June 12th, 2008

Western Equine Encephalomyelitis in a 22yo Male - Help cure him?

Where: Arizona and New Jersey

 

When: 2008, November through April.

 

Who: A 22-year-old male college student afflicted with Western Equine Encephalomyelitis. Very athletic and otherwise healthy up to this point in his life. He collapsed during a basketball game and has been comatose for two to two-and-a-half weeks. His doctors are at a loss as to what may be causing the coma.

 

What: A friend of mine is writing a House fanfiction, and is having some trouble finding information on the treatment of coma patents and people afflicted with Western Equine Encephalomyelitis. She would greatly appreciate any help you could offer concerning a number of questions:

 

- How would his doctors go about trying to wake him up from his coma?

- Would a CT or an MRI reveal the WEE?

- Assuming he is comatose for three to four weeks, could you exspect any lasting effect, such as brain damage?

- Would transporting him from Arizona to New Jersey to receive better care be particularily dangerous, considering his condition? What precautions would doctors take?

- How would the hospital go about transporting him cross-country? Would they likely move him by air?

- Is the only diagnosis for WEE through specific blood tests?

- Would the mosquitos that generally carry WEE be out and about during basketball season in Arizona?

-Would it be plausible for this character to have suffered a single seizure before falling in to a coma? (With headaches and flu-like symptoms beforehand).

 

Sites Used: http://www.wrongdiagnosis.com/w/western_equine_encephalitis/intro.htm

http://www.cdc.gov/ncidod/dvbid/Arbor/weefact.htm

http://www.dhpe.org/infect/wee.html

http://www.lawestvector.org/WEE.htm

http://en.wikipedia.org/wiki/Western_equine_encephalitis
http://debussy.hon.ch/cgi-bin/HONselect?search

 

Wikipedia articles on comas and WEE. Googled: Western Equine Encephalitis, Encephalomyelitis, coma, coma treatment, coma patient transportation etc.

Thank you! =)

 

U.S. cities/towns with "pleasant" climates.

Setting:   Present-day Western Washington State, USA

Searches:    I've done searches pertaining to warm climates, best places to visit in the U.S., and such, but what I'm really looking for are opinions from people about places they've lived or visited which might help me make a decision here. 

In my story, a teenage girl is disappointed to have to spend her summer vacation with extended family (whom she doesn't know well) in a small town near Seattle, Washington.  She loves the sun and warmth of the place she's from, and wishes -- for this reason and many others -- that she could stay home instead.  (Edit:  I'm not saying that it rains all the time in Seattle during the summer; that will just be her expectation before she sets out for the trip.)

What I'm trying to figure out is exactly where should she be from?   I know that tastes and weather preferences vary, but I feel like she should live someplace where one can go around without long sleeves for much of the summer, but that isn't so uncomfortably hot that people prefer to spend their days sitting inside with air conditioner.  Also, I think it should be a place that doesn't have harsh winters.  I thought somewhere in California might fit this description (or not?), but for plot reasons, I'd like to choose somewhere far from Washington, if possible.   

So, can anyone suggest locations in the U.S that are further from Seattle than California is, and have reputations for warm summers (and possibly pleasant weather year-round)?  (I'm not strictly opposed to having her live in another country, I suppose, but I think I'll feel more capable writing a character who lives in the U.S.)  

I would give more information about her background if it would help, but most of what I know that is relevent is that she lives alone with her mother in middle-class surroundings.  I'm thinking that nailing down where they live will help fill in more of the puzzle pieces for me!

Thank you in advance!