One of my favourite details about this episode, is how the lecture room went from being just the compulsory students, to slowly filling up through out the episode, until it finished and it was overflowing with people hanging out in the aisles/doorways.
That was specifically what I came to the comments to say. I loved how they did it subtly, as well. Each time there was a break from the visual of the classroom they came back and there were a few more people. I think I might watch this episode again.
It also exceeded the time period by 20 minutes (when Cuddy walked in). But the story was so compelling and personal, yet so educational at the same time. This episode is in my top 5, maybe even top 3.
@@richarddavis2107 actually House is rated top 2 most factual and realistic TV show. The only unrealistic and not factual part is House himself as such a person would not be allowed to practice medicine.
An interesting thing that we get hints of in later episodes that deal with House's past is the fact that prior to this he was a fairly athletic person, and specifically he was big into running. So after his brain (for puzzle solving), his legs were the next most important parts of him to himself, which adds even more reason to why he was so insistent on not having one of them amputated, even at major risk to his life. The irony of course being that he could have then got a prosthetic and still been able to run, but instead he's now in a situation where he still has both legs, but one is in too much pain for him to be able to run.
Yes totally! I definitely agree here. Though he may have had chronic pain with the prosthetic too… but I think the likelihood is lower than the outcome from surgery he did have 🧐🫣
It's a good backstory for him to have. His stubbornness causing him to be in the situation he finds himself stuck in. Considering he's the one who usually gets everything right having this flaw adds to why he's pushing the puzzle solving to the extreme beyond needing the distraction. A feeling I know all to well, I'm on a constant race looking for anything that will distract from the pain. It's like being stuck in an endless corridor filled with doors, and someone with a knife is chasing which would be fine if it would end once you stop. But it's like the knife goes in and somehow I keep on living. So the best thing I can do is run fast enough finding a door that's thick enough to keep it sort of at bay for a few minutes or if I'm lucky a few hours to recover from the worst of it until it starts all over. But something I will never be able to understand is why he's chosen to not remove leg afterwards. I get that he wanted to keep it in the first place though had it been me and I had to choose between the pain and the leg. It would suck having to learn how to walk again but I would have done it in a heart beat if it meant I didn't have to deal with the pain. That's one thing the show never really went into even when he got the treatment which helped him for a few months. He got to live pain free again and when it came back he'd rather be in pain than finally remove it. I understand that it was drama and for the story they needed him to be in pain. But being and haven spoken to a lot of people in chronic pain. There's not much we wouldn't do to take the pain away.
@@dcworld4349 Oh, thats easy... He would have to admit to himself he was wrong. And thats really hard for House (most people really). Its basically the sunk cost fallacy, he already endured all that pain, he isnt going to quit now is he?
I once almost lost three fingers on my left hand, all but the pinky and the thumb. My greatest two passions were playing the guitar and programming. If that had happened, I think I would've been quite suicidal. But they healed just fine although they were literally burned to the bone and I don't even have a scar. But I think I can really understand how he felt.
@@jeschinstad Not that I would jump at the chance of losing my leg and obviously to those that experience it. It will be a defining moment of your life. But even back when this came out prosthetic legs had come incredibly far in giving people back mobility. Now they are even so good that there are athletes who run faster with their prosthetics than they ever would be able to run with their regular legs. Fingers and hands is a completely different story. My pain has cost me everything, the only thing I have left is my hands and my mind. I'm not looking to lose anything more life is hard enough as it is. But If I had to choose I'd rather give up my voice, even the ability to walk over my hands/fingers. It wouldn't be a choice. Couple of years ago I was wasn't able to use my right hand at all for 8 months and I almost went crazy. Not being able to write as fast as I'm used to, not being able to play music. Only being able to play certain games that were turned based with my left hand. I had been afraid of something happening to my hands for a long time, and I don't know what I would have done if the damage was permanent. The thing that kept me going was seeing that I was making progress to getting my hand back.
"LIFE IS PAIN, I WAKE UP EVERY MORNING IM IN PAIN, I GO TO WORK IN PAIN, YOU KNOW HOW MANY TIMES I'VE JUST WANTED TO GIVE UP? HOW MANY TIMES I'VE THOUGHT ABOUT ENDING IT?" - House by the end of the series
Replace "pretty" with "relatively". They're synonymous in this case and it begins to make more sense. He's functional and not suicidal. To me, that's pretty happy. Not "happy" or "very happy", but "pretty happy". It's a decent outcome.
The drama of this episode becomes more interesting when the patient is revealed to be House, but I find the way House decides to teach about diagnostics very smart. Three real case patients, each one of them with leg pain, in one case doctors try to do too much (because Cameron always wants to fix everyone's heart), other one is receiving the wrong treatment, because he is not upfront with the cause, and one more that is not receiving proper treatment on time because the cause is not evident right away. I think the way House presents this lecture is brilliant and if students are smart, they will keep several lessons in their head. I saw another MD reacting to this episode, and he was very critical of the scene where House says "eeeh! the patient's dead" and when the students say they didn't have enough time to run any tests, House responds "you had time to examine his leg". That other reactor said something about protocols and sequences, and how doctors in real life are told to examine the patient first... But last time I had to take my son to the ER with an injured knee, the doctor was in the room for less than 15 seconds, talked to me, asked my son where it hurts (he is autistic and could not describe in detail, just signaled the genera area of the knee) indicated the staff to take x-ray and to give him ibuprofen. Didn't inspect the knee, didn't look for signs of damaged ligaments like loose mobility of the joint, after the x-rays showed nothing broken or dislocated, he said "it's just a sprain, take him home, give him some ibuprofen for the pain and use ice. Maybe follow-up with an orthopedist." After about a month of dealing with the insurance, we got the appointment with the orthopedist, and MRI, and a diagnostic of torn ligament, torn tendon and fractured meniscus. My son had to wait about six weeks to start treatment (physical therapy) not knowing at that point if he was even going to require surgery, so yes, there are doctors who will not even look at the leg.
my aunt went to a doctor with pain in her knee, the doctor didn't even do an x-ray bu an ultrasound... on a freaking hurt knee, it showed nothing, but she still felt pain so went to another doctor and this one did an x-ray and it showed she had a broken bone above hern knee
My mom has gotten waved off by doctors so much I can't believe she still trusts them. She once went in because of sweating. She couldn't sleep because her bed would become soaked in sweat. She was constantly drinking fluids to not get dehydrated. Doctor gave her paracetamol forte. She asked him "really?" and he just looked her right in the eyes with a smile and said "yes! It's very good against sweating!". Later turned out it was a side effect of two medications she was taking... She lately went in for sinus issues, I told her it might be polyps - it at least fit all her symptoms. But the doctor said it was allergies and gave her antihistamines wich did nothing. I think it is because she's a woman in her late 50’s. Doctors don't take her seriously. Wish she could find a doctor who listens to her.
I like how you know how to play ball with the premise of some of these shows. We know that house is filled with inaccuracies but you are able to not let those bother you and still engage with the "what if" scenario and explore it in a fun way. Thank you.
@@JessTheMD I second that. I have seen Doctor Mike, who I like very much and seems to be a very good at doing the you tube Doctor thing, fail in the aspect of reaction to TV shows. He never seems to understand that they are TV shows so the doctors doing things that nurses usually do is so the main characters can get screen time.
Yeah, I've also heard other reaction channels make the Horses not Zebras comment. Failing to realise that this is already covered in one of the first episodes. If someone is actually getting to see House, they have already been checked for all the types of horses, even the less common ones.
my brother just recently pointed out that House is suppose to be Sherlock Holmes but if he went into medicine instead, Wilson is also his Watson, and now I can't un-see it and it makes everything make way more sense once you figure out who everybody is suppose to be
I mean yeah I thought that everybody compares House to Sherlock Holmes but for medicine. It’s super obvious. He also has a drug addiction just like Sherlock and lives to solve cases. House did never get a Morairty as a rival or enemy. But I think that just House and all of his baggage and life happening to him. The series never needed an antagonist
The beauty of Hugh Laury as House is that he’s a comedian by trade, a bit of Fry and Laury is legendary. “You’re dying,” as a delivery, with the editing, is gold. It’s supposed to be funny, it’s okay to laugh!
Imagine being that other doctor who can't figure out why he keeps getting sick all the time, and you get the message: "House covered your lecture today and by the way he diagnosed you with lead poisoning, you should stop using that mug."😆
As if the students needed more evidence that House is the best diagnostician, he makes a diagnosis on the doctor he's filling in for while giving a lecture to that doctor's class that's so engaging the auditorium gradually fills up with other people who don't even have to be there, but just want to hear the lecture.
@@JessTheMD -- 19 minutes isn't long, lol, trust me! I watch a Reactor that reacts to music; so far, his record for longest video for shortest song is - (just under) 23 minutes reacting to a 1-minute song (it's actually a 16 bar challenge submission, but close enough) AND, his longest video to a single song/video (not live, not podcast, not album review) is too my knowledge -- 1 hr, 11 minutes & 14 seconds reacting to a 2 min & 50 second song! His "die-hard" subscribers/fans respect him for it and enjoy his videos because of who he is and he's funny as hell and it's extra funny because he sometimes draws them out to over an hour just to pizz off the haters 🤣🤣🤣 Ray is great!!! Oh, my point is, don't worry how long the video is if your "die-hard" followers are enjoying it and not complaining! and there is my unsolicited opinion, backed with some actual instances - although vague bc I normally don't call out other reactors by channel names on a reactor's channel - of lengthier, enjoyable videos happening :) Now, I will for the first time, watch you and your video, lmao 😆. I don't know why I read some of the comments first, I very, very rarely do that. 🤷♀
I've watched this episode a number of times, but I still get teary-eyed listening to House and Stacy argue about cutting off his leg. It's such a powerful scene.
I remember the first time I watched this episode. Being someone who lives with chronic pain, the revelation that this was House's story hit me unexpectedly hard.
9:44 I know I'm a rare exception, but this is how I'd need to be told I'm dying. I overthink everything and every second you delay those words is false hope. I need a fast and direct statement with no wiggle room or ambiguity.
The snake venom volume thing seems to catch a lot of medical professionals off guard. House knows this because he is the medical Sherlock Holmes, not because we expect doctors to know about snake venom production. Probably the best episode of the first season of the show and in the running for best overall. We finally get his backstory, it ties in to why he and Stacy have a complicated relationship, and it gives a subtle passage of time to show how long Cameron, Foreman, and Chase have been working with House since they have not one, but two different leg issues they’ve been a part of in the past for House to draw on along with his own case.
Mildly disagree. We see in later seasons that House enjoys watching nature documentaries, so him knowing about snake venom volume isn't an out of nowhere thing. It is however based entirely on his desire to know things and not something that's reasonable to expect of any random medical professional.
I feel like House's explanation of "You don't need to know about snake venom, unless your patient needs it" is pretty good. Sure, chances of you ending up needing it is closer to 0, but it might also help a little.
Nobody tests snake venom to determine species in North America. First, there are only a handful of venomous species, most of which are pit vipers (we also have a few coral snakes, which are elapids). Coral snakes don't even occur in New England where House lives. Second, you don't treat with a different antivenin for each pit viper species. There are only like two antivenins in N America - Anavip and Crofab, and they both treat all our native pit vipers, regardless of species. You treat envenomation based on symptoms, and knowing the patient was bitten by a snake plus they are showing symptoms of pit viper envenomation is sufficient evidence to support treatment with antivenin.
I was seeing an occ doc for an occupational physical. She asked me an odd question: did you used to have more leg hair? Well, yes, I did. I assumed my jeans rubbed a bunch off. After the physical was over, she recommended I have my primary care doc order thyroid test. I asked why. She said, “your weight, dry skin, and loss of hair on your legs could indicate hypothyroidism”. My PCP ordered labs and I am now on synthroid for hypothyroidism. Good catch by an attentive occ doc.
I love that at first he has five to ten students, but on each panning shot the number seems to double. Every doctor in that hospiral is like "ok it'sy break, time to go hom-... House is goving a lecture!??!?! Count me in!" Because they know he's an amazing doctor, but they'd never want to actually deal with him.
I think this episode was my most favorite from the tv series. It had great setting and pacing, it escalates well, and delivers a great climax that brings it back to the show and reveals more about the main character. It also really showcases how a "head of diagnostics department" (a thing that wouldn't normally exist) would operate differently than most.. more like a wordly knowledgeable Sherlock Holmes but with a focus on medicine instead of criminology. The lecture itself, while it kind of flexes House and his department, does at least drive home a point to not get complacent in the diagnosis. "Actually look at the problem", or "don't judge a book by its cover", or "the patient isn't going to easy to deal with", etc. While not everyone needs to know the amount of venom a snake might retain after biting, keeping an eye out and investigating the things that don't quite fit can mean catching problems sooner and saving more lives. I liked the insight you've given in this episode, and surprisingly there was little medical gaffs other than maybe they were jumping assumptions a bit quick on some thing (something their team does a lot, honestly, so par for the course), or the mannerisms... which actually make sense, given the characters in question. Another reason I liked this episode a lot... the verisimilitude was good enough to really get swept away by the show.
Two things I'll mention: 1. I like that as the lecture/episode goes on, the lecture hall gets more and more filled up. It's kind of a nice touch. And 2. Jennifer Morrison (Cameron) is going to be at a local convention next month, and if I can go, I'll probably get her to sign my House box set.
@@claytoncourtney1309 It's funny, I have the House MD blu-ray set and the Once Upon a Time set, and while she was the main character in OUAT, I'll likely have her sign the House one, just because I know it better/like her more in it.
Yes, more House M.D. please... You are the one channel who does not just bash the shows for medical inaccuracy, but sort of enjoys it too for its entertainment value. We Like that..
I disagree. She disagrees with most synopsis, if you haven't noticed yet. Please do. These types think that it has to be perfect. If it was to be perfect they would be hiring real doctors and real patients, or filming at the hospital. Someone sure has to ruin whatever is left of any entertainment. We know, it is just an entertainment source, and are looking to have entertainment. Or else, what's the damn use..? We are morbid enough in real life.
@@invista4134well yeah but she doesn’t bash the show. It’s okay to disagree or have constructive critiques. But a lot of Doctors in TH-cam they flat out laugh and mock tv shows of how everything they do is dumb and waste of time or not realistic. Gees a tv show “not realistic enough” who would have thought 🙄 We watch house because is fun and entertaining or deep. I’m not looking to take notes and become an actual nurse. 😅
I was under the impression that House meant it would be easier to break the bad news to the wife and kid because they weren't there and are made up and not about breaking it to the patient.
I thought it would be easier because breaking that news to a patient who does not have a spouse or children can take the information in without the added worry of how their death will affect the spouse and child. If that is the reason I agree however the man's reaction about his dog goes to show that it is not as easy as House may want you to believe. Even those of us who are childless without a spouse have being they care about. I have two cats.
This was a fun watch. Nice job. Also, can we just take a second to point out how great a show "House M.D" was. The writing, the puzzles and the acting was just really great.
I like how he goes "puncture." Or how quickly someone died without them even examining a patient. Also hilarious trying for the "family history" for leg pain.
Probably one of my favorite episode and it was in the first season. The best part was when he was told that its pretty hard to think when he is all jn their faces and he responds "YEA, you think itll be easier with a real patient, really dying?" Any form of practice and studying wont be like the real thing, in any profession.
Yeah, the thing about knowing how much venom a snake would or wouldn't have is them leaning into the Sherlock Holmes parallel (Holmes claimed to not even know whether the Earth orbited the Sun or vice versa but had an encyclopaedic knowledge of obscure "trivia" about cigarette ash :). Still one of my favourite episodes of TV - structure, acting, dialogue, humour, all absolutely on point (and yep, House just casually saving someone else's life while giving a lecture is the ultimate flex :).
The issue with the snake venom has been picked up by many doctors that react to this episode, and how unlikely it is that some doctor would know this. But I always thought that if the snake catchers (assume they are professionals) go into as much detail as to record how much venom was in the snake then they would likely also add some context to the numbers, otherwise why even report it. So the report may have said that this means it has not bitten anything in the last XX hours etc. So the information may have been supplied normally but if he just read it, it would not be so cool for TV.
You can actually see that the class is getting filled scene by scene, even specialists like Cameron, Chase and Foreman are drawn to come listen, heck even a department head like Wilson comes along It's one of the best television episodes I've ever seen, for me it ranks top 5
The "it's House" moment usually gets a bigger reaction from reactors. Really impressive that you guessed the diagnoses for House and the Farmer, think most reactions miss 1 or both of them (if they're doing medical play along)
I learned so much Dr. Jess! Great video! I think House tells a patient they're dying by sending one of his team to do it! I also love how House's team is sitting there, and they figure out he's been talking about himself! Typical House. 😅
Of all the episodes during the 8 seasons of House, this one has stayed in my memory bank the longest. Laurie was excellent doing the lecture as you can see by how the auditorium filled up as time went by. Just an excellent episode
5:38 - The problem is, when you have a self-righteous anti-opioid doctor who petulantly refuses to order ANY imaging, or to consult with a patient's prior neurosurgeon, when said patient is complaining of severe neck pain from bronchitus 5 years after a cervical fusion surgery, solely because the patient is requesting dilaudid by name, because of her automatic suspicion of "narcotic seeking behavior". Due to several medical conditions, allergies, precautionary avoidance and unwanted side effects, dilaudid was the only IV pain reliever that I could safely be given for this level of pain. Less than 2 years after this I had to undergo another surgery to extract the C-1 vertebrae because it was continuing to constrict the spinal cord just below the brain stem, which made the pain exponentially worse whenever I coughed due to the erratic jerking motion of the muscles in the neck. *NO* help from the above mentioned doctor, who was hell-bent on gaslighting me and treating me like a junkie looking for a fix.
Finally someone saying it: You can’t knock him out and then go over his head! You know his clear will and he knows the risks. If everything goes south you can still wake him up and ask again. And no, an amputation doesn’t even come close to being less painful. Especially not over-the-knee amputation. I have seen so many complications and follow up surgery and a seam insufficiency and higher amputations following it, less mobility, no mobility without prosthetic or very bad mobility and so on. Shoulder problems from walking with crutches… I could go on and on for ages.
Well on one hand it's understandable, it was late within the first season, so plenty of other episodes to "overwrite" the memory of this one... But on the other hand, there were some memorable moments, like "Bzzt, he's dead," or "you _were_ right, it *_is_* House," or the final reveal of the inconspicuous lead in the "greatest dad" mug. :-)
As a Physical Therapist for 30 years, I have generally observed Family docs/GPs to underprescribe for acute pain and overprescribe for chronic pain and not differentiate between the physical causes of chronic pain versus those patients with centralized pain. I have definitely seen improvement in physician practice over the 2 decades.
What a great episode! Great reveal that Dr House was talking about himself! Luv how he figures why the Dr he is sitting in for is always sick! Lol thanks Dr Jess looking forward to more!❤💛😁
One of the things I love about this episode is that the scenes of the 'three stories' are a bit overacted/hokey and the dialogue a bit stilted because it's not an actual memory/flashback as much as it's a dramatic imagining/visualization of the story being told. It's fun to see two different styles of filming/acting next to each other in the same piece.
Just gonna throw out there...if the farmer shows up, we assume the worst. They don't come in until they're on deaths door. Ask any paramedic or ER nurse or provider.
I wonder how House would have diagnosed me. The docs when i was in the hospital found out i have a genetic disorder theyve never seen before. Dont know if i should be honoured to have a paper written about me. LOL. I showed all the signs of dozens of infections and cancer. All tests came back negative though. LOL.
Hey Jess awesome episode I LOVE House so much; did you ever suspect at any point before the big reveal that the supposed drug addict was actually House?
Stone cold reaction to the big reveal. :) Wow, It's been a year and I forgot I was one of the people who reccomended this episode. Glad that got around to making a reaction video. It's one of the best House episodes IMO.
When House mentioned breaking the news being easier, he meant that since the wife and kid don't exist, there's nobody to break bad news to - which is a lot easier than breaking bad news.
I remember when i first heard about this show, the pitch was, what if Sherlock Holmes was a Doctor, massive fan of Sherlock, read all the books when i was a kid, so even though at the time i didn't know the term Sociopath, i knew that was who he was, not really his fault in the books, he would have a client come in and just want to know about the case, get the info as fast as possible, did not enter his head to ask did they wan't to sit down, have a drink, that how Watson helped him, brought a bit of humanity to him, same with House, that's why he needs Wilson. This show is amazing because you know House is a Dick, but you also know if you were sick, you would wan't him on your'e case, I think Hugh Laurie and the rest of the cast did such a great job, loving your'e reactions Doc, one episode to watch, don't think I have seen anyone do a reaction to it, A small case, check it out, it really is something, keep up the good work.
not sure if you know this, but Sherlock Holmes himself is based on a doctor friend of Doyle(who wrote the Holmes books), they even make a reference/joke about it in the show
I have chronic issues with dehydration due to total colectomy for UC. Once, this somehow progressed to rhabdomyolysis and shock. I refer to the episode as my four day preview of dementia because I was completely out of my head. If House was in a similar state, he was in no position to make medical decisions.
Nice presentation Dr. Jess. I'm currently starting my second run of watching all seasons and episodes of House. ( it's been about four years since the first time). I am impressed with your knowledge of the possibles in the differentials. You are making my re-watching of this series much more informed and interesting. Your pleasant demeanor also helps to balance the "drama" of the series. Great job. Thanks!
This hits home in a way. I once got osteomyelitis and got a partial amputation (debrevement) of one of my toes. However, I was totally ok with it. I even scared my wife with how quickly I jumped to acceptance. Given, a toe is different from a leg, but it's still weird how vastly this changes. Also, I love seeing people react. You're reliving the magic from when I first watched this show. Please do more House MD episodes. I can find some more cool episodes I think you'd enjoy if you want. Great reaction!
I love that you love this show, I'm 35 now, been watching this series since i was 17, it's a nostalgic show, lots of memories, I'm from Malaysia btw😊🙋♂️
I see it as two ways. One, House gets his own medicine. He often does stuff the patients don't want. If he were real, he'd be in jail a dozen times over instead of just the once. Or, it could be an explanation for why House often does things against the patient's wishes. Maybe he didn't do the radical things he does now before they did it to him without his consent...
Or 2b... House behaves the way he does as revenge against Cuddy... She can't REALLY come down on him too hard for going against patient's wishes because he'd eventually pull that card out.
I subed right away after this video. House is my all time favorite show, and hearing you break down the medical part instead of obssessing over how obnoxious house can be just is so refreshing.
Laughing, I went in for severe abdominal pain to th ER and 3 hours later I was going into surgery for free flowing air between my abdomen and stomach, a infection from my g-tube, and sepsis. This was during Vivid so my son could not be there. The surgeon so calmly told me I needed surgery and I needed it NOW. She also held my hand and told me that she didn't know if I would make it through. I hurt so bad, I just said please do it and call my son now and after. I also called my son. They were amazing.
Thank you for talking about Nec Fasc. I had an extreme case in 2011 and lost 10 pounds of fascia off my right thigh and foot. You cannot over state how critical it is to get early diagnosis and treatment.
@@JessTheMD me too. My amazing doctor told me, after two surgeries and my 2 week stay in ICU, that he gave me less than a 3% chance of survival. Yet here I am.
Jess, I have a TV series to recommend. The Knick, is about an upscale hospital in New York about 150 years ago. It was at the time when medicine was separated by wealth, status, color and gender and when top doctors also needed to be skilled in moving around society. It's a fascinating, and somewhat history inspired two seasons series with great acting and directing.
I’m glad I found your video because it gave me the answer I was looking for on the whole making decisions for him in a 2 day induced coma thing. I know nothing about medicine or law but that struck me as beyond ridiculous, the fact that Cuddy let her get away with that was pretty irritating.
Loved your reaction and your insight. Subscribed now. One differing opinion based on background: I'm a 53 year old combat vet with chronic asthma. if I'm dying, that's exactly how I want to be told. I want that followed up with how long i have to live, what to expect in my final hours and help notifying the right people (wife, kids, etc.). I know no one wants the convey the news, but dying places obligations on me and I want to finish them so I can clear my mind and die in peace; or in as much peace as can be had.
In the context of the story the "you're dying" flashback scene is being relayed to an audience of prospective clinicians. We have no objective evidence that this was the "bedside manner" used by Dr. House or that it was Dr. House that delivered the news to the patient.
Please keep watch every episode. So far you're my 2nd favorite doctor to react to House M.D. the way to take the number 1 spot is to consistently come out with the house videos!!
Sadly my father died by refusing leg amputation. He got infected sores on his foot from diabetes that he didnt treat properly. This caused him to fall which tore his knee open and spread the infection further up. Which he refused to let the drs properly treat. The infection got into his leg bone. He refused amputation still. Then the other foot developed sores and the other leg got infected. Still wouldnt let them do anything other than bare intervention. Sadly septicemia set it in and it was over. Life over limb is real....
@@JessTheMD it is what it is. He made several poor decisions. Not taking his insulin as a diabetic, not taking his blood thinners with a clotting disorder, not taking his blood pressure pills, refusing the rehab/physical therapy to regain strength after multiple strokes, smoking 3 packs a day while refusing his breathing treatments for copd and drinking nothing but dr pepper. It was kind of a race to see which one got him first. He was 60....
tbh, doctor coming to me and just saying "your dying" is fantastic way to tell me that.. sugarcoating might be more fun for the the doctor, but to me, patient that is dying... I would really appriciate if you just told me honestly "you are dying and there's nothing we can do" would help me so much.. I might have some ideas of trying, but ultimately, honesty is would be calming... there is nothing we can do would give me so much more calm than doctor skipping around the subject.
Hi just wated to say love your breakdown of this show that has helped me so much. Seeing someone work still while being in constant pain pushed me everyday to keep going. I was 29 in 2010 and had to have a metal on metal hip replacement after years of dealing with cronic pain. I received a letter 3 weeks after the operation we are very sorry but we used a bad batch of hip replacements and your one of the unlucky few. It took me a long time to not blame the NHS doctors and nurses. 14 years its still in and ive been left on oxycodone and oramorph and having to have blood tests every week. Life isnt what i imagined it would be but there are always people that have it harder and that feeling sorry for myself doesnt change anything. Anyway sorry love your channel and your dreakdowns and prospectives.
Okay so two things, first, very nice, professional and down to earth reaction, I love it. Second, today I learned TH-cam gives real doctors like you a checkmark (at least in my country) which is super nice to see because it obviously makes everything you say more fun because it's more easily believable. In fact, now that I've learned this exists, I will never trust a channel that doesn't have this again tbh.
Thank you so much! ❤️ and yes, to get that banner, I had to send in an application to TH-cam, with info about and a copy of my medical license 😊. It is something that you have to seek out and apply for, so if some docs don’t know about that feature, they may still be credible docs, just haven’t done that application. That said, it’s a really easy one page form - just takes YT a few weeks to process it 😉
@@JessTheMD If I might make a suggestion, there is an episode of 'House' called 'One Day, One Room.' I think it is one of the best episodes of television and would make for a good reaction.
Interestingly, Hugh Laurie (Gregory House's actor) is the son of a doctor and he's said in an interview that he's always felt like he was doing a bad impression of his father and that it's been long even since the show ended for him to actually become a proper nephrologist. But he didn't
Admitting that I am *not* a doctor, but I have been the primary support person leaned on by several people in a potential amputation situation. This episode hit me hard, because I made all the arguments I could on both sides of the "amputate" or "don't amputate" against the surgeon and the patient in different situations. I don't want to be in that situation. But when someone you care about needs you, you have to fight to protect them. Most of them turned out either "acceptable" outcome or flat out "wins" I wouldn't want the responsibility the doctors and surgeon would have. This was, to me on a personal level, both the most enlightening on what the show was, and the most painful to watch episode of the entire series.
"Happy life" is one way of saying crippling, scream-inducing chronic pain that leads to a lifetime of drug abuse and self-destructive alienating behaviour. lol
I loved this episode because it acts as a partial origin story to House himself, but if you want the OTHER half of the origin story (why he became a doctor), look into the Season 3 episode "Son Of Coma Guy".
By the way, the father of actor Hugh Laurie, who played the role of House, was a doctor, and Hugh used some of his behavior for the role. Laurie himself graduated from Cambridge with a degree in Anthropology. graduated with third-class honours in 1981
I note that House said it would make it "easier", not make it easy. Several factors can make something easier while simultaneously being extremely difficult.
in the real world, if I am dying, I would like someone to tell me I am dying...the directness is preferred, at least for me. Be as nice and diplomatic as you like...in the end it is meaningless
House did actually learn from his own past and this episode. There's a future episode where a woman's leg is trapped under tons of rubble and dying, not unlike his leg but faster. He fights for her leg when she really can't, but eventually convinces her to amputate. The most crushing part...she dies in the ambulance on the way to the hospital...He did everything right, but she dies anyway.
This episode always hit me hard, because of my own leg injury. 20 years ago I fell down a cliff, roughly 5 stories high, and came into the ER with leg pain. They x-rayed and told me it was an internal bleed under the muscle, but that I was fine, and to just keep using the leg as usual and the pain would go away. Three months later I come in with even more pain. Another examination showed that the blood had pooled up under a nerve, and as I was bending my leg it was tearing my nerve. Nothing to do, just have to live with my leg not working properly, and sometimes hurting. It's not to the point where I need a cane or anything, though sometimes I wish I had one. I've learned to live with it quite well, don't even take painkillers for it anymore. But there is still a big part of me that wish that I had the option to amputate 20 years ago. I don't want to do it now, it's way too late in my life to learn to live with such a change, but if it was done decades ago I would be fully adjusted to it now, without the pain.
Before he said "makes breaking the news easier" he said "there is no wife and kid". So it does make breaking the news easier since there is no one to break the news to
House takes place in NJ, which is also where I live. My wife, Son, and I not too long ago set up power of attorney, made our wills, and DNR papers, and other legal issues that will eventually happen, which I highly recommend everyone doing regardless of age, things can always be changed later. On the by proxy issue as the law is written it says "Your advance directive for healthcare explains your wishes on end of life and who you want to direct your health care if you lose the ability to make or communicate important decisions. It becomes effective in the event you are unable to communicate your own wishes, e.g. if you are in a coma, develop dementia, or suffer a stroke or other mental impairment." insinuating any type of coma. This was very useful a couple years ago when I caught legionnaires disease and was too out of it to communicate for myself and my wife had to take over talking with the insurance company, hospital Drs and nurses.
One of my favourite details about this episode, is how the lecture room went from being just the compulsory students, to slowly filling up through out the episode, until it finished and it was overflowing with people hanging out in the aisles/doorways.
I've watched this episode (and the show) about 4 or 5 times now. Not once did I catch this. I am so disappointed in myself 🫠
That was specifically what I came to the comments to say. I loved how they did it subtly, as well. Each time there was a break from the visual of the classroom they came back and there were a few more people. I think I might watch this episode again.
My favourite episode of House. I think it's fantastic. I've seen it loads of times.
Yeah, its Just like 'Morpheus is fighting Neo!" moment in Matrix 😂
It also exceeded the time period by 20 minutes (when Cuddy walked in). But the story was so compelling and personal, yet so educational at the same time. This episode is in my top 5, maybe even top 3.
The reveal that it's House's story is one of my favorite reveals in TV history.
House is enertainment not😊 factal. Ev3ething I see on hose is entertainment pure & simple.
@@richarddavis2107 actually House is rated top 2 most factual and realistic TV show. The only unrealistic and not factual part is House himself as such a person would not be allowed to practice medicine.
An interesting thing that we get hints of in later episodes that deal with House's past is the fact that prior to this he was a fairly athletic person, and specifically he was big into running. So after his brain (for puzzle solving), his legs were the next most important parts of him to himself, which adds even more reason to why he was so insistent on not having one of them amputated, even at major risk to his life. The irony of course being that he could have then got a prosthetic and still been able to run, but instead he's now in a situation where he still has both legs, but one is in too much pain for him to be able to run.
Yes totally! I definitely agree here. Though he may have had chronic pain with the prosthetic too… but I think the likelihood is lower than the outcome from surgery he did have 🧐🫣
It's a good backstory for him to have. His stubbornness causing him to be in the situation he finds himself stuck in. Considering he's the one who usually gets everything right having this flaw adds to why he's pushing the puzzle solving to the extreme beyond needing the distraction.
A feeling I know all to well, I'm on a constant race looking for anything that will distract from the pain. It's like being stuck in an endless corridor filled with doors, and someone with a knife is chasing which would be fine if it would end once you stop. But it's like the knife goes in and somehow I keep on living. So the best thing I can do is run fast enough finding a door that's thick enough to keep it sort of at bay for a few minutes or if I'm lucky a few hours to recover from the worst of it until it starts all over.
But something I will never be able to understand is why he's chosen to not remove leg afterwards. I get that he wanted to keep it in the first place though had it been me and I had to choose between the pain and the leg. It would suck having to learn how to walk again but I would have done it in a heart beat if it meant I didn't have to deal with the pain. That's one thing the show never really went into even when he got the treatment which helped him for a few months. He got to live pain free again and when it came back he'd rather be in pain than finally remove it. I understand that it was drama and for the story they needed him to be in pain.
But being and haven spoken to a lot of people in chronic pain. There's not much we wouldn't do to take the pain away.
@@dcworld4349 Oh, thats easy... He would have to admit to himself he was wrong. And thats really hard for House (most people really). Its basically the sunk cost fallacy, he already endured all that pain, he isnt going to quit now is he?
I once almost lost three fingers on my left hand, all but the pinky and the thumb. My greatest two passions were playing the guitar and programming. If that had happened, I think I would've been quite suicidal. But they healed just fine although they were literally burned to the bone and I don't even have a scar. But I think I can really understand how he felt.
@@jeschinstad Not that I would jump at the chance of losing my leg and obviously to those that experience it. It will be a defining moment of your life. But even back when this came out prosthetic legs had come incredibly far in giving people back mobility. Now they are even so good that there are athletes who run faster with their prosthetics than they ever would be able to run with their regular legs.
Fingers and hands is a completely different story. My pain has cost me everything, the only thing I have left is my hands and my mind. I'm not looking to lose anything more life is hard enough as it is. But If I had to choose I'd rather give up my voice, even the ability to walk over my hands/fingers. It wouldn't be a choice.
Couple of years ago I was wasn't able to use my right hand at all for 8 months and I almost went crazy. Not being able to write as fast as I'm used to, not being able to play music. Only being able to play certain games that were turned based with my left hand. I had been afraid of something happening to my hands for a long time, and I don't know what I would have done if the damage was permanent. The thing that kept me going was seeing that I was making progress to getting my hand back.
"But we also know that House has gone on to live a pretty happy life..."
True or false, this have me a chuckle
I was wondering the same thing.
"Are we seeing the same guy?" xD
“pretty happy life”….You haven’t seen enough episodes to know he’s miserable. I’m sorry, but I laughed at that.
"LIFE IS PAIN, I WAKE UP EVERY MORNING IM IN PAIN, I GO TO WORK IN PAIN, YOU KNOW HOW MANY TIMES I'VE JUST WANTED TO GIVE UP? HOW MANY TIMES I'VE THOUGHT ABOUT ENDING IT?" - House by the end of the series
It could've been even better.
Half measures led to the chronic pain led to the drug addiction led to... _well._
Replace "pretty" with "relatively". They're synonymous in this case and it begins to make more sense.
He's functional and not suicidal. To me, that's pretty happy. Not "happy" or "very happy", but "pretty happy". It's a decent outcome.
The drama of this episode becomes more interesting when the patient is revealed to be House, but I find the way House decides to teach about diagnostics very smart.
Three real case patients, each one of them with leg pain, in one case doctors try to do too much (because Cameron always wants to fix everyone's heart), other one is receiving the wrong treatment, because he is not upfront with the cause, and one more that is not receiving proper treatment on time because the cause is not evident right away.
I think the way House presents this lecture is brilliant and if students are smart, they will keep several lessons in their head.
I saw another MD reacting to this episode, and he was very critical of the scene where House says "eeeh! the patient's dead" and when the students say they didn't have enough time to run any tests, House responds "you had time to examine his leg". That other reactor said something about protocols and sequences, and how doctors in real life are told to examine the patient first... But last time I had to take my son to the ER with an injured knee, the doctor was in the room for less than 15 seconds, talked to me, asked my son where it hurts (he is autistic and could not describe in detail, just signaled the genera area of the knee) indicated the staff to take x-ray and to give him ibuprofen. Didn't inspect the knee, didn't look for signs of damaged ligaments like loose mobility of the joint, after the x-rays showed nothing broken or dislocated, he said "it's just a sprain, take him home, give him some ibuprofen for the pain and use ice. Maybe follow-up with an orthopedist."
After about a month of dealing with the insurance, we got the appointment with the orthopedist, and MRI, and a diagnostic of torn ligament, torn tendon and fractured meniscus. My son had to wait about six weeks to start treatment (physical therapy) not knowing at that point if he was even going to require surgery, so yes, there are doctors who will not even look at the leg.
You are lucky the doctor even saw the patient. Our doctor has magical powers and don’t even need to see the patient and just orders away😂
my aunt went to a doctor with pain in her knee, the doctor didn't even do an x-ray bu an ultrasound... on a freaking hurt knee, it showed nothing, but she still felt pain so went to another doctor and this one did an x-ray and it showed she had a broken bone above hern knee
My mom has gotten waved off by doctors so much I can't believe she still trusts them. She once went in because of sweating. She couldn't sleep because her bed would become soaked in sweat. She was constantly drinking fluids to not get dehydrated. Doctor gave her paracetamol forte. She asked him "really?" and he just looked her right in the eyes with a smile and said "yes! It's very good against sweating!". Later turned out it was a side effect of two medications she was taking...
She lately went in for sinus issues, I told her it might be polyps - it at least fit all her symptoms. But the doctor said it was allergies and gave her antihistamines wich did nothing.
I think it is because she's a woman in her late 50’s. Doctors don't take her seriously. Wish she could find a doctor who listens to her.
I like how you know how to play ball with the premise of some of these shows. We know that house is filled with inaccuracies but you are able to not let those bother you and still engage with the "what if" scenario and explore it in a fun way. Thank you.
Thank you ❤️
@@JessTheMD I second that. I have seen Doctor Mike, who I like very much and seems to be a very good at doing the you tube Doctor thing, fail in the aspect of reaction to TV shows. He never seems to understand that they are TV shows so the doctors doing things that nurses usually do is so the main characters can get screen time.
@@claytoncourtney1309 Pretty sure he gets it and being overly critical is just part of his comedic style.
Yeah, I've also heard other reaction channels make the Horses not Zebras comment. Failing to realise that this is already covered in one of the first episodes.
If someone is actually getting to see House, they have already been checked for all the types of horses, even the less common ones.
By the time a patient sees House, they should be considering giraffes or wildebeests; the horse family has been eliminated.
my brother just recently pointed out that House is suppose to be Sherlock Holmes but if he went into medicine instead, Wilson is also his Watson, and now I can't un-see it and it makes everything make way more sense once you figure out who everybody is suppose to be
And House’s address is 221B Baker St.
That’s why he was called house, it was just another word for Homes which seems a lot like Holmes
I mean yeah I thought that everybody compares House to Sherlock Holmes but for medicine. It’s super obvious. He also has a drug addiction just like Sherlock and lives to solve cases. House did never get a Morairty as a rival or enemy. But I think that just House and all of his baggage and life happening to him. The series never needed an antagonist
And it's appropriate considering Arthur Conan Doyle based Holmes on his teacher, Dr. Joseph Bell...
I couldn’t agree more
My dad was a surgeon, and he used to say, “I don’t have a crystal ball!” I understood what he meant after this episode.
The beauty of Hugh Laury as House is that he’s a comedian by trade, a bit of Fry and Laury is legendary. “You’re dying,” as a delivery, with the editing, is gold. It’s supposed to be funny, it’s okay to laugh!
Let’s not forget the third and fourth season of Blackadder
Imagine being that other doctor who can't figure out why he keeps getting sick all the time, and you get the message:
"House covered your lecture today and by the way he diagnosed you with lead poisoning, you should stop using that mug."😆
As if the students needed more evidence that House is the best diagnostician, he makes a diagnosis on the doctor he's filling in for while giving a lecture to that doctor's class that's so engaging the auditorium gradually fills up with other people who don't even have to be there, but just want to hear the lecture.
No one ever talks about how the three variations of leg pain endings: saved the leg, amputation and house 😢
Yeah, she didn't seem comfortable talking about the girl at all.
Barely spoke about her at all. She seemed to have abandoned her story around the "something thyroid" diagnosis and left it at that.
Gotta cut where I can, or these videos end up being super long 🙈 I did talk about it when I originally filmed, but it ended up on the chopping block 😝
@JessTheMD let them be long! We love every minute of houses 40 something odd minutes...watching someone else die bc of it brings us together 🥺
@@JessTheMD -- 19 minutes isn't long, lol, trust me! I watch a Reactor that reacts to music; so far, his record for longest video for shortest song is - (just under) 23 minutes reacting to a 1-minute song (it's actually a 16 bar challenge submission, but close enough) AND, his longest video to a single song/video (not live, not podcast, not album review) is too my knowledge -- 1 hr, 11 minutes & 14 seconds reacting to a 2 min & 50 second song!
His "die-hard" subscribers/fans respect him for it and enjoy his videos because of who he is and he's funny as hell and it's extra funny because he sometimes draws them out to over an hour just to pizz off the haters 🤣🤣🤣 Ray is great!!!
Oh, my point is, don't worry how long the video is if your "die-hard" followers are enjoying it and not complaining!
and there is my unsolicited opinion, backed with some actual instances - although vague bc I normally don't call out other reactors by channel names on a reactor's channel - of lengthier, enjoyable videos happening :)
Now, I will for the first time, watch you and your video, lmao 😆. I don't know why I read some of the comments first, I very, very rarely do that. 🤷♀
I've watched this episode a number of times, but I still get teary-eyed listening to House and Stacy argue about cutting off his leg. It's such a powerful scene.
I remember the first time I watched this episode. Being someone who lives with chronic pain, the revelation that this was House's story hit me unexpectedly hard.
The camera move, the way House talks, the build up music and Foreman realization, are so f$&king epic
9:44 I know I'm a rare exception, but this is how I'd need to be told I'm dying. I overthink everything and every second you delay those words is false hope. I need a fast and direct statement with no wiggle room or ambiguity.
I agree, no need to tiptoe around the fact.
rip off the band aid.
Same. I'd find some stranger pretending to care about me insulting, if anything.
I was gonna post exactly this, guess we aint alone on this one
The snake venom volume thing seems to catch a lot of medical professionals off guard. House knows this because he is the medical Sherlock Holmes, not because we expect doctors to know about snake venom production.
Probably the best episode of the first season of the show and in the running for best overall. We finally get his backstory, it ties in to why he and Stacy have a complicated relationship, and it gives a subtle passage of time to show how long Cameron, Foreman, and Chase have been working with House since they have not one, but two different leg issues they’ve been a part of in the past for House to draw on along with his own case.
Mildly disagree. We see in later seasons that House enjoys watching nature documentaries, so him knowing about snake venom volume isn't an out of nowhere thing. It is however based entirely on his desire to know things and not something that's reasonable to expect of any random medical professional.
I feel like House's explanation of "You don't need to know about snake venom, unless your patient needs it" is pretty good. Sure, chances of you ending up needing it is closer to 0, but it might also help a little.
Nobody tests snake venom to determine species in North America. First, there are only a handful of venomous species, most of which are pit vipers (we also have a few coral snakes, which are elapids). Coral snakes don't even occur in New England where House lives. Second, you don't treat with a different antivenin for each pit viper species. There are only like two antivenins in N America - Anavip and Crofab, and they both treat all our native pit vipers, regardless of species. You treat envenomation based on symptoms, and knowing the patient was bitten by a snake plus they are showing symptoms of pit viper envenomation is sufficient evidence to support treatment with antivenin.
I was seeing an occ doc for an occupational physical. She asked me an odd question: did you used to have more leg hair? Well, yes, I did. I assumed my jeans rubbed a bunch off. After the physical was over, she recommended I have my primary care doc order thyroid test. I asked why. She said, “your weight, dry skin, and loss of hair on your legs could indicate hypothyroidism”. My PCP ordered labs and I am now on synthroid for hypothyroidism. Good catch by an attentive occ doc.
I love that at first he has five to ten students, but on each panning shot the number seems to double.
Every doctor in that hospiral is like "ok it'sy break, time to go hom-... House is goving a lecture!??!?! Count me in!" Because they know he's an amazing doctor, but they'd never want to actually deal with him.
I think this episode was my most favorite from the tv series. It had great setting and pacing, it escalates well, and delivers a great climax that brings it back to the show and reveals more about the main character. It also really showcases how a "head of diagnostics department" (a thing that wouldn't normally exist) would operate differently than most.. more like a wordly knowledgeable Sherlock Holmes but with a focus on medicine instead of criminology.
The lecture itself, while it kind of flexes House and his department, does at least drive home a point to not get complacent in the diagnosis. "Actually look at the problem", or "don't judge a book by its cover", or "the patient isn't going to easy to deal with", etc. While not everyone needs to know the amount of venom a snake might retain after biting, keeping an eye out and investigating the things that don't quite fit can mean catching problems sooner and saving more lives.
I liked the insight you've given in this episode, and surprisingly there was little medical gaffs other than maybe they were jumping assumptions a bit quick on some thing (something their team does a lot, honestly, so par for the course), or the mannerisms... which actually make sense, given the characters in question. Another reason I liked this episode a lot... the verisimilitude was good enough to really get swept away by the show.
Two things I'll mention: 1. I like that as the lecture/episode goes on, the lecture hall gets more and more filled up. It's kind of a nice touch. And 2. Jennifer Morrison (Cameron) is going to be at a local convention next month, and if I can go, I'll probably get her to sign my House box set.
I met her at a convention a couple of years ago. She is nice to talk to. I hope she signs the box set for you.
@@claytoncourtney1309 It's funny, I have the House MD blu-ray set and the Once Upon a Time set, and while she was the main character in OUAT, I'll likely have her sign the House one, just because I know it better/like her more in it.
14:00 "we also know that House has gone on to live a pretty happy life."
HAHAHAHAHAHAHAHA
This episode won the Emmy for writing. It’s my favorite from the show.
Yes, more House M.D. please...
You are the one channel who does not just bash the shows for medical inaccuracy, but sort of enjoys it too for its entertainment value. We Like that..
Thanks so much 😊
I disagree. She disagrees with most synopsis, if you haven't noticed yet. Please do. These types think that it has to be perfect. If it was to be perfect they would be hiring real doctors and real patients, or filming at the hospital. Someone sure has to ruin whatever is left of any entertainment. We know, it is just an entertainment source, and are looking to have entertainment. Or else, what's the damn use..? We are morbid enough in real life.
@@invista4134well yeah but she doesn’t bash the show. It’s okay to disagree or have constructive critiques. But a lot of Doctors in TH-cam they flat out laugh and mock tv shows of how everything they do is dumb and waste of time or not realistic. Gees a tv show “not realistic enough” who would have thought 🙄
We watch house because is fun and entertaining or deep. I’m not looking to take notes and become an actual nurse. 😅
I was under the impression that House meant it would be easier to break the bad news to the wife and kid because they weren't there and are made up and not about breaking it to the patient.
i dunno i'd rather be told outright that i'm dying, rather than have it 'softened' or dance around the words
I thought it would be easier because breaking that news to a patient who does not have a spouse or children can take the information in without the added worry of how their death will affect the spouse and child. If that is the reason I agree however the man's reaction about his dog goes to show that it is not as easy as House may want you to believe. Even those of us who are childless without a spouse have being they care about. I have two cats.
This was a fun watch. Nice job. Also, can we just take a second to point out how great a show "House M.D" was. The writing, the puzzles and the acting was just really great.
Thank you!!
I like how he goes "puncture."
Or how quickly someone died without them even examining a patient. Also hilarious trying for the "family history" for leg pain.
Probably one of my favorite episode and it was in the first season. The best part was when he was told that its pretty hard to think when he is all jn their faces and he responds "YEA, you think itll be easier with a real patient, really dying?" Any form of practice and studying wont be like the real thing, in any profession.
Yeah, the thing about knowing how much venom a snake would or wouldn't have is them leaning into the Sherlock Holmes parallel (Holmes claimed to not even know whether the Earth orbited the Sun or vice versa but had an encyclopaedic knowledge of obscure "trivia" about cigarette ash :).
Still one of my favourite episodes of TV - structure, acting, dialogue, humour, all absolutely on point (and yep, House just casually saving someone else's life while giving a lecture is the ultimate flex :).
The issue with the snake venom has been picked up by many doctors that react to this episode, and how unlikely it is that some doctor would know this.
But I always thought that if the snake catchers (assume they are professionals) go into as much detail as to record how much venom was in the snake then they would likely also add some context to the numbers, otherwise why even report it. So the report may have said that this means it has not bitten anything in the last XX hours etc. So the information may have been supplied normally but if he just read it, it would not be so cool for TV.
"House has gone on to live a pretty happy life"
Wot? xdd
I wanted to comment on that
The student with the short hair and glasses is my favorite character in this episode. He really learns, and he knows it.
You can actually see that the class is getting filled scene by scene, even specialists like Cameron, Chase and Foreman are drawn to come listen, heck even a department head like Wilson comes along
It's one of the best television episodes I've ever seen, for me it ranks top 5
The "it's House" moment usually gets a bigger reaction from reactors. Really impressive that you guessed the diagnoses for House and the Farmer, think most reactions miss 1 or both of them (if they're doing medical play along)
I learned so much Dr. Jess! Great video! I think House tells a patient they're dying by sending one of his team to do it! I also love how House's team is sitting there, and they figure out he's been talking about himself! Typical House. 😅
Thank you!! 😍
Of all the episodes during the 8 seasons of House, this one has stayed in my memory bank the longest. Laurie was excellent doing the lecture as you can see by how the auditorium filled up as time went by. Just an excellent episode
He did not say all vericose veins are caused by pregancy. He said, statistically these are the bigges.
Thanks for not criticizing the inaccuracy and explaining the right way.
5:38 - The problem is, when you have a self-righteous anti-opioid doctor who petulantly refuses to order ANY imaging, or to consult with a patient's prior neurosurgeon, when said patient is complaining of severe neck pain from bronchitus 5 years after a cervical fusion surgery, solely because the patient is requesting dilaudid by name, because of her automatic suspicion of "narcotic seeking behavior". Due to several medical conditions, allergies, precautionary avoidance and unwanted side effects, dilaudid was the only IV pain reliever that I could safely be given for this level of pain.
Less than 2 years after this I had to undergo another surgery to extract the C-1 vertebrae because it was continuing to constrict the spinal cord just below the brain stem, which made the pain exponentially worse whenever I coughed due to the erratic jerking motion of the muscles in the neck. *NO* help from the above mentioned doctor, who was hell-bent on gaslighting me and treating me like a junkie looking for a fix.
I’m so sorry that you experienced that 😔
Finally someone saying it: You can’t knock him out and then go over his head! You know his clear will and he knows the risks. If everything goes south you can still wake him up and ask again.
And no, an amputation doesn’t even come close to being less painful. Especially not over-the-knee amputation. I have seen so many complications and follow up surgery and a seam insufficiency and higher amputations following it, less mobility, no mobility without prosthetic or very bad mobility and so on. Shoulder problems from walking with crutches… I could go on and on for ages.
I must have missed this episode. I don't remember it. I agree though I would love to have sat in on this lecture.
Well on one hand it's understandable, it was late within the first season, so plenty of other episodes to "overwrite" the memory of this one...
But on the other hand, there were some memorable moments, like "Bzzt, he's dead," or "you _were_ right, it *_is_* House," or the final reveal of the inconspicuous lead in the "greatest dad" mug. :-)
As a Physical Therapist for 30 years, I have generally observed Family docs/GPs to underprescribe for acute pain and overprescribe for chronic pain and not differentiate between the physical causes of chronic pain versus those patients with centralized pain. I have definitely seen improvement in physician practice over the 2 decades.
Hugh is so freaking talented
What a great episode! Great reveal that Dr House was talking about himself! Luv how he figures why the Dr he is sitting in for is always sick! Lol thanks Dr Jess looking forward to more!❤💛😁
"There are medical issues here."
This is House. There are always issues.
Haha definitely.
10:47 Rarely seen a lightbulb go off so visibly! :D
One of the things I love about this episode is that the scenes of the 'three stories' are a bit overacted/hokey and the dialogue a bit stilted because it's not an actual memory/flashback as much as it's a dramatic imagining/visualization of the story being told. It's fun to see two different styles of filming/acting next to each other in the same piece.
Just gonna throw out there...if the farmer shows up, we assume the worst. They don't come in until they're on deaths door. Ask any paramedic or ER nurse or provider.
At 19:00, The whole hospital made it to the lecture....Did you see that?
I wonder how House would have diagnosed me. The docs when i was in the hospital found out i have a genetic disorder theyve never seen before. Dont know if i should be honoured to have a paper written about me. LOL. I showed all the signs of dozens of infections and cancer. All tests came back negative though. LOL.
A la, “The bad news is you’re going die. The good news is we’re going to name a disease after you.”
Yet another great reaction to a brilliant episode!
Thank you!!
Will always watch House reactions from Doctors. Glad another channel is doing them.
Hey Jess awesome episode I LOVE House so much; did you ever suspect at any point before the big reveal that the supposed drug addict was actually House?
Haha thank you! NO! I legit didn't suspect anything until the reveal!!!
Stone cold reaction to the big reveal. :)
Wow, It's been a year and I forgot I was one of the people who reccomended this episode. Glad that got around to making a reaction video. It's one of the best House episodes IMO.
When House mentioned breaking the news being easier, he meant that since the wife and kid don't exist, there's nobody to break bad news to - which is a lot easier than breaking bad news.
I remember when i first heard about this show, the pitch was, what if Sherlock Holmes was a Doctor, massive fan of Sherlock, read all the books when i was a kid, so even though at the time i didn't know the term Sociopath, i knew that was who he was, not really his fault in the books, he would have a client come in and just want to know about the case, get the info as fast as possible, did not enter his head to ask did they wan't to sit down, have a drink, that how Watson helped him, brought a bit of humanity to him, same with House, that's why he needs Wilson. This show is amazing because you know House is a Dick, but you also know if you were sick, you would wan't him on your'e case, I think Hugh Laurie and the rest of the cast did such a great job, loving your'e reactions Doc, one episode to watch, don't think I have seen anyone do a reaction to it, A small case, check it out, it really is something, keep up the good work.
not sure if you know this, but Sherlock Holmes himself is based on a doctor friend of Doyle(who wrote the Holmes books), they even make a reference/joke about it in the show
Holmes and Watson, House and Wilson
th-cam.com/video/UqHh6TvGQIQ/w-d-xo.htmlsi=sRkdpeumW31Rzlmd
Thank you for this fun reaction, I liked how you gave your med opinion as well on what the patient could have
I have chronic issues with dehydration due to total colectomy for UC. Once, this somehow progressed to rhabdomyolysis and shock. I refer to the episode as my four day preview of dementia because I was completely out of my head. If House was in a similar state, he was in no position to make medical decisions.
Nice presentation Dr. Jess. I'm currently starting my second run of watching all seasons and episodes of House. ( it's been about four years since the first time). I am impressed with your knowledge of the possibles in the differentials. You are making my re-watching of this series much more informed and interesting. Your pleasant demeanor also helps to balance the "drama" of the series. Great job. Thanks!
Thank you!!
I once had what my UC doctor termed a "mild" case of rhabdo in my two quads; insane pain that rivaled a kidney stone.
This hits home in a way. I once got osteomyelitis and got a partial amputation (debrevement) of one of my toes. However, I was totally ok with it. I even scared my wife with how quickly I jumped to acceptance. Given, a toe is different from a leg, but it's still weird how vastly this changes.
Also, I love seeing people react. You're reliving the magic from when I first watched this show.
Please do more House MD episodes. I can find some more cool episodes I think you'd enjoy if you want.
Great reaction!
Thanks so much! If there are some specific eps you want to see, let me know and I’ll add them to my list!!
@@JessTheMD thanks! I like the Euphoria double-episode in Season 2.
I love that you love this show, I'm 35 now, been watching this series since i was 17, it's a nostalgic show, lots of memories, I'm from Malaysia btw😊🙋♂️
I see it as two ways. One, House gets his own medicine. He often does stuff the patients don't want. If he were real, he'd be in jail a dozen times over instead of just the once.
Or, it could be an explanation for why House often does things against the patient's wishes. Maybe he didn't do the radical things he does now before they did it to him without his consent...
Or 2b... House behaves the way he does as revenge against Cuddy... She can't REALLY come down on him too hard for going against patient's wishes because he'd eventually pull that card out.
"House has gone on to live a pretty happy life"
Well i'm not so sure...
Fair point... 😊
I subed right away after this video. House is my all time favorite show, and hearing you break down the medical part instead of obssessing over how obnoxious house can be just is so refreshing.
Thank you ❤️🙈
Laughing, I went in for severe abdominal pain to th ER and 3 hours later I was going into surgery for free flowing air between my abdomen and stomach, a infection from my g-tube, and sepsis. This was during Vivid so my son could not be there. The surgeon so calmly told me I needed surgery and I needed it NOW. She also held my hand and told me that she didn't know if I would make it through. I hurt so bad, I just said please do it and call my son now and after. I also called my son. They were amazing.
Just found you and you were awesome. House is a terrific show. Glad for your insights.
Thank you!
Thank you for talking about Nec Fasc. I had an extreme case in 2011 and lost 10 pounds of fascia off my right thigh and foot. You cannot over state how critical it is to get early diagnosis and treatment.
I’m sorry you went through that! Nec face is SCARY. I’m glad you survived it! ❤️🙏
@@JessTheMD me too. My amazing doctor told me, after two surgeries and my 2 week stay in ICU, that he gave me less than a 3% chance of survival. Yet here I am.
Much more House reactions please!
Thanx Jess!!!
That was always the kind of classes I liked. It's not just about learning but trying to use what you've learned
This is my favorite episode of all of them. I can't guess how many times I've watched it.
Hey Jess, very nice review. Appreciate the Dr review and thoughts. Keep it up!
Thank you!! 😊
14:00 "House goes on to live a happy life". This must be a new meaning of the word "happy" that I wasn't aware of ;-)
Jess, I have a TV series to recommend. The Knick, is about an upscale hospital in New York about 150 years ago. It was at the time when medicine was separated by wealth, status, color and gender and when top doctors also needed to be skilled in moving around society. It's a fascinating, and somewhat history inspired two seasons series with great acting and directing.
I’m glad I found your video because it gave me the answer I was looking for on the whole making decisions for him in a 2 day induced coma thing. I know nothing about medicine or law but that struck me as beyond ridiculous, the fact that Cuddy let her get away with that was pretty irritating.
Loved your grin when the House Avatar gave himself the shot!
Loved your reaction and your insight. Subscribed now. One differing opinion based on background: I'm a 53 year old combat vet with chronic asthma. if I'm dying, that's exactly how I want to be told. I want that followed up with how long i have to live, what to expect in my final hours and help notifying the right people (wife, kids, etc.). I know no one wants the convey the news, but dying places obligations on me and I want to finish them so I can clear my mind and die in peace; or in as much peace as can be had.
Thank you!! ❤️ I totally understand. Everyone has their preferences. My approach is gentle but still direct 😉
Nice video. Jess. Great call on the diagnoses, too.
Thank you ❤️❤️
How come no carmine Electra in this clip???
Haha it just became really cumbersome to follow the storyline since he changed the representatives of each character!
@@JessTheMDNah. Little jealousy? Meow 😻! A little pandering is okay!
A rarity for me: subscribed after one video. But I can see the intelligence I will gain from your channel!
Well thank you so much! I appreciate it!! ❤️❤️❤️
In the context of the story the "you're dying" flashback scene is being relayed to an audience of prospective clinicians. We have no objective evidence that this was the "bedside manner" used by Dr. House or that it was Dr. House that delivered the news to the patient.
Please keep watch every episode. So far you're my 2nd favorite doctor to react to House M.D. the way to take the number 1 spot is to consistently come out with the house videos!!
Sadly my father died by refusing leg amputation. He got infected sores on his foot from diabetes that he didnt treat properly. This caused him to fall which tore his knee open and spread the infection further up. Which he refused to let the drs properly treat. The infection got into his leg bone. He refused amputation still. Then the other foot developed sores and the other leg got infected. Still wouldnt let them do anything other than bare intervention. Sadly septicemia set it in and it was over. Life over limb is real....
I'm sorry to hear about your dad ❤️
@@JessTheMD it is what it is. He made several poor decisions. Not taking his insulin as a diabetic, not taking his blood thinners with a clotting disorder, not taking his blood pressure pills, refusing the rehab/physical therapy to regain strength after multiple strokes, smoking 3 packs a day while refusing his breathing treatments for copd and drinking nothing but dr pepper. It was kind of a race to see which one got him first. He was 60....
tbh, doctor coming to me and just saying "your dying" is fantastic way to tell me that.. sugarcoating might be more fun for the the doctor, but to me, patient that is dying... I would really appriciate if you just told me honestly "you are dying and there's nothing we can do" would help me so much.. I might have some ideas of trying, but ultimately, honesty is would be calming... there is nothing we can do would give me so much more calm than doctor skipping around the subject.
Hi just wated to say love your breakdown of this show that has helped me so much. Seeing someone work still while being in constant pain pushed me everyday to keep going.
I was 29 in 2010 and had to have a metal on metal hip replacement after years of dealing with cronic pain. I received a letter 3 weeks after the operation we are very sorry but we used a bad batch of hip replacements and your one of the unlucky few.
It took me a long time to not blame the NHS doctors and nurses. 14 years its still in and ive been left on oxycodone and oramorph and having to have blood tests every week. Life isnt what i imagined it would be but there are always people that have it harder and that feeling sorry for myself doesnt change anything.
Anyway sorry love your channel and your dreakdowns and prospectives.
Okay so two things, first, very nice, professional and down to earth reaction, I love it. Second, today I learned TH-cam gives real doctors like you a checkmark (at least in my country) which is super nice to see because it obviously makes everything you say more fun because it's more easily believable. In fact, now that I've learned this exists, I will never trust a channel that doesn't have this again tbh.
Thank you so much! ❤️ and yes, to get that banner, I had to send in an application to TH-cam, with info about and a copy of my medical license 😊. It is something that you have to seek out and apply for, so if some docs don’t know about that feature, they may still be credible docs, just haven’t done that application. That said, it’s a really easy one page form - just takes YT a few weeks to process it 😉
Amazing react, thank you so much,
Thank you! ❤️
Actually that is the right way to tell someone that they are dying, direct to and to the point. and i know because i am a someone.
I love your House reactions. Thank you for sharing.
Glad you like them! ❤️🙏
@@JessTheMD If I might make a suggestion, there is an episode of 'House' called 'One Day, One Room.' I think it is one of the best episodes of television and would make for a good reaction.
Interestingly, Hugh Laurie (Gregory House's actor) is the son of a doctor and he's said in an interview that he's always felt like he was doing a bad impression of his father and that it's been long even since the show ended for him to actually become a proper nephrologist. But he didn't
Admitting that I am *not* a doctor, but I have been the primary support person leaned on by several people in a potential amputation situation. This episode hit me hard, because I made all the arguments I could on both sides of the "amputate" or "don't amputate" against the surgeon and the patient in different situations. I don't want to be in that situation. But when someone you care about needs you, you have to fight to protect them. Most of them turned out either "acceptable" outcome or flat out "wins" I wouldn't want the responsibility the doctors and surgeon would have.
This was, to me on a personal level, both the most enlightening on what the show was, and the most painful to watch episode of the entire series.
"Happy life" is one way of saying crippling, scream-inducing chronic pain that leads to a lifetime of drug abuse and self-destructive alienating behaviour. lol
Haha fair fair fair 😊
I loved this episode because it acts as a partial origin story to House himself, but if you want the OTHER half of the origin story (why he became a doctor), look into the Season 3 episode "Son Of Coma Guy".
By the way, the father of actor Hugh Laurie, who played the role of House, was a doctor, and Hugh used some of his behavior for the role. Laurie himself graduated from Cambridge with a degree in Anthropology. graduated with third-class honours in 1981
Great episode, Dr. House is awesome! :D
Glad you think so! Thank you!!
I note that House said it would make it "easier", not make it easy. Several factors can make something easier while simultaneously being extremely difficult.
in the real world, if I am dying, I would like someone to tell me I am dying...the directness is preferred, at least for me. Be as nice and diplomatic as you like...in the end it is meaningless
House did actually learn from his own past and this episode. There's a future episode where a woman's leg is trapped under tons of rubble and dying, not unlike his leg but faster. He fights for her leg when she really can't, but eventually convinces her to amputate. The most crushing part...she dies in the ambulance on the way to the hospital...He did everything right, but she dies anyway.
This episode always hit me hard, because of my own leg injury. 20 years ago I fell down a cliff, roughly 5 stories high, and came into the ER with leg pain. They x-rayed and told me it was an internal bleed under the muscle, but that I was fine, and to just keep using the leg as usual and the pain would go away.
Three months later I come in with even more pain. Another examination showed that the blood had pooled up under a nerve, and as I was bending my leg it was tearing my nerve. Nothing to do, just have to live with my leg not working properly, and sometimes hurting.
It's not to the point where I need a cane or anything, though sometimes I wish I had one. I've learned to live with it quite well, don't even take painkillers for it anymore. But there is still a big part of me that wish that I had the option to amputate 20 years ago. I don't want to do it now, it's way too late in my life to learn to live with such a change, but if it was done decades ago I would be fully adjusted to it now, without the pain.
Before he said "makes breaking the news easier" he said "there is no wife and kid". So it does make breaking the news easier since there is no one to break the news to
Thank you for this.
Haha this is a great episode, awesome reaction!
Thank you!
House takes place in NJ, which is also where I live. My wife, Son, and I not too long ago set up power of attorney, made our wills, and DNR papers, and other legal issues that will eventually happen, which I highly recommend everyone doing regardless of age, things can always be changed later. On the by proxy issue as the law is written it says "Your advance directive for healthcare explains your wishes on end of life and who you want to direct your health care if you lose the ability to make or communicate important decisions. It becomes effective in the event you are unable to communicate your own wishes, e.g. if you are in a coma, develop dementia, or suffer a stroke or other mental impairment." insinuating any type of coma. This was very useful a couple years ago when I caught legionnaires disease and was too out of it to communicate for myself and my wife had to take over talking with the insurance company, hospital Drs and nurses.