Dispensing and Medication

Counselling

Critical Thinking Attributes Evaluation of

Code Black Season 1 Episode 13

Submitted to:
MA’AM BRIJUEGA, ERMIRA D.

Submitted by:
WAHEED B. KAREEM.

Date Submitted:
September – 12 – 2018.
1. METACOGNITION

In the scene of the non-speaking English patient named Sang Ha who was found to

be unconscious and have intermittent blindness in the supermarket and later admitted

as Dr. Leighton patient. Getting the diagnosis of what wrong with him is really difficult

due to the language barrier because Dr. Leighton is an English language speaker while

Sang Ha is a mandarin language speaker.

Getting a translator doesn’t really help, her response was no idea when asked

what are the signs & symptoms of Sang Ha. This was due to being a Cantonese

translator but she was able to get a clue that Sang Ha trying to say he had intermittent

blindness while trying to understand him, this was noted by the Dr. Leighton. Sang Ha

Rolling of hand around the head gave Dr. Mike, the doctor on observation shift that

something is ringing in Sang Ha head. During that time only a classic strong was

suspected by because there was obvious Facial & eyelid droop on Sang Ha face but

observing the partial asymmetry does not convince Dr. Mike.

As time passed by CT scan results give clue of the diagnosis to be Classic Stroke

but unclear because no enough evidence to conclude on. Which made Dr. Leighton

order TPA for Sang Ha but this might lead to death of him because if there’s clot

present it will be burst up and leading to bleeding which lead to the death of Sang

Ha.
 Comparing and reflecting of all the results from the neuro exam and physical

observation made by Sang Ha such as; ringing in his ear, facial and eyelid droop with

one of the most significant of all which is Isolated Horner’s Syndrome from the CT test.

All these made Dr. Mike foreseen and believed it not a classic Stroke but rather a

Carotid Dissection, so the careful observation and relating all the outcomes together

made a way of him making the right decision on the diagnosis which eventually save

the life of Sang Ha from bleeding which might lead to his death.

2. RESPECT FOR OTHERS

Respecting others and not crossing the line in the episode was demonstrated by the

Head Doctor of hospital named Dr. Perello by instructing all the doctors in duty and in

charge of Tia care. According to Mr. Adam Benton, the father of Tia, getting a surgery

is a violation to their religion and faith. He believed having a pure heart and faith in

God will cure his daughter from not getting her leg amputated and the blood vessels in

the leg were found to be destroyed and lead to compartment syndrome which might

cause her to loss her leg by cutting off the blood supply to her leg and not be able to

walk again.

Stay out of this; was the clear instruction from Dr. Perello not until a judge intervene

so legal action can be taken in giving her medical care. Though Dr. Leanne later tried

to convince Tia of her making her own decision because she is sixteen and can legally

make her own decision. Not respecting the father wish, of not giving her Daughter a
medical care and intervening while the decision by Mr. Benton already clear to the

doctors was the mistake made by Dr Leanne by intervening.

The patient that got injured on his face specifically the upper part of the nose and

the hand, his communication behavior and appreciating the doctor was in appropriate

such as telling her if u keeping holding my hand maybe the pain can be ignored and

hugging her without her consent demonstrated there he had cross the line of the doctor

treating and plus the gender difference because the doctor is a lady. J.J and Kamila

scenario

3. EMPATHY

Dr. Hudson, that was in charge of Mr. Randall and Danielle son named Trevor, who

was admitted to his unconsciousness and found on the bottom of the swimming pool at

their house because the gardener forgot to lock the gate to the swimming pool.

The sad and crying face on the couple was overwhelming to the extent that Dr.

Hudson and the other doctors were trying to do all their best in recovering Trevor

consciousness. Specifically Dr. Hudson can feels how sad the couple was about their son

condition and for the wife putting the guilty on herself saying she always check the

gate every night if it’s close or no, but due to the tiredness from work and deciding to

took a rest, procrastination of repairing the latch of the gate might lead to the death

of their son.

With all these, Dr. Hudson was able to encourage the couple to be strong and help

each other with what is happening, he told the husband have you ever deliberately
hurt Danielle (wife) of course no and I think Danielle would not deliberately want to

hurt your son, which give him the sense of acknowledge that he needs to stop putting

the blame on her but rather moving close to and accepting her.

Dr. Hudson giving updates on not knowing what will happen next and positive

observation seen on Trevor such as; responding to reflexes and no brain damage on

their son is relieving for the parents and assuring them that Trevor will be alright

eventually because he’s a fighter expressed that he can sense and put himself in the

parent present condition.

The death of the Asthma (Mrs. Rockman) patient due to heart attack who was

admitted to Dr. Lorenson care, was really heartbreaking for Dr. Lorenson feeling that

the child will not able to see their mother again. Telling the husband was heartbreaking

and hard for her. Though putting herself as the cause of death by not fore seeing the

silent heart attack to her patient shows that she can feels and empathized for the

patient.

Dr. Lorenson made a move of putting the patient in observation for a while and

called Dr. Hudson to have a confirmed check on Mrs. Rockman but due to head doctor

instruction of discharging her, she was unable to prevent the upcoming heart attack.

4. GENUINENESS

Dr. Hudson coordinate himself professionally, by being careful with his expression in

response to the parents of Trevor regardless of little hope in recovering his

consciousness because the time the brain was deprived of oxygen was unknown, which
might lead to Trevor brain damage. He all his response are positive, in a scene where

he’s been asked; you don’t think he’s goanna wake up, do you? He responded; I’m

hopeful. Also he tried to give a listening ear to the wife complain to further know how

she and her husband can less worried but rather stay positive for Trevor gaining

conscious.

In the scene of the asthma patient, Dr. lorenson who’s in charged show of being

herself regarding Mrs. Rockman asthma symptoms and letting the head doctor of the

hospital, Dr. Perello to be aware that the patient cannot be discharged yet for further

observation though she only has a hunch without clear reason of not discharging Mrs.

Rockman. If possible her wish of not discharging her asthma patient was granted, the

death of Mrs. Rockman would have been prevented from silent heart attack.

Being yourself personally and professionally was conveyed by Dr. Leighton attitude

by stands on his gut, regarding Sang Ha diagnosis because the CT stated that it’s

clearly a stroke and telling Dr. Mike that he got this right by backing it up that the

microvascular change on the CT, and before the stroke symptoms are permanent, he

don’t have a lot time in saving Sang Ha life which shows that he’s willing to stand on

what he understood to be the diagnosis.

5. MORAL REASONING

Separating between what is right and what is wrong to do is one of the difficult

decision to make especially when it deals with one perspective and believe. In the case

of Tia and his father who believes his daughter can be heal by having pure heart and
being faithful with prayer is the right way of not violating and being disobedient to

God’s will, this is really a tough time for the doctors in charge specifically Dr. Rorish,

trying her best in making Tia deciding without putting is father believe in consideration

but rather the present situation of the pain she’s experiencing and further complication

of the leg which was said to be life threatening and might takes her life.

Dr. Pinkney and Dr. Saveffi cautious move in convincing Tia with her father’s believe

and her condition in getting medical care was a risk move in violating the law because,

the patient decision has to be respected. Clear Analysis of what right and wrong of the

present situation to Tia by asking the question: “Why is he (father) wearing Glasses?”

and “why is it okay for him to allow doctor to help him see again but you can’t let us

help you walk again?” was the right way to rethink about her father and her own

perspective on her believe regarding the present condition she was.

In conclusion, I found that to be one of the right way in giving suggestion to the

patient in making the right decision between the wrong doing and right doing,

Which will probably lead to the therapeutic medical cure of the patient and save the

patient from death.