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I am a screenwriter. My current project involves a transradial

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Posted on Tue, 5 Mar 2019
Question: I am a screenwriter. My current project involves a transradial amputee receiving their first prosthetic arm. Below is a brief medical history and series of events that leads to their amputation. I'd like to know whether you think this is plausible.

33 year old male diabetic, heavy smoker (2-3 packs a day, 10+ years) comes into hospital with what he believes is a broken left arm: it's purple-black discoloured and in severe pain. He says that the arm had experienced some pain and numbness for a couple weeks before, but after it was broken it became unbearable. Black spots are noticed on his elbow and forearm. Upon taking blood pressure of both his arms, we find the left has significantly lower blood pressure than the right. An ultrasound to the arm and angiogram detects a clot, a blood panel finds an infection in his bloodstream. It is determined that he has dry gangrene in his arm, and the safest way forward is amputation.

Does this seem right to you? What strikes you as not possible, malpractice, etc.? The details filled out in the health profile are that of this character/patient
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Answered by Dr. Olgeta Xhufka (2 hours later)
Brief Answer:
Better chance the patient age and underlying disease.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

OK most of the description seems right and possible but I can suggest you to change some characteristics of the person to make it seem more real.
It would be better if you change age to a person over 50 suffering from diabetes, high cholesterol levels, with heart disease, overweight and high blood pressure.

The hand would seem bluish and discoloured and weak pulse with ulcera that don't heal.

Hope I have answered the question.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Olgeta Xhufka (20 hours later)
Thank you for the advice Dr. Xhufka.
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Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
You are welcome.

Detailed Answer:
You are welcome.
Best regards.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 6923 Questions

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I am a screenwriter. My current project involves a transradial

Brief Answer: Better chance the patient age and underlying disease. Detailed Answer: Hello dear, welcome to Ask a doctor service. I read your query and here is my advice. OK most of the description seems right and possible but I can suggest you to change some characteristics of the person to make it seem more real. It would be better if you change age to a person over 50 suffering from diabetes, high cholesterol levels, with heart disease, overweight and high blood pressure. The hand would seem bluish and discoloured and weak pulse with ulcera that don't heal. Hope I have answered the question. Let me know if I can assist you further.