Turns out Dave lied about the "daddy material" patient in Curtain Three; it's actually a sickly little blond kid. His mother -- who played a massage-therapy clinic co-worker of Phoebe's on Friends at least once in the first season -- tells Chen that "the bruises just sort of sprang up overnight," which is why she brought him in. On closer inspection, I can see that the kid has this absolutely terrible white and grey makeup on his face. Sickly's mom adds that Sickly has "Niemann Pick's Type A." (According to the National Institute of Neurological Disorders and Stroke, the disease "is an inherited metabolic disorder in which harmful quantities of a fatty substance accumulate in the spleen, liver, lungs, bone marrow, and, in some patients, the brain." In the type that Sickly has, the liver and spleen are enlarged in infancy; patients are also profoundly brain-damaged and seldom live longer than eighteen months. Sickly looks like he's at least three, so he's been bucking the odds for a while.) Anyway, when Chen hears the name of the disease, she blinks a few times, and Mrs. Sickly adds that if Chen isn't familiar with the disease, she has some materials on it (and by "some materials," she means "a really fucking huge binder"). Chen gently tells Mrs. Sickly that she won't need the binder, and, feeling Sickly's abdomen, she reports that his liver and spleen are both enlarged. Sickly's nose is also bleeding a little. Chen says that "a big spleen chews up platelets," which accounts for his bleeding. Sickly asks what they can do, and Chen gives Sickly the kiss of death: "We can make him more comfortable" with a morphine drip. Mrs. Sickly asks whether that will make him unconscious: "Because I want him to be lucid as long as he can be." Chen assures Mrs. Sickly that it will be a very small dose. Mark walks in the room and starts messing around in the background. Mrs. Sickly asks about Sickly's spleen, which Chen said was causing the problem. Chen carefully says, "Well, if it's taken out, that might help stop the bleeding, but you do know your son is end-stage." "Yes..." says Mrs. Sickly tearfully. Chen says that they'll get an ultrasound of Sickly's abdomen, and call for a surgical consult.
Episode Report CardWing Chun: D | 270 USERS: C+
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