Cece Colvin: kidney failure after transplant medication toxicity
Cece passes out while driving after two prior heart transplants; further testing links anti-rejection medications to kidney failure requiring peritoneal dialysis access.
In Plain English
Cece's fainting crash leads doctors to discover that her transplant medications have damaged her kidneys.
What Happened in the Episode
Meredith looks beyond the normal EKG and finds kidney failure tied to anti-rejection medication toxicity.
Clinical Concept
Kidney failure from transplant medication toxicity with peritoneal dialysis planning.
What ER Teams Would Evaluate
A real team would evaluate syncope, transplant medications and levels, kidney function, electrolytes, infection risk, rejection complications, dialysis options, and driving safety.
Treatment and Management Overview
Episode-supported management is surgery to place access for peritoneal dialysis while Cece waits for transplant.
What TV Gets Right
The episode shows that a normal EKG does not end a syncope workup in a medically complex transplant patient.
What TV Compresses
The episode does not show medication levels, kidney labs, nephrology consultation, dialysis education, transplant listing details, or driving restrictions.
Sources and Further Reading
- iDRief catalog page
- Grey's Anatomy Universe Wiki - With a Wonder and a Wild Desire
- With a Wonder and a Wild Desire transcript
- Grey's Anatomy Universe Wiki - With a Wonder and a Wild DesireEPISODE
Supports: Supports Cece's crash, transplant history, normal EKG, kidney toxicity, dialysis need, and access surgery.
- With a Wonder and a Wild Desire transcriptEPISODE
Supports: Supports scene context for Cece's workup and care.
- MedlinePlus Medical Encyclopedia - Peritoneal dialysisTIER 1
Supports: Supports general peritoneal dialysis context.
- MedlinePlus - Kidney FailureTIER 1
Supports: Supports general kidney failure context.
- iDRief catalog pageEPISODE
Supports: Supports episode-level evidence for this curated case.