Comments on: House – episode 20

By: AJ

AJ — Fri, 25 Mar 2011 01:27:47 +0000

@Ahmed, Unless the aneurism was in the brain.

By: AJ

AJ — Fri, 25 Mar 2011 01:27:21 +0000

Unless, of course, the infection erroded into a blood vessel, causing clots?

By: Oli

Oli — Sun, 13 Dec 2009 23:47:35 +0000

What happened to the paitents inability to remember nouns? That was interesting but we never heard any more of it after it was mentioned first time.

Or is it a really temporary thing?

By: Jeff

Jeff — Thu, 22 Oct 2009 08:44:53 +0000

@coma guy,
I know someone who had an abscess in their neck which was major enough to require 2 surgeries. There was no fever.

By: Scott

Scott — Sat, 30 May 2009 12:56:47 +0000

While abdominal aneurysms are handled by vascular surgery, everywhere I'm familiar with it's the neurosurgeons who handle the brain aneurysms.

By: Ahmed F.M

Ahmed F.M — Sat, 30 May 2009 03:57:36 +0000

Dr.Scot, i don’t think that the operation for the aneurysm is done by a neurosurgeon, vascular surgeon do this kind of surgery…!

By: MarkJake

MarkJake — Sat, 25 Apr 2009 02:09:24 +0000

Just saw this ep again, and like many who commented, I also was wondering about what they replaced his jaw with or if this is a real, legitimate procedure (removal of the jaw). So I came to this site which I rely on for the great medical reviews of House… and in reading the comments I came to “Prosthethic jaw bone. They would wait until the infection had completely cleared, so it would require a second later infection (and thus he wouldn’t be speaking as clearly as he did at the end of the episode).”
So I was wondering, shouldn’t it require a second later procedure, as opposed to a second later infection? Or did I misunderstand?
Thanks again for a great site that I really enjoy and visit often.

By: Beth

Beth — Thu, 08 Jan 2009 19:06:59 +0000

I was surprised they didn’t make any dominatrix jokes about Cuddy.

By: Dr. Bulgaria

Dr. Bulgaria — Thu, 30 Oct 2008 11:32:36 +0000

Apparently this a bit of my area so I will try to rate this on my own.
1. Osteo this advanced and ACUTE would be noticed on the physical exam and will also be noticed by the patient (who will complaint of pain swelling and dear me TRISMUS (inability to open the mouth completely) He will have fever as well. Is we assume that it is CHRONIC he will have other symptoms noticed again on the physical exam – such as red and swollen gum that hurt from just about everything with puss and bone particles pouring out while the teeth are wobbling in every direction(and believe me you do not have to get up close and personal to smell the stench that radiates from the mouth in that case. No breath mint can hide it ) The packs of puss (he filled a syringe with it!) indicate either acute or an abscess of the perimandibular tissues (which again will present with swelling fever and sharp pain.
2. The infection could get into the brain via the vena angularis – vena ophtalmica – sinus cavernosus route. This will lead howerwer to brain inflamation of any kind (brain abscess, meningitis) not mini strokes. If the puss gets to the blood stream somehow the patient will be SEPTIC (and that is seen and quite well on the blood panel).
3. Osteo could be present without elevated WC – I totally agree with that. However there are other signs of inflammation and infection that are seen on the blood panel – such as the increased hematocrit.

By: Floyd

Floyd — Thu, 17 Jan 2008 23:40:30 +0000

I just loved this show`s humorous start! With House, Wilson & that weird patient watching T.V in the exam room and having a little fun…

I love this site. I`m a composer, so the medical aspects of the series are a bit far off my knowledge field. That`s why I rely on you fine people to clear out doubts & questions that I am not able to answer. Great job!

House & Cam?? Well… Sounds a little weird, but what the hell!!