Health
At 6:00 AM, Annie started her workday at The Little Bistro. After a quick meeting with the chef, her first task was to make the broccoli quiches for the lunch special. By 6:15 AM, she had collected all the ingredients. She set salt, eggs, cream, butter, and cheese on the prep table. On her last trip to the cooler, she got the broccoli. It took over an hour to wash and chop it. Finally, Annie was able to make the quince filling. Leaving the leftover eggs and cream on the table, she got out the premade quiche crusts from the freezer and poured the filling. By the time she got the quiches in the oven, it was 10:45 AM.Twenty-five minutes later, Annie checked the quiches. They were supposed to bake for around 30 minutes. However, she did not want to overcook them. The chef said their internal temperatures needed to be 155. Annie used an infrared thermometer to check the temperature of one of the quiche in two places. The readings were in the correct range. She took the quiches out of the oven and set them on a table to cool.While the quiches cooled, Annie went to work making fruit salad. She washed her hands and put on gloves. As she headed back to the prep table with the melon, strawberries, and grapes, she noticed the eggs and cream she left out. She quickly put them back in the cooler. Then she wiped down the table and started prepping the melon.What did Annie do wrong? Hint: There are about 6-7 mistakes.
Aisha realizes that she cannot wait until her appointment to receive medical care; she quickly goes to the emergency room. After a mountain of questions about Aishas symptoms and medical history, the doctors decide to admit her for further testing. She is transferred to the neurology unit and the doctors request she undergo a series of laboratory tests, including an MRI and a spinal tap. In the meantime, the doctors prescribe high dosages of steroids to help alleviate the symptoms.Upon reviewing Aishas medical history and the results of the various laboratory tests, the neurologists diagnose her with Multiple Sclerosis (MS). They explain to Aisha that MS is an autoimmune disease and that her own immune system has been attaching the myelin sheath that surrounds the nerves of her central nervous system. She remains in the hospital for a week until sensation is fully recovered in her lower body and strength is restored in her legs. She is discharged from the hospital and schedules a follow up appointment with the neurologist. When she visits the neurologist, they discuss Aishas different options for treatment. Because there is no cure for the disease, options in medications vary greatly. She was given a choice of either Avonex or Copaxone as injectable medications. Given her age, she would like to start a family within the next five years so choosing the best option will affect her decision. At the end of this session, the neurologist discussed the importance of having a care team to successfully manage her rehabilitation and treatment. The assistant assigned to Aishas case began scheduling future appointments with each of these professionals.Aisha continues to see the neurologist on a regular basis and gives herself an injection each evening. Over the course of 9 months of therapy, she only experiences one episode of numbness, which subsided after a couple of days. She tries to stay positive, connects with her therapist regularly, and tries to minimize the diseases impact on her life by staying active.5. What causes multiple sclerosis? Describe all of the immunology, environmental, and infectious factors related to MS. Is MS genetic or hereditary?6. Review all of the more common and less common symptoms of multiple sclerosis. List all of the more common symptoms associated with the disease. Could Aishas previous hearing loss in her right ear have been an early symptom of the disease?7. When diagnosing Aishas condition, the doctors utilized blood tests, an MRI and a spinal tap. Based on the information provided on the National MS Society website, are these the best tests for diagnosing multiplesclerosis? Describe the unique contributions an MRI and cerebrospinal fluid for diagnosing this disease. What would a comprehensive neurological exam be testing?8. Carefully review both Avonex and Copaxone on the National MS Society website (see FDA Patient Information and Medication Guide link for each of these medications). List all possible side effects for each drug. Which do you think would be the most appropriate choice for Aisha based on her health/medical history and her desire to start a family? Justify your decision.9. Successfully treating multiple sclerosis requires several unique professionals, also referred to as a Care or Rehabilitation Team. Identify all five (5) components of Aishas rehabilitation team that will help her manage this disease and describe the unique responsibilities each of these team members will contribute to her well-being.