Thank you for joining us here at H50BAMF for a watch and discussion of Three Rivers. I have great love for this show and Dr. Andy. For one, I think show gave Alex room to really stretch his acting muscles and 2, I work in the medical profession and to see and hear Alex in “my world”, is hella exciting. It may be stupid, but I love hearing him say hypertrophic cardiomyopathy! lol. Last but not least, these are stories worth telling, lessons worth learning and discussions worth having…even if they are a bit glossed over for mainstream TV viewing. These recaps will be in a different format than you’re used to us doing here. We want to be informative, respectful of the stories and subject matter and still try to sneak in a little fun too. How can we not?? Hope you enjoy.
Donor: Mahmoud – husband, father, construction foreman
Recipient: Terry – wife, mother-to-be
Transplant type – Heart
Medical dilemma – Donor’s family has doubts that the doctors did everything they could to save their father because they want to harvest his organs for donation. Recipient is 28 wks pregnant and has a rare blood type that may keep her on the list for months before a suitable donor is matched. The doctors and staff are working against a ticking clock to procure the organ in time to save one patient while trying to be understanding that the donor’s family has just had the worst day of their life and that the donation has to be a “gift” and not coerced in any way.
On a building construction site we have a new guy, fresh from several years in the Army working his first job and making a few mistakes. Afraid he’s about to get the can from his boss, Mahmoud he learns that his new boss is fair and encouraging. Unfortunately this is just before the boss walks the plank (literally) which breaks beneath his weight and he falls several stories to his untimely death. We’ve just met our first Donor.
At Three Rivers we meet Andy and Ryan (Chris Hanke) who are in a discussion about liver regeneration and they meet up with Dr. Lee (Daniel Henney…rawwwr) and Dr. Jordan (Alfre Woodard) in a transitional walk between scenes much like the halls of H50 HQ. In the group discussion we find out #1, Ryan doesn’t have much medical knowledge, #2 Dr. Lee is a player but also graduated top of his medical class, #3 Dr. Andy is hot, adorable and has a problem keeping a schedule. (much like our Alex in real life :))
We meet Miranda (Katherine Moennig) who we quickly learn is a no-nonsense kind of gal and sends Andy off to speak to Dr. Lisa Reed (Amber Clayton and Alex’s real life ex-gf) Maybe it’s because they dated off screen, but I immediately felt something between Lisa and Andy right away. She makes him smile in that way Cath makes McG smile. 🙂 Lisa tells him there’s a guy in the ER who insists on speaking only with him…. Which tells us right away, this man is smart! As such, we are introduced to my 2nd fave character on the show…
Kuol (Owiso Odero) is from Ethiopia and has Hypertrophic Cardiomyopathy and has been given less than 6 months to live. He’s come to Three Rivers in search of “the Great Dr. Andy Yablonsky”. Yeah well, get in line Kuol!!
The wife of Lisa’s patient, who is with child, faints and Andy rushes in to help and we’ve just met our first recipient. After stabilizing her they rush her up to the ICU to make sure the baby is ok. (what is it about women being knocked up all around Alex??? It’s gotta be the eye-sexing)
Oh, hello Dr. Lee! Dr. Lee decides to quiz young Transplant Coordinator Ryan on his anatomy knowledge then asks him to run to the bakery to supply their morning meeting….complete with an extra cinnamon roll because Andy always eats Dr. Lee’s. (I wish I was a cinnamon roll so they could fight over me. Truth)
Miranda gets assigned the case of Auden Drinkwater, a quiet boy who had a case of the vomitous while spelling word I can’t even type at his local spelling bee. Auden’s family is a well connected family and Miranda is asked to give “the velvet glove treatment”. Yeahhhh… Let’s just say Miranda doesn’t have the best bedside manner and doesn’t like playing the “who’s special” game. Dr. Jordan urges her to look past her own family experience and not let it hinder her in making pt diagnosis. We learn Miranda’s achille’s heel is her relationship with her absent father who spent his time at the hospital instead of with his family. Taking Dr. Jordan’s words to heart, she’s able to determine Auden is suffering from a metabolic disorder called PICA. It’s not always about family…
At the staff meeting, Dr. Lee makes a profound statement, “Donuts make people happy and happy is healthy.” Now I want to hug him….with my thighs. (Which have benefited from a few donuts in their time…but I digress). Andy comes bursting into the room with news of his patient Terry, the mother who passed out in the ER. She’s 28 wks pregnant and has peri-partum cardiomyopathy. He recommends putting in a VAD (ventricular assist device) to help her survive until a heart is available. Due to her blood type there’s a low risk of them finding a heart in time to help her and the baby. Andy rushes out to advise his patient but not before….you guessed it…stealing Dr. Lee’s cinnamon roll! I love these guys already!! (FU PLenkov!!)
Andy lays out the reality for Terry and husband. She needs a new heart in the near future but the VAD should get her to term, “in a perfect world”. Terry says, “what are we waiting for?” (I’ll try to refrain from making the obvious ‘remove your pants’ jokes as often as possible but I can’t promise I won’t make ANY)
Back to my favorite guys, Andy and Kuol, I love that Kuol begins his plight to make Andy more hip and up to date starting with his ringtones 🙂 while Andy is trying to keep Kuol up to date on his condition and tries to convince him that there are other doctors and other hospitals (who specialize in hardship cases) but Kuol stops him and tells the story of his life. Albeit a bit cliché…sadly, it’s an all too real story for some young men. “At 6, my camp was burned down and for a year I survived in the desert eating what I could find. Then in the refugee camps, I watched boys just like me die every day. I made it here because I know how to survive and I’m here at Three Rivers so the great Dr. Andy Yablonsky can save me.” *TEARS* and for the first of MANY times, we get the patented Alex emo eyes and expression and maybe it’s my love for Kuol and Alex’s emo face, but as many times as I’ve seen it, this scene is still fresh and new and very powerful. Because being a BAMF is not always about kicking ass, Dr. Andy steps easily into our hero role, armed with stethoscope and labcoat, he accepts the challenge…
In the O.R. Andy gets news that (Mahmoud’s) heart was just offered to them as a match to Terry. He stops the insertion of the VAD and tells her husband he has to make a choice right now. Go with the VAD but roll the dice as to when they’ll get a heart or accept the heart and have to do a C-section. “A new baby and a new heart all in the same day.” Wow, what a decision to make huh? And you thought you were just going to the ER to get your forehead stitched up!
When Mahmoud’s daughter arrives she thinks that her dad could be in a coma and that maybe they didn’t do everything they could have for her dad because they wanted his organs for donation. She asks for a second opinion that her dad is really gone. When Dr. Lee and Ryan arrive they find out that the donation has been put on hold. Ryan, being the newbie tries to reason with the daughter and family, which is a really big no-no! Poor Ryan, his heart is in the right place… It makes sense. A pregnant woman needs a heart. What bigger need is there than that? But Dr. Lee pulls him away and lays down the truth about organ donation. “It has to be a gift.”
Just when Andy gets the news that the heart is going to be delayed, Terry crashes again. Damn, could her day get any worse? Oh I guess it can. Andy sits down with the husband and explains Terry went without oxygen and may have some brain damage. He recommends the immediate c-section in case Terry doesn’t make it and this scene breaks.my.heart. I’m not going to go into a long McNerd about what an amazing actor Alex is because honestly I just can’t find the words. You know. You feel it.
Mahmoud’s daughter finds Ryan and tells him of the hurdles her father has overcome and why she reacted the way she did but in the end he’d want to help so she agrees to let him have the organs. So as we see him detached from his life support systems and preparing for end of life processes, the heartbreak of one family contrasts against the joy of another as a new life begins with the delivery of Terry’s baby via c-section. Things get a little “TV Glossy” here as Andy wakes Terry up and patches her through via TV to her newborn son and husband in the NICU, introducing her to her new family.
Overseeing it all is our dear Kuol. Self appointed keeper of the transplant wing and Andy’s new wingman. He says Three Rivers is a good place to be… “a Place Of Life” and Andy looks back at Terry and agrees. “Today, it is.”
Each week we’ll be sharing some information on the medical conditions and/or resulting transplant. With this week being the first week of the series, I wanted to give a little extra information.
Auden’s Medical condition: PICA
Now…..how about a little Pic Spam???