Doctor Reacts To House MD Obesity Episode | Medical Drama Review
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- Опубліковано 27 лип 2021
- House MD is one of the most entertaining medical shows out there… but that doesn’t necessarily mean it’s the most accurate. Today I watched Season 3 Episode 6 “Que Será Será“. In this episode, an obese man is assumed dead by some firefighters, only to find he’s actually in a coma… after they’ve cut a hole in his wall to remove him. House, Foreman, Cameron, Cuddy, and Chase dive in running a series of tests that’s hard to believe in order to find out what’s wrong with the poor gentleman. They test for STD’s, foreign pathogens from his produce, run x-rays and MRI’s… quite frankly it gets a little out of hand and the poor guy suffers a lot. This episode shares an importance lesson in leading with compassion when it comes to treating patients, especially ones living with obesity.
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"Are you gonna give me a zebra or a horse?"
It's House, he'll find an albino zebra with 5 legs.
and a horn on its head.
Odin!
no he's gon get a giraffe with wrong fur pattern and short neck syndrome
@@lionhead123 five legged unicorn
in space. Riding a comet.
House MD sucks.
"Think horses not zebras."
House doesn't even think zebras. When he hears hoofbeats, the thinks two coconuts being clacked together.
And he is questioning the air speed velocity of swallow's of different varieties.
House is the king of the britons
🤭🤣🤣🤣🤭
@@bleennn
King? I didn't vote for him
To be fair, the show addressed this. If it was horses or even zebras the case wouldn't go to his hands. He is probably the third plus doctor any of the patients saw when they got there.
Foreman is actually a neurologist on the show. Idk if that qualifies him to do neurosurgery, but it's not as bad as it first seems. Cameron is an immunologist and Chase is an intensivist.
I was about to comment this same exact thing!
I remember Doc Mike saying they were residents in the Three Stories video, so I feel like he might be under the impression they weren’t specialists already.
Chase is also a Surgeon.
Just in case Dr. Mike reads this: Dr. House's specialties are nephrology and infectious disease
Also, as I recall, Chase did a residency as a neurosurgeon at U. Melbourne... in theory, he'd be the most qualified to do it.
i think the reason they always think "zebras" first is because they're only handed cases that have had all the "horses" checked off.
not even zebras, i'd say they're looking for unicorns
Yep. Previous doctors check for everything that's most likely and once they reach diagnostic dead end the case goes to House. Which I appreciate as the show would be much more boring.
thank you. i was yelling at my screen for this.
Bingo. I feel like he doesn't understand that this isn't normal rotation doctors.
I’m a zebra. Ehlers Danlos Syndrome a long with a boat load of other stuff. I personally think it’s great that people don’t automatically go for the horse treatments/diagnosis.
Saying that, House literally only wants the interesting ones… the Zebras
‘You can’t be unsympathetic and be a successful doctor.’ Tell that to literally everyone in the mental health ward.
one time a tech told me i wasn’t actually depressed, i was just a lazy teenager.
I'm a mental health nurse, and I completely agree with his statement. You cannot be unsympathetic and successfully work in a psychiatric facility.
@@jodiecarlson6955 except you can and it happens all the time, as someone who also works on mh wards/with mh services, psychiatrists can be some of the coldest mofo’s on the planet
I think people who work in medical fields get emotional burnout a lot more than we talk about. I care for my husband who has multiple chronic illnesses and sometimes I find my empathy slipping if I'm not properly rested or haven't taken time for myself in a while.
@@jodiecarlson6955 Of course YOU would think that. Medical personnel, especially ones that work in psychiatric facilities, always have an inflated sense of their own abilities and moral standing. And a complete lack of awareness of just how callous and judgemental their actions actually are.
"you can't be a unsympathetic and be a successful doctor"
House: hold my cane
*hold my Vicodin
House is fiction.
@@paytyler and?
@@JDizzleFoshizzle67 that works too lol
Hold my painkiller
What I find funny is that despite House being the harshest and rudest of the bunch, he was the only one not putting every little symptom down to the man's weight, he never judged his weight once.
The difference between based judgement and baseless judgement
House is based lol
Well he did call him a bunch of names lol. But otherwise, true.
@@spencerific93he calls everyone he meets names lmao
@@sporeham1674 Yeah, you're not wrong.
Well I wouldn't say that. He made that joke about dessert.
2:52 I'd actually buy Foreman knowing that. He's a neurologist, and pufferfish venom is a neurotoxin, so it's not completely out of his wheelhouse.
8:34 Yeah, House has not been a good influence on Cameron.
Everyone else knows it from watching the Simpsons
The neurotoxin is known as tetrodotoxin and paralyzes your entire body but it keeps you entirely conscious watching yourself die...
Also the toxin can not be cured so there is literally nothing they can do for you
"Don't poison your patients". The knowledge I get from this channel is wild
Yeah, as soon as I heard that, my immediate thought was, "Well, kiss your future in the medical field goodbye."
Lmaooo
yep
this whole video was basically Dr. Mike slapping me with knowledge
That knowledge is absurd. Dr. Mike is providing false knowledge and it is deplorable lol
lol
For the most part, the patients in House are referred to him after "normal" doctors treat patients and can't figure out what's wrong. That's why most of the time, the cases already have a bunch of tests completed.
Yes most of the time, especially in the later seasons, they cover that by mentioning other attempts at diagnosis or treatment from other hospitals were inconclusive. However in this episode, the patient goes straight to House. Foreman mentions how he’d been in a coma for over 24 hours to shut down Cameron’s theory about puffer fish which would leave him dead in 68 hours.
Some episodes, you could argue that the time between the opening scene (where the patient experiences severe symptoms to prep the audience for the episode) and when they get assigned to House could be days, weeks, months, etc. In this case, the time between the opening of the episode and the patient’s admittance to Princeton Plainsboro was within a day.
exactly. Not to mention all the tests ran and things done we don't get to see.
@@BenTIStudios I think that's more a failing of the show writers not giving the time for "Normal doctors" to do all the tests in the time before the case.
@@m0sifer I couldn't disagree more. We are there to see House's team work. Not see the previous doctors working and testing,
@@BenTIStudios exactly. Which is why im saying they gave too little time within the dialogue between him being admitted and House getting the case.
A girl I grew up with who was chubby all her life; people just assumed she ate a whole bunch later on in her life, it was discovered it was her thyroid the whole time.
thats so common!!! its awful how mean people are
Me...I am like that girl. Atill having issues. I have PCOS and Hypothyroidism and an autoimmune condition and atill have not found relief. The onyl time I was underweight was when I had a severe eating disorder which I am still trying to not fall back into at 39 yo. Doctors suck and so not listen, I have no insurance right now and cannot get help.
I would think Cushing's if I didn't think thyroid
@@lindsay644I have PCOS and it's all hormone. I had the gastric sleeve and it BARELY gave me relief. God that sucks
@@Dontaskme14why would you not seek hormone regimentation over a gastric?
The thing you have to remember about the show is that House and his team are basically a team of Sherlock Holmes' , by the time a case comes to them most of the likely causes have already been checked, the show is about the "zebras" with a few exceptions
This. House and Wilson are _literally_ Holmes and Watson. 😆 The characters were inspired by Doyle's detective duo, which is a wondrous full circle after Holmes was based on a medical doctor that Doyle knew.
"She DRUGGED a patient so he wouldn't leave?!"
Ooooooooh just you wait and see where this show goes
What for example?
Yeah what happens
Chase killed an evil dictator patient
I also remember an episode (which may have been from another medical show altogether) where some doctor drugged a high school football player who desperately wanted to have college talent scouts see him play because he wouldn't otherwise be able to afford college (I don't recall what was wrong with him). I suppose suing a doctor for basically giving medical ethics the finger could also work.
And then he falls through a window. This show... XD I remember them breaking into patients houses too.
The bit when Cameron drugged the guy to get him readmitted brilliantly shows how step by step everyone on House's team was turning into a version of House. Excellent writing.
Yep! That's why *spoilers** she ended up leaving the team because she felt he corrupting her (and also Chase). I think it illustrated well how power can coerce culture
@@aliceinwonder8978 and also how at the end chase ends UP being house 2.0 having his own team
@@aliceinwonder8978 yeah that's also why forman left. He realised he stopped caring about people being in pain and suffering.
@@Anonymous-ev3rl Yeah he realised that letting them die when they could have been saved was preferable to 5 minutes of pain followed by a full life.
@@godqueensadie he just realised that he didn't care about the patient being in unimaginable pain caused by him during an extremely dangerous procedure that no adult consented to.
I'm a 6'11" 450 lbs male, and after people believed me to have possibly developed an aneurysm after I lost motor control and speech (among some other things), they had to put me in an MRI tube like that and it was *pretty* snug. My feet also hung out the end of it just because I'm roughly the size and weight of a house. It did let the medical professionals speedrun calming me down when I'd get anxious in there because my toes would start twitching in full view. For the record I did not have an aneurysm, a mini-stroke, they never saw anything neurologically wrong with me and I haven't had any episode like that since and it's been over a decade. But the MRI tube definitely is not comfortable for the Big and Tall among us. Just my little anecdote. Cheers
Time to lose weight and to reject your lifestyle of sloth and gluttony.
“WHO GETS AN EEG WHEN A PATIENT ROLLS IN” this killed me 😂
When my husband fell and hurt his back, I ended up having to threaten the attending physician with a lawsuit to get an x ray. This was the 6th time he'd been in the ER and the second time THAT DAY. Turned out he had vertically fractured his spine in three places. The scenario presented in House is absolutely believable to me.
yeah but they pride themselves on being specialists in abnormal cases. You'd think they'd rule out simple things that could be done bedside instead of lugging the patient around to more complicated tests
@@ppleeatpple In most episodes, the patient only reaches House's team after they'd gone through other doctors and tests that yielded nothing. As much as I love Doctor Mike, I think this is crucial context he seems to be missing with often he brings up zebras and horses. Most of the time, other doctors have already ruled out all the horses, which is why they only look for zebras.
That's infuriating
My uncle got quite a pay out because a hospital sent him home with a broken neck and antibiotics (they assumed his breathing issues were a chest infection?). He struggled to breath more and more as pressure built in his neck and they eventually took him back in. They then prepped him for surgery but at the last minute a young doctor noticed they were about to operate on the wrong break (he had an old fracture from military service).
A complete mess!
Could not agree more. Doctor Mike misses the context that this show (which is a drama) typically focuses on cases that are not “boring” (common stuff that other “regular” doctors have ruled out),
As a medical laboratory scientist, I’d love to collab on a video with you. Everyone knows about doctors, nurses, even surgical or radiology techs but rarely acknowledges that people actually work in a laboratory with just as much education and training/certification as say nurses. Not saying laboratory error doesn’t happen, but it’s not often we get to explain how a laboratory operates, how testing works, and how results are produced.
Agreed. Worked in a few labs (constantly moving, military) for the better part of a decade and I can count on one hand the amount of times the Lab has been directly responsible for a f*** up, while if I used the fingers and toes of everyone in the hospital, I still couldn't count the errors done by nurses and doctors. Incorrect collection, wrong labels, short draws, etc. It's aggravating how many people believe the lab is the problem for hospitals due to how rarely we interact with people.
I would love to see this collab!
Ayooo hey fellow medical Lab scientist!!
Woman
My brother works at one of those labs, i think its pretty cool :D
I was recently diagnosed with EDS (I've had my HSD diagnosis for about a year) and it explains so many of my mom's "unexplainable" health issues. Her joint and just general pain? Weight. Her GI issues? Weight. Her skin issues? Eh, who knows, probably some side effect of her weight.
Tests have been done a few times (which we're not helpful anyway), but all the time whenever I ask her about something or what the doctors said even she'll just say it's her weight, or she was told it's her weight. There's not a point in doing genetic testing at this time because hEDS (the kind I have) can't really be tested for, but so many of her symptoms are explained by EDS I can't imagine she doesn't have it. Besides the fact that it's hereditary and my dad has barely any symptoms.
So you combine a "rare" (underdiagnosed) disorder with fat bias and you get my mother having chronic pain for years and years of her life, and me having to fight for myself to get a diagnosis. Thank you so much for handling this well, I will always be angry about fat bias.
Women's pain is not taken seriously because it's always our ovaries😑
I also have EDS. I was 52 yrs old when I was diagnosed. I suffered for years knowing something was different about me, but not knowing the cause. I was misdiagnosed 14 times---none of which were fat related. It is very difficult to diagnosis and drs will blame it on anything when they have no answer. Almost all EDS patients get misdiagnosed. I hope this helps you realize they just don't have the answers.
I've been borderline underweight my whole life and even after getting diagnosed with hEDS, I still encounter doctors who think I'm psychosomatic. One doctor, an orthopedic specialist, asked me why I would want that disorder...as if I was picking and choosing from a menu. I have seen countless specialists and maybe 1 - 2% are like Dr. Mike. I guess my point is, even when they can't blame it on weight, they find other equally unhelpful approaches.
i'd like to point out how much i appreciate the care, sensitivity, and empathy dr mike has for his obese patients, and even just a character on a show. so many times we experience such bias, negativity, and judgement that it becomes almost shocking when we encounter someone who doesn't take on that attitude. thanks dr mike!
As an obese man, I can't count the number of times when I have had a legitimate medical condition, that I was told there was nothing wrong with me and I just needed to lose some weight. I had a (benign) tumor in my head that went undiagnosed/untreated for almost a decade. It took almost 10 years, and 6 doctors, and one specialist ENT to find it, all because all but one of them couldn't look past my weight.
Medical fatphobia kills, for sure.
I have PCOS and struggle with weight… Apparently most of my medical problems are caused by weight even though my BMI is still in norm…
Well when you're under the definition of obese it can affect basically everything. It's not wrong or fatphobic to look at somebody obese and assume a good chunk of any problems you have could be because of that obesity. Obviously many of them were wrong, but I don't think they were being fatphobic either. A doctor's job is to make sure we're as healthy as possible and I don't think it needs to be said why being obese isn't good for somebody.
@@gagetaylor192 Just because someone is obese does not mean you should not take their complaints seriously. This man had a tumor. He would have suffered from that tumor even if he was fit.
@@Laura-vs6bk Not as much as obesity.
I remember watching your videos when I was a 360 lb drug addict. 215 now (6ft4), and sober. You helped me change my life and start making health conscious decisions. Words can't express my gratitude.
Amazing transformation dude 👍
Congrats, man! Proud of you and your progress :)
Ever thinking about going back to that big smoke life?
pog
Great!
Ann Readon from How to cook that is a food scientist. In one of her videos she said (and showed) that you can revive a lettuce by putting it's stalk in water and letting it absorb it into the leaves. She then said that you shouldn't actually do it though because the pesticides on the leaves will be absorbed up through the roots and will be throughout the plant itself rather than being washed off. The writers were actually accurate when they made that statement.
I enjoy how hard Dr Mike went against poisoning a patient. The fact he didn't gloss over it like the show did speaks volumes about his character. I don't understand what message they were trying to get across on that one other than 'Cameron shouldn't be a doctor'.
It was to show how much House has influenced his team over the years. This episode wasn’t about the case, it was about the team.
"When you hear hoof beats, think horses not zebras"
I completely forgot about that saying until you reminded me of it
Whoa I came at 13 like mark
I start to get that everyone says you are everywhere..
Waw 2 comments and 94 likes
Why are you everywhere
but what when you are in somewhere in africa ?
Lol reminder: House is the one who sees them when other doctors have already ruled out horses. The premise is that he’s supposed to look for zebras because all the horses came back negative. Lol
I feel like because he doesn’t watch the show, Dr. Mike is always mocking them for zebras when zebras are the entire premise of the show. It was especially annoying here when Cuddy came in and explained how they checked and rechecked everything. I wish he would be less snarky sometimes.
@@kendon0923 it's also because hes a doctor and he knows how these procedures are supposed to go.
@@kendon0923 I mean just because he’s the specialist, doesn’t mean he should automatically jump to batshit theories and cost the patient more time, tests and money than they might need.
@@GrippeeTV House patients are rarely cases where you can spot the problem with a normal test. Usually a House case is after all other doctors have run all the regular tests based on the symptoms. It’s the entire premise of the show.
This reminds me of when he covered episodes of MASH by not watching episodes of MASH.
He's constantly making these mistakes and missing the context because he's not actually WATCHING the shows.😂
Glad I'm not the only one who noticed this
Come on, doc...A bit more effort. 😁
don't forget, asbestos isn't the only non-smoking cause of lung cancer. there's also radon.
My dad is a paramedic and a fire man and he got severe back problems because he had to lift this lady down the stairs
He also got severe knee problems from running and carrying even more patients
He now has to have surgery 😅
Love your videos!
house's entire team is supposed to be "the cases other docters can't solve" I assume the point is they ignore the obvious because if it was obvious common stuff it would never reach house
Even a normal ER doctor or any dr could diagnose this patient after a chest x ray, which is Standard procedure. House is like: oh lets do this complicated test nobody does before a simple xray....yeah i get they need drama but for fucks sake, HbaC1 does shows if you have or not diabetus even if your current blood sugar is normal, any and i mean any doctor could say if that is normal this guy doesnt have diabetus....second we doctors test for tumor marks which are unlikely to be negative for a cancer that far away, this is again normal procedures. I get house is fascinating from the point of view of a non doctor but for a doctor this is bananas...and fiction. The order of the test is crazy.
@@truli91 wonder if my doctor said she liked house because she liked it or If she was just being nice? Lol oh well. About your comment I agree
Hit the nail on the head. They give House the hard stuff and even complain at times that he doesnt treat regular people. Its why he hate clinic hours and hates seeing regular sick people during said clinic hours.
@@lordphaton Well... some of the regular sick people are stupid. Best clinic moment for me.
Patient complains her inhaler isn't working for her
House: Do you know your inhaler works?
Patient: Do I look like an idiot? (Sprays inhaler on her neck like a perfume.)
House stares, then we just cut to her outside the room calling him a jerk.
Except there's plenty of episodes where they "recheck everything the others might have missed." It's just based on plot convenience.
Isn't House's department specifically created just for Zebras. As far as i understand, the whole thing with his "Diagnostic Department" is he gets the cases that doctors have already checked but couldn't figure out so the show handwaves and assumes all the basic checks are already done.
Jupp, pretty much.
But it showed later on that they DIDN'T check those basic things. Like the LP and STD panels. So the show still failed to show that either way.
@@kitsunehikaru-4268 I don't remember the details on this episode exactly. But sometimes the patients go directly to house because it's a weird case right off the bat.
And the show clearly shows that people are flawed, and when all you do all day is dealing with zebras, horses are easily forgotten. It's never lupus! Except the time it actually was lupus...
Not all diagnosticians only deal with Zebras. They just specialize in difficult to diagnose cases and second opinions. Yes the diagnostician would deal with most of a hospital’s zebras, the bulk would still be horses though. I understand that for the show it needs to be interesting, but he is critiquing it from a real doctor’s perspective, so of course it is more practical to eliminate all likely and common diseases first. It’s the point of him reviewing these shows lol.
except he never relies on out-of-department tests being accurate, so he might as well start at the very beginning. But then it wouldn't be good TV, so.
The thing about House is that he’s supposed to be a diagnostician who will only take rare cases. And while majority of the time his team does things out of order, the usually do the obvious stuff off camera before the episode really starts.
On another note, I can answer why they never talk about the common things in the show. The setting of the show is that House diagnoses people that other people have been unable to. House isn't the first stop, he's pretty much the last stop after patients have been seen by other doctors and specialists. So all the normal and common issues would have generally already been ruled out by the time a patient gets to House.
Usually House's patients didn't "just roll in" he's gets referred when other doctors couldn't find out what was wrong. So all of the tests mentioned were probably done previous to the team getting them.
His department is literally called diagnostic department lol
@@DonMarzzoni Yeah, and people get sent to his diagnostic department when other diagnostic department failed
Exactly, and keep in mind in any show/movie, timeline works faster, what you see happening in 40 mins is in the story days, weeks, months.
Btw, this show was about zebras and not horses, dr house was not an ER doctor. Maybe dr mike should investigate a little more before making certain remarks about a fictional show
I like house to x
Need to cut House a break, technically speaking he would have had 6 doctors take tests and all come up inconclusive before a case would hit his attention
Yeah I have to agree. It’s very rare he had a patient that hadn’t seen a million other doctors before.
Agreed, the whole point of coming to House is the standard stuff isnt applying. They are no longer looking for horses, they are barely checking for zebras. They are looking at russian wild boars in the middle of chicago.
that is the entire premise of the show, and kinda pisses me off that he missed the point of house.
once in awhile they drop off hints of this in the show.
on the lockdown episode he has a grumpy patient ask him about it and house says something about how he can only take so many cases and they usually fatal for those he didnt take.
It was also 10-15 years ago? A lot of things have changed since then and a lot of the criticism feels like "Why didn't they do *something that was only discovered/refined to the point of viable in the last 5 years* back in 2002?"
@@chrishubbard64 exacly
Him: you need to throw everything at the patient.
Me in the medical field: *actually throwing the equipment for the tests at the patient*
why did a doctor never tell me that about Hashimoto's??! I was diagnosed just before turning 10 and no-one could pinpoint when it started even though I new exactly when it was triggered (15 months earlier with severe strep throat causing high fever and rash across my neck and chin). I gained weight, lost weight, gained again (told I was just growing despite never really having a growth spurt), was kind of pubescent but then it suddenly stopped. All of a sudden I lost too much weight and completely lost appetite when the gland died entirely. Finally got diagnosed when I woke up from a 40 hour nap with bright yellow eyes - liver became so engorged you could feel it. Trust kids when they say they don't feel well, or else you'll have them crapping blood and regret it.
On the bright side I grew a whole foot in the first 18 months after starting meds :D
This is House he ONLY deals with zebras. The horses have already been eliminated. That's the premise of the entire show. Early in the series it is established that he also doesn't trust anything that previous docs have done so sometimes he does relook at stuff that is basic.
yup, he just doesnt like dealing with walk-ins that Cutty likes to make him tend to, he prefers the types that test his mental acuity, which i think that is how he should be utilized, that's like having a heart surgeon prescribe Pepto Bismol to a guy with Chronic Heartburn.
The show does a pretty poor job of showing what they have and haven't done yet though, especially when they suggest doing something they should've done much earlier, and don't mention that was already done.
+1 to this.
Not my greatest flex, but i finished the whole series. House MD is all about zebras......and malpractice that works.
@@lich109 still, they could've done worse, at least it looked like they tried to be accurate, unlike Gray's Anatomy or ER.
Film translation: They wrote in an excuse to be interesting.
Man, his delivery on the simple, but tearful, line "I've never smoked" just broke me
*I never smoked
@@immortalsun Dude why does it matter?
He's probably thinking of secondhand smoke, which could in theory cause lung cancer I guess if you're exposed for long periods of time. I'm not sure of the exact quote either and I just watched it because I've never smoked and I never smoked are so similar the brain will think either is correct if you find justification for it.
And he followed it up with "C'est la vie". He really was a man who took life as it came, who enjoyed life on his own terms without obsessing over consequences. And in the end, he was right.
That guy is a great actor, he was good in The Mentalist too.
Whenever Mike says some medical term and the description pops up (sometimes even before that) and I know what it means before/while reading it I get so unnecessarily excited
I'm very late to this but the thing at 9:19 is actually true. I'm a culinary student and one of the first things we were taught was about where food comes from and how some problems with food can start all the way at the farm. Our teacher actually told us a story about how a Mexican restaurant near the school had to be shut down permanently do E Coli in the lettuce cause multiple people to go to the hospital. The reason E Coli even got in the lettuce was because the people working on the farm where using the restroom outside near the lettuce (It wasn't directly on or near the lettuce it was more so at the start of the field). The water would carry the fecal matter through the crop and the roots would absorb the infected water, infecting the lettuce with E coli
As someone who has been obese my entire life, THANK YOU for the way you handled this story with kindness and grace. I could write a book about how I've been dismissed by medical professionals. People see fat and diagnose "fat" without looking at underlying conditions. Thank you, Dr Mike. You are a gift.
I've just seen flashbacks from my childhood (I was 10 I assume). My mom was into alternative medicine and we went to the doctor that diagnosed illnesses through eyes. As I say she barrely looked me in the eye and began to say that I should eat this not that (by that time I had healthy diet -just didn't workout that much so I was a bit chubby). The funnies part of it was that she herself was obese...
you are also a woman. women are routinely dismissed and many die because doctors don't listen to them or believe them. i've been overweight, though not obese, and i get the lectures, too. one shitty doctor told me i was obese at 5 feet tall and 113 lbs.
@@margaretjohnson6259 thats not obese lmao
@@margaretjohnson6259 maybe a bit chubby but not overweight or obese
@@margaretjohnson6259 how? Your BMI only comes out to be around 22. That's nowhere close to obese.
In LORE: People come to House when the doctors have ruled out all the horses. There are only zebras left. This is well established in Season 1, when they talk how many doctors people have seen before they come to see House. In LORE it fits that they are only looking at reason 50 cause the patient have been to other doctors that have proven at least the first 40 reasons to be wrong...
If he's a zebra specialist, he might find meaningful employment at the zoo...
Except for that one girl who wanted House to tell her she got pregnant without cheating on her fiance. I'm quite sure she didn't go to twenty doctors to verify that she's pregnant before she got to him.
This.
@@roselover411 that's the clinic... They don't go to House, House is enslaved there, it's different
@@oromis995 Oh I see XD Fair distinction
Actually the 600 Lbs guy had clubbed hands since the first scene of the episode; no one ironically noticed too much about it since being first admitted to the hospital; no one notices the most crucial clue to what is going on in their patients until the final few minutes of each of the episodes(except for 3 of the episodes where they were too late to save their patients).
An editor in the room definitely ask the questions we all were thinking. So glad you have him there during filming.
I think the thing with House is, that by the time a patient ends up in House's service that patient has already BEEN through the "horse" treatments. You don't get to House unless some other doctor has already checked for horses. That's why they focus on Zebras.
This. That's exactly the point of the show. But it's still kinda fun to watch someone analyze everything, of course. Lol
yes they are not regular doctors who have several patients. they are a diagnostic team who take rare cases one by one that noone else were able to solve.
this is the "point" of the show.
they also mention often how rare this is. (one of the few hospitals who have this kind of depertment and its due to the intelligence of dr house)
This! Lol I kept yelling at my screen "he's already gone through other doctors who have checked for horses!" but it's entertaining seeing Dr. Mike get so angry about this 😂
you still want to rerun those tests to see if there was anything the original doctor missed. Like what's the harm in doing another blood test you know?
@@cooldude2251 waste of time if it has already been ruled out
The thing I hate the most about that episode of the show is how badly they talk about the patient while he's in a coma. The first thing I learned in nursing school was that comatose and/or palliative patients hear everything and probably even more than other patients
Thank you! ❤️
I was comatose for a while when I was 18, and blessed with people who didn't assume I couldn't hear just because SOME comatose patients don't hear. Some don't, some do, so people should always assume the patient CAN hear even though the patient can't respond.
Yes! My mom was comatose for 3 days when she had me (Eclampsia at 24 weeks after conception). One of the worst parts was being able to hear everyone talk about her dying. She pleaded with God and a multi state prayer chain started when the doctor said there was nothing else the hospital could do since nothing they tried was able to remove the fluids she was drowning in or get her organs back working. Next morning her fluid levels were almost normal and she was awake. God saved her and it was considered a medical miracle.
@@kristadavis2825 god isn't real
I heard. I would be aware for a few seconds at a time. I heard the nurses making fun of me because they had to remove my tampon, and because I had cuts on my legs from self harm.
I’m sorry Kat Klenn 😢
0:34 my mother injured herself very early into a nursing career she broke her back and she's never recovered she has arthritis now and is in constant pain
I love how he’s just so smart about health! You teach me new things everyday! I wanna say two words
Two words: thank you❤️
"This show is all about zebras and no horses!" Yes, that's the premise of the show. Dr House only gets patients that other doctors have tried to diagnose and failed. All the "horses" have been ruled out.
Sure, but in the beginning of the episode they haven't ruled them out yet, but still they go straight for the zebras. In real life medicine, the patients don't arrive with a tattoo saying "dr. House's patient", you don't know who's going to be the difficult one until you've tested and ruled out the simple ones, which they didn't show inthis episode
@@exantiuse497 "one until you've tested and ruled out the simple ones, which they didn't show inthis episode" They almost NEVER show those. They were run by other doctors possibly even in different hospitals. If they showed that part for every patient, House and his staff would only be in the last 10 minutes of every episode.
Yeah, that's why they don't take chest X Rays or CT's in this hospitals. The show is dumb and inaccurate.
@@exantiuse497 the patient was comatose for at least 24 hours before the patient landed in his lap. Other doctors and nurses did do the preliminary procedures.
@@Denois95 the medicine is generally accurate, but the process is exaggerated.
"why aren't they talking about the most common things" because that is literally the entire point of house. other doctors already did all the normal stuff he's there to find the thing no one else did/could
There's no evidence of the patient in this case being seen by anyone other than the main cast of "doctors" and House.
@@christopherangeli1141 from the shows premise, its implied, and several times during the series hes says things similar to "people who are sick enough to make it to ME, dont spontaneously get better', "we find out what kind of zebra we're looking for"
@@Guardian582 Well, that may very well be true. But it doesn't take away from the fact that it wasn't made clear to a first time viewer. How DARE you try to make me appear foolish in front of a sexy yet chaste Doctor?! You make me wanna wretch.
If other doctors already ran basic diagnostics, they would be referring to those results too.
@@christopherangeli1141 It's a drama serie, you can't expect the show to prepare first viewers in every episode.
I loved this review!!! Sooo funny but informative all the same. Big up Dr Mike.
3:15 - That actor played in one of my favorite shows, Chicago Fire. When you see them once its like you never forget how they look and sound!
To be fair, I'm pretty sure foreman is a neurosurgeon. That was his specialty before he was assigned to houses team.
Neurologist. Also, house hired him because he knows how to pick locks and stuff
House wanted a neurologist with "street smarts" and experience from the hood
if i remember currently each member has a different area of specialty, Foreman Neurosurgeon, Cameron Immunologist, Taub Plastic surgeon, Kutner Sports Medicine Specialist, Thirteen Internist, and Chase and House both being Diagnostics.
@@mokies7811 chase is actually a general surgeon. House is an infectious diseases specialist. They all work in diagnostics department.
@@shamimsaeidi2572 chase is actually an intensivist before joining houses team
I think you missed the core of House though. He only gets patients AFTER the "regular" doctors have done basic exams and couldn't figure out what is wrong. He gets all the "unsolvable cases" lol that's why they skip the simple procedures. Because other doctors have done them already.
4:40 because the most common things have already been checked by other doctors lol the whole point of house is to solve the "unsolvable" my dude.
I broke my feet today because I kicked my computer because someone commented that my videos are bad! I hate unjustified criticism. Please wish me a speedy recovery, dear k
I Think he probably missed the episode where house says that himself🤔
This video is super frustrating because he really is missing the entire point of the show.
@@d.hodgsky yeah I think he just watches random episodes tho. Like I don’t think he gets it. Also I could be wrong, but wasn’t foreman actually the neurologist on the team? Hence him drilling into the head lol
i was about to say that then saw your comment
So, I’ve recently been binging House M.D. (how I found your channel). Though they don’t show it much since the first few episodes, most patients don’t get to House’s team as a first stop. They are routed to him from the E.R., their primary physician,etc. As such, the routine tests (horses) have already been done. While they might redo those tests, i think the idea of the series is that the patient only get sent to House when they suspect it’s a zebra. 😄
Great review. The premise for each episode of "House" was that Dr. House and his team took on patients when other doctors were unable to find the problem. So you have to imagine that all of those tests you mentioned had already been done (maybe even days before) by the first set of doctors before the patient was put under House's care. Even so, I'm sure a lot of it's far-fetched and not done exactly as it would be in reality, but that's just for dramatic effect.
The doctors on Houses’ team are all specialists in different fields. Foreman was a Neurologist, Chase was something with Intensive Care (?), Cameron was Immunology. In the later seasons, the new team were all different specialties. Kutner was something with sports medicine, Taub was a plastic surgeon, and 13 was an Internist. 👍🏻 oh, and then of course Wilson was an Oncologist and Cuddy was Endocrinology.
I love this show lol.
Yeah it's funny to watch him rage about the show but within the lore of House all of their plot points and decisions make sense their a team of hand picked specialists lead by a Sherlock Holmes type genius who get the most complicated and mysterious cases and they tend to solve them by breaking ethics and thinking outside the box the show isn't very medically accurate and is highly dramatized but it makes great TV
@@imaginaryenemy2565 also worth noting they are never the first point of co tact with a patient. The only patients they see are referred to them after already been seen by multiple Dr's who just can't figure out what's wrong with them.
And in most cases their patients would be asked to sign a waiver that basically let's them use their diagnostic methods without risk of been sued. These Dr's litterally have the right to refuse to see a patient, house picks and chooses his cases, he refuses more than he accepts.
@@cgi2002 yes exactly he usually treats one person a week and he gets to pick which cases he treats and he goes for the super crazy ones his job is so niche and he tends to heal more patients than ones that die on his watch so the hospital tends to let his antics slide
Chase is a Cardiologist I though?
@@mastAk881 he is, and if I recall Foreman is a neurologist. Every single member of houses team is a specialist, and most of them are highly capable surgeons too. They also often have jobs outside his team, he may treat 1 patient a week but they would also be working as part of other teams within the hospital to keep their skills up to date/learning new skills.
They like house, had clinic hours, except they did theirs, and often pulled shifts elsewere within the hospital.
"He's not dead if he has a pulse!" I can't believe you had to say this. XD
@Highway Unicorn Huh, it could be. But they successfully get his pulse at the end of the scene so it can't be TOO hard.
The editor manipulated the scene to make Mike look better and make a joke. They explained that they checked for a pulse and there wasn't one from the usual spots so they assumed he was dead.
@@seraphimvalkyrin4543 Ah! Thanks.
That's nothing compared to this dialogue from another episode:
"Oh my god! He's choking!!!"
"That's not possible! It's mac and cheese!"
Yeah.
@@seraphimvalkyrin4543 which is exactly how living people end up at the morgue.
My big brother graduated from emory in physical therapy and its made me watch this channel more than i already do.
Just wanna say love you videos I love watching them and seeing all the wrong things in medical dramas on the other hand due to me spitting out you facts and me learning from you you have rewend house for my family 🤣🤣🤣
I like how he’s mad foreman is doing the neurosurgery but foreman IS IN THE SHOWS OWN CANON a neurosurgeon, so out of all characters he’d be the most fit to do that procedure
Yeah I love this guy's content but he says a few stupid things about the show like what you said.
I came to comments to make sure somebody said this! 🤣
I was under the impression that in the early show, Foreman is credited as a "Neurologist" and not a "Neuro-Surgeon", but that could be my mistake
@@pallyboy6005 I think I've heard him be called both. But I haven't watched it in years im not the best person to ask for that
@@erictme05 You could well be right~ also, could just be the kind of show that would have him be called both anyway
Foreman is a neurosurgeon, as well as Chase is a vascular surgeon and so they take charge of the neurosurgical and vascular surgery procedures respectively. They are not interns, they are specialists hired as parts of an elite diagnostic team under House (who if I can recall correctly is a nephrology and infectious desease double specialist/if I say it right) and his best friend Wilson, who is an unofficial member of the team is an oncologist (House and Wilson are modeled from Sherlock Holmes and Watson)..
Wanted to add that this is based on the original Sherlock Holmes novels and not the movies, TV shows or other media. It helps explains why House is such an awful person.
@@VidelxSpopovich House is not an awful person. He is unconventional. He is a chronic pain patient, with that having a huge impact in his behavior. Plus, people that work in healthcare and are rather empathetic (myself included) find some protective mechanisms to cope with and detach themselves.. I guess it is more awful to judge other people easily (fictitious or not)...
@@nikolasconstant6151 nobody was judging you, mate, take it easy. House IS a fictional character, and he was written as a jerk, that's just the way it goes. Even if there's a backstory there, not everybody would cope by becoming someone like him.
@@mabi2727 what is the awful about him? That he saves lives? People who come into rash conclusions, do it often indescretely. Having worked with real live chronic patients, I see labels often used as cranky, weird, lune, self centered... It is very easy judging somebody's life, when you are not the one living it..
I was going to mention that Foreman is literally a neurosurgeon xD
You, Dr. Mike throwing shades at the show has me rolling the whole time 😂😂😂
I hope Dr. Mike does even more episodes of House MD. I'm not even in the medical field and I could pinpoint SO MANY THINGS CLINICALLY AND PROFESSIONALLY WRONG in this show!!
Doctor: "You're probably gonna die... so...."
**LEAVES THE ROOM**
Patient: *visible confusion*
Thank you for pointing out that it's always possible that obesity is a SYMPTOM rather than an underlying cause. There are a multitude of reasons people have trouble controlling weight. It's not always poor impulse control.
There was actually an episode about a young, obese girl who was depressed because she was constantly getting teased. (Also, other stuff wrong, which is why she saw House.) It ended up that her obesity was a result of Cushing's disease. Also a good episode regarding beauty standards.
As someone that just recently got out of the hospital (was there for 2-3) months. These videos hit different. LOL I knew they were unrealistic due to Dr. Mike’s commentary, but to go through it first hand AND see this is hilarious.
"I have a thyroid condition!"
"Well stop eating thyroids then!"
- James Carter, Rush Hour
The way he talks about overweight people (including myself) is the first time I actually did not feel uncomfortable with listening about weight in a medical context. He actually sounds like he cares instead of just telling me I should just eat less.
I used to be overweight and get offended when people told me the truth but thanks to that I started working out and becoming healthy its not how someone talks about you is what you do about it
@@luk3979 The truth about what?
@@luk3979 1. that doesn't work for everyone.
2. Focusing only on weight can overlook other, more serious medical issues, including issues causing the weight.
3. All putting people down for their weight does is cause self - esteem issues, depression, suicidal thoughs, and a fear/avoidance/lack of faith in their doctors.
4. If your a doctor and can't be professional enough to treat overweight people like people, you should be fired and have your license revoked.
@@luk3979 Thing is, some people hear it so much so often that they just don't even care about the next comment about their weight and they stop caring about any health issues and they may just have some mental issue where constantly getting hammered with comments about weight from people with no context about their life, they stop listening to anyone who says anything about their weight. I think it should be treated a bit more sensitively
@@bipstymcbipste5641 but as a medical professional you should always be business like when referring or talking to their patients.
Usually the storyline excuse for these absurd cases is that they get passed to House only after "normal" doctors discard all the horses and can't figure out what's wrong with the patient. So yeah they're jumping to step 50 because someone else has done steps 1 to 49 :)
Yeah but doctors will review the patient’s medical records and move on from there. What Dr Mike is saying is, each one of those tests would’ve/ should’ve been done by the “normal” doctors. The case shouldn’t have reached house at all.
@@azalon2035 They didn't find the cancer through a chest x-ray, but an image of his hand, where the cancer had metastasized.
@@CharlieQuartz It wasn't cancer they found on the x-ray, it was clubbing, a deformation of the fingers most often caused by lung cancer. Which was a quick, easy test and told them what to look for in the more major tests.
Thank you for being so diligent for diabetics. Never knew I had to be so diligent until my kiddo was in dka!
I wish there were more people in the world like you, that didn't judge someone based on their weight. You never know the reason why someone is overweight.
I love how Mike, and other doctors reviewing house, always forgets that they are specialized practice, meaning bunch of routine tests had already been done prior to coming to House's office
Yeah, this and the zebra’s not horses thing and the hand xray thing makes it seem like he’s just looking for something to be angry about rather than looking at it logically honestly
also every team member has his own specialization, Foreman IS a neurologist so him doing the surgery himself isn't that far fetched, Chase is a surgeon, Cameron is an immunologist, House has two specialties - nephrology and infectious diseases
I love all the non medical people putting their two pence forward. If the test results aren't in the patients record then they are re done. If results change very quickly like blood glucose they would be re done regardless.
@@Tucnak2o0 a neurologist doing neurosurgery would be like calling the interior decorator to re tile your roof
Same field, completely different set of skills and training. If anything if chase knew general surgery he would be better trained.
@@RK-ep8qy It was just an observation, and everyone uses computers these days anyway :)
ps: I was trained and worked as an RN, so I do have some experience in the field
House's first working title was actually "Chasing Zebras", after the saying: the premise of the show is that he gets cases that none else can diagnose, so it's assumed all the usual tests have been done and all the horses ruled out by someone else when a patient gets to House.
wish he would understand that. As viewers we know that House and the team chase Zebras because other doctors ruled out the horses. We watch it for the crazy cases not because its a normal day in the hospital
House is built on the story of Sherlock Holmes and Watson (Wilson) so are you sure?
@@juniperfloraclarke4833 Yeah, I know, but this influence and the structure are not mutually exclusive, on the contrary: in order to make a medical into a mystery and have S.H. references, you need cases that are difficult to solve and that just the titutural character can tackle, ergo the zebras.
Yet no torax X ray 🤦♀️
The issue in this episode in particular, though, is that they don't know the other tests have been done. They guy can't give his history when he arrives. They jump to their Zebra thinking before ruling out any horses.
Ive actually watched this episode on tv ages ago, its nice to see a professional reaction to it
Even though this video is two years old. Always enjoy watching them, very informative and always something new to learn from
In fairness, foreman is a neurosurgeon/neuro-specialist. Each of House's doctors was a doctor in specific field.
Making them a super team of specialists
I believe Foreman was a neurologist. You would need a neuroSURGEON to drill a hole in someone's skull. They're two very different things as are cardiologists vs cardio-vascular surgeons.
The point is that even among all their specialties, they do things that just aren't done in the real world. Clinicians don't run labs themselves, don't run imaging (CT, MRIs and the sort) and some of the procedures they do exceed what would be their real world competence.
I love the show and some of the medicine in it is actually quite accurate, but it clearly doesn't strive for realism 😂
@@Lucieferreads On your second point, House makes his team do the tests because he wants to hold them accountable for their mistakes and he doesn't trust the nurses because of his bias against them. Also, he doesn't have the right to these demands, but Cuddy lets him do it because "he's the most brilliant diagnostician in the country" (aka, he saves lives). So, those are the excuses the show gives of why House's activities are allow to continue in the Hospital.
Wasn't Chase the neurosurgeon??? I think Foreman was just a neurologist
@@Kamila-ey5vi chase is the surgeon. i don't remember his specialty, or if he's just a general surgeon. but yes, chase was the surgeon of the 3.
"This is all about zebras, not horses"
Yeah, that's the premise of the show=p
OMG Doctor Mike actually ᶜᵒᵐᵐᵉⁿᵗᵉᵈ ᵒⁿ ᵐʸ ˡᵃᵗᵉˢᵗ ᵛⁱᵈᵉᵒ ❤❤❤❤❤
Exactly other doctors have already ruled out all of the horses that's why they get sent to a zebra expert.
Thank you! That’s what I’ve been saying!
Dr. Mike I would love for you to do an episode on pencilin alergies. I have been told they move throughout a persons life. I also remember, since I don't have a cold to blood prooven pencilin alergy, every time they gave me one, antishock was being prepared in the other room.
My dad is in family medicine and I am a CSE student we love watching your videos together on our family tv....
I am very lucky he doesn't mind the swear words when he is watching shows like these with me 😂
Tetrodotoxin is a neurotoxin, Foreman is a neurologist, so why wouldn't he have deep knowledge about it? I mean, I would be surprised if he didn't...
He probably didn’t know he’s a neurologist
Yeah, but he's been too busy learning about pufferfish.
Why would he? What do you think a neurologist does? Medical toxicology is a whole different field of study, one studied by medical toxicologists.
I can't think of anyone in the medical field less likely to know anything about neurotoxins than a neurologist except for maybe an ophthalmologist.
@@michaelmay5453 basically every medical student who's ever taken Step 1 knows what it is. It was even covered in my neurology block, by neurologists. You're an idiot. Most neurologists do know about most neurotoxins because it's critical to figure out whether something is biochemical or structural
@@michaelmay5453 dude. I'm a veterinary nurse, and even I have to be well versed in medical toxicology. Anyone who is caring for patients (human and animal) needs a decent understanding of these things so we know what to look out for. We need to view all symptoms, no matter how seemingly minor they might appear, in the context of medications they are on or might have taken. To state that a doctor who specialises in neurology wouldn't be aware of which drugs are neurotoxic is ridiculous.
“Don’t poison your patients, even if you think it’s right for them.” -Dr. Mike
Thank you, ill keep that in mind
Him getting an Anger Cramp at Foreman doing the biopsy made me laugh so much 😂😂😂😂
Cameron:
> Tells a patient he's gonna die.
> Refuses to elaborate further.
> Leaves.
I feel like there aren't enough people in the comments talking about how annoyed Dr. Mike was at the amount of judgment in this episode. Like, I know doctors see lots of things in their line of work and try not to judge people, but the amount of humanity and genuine understanding that he portrays in this video really warms my heart. So glad doctors like Mike exist out there!!
me too, I'm just screaming "RESPECT" at the screen like the whole time, being in the medical field requires an immense amount of compassion and empathy, but some people don't seem to get that. It doesn't matter why someone weighs the amount they do, what matters is what are they going through right now.
Sadly, doctors like Dr. Mike are so few and so very, very, very far between. I've had exactly three doctors that didn't immediately fall back on the "lose weight/undergo bariatric mutilation and your problems will be solved" line.
If a doctor tells you to lose some fat he's very likely not being judgy and give's you good advice for your health
Doc to obesity patient: "what was your lowest weight?"
"3.5kg but it was very long ago..."
Haha 😂😂
@Çūrßęd Pęrßøñ 7.7lbs?
@Çūrßęd Pęrßøñ when they were born
Heyyy, with the thyroid storm thing uou just sounded like house lolol!!! Love it!
Ooo that was interesting to learn about thyroid storms, I have an underactive thyroid and had never heard of that! Yay got learning lol
Dr Mike: don’t poison your patients because you’re actually not God.
Dr House: ☹️
“God doesn’t have a limp.”
Dr. House.
The concept of House is that he sees the zebra patients. In the first season, they do go over that the patient had been to like four other doctors, one was a specialist. Or whatnot. In later seasons, they skip that as 'read' to save time. I could see where a pro could find that frustrating, because they did shortcut a bit.
Kept thinking this in all his complaints (and he has seen other episodes....)
Exactly, thank you for mentioning it here.
Not when he does free clinic days lol
@@JF-ct5sg That's when you get the scenes like "baby coffins" with the outlier patients
0:37 I recently heard from someone in an online community I'm in, they injured themselves whilst caring for a heart patient where they were with only the two of them, calling out for anyone else (Voli-fire?) on the radio 5+ times (no response), doing CPR, having to take out the (I believe they were) overweight person out of their house and down some SLIPPERY STAIRS outside as well, which had caused the injury to themselves as pedestrians suggested they'd help instead, but they weren't allowed to allow them to help, in case they would end up as more patients whilst trying to help. Story continues, but it's a lot to tell and this is what I remember out of my head😅😶
9:09 I was actually wondering why they'd keep him awake while watching the episode, thanks for the explanation
"You need to throw all of the tests at the patient" Hey, you wanna talk to my doctors? Or start advocating for all the chronic illness patients that sit in undiagnosed limbo because doctors refuse to check for multiple things directly requested by the patient. Would be great.
srsly though!!!
4 REAL
Yes!^
my exact thoughts
Literally my life. 😩
You just HAVE to watch the episode of House MD where he is one a plane and there’s a medical crisis since you had a similar experience
Yes. Yes. Yes.
Yeeeeessss
@@himmelsnews3656
Name: Airborn
Season: three
Episode: eighteen
House on a plane reminded me of his cameo in Friends😂
@@himmelsnews3656 S3E18
man this episode rly got to me bc for a long time i had difficulty with food and wanting to eat, im very light (borderline underweight!) and often get told my body type is ideal even though im struggling on the daily to keep my energy up, keep myself healthy, keep myself mentally stable. two sides of the same coin i guess? either way it really hurts to see doctors treat over/underweight patients so poorly or drastically different
this is why you are the best doctor on the internet
I think the point of this show is by the time you get to Dr. House, they ruled out all possibility of horses. That is why Dr. Cuddy said "nothing wrong with him besides he is 600lbs" It was a glib way to say they checked for all the usual suspects.
That is fair.
When all the horses have been sent to the glue factory, start looking for zebras.
Yup. Cuddly and Wilson often have to try to justify why they bring patients to House (partly since they know he treats patients emotionally badly and partly since the patients House gets are the ones that other doctors cannot figure out).
Plus house even notes he only takes a single patient a week because they are the special case ones that are not just “easy”.
Yep, House brings this up in a small convo with Wilsom in Season 6. They also mention numerous times about ER (or whoever) performimg the basic tests.
If someone is presenting a patient to house that means they've been checked somewhere else before hand. In story, house is very picky about the patients he see's and will often reject most patients unless something in the case catches his interest. its the patients that house randomly comes across like in the clinic for example that they are completely unknown patients
My jaw just dropped. I have Hashimotos and this is the first time I have ever heard a doctor explaining it correctly! Go Dr. Mike!
who diagnosed you with it then? 😂
@@El1society I have Hashimotos and trust me having a doctor just saying that isn't an explanation. I had a VA PRIMARY CARE DOC tell me my thyroid was normal. 6 months later I'm on medication for life. I wasn't even referred to an ENDO and when I finally saw one at the hospital I work at (since I told the VA to stick it) she was rude as hell.
Also Hashimotos is not a simple disease and is difficult to diagnose since it literally can mimic both hypo and hyperthyroidism
something to always remember about House MD is that most cases get to House because no-one else can figure them out. Questions 1-49 have been asked by other people, the horses have been checked