House — Episode 5 (Season 8): “The Confession”
Chase and Taub are back on the team this week, which makes the episode much easier to watch (because the medicine sure isn’t helping)
Bob Harris, small town businessman and philanthropist collapses while in flagrante delicto with the local beauty queen. He has her bring him to the hospital where he is diagnosed with ventricular fibrillation, though there is no other sign of heart disease. He initially claims he was at his desk when the attack happened, but later admits to the affair when confronted with the evidence (fresh rug burns on his knees). The team decides to run an exercise test to see if another attack will occur. Initially, they get no results, but when Chase adds an emotional component to the stress, Bob collapses with a seizure. The team’s initial differential diagnosis is viral myocarditis, Brugada syndrome (an inherited abnormal heart rhythm), or pheochromocytoma. House suggests photic epilepsy (more commonly called “photosensitive epilepsy” — seizures brought on by flashing lights), but an EEG is negative, so he goes back to Park’s suggestion of a pheochromocytoma. While Chase and Adams run tests for the tumor, Park and Taub check out the seedy motel where Bob had his tryst. The pheochromocytoma tests are negative, but the patient now has a large mass on the right-side of his neck. Park and Taub find an abundance of pathogenic material at the hotel, including traces of fusobacterium necrophorum, which confirms House’s suspicion that the patient has Lemierre’s syndrome (an infected thrombophlebitis of the neck). The patient is started on Augmentin (amoxicillin + clavanulate) and surgery to remove the infected clot is scheduled. However, the surgery reveals no clot, but an enlarged lymph node. Adams suggests lymphoma. Chase obtains a biopsy and the patient’s vital signs plummet. Adams checks his eyes and notes yellow sclera, indicating liver failure to her.
With the new symptoms, the team formulates a new differential diagnosis. Lymphoma has been ruled out because the biopsy was negative. Alcoholism and withdrawal is suggested, but House is sure Bob still has an infection of some sort. He wants to use high doses of broad spectrum antibiotics to kill whatever infection it is. Adams is concerned that his plan will kill the patient’s already compromised liver. Chase suggests a liver transplant, and then the antibiotics. Since time is short, a partial liver transplant from a living donor is suggested. Most of the population of Bob’s small town come to the hospital to be see if they would be good donors for the liver transplant. Most leave after Bob confesses a number of sins, from cheating on his wife to ripping off customers at his car repair shop to stealing scholarship money. None of the remaining townspeople are good matches for his liver. House wants another CT of the liver, and surprisingly, this one shows that the liver is healing.
The team now suspects Bob is having an allergic reaction of some sort. He reacts strongly against the wheat sample, though he has no history of wheat allergy and blood tests don’t confirm the allergy. A latex allergy is considered but tests were also negative for that. Bob’s allergic reaction worsens, with large strips of his skin now tearing off. The team diagnoses Stevens-Johnson’s Syndrome and report that there’s nothing they can do as, according to the team, most medications exacerbate the confession. Not comfortable with leaving the patient alone, Chase sits besides him during the night. Bob tells Chase he has one last confession to make: he tells Chase he is a murderer, having killed his business partner and several others. This is over the top enough for Chase to realize that a large part of the problem is in the brain, with the patient confessing to crimes he has never committed. A brain scan shows an aneurysm. Taking this along with his other symptoms, House recognizes that Bob has Kawasaki’s syndrome, an autoimmune disease (in this case apparently induced by carpet cleaning chemicals Bob was exposed to through the rug burns). After treatment, Bob is feeling good enough to start lying to his wife.
As usual, major complaints are in red, modest complaints are in blue, and nit-picking ones in green:
A patient with a suspected systemic infection is not going to be a candidate for a liver transplant.
House’s team was bizarrely satisfied with the diagnosis of Stevens-Johnson syndrome (SJS), and never explored the all important question of what set it off?
Looked more like toxic epidermal necrolysis (TEN) than SJS to me, though admittedly most subspecialists consider TEN a very severe type of SJS.
The hallmark of SJS is the involvement of mucous membranes, none of which were involved in this patient (at least the ones we could see).
Corticosteroids haven’t been implicated in SJS, though they have rarely in TEN. In fact, they are one of the main treatments of the condition.
Narcotic pain medications are not known to cause SJS or TEN, so there was no reason to withhold them from the patient.
A lymph node biopsy, especially for something like lymphoma, takes the entire node, not just a little bit of juice from it.
Augmentin/Amoxicillin + clanulate is not the proper antibiotic for Lemierre’s syndrome.
Scanning the neck (CT scan or ultrasound) to evaluate the clot — or at least to make sure it exists – is recommended before surgery.
Patient was missing the pharyngeal/peritonsillar signs and symptoms seen before Lemierre’s.
Park complains about the length of time it takes to get culture results back (a valid point), yet she is the one who supplied the surprisingly fast results from the hotel room.
There was no good reason (other than to advance the plot, so make that no good medical reason) to repeat a CT scan of the liver so soon after the first.
You don’t confirm skin allergy test results with blood results. The skins tests are generally more definitive.
This week’s medical mystery was moderately intriguing, admittedly mostly because of its illicitness. I give it a B+. The final solution fit, but was quite a stretch, about average for the last few seasons of House. It earns a C. The medicine started out decent, but rapidly degraded. The treatment of SJS was nearly medieval. And why did it take the team so long to realize his confessions were a symptom? They were quick to consider altruism a symptom just two episodes ago. I give the medicine a grade of C-. The soap opera was much better this week — and most of that is due to the return of Chase and Taub. It’s good to have them back. A-.
The review of the previous episode of House
A list of all prior House reviews
November 7th, 2011 at 10:33 pm
I loved the soap opera this week.
Especially the thing at the end with the wall into Wilson’s office
November 7th, 2011 at 10:51 pm
The thing at the end with the wall was a bit OTT for me for a number of reasons, not least of which being the room, or roof, above House’s office and how over-built the door was. I’ve been in a house with a wall/hidden dor. It’s not a huge mechanical looking thing out of Star Trek.
I partly expected the patient’s “confessions” being part of the diagnosis as it seemed like in the clinic scene the jaundice was getting better as he confessed, I guess the make-up people just sucked. And it’s pretty odd that someone so obsessed with truth and lies like House wouldn’t take a keen interest in this guy’s compulsion to tell the truth.
I also was sort of surprised when Park and everyone else was surprised at POTW’s liver healing. I was sort of like, “Yeah…. They do that.”
November 7th, 2011 at 11:05 pm
Tonight’s all CAPS free commentary is being brought to you by the US Constitution, proud sponsors of free speech for everybody….
i really dont know quite what to make of this episode. it wasn’t necessairly a bad episode but at the same time it wasn’t earth shatteringly good either.
the band is at least partially back together, it was classic to see chase & taub messing with foreman, echos of the last couple of years
jamie bamber as the patient of the week was another good casting choice (2 weeks in a row now) and house making the girls bring furniture in the room and then move it from place to place was hilarious.
house trying to get taub’s dna just so he can be right (and the resulting betting pool) was ‘classic’ house and still shows that even after 8 years, hugh laurie’s still got that magic when he is not held back by bad writing.
the tension between chase & foreman made for good soap opera drama, foreman really is a sellout and he really shows his true colors as a whiny crybaby when people confront him about this throughout the episode.
i never expected in a million years for the ‘construciton’ going on to be house having a hole cut in wilson’s ofice wall, because (and correct me if i am wrong here) wilson’s office was never near houses before now. the layout of ppth seems to contradict this fact as i can remember earlier ewpisides where wilson’s office was on the inner bend part of an ‘l’ shaped corridor… unless they explain it away as wilson moved his office for some reason….
soap trumps medicine once again but never really rises above the ‘meh’ factor..
November 7th, 2011 at 11:37 pm
The generic name of Augmentin is actually spelled Amoxicillin+Clavulanate. Just putting that out there!
November 7th, 2011 at 11:45 pm
I laughed like a freakin’ hyena at the sliding wall between House & Wilson’s office. Brilliant.
Ok…so to the medicine….
Couldn’t the first round of ABX have triggered SJS? And I have a friend who had it, nearly died from it several times before her body rallied. Her skin was falling off. I saw her when she was finally on the mend and still in ICU and it wasn’t pretty. When I read up on my meds, SJS jumps out at me now, it seems to be a side effect (rare) of alot of meds.
Also there is debate on skin vs blood tests for allergens. I have loads of experience in this–my son has anaphylactic food allergies and environmental allergies. If a person has a history of skin issues (my son had eczema and now keratosis) then you may wind up with false positives (also true with the blood tests since he has hyper IgE syndrome). His doctor is just now comfortable doing scratch tests after treating my son for the past 6+ years. (Also noted that he tests positive for wheat–and a few others– in a capRAST test but can handle it just fine IRL).
I should have thought of the carpet as well–my son reacted terribly to “commercial carpet” and sometimes looked like he’d been burned.
November 7th, 2011 at 11:51 pm
So sorry, my computer decided to hit send….
LOVE Chase & Taub back….but still sorely miss 13. Not-Park is boring me to tears. Park is growing on me, she makes me laugh.
Is it me, or did Taub join hair club for men? I could say the same for Chase but I’m digging the new facial hair.
I like they’re starting to loosen Foreman up a bit. And Wilson made me laugh so very much, god love him.
CUTE BABIES! And yay Papa Taub!!!
A for the soap & laughs, C on the medicine. Even I guessed SJS long before Park said it. Can I be on the team now?
November 8th, 2011 at 1:20 am
The link at the home page says “The Confesstion” (typo on the “t” in “confession”.)
This episode really wasn’t worthy of comment.
(Hmm… technically, that’s a comment.) OK – Repetitive, predictable, and the Old Guard–Avant Garde interplay was underwhelming. I had a dozen cool ideas of what they might do with it. They didn’t do much.
As for this writer’s previous comment that Adams’ character has promise: Yes, and they threw it away. It looks like she’s going to be M^6. — that’s M3^2, read either as Masters the Movie, or Masters (twice as) Square(d).
November 8th, 2011 at 1:31 am
I got the sense that Chase was tipped off by the fact that the guy didn’t remember exactly how many people he killed, and not just the (supposed) fact that he killed someone.
Also, typo (I assume): “according to the team, most medications exacerbates the confession. “
November 8th, 2011 at 1:49 am
Oh, and as long as I’m being the typo police, the title on the main episode list (house_pd.html) is “The Confesstion”.
November 8th, 2011 at 2:47 am
Kawasaki Disease? With that symptomatology? Not even close. Bad, BAD medicine.
Other than that rather egregious error, this episode didn’t suck.
November 8th, 2011 at 2:58 am
And why did it take the team so long to realize his confessions were a symptom? They were quick to consider altruism a symptom just two episodes ago.
I guess being altruistic to the point of lunacy is more obvious than confessing to non-existent crimes, although I began to catch on when Bob claimed to have made unneeded repairs to people’s cars – usually, when a car needs to be fixed, it’s pretty apparent.
November 8th, 2011 at 5:13 am
Judging from the review, it seems that they are trying to kill the medicine before they shut down House
November 8th, 2011 at 6:23 am
… “there’s nothing they can do as, according to the team, most medications exacerbates the confession.”
While that may be true, I think you meant “exacerbates the condition”.
Thanks as usual for the great review (and how do you get them up here so fast?)
My TV (two different rooms actually) went black for quite a long time just as House started opening the wall. Looking on the web I see that this happened to a lot of people. I wasn’t sure if something was wrong with Fox, or with Comcast, or if House was imitating the final episode of the Soprano’s.
November 8th, 2011 at 7:45 am
And why did it take the team so long to realize his confessions were a symptom? They were quick to consider altruism a symptom just two episodes ago.
I think most people, including House, suspect that all car mechanics are ripping them off.
Whatever else was wrong with this episode, the sliding wall thing made up for it. That was great.
(I seem to remember an early episode where they each came out of their offices and met on a common terrace).
November 8th, 2011 at 8:07 am
I predict that, per last season’s ending, the phrase “jumping the shark” will be replaced by “crashing the house”, or maybe even just “House crashing”. I more or less made up my mind to scratch the show off my list before the season began and last night the clock hit midnight. Too much nonsense, too much gobbledegook and an utterly implausible stunt. On the plus side, the acting and direction haven’t suffered, but the plotting: forget it.
Midnight. Bong bong bong….
November 8th, 2011 at 8:12 am
Hugh L: Since the second season Wilson’s office has been next door to House’s meeting room. The door leading out to the balcony in House first office goes right to Wilson’s balcony entrance. Though I think we’ve seen that Wilson’s office is a bit deeper down the a hospital corridor, it’s possible that the layout of the building could allow this to happen.
November 8th, 2011 at 8:15 am
Sorry for the double, but Tommy Turtle? 3 Squared is 9, not 6. ;)
November 8th, 2011 at 8:30 am
@Hugh L.: I’m sorry but I’ll start with you Dude cause apparently you are not paying attention to details OR have a very bad spatial recognition skills. House and Wilson’s offices are adjacent – they share a balcony that House used multiple times to get to Wilson’s office when he locks his doors. Check episode 11 season 2 “Needs to know” for example or the one where he proves to Wilson he can be genuinely good and get a gratitude from a patient (Remember the “virgin birth” Season 5 ep. 11 “Joy to the world?): where House exits his office walks a few meters and gets to Wilson’s door – direction distance it fits perfectly.
Medically I do have some complaints but I do not know how to list them or grade them – some are bad and should not be on any medical show others are now just usual “House” shortages that we have seen plenty in recent years. Here goes:
1. Epi is only given when we have an acute allergic reaction, anaphylactic shock with plummeting BP. Otherwise it’s useless to give it and can cause a heart attack.
2. If the patient had an infection (as House stubbornly insists) he would have elevated WB count and fever from the beginning. Also the lymph node would be filled with leucocytes and whatever causes the infection (virus, bacteria, fungal). Such a general infection would present with a general lympohadenopathy not one giant lymph node.
3. A patient with such severely damaged skin would be in isolation room and CANNOT have electrodes on his chest (BRRRRR the horror)
4. I am pretty sure he would be sedated also. D-r Scott did mention that of course.
5. His skin healed remarkably fast :) I’d say such lesions would require at least a week in isolation while hugging someone would make him scream :)
6. He was treated with steroids for the supposed allergie (or was he? Taub said he never started them then Chase went to start him…. bummer) This brings two problems – steroids take at least a week to start actually working (normal House blunder) and he was on steroids he would have gotten better instead of worst (because one of the treatments for Kawasaki is steroids).
I’ll probably see some more nitpicks on the second seeing (with translation this time) but for now I am satisfied with my critics. I give the mystery a B- (interesting setting kind of regular mystery with the heart rate). Interestingly enough (for me at least) I thought he had a small partial seasure (or an absent seasure then fainting), when I first saw him on the floor of the motel. The solution gets a C+ (it did fit most of the symptoms, only slightly stretching some of them and greatly stretching others). The medicine gets a C+ as well (kind of a regular medicine for those last seasons of House now) and a solid A for the soap a second week in a row now. House, Chase (yey Chase is back! He looks a lot like the old Chase from season 2,3 and 4 now too – spine and spite at the same time :)), Taub and even the young guns all delivered. The fact that Taub supposedly matured though is kind of boring :). Let us hope he’ll be more fun next time :) And oh yeah – Adams is not boring and whoever does not like her needs to go see if he likes TV at all now :) She seems like a good and kind of strange mold of Cameron and 13, but she is hotter than both
November 8th, 2011 at 8:48 am
Adams is hot, but not as hot as 13. :)
The time course in these types of shows I mostly ignore as part of dramatic license. It wouldn’t be nearly as interesting a show if these tests and diagnoses were stretched out over weeks or months as opposed to a few days.
It took several years of tests, schedules and seeing a variety of doctors to diagnose a medical problem I had and I still pretty much ended up with doctors scratching their heads and shrugging. I was diagnosed from everything between a birth defect, to ill-repaired bone injury (even though I’ve never broken a bone beyond a toe) and Lupus may have even been in there somewhere. I had two minor surgeries to try and to repair things, an exploratory surgery just to see what was really wrong, MRIs, CAT scans, and all sorts of other BS. Thousands of dollars of medical bills, after insurance, and not one. Single. Answer.
Maybe some in the medical profession or those who have not had their own medical mystery don’t get to see this but, for the most part, what happens with House in jumping from one diagnosis to another seems consistent especially if they don’t have all of the information they need or didn’t run some test. It’s just that with House it all happens inside of a week instead of stretched out over years.
November 8th, 2011 at 8:53 am
They built a motorized door into Wilson’s office and he didn’t notice? Even if they worked at night there must have been SOME sign…
November 8th, 2011 at 9:33 am
Kawasaki Disease? Seriously?
I work in the age group where it is predominant and the only symptom here that I see that fits is the lymph node.
Where’s the rash/conjunctivitis and more importantly… the fever. Most kids that present with Kawasaki has the non-resolving fever that a complete septic workup/connective tissue screen is negative. And more IMPORTANTLY in the HISTORY, there is the rash/conjunctivitis that is often missed by the parents.
Coronary aneurysms are a longterm complication.
Even if it’s atypical presentation Kawasaki Disease, it’s stretching it a lot.
November 8th, 2011 at 11:32 am
This particular episode looked a lot my own medical records (minus the adultery and confessions). I had an infective brain abscess with DRESS syndrome (which is related to SJS and TENS), caused by allergies to my medications.
1) DRESS used to be called pseudo-lymphoma, so you get swollen lymph nodes (not usually that big), elevated white blood cell counts (largely basophils and eosinophils, however), high fever, shock, atypical leukocytosis (pancytopenia). Differential diagnoses include lymphoma and infection, and believe me, it can take a while for doctors to sort it all out and realize allergies are involved. When it finally gets to SJS though, it’s kind of obvious.
2) DRESS/SJS/TENS (and I agree, this looked like TENS), are not anaphylactic responses. These reactions are typically T-cell mediated, which means they are not instaneous. Skin testing is generally inconclusive. Blood tests are better, particularly new ones using basophiles. It may not be standard practice yet, but cutting edge doctors might very well use blood analyses. Mine did.
3) I agree with the posters who wrote that Kawasaki’s is a stretch here, but Augmentin is actually a much more plausible candidate for the cause of SJS/TENS.
4) Steroids are a treatment, and they can work very quickly in this context. Very, very large doses, and they work within hours, not days. They have to be given for weeks and months, however, as earlier withdrawals lead to relapses. A single extremely large dose of methylprednisolone saved my life when I had MAPs in the 50’s and a neutrophil count of zero.
5) It does seem to be true that once you start having a DRESS/SJS/TENS reaction, you are more likely to be react to other things. However, like others said, a hospital will not withhold all medications even if you are on a “drug holiday.” You will still get your steroids, pain killers, acteylcysteine (to protect the liver), and anything else you need and can tolerate. So that was wrong.
6) Symptoms are exaggerated and timelines compressed. It’s tv, and reality is a lot more boring. I started watching “House” when everyone told me my blog sounded like an episode. “House” is a lot more exciting than real life and everyone is so much better looking, too! I am surprised at how much they got right, even if they took a lot of dramatic licenses.
November 8th, 2011 at 11:35 am
Is it possible to have a brain condition that makes you give false confessions? It sounds a bit strange.
November 8th, 2011 at 12:52 pm
Kawasaki’s is not only a stretch, its a giant leap.
How does one get from rash, lymphedema and epidermal necrolysis (which was waaaay over the top, by the way, and covered waaaay too much body surface area) to Kawasaki’s?
No fever
No arteritis
No joint pain/inflammation
No edematous mucosa
No chance!
November 8th, 2011 at 1:16 pm
Well, I confess that I didn’t see the episode, but it scares me just how this medical downfall:
1- Kawasaki’s disease is a vasculitis that leads to aneurismatic coronary arteries, that also MAY cause enlarged lymph nodes, fever, skin shedding (unmistakable with SJS!), MILD liver damage and rash – they really tried to fit all this in one patient…
2- The patient had VFib!! He should have underwent urgent coronany angiography to diagnose/treat/exclude an infarction and the disease should be cristal clear
3-I’m a neurologist and I can say that no aneurysm is gonna make you lie unless you want to.
4-Clots in the brain give strokes, not seizures.
And so forth. Poor House…
November 8th, 2011 at 1:38 pm
MUCH better with Chase and Taub back in the mix. Ohhhh, much, much better. Never thought I’d miss Taub this much. His awkwardness is fun to watch – Park’s, not so much.
And yay, a title sequence!
I love how at the end House seemed to show Chase a modicum of respect for getting the diagnosis correct (”you three aren’t surfing enough”). It just stuck out as a neat contrast to the earlier seasons, when Chase was arguably the team member to whom House was the most abusive. That’s progress! The ending with the patient also harkened back to “the good old days” – everybody lies.
I found it interesting to ask myself how long I might have lasted in that room full of people potentially being liver donors for him. Committed adultery? Don’t care. Unscrupulous mechanic? You suck, and if you ripped me off I’m never going back to you, but you’re hardly one in a million. Gambled away the scholarship money? You’re a bastard, but you still deserve to live.
I think the “I’ve killed someone” confession might have been my breaking point.
All in all, I enjoyed this episode much, much more than the past few. The boys are back in town!
November 8th, 2011 at 2:09 pm
After rewatching and reading a little bit more about Kawasaki, I am unsure how to change my grades for the medicine in this episode or do I even need to….On one hand:
1. Vfib might be triggered by the carpet burn chemical contact (which is a stretch but possible – Kawasaki vasculatis in the coronary arteries made him susceptible and the chemical triggered it)
2. The aneurism made him “confess” and caused the psych symptoms as well as the seizure (I forgot to mention earlier: they did not consider his confessions to be a symptom because in “world House” everybody is a SOB of some sort. Being nice is suspicious; being a jerk is normal). It might have also caused the fever (or the Kawasaki caused it.
3. The Kawasaki was the main culprit and caused all the major symptoms; which were: liver failure (partial? They never said how damaged his liver was. I am pretty sure that no normal non-fictional hospital is doing so many liver transplantations like PPTH :), Skin necrosis (wow his chest was flayed but his mouth was all hip :). Considering that Kawasaki affects mucous membranes mostly :)), and lymphadenopathy.
Presenting it this way we might as well upgrade the medicine and the solution to B+ or even A-. However:
1. SJS (it did look an awful lot like TEN but then SJS and TEN are (may be!) the same thing on a different scale) does not affect the mucous membranes and in fact looks a lot like a 3rd degree burn. This guy looked exactly like that. In fact my first though was about that poor ballerina girl from season 5 that they flayed with antibiotics and I thought “The Augmentin did it!”. On a side note Augmentin rarely causes TEN. Sulphonates and antibiotics from the NON-PENICILLIN group usually do.
2. The first symptom was in his heart. What happened there and why did they not do some more research there? An angio would have revealed inflamed arteries which would have led to the autoimmune idea that much faster.
3. What exactly caused the acute allergic response to wheat?
4. Kawasaki usually produces mild symptoms over long periods of time not severe symptoms over a short one. He should have lesions and inflammations on his mouth and genitalia before his skin not the other way around. Neither his wife nor the hussie mentioned anything there?
So the medicine and the solution must be downgraded to D+. I don’t know guys. The interactions between the old and the young guns were interesting and the fact that Foreman was once again made to look like an idiot was the cherry on top of the cake :) The soap is a solid A :)
November 8th, 2011 at 3:46 pm
@ParaMedIV: they mentioned fever once. After the liver CT, if I recall correctly.
November 8th, 2011 at 4:07 pm
As House goes these days, this was a moderately entertaining episode. I’ve never cared about the medicine on House (and IMO, the majority of the audience agrees with me). Someone has an undiagnosed medical problem, goes to PPTH and House’s team “cures” the patient, generally after putting his/her life in danger numerous times. People watch mainly for the interactions among the characters. While I love this website, I don’t read it for the medical review (which will undoubtedly be bad). I read it for the comments and reviews of the soap opera. Other than those with medical backgrounds, who cares? And I say this as someone who has a PH.D in cell biology. In fact, even the comments about the medicine generally revolve around how bad it was, and mostly nitpick it to death. So here are the important questions of the week:
Why is Taub taking care of two babies? Where are the mothers?? Are they both really his biological kids??
November 8th, 2011 at 4:24 pm
@Daedalus About “House Crashing” replacing “Jump the Shark”, when we see Ted McGinley hired on as a member of the team we will know for sure…
November 8th, 2011 at 5:10 pm
And, really, a seedy motel is shampooing its carpets?
November 8th, 2011 at 5:53 pm
…condition… ;^)
The first thing I said to myself when Bob began confessing everything to the town was, “That’s a symptom!”
I did like the soap this week but I was disappointed that my guess of House’s building project being to make a live-in apartment for himself wasn’t the case.
I’ve also never had the feeling that Wilson’s office was right next to House’s office and the team room. I’ll have to keep an eye out for that when I watch repeats.
November 8th, 2011 at 6:12 pm
did anyone notice how just after the babies were screaming we see them one has a pacifier in!
November 8th, 2011 at 6:13 pm
Also I’m kind of curious, would a doctor say something as imprecise as “monkey DNA” ? There is no specific animal that is simply called a “monkey.”
November 8th, 2011 at 6:15 pm
I’ll check for the suggestions about office proximity given above.
I guess I was taken in by the “Walking looks good on camera. It gives the illusion of the story moving forward” effect.
November 8th, 2011 at 6:57 pm
Wasn’t the second CT to try to localize the damaged areas of the liver in order to cut that out and “hope he has enough liver left” for the antibiotics.
I am not saying that would work medically, I’m just a 2nd year and don’t know anything, but it is why they were doing the second CT that turned up healing liver.
November 8th, 2011 at 8:22 pm
Loved the episode. Everyone did a great job with the b character plots. However, House was the win for his “shopping bag”, his teethbrushing while conducting a differential, and the final scene where House reveals his building project to be raising the wall his and Wilson’s office. Wilson’s no was priceless. Wilson with the babies while giving Foreman an F-U for wanting him to be his House spy. Foreman is an awesome administrator.
November 8th, 2011 at 8:43 pm
House: “Two of you start treating with corticosteroids and epinephrine, while we run a scratch test” – is this sound medicine? Wouldn’t the steroids interfere with the test?
November 8th, 2011 at 8:59 pm
@ D-r Bulgaria
“Apparently you are not paying attention to details OR have a very bad spatial recognition skills. House and Wilson’s offices are adjacent – they share a balcony that House used multiple times to get to Wilson’s office when he locks his doors. Check episode 11 season 2 “Needs to know” for example or the one where he proves to Wilson he can be genuinely good and get a gratitude from a patient (Remember the “virgin birth” Season 5 ep. 11 “Joy to the world?): where House exits his office walks a few meters and gets to Wilson’s door – direction distance it fits perfectly. ”
Well… I DID say correct me if I’m wrong…. lol :) I will defer my diagnosis of ppth’s architecture to the experts.
November 8th, 2011 at 10:56 pm
After reading the comments, it seems I’m in the minority as I still enjoy the said. Its not as good as it was initially, but is anything, TV or otherwise?
November 8th, 2011 at 10:57 pm
*not said, SHOW. Oops.
November 8th, 2011 at 11:57 pm
if u watch carefully on the other season’s episodes, House sometimes sneaks to WIlson’s office by using the balcony that links House’s lecture room to Wilson’s office.
November 9th, 2011 at 12:04 am
House was his wonderfully Housey wanna-punch-him-in-the-face self this episode, which I always love. Great to see Chase and Taub back, and I always like it when the “Eureka!” moment is from someone besides House. I’ll admit when the POTW started talking about killing people, I initially went “You already saved a serial killer’s life!”. Far from a stellar episode, it was a great episode by this season’s standards.
November 9th, 2011 at 1:54 am
I’m apparently in the minority, but in the apparent beauty contest between Addams and 13 I choose Addams.
As for my most entertaining moment I’d say it’s Park letting the hooker believe what she wanted to. “Deal with it.”
I don’t think Park’s biggest problem is supposed to be awkwardness. I think the problem with her character is that she (the actress) just doesn’t really pull off what she’s supposed to be. She’s always ready to talk back to House (I thought I was supposed to be diagnosing the patient, not entertaining you.) but her portrayal just isn’t convincing.
I disagree that Addams is M^3^2 though. M^3 was a prude who was raised with her set of moral rules but felt threatened by everybody else’s. Addams, by contrast, is just as forceful with her morality as House is of his. Especially when it hits close to home. You can almost see her hands about to throttle that guy for wanting to hide his affair.
I also noticed a bit of irony about House. In his attempt to convince the staff that grey areas are necessary, he is so black-and-white and absolute in his pronouncements. If you don’t actually say everything that’s on your mind, that’s the same as lying, we’re told. Huh. I thought a lie was defined as an active attempt to make someone believe other than the truth. Omissions are sometimes just absense of noise.
But he did make a good point that people want to ignore the truth.
And as others have pointed out, how could Wilson have missed that his office was under construction? The other question is, how does that wall work with the next floor? Would be quite House-ian (assuming he’s not on the top floor) if that wall rose up into a hallway or someone’s office, temporarily blocking it.
November 9th, 2011 at 3:27 am
I’ve had SJS, and managed to come out of it remarkably scott-free (other than some messed-up fingernails due to damaged nailbeds, and dry eyes). That diagnosis seemed like a stretch – where would the heart problems and seizures fit with SJS? In fact, the ONLY symptom that fit with SJS was the peeling skin – and even then (as has been pointed out), there didn’t seem to be any mucous membrane involvement.
The “monkey DNA” bit was also a stretch. I doubt anyone could look at a gel at a glance and tell you what species it came from.
November 9th, 2011 at 4:12 am
@Brian (the other one–I’m not talking to myself): If you square M cubed, you get M to the sixth, not M to the ninth. That’s what Tommy meant.
November 9th, 2011 at 4:50 am
Much better episode than the previous ones. A great deal of fun! Despite the medicine being sloppy, I enjoyed the soap a lot. I just wish that Park would go… When are they going to do a 2-part episode? I’m hoping something with the quality of House’s Head and Wilson’s Heart will happen again. Those were epic episodes!
November 9th, 2011 at 6:27 am
@PokieG: Thanks for relating your condition to this episode. The SJS diagnosis and treatment made more sense to me after reading the description of your own illness.
November 9th, 2011 at 8:04 am
From the Dept. of Pick Pick Pick: Dr. Scott’s saying that Bob “collapses while in flagrante delicto with the local beauty queen” doesn’t sound quite right – I’d always taken that phrase to mean “caught in the act,” such as having Bob’s wife walk in on them, which didn’t happen.
I kind of felt for Bob when he lies to his wife at episode’s end, allowing her to think that his confession about the cheating was as false as everything else he’d confessed to. If I were given the opportunity to make everything go away and make my wife happy again with just a few words, I’m not sure I’d be able to resist that temptation.
November 9th, 2011 at 11:30 am
Folks,
I am not from a medicine/chemistry/biology background. So correct me if I am wrong.
If you have DNA samples of two humans, won’t that be sufficient enough to determine if these humans share at least one common parent?
The reason this is important to me is because:
1. House claimed that he had already obtained (tissue?) samples from both the kids.
2. House is supposed to be a brilliant detective.
Cheers!
November 9th, 2011 at 2:19 pm
Lex,
The test you suggest would tell you whether or not the kids both have the same father but not who that father is. So I still ask you….is Taub the father of both kids, one of them, or neither???
November 9th, 2011 at 6:08 pm
They all accepted SJS because they all know that SJS is sometimes very spontaneous and purely idiopathic.
Of course, they could have tried to solve the medical mystery, but to what end? Treatment would have made it worse anyway so the general emotion in the room was “What’s the use?”
And because most treatments aggravate SJS, they also probably thought that all the other symptoms (sans the heart failure) were all due to the hospital’s medications and not the disease itself. This was probably a stretch, but again, they were thinking “what’s the use?” The man was going to die anyway.
I think the final diagnosis was very farfetched though. Cleaning products, really? Bacterial infection would have made more sense.
November 9th, 2011 at 8:10 pm
Um, that wasn’t remotely Kawasaki’s. Seriously, not even vaguely similar. Wiki it. It affects kids under 5, not just Asians, and has a very specific constellation of symptoms, of which he had NONE. Strawberry tongue? Cracked lips? Scleral injection? erythematous palms? Peeling of the palms and soles (not freakin’ everywhere!)? This diagnosis doesn’t fit at all. Scott, how can you say it makes sense?
Just awful. Total BS episode.
Good to see the old team tho.
November 9th, 2011 at 9:20 pm
Yeah, it was too weird that everyone didn’t jump on the confessions as a symptom. But this was still a fun episode, interesting patient and great interactions. So glad to see Wilson being an understated laugh riot again. Even Foreman came alive again. Those years of extreme melodrama sank the show and frankly buried Laurie’s best talents.
But the hidden door stumped me. Knew Wilson’s office was next to the team’s, but what was the point of the door?
November 9th, 2011 at 9:39 pm
@Lisa. It’s so that he doesn’t have to knock to be let in by Wilson any more.
November 9th, 2011 at 11:24 pm
I’m not a doctor, but the most farfetched point in the episode was Taub “shredding” a cardboard file folder with a metal clasp.
November 9th, 2011 at 11:59 pm
@Lex : Actually a valid point Dude :) Having the DNA from the two babies would be enough to prove (or disprove) if they share a parent) Which would be enough to prove (or disprove) if Taub is the father of BOTH. However!
1. If they share a parent that means that both the nurse hottie and Rachel slept with the same man. Could be Taub (and we know they both slept with him) but could be someone else (may be they did a threesome with some guy after learning about how “honest” is Taub with them) . We need Taub DNA he is still the father of both. The second scenario is far fetched of course but House laways wants to make sure. OR the Nurse and Rachel are related!!!! (Plot twist!) So we still need Taub DNA to be sure.
2. The babies do not share DNA strands from one parent – well that could mean that one of the girls is actually nastier than we know OR that both are. We do know his wife was sleeping with some other guy but nothing stops us from assuming that nurse Hottie Sluttersun is banging the entire hospital! Again we need definite proof.
And finally the whole point House was trying to make was not that the girls are sluts but that Taub really wants to know and is dying of curiosity. A point he almost proved but ultimately failed as Taub just did what he wanted to spite him. And House actually respects other peoples decisions :)
I am pretty sure that Taub will be a focal point of other subplots in this season. I am actually loving this guy more and more after every episode :) He is as cute as a puppy or a tiny buldog :) As for “why was he hanging around with two babies” we can safely assume that he is not married or living with either mom but is seeing his children on a regular basis like any good paps with some parental rights. We will see more later.
November 10th, 2011 at 1:03 am
Greg House is the harbinger of death. He will lead them all to their end.
End of line.
November 10th, 2011 at 4:55 am
Just watched a House Marathon on Cloo (really? that’s the best name they could come up with? I liked Sleuth better).
Anyway, it’s after House was shot, thinks he botched the Addison’s guy case (cuz Cuddy & Wilson hid it from him). It shows him going out onto his balcony, scaling over to Wilson’s balcony, then going into Wilson’s office to steal that first (of many) script of Vicodin (that will later be caught by Tritter).
So yeah, the wall fits the canon of where the offices are located ;)
I LOVE that Wilson doesn’t flinch, jump, or even look surprised, just annoyed. And the look on House’s face as the door closes…..you just KNOW that Hugh Laurie loved it immensely. Every now and then we get a glimpse of the real HL shining thru House’s eyes–that was one of them.
November 10th, 2011 at 6:07 am
@Rak
Oh good. My only doubts were regarding the existence of such a test. Many thanks!
So now, assuming that the mothers are known and that the kids have a common father, we can deduce that the two mothers had at least one partner in common.
Given that the kids were conceived at almost at the same time either
1\ Taub is the father or,
2\ Both the mothers were cheating Taub simultaneously and that too with the same guy.
2\ sounds rather farfetched but it’s soap after all ;)
November 10th, 2011 at 6:32 am
@Rak: The Venn diagram of ex-Mrs. Taub and Nurse girlfriend intersect at Taub. If both kids have the same father, they’re both Taub’s. If they don’t, then at least one isn’t his, maybe both. Lex is correct. House has all the info he needs to satisfy his morbid curiosity.
November 10th, 2011 at 11:17 am
@ Hibbleton
House’s curiosity can’t be satisfied if it turned out that the babies didn’t share DNA. House wouldn’t know if one or none were Taub’s. The only way he can be satisfied now is if they are both Taub’s. Either way, Taub shredding the evidence would mean nothing b/c House would continue to hound him until he knew. I’d assume if those actions stop then yes, House knows they share DNA and likely it’s Taub’s and he just wanted to mess with Taub and see if he can get him to question it as well.
Hospital Layout: Not sure if anyone responded about where Wilson’s office has been in the past, but I believe there is an episode where House goes outside from his office, jumps a brick half-wall and then comes in Wilson’s office, so I believe they are next to each other. Atleast now they are.
November 10th, 2011 at 11:17 am
Kawasaki’s may be windborne:
http://vitals.msnbc.msn.com/_news/2011/11/10/8734910-kawasaki-disease-may-be-blowing-in-the-wind-researchers-say
November 10th, 2011 at 2:04 pm
I always thought it was some Japanese guy spreading it around. Let the good times roll!
November 11th, 2011 at 1:42 pm
I wanted to see Taub’s wife have a total meltdown on him. That would be good soap.
November 11th, 2011 at 2:53 pm
The only additional nit-pick in this episode for me was the method of checking the paternity.
It looked like they were using rather old tech. Perhaps PPTH need some investment in their genetics department.
Something like this would be better (if lacking in the drama of shredding): http://en.wikipedia.org/wiki/File:Str_profile.jpg
November 11th, 2011 at 8:10 pm
@ Brian:
“Sorry for the double, but Tommy Turtle? 3 Squared is 9, not 6. ;)”
When you raise an exponent by an exponent, you multiply the exponents. E. g., 10²^³= 10^6. (2×3) Or in English, 10 squared = 100; 100 cubed = 1,000,000. Which is indeed 10^6.
This has the property of transitivity, too: It doesn’t matter in what order the exponents occur. 10³^²= 10 cubed = 1,000; and 1,000 squared = 1,000,000. So you still get to 10^6 — as in the M³^².
Dr. Scott has referred to Martha M. Masters (from S7) = M.M.M. as M³ (M cubed, but I didn’t think I could do superscript in this forum. Cool discovery! — but only up to cubed, can’t do 6th power :). So, M cubed refers to Masters. I think the problem was that you were seeing the 3 as a base number rather than as an exponent of M, correct?
Therefore, the post was that Adams is Masters squared (Masters²), with a pun on also being twice as “square” (colloquial, meaning conformist to a derogatory degree, “goody-goody”) vs. “squared”. So the math was correct in the OP, and the pun was missed.
I’ve previously mentioned empathizing with certain of House’s problems. I imagine a lot of people miss a lot of good gags, puns, and far-stretched references in the show as well. (Such as Foreman paraphrasing Thomas Hobbes in one episode.) Another reason I like the show and am sorry to see it go downhill.
I’m glad I could clear that up for you. Some more math creds in my sig. (non-commercial link).
November 11th, 2011 at 8:30 pm
Crikey, Tommy, you’re such a freaking pedant. And now you’re a mini-mathematician? I’m losing wood.
November 12th, 2011 at 12:40 am
Here’s another one:
http://www.housedailydose.squarespace.com/
“Dr. Harley Liker, Medical Consultant for House, M.D.”
How many “medical consultants” does this show have? And are they ALL idiots, or just your average, run-of-the-mill “star-f*ucks?” And what happened to Dr. Sotos? It would seem that the technical advisors of this show are as disposable as super-absorbent tampons.
November 13th, 2011 at 1:56 am
@ Epic Bitchery (how apropos)
“Crikey, Tommy, you’re such a freaking pedant. And now you’re a mini-mathematician? ”
Who said “mini”? Try the (non-commercial) link in this post’s signature. (my own original writings, and I don’t get paid anything if you visit.)
Someone criticized my math, and unjustly so. Do you not think it proper to help them to understand why it was correct?
“I’m losing wood.”
I surely hope so, since as said, I’m a dude. (And you’re an Auzzie, like Chase, judging from the “crikey”?)
I’ll try to hide my other areas of knowledge as best I can. (not really) See why I empathize with House? :-D
November 13th, 2011 at 5:25 am
TT: I think my criticizing your math was “justly” done, your post was “M3^2″ which I read as, well, 3 squared. Not M cubed, squared. Given that the “3″ wasn’t over the M in the traditional manner of an exponent.
November 13th, 2011 at 6:52 pm
@ Brian:
“TT: I think my criticizing your math was “justly” done, your post was “M3^2″ which I read as, well, 3 squared. Not M cubed, squared. Given that the “3″ wasn’t over the M in the traditional manner of an exponent.”
As said before, I didn’t know that one could use superscripts (such as exponents) in these blog comments. Many blogs forbid HTML encoding by commenters, because of the possibili8ty of posting malicious code. It was a trial-and-error serendipity.
Also, I had previously referred to Dr. Scott’s reference to Masters as M cubed, even though I didn’t know *at that time* that I could use the same computer code that he, as owner of the site, can use. So M cubed was made quite clear.
In any event, MMM = M cubed, because adjoining constants and variables in math are multiplied, not added. MMM = M³, not 3M (which it would be if they were added). For example, the classic quadratic equation:
ax²+by+c = 0
We multiply b times y; we don’t add b and y. Same with a and x².
Even if we use your interpretation of (M3) squared, which disregards the fact that numerals precede lettered variables in math expressions of quantity vs. exponent (3M, not M3), then M3 squared = 9M², not 9. (3x)² = 9x².
Which supports the friendly explanation offered to you: You took 3 to be a base of the exponent 2, rather than my attempt to use Dr. Scott’s long-established use of M³ for MMM, at a time when I didn’t know what, if any, markup was allowed.
(@ Dr. Scott: Is it posted anywhere exactly which markup is allowed and not allowed?)
This whole issue would have been avoided if I’d known I could use the cubed and squared HTML encoding. Unfortunately, that wasn’t known at the time.
I don’t know about you, but I’ve spent about enough time on this triviality. So you may have the last word or words, should you like.
Cheers.
November 13th, 2011 at 10:29 pm
OK, you math nerds, figure out this *poem*:
{[12 + 144 + 20 + 3(sqrt(4))] / 7} + 5(11) = 9^2 + 0
November 13th, 2011 at 10:46 pm
I have a headache.
@Elle: All I got out of that equation was “squirt.”
November 14th, 2011 at 12:06 am
Hibbleton, re Taub, for some reason I thought that neither baby was his ex-wife’s, but rather from 2 different extra-marital affairs. How quickly we forget. That being the case, if the babies share DNA then Taub is pretty sure to be the father of both. However, if they don’t share DNA, w/o a sample from Taub, there is no way for House to know whether Taub is the father of one or neither. So he may or may not have all the info he needs to solve this vexing problem. I think that’s correct, but my brain may be fried!
November 14th, 2011 at 5:38 am
TT: Thanks, I took Algebra in high school too.
All I can say is is misinterpreted what you had intended to say. You used the up caret for the “2″ and not for the “3″. I didn’t factor in the “M” at all and simply saw “3^2.” Which, as I’m sure you know, is “9.”
I was a misinterpretation probably further compounded by having just woken up and not all of neurons were booted up yet. ;)
November 14th, 2011 at 7:55 pm
Elle 81=81 piece of cake :)
{[12 + 144 + 20 + 3(sqrt(4))] / 7} + 5(11) = 9^2 + 0
{[176 + 3(2)] / 7} + 55 = 81
{[176 + 6] / 7} + 55 = 81
(182 / 7) + 55 = 81
26 + 55 = 81
81 = 81
November 14th, 2011 at 8:03 pm
@ Epic Bitchery:
“I have a headache.”
That’s what they all say …. (sigh) xD
“Elle: All I got out of that equation was “squirt.””
ROFLMAO!!! ….. +10 (Is that math doable for you? Hint: it’s a compliment.)
@ Elle:
81 = 81
Any extra points for doing it in one’s head?
@ Brian:
Yes. already agreed about the confusion caused by not using the superscript as Dr. S. does. Sort of figured it would be understood, but the caret would have guaranteed it. It’s all good. ;D
“TT: Thanks, I took Algebra in high school too.”
Um, “too”? Sorry — can’t help it — but TT (my common monogram elsewhere on the web, thanks ;) took Algebra in *junior* high school (Grade 7), at age 11. The high school ran out of math classes after I took Calculus in 11th grade, @ age 15. So in senior year (@ 16), they let me out an hour early so I could go to the nearby college and continue in math.
Not bragging: Been a gross under-achiever; forgot most of the advanced stuff; and it does indeed make it difficult to relate to the majority, just like Dr. House. (Even a very bright majority.) Another reason I feel House’s social pain. But was never as nerdy as Masters, and actually dated, too.. ;-D
Test of markup:
M³
Hmm. Bold, italics, and strong tags work, but while the superscript entity works (”& sup3 ;” without the spaces after the ampersand and before the semicolon), the superscript tag, using angle brackets, doesn’t. Neither do font tags. Interesting.
Looks like
strikeworks, too.If that works, it should show M cubed in bold italics. It’s working in preview. Hope it’s not held for Mod due to markup, but wouldn’t be surprised – one can’t be too careful these days.
November 14th, 2011 at 8:20 pm
(sorry for the double. Wish we could edit our posts.)
@ Elle:
Instead of “sqrt” (which was clear to me, though EB was funny), how about:
√
Ampersand radic semicolon — with no spaces in between.
& radic ; — take out the spaces.
Cheers,
TT.
November 14th, 2011 at 10:16 pm
@Tommy, it’s a *poem.* Can you translate it into words?
November 14th, 2011 at 10:36 pm
“How do I love thee? Let me count the ways.” ??
or,
“There once was a girl from Nantucket…” ??
November 14th, 2011 at 10:40 pm
“A dozen, a gross and a score,
plus three times the square root of four,
divided by seven,
plus five times eleven,
is nine squared and not a bit more.”
I knew I married a college graduate (whose into limericks) for SOME reason.
November 14th, 2011 at 11:39 pm
@ Elle:
Sorry,
mostall of the limericks I know are much too bawdy to post here. Personally, I like Epic Bitchery’s second try, except that it’s always been the man from Nantucket. If a girl could do what that guy could do, that would be both a medical marvel and a sure-fire hit at the next bachelor party that House throws. xD@ MedMavRx:
Clearly, your spouse didn’t marry a college graduate, or colleges are really slipping these days. ;-D “Whose” indicates possession. The contraction of “who is” is “Who’s”. Some help for you by clicking the (non-commercial) signature to this post. Cheers.
November 14th, 2011 at 11:50 pm
@ Elle:
A mathematician named Paul
Has a hexahedronical ball
The cube of its weight
Times his pecker, plus eight
Is his phone number — give him a call!
(Maybe that one’s barely inside the lines? … and again, sorry to 2-post, but it took a bit to dredge up a math-related limerick.)
November 15th, 2011 at 1:26 am
@ TT: I can’t believe that I made a grammatical error. The shame! I’ll surrender my US Citizenship and subscription to Reader’s Digest Large Print Edition, and move to Colonia Libertad immediately, spending the remainder of my pathetic existence with the rest of the world’s philistines and “barely literates,” completely devoid of the company of microchips and intellectual wonders such as yourself. Woe is me.
Or you can just go fuck yourself, you freaking pedant!
November 15th, 2011 at 8:16 am
@MedMavRx — ding, ding, ding! You got it!
@Tommy Turtle — you’re getting annoying. You’re also living in a glass house; there is faulty punctuation in your last post, unless you’re British.
November 15th, 2011 at 6:08 pm
@ Elle:
“you’re getting annoying”
House is very annoying to those around him.. But the others find some of his quirks interesting, and apparently, so do millions of viewers around the world. As said several times, I empathize with this guy, because I’ve pretty much lived in his shoes all my life, other than the minor details (not going into medicine as a profession; not hooked on painkillers or prostitutes, etc.).
“there is faulty punctuation in your last post, unless you’re British.”
One was held for moderation and one wasn’t, so not sure which you mean. It would have been more helpful if your post had cited the error.
The only possibility I see ATM is in
“Times his pecker, plus eight”
If you think that the comma is superfluous in en-US, the reason it’s there is to serve the same purpose as parentheses in math:
It’s (B³ times P) + 8, as opposed to
(B³) times (P + 8), which it would be without the comma. Or at least, it would be ambiguous.
(B = weight of ball; P = length of … )
In any event, a typo, of which I make plenty despite the preview function (ever tried typing with flippers? ;). is different from a misuse. Dr. Scott has a pet peeve about shocking flatliners (and many other peeves); one of mine is the continued decline of language in the US, as schools focus more on classes in Political Correctness than on the fundamentals. (A friend who is a teacher in the public schools told me exactly that.) Text messaging, IM, etc. also contribute. My thoughts on that, in parody form, are in the (non-commercial) post found by clicking this signature.
@ MedMavRx:
Speaking of parody and satire, favorable comments are of course appreciated, but having trolls flame at one’s parodies (or comments), especially socio-political ones, is the ultimate compliment. It means the author has achieved the goal of touching a nerve or hitting a sore spot. Bullseye. Thanks for the kind words, my friend. :D (Brushing it off would have taken that away.)
Speaking of posts being moderated, at a forum where I’m a Mod, that type of language would never be permitted. Not asking to have it deleted — it shows the mindset of the flamer, and allows us to “consider the source”. Cheers.
November 21st, 2011 at 4:13 am
This may be history’s most egregious instance of Soap Opera Wasting Disease, which presents with any symptom that doesn’t interfere with the patient’s attractiveness; in this case, causing skin to peel off his flesh in sheets everywhere but his face (which had a single tiny mark on one cheek).
November 26th, 2011 at 10:44 am
I think the writers don’t know what SJS is -
they kinda made it show like some untreatable disease.
(conservative treatment, hello!)
I mean I don’t think they even know it is one of the side effects from various drugs
To think that the viewers despaired at the diagnosis!
Also I don’t think they know about Kawasaki.
Of course, I may not know what rare signs and complications exists in Kawasaki,
but aneurysm in brain, not coronary artery?
the pattern of rash, skin falling off, so much to say!
December 1st, 2011 at 3:46 pm
The one thing that got me (medical geek, but not a doctor) was that they said “nothing we can do” about SJS, implying that he was definitely screwed and going to die. My understanding is that it’s a horrible thing to go through, but with proper care the patient will probably make it – or am I off base?
December 2nd, 2011 at 7:26 pm
What’s wrong with Augmentin for Lemeierre’s?
Yeah Flagyl and clindamycin are maybe more indicated, but I don’t see any problems with Augmentin other than resistance.
Maybe I’m just a novice…I am a student, after all.
December 3rd, 2011 at 7:24 pm
Can anyone sell me a copy of House MD series 8 episode 5 and 7 on DVD any region format.Or tell me where I can get them??
I need before Xmas.
December 7th, 2011 at 1:02 am
@ Allan Hamilton:
I have both on my aged DVR, which unfortunately has apparently lost the capacity to burn DVDs from its HD. (all, not just copyrighted stuff.) Find a friend who has it recorded with a device that still burns DVDs. Or go to the Fox website, where you can watch the episodes. There is advice on the web about how to then copy them from your temporary download folder.
Naturally, you’ll then send a check to the copyright owner (Fox, probably),. for the appropriate royalties, as I would never advocate a criminal act, nor assist anyone in committing one.
And you’ll probably get more attention by posting your query at the most recent episode, which is the last one until after New Year’s, IIRC. — Ep 8, “Perils of Paranoia”. Note the more active traffic there vs. since your message was posted here. GL.
December 8th, 2011 at 1:46 am
No Can do Tommy I live in Australia and they will not download outside of the USA
December 14th, 2011 at 4:40 am
[...] P.S：部分内容编译自美国医生Scott的剧评：" HOUSE Medical Reviews" [...]
December 20th, 2011 at 10:45 pm
I feel the first differential of epilepsy was poorly adressed.
The seizure he had while havng sex certainly wasn’t brought on by flickering lights, so why would that test be conclusive ?
From what I gather, there’s alot of different cathegories for epileptic seizures, and even quite a lot that doesn’t really fit either cathegory.
I’ve not studied medicine, but my daughter has epilepsy (presenting with different kinds of seizures) that doesn’t trigger from flickering lights.
December 31st, 2011 at 10:26 am
So, what happened to the electric wall? Everything has changed? Nope. Just a another gimmick!
March 17th, 2012 at 5:13 pm
I’m surprised that you don’t have it listed as a huge mistake that Kawasaki’s Disease was diagnosed in someone past childhood. It’s part of the diagnostic criteria that the patient is under the age of 5. It also results in heart damage, not just an arrhythmia. Someone already mentioned that, I think.
Kawasaki Disease is a rare vasculitis, which strikes children. In the U.S. over 4,200 children are diagnosed with it each year. 80% of patients are under the age of five. Patients usually begin with a fever that lasts at least five days, despite fever medications. – Vasculitis Foundation.
It could have been possible that he had Takayasu’s Arteritis which is another form of vasculitis and effects the major arteries in the body.
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