Also known as: Schizophreniform psychosis
Robin is involuntarily committed for schizophreniform disorder after experiencing auditory hallucinations (hearing rats). She is being treated with risperidone and appears to improve initially, leading to her discharge. However, she suffers a severe psychotic break at Connor's apartment at the episode's end, screaming and barricading herself in the bathroom.
Also known as: ALS, Lou Gehrig's disease
Gary Foster has rapidly progressing ALS which caused him to fall into traffic. He declines neurosurgery for his subdural hematoma because by the time his fractures heal, the ALS will have progressed to the point of requiring ventilator support. He chooses to die to donate his organs rather than continue living with advancing disease.
Also known as: Brain bleed
Gary sustains a left-sided subdural hematoma and skull fracture after being hit by a taxi. He refuses surgery to evacuate the hematoma, choosing instead to let it progress so he can die and donate his organs rather than live with advancing ALS.
Also known as: Broken bones
Gary has multiple fractures from the car accident including L1-L4 vertebrae, left humerus, pelvis, and ribs. These would take 6-8 weeks to heal with a year to full recovery, but given his ALS progression, this recovery timeline is what drives his decision to refuse treatment.
Also known as: DIC
Gary develops DIC with widespread clotting blocking blood flow and depriving organs of oxygen. This threatens his ability to donate organs. He accepts heparin treatment knowing it will worsen his brain bleed and cause death within hours, in order to preserve organ viability for donation.
Also known as: HSE, brain infection from herpes
13-year-old Allison presents with abdominal pain, confusion, nystagmus, and fever, eventually seizing and falling into a coma. She is diagnosed with HSV type 2 encephalitis. Further investigation reveals she was sexually assaulted by her orthodontist who used triazolam to sedate her, and contracted genital herpes from the assault.
Also known as: Rape
Pelvic exam reveals evidence of sexual assault including perforated hymen, mucosal tears, and severe edema occurring 5-7 days prior. Allison was drugged with triazolam by her orthodontist during a dental visit and has no memory of the assault. She contracted HSV-2 from the assault which led to her encephalitis.
Also known as: Diabetes
Keoni presents with a nail in his foot that he didn't feel due to diabetic neuropathy. Lab work reveals extremely high blood glucose, confirming new diagnosis of diabetes. He initially wants to leave untreated due to family history of diabetes-related deaths, but Ms. Goodwin (who also has diabetes) counsels him to accept treatment.
Also known as: Nerve damage, numbness
Keoni has diabetic peripheral neuropathy causing numbness in his feet, which is why he didn't notice stepping on a nail. This is the presenting symptom that leads to his diabetes diagnosis.