Chicago Med (TV Series)

Trust Your Gut (2017)

Gerald McCullouch: Don Adams

Quotes 

• Don Adams : A metabolic... disorder caused her death?

  Natalie Manning : The precise term is "ornthine transcarbamylase deficiency", or OTC. You see, Myra's liver was missing a vital enzyme that helps break down protein.

  Ethan Choi : Something as simple as eating a burger could cause toxic levels of ammonia to build up in her blood and attack her nervous system.

  Carol Adams : But Myra was a vegan.

  Natalie Manning : Which is how she was able to avoid symptoms for so long, but when she pushed herself and didn't eat - finals, the fellowship - her body started breaking down muscle, which released protein into her blood.

  Carol Adams : So, you mean she'd be alive right now if she'd just... eaten?

  Don Adams : If this disease is genetic, that means one of us gave it to her.

  Natalie Manning : Yes. Um, it is passed through the X chromosome, from mother to child, but...

  Ethan Choi : OTC sufferers exhibit totally normal liver function. That's why all of Myra's tests came back clean.

  Natalie Manning : Yeah. We were only able to diagnose her once Eric explained his lethargy and sickness after eating. We believe he has the defect, as well, and has been self-medicating with drugs.