_LSJxflQ (Apollo Group, 2010). One employee, Nick Cousins, is also complaining of shortness of breath and dizziness without any other symptoms. Is this a coincidence or is something going on? From the Watchmen’s Tower, Sarah, Emily, and Nick begin arriving at Ontario General Hospital where Dr. Black is currently on duty. One by one, Dr. Black and the ER nurses begin looking up Sarah, Emily, and Nick’s health records in the electronic health records (EHR), which provides immediate access to all of a patient’s medical record by many physicians (Turley, 2007). http://host7721.mytruvirtual.com/AudioAceHHS/?a=mdTBcz-mvkq3OUzDnAwpOg (Apollo Group, 2010). While Sarah, Emily, and Nick begin answering questions asked by the ER staff, they also begin signing consent to treatment forms as well as HIPAA (the Health Insurance Portability and Accountability Act of 1996) forms. The patients also begin telling the ER staff what and where they ate before arriving at work. It appears that Sarah, Emily, and Nick at different times stopped for a free sample of a new product containing eggs at the food court within Watchmen’s Tower. Nick also went to work out in the gym before arriving in the office. Is it all related? Upon completing the triage of Sarah, Emily, and Nick, Dr. Black compares their symptoms. Sarah, Emily, and Nick are experiencing nausea in the abdominal cavity; upper right quadrant pain concentrated in the umbilical region, and left lower quadrant pain concentrated in the hypogastric region. However, Nick is also experiencing abnormal breath sounds in the thoracic cavity. http://host7721.mytruvirtual.com/AudioAceHHS/?a=G68unNaICEKz8UunnnDA3g (Apollo Group, 2010). After Dr. Black finished comparing Sarah, Emily, and Nick’s symptoms, he began diagnostic proceedings to pinpoint what is happening inside their systemic systems. Because Nick is experiencing shortness of breath and dizziness, Dr. Black determines that a posteroanterior chest x-ray is first in the diagnostic proceedings to determine why Nick is having difficulties breathing. Nick will also undergo a pulmonary function tests (PFTs) to determine the capacity of the lungs and the volume of air during inhalation and exhalation (Turley, 2007). http://host7721.mytruvirtual.com/AudioAceHHS/?a=q0v8bs-86kezuGpY97bpkg (Apollo Group, 2010). Sarah, Emily, and Nick will undergo venipunctures to determine if there is some sort of pathogen present in the patients’ blood. Sarah, Emily, and Nick will also provide a stool sample to do a stool culture and sensitivity (C&S) test, that determines if there is an infection in the intestines and what kind of infection it is for treatment (Turley, 2007). This will take approximately one hour. After an hour, Dr. Black begins receiving results from Sarah, Emily, and Nick’s x-rays and lab work. The lab work indicates there is infection present in their gastric area. The infection is in the antrum, pylorus, and fundus. The stool culture and sensitivity test returns positive for a dangerous strain of bacteria called E. coli O157:H7, which produces a powerful poison (Centers for Disease Control and Prevention, 2006). Signs that a person has E. coli O157:H7 bloody diarrhea and stomach pain (Centers for Disease Control and Prevention, 2006). Sarah, Emily, and Nick will undergo antibiotic treatment. The...
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