Why Did This Woman Collapse With a Rash After Her Eggs Were Harvested?

Mar 16, 2017 · 11 comments
esther (clark)
Deep sedation and iv fentanyl in the morning, then going to work as a doctor in the afternoon. What's wrong with this picture?
Rita (NYC)
Dear Dr. Sanders,

I read your column whenever I see the same but I miss the old format, too. Perhaps you can start to take descriptions of medical maladies from lay people and connect them with medical pros to facilitate their finding help. You can then print their journey to healthfulness.
FACP (Florida)
Interesting that the hospital has a policy to call 911 and not a support team, or code team. I would imagine the response would be faster!
Ronnie (Keep Rabbit From Being A Rabbit)
Another case of where the trial lawyers almost kill another patient. Antibiotics are not needed for the procedure. They are needed to fend off law suits.
Alyce (Pnw)
Very interesting story!
Not to take away from it, but I liked the old format better- where the readers guess.
Judi (Cleveland, OH)
Whew! So glad she was proactive, contacted Dr. Aster and that he was able to pinpoint the culprit drug. I had a protracted TTP & ITP episode 16 years ago and it nearly killed me several times.

Slightly off-topic, but doctors and nurses often roll their eyes and sigh in frustration at patients who research symptoms and/or treatments on the Internet. This summary shows a doctor getting on the Internet and finding clues that helped solve her medical mystery. Of course, a physician is going to be more knowledgeable about medical terms and how the human body works, but this case summary is instructive in how to be your own best advocate.
P (Austin tx)
Very interesting case! Thanks.
Sheryll (Berkeley, CA)
A really good mystery story. Congratulations to the hospital team that gave the doctor/patient quick treatment; and to the doctor/researcher who tested the antibiotic with her blood and found the cause of her problem. Would that we all could rely on access to smart enough and quick-enough thinking medical personnel to save our lives. And thanks to the Internet for coughing up the research which allowed the patient to find the very person who could solve her problem.

But did I miss it? -- how was her internal bleeding stopped?
Lisa Sanders MD (New Haven, CT)
The patient was given clotting factors and platelets and that was enough to stop the bleeding. Good catch!
PLD (<br/>)
"The patient was quickly transferred to the intensive care unit and was given intravenous clotting factors and platelets to stop the bleeding, as well as four units of red cells to replace what she lost"
Anna L (Ashland, OR)
It wasn't explained in the piece, but it would have stopped on its own once the platelets were infused and her clotting function returned to normal.