- Hey guys, you requested House MD. - Do I get bonus points
if I act like I care? - Let's get started. (relaxed music) This reminds me of where
I grew up in Brooklyn. Or is this a jail? (laughing) - Why are you late? - I feel like you won't like the answer. - I already know the answer. - I missed the bus. - I don't doubt it, no
bus stops near Brad's? - Every medical show has to start off with some kind of sexual thing. Medicine is so exciting as it is, why does there have to be sex? Calm down, stop having sex for a second. - You should never keep
anything from your parents. And I told mine- (slurring) (kids laughing) (sighing) (slurring) (kids laughing) - Oh. (slurring) (kids laughing) - Are we having a stroke? Slurred speech, classic sign of a stroke. (slurring) Oh, problems with moving the arms. - C - Call 911 - A-L H-E The! We know that word, the! - Oh no! (grunting) - Oh, that's a seizure. She's having a general
tonic-clonic seizure. - [James] 29 year old female, first seizure, one month ago, lost the ability to speak. Babbled like a baby, aggressive deterioration of mental status. - [House] See that, they all
assume that I'm a patient because of this cane. - [James] So put on a white
coat like the rest of us. - [House] I don't want
them to think I'm a doctor. - [James] You see where the administration might have a problem with that attitude? - [House] People don't want a sick doctor. - Not wearing your white coat, I guess it's not really a big deal because sometimes I go
without my white coat and just wear my stethoscope. It's really for infectious purposes only, so that if you get any
kind of germs on you, you don't bring it back
home to your family. Or if, obviously, some
blood splatters on you or some other bodily fluid, I guess. - Brain tumor, she's gonna die, boring. - That was a little cold. - She's 29, whatever she's
got is highly unlikely. - Protein markers for
the three most prevalent brain cancers came up negative. - Tumor markers for brain cancer? That's not how we diagnose brain tumors. We use imaging. That's the gold standard for brain tumors, obviously in addition to biopsy if needed, but tumor markers are not
a way to rule out a cancer. - And she's not responding
to radiation treatment. - None of which is even
close to this positive. - Medically, I'm very confused. There's a patient who had a seizure. They think that she has a tumor, they did some lab work. Doesn't show she has a tumor. They're giving her radiation even though that they don't see a tumor. I could not be more confused right now, or this totally doesn't
make sense medically. - Shouldn't we be speaking to the patient before we start diagnosing? - Is she a doctor? - No, but-- - Everybody lies. - Doctor House doesn't
like dealing with patients. - Isn't treating patients
why we became doctors? - No, treating illnesses
is why we became doctors. Treating patients is what
makes most doctors miserable. - So you're trying to
eliminate the humanity from the practice of medicine? - If we don't talk to
them, they can't lie to us. - Excuse me Doctor House. You can have a good
conversation with patients. You don't need to believe
every word they say. You can be honest, you
can say you don't know, but give a plan of what you're
doing about not knowing. So basically how you're
getting to the answer. - First thing of medical school, "If you hear hoofbeats, you
think horses, not zebras." - Very common phrase. - Medical school. - That and Treton could have
screwed up the blood test. I assume its a corollary
that if people lie that people screw up. - Redraw the blood tests
and get her scheduled for that contrast MRI ASAP. Let's find out what kind of
zebra we're treating here. - So a contrast MRI
basically allows you to see what blood vessels are
doing within the brain. The fact that they're going to a lab and questioning if the lab is accurate, we do do that occasionally, but that's not the first
thing we think about. I guess 'cause this case is more complex. - I was expecting you in
my office 20 minutes ago. - Really? Well that's odd,
because I had no intention of being in your office 20 minutes ago. - You think we have nothing to talk about? - No, just can't think of
anything I'd be interested in. - I sign your paychecks. - I got tenure. - I can still fire you if
you're not doing your job. - I'm here from nine to five. - Your billings are
practically non-existent. - Rough year. - You ignore requests for consults. - I call back sometimes I misdial. - You're six years behind on your obligations to this clinic. - See, I was right, this
doesn't interest me. - Six years. Times three weeks. You owe me better than four months. - It's five o'clock, I'm going home. - Doctors don't work nine to five's. We have crazy schedules. If someone that's more senior to us, obviously like our boss,
like she is in this case, tells you to get something
done, you're getting it done. But also because we
have a love for the job. We wanna treat patients, I don't know why he's
being this sarcastic guy, but I will say it's really funny. - I'm angry! You're risking a patients life! - I assume those are two separate points. - You showed me disrespect,
you embarrassed me and as long as I work here you have no-- - Is the yelling designed to scare me, because I'm not sure--
- I love her. - What it is I'm supposed to be scared of. More yelling? That's not scary. That you're gonna hurt me? That's scary, but I'm
pretty sure I can outrun ya. (yelling) - 'Kay. That's cool that he's
popping pills on the job. Oh this is in Jersey, Plainsboro. I work in New Jersey. - All right Rebecca, I know you may feel a little
claustrophobic in there, but we need you to remain still. - It's very true that people
get claustrophobic in MRI's, you have to lay there for
an extended period of time. The noise is very loud. So there are times that I have
to pre-medicate my patients and give them a dose of a benzodiazepines, like Xanax, most commonly, that you're probably familiar with. (loud clicking) Yeah it's really loud,
it's even louder than this. (loud banging) - I don't feel so good. - [Doctor] It's all
right, just try to relax. (loud whirring) (choking) - Oh, is she having another seizure? - Rebecca? (choking) Rebecca? - Is she choking? (choking) - Is she having an anaphylactic
attack to the contrast? - Rebecca? Get her out of there. - She probably fell
asleep, she's exhausted. - She was claustrophobic 30 seconds ago, she's not sleeping, we
gotta get her out of there. - It'll just be another minute. - She's having allergic
reaction to gadolinium, she'll be dead in two minutes. - Oh no! Get her out, Epipen into
the upper thigh, quick! - She's ashen. - She's not breathing, (mumbling) - Come on! I can't ventilate. - Too much edema. Where's the surgical airway tube. - You're gonna need to go in the neck and do a tracheostomy. (heavy breathing) - Did he give her the
Epi? I didn't see it. (intense music) Okay that's way too big of an incision. Okay, not exactly how that goes. If you're allergic to the contrast that they gave for the MRI, it's possible that you can
get this anaphylactic attack, which means that your
airway starts closing down. Basically your throat
swells up to the point where you can no longer oxygenate. Some people also vomit, some people get very nauseous,
blood pressure drops. Her airway closed up to the
point where she couldn't breathe but because it's her throat
closing up and swelling, if you make an incision
in the trachea right here where there's a soft
little spot for an opening, you can continue helping
the patient breathe. I'm gonna call some inaccuracies here. If a patient turns blue like that, you're hitting a code blue. There's an emergency team coming, nurses, doctors, respiratory therapists. You also gotta get IV's set, you gotta figure out why
the patients heart stopped or stopped breathing. There's a lot more that has to happen. You don't just automatically assume it has something to do with
the contrast that you gave. And he's still popping pills! What is he popping? I hope those are Advil. - You actually want me
to talk to the patient? Get a history? - We need to know if there's some genetic or environmental cause as to generate an inflammatory response. - I thought everybody lied? - Truth begins in lies. - Okay. So why did you tell him not to talk to the patient initially Doctor House? "Truth begins in lies." Just means that in order
to find out the truth, you have the person lie to you, and from there you can then
start making a deduction on what part they're lying about. So you need to hear the lie. That's why it definitely makes sense to always talk to patients first, regardless if you believe that they're telling the truth or not. - What are you doing? - Painkillers. - Oh, for your leg? - No, 'cause they're yummy. You want one? They'll make your back feel better. - No, don't do it! That's how the opioid
crisis started, House! - Why are you so afraid
of making a mistake? - Because I'm a doctor. - Yes.
- Because, When we make mistakes people die. - Yes. - Come on. People used to have more
respect for cripples, you know. They didn't really. (laughing) - I can't see. - Uh oh. - I can't see. (dramatic music) - She's having a seizure again. - Little help in here! (intense music) - So turning a patient on their side is the smartest move
because you want them to, if they're gonna vomit,
they don't aspirate. - Can you arrange these to tell a story? (sad music) - This is a type of neurological testing to see if the person can
follow a series of events. - Had a couple headaches last month. Mild fever. Sometimes I can't sleep and
I have trouble concentrating. - Apparently not while researching this stuff on the internet. - I was thinking it also
might be fibromyalgia. - Excellent diagnosis. - Is there anything for that? - Do you know I think there just might be. I need 36 Vicodin and change for a dollar. - And change. - 36 Vicodin and change for a dollar? - Oh, placebo! (laughing) He's gonna give him sugar pills. Oh and he's stealing
the Vicodin for himself. Again, obviously Doctor's
don't swap out medications. If we prescribe something to the patient, we send an order to pharmacy and the pharmacists fill the order, and we don't replace it with
sugar pills for placebo effect. - So you didn't find anything? - Everything I found was in my-- - You found ham. - Uh oh. - So? - Where there's ham, there's pork. Where there's pork,
there's neurocysticercosis. - That's the condition. Bum bum bam! Tapeworms! - It fits. It's perfect. It explains everything. - But it proves nothing. - I can prove it by treating it. - No, you can't. I was just with her. She doesn't want any more treatments, she doesn't want any more experiments. She wants to go home and die. - That's called the principle of autonomy. Basically that a patient has the right to refuse treatment at any point as long as they're competent and by competent it means that they're able to
understand the consequences of their actions. So if they say they wanna
go home, and you tell them, "You can possible die if you go home." They can say that back to you and understand what that
means, they're free to go home. - You're being an idiot. (thunder roaring) You have a tapeworm in your brain. It's not pleasant, but
if we don't do anything, you'll be dead by the weekend. He's right, we should X-Ray her, but we don't X-Ray her brain, we X-Ray her leg. Worms love thigh muscle. She's got one in her head, I guarantee you there's one in her leg. - Um, I did not know this. This is beyond my expertise and probably most Doctors' expertise. - This here is a worm larvae. - So if it's in my leg, it's in my brain? - Are you looking for a guarantee? It's there. Probably been there six to 10 years. - How does he know that? - Carbenzop. - He's giving her a de-wormer. - If anyone asks, you have
11 daughters and five sons. - Aw! (kids talking) - Wait that's 16 students. They said her class has 20. Where are the other five,
why didn't they show up? Oh wait, 11 and five,
sorry the other four. "We're happy you're not dead." - I want a hug and a kiss
from every single one of you get up here right now! - Don't give the kids the worms! I'm just kidding. - Doctor House? You have a patient. (laughing) - He says he needs a refill. - Got change for a dollar? (laughing) - That's funny. Patient got hooked on them tic tacs. There we have it. House episode one, season
one is in the books. Medical accuracy? It's somewhere in the middle range. These are very rare cases. Almost never seen in the United States, like pork tapeworm. Most of our pork is well
cooked so we don't see that. The way that they go
about practicing medicine is probably the most
unrealistic part of it. House is just a maniac, treating patients without telling them what he's treating them for, breaking into their homes. Crazy, but also crazy entertaining, so. I think there's gonna be some
very interesting episodes to review from Doctor House. If you know any of these specific episodes that carry a good mystery
and a good balance of medical stuff and drama stuff, leave it down below in the comments. If you want me to do a different show, definitely leave it in the comments. The more subscribers we get, again, the better and more content
I can continue making. Subscribe, subscribe, subscribe. Stay happy and healthy. (relaxed music)
Cool :) I hope he does a lot more episodes.
review each episode...
This is really fun! I subbed to your youtube channel for this. I hope you do more House episode.
Here are some episodes I'd love to see you do:
S01E21 "Three Stories"
S07E07 "A Pox on Our House"
S01E13 "Cursed"
I like your style! You point out the errors without crapping all over the show, I hope to see you do more in the future! :)
More importantly how has this guy never seen an episode of House before?!?!!