00:00Cable TV here somewhere. General Hospital starts in eight minutes.
00:02No TV, but we've got patients.
00:04Okay, so give out the aspirin yourself. I'll do pretty for work.
00:06I made sure your first case was an interesting one.
00:08Cough just won't go away. Runny nose looks a funny color.
00:11Patient admitted complaining of back spasms.
00:13I think I read about something like that in the New England Journal of Medicine.
00:15Patient is orange.
00:16The color?
00:17No, the fruit.
00:18You mean yellow. It's jaundice.
00:20I mean orange.
00:21Well, how orange?
00:22Damn room one.
00:23Dr. McCollum, you're needed in pediatrics.
00:26I was playing golf and my cleats got stuck.
00:28I mean it hurt a little, but I kept playing.
00:31The next morning I could barely stand up.
00:33Well, you're smiling, so I take it that means this isn't serious.
00:38What's that?
00:39What are you doing?
00:40Painkillers.
00:41Oh, for you, for your leg.
00:43No, because they're yummy.
00:45You want one?
00:45Make your back feel better.
00:49Unfortunately, you have a deeper problem.
00:52Your wife is having an affair.
00:54What?
00:55You're orange, you moron.
00:57It's one thing for you not to notice, but if your wife hasn't picked up on the fact that her
01:00husband has changed colors, she's just not paying attention.
01:02By the way, you consume just a ridiculous amount of carrots and megadose vitamins.
01:06Carrots turn you yellow, the niacin turns you red.
01:08Find some figure paint and do the math.
01:10And get a good lawyer.
01:16Deep breath.
01:18It's cold.
01:20He's been using his inhaler?
01:22Not in the past few days.
01:24He's only 10.
01:25I worry about children taking such strong medicine so frequently.
01:29What happened to your leg?
01:30Your doctor probably was concerned about the strength of the medicine, too.
01:34She probably weighed that danger against the danger of not breathing.
01:37Oxygen is so important during those prepubescent years, don't you think?
01:41Okay, I'm going to assume that nobody's ever told you what asthma is.
01:44Or if they have, you had other things on your mind.
01:46A stimulant triggers cells in your child's airways to release substances that inflame the air passages and cause them to
01:52contract.
01:53Nucous production increases.
01:54Cell lining starts to shed.
01:56But the steroids...
01:58The steroids stop the inflammation.
02:03More often this happens.
02:05What?
02:06More often this happens what?
02:08Forget it.
02:08If you don't trust steroids, you shouldn't trust doctors.
02:12My mother passed away four years ago.
02:14She had a heart attack.
02:16And my father broke his back doing construction.
02:21It's house.
02:22It's our head.
02:23I'm sorry.
02:28You couldn't have not?
02:31Steroids.
02:31Give her steroids.
02:32High doses of prednisone.
02:42You're looking for support for a diagnosis of cerebral vasculitis?
02:44Information of blood vessels in the brain is awfully rare, especially for someone her age.
02:48So is a tumor.
02:49Her sed rate is elevated mildly.
02:50That could mean anything or nothing.
02:52Yeah, I know.
02:53I have no reason to think that it's vasculitis, except that it could be.
02:57If the blood vessels are inflamed, that's going to look exactly like what we saw in the MRI from Trenton
03:01County.
03:01The pressure's going to cause neurological symptoms.
03:03You can't diagnose that without a biopsy.
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