My favorite part of this episode is where the girl says "boys can't hold me too long cause I can overheat" and House goes "girls can't hold me too long cause I only pay for an hour."
Fun fact: House does in fact like to waste hospital resources, either out of his sheer amusement, to conclude his pulled out of thin air diagnosis is correct, and/or to annoy Dr. Cuddy.
And fun fact two, I remember Cuddy saying somewhere in the beginning of Season 1 that she had a special budget post for legal expenses due to House, and that he was clearly insane, even though he was a genious, but that there was limits to what her fund could handle.
I went to school with a girl with this condition. She told us about how she accidentally burnt her hand because she was resting it on the stove and didn’t realise it was on until she could smell the burning flesh.
Umm. Wouldn’t the tests be to meticulously search her for injuries that would be easy to miss in a person who can’t feel pain? I don’t think the issue is determining IF she has it, it’s to find out if she’s turned sections of her body into bone chip piles.
Eh, he's definitely the type to hold a grudge and we saw in a previous episode that hospital staff thinking horses not zebras led to his chronic pain so he probably holds them responsibile
“Because you put her arm in scalding water!” That voice is so funny. I also appreciate very much that you are triggered by inaccuracies of the medical variety. It makes me happy that you know what you are doing.
To be fair the doctor asked her to remove her hand from the water several times and her dumbass ignored him. Even if you do have the condition surely you wouldn't be dumb enough to ignore someone telling you to stop doing something that could be damaging your body.
I don't get this Chase put her hand in cold water and then told "her" to move it to the hot and then take it out when he said to. It's not his fault she didn't listen.
@@PBMS123 she might not have felt the physical pain but she was aware of what they were doing, conscious the whole time and being treated like a lab rat. she was being forced to do a ton of different things she didn't want to do. watched them cut her open & pulling out the worm, getting 2nd degree burns without being able to feel it, loss of sensation in her legs which led to her falling off of a balcony, being fully alert while they were drilling into her skull. not feeling physical pain doesn't mean it can't be traumatic.
I love how all the previous "House MD" episodes covered by Dr Mike, were a way to calmly teach us about medical misconceptions. But this one is just him having a mental breakdown. We've all been there with that show ❤️
meanwhile i was having a mental breakdown watching Dr. Mike react, cuz 90% of his comments are unnecessary if he just watched another 10 seconds then spoke
I burst out laughing when they called for the ice packs and cooling blankets and he just exploded "FOR WHAT." My heart was hurting for the girl (I'm extremely sensitive emotionally when watching this kind of stuff) and then laughed at the same time, it was almost painful the dramatic shift in my chest. XD But it was so funny.
@@ziyabora he's allowed to react to just a few episodes without knowing the whole story and just react based on what he knows it's not like he's saying oh I know everything about this show he's just doing it for entertainment and education
As someone born with a condition where it is rare that I feel pain, I can relate to some of this... I have Charcot-Marie-Tooth (CMT) disease and was literally born without myelin on my peripheral nervous system... I can feel pain, but only when it is extreme, so the pain warning system does not work for me... I dislocated my knee over 80 times and used to hit it back in place with a book, I would get fillings without any anesthetic. But it is dangerous too... I can get into a bathtub and not realize the water is too hot until my skin starts turning red. And most recently, I started having some discomfort in my mouth, and it turned out I had a deep infection, and it was too late to save the teeth... anyone else would have felt pain months before. It was even too late for root canals, so two teeth had to be completely removed. I do take good care of my teeth... and the X-rays taken four months before treatment showed no infection or issues. When I went back to the dentist, the dentist looked in my mouth and said that he was in pain just looking at your teeth. Anyway, as Dr. Mike said, it is more dangerous not to have pain than to have pain. I regularly bruise myself, probably bumping into things (CMT also involves a lack of coordination and balance issues)... sometimes I will come home really bruised and have no idea why because I did not feel that I bumped into anything.
Yeah it’s not a condition to be revered by people or to treat people any different. Not feeling pain doesn’t mean the people are on a mental level different than others. The drama made the girl seem like a psychopath.
@@bluepurplepink tbf, Dr Mike only looked deep into the medical portion of this episode. There was a lot of psychological stress this girl was under and the staff at this hospital didn't let her see her mom. On top of that, she felt guilty about the accident because she was arguing with her mother before the crash. It all adds up when you watch the whole thing for yourself.
@@bluepurplepink yes you are right. The reason pain exists is to let us know when something is wrong with our body, not to make our life harder. so people who envy people with CIPA are either ignorant or they really do live through unimaginable pain everyday.
@@ruthiecole8634 If you’re trying to be Gregory House’s friend, or even just his coworker, you need somebody to commiserate with. And you should probably add to your own insurance, just in case
Teaching hospital, basically the clinic is free, and house's department is like the end of the road for lost causes, aka cases no other doctors could solve, free as well iirc
@@justsaying8041no the free clinic is part of the hospital but it’s not the entire hospital. It’s a WHOLE part of the show that cuddy has to force house into clinic hours
@@toreyzyrenot so much. They still charge patients through insurance. It’s part of some episodes that comes up. One where they were losing a contract with a major insurance provider and would be unable to take a GREAT amount of patients, and another they got a patient that turned out to have no insurance and cuddy told house not to bankrupt the patient. So there is a bit of give and take in there
Even if she was unable to feel pain, wouldn't you still need to anaesthetise her for as invasive an operation as cutting open her abdomen and removing a tapeworm? Even if I couldn't feel anything, I would still be panicking if someone just cut me open, and you can accidentally do serious damage to her body having her panicking and moving around. Inquiring minds
You would be panicking if someone cut you open because you are conditioned by all your past experiences of pain to understand that being cut causes pain, which you are naturally adverse to. But for someone who has never felt pain, there is no conditioned history that makes them fear physical injury and thus they will entirely lack the usual emotive responses. It doesn't matter that she rationally knows it'd be harmful to be cut open; the role that pain plays in conditioning a person's mind and behaviours is immense, because pain is your body's way of bulling you into not getting yourself killed, so without that consequence, there's nothing to inhibit any dangerous whims that might enter her mind. And especially not if her condition has taken a toll on her mental health and left her with little conscious concern for the preservation of her life, which seems to be the case for this patient.
@@michaelheliotis5279 That is absolutely a fair point. Setting a lack of understanding of pain aside though, you'd want her to be as still as possible, since unnecessary movement inherently increases risk, especially since with her condition and apparent mental health, it's entirely possible she doesn't understand that.
I wouldn't want to be her. For whatever money. This is a horrible and very dangerous condition and even being a billionaire will only do so much for you if you're in constant danger of everything.
I don't know if I'd want to do that. If you have cipa you are going to need a hospital and some doctors might shy away from people who sue people for billions.
I actually love this episode, because you're absolutely right - House took the case for literally no reason other than that he was interested in someone who has CIPA, and felt jealous of her inability to feel pain. She coincidentally happened to actually be sick, despite showing no outward signs. But what this episode does is blatantly demonstrate that House and his team care more about results than process. It's a case study in "the ends justify the means." They are breaching so, so many ethical codes and legal statutes regarding medical care, but since the patient doesn't physically feel worse, they can get away with it. I mean, the surgery scene alone would have probably resulted in several people losing their medical licenses. Performing surgery without consent, barging into an active operating room, cutting a patient open without putting them under to prevent them from moving around... But because House was right, nobody even brings it up again. The ends justify the means. Doesn't matter how much trauma the patient walks away with, as long as they're able to walk away.
If I remember correctly she was also having psychotic episodes and the surgery was an emergency, so that's why they got away with it that easily. An appendix removal was literally happening next to them, but House said that it's low priority, and stole all the surgery staff.
@@CDexiethank u for the explanation...I haven't seen the show so as an Indian medical student it was hard to digest that md medicine is doing abdominal surgery
Actually the dispatcher did the correct thing. She asked if she was hurt in order to understand if the girl could check for a pulse in the first place. Had she not done that she could’ve made any possible injuries worse.
My mother knows a person with nerve damage that can't feel any pain or temperature in a large part of her body. She's pretty much perfectly fine outside of that, but once she got badly burnt because she was basically sitting on a stove that was heated and didn't realize until she perceived the smell. Not feeling pain isn't as cool as it sounds. Pain is important. You can have all sorts of bad stuff happening without realizing.
"Not feeling pain isn't as cool as it sounds. Pain is important. You can have all sorts of bad stuff happening without realizing." Pain is imperative to recognize when you are in peril, to give the human mind context.
@@johnmccrossan9376 you are wrong here. There are also injuries that while not life thretening, can make your life way harder or indirectly cause your death. Pain is a function given to us so that we know when something is wrong with our bodies, scale isn't the main issue here.
if by consistently right you mean 'consistently gets in the way of things that, in the end, are done to save patients, even when she clearly knows house isnt doing things for shits n giggles' then yeah thats her
10:29 Dr. Mike was so confused by this episode that he didn't even notice House endangering the girl because he cut her open without a surgical mask on, thus compromising the entire sterile field!
@@logirex That part was weird. You have to wait for the light that comes on when the thermometer gets a final reading, Dr. Cameron didn't and just took the first number she saw as the temperature. Production time i suppose
I love how Dr. Mike freaks out because of how insane House is. Because that is the point of House. As Cuddy said in one episode, he runs around the hospital playing mad scientist. He's not moved by treating pacients, he's moved by curiosity, it's only about finding something interesting to tackle and this episode shows exactly that. So House finds this girl, she twitches in a weird way and he figures "hey, maybe this girl doesn't feel pain, how cool is that?", and try to make her his lab rat. I really love this show.
Wish he would review the one where Foreman accidentally give a patient cemo that ends up killing her. House doesn't do as many crazy things in that one.
@@Omaryasser-t3d Which season was that one I recently bought the whole series of house and notice there are some episodes where house isn't as crazy in his diagnosis wish he Dr. Mike would review one like that.
I am so happy that Dr. Mike is doing House again. I believe that there is no other show that pull out more stress in our good doctor that House MD. I'm on the floor laughing, just seeing the look of frustration in Dr. Mike.
As someone who suffered a stroke and ended up with constant numbness on one side of the body, I can say that I totally understand her. And yes, I agree with Mike. A world without pain is a dangerous world. It's scary how ironic it is.
Yeap, it would be very unlikely for her to have survived this long in life without a diagnosis of CIPA already. She could have multiple injuries from the car crash she is completely unaware of because she can’t feel the pain. Her mother almost died so it was a bad car crash.
@@gamerdalaba6744 To be fair to Doctor Mike, the other doctors I have asked about “House, M.D.” had the same opinion as I did: good entertainment, but pretty frustrating, medically speaking, because of what Doctor Mike describes as “more likely a horse than it is a zebra.”
There was a top rock climber named Jim Bridwell who had cancer, but was cured. While climbing in South America, he was feeling weak, etc. and thought the cancer had come back. He decided to just drink himself to death. As it turned out, he had a tapeworm, and he drank so much alcohol that he killed it and passed it. He ended up living for decades more just dieing a couple of years ago in his 70's.
Being someone who has chronic pain I can see Dr House’s point of view wanting to not be in pain. I also see the need to be in pain. It lets you know you’re alive and protects your body.
You left out the part where House wanted the nerve biopsy on her so that he could grow his own little colony of pain free nerves to implant into himself, so that his leg wouldn't hurt anymore.
@@bendover7841 Yeah he's in constant excruciating pain that interferes with his life 24/7, I wouldn't call him a reprehensible jerk for taking an opportunity to try to get rid of it.
Love your content. As a first responder, I am gonna disagree with you that the first question the dispatcher should ask is if there is a pulse and to start compressions. In active traumatic incidents, people don't always realize they are injured. It's important to remind them to self check first, because they could be bleeding out. If that person immediately renders aid to the other person, that could lose valuable time to tend to their wounds and possibly result in first responders having to rescue two subjects from critical injuries instead of one. At least this has proven true from my training and experience.
also from a firefighter perspective on the jumping and putting something below her,... actually it can incentivice some people to jump, that's why only fully blown rescue devices will be set below, they aren't assembled at the point, but out of sight
That‘s similar to what we’re taught in first aid certification class. The first thing to do (after activating EMS) is to check the scene for danger. If someone’s electrocuted and the downed power line’s still there, DON’T TOUCH THEM!
Dr Mike, I just wanted to wish you a happy new year. Thanks for everything in 2021, the Psych2Go team loved working with you and seeing you change so many lives. :) Take care. x -Monica
One criticism at 2:04 (and I’m not a doctor so tell me if I’m wrong) but surely they’d have to run a battery of tests anyway. If she has CEPA then she has no indications of internal and external issues and so the doctors would have to find out everything potentially wrong with her manually.
He later stated he would ran a PAN test (full body CT). So essentially, Doctor Mike would start with an other test and decide from there, where as Doctor House would start a battery of tests and Doctor House from there.
awesome episode. I choose to believe House learned all the signs of CIPA beforehand and was screening for patients in the ER in case he finds one, so that he could experiment on them and find a cure for his condition.
If I recall correctly, that's exactly why he wanted the nerve biopsy. Some experimental procedure to have it implanted/copied into him so his leg wouldn't hurt anymore.
What realy make house a well written character is the fact that a real doctor like Mike is annoyed from his decisions most of the time .. like the rest of the doctors in house's team lol.
House MD is a poorly-written TV show full of terrible acting (Wilson, I'm looking at you), awful exposition problems (i.e., House explaining basic medical facts to his team) et al. Still, despite all that, it's a fantastic show (at least until "House's Head" and "Wilson's Heart"), and the reason is Hugh Laurie. Such a great example of perfect casting. Disclaimer: I love House MD. I've seen all 8 seasons more times than I'm willing to admit, and I also own it on Blu-ray. So I'm not trying to trash it. I'm just giving my poorly-educated opinion.
@@alfisdrake I've watched the show a lot, but I don't know if I'd say the show is full of terrible acting. I think everyone does well for the most part.
@@CartoonHangout, you're right. It's not that bad. But it is not great either. It's above average. I love Robert Sean Leonard, but Wilson is not his best work. Same for Omar Epps. To be fair, recent tv shows have left the bar so high in terms of acting that I'm probably being too harsh. What can I say, I'm spoiled by Ted Lasso.
Dr Mike: "If she already knows she has CIPA why run the battery of tests?" Also Dr Mike: "She has CIPA and was just involved in a car accident, you should pan scan her, make sure she doesn't have internal bleeding or injuries". Also, House had an ulterior motive for wanting the nerve biopsy. He wanted to graft her pain-free nerve into his painful leg. Probably doesn't make sense medically, let alone morally, but at least it explains why he wanted the biopsy in the context if the episode.
The battery of tests are to check for everything that would have be noticed from pain responses. So she doesn't bleed to death internally while checking on her mom. I wouldn't be surprised if she has many other "little" injuries. My family can feel pain, but without the panic response. So we can sit still while someone digs into a wound.
The first question from Dr. Mike was in response seemingly to prove that she had CIPA, even though House had just mentioned she had it. The second statement was in light of the fact that she clearly had CIPA, why did they not run a pan scan to check for injuries she would otherwise be unaware of, instead of just treating the superficial wounds. His questions/remarks made sense.
@@kbee8517 Not really. What House was saying in the beginning was that because she had CIPA she had to be tested for internal injuries she might be unaware of, not tested for CIPA. He literally says "We have to do X-rays to make sure you don't have internal injuries, blood tests to make sure there are no infections and EEG for neurological anomalies...". Nothing about testing for CIPA. Clearly Dr. Mike didn't realize this at the time and was confused by the battery of tests. He did realize it later on, though, saying that she should be tested, echoing exactly what House said in the beginning and what he made fun of him for. Hence my comment.
@@phsopher I think to Dr. Mike it may have seemed like House's tests were unnecessary in the beginning, since House was testing for things out of personal interest and less the patient's... Which, is in character for House. But either way it's not a big deal; the show is exaggerated, House wouldn't make a very good doctor based on attitude, and Dr. Mike's just responding to that.
fr, it also kinda annoyed me that a DOCTOR is helping the spread of the idea that there’s only one type of seizure icl😭 like guess my epileptic seizures aren’t real then, you know, if you can’t SEE them😂
House is the reason I developed anxiety to every single symptom I've ever had. Like actual psychologically ruined me. Not wven being dramatic. The amount of weird illness that I just thought happened all the time
It might not be the best medical show in terms of accuracy, but in terms of entertainment DR HOUSE was the best medical show that ever existed. Hugh's acting is legendary, his american accent is uncanny. And Dr Wilson is hugely underrated. React to more Mike❤️❤️
I once made a comment to someone that I would love to see Laurie play Sherlock Holmes, and they rolled their eyes and said he would NEVER be able to do the accent. 😂
What's funny here is that House still has the confidence to advertise themselves as the most ''medically accurate'' TV show there is. I mean, Dr. Mike could have seizures if he watched a whole season of HOUSE.
I’ve never seen it advertised as such. I mainly watch for the intrigue of the characters and story, with medical drama as a gateway. I appreciate learning more about medicine through House but I’d never say that it’s accurate
@@jolonghthong "It's not exactly everyday medicine. While House markets itself as one of the more medically accurate dramas on TV today, it still features plastic surgeons performing endoscopies and forging prescriptions." - John Hopkins Newsletter. Though these episodes are based on real cases, most of it are overdramatic and exagerrated and ends up causing misinformation. This is also why Dr. Mike declined such offers.
He should watch Shameless. They have hospital scenes that make NO SENSE. Like giving Narcan for a COCAINE overdose..... IT WOULD LITERALLY DO ABSOLUTELY NOTHING except pad the hospital bill.....
@Rebecca Hetrick These days, most street drugs including cocaine is laced with sometimes lethal doses of fentanyl.. So i could see why narcan would help actually
I'm a huge fan of House, and I knew that they overexagerated these scenes to make it more exciting, but I didn't realize they overexagerated almost everything. This is a great video!
Love that there’s always a point in every episode where we can see Wilson wondering why he’s choosing to spend his time with house just by the look on his face lmao
This episode gave me SO MUCH anxiety for so many reasons. The portrayal of things that should hurt which didn't, her complete disregard for all of the doctors and her maddening behaviors, not to mention the giant worm.
Maddening behaviors? How about the maddening behaviors of the doctors? Who sticks a drill into a girl’s head or forces her to burn her own hand all just because she couldn’t feel pain??
You should do a video on performing pain. How some people will report their pain as a 10, but are too tired to “perform” a 10, so they aren’t taken seriously. And how people with chronic pain will rate a high pain as lower because they label their everyday pain as 0; they don’t realize 0 is supposed to be no pain.
Absolutely! As someone with chronic fatigue, I think it would be wonderful if Dr. Mike used his platform to raise awareness about chronic conditions and how they affect the way patients experience pain on a day-to-day basis
took my doctors longer to figure out i had pancreatitis in part because i had been dealing with chronic pain so long i had a high pain tolerance and what should’ve been a 10 was just a 7 or 8 for me
@@hudnora4164it hurt but i could talk i needed to i have a high pain tolerance there’s no way to know what intense level 10 pain is if you don’t feel it yourself
“If she admits she already has CIPA why would House run a batter of tests.“ Because she was involved in a car accident, and lacks the ability to point to anywhere that a normal person would have pain. The spinal biopsy is not necessary (it’s a plot point, spoilers), but getting X-rays, at least is at this point pretty vital. She could have a cracked rib, or a broken pelvis, and no one could tell, because… again, no pain. 😆of course, through the magic of editing that’s exactly what he was talking about two seconds later.
he meant why would they run diagnostic tests for that disease. you don't need to re-diagnose a disease she already knows she has. As he said, she only needed a pet scan to make sure she had no broken bones or internal bleeding. 1h scan, non invasive. All the rest was just for his fun!
@@mellie4174 Right, and all except the biopsy were tests to look for injuries/diseases she might not know she has. Sure, IRL they would probably just pan scan as he later mentioned, but this is also for TV, and even IRL if someone is trying to bury an unnecessary self-serving biopsy with other tests, it helps to bury it in more stuff than just “we need a pan scan… and a spinal biopsy.”
I love that you said mild fever :) In another episode I watched of yours you said to just let fevers do their thing more or less. The body reacts the way it thinks is best, until it isn't... which could lead to a very high fever.
From now on, if I ever see a medical scene in any form of entertainment, I am going to ask myself, "How much is Doctor Mike going to lose his mind on this?"
I know a gentleman who has this condition. He travels a couple times a year to Sweden where the do a bunch of tests trying to see if they can duplicate this in other people for non-narcotic pain relief. Fascinating story. An article in WIRED documents his condition.
@@bellamatos4892 His name is Steve and regretfully I don't remember the title of the article but I found it by Googling the condition and WIRED magazine.
@@OneKnifeYeHand I think this is a selection bias. People that know that are likely find a video about it. People that have something relevant to say likely comment. Also: "Rare" is sometimes odd. Some times are not tested enough for, under diagnosed (test was done, but symptom not recognized), sometimes under reported (reporting a typical case already published in literature is not interesting), ... What I find to be very strange is, that some "rare conditions" that are seen in 1% of the population are taught in Med. School and Clinics, but have very little mention in text books and studies. The result is that a specialized doctor intuitively advises "the standard plan" for that condition, yet as a lay person, you barely find any information.
@@sarowie My thoughts too, 200k(random number) out of a billion is considered rare. That's still 200k people, now consider how popular House and/or Dr Mike is. If not a CIPA patient finding this directly, consider the possibility of a friend of theirs pointing them here.
This was a cool episode that deals with the patient having a major lack of information for the doctors due to their rare condition. Later on the show we get the opposite, a patient with Hyperthymesia (perfect memory) that can provide the doctors with all the info they could need for her medical history, but being House MD of course it's not going to be that simple. Might be a cool episode to watch and react to after this one. The episode is Season 7 Episode 12 "You Must Remember This"
I actually met a guy with this condition and it was very interesting to get to understand the things he couldn't partake in because if, for example he got internal bleeding from an injury, he wouldn't be able to feel it. As someone with hypo-introceptive awareness (I struggle to feel signals from my body which for me extends to things like the temperatures and even feeling if I have to go to the bathroom or not) it was really interesting to find out even from that perspective the increased limitations he had
Interesting. CIPA is very rare, so rare that even Dr Mike hadn't heard of it, yet here in the comments tens of people seem to know someone that has CIPA......
i love watching all of his videos because even if i wouldnt usually be interested in the topic, watching him react and put in all these little bits of input and information is so interesting and i learn so much. LOVE these videos, keep up the good work.
Just want to say that I had a severe b12 deficiency as a young teenager without being anemic! It baffled all my doctors and I had a battery of tests done and no answers 🤷♀️
My mum as well. Not as a teenager, but several years ago. Tests were normal, but she had severe symptoms like excruciating pain in her waist area. She googled it and found a case of a guy with similar symptoms who had a vitamin B12 deficiency, so she asked her doctor about it. The doctor said that the symptoms match, but that it's weird that my mum didn't have any test results indicating that. In the end, she gave my mum a B12 injection, and the pain got a bit better in minutes. After several injections over the course of several days, my mum was luckily fine again.
@@Hannahsx yup, but does happen. My b12 levels were the lowest my doctor had ever seen. I had to have b12 injections every 2 days for 2 weeks and then I had weekly shots after that.
A psychiatrist I know once had a patient who was not anemic, had no physical symptoms and was diagnosed with schizophrenia before she met her and found a B12 deficiency!
I remember the reason House wanted a biopsy is because he believed something could be done to fix his own nerves to stop feeling chronic pain by doing some type of process to the nerves of a person with CIPA. I don't know much about medicine so I forgot the exact terminology, but you get the idea.
I care for an individual who has this and it makes me so thankful that I can feel pain. It makes life challenging and scary on a whole new level. I found the lack of reaction to extreme cold interesting. It could be -20 out and they walk outside like it’s nothing.
@@asmerX100 my friend in highschool had that same conditon and fell 3 stories and fractured her skull...the only reason shes alive because her sister saw her bleeded from the ears she had a brain hemmorage and had to get emergency surgery and they sedated her while they did the surgery to relive the pressure.....when she came to school it seemed like nothing happened beside seeing her scar near her temple and how soft it felt
Mike watching house is like a kid watching their grandparent use technology for the first time. They do everything wrong, and want to intervene to do it right, but they know they can’t.
@@straightbusta2609 No actually, the episode with the little girl who almost got amputated because he thought she was going through kidney failure. Even though she has a conditions that makes her super sensitive to certain type of light
Just going to volunteer, my CBC actually missed my B12 deficiency until my doctor specifically had me checked for that. My B12 was in the 50s, but the first time my doctor ordered a CBC her exact words were, "You're DEFINITELY not anemic." Apparently my red blood cells were producing just fine with a significant deficiency. (We've still addressed it and I get B12 injections-- thanks to my grandpa and inheriting his pernicious anemia.) Fun anecdote!
yeah it happens, so annoying. Neurological symptoms without anemia lead us down different rabbit holes that wastes time, thankfully your doc was able to catch it.
As someone with O.I and rheumatoid arthritis and chronic back pain and body pain from so many breaks and nerve damage. I understand how house feels and remember this episode and really connecting with the storyline. I don't want an absence of pain and neither does house. I want to just not be in such blinding pain all the time. I want to have more mobility and a life outside pt pain meds surgeries and constant unrelenting pain.
Doctors shouldn't put their feelings above patients well being, so no matter how much you understand houses feelings, it truly shouldn't matter, he's feelings taking over his profession is enough of a reason to lose his license
2:52 you can't always tell if someone is having a seizure. Simple-partial seizures are a thing. I have temporal lobe epilepsy and 99.9 of the seizures I've had are virtually undetectable because I don't lose consciousness, I don't lose awareness and I don't have convulsions.
I swear i was thinking this... Especially if you are unfamiliar with the person or their history. Ive worked with a few clients who have absence seizures. And if you didnt know them, you would swear they had just gotten "distracted" for a bit
Same here. The only one who ever notices (sometimes) that something is “off” is my husband. He says that I’ll just be more still than usual, though I never lose consciousness. For me, I only have a little pinprick of light or rarely my eyes wiggle, and other than a headache that’s it. People always think seizures are super obvious when they’re not always that way.
@@priscilapinto1793 Some " SMALLER" seizures that occur in a specific part of the brain can basically look •just like someone is "daydreaming" for a few seconds ( absence[s] seizures) •OR maybe is like in this really tired and "I'm about to fall asleep" ( like the state where you feel like you can barely hold your eyes open) and react slowly and a bit "late" if spoken to or approached.... •OR have sudden nystagmus ( unwilling rapid eye movements either side to side or up and down) or rapid blinking and not immediately responding- when approached..... •OR sudden small muscle twitches like "tics" and maybe also lacking awereness for a short period of time.... ( tic's - not the bug, think of tourettes) *Usually* all these above types occur over a period of time more in the seconds up to maybe half a minute - THAT'S WHY THEY ARE SO OFTEN MISSED, unless you "catch" them in an EEG or have someone noticing it repeatedly - which hopefully leads to an EEG because doctors may otherwise dismiss them.... There a so many more forms of seizures than the grandè mal that are often portraied for dramatic effect , because they are so much more violent. SO unless you stare at their pupils / face at that moment and know them very well, you will miss it.
Dr Mike, you must remember a few very important points about House and this episode: one, he wanted a nerve biopsy so he could study it for his own personal purposes, as you undoubtedly discovered later in the episode when Wilson called him out on it. Two, since, as you now surely know, House specializes exclusively in Zebras, he and his team will already have started out with results from all the Horse tests done before he gets the case, and three, since House is Sherlock Holmes, his head is chock full of all sorts of trivia, so with his ultra quick mind, he tends to make immediate, wild assumptions a LOT. And he’s often right. P.S. More House please!!! My rec: Skin Deep from Season 2 - gets a lot wrong about hormones, you’ll have fun picking that one apart. Maybe a joint review with Mama Doctor Jones! :)
Yeah Dr Mike does not seem to understand the premise of the show. And ofcourse the show is filled with drama, because drama and exaggeration is entertainment!
Yeah, House doesn't run the ER, so by the time he gets the patients (bar a few episodes where he snatched patients from the ER), so of course all the Horse tests have already been carried out.
i mean sure, i love the show and watched it many many times, but i'm also a doctor and the series makes lots of mistakes in order to increase the drama. It is purposeful but wrong anyway. B12 defficiency and high eosinophil counts are simples "horses" as you put it, hardly would be missed even in someone with CIPA. You can't defend that the show is right about everything because it's clearly not, on purpose. Unfortunately, real life medicin is not all that interest all the time.
@@joaobarros6744 Who says it's right about everything? David Shore himself, the creator of the show and oft director, admitted as much. It's not meant to be realistic, it's meant to be a medical version of a detective show.
I love House, I love watching Dr. Mike react to House. This one by far he had the most issues with when it came to medical accuracy lol it was an extremely outlandish episode.
"imagine if he's wrong and he's just hitting a poor kid" I wish my doctors were like you. I was 12 and thought I broken my ankle so I had my mom bring me to the emergency room. It was just a bad sprain so no real substantial injury. As the doctor was leaving he grabbed my big toe in the food I was having trouble with and shook my whole leg and said "you're going to be alright" as he left the room
@@Delightfully_Witchy Medical lawsuits are actually pretty difficult to prove unfortunately. After I was born via cesarian section, the surgeons left a sponge in my mom's abdominal area and sewed her up. She was having problems and intense anemia (other issues, not from the sponge), and they had to open her up again to get the sponge out, which was traumatic for her. My father and her explored the legal options, but not only couldn't afford it, lawyers said they probably wouldn't get anything for it after wasting money.
And...... my dad did that to me. Fell off my bike as a kid, hurt like hell, checked to make sure I wasn't dieing. Slapped where it hurt and said "walk it off" A little pain won't kill you.
I loved this episode. I can feel pain but I have a very high tolerance. I went a week with a broke arm before someone noticed. It never healed correctly and I still have issues. I got a third degree burn, thought it was nothing until it got infected bad. It’s not good to not feel pain. ❤️
Bones don't have pain sensors so unless you sprained the sorft tissues around the fracture you won't necessarily feel pain. Also, third degree burns burn through the nerves so those type of burns don't cause pain. If you have no first and second degree burns around your thrid degreee burn wound, you won't feel any pain.
Back in high school, I had an Infectious Disease class and every Thursday we watched an episode of House. We would write an epidemiology of what happened and how the disease or pathogen transferred from one place to another. This is one of the episodes we watched. Very memorable!
Thank you! It's endlessly frustrating when a doc makes you relitigate a diagnosis. Doc: "How do you know you have X? I've been a doc for 20 years." Me: "I've been me longer than you've been an MD, and the diagnosing physician was better at this than you will ever be."
Living with chronic pain and never having a day without pain made me empathize with House so much in this episode. I was jealous of that girl too to be honest :')
A question about seeing seizures: When I was in college, I had a classmate who had Epilepsy, but the seizures she had was almost invisible. She described it as "zoning out". Example, a group could talk about dogs, but the next second to her, we talked about reptiles. It's like she was "invisibly unconcious" for a few minutes? It's hard to describe. What kind of Epilepsy do you think this was? And is there any way for someone to see/notice these seizures?
I also knew a girl like this, she was a coworker and she would tell us when she felt one coming on. It was the weirdest thing to see, she didn't move around or anything - we just had to sit her on the floor against the wall until it was over.
Likely absence seizures- I have them (usually not that severe, I kinda struggle to process things?) but that totally fits the description. There are probably other possibilities though, I'm no neurologist.
As someone with epilepsy, I'm inclined to agree with the others who have stated absence seizures. I don't know a lot about them because those aren't the kinds of seizures that I have, but that's what it sounds like to me.
I had one of these nasty critters about 10 years ago. The doctor I saw at the time had been practicing family medicine for 35 years and said he had never had a tapeworm case! Found out that most of the meds used to kill/treat it are either no longer in production (at least in the US market), or produced in miniscule amounts since they aren't commonly prescribed, nor profitable! The doctor finally found a med that would work, but took the pharmacy 2 weeks to get it in. 2 pills later and, yeah, it worked!
@@TheSanchezGarcia It was somewhere in my intestinal tract, not sure exactly where, but after I took the meds it ended up in the toilet. Wasn't very big at least, but still not pleasant!
One of House’s best zingers was in this episode. At the end of their back and forth, the girl says, “Boys can’t hold me for too long cause I’ll overheat.” And House, being the absolute legend that he is, claps back with, “Girls can’t hold me for too long cause I only pay for an hour.” 🤣
Dr mike I just want to thank you. I’m becoming a life guard and the knowledge you have imparted to us about cpr and chest compressions has become invaluable to me because the way you make sure we always remember “CHEST COMPRESSIONS, CHEST COMPRESSIONS, CHEST COMPRESSIONS”. I have learned a lot from you, and you teach us in a way that is entertaining and easy to remember. Don’t stop what you are doing, as the more people you teach, the more lives you save!
My favorite part of this episode is where the girl says "boys can't hold me too long cause I can overheat" and House goes "girls can't hold me too long cause I only pay for an hour."
Talk about dark humor. Bam!
The best is “morgenthal, that’s one of them jew names”
House is the goat 😂
House is just the living embodiment of a chad
😂😂
Fun fact: House does in fact like to waste hospital resources, either out of his sheer amusement, to conclude his pulled out of thin air diagnosis is correct, and/or to annoy Dr. Cuddy.
And fun fact two, I remember Cuddy saying somewhere in the beginning of Season 1 that she had a special budget post for legal expenses due to House, and that he was clearly insane, even though he was a genious, but that there was limits to what her fund could handle.
@@dolf370 I remember that! 😆
@@RoyG.BivDevoe Same!
Yeah it’s a plot point, Dr Mike. C’mon man😂😂
its kinda funny lola bunny droped this fun fact, but move on.
I went to school with a girl with this condition. She told us about how she accidentally burnt her hand because she was resting it on the stove and didn’t realise it was on until she could smell the burning flesh.
I bet every girl at your school was jealous of her for not feeling period cramps.
Who rests their hand on a stove, even if you think it's off? I've never found myself doing that
Cap
@@keatherton403 Someone who has never felt pain.
Cip ( can't feel pain
Love the Mikes reaction when she was calling code and bringing icepacks...
Mike: "FOR WHAT?!?!?!"
Same.
And then he immediately realizes why lol
Bro this this guy doesn't know what he's talking about lol
@@Datduuudeee
it says in the description From a doctor licensed in the US
@@Datduuudeee Watch some other videos on the channel, he really knows what he's saying.
Mike: “I feel like house just likes wasting hospital recourses”
House: *Destroys MRI machine*
House: Throws medical supplies around Emergency room to waste enough money to cover the cost of the cable Cuddy took away
Umm. Wouldn’t the tests be to meticulously search her for injuries that would be easy to miss in a person who can’t feel pain? I don’t think the issue is determining IF she has it, it’s to find out if she’s turned sections of her body into bone chip piles.
@@SmearCampaignsAreEvil hang on if i remember rightly he WAS mute, and house relaxed the vocal cords with botox. Season 1 if memory serves.
Eh, he's definitely the type to hold a grudge and we saw in a previous episode that hospital staff thinking horses not zebras led to his chronic pain so he probably holds them responsibile
@@wenziz87 yep.
"I feel like House just likes wasting hospital resources"
*Well yes, yes he does*
House is just good enough on weird enough cases that administration feels he is worth the expendatures.
I don't think he just likes it. He likes it but finds reasons to do it most of which are valid on some level
@DaBomb8493 Admin hates him-Cuddy is the only reason he's still there. Remember that investor in one of the early seasons who really hated House?
@@hannahmontana4401 the orange fellow?
@@aaronburdon221 No he was black and reallty tall. and was there in either season 1,2, or 3. He was there for maybe 5ish episodes?
“Because you put her arm in scalding water!” That voice is so funny. I also appreciate very much that you are triggered by inaccuracies of the medical variety. It makes me happy that you know what you are doing.
To be fair the doctor asked her to remove her hand from the water several times and her dumbass ignored him. Even if you do have the condition surely you wouldn't be dumb enough to ignore someone telling you to stop doing something that could be damaging your body.
@@justarandomveryintelligent8934 the second half of my comment wasn’t criticizing that scene in particular.
@@justarandomveryintelligent8934 they shouldn’t have done that in the first place lol
I don't get this Chase put her hand in cold water and then told "her" to move it to the hot and then take it out when he said to. It's not his fault she didn't listen.
@@Qualske it’s his fault cause they shouldn’t have put her arm in burning water in the first place.
If all these traumatic things happened to me in a hospital there is no way I could live a normal life. I would become so crazy
Good thing House is already crazy
Same...
But unlike us, she is strong and stubborn. 👍
@@RantingMagpie and an actress in a serie
What traumatic things though? She didn't feel the pain in any of them, so its unlikely a traumatic event would hvae been recorded in her brain
@@PBMS123 she might not have felt the physical pain but she was aware of what they were doing, conscious the whole time and being treated like a lab rat.
she was being forced to do a ton of different things she didn't want to do. watched them cut her open & pulling out the worm, getting 2nd degree burns without being able to feel it, loss of sensation in her legs which led to her falling off of a balcony, being fully alert while they were drilling into her skull. not feeling physical pain doesn't mean it can't be traumatic.
I love how all the previous "House MD" episodes covered by Dr Mike, were a way to calmly teach us about medical misconceptions. But this one is just him having a mental breakdown. We've all been there with that show ❤️
meanwhile i was having a mental breakdown watching Dr. Mike react, cuz 90% of his comments are unnecessary if he just watched another 10 seconds then spoke
@@ziyabora what do you mean unnecessary?It's a "react", not a "review"
I burst out laughing when they called for the ice packs and cooling blankets and he just exploded "FOR WHAT." My heart was hurting for the girl (I'm extremely sensitive emotionally when watching this kind of stuff) and then laughed at the same time, it was almost painful the dramatic shift in my chest. XD But it was so funny.
@@xchrysantha I lost it at that part too xd
@@ziyabora he's allowed to react to just a few episodes without knowing the whole story and just react based on what he knows it's not like he's saying oh I know everything about this show he's just doing it for entertainment and education
Dr. : "I feel like he is wasting hospital resources"
House: **orders paternity tests that costs 5000 dollars just for a bet**
And he won because he had already noticed the chin dimple, wasn't it? Omg I was a kid but I remember this XD
It only costs 5000$ because there's an insane markup.
Isn't an IV bag like 200$ or something absolutely insane like that?
@@MediHusky I was going to say something similar. Prices have no basis in reality, they're made up.
@@w1975b except you live in the USA (fortunately not me) then these prices seem awfully realistic
That´s basicly premise of this series.
As someone who's even seen one of these types of tapeworm cases in real life, it still creeps me out just seeing them pull it out of the intestine.
Woah there...
Do you remember me?
The part that would scare me is 'what if a part of it got left in?' All the worm needs is a segment left attached and it can grow into more.
Hold up you changed ur Pfp?
@@someguy3496 yep he did
“BeCuZ u PuT hEr HaND iN sCaLDeD WaTeR..DOCTOR“ the way he mocked 💀
Scolding*
@@afrog2666Scalding*
@@afrog2666 *scalding
He would fit well on this show lol
Bro sounded like freaking goofy
"A world without pain is much more dangerous and problematic than a world with pain" - Dr. Mike 2022
First quote of the year
"Ironic"
This needs to be told to some people who think it would be better to live in a padded cells.
I would debate that quote
Nagato: Sounds about right.
Who would’ve thought a doctor would have said that?
As someone born with a condition where it is rare that I feel pain, I can relate to some of this... I have Charcot-Marie-Tooth (CMT) disease and was literally born without myelin on my peripheral nervous system... I can feel pain, but only when it is extreme, so the pain warning system does not work for me... I dislocated my knee over 80 times and used to hit it back in place with a book, I would get fillings without any anesthetic. But it is dangerous too... I can get into a bathtub and not realize the water is too hot until my skin starts turning red. And most recently, I started having some discomfort in my mouth, and it turned out I had a deep infection, and it was too late to save the teeth... anyone else would have felt pain months before. It was even too late for root canals, so two teeth had to be completely removed. I do take good care of my teeth... and the X-rays taken four months before treatment showed no infection or issues. When I went back to the dentist, the dentist looked in my mouth and said that he was in pain just looking at your teeth. Anyway, as Dr. Mike said, it is more dangerous not to have pain than to have pain. I regularly bruise myself, probably bumping into things (CMT also involves a lack of coordination and balance issues)... sometimes I will come home really bruised and have no idea why because I did not feel that I bumped into anything.
I have so many questions
Yeah it’s not a condition to be revered by people or to treat people any different. Not feeling pain doesn’t mean the people are on a mental level different than others. The drama made the girl seem like a psychopath.
@@bluepurplepink tbf, Dr Mike only looked deep into the medical portion of this episode. There was a lot of psychological stress this girl was under and the staff at this hospital didn't let her see her mom. On top of that, she felt guilty about the accident because she was arguing with her mother before the crash. It all adds up when you watch the whole thing for yourself.
@@bluepurplepink yes you are right. The reason pain exists is to let us know when something is wrong with our body, not to make our life harder. so people who envy people with CIPA are either ignorant or they really do live through unimaginable pain everyday.
I can't imagine how hard that must be to have to self monitor constantly so you don't hurt yourself.
This was a interesting episode to break down. House must have the highest malpractice premiums out of any TV doctor ever 😂😂😂
No doubt
I mean the hospital literally has $50k/month put aside to cover legal fees that HE ALONE causes.
@@BSRaven I know his liability was mentioned in an episode; did they give that $50k number?
@@DeeEllEff Dr Cuddy mentions it, I she was talking to Dr Wilson. I think it's 50k.
@@ruthiecole8634 If you’re trying to be Gregory House’s friend, or even just his coworker, you need somebody to commiserate with. And you should probably add to your own insurance, just in case
I wonder how much the patient's medical bills are after House gets into the patient's case.
He works at a free clinic
It's a teaching hospital so it's free care to the patient.
Teaching hospital, basically the clinic is free, and house's department is like the end of the road for lost causes, aka cases no other doctors could solve, free as well iirc
@@justsaying8041no the free clinic is part of the hospital but it’s not the entire hospital. It’s a WHOLE part of the show that cuddy has to force house into clinic hours
@@toreyzyrenot so much. They still charge patients through insurance. It’s part of some episodes that comes up. One where they were losing a contract with a major insurance provider and would be unable to take a GREAT amount of patients, and another they got a patient that turned out to have no insurance and cuddy told house not to bankrupt the patient. So there is a bit of give and take in there
Even if she was unable to feel pain, wouldn't you still need to anaesthetise her for as invasive an operation as cutting open her abdomen and removing a tapeworm? Even if I couldn't feel anything, I would still be panicking if someone just cut me open, and you can accidentally do serious damage to her body having her panicking and moving around. Inquiring minds
Yeah, it doesn't make any sense. Even without being able to feel pain, leaving her awake for an operation like that would be cruel and dangerous
@Rain spirit Yeah, but this isn't one of them. Those are usually neurosurgery, or something that can be managed locally, like dental operations
@Rain spirit yeah but they typically still try to separate you from actually seeing what’s going on.
You would be panicking if someone cut you open because you are conditioned by all your past experiences of pain to understand that being cut causes pain, which you are naturally adverse to. But for someone who has never felt pain, there is no conditioned history that makes them fear physical injury and thus they will entirely lack the usual emotive responses. It doesn't matter that she rationally knows it'd be harmful to be cut open; the role that pain plays in conditioning a person's mind and behaviours is immense, because pain is your body's way of bulling you into not getting yourself killed, so without that consequence, there's nothing to inhibit any dangerous whims that might enter her mind. And especially not if her condition has taken a toll on her mental health and left her with little conscious concern for the preservation of her life, which seems to be the case for this patient.
@@michaelheliotis5279 That is absolutely a fair point. Setting a lack of understanding of pain aside though, you'd want her to be as still as possible, since unnecessary movement inherently increases risk, especially since with her condition and apparent mental health, it's entirely possible she doesn't understand that.
We definitely need a weekly "Dr. Mike raging at House" episode.
Then again who isn't raging at house? hahaha
10000000000%
100000000000%
@@s.haynes6759
Yep
It’s really annoying, I’m going to unsubscribe to him
“Honestly, I wish I was this girl simply so that I could sue this hospital and become a billionaire.” I’m dying. but like yes me too.
I mean Cuddy did say in an episode the hospital puts aside a bunch of money for all of Houses lawsuits lol
“Judge, jury.. they drilled into my skull cuz maybe they thought I’d feel it. I win.”
This is why I'm considering medical law & ethics.
I wouldn't want to be her. For whatever money. This is a horrible and very dangerous condition and even being a billionaire will only do so much for you if you're in constant danger of everything.
I don't know if I'd want to do that. If you have cipa you are going to need a hospital and some doctors might shy away from people who sue people for billions.
I actually love this episode, because you're absolutely right - House took the case for literally no reason other than that he was interested in someone who has CIPA, and felt jealous of her inability to feel pain. She coincidentally happened to actually be sick, despite showing no outward signs.
But what this episode does is blatantly demonstrate that House and his team care more about results than process. It's a case study in "the ends justify the means." They are breaching so, so many ethical codes and legal statutes regarding medical care, but since the patient doesn't physically feel worse, they can get away with it. I mean, the surgery scene alone would have probably resulted in several people losing their medical licenses. Performing surgery without consent, barging into an active operating room, cutting a patient open without putting them under to prevent them from moving around... But because House was right, nobody even brings it up again.
The ends justify the means. Doesn't matter how much trauma the patient walks away with, as long as they're able to walk away.
Please explain if he is md how can he do a surgery
If I remember correctly she was also having psychotic episodes and the surgery was an emergency, so that's why they got away with it that easily. An appendix removal was literally happening next to them, but House said that it's low priority, and stole all the surgery staff.
@@CDexiethank u for the explanation...I haven't seen the show so as an Indian medical student it was hard to digest that md medicine is doing abdominal surgery
exactly how its supposed to be
@@macdaddy1376??
Actually the dispatcher did the correct thing. She asked if she was hurt in order to understand if the girl could check for a pulse in the first place. Had she not done that she could’ve made any possible injuries worse.
Yup, always got to consider your own safety first before helping others...
That's so true!
I was thinking the same thing.
Ofcourse doctors can be wrong. We all humans.
Did she ask to check for a pulse afterwards though?
My mother knows a person with nerve damage that can't feel any pain or temperature in a large part of her body. She's pretty much perfectly fine outside of that, but once she got badly burnt because she was basically sitting on a stove that was heated and didn't realize until she perceived the smell.
Not feeling pain isn't as cool as it sounds. Pain is important. You can have all sorts of bad stuff happening without realizing.
Fair enough but it would be really cool to be able to toggle your pain on and off or only feel pain if it's life threatening
This story about stoves burning people who can't feel pain is heard again and again to the point where I don't think all these stories are real.
Why would anybody sit on a stove????
"Not feeling pain isn't as cool as it sounds. Pain is important. You can have all sorts of bad stuff happening without realizing."
Pain is imperative to recognize when you are in peril, to give the human mind context.
@@johnmccrossan9376 you are wrong here. There are also injuries that while not life thretening, can make your life way harder or indirectly cause your death. Pain is a function given to us so that we know when something is wrong with our bodies, scale isn't the main issue here.
Don't argue with Dr. Cuddy. She's consistently right about House, and his motivations.
PLOT ARMOR! Or rather, plot convenience.
if by consistently right you mean 'consistently gets in the way of things that, in the end, are done to save patients, even when she clearly knows house isnt doing things for shits n giggles' then yeah thats her
10:29
Dr. Mike was so confused by this episode that he didn't even notice House endangering the girl because he cut her open without a surgical mask on, thus compromising the entire sterile field!
The way Doctor Mike tackles these episodes makes it MORE interesting. He brings that much-needed knowledge!
his videos make me smarter
@@zahando4613 Za warudo , tokio tomane
The "what is CIPA" or "how does she know her temperature" when the patient has a big thermometer in her mouth ? 🤣
@@logirex That part was weird. You have to wait for the light that comes on when the thermometer gets a final reading, Dr. Cameron didn't and just took the first number she saw as the temperature. Production time i suppose
I love how Dr. Mike freaks out because of how insane House is. Because that is the point of House. As Cuddy said in one episode, he runs around the hospital playing mad scientist. He's not moved by treating pacients, he's moved by curiosity, it's only about finding something interesting to tackle and this episode shows exactly that. So House finds this girl, she twitches in a weird way and he figures "hey, maybe this girl doesn't feel pain, how cool is that?", and try to make her his lab rat. I really love this show.
Wish he would review the one where Foreman accidentally give a patient cemo that ends up killing her. House doesn't do as many crazy things in that one.
@@Ilovegrunge123 the nerve biopsy though. High risk.
@@Omaryasser-t3d Which season was that one I recently bought the whole series of house and notice there are some episodes where house isn't as crazy in his diagnosis wish he Dr. Mike would review one like that.
I recall Cuddy saying somewhere in season 1 that she had legal expenses included in her budget because of House, but that there was limits to it.
Hahahaha true😂
I am so happy that Dr. Mike is doing House again. I believe that there is no other show that pull out more stress in our good doctor that House MD. I'm on the floor laughing, just seeing the look of frustration in Dr. Mike.
Personally, Mike should also keep watching ER.
Ok weeb
I love House so much even though I understand Mike’s pain 😂 House would get his license removed so quickly irl
So much frustration.
@@lunarialoonatic He gets so upset at House's rudeness
As someone who suffered a stroke and ended up with constant numbness on one side of the body, I can say that I totally understand her. And yes, I agree with Mike. A world without pain is a dangerous world. It's scary how ironic it is.
hope you are doing well!
When he said "run a battery of tests" he didn't mean to diagnose her with CIPA, he meant they have to check for internal injuries
Dr.Mike should watch these shows with an open mind .
To be fair, the rest of the episode was pretty ridiculous
The weirder part is in the very next scene he laid out that they should do a full body scan to check for injuries she isn't feeling.
Yeap, it would be very unlikely for her to have survived this long in life without a diagnosis of CIPA already. She could have multiple injuries from the car crash she is completely unaware of because she can’t feel the pain. Her mother almost died so it was a bad car crash.
@@gamerdalaba6744 To be fair to Doctor Mike, the other doctors I have asked about “House, M.D.” had the same opinion as I did: good entertainment, but pretty frustrating, medically speaking, because of what Doctor Mike describes as “more likely a horse than it is a zebra.”
There was a top rock climber named Jim Bridwell who had cancer, but was cured. While climbing in South America, he was feeling weak, etc. and thought the cancer had come back. He decided to just drink himself to death. As it turned out, he had a tapeworm, and he drank so much alcohol that he killed it and passed it. He ended up living for decades more just dieing a couple of years ago in his 70's.
what happened to the tapeworm after it died
Wow, alcohol is the solution for tapeworms. Nice to know, will be using that if something horrible happens
@@panzerkampfwagenviausf.b2236 he apparently chopped it up, fried it and tried to offer it to passer-bys
@@jm6456 Kill tapeworms by alcohol-poisoning them. Noted ✅
@@panzerkampfwagenviausf.b2236 He probably pooped it out, that's usually where they "come out" living or dead. Ew.
I would love to see Mike reacting to every episode of House :)
Me too!
He'd have a stroke
All the veins on his head would pop 😂
Yes please!!!!
You monster... you just want to see dr mike blow a blood vessel
Being someone who has chronic pain I can see Dr House’s point of view wanting to not be in pain. I also see the need to be in pain. It lets you know you’re alive and protects your body.
You left out the part where House wanted the nerve biopsy on her so that he could grow his own little colony of pain free nerves to implant into himself, so that his leg wouldn't hurt anymore.
Omg that's so messed up😂😂😂
Oh yeah. Just in case you were in danger of thinking House is misguided but ultimately good, they remind you what a reprehensible jerk he is.
@@JanusKastin He's trying to cure himself. Can't fault him for that.
@@bendover7841 Yeah he's in constant excruciating pain that interferes with his life 24/7, I wouldn't call him a reprehensible jerk for taking an opportunity to try to get rid of it.
@@FrenkTheJoy By ordering tests that are completely uneccessary and can get you sued? Yeah, not the way to go.
Love your content. As a first responder, I am gonna disagree with you that the first question the dispatcher should ask is if there is a pulse and to start compressions. In active traumatic incidents, people don't always realize they are injured. It's important to remind them to self check first, because they could be bleeding out. If that person immediately renders aid to the other person, that could lose valuable time to tend to their wounds and possibly result in first responders having to rescue two subjects from critical injuries instead of one. At least this has proven true from my training and experience.
Interesting
Kind of like on an airplane when you are told to place YOUR oxygen mask on first before assisting others.
also from a firefighter perspective on the jumping and putting something below her,... actually it can incentivice some people to jump, that's why only fully blown rescue devices will be set below, they aren't assembled at the point, but out of sight
That‘s similar to what we’re taught in first aid certification class. The first thing to do (after activating EMS) is to check the scene for danger. If someone’s electrocuted and the downed power line’s still there, DON’T TOUCH THEM!
Dr Mike, I just wanted to wish you a happy new year. Thanks for everything in 2021, the Psych2Go team loved working with you and seeing you change so many lives. :) Take care. x
-Monica
love your videos ! Happy new year!🙋🏼♀️🥂
Happy new year! 🤗🤗🤗
Ha ha dont forget to join in on S6! And a Hny :D
You two should collab, I would love to see it, love your videos😊
Hello Psych2Go! Love your videos!
One criticism at 2:04 (and I’m not a doctor so tell me if I’m wrong) but surely they’d have to run a battery of tests anyway. If she has CEPA then she has no indications of internal and external issues and so the doctors would have to find out everything potentially wrong with her manually.
He later stated he would ran a PAN test (full body CT).
So essentially, Doctor Mike would start with an other test and decide from there,
where as Doctor House would start a battery of tests and Doctor House from there.
awesome episode. I choose to believe House learned all the signs of CIPA beforehand and was screening for patients in the ER in case he finds one, so that he could experiment on them and find a cure for his condition.
If I recall correctly, that's exactly why he wanted the nerve biopsy. Some experimental procedure to have it implanted/copied into him so his leg wouldn't hurt anymore.
What realy make house a well written character is the fact that a real doctor like Mike is annoyed from his decisions most of the time .. like the rest of the doctors in house's team lol.
Except Mike gets just as annoyed at the team's decisions too.
I mean, you don't need to be a well-written character for that. Just an annoying one.
House MD is a poorly-written TV show full of terrible acting (Wilson, I'm looking at you), awful exposition problems (i.e., House explaining basic medical facts to his team) et al. Still, despite all that, it's a fantastic show (at least until "House's Head" and "Wilson's Heart"), and the reason is Hugh Laurie. Such a great example of perfect casting.
Disclaimer: I love House MD. I've seen all 8 seasons more times than I'm willing to admit, and I also own it on Blu-ray. So I'm not trying to trash it. I'm just giving my poorly-educated opinion.
@@alfisdrake I've watched the show a lot, but I don't know if I'd say the show is full of terrible acting. I think everyone does well for the most part.
@@CartoonHangout, you're right. It's not that bad. But it is not great either. It's above average. I love Robert Sean Leonard, but Wilson is not his best work. Same for Omar Epps.
To be fair, recent tv shows have left the bar so high in terms of acting that I'm probably being too harsh. What can I say, I'm spoiled by Ted Lasso.
Dr Mike: "If she already knows she has CIPA why run the battery of tests?"
Also Dr Mike: "She has CIPA and was just involved in a car accident, you should pan scan her, make sure she doesn't have internal bleeding or injuries".
Also, House had an ulterior motive for wanting the nerve biopsy. He wanted to graft her pain-free nerve into his painful leg. Probably doesn't make sense medically, let alone morally, but at least it explains why he wanted the biopsy in the context if the episode.
The battery of tests are to check for everything that would have be noticed from pain responses. So she doesn't bleed to death internally while checking on her mom. I wouldn't be surprised if she has many other "little" injuries. My family can feel pain, but without the panic response. So we can sit still while someone digs into a wound.
The first question from Dr. Mike was in response seemingly to prove that she had CIPA, even though House had just mentioned she had it. The second statement was in light of the fact that she clearly had CIPA, why did they not run a pan scan to check for injuries she would otherwise be unaware of, instead of just treating the superficial wounds. His questions/remarks made sense.
@@kbee8517 Not really. What House was saying in the beginning was that because she had CIPA she had to be tested for internal injuries she might be unaware of, not tested for CIPA. He literally says "We have to do X-rays to make sure you don't have internal injuries, blood tests to make sure there are no infections and EEG for neurological anomalies...". Nothing about testing for CIPA.
Clearly Dr. Mike didn't realize this at the time and was confused by the battery of tests. He did realize it later on, though, saying that she should be tested, echoing exactly what House said in the beginning and what he made fun of him for.
Hence my comment.
@@phsopher I think to Dr. Mike it may have seemed like House's tests were unnecessary in the beginning, since House was testing for things out of personal interest and less the patient's... Which, is in character for House.
But either way it's not a big deal; the show is exaggerated, House wouldn't make a very good doctor based on attitude, and Dr. Mike's just responding to that.
@@kbee8517 ...no. He just fucked up. It's okay to admit it.
As an epileptic I about fell out of my chair when he said "you can SEE if she having a seizure!"🤣🤣🤣
if you don't know what a petit mal looks like, or aren't looking for it, you might miss it
I had a ‘wtf’ moment
@@geoffroi-le-HookYep a nervous tick could actually be a Petit-Mal, which is why you have to be sure.
fr, it also kinda annoyed me that a DOCTOR is helping the spread of the idea that there’s only one type of seizure icl😭 like guess my epileptic seizures aren’t real then, you know, if you can’t SEE them😂
House is the reason I developed anxiety to every single symptom I've ever had. Like actual psychologically ruined me. Not wven being dramatic. The amount of weird illness that I just thought happened all the time
Same I had to stop watching medical shows bc 99% of the time I'm literally fine, just severely paranoid about EVERYTHING
Happens to literally every single medical student. You learn about a new disease and you're immediately convinced that you have it.
@@Mysteri0usChannel oh good glad I'm not the only one
@@Mysteri0usChannel When I was a kid, I read a lot about medicine, so that's something that happened to me back then XDDD.
That happened to Omar Epps. (Forman)
I don't think I could ever NOT be creeped out by tapeworms.
@Chris G paraasites
@Chris G bruh imagine like 1-2 inch worm living in you
yeah uh
i think i have them
thats cause they don't have names.. give him a little name, like Noodle, then all of a sudden they become way cuter :D
@@mroguretxs9651 thats not that creepy, a 12 incher would prolly stop my heart in a heartbeat
It might not be the best medical show in terms of accuracy, but in terms of entertainment DR HOUSE was the best medical show that ever existed. Hugh's acting is legendary, his american accent is uncanny. And Dr Wilson is hugely underrated. React to more Mike❤️❤️
Yes! And by far the best and most inventive modern Sherlock Holmes adaptation.
I once made a comment to someone that I would love to see Laurie play Sherlock Holmes, and they rolled their eyes and said he would NEVER be able to do the accent. 😂
@@quiestinliteris LMAO! If only they knew.
I agree… I loved the show.
I agree
10:41 Forget being cut open, I'd lose my mind from seeing that worm come out of me.
Tapeworms are my worst nightmare.
Dr mike is gonna come for medical show accuracy always and forever
unrelated, but banana
banaenae
He kinda teaches us medical facts
What's funny here is that House still has the confidence to advertise themselves as the most ''medically accurate'' TV show there is. I mean, Dr. Mike could have seizures if he watched a whole season of HOUSE.
I’ve never seen it advertised as such. I mainly watch for the intrigue of the characters and story, with medical drama as a gateway. I appreciate learning more about medicine through House but I’d never say that it’s accurate
@@jolonghthong "It's not exactly everyday medicine. While House markets itself as one of the more medically accurate dramas on TV today, it still features plastic surgeons performing endoscopies and forging prescriptions." - John Hopkins Newsletter.
Though these episodes are based on real cases, most of it are overdramatic and exagerrated and ends up causing misinformation. This is also why Dr. Mike declined such offers.
Everyone knows the most medically accurate TV show is Doc McStuffins
@@ichiroutakashima4503 thank you for sharing that quote and the source
@@iranoutofideas7114 Facts
Dr. Mike freaking out at medical inaccuracies in these TV shows is so hilarious to look at....lmao!
I think it's still admirable that house is 'this accurate
He should watch Shameless. They have hospital scenes that make NO SENSE.
Like giving Narcan for a COCAINE overdose..... IT WOULD LITERALLY DO ABSOLUTELY NOTHING except pad the hospital bill.....
@@rebeccahetrick6576 Monehy
@Rebecca Hetrick These days, most street drugs including cocaine is laced with sometimes lethal doses of fentanyl.. So i could see why narcan would help actually
i always loved her reaction when he starts pulling the worm out. She is completely enthralled with it.
I'm a huge fan of House, and I knew that they overexagerated these scenes to make it more exciting, but I didn't realize they overexagerated almost everything. This is a great video!
Person: goes to hospital with a cold
Doctor: how many tests do you need to diagnose a cold?!
House: *YES*
None? How many patients did he send away when they just had a cold on clinic duty?
doctor mike would be a perfect character for this series, like that skeptical resident who is always challenging house. they would be smart rivals 😌
Loved this episode, both Hannah's condition and personality serve as a perfect foil to House
I never see you more agitated than when you’re reviewing this show…and I love it💯❤️
Love that there’s always a point in every episode where we can see Wilson wondering why he’s choosing to spend his time with house just by the look on his face lmao
"That's gotta be twenty-five feet long."
"Dammit. World record's over sixty."
That quip still makes me laugh to this day.
right?? that line cracked me up
that's sums up what kind of person Dr. Gregory House is in my opinion.
This episode gave me SO MUCH anxiety for so many reasons. The portrayal of things that should hurt which didn't, her complete disregard for all of the doctors and her maddening behaviors, not to mention the giant worm.
Maddening behaviors? How about the maddening behaviors of the doctors? Who sticks a drill into a girl’s head or forces her to burn her own hand all just because she couldn’t feel pain??
@@esterjane1356exactly! The original comment is insane. I’d do the same as the girl
You should do a video on performing pain. How some people will report their pain as a 10, but are too tired to “perform” a 10, so they aren’t taken seriously. And how people with chronic pain will rate a high pain as lower because they label their everyday pain as 0; they don’t realize 0 is supposed to be no pain.
Absolutely! As someone with chronic fatigue, I think it would be wonderful if Dr. Mike used his platform to raise awareness about chronic conditions and how they affect the way patients experience pain on a day-to-day basis
Lol
took my doctors longer to figure out i had pancreatitis in part because i had been dealing with chronic pain so long i had a high pain tolerance and what should’ve been a 10 was just a 7 or 8 for me
If you can hold a conversation, Your pain is not a 10...
@@hudnora4164it hurt but i could talk i needed to i have a high pain tolerance there’s no way to know what intense level 10 pain is if you don’t feel it yourself
“If she admits she already has CIPA why would House run a batter of tests.“ Because she was involved in a car accident, and lacks the ability to point to anywhere that a normal person would have pain. The spinal biopsy is not necessary (it’s a plot point, spoilers), but getting X-rays, at least is at this point pretty vital. She could have a cracked rib, or a broken pelvis, and no one could tell, because… again, no pain.
😆of course, through the magic of editing that’s exactly what he was talking about two seconds later.
I’m also wondering why Dr. Mike Questions the tests.
I’d have thought similarly
he meant why would they run diagnostic tests for that disease. you don't need to re-diagnose a disease she already knows she has. As he said, she only needed a pet scan to make sure she had no broken bones or internal bleeding. 1h scan, non invasive. All the rest was just for his fun!
@@mellie4174 Right, and all except the biopsy were tests to look for injuries/diseases she might not know she has. Sure, IRL they would probably just pan scan as he later mentioned, but this is also for TV, and even IRL if someone is trying to bury an unnecessary self-serving biopsy with other tests, it helps to bury it in more stuff than just “we need a pan scan… and a spinal biopsy.”
I mean... House doesn't really phrase any of it like that, he's more concerned about the CIPA than her being in an accident.
Battery*
I've always been a fan of Dr. House and I'm actually learning something from it. Thank you Dr. Mike for making Dr. House even better.
I love that you said mild fever :) In another episode I watched of yours you said to just let fevers do their thing more or less. The body reacts the way it thinks is best, until it isn't... which could lead to a very high fever.
Imagine the PTSD this girl would have of hospitals an doctors if this were a real case
They established in the episode that she does hate hospitals and doctors.
From now on, if I ever see a medical scene in any form of entertainment, I am going to ask myself, "How much is Doctor Mike going to lose his mind on this?"
Right lol I want to know how he will react to each medical scene
me when I play video games and the medical treatment is put a bandage on it I am looking at you sniper Elite.
@@David_Quinn_Photography please call of duty you respawn from being blown up by a grenade in a moving truck , or sniped through the head.
@@Holderman-lj2rw yep COD has respawns
@@David_Quinn_Photography which they shouldn’t . It should be limited or none at all. Other games you get killed , your out until a new game starts .
I know a gentleman who has this condition. He travels a couple times a year to Sweden where the do a bunch of tests trying to see if they can duplicate this in other people for non-narcotic pain relief. Fascinating story. An article in WIRED documents his condition.
Whats his name or the names of the wired article?
@@bellamatos4892
His name is Steve and regretfully I don't remember the title of the article but I found it by Googling the condition and WIRED magazine.
CIPA is so rare, yet so many people in the comments know a person that has it. Seems suspicious to me.
@@OneKnifeYeHand I think this is a selection bias. People that know that are likely find a video about it. People that have something relevant to say likely comment.
Also: "Rare" is sometimes odd. Some times are not tested enough for, under diagnosed (test was done, but symptom not recognized), sometimes under reported (reporting a typical case already published in literature is not interesting), ...
What I find to be very strange is, that some "rare conditions" that are seen in 1% of the population are taught in Med. School and Clinics, but have very little mention in text books and studies. The result is that a specialized doctor intuitively advises "the standard plan" for that condition, yet as a lay person, you barely find any information.
@@sarowie My thoughts too, 200k(random number) out of a billion is considered rare. That's still 200k people, now consider how popular House and/or Dr Mike is. If not a CIPA patient finding this directly, consider the possibility of a friend of theirs pointing them here.
i love rewatching the videos where he reacts to stuff- house md is so UNBELIEVABLY out of bounds, crazy and so unexpected its funny XD
8:20 - my favorite House quote! So nonchalant and logical.
This was a cool episode that deals with the patient having a major lack of information for the doctors due to their rare condition. Later on the show we get the opposite, a patient with Hyperthymesia (perfect memory) that can provide the doctors with all the info they could need for her medical history, but being House MD of course it's not going to be that simple. Might be a cool episode to watch and react to after this one.
The episode is Season 7 Episode 12 "You Must Remember This"
I think the "locked in" episode was the best
@@rebeccahetrick6576 Yeah, that episode was amazing.
I actually met a guy with this condition and it was very interesting to get to understand the things he couldn't partake in because if, for example he got internal bleeding from an injury, he wouldn't be able to feel it. As someone with hypo-introceptive awareness (I struggle to feel signals from my body which for me extends to things like the temperatures and even feeling if I have to go to the bathroom or not) it was really interesting to find out even from that perspective the increased limitations he had
Atleas you can punch as hard as you want without feeling pain or when your bone breaks
bro can feel pain but just forgets its there.
@@some_icedtea5205 My brain has evolved past the need for sensation
@@levinyman8790 "he's too dangerous to he left alive!"
Interesting. CIPA is very rare, so rare that even Dr Mike hadn't heard of it, yet here in the comments tens of people seem to know someone that has CIPA......
i love watching all of his videos because even if i wouldnt usually be interested in the topic, watching him react and put in all these little bits of input and information is so interesting and i learn so much. LOVE these videos, keep up the good work.
Just want to say that I had a severe b12 deficiency as a young teenager without being anemic! It baffled all my doctors and I had a battery of tests done and no answers 🤷♀️
My mum as well. Not as a teenager, but several years ago. Tests were normal, but she had severe symptoms like excruciating pain in her waist area. She googled it and found a case of a guy with similar symptoms who had a vitamin B12 deficiency, so she asked her doctor about it. The doctor said that the symptoms match, but that it's weird that my mum didn't have any test results indicating that. In the end, she gave my mum a B12 injection, and the pain got a bit better in minutes. After several injections over the course of several days, my mum was luckily fine again.
Same with me! My b12 levels are very low requiring me to get injections every few weeks and I’m not anemic either
It's pretty rare lol
@@Hannahsx yup, but does happen. My b12 levels were the lowest my doctor had ever seen. I had to have b12 injections every 2 days for 2 weeks and then I had weekly shots after that.
A psychiatrist I know once had a patient who was not anemic, had no physical symptoms and was diagnosed with schizophrenia before she met her and found a B12 deficiency!
Underrated line:
“I can’t run without checking my toes for swelling!”
“I c a n ‘ t r u n .”
I remember the reason House wanted a biopsy is because he believed something could be done to fix his own nerves to stop feeling chronic pain by doing some type of process to the nerves of a person with CIPA. I don't know much about medicine so I forgot the exact terminology, but you get the idea.
Just Keep Watching House MD With Us! Love Your Commentary ❤
I care for an individual who has this and it makes me so thankful that I can feel pain. It makes life challenging and scary on a whole new level. I found the lack of reaction to extreme cold interesting. It could be -20 out and they walk outside like it’s nothing.
the pain is necessary to tell you if there is something wrong with your body..so you are right to be thankful that you can feel the pain
@@asmerX100 my friend in highschool had that same conditon and fell 3 stories and fractured her skull...the only reason shes alive because her sister saw her bleeded from the ears she had a brain hemmorage and had to get emergency surgery and they sedated her while they did the surgery to relive the pressure.....when she came to school it seemed like nothing happened beside seeing her scar near her temple and how soft it felt
Mike watching house is like a kid watching their grandparent use technology for the first time. They do everything wrong, and want to intervene to do it right, but they know they can’t.
2:03
"Imagine he is wrong and he hit a poor kid"
That's the thing. House is not wrong. He is never wrong.... almost
The one episode where he was wrong got me heartbroken
@@ToxicWebb The one with Erdheim Chester disease I guess?
If he's never wrong then each episode would be 5 minuites long
@@straightbusta2609 No actually, the episode with the little girl who almost got amputated because he thought she was going through kidney failure. Even though she has a conditions that makes her super sensitive to certain type of light
Lol he's wrong like 5 times an episode until he's right.
wow, this episode is insane. it’s literally just hospital staff experimenting on a patient?! how did they get away with this?!
Just going to volunteer, my CBC actually missed my B12 deficiency until my doctor specifically had me checked for that. My B12 was in the 50s, but the first time my doctor ordered a CBC her exact words were, "You're DEFINITELY not anemic." Apparently my red blood cells were producing just fine with a significant deficiency. (We've still addressed it and I get B12 injections-- thanks to my grandpa and inheriting his pernicious anemia.) Fun anecdote!
yeah it happens, so annoying. Neurological symptoms without anemia lead us down different rabbit holes that wastes time, thankfully your doc was able to catch it.
Alternative title “Dr Mike, slowly going insane at the ridiculousness of House MD” 😂
Mike still getting rattled by House is hilarious to watch.
Hello Anna-ward . Where are you From?
8:56 "Sorry, all beds are occupied!" Lol
As someone with O.I and rheumatoid arthritis and chronic back pain and body pain from so many breaks and nerve damage. I understand how house feels and remember this episode and really connecting with the storyline. I don't want an absence of pain and neither does house. I want to just not be in such blinding pain all the time. I want to have more mobility and a life outside pt pain meds surgeries and constant unrelenting pain.
I have scoriatic arthritis and came to say the same thing
Doctors shouldn't put their feelings above patients well being, so no matter how much you understand houses feelings, it truly shouldn't matter, he's feelings taking over his profession is enough of a reason to lose his license
Fibromyalgia here. Same
@@RainyDays2823 hi fellow spoonie. 14 years of fibro and I've long since past the point of coping with it. Just getting out of bed is excruciating.
2:52 you can't always tell if someone is having a seizure. Simple-partial seizures are a thing. I have temporal lobe epilepsy and 99.9 of the seizures I've had are virtually undetectable because I don't lose consciousness, I don't lose awareness and I don't have convulsions.
But there's some sign, doesn't? Like a slight eye movement or something?
@@priscilapinto1793 not with mine
I swear i was thinking this... Especially if you are unfamiliar with the person or their history. Ive worked with a few clients who have absence seizures. And if you didnt know them, you would swear they had just gotten "distracted" for a bit
Same here. The only one who ever notices (sometimes) that something is “off” is my husband. He says that I’ll just be more still than usual, though I never lose consciousness. For me, I only have a little pinprick of light or rarely my eyes wiggle, and other than a headache that’s it. People always think seizures are super obvious when they’re not always that way.
@@priscilapinto1793
Some " SMALLER" seizures that occur in a specific part of the brain can basically look
•just like someone is "daydreaming" for a few seconds ( absence[s] seizures)
•OR maybe is like in this really tired and "I'm about to fall asleep" ( like the state where you feel like you can barely hold your eyes open)
and react slowly and a bit "late" if spoken to or approached....
•OR have sudden nystagmus ( unwilling rapid eye movements either side to side or up and down) or rapid blinking and not immediately responding- when approached.....
•OR sudden small muscle twitches like "tics" and maybe also lacking awereness for a short period of time....
( tic's - not the bug, think of tourettes)
*Usually* all these above types occur over a period of time more in the seconds up to maybe half a minute - THAT'S WHY THEY ARE SO OFTEN MISSED, unless you "catch" them in an EEG or have someone noticing it repeatedly - which hopefully leads to an EEG because doctors may otherwise dismiss them....
There a so many more forms of seizures than the grandè mal that are often portraied for dramatic effect , because they are so much more violent.
SO unless you stare at their pupils / face at that moment and know them very well, you will miss it.
Dr Mike, you must remember a few very important points about House and this episode: one, he wanted a nerve biopsy so he could study it for his own personal purposes, as you undoubtedly discovered later in the episode when Wilson called him out on it. Two, since, as you now surely know, House specializes exclusively in Zebras, he and his team will already have started out with results from all the Horse tests done before he gets the case, and three, since House is Sherlock Holmes, his head is chock full of all sorts of trivia, so with his ultra quick mind, he tends to make immediate, wild assumptions a LOT. And he’s often right.
P.S. More House please!!! My rec: Skin Deep from Season 2 - gets a lot wrong about hormones, you’ll have fun picking that one apart. Maybe a joint review with Mama Doctor Jones! :)
Yeah Dr Mike does not seem to understand the premise of the show. And ofcourse the show is filled with drama, because drama and exaggeration is entertainment!
Yeah, House doesn't run the ER, so by the time he gets the patients (bar a few episodes where he snatched patients from the ER), so of course all the Horse tests have already been carried out.
i mean sure, i love the show and watched it many many times, but i'm also a doctor and the series makes lots of mistakes in order to increase the drama. It is purposeful but wrong anyway. B12 defficiency and high eosinophil counts are simples "horses" as you put it, hardly would be missed even in someone with CIPA. You can't defend that the show is right about everything because it's clearly not, on purpose. Unfortunately, real life medicin is not all that interest all the time.
@@joaobarros6744 Who says it's right about everything? David Shore himself, the creator of the show and oft director, admitted as much. It's not meant to be realistic, it's meant to be a medical version of a detective show.
I love House, I love watching Dr. Mike react to House. This one by far he had the most issues with when it came to medical accuracy lol it was an extremely outlandish episode.
"imagine if he's wrong and he's just hitting a poor kid"
I wish my doctors were like you. I was 12 and thought I broken my ankle so I had my mom bring me to the emergency room. It was just a bad sprain so no real substantial injury. As the doctor was leaving he grabbed my big toe in the food I was having trouble with and shook my whole leg and said "you're going to be alright" as he left the room
With decisions like that, if your family didn't hit him with a lawsuit, someone else certainly did for something else.
@@Delightfully_Witchy Medical lawsuits are actually pretty difficult to prove unfortunately. After I was born via cesarian section, the surgeons left a sponge in my mom's abdominal area and sewed her up. She was having problems and intense anemia (other issues, not from the sponge), and they had to open her up again to get the sponge out, which was traumatic for her. My father and her explored the legal options, but not only couldn't afford it, lawyers said they probably wouldn't get anything for it after wasting money.
@@kbee8517 *yeesh...* :(
And...... my dad did that to me.
Fell off my bike as a kid, hurt like hell, checked to make sure I wasn't dieing.
Slapped where it hurt and said "walk it off"
A little pain won't kill you.
I loved this episode. I can feel pain but I have a very high tolerance. I went a week with a broke arm before someone noticed. It never healed correctly and I still have issues. I got a third degree burn, thought it was nothing until it got infected bad. It’s not good to not feel pain. ❤️
Yeah I had a similar bad burn, I have a similarly high pain tolerance
Bones don't have pain sensors so unless you sprained the sorft tissues around the fracture you won't necessarily feel pain. Also, third degree burns burn through the nerves so those type of burns don't cause pain. If you have no first and second degree burns around your thrid degreee burn wound, you won't feel any pain.
Yessssss, the best part of it is being able to do certain things in a workout without the muscle pain
Back in high school, I had an Infectious Disease class and every Thursday we watched an episode of House. We would write an epidemiology of what happened and how the disease or pathogen transferred from one place to another. This is one of the episodes we watched. Very memorable!
Thank you! It's endlessly frustrating when a doc makes you relitigate a diagnosis.
Doc: "How do you know you have X? I've been a doc for 20 years."
Me: "I've been me longer than you've been an MD, and the diagnosing physician was better at this than you will ever be."
Don't compare your one lecture in med school ten years ago with my four years of living with this 24/7
"Doctor house is out of control and so am I" that's our doctor!!! I was missing the energy Mike put in his videos and jokes hahaha 🤣
Living with chronic pain and never having a day without pain made me empathize with House so much in this episode. I was jealous of that girl too to be honest :')
Me too! I have Rheumatoid arthritis an I wish I could have just one day to be able to run around with my daughter 💜
@@vanessadailey1565 oh I understand. I have fibromyalgia and yes the idea of just running is a dream
I finally learn the logic of “breathing into a bag”. Thanks!
A question about seeing seizures:
When I was in college, I had a classmate who had Epilepsy, but the seizures she had was almost invisible. She described it as "zoning out". Example, a group could talk about dogs, but the next second to her, we talked about reptiles. It's like she was "invisibly unconcious" for a few minutes? It's hard to describe.
What kind of Epilepsy do you think this was? And is there any way for someone to see/notice these seizures?
I also knew a girl like this, she was a coworker and she would tell us when she felt one coming on. It was the weirdest thing to see, she didn't move around or anything - we just had to sit her on the floor against the wall until it was over.
Absence seizures
Likely absence seizures- I have them (usually not that severe, I kinda struggle to process things?)
but that totally fits the description. There are probably other possibilities though, I'm no neurologist.
@@bitonic589 Neurologists diagnose by looking at EEGs, it's not guesswork.
As someone with epilepsy, I'm inclined to agree with the others who have stated absence seizures. I don't know a lot about them because those aren't the kinds of seizures that I have, but that's what it sounds like to me.
as a doctor, this is exactly how I watch House, raging lmao
…yet I still Love this show!
Gray's Anatomy had a similar case of a kid that couldn't feel pain. I would love to see if you think that they did a better or worse job.
I think they definetly did better than House. They treated the patient like a person and not an specimen
I was thinking the same thing
Gray's anatomy is the fakest medical show of all time.
Mike wincing and confusion throughout the entire episode is a freaking mood
This is absolutely crazy! I know it's supposed to be a drama, but the medical inaccuracy is STUNNING!
...except the tests order there wasn't anything wrong with medical accuracy.
I had one of these nasty critters about 10 years ago. The doctor I saw at the time had been practicing family medicine for 35 years and said he had never had a tapeworm case! Found out that most of the meds used to kill/treat it are either no longer in production (at least in the US market), or produced in miniscule amounts since they aren't commonly prescribed, nor profitable! The doctor finally found a med that would work, but took the pharmacy 2 weeks to get it in. 2 pills later and, yeah, it worked!
Where was the worm? What happened to his dead body? Did the doctor pull it out or you pooped it out? So many questions...
@@TheSanchezGarcia It was somewhere in my intestinal tract, not sure exactly where, but after I took the meds it ended up in the toilet. Wasn't very big at least, but still not pleasant!
@@kevtheis I would be traumatized seeing that thing come out and convinced anything wrong with me for the rest of my life was another worm
4:23 the way he looked into her face and said I cant run.
omg had me rolling
One of House’s best zingers was in this episode. At the end of their back and forth, the girl says, “Boys can’t hold me for too long cause I’ll overheat.” And House, being the absolute legend that he is, claps back with, “Girls can’t hold me for too long cause I only pay for an hour.” 🤣
Dr mike I just want to thank you. I’m becoming a life guard and the knowledge you have imparted to us about cpr and chest compressions has become invaluable to me because the way you make sure we always remember “CHEST COMPRESSIONS, CHEST COMPRESSIONS, CHEST COMPRESSIONS”. I have learned a lot from you, and you teach us in a way that is entertaining and easy to remember. Don’t stop what you are doing, as the more people you teach, the more lives you save!