Real doctor reacts to HOUSE MD "THREE STORIES" - Why does House limp?
ฝัง
- เผยแพร่เมื่อ 1 มิ.ย. 2018
- I watch the medical TV drama House episode "Three Stories" reviewing why House limps, breaking down how accurate the show is and explaining what is happening on screen from a real doctors perspective.
Its been fun revisiting House MD, Scrubs and discovering The Good Doctor, Grey’s Anatomy, The Resident and ER!
I asked you guys which show you'd like me to do more of and the vote was so close, but you chose House! As you know I'm a huge fan of the show so was great to revisit this classic episode.
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Clips used under fair use (education and review).
All House clips owned by NBC Universal International and NBC Universal.
Credit also: Fox; Heel and Toe Films, Shore Z Productions, and Bad Hat Harry Productions in association with Universal Media Studios for Fox.
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#doctorreacts #doctorwatches #house - วิทยาศาสตร์และเทคโนโลยี
Interesting factoid
The actor Jesse Spencer who played Dr Chase comes from a family of doctors who would apparently try and guess the case of the week and also point out a lot of the innacuracies
jordandan96 Hugh Laurie’s father also was a doctor.
I too have a habit of pointing out and laughing about those inaccuracies. In most episodes I've noticed that Lupus is automatically ruled out and someone yells for a crash cart at a some point. There are several other things but I love the show still.
the lupus thing became a running juke in the show.
It's also funny because he started acting on an Australian soap where he played the son of the local doctor
interesting fact he's also the hottest man on the show
I don't trust this Doctor Hope: he never confirmed nor denied if it's Lupus.
I can confirm that I neither confirmed nor denied if it's Lupus
it's never lupus.
Kombatwombat wasn't there an episode where it was lupus?
Yes there was one episode in season 4 I think it was episode 8 or 9 don't quote me, where it was actually lupus. But the meme here was a lot of houses patients come to him and generally say "I think I have lupus" to which he reply's "it's not lupus", but I distinctly remember one episode where house says "it's never lupus" hence my first comment.
he was hiding his vicodin in a book about lupus because he knew "it's never lupus" so nobody would look in there :P
Fun fact: Snakes dont regenerate venom quickly, most take a full 24hrs or more. Here in america, while it doesnt happen very often, some venomous snakes wont inject venom if they feel threatened because they use it to hunt, meaning that if they bite and inject venom into a human, it will most likely go hungry for a few days.
That is "America", not "america".
@@TheNoiseySpectator nah, it's fine
Snakes can moderate the amount of venom they inject. They don’t usually give a full dose. Baby snakes are an exception. They always inject the full amount, which makes them especially dangerous.
@@edwardwright8127 Some people expect venom from a baby snake to be less lethal, but it is chemically identical to the venom of the adult.
@@walt1955 usually it’s more lethal because they’re so much smaller (so they have to kill faster) and they don’t have as much control of their venom glands, so they inject more.
Src: used to hang out at a pet store that only sold nonvenomous pet snakes for this and other reasons
Personally, and this is just me, I prefer to watch HOUSE less from a medical perspective and more from a investigatory one. I grew up reading the many stories of Arthur Conan Doyle so, to me, watching Greg House diagnose a patient has definite parallels to Sherlock Holmes. And given that House was loosely based on Conan Doyle's body of work, this tended to be the aspect of the series that drew me back to watch each and every episode.
I agree so much. It's a mystery show first and foremost. It is very directly based on SH and the way it is entertaining is by making the viewers think and try to solved the puzzle and the mystery. That's why the cases are so often very very rare, just like the murders and crimes in SH and other classic mysteries are very bizarre and unusually complicated. It wasn't normal murders in SH and it's not normal illnesses in House. Watching House was to me like finding brand new chapters of Sherlock Holmes in a way and it's my favorite indirect adaptation of SH.
House is a pun on Holmes
Wilson was a pun of Watson
I mean same but every episode follows one formula so it gets kinda boring
@@MedTechMetal yes you are correct
Holmes is house
And
Wilson is Watson
As others have said House was based on the Sherlock Holmes stories.
Holmes/House
Watson/Wilson
House's apartment number is 221B, the same as Holmes' Baker Street address.
Holmes and House both have drug addictions.
Sherlock Holmes is also mentioned in the show a few times - the name 'Irene Adler' comes up as an alias at one point and Wilson gifts House a copy of the Sherlock Holmes stories.
Instead of making youtube videos, maybe you should take a look at the chap standing behind you. He looks a bit frail.
lol but seriously, great videos.
did you just assume gender?
@@theantimatter looks like a male pelvis
No diagnostic test is more useful than getting an accurate patient history. It's demoralizing to wait months to talk to a doctor who doesn't start by asking about what happened; I have little confidence in them.
By contrast, I was impressed by the last specialist I saw. She had read my history before I came in, confirmed a couple points, and reviewed a full-page two-column list of every treatment that she knew of which had positive results for anyone with a similar diagnosis.
If you hear hoofbeats behind you, it's probably a horse and not a zebra, but every now and then, you can find a zebra in the concrete jungle.
true but in House's case its probably a zebra instead of a horse.
brian lemoine it's a common saying when you're in medical school.
you have the coolest name ever, may I have that outsid of youtube?
Anna Malkovych I appreciate you asking, but I use it for other social media and have been trying to get my item videos ready to be posted here and would like to be able to keep my name consistent across the web.
I would be happy to help you brainstorm and come up with something just for you with the same kind of darkly humorous feel to it :D
They said that in the first or second episode of House
I'm SO GLAD you are so open about dealing with pain!!! I have chronic pain and I constantly get treated like an addict in an ER, even though I have a long history of real pain crises. It's so refreshing to hear a doctor talk about getting someone out of pain first instead of assuming drug seeking behavior!!
One of the reasons I refuse to go to the hospital even when my pain gets to the point I can't really deal. My specialist tells me to go but what's the point if they're not gonna believe me anyway? Might as well be screaming in pain at home vs in the hospital with the added stress of bad doctors.
@@violetskies14 It sucks, yeah. I recently started going back to see a doctor for checkups, so that in case I ever have an emergency, they have history on me, and importantly, more trust.
Vicodin was House's pain med of choice (probably one of the worse choices due to the massive amounts of Tylenol in them which I would think Dr. Hope would agree is just as dangerous as the narcotic if the dosage was abused over time) I absolutely find these videos fascinating. And I find that "House, MD" the perfect show because House's speciality was diagnostics, while all doctors do this, in this show patients are sent to him because other doctors diagnosis were inconclusive. I want to thank Dr. Hope for his detailed explanations, I learn something new every time I watch. Plus, anytime I get to see those reminders of the TV show House, MD, which I have watched all 8 seasons at least 4 times, was at the time the top show on television. I "hope" to see more... see what I did there?
Tylenol is not the name of that medicine...
@@BlueEyesWhiteTeddy Tylenol = Acetaminophen
Advil = Ibuprophen
Example: My Percocet is 5mg Oxycocet, 325mg Acetaminophen (Name Brand: Tylenol) per pill.
You know what? While I'm here...
Generally speaking, the more immediate danger is oxycocet, but mostly require you to take your doses too close together.
The lesser-known evil is the Acetaminophen. Only 4g - 4000mg - in a single 24-hour period can cause *liver failure,* which, if untreated, can quickly lead to death via sepsis (septic shock).
I don't know much about Vicodin or what it usually comes with, but I *do* know Percocet. And if they're anything alike, it might be the complementary medication that does the most damage in the end. 👆
I'm back from a demanding emergency rota to revisit this classic House episode; lots of great scenes which took me back to my time at medical school. Hope you enjoy!
EDIT: APOLOGIES! I probably should have talked about why House then had chronic pain despite having the necrotic tissue removed. Pain is a complex thing so we don't always know what's going on, but in this case likely a neuropathic element (nerve damage from the original injury and subsequent surgery) and a psychological element.
Dr Hope's Sick Notes it's good to have you back! 🤗
Is this a Re-upload? I could swear I've seen this one before?
11:16 With warferin, right? Not a doc or a med student, just a fan of House MD ;)
21:31 Does that mean the blood pressure drops in a significantly measurable way? And aspirin (or other blood thinning agents) can lead to lost of consciousness?
Initially if the patient was stable we'd treat with heparin as it works quicker than warfarin (can take days to 'thin' the blood). We can sometimes use warfarin for long-term treatment but now days we tend to use drugs called NOACs that don't require regular blood test monitoring.
As you undoubtedly know, Conan Doyle based Sherlock Holmes on DoctorJoseph Bell, one of his medical school professors. Bell was known for deducing much about patients before interviewing them. He was able, e.g. able to identify a patient’s occupation from the condition of the patient’s hands. Since House is based on Holmes this leads back to Professor Bell. As has been noted by others, a House is not a Holmes. I really appreciate that you explain medical issues so clearly, and that you use television programs to illustrate. The point you made about medical students have to organize how they’ think about cases was very interesting. Thanks for the good work.
I gotta say, I'm not usually interested on medical stuff but this channel has become a favourite bc the way you explain terminology and how things work is really neat, informative and easy to understand.
We typically wouldn't give antibiotics for a snake bite as the incidence of a snake bite resulting in infection is quite low, and it's considered unnecessary expenditure as a prophylactic treatment. You would use it if there was already severe swelling or gangrene setting in, though.
Jen Blevins-Postgate i would think that would depend on how long since the original injury occurred, and the conditions in which it occurred and since it had been recieved. If it was a cotton mouth in the water, i would want to give the antibiotic as a prophylactic. If the person had to wait a significant time for treatment or if they had to walk a significant distance for treatment i would also. Additionally, i would think that a tetanus shot would be in order for almost any bite if they werent up to date or were unsure.
metamorphicorder these are things that probably should be done, but most hospitals don't want it done until it looks like there is already infection or tissue death. If the bite happened in stagnant water, it might change how it's handled. It kind of goes on a case by case basis and policies will be different at some hospitals, depending on the opinions of the board. There's so much red tape in hospital work.
The fact that your username is this is making me laugh a lot with the medical explainations XD
@@metamorphicorder That's why the questions are a thing. (I'm a Ranger not a doctor but we saw a guy that got bitten by brown recluse spider and trust me when you look at his palm you have no idea what bitten him because of the necrosis)
In your professional opinion, is there anything else I should drink after drinking the cyanide? Just curious.
The best thing about watching your videos is seeing the enthusiasm you seem to have about being a doctor. I just love that! Your energy is totally awesome!!
What?! A 25 minute video about House?! This is awesome!!!!!! Love your work!!
OH MY GOSH. Your channel is so brilliant. That work with the blood vessel at 21:23 is just so excellent.
Pain
Pale
Phreezing ?
Paresthesia
Paralysis
Pulseless
There..fixed it for you.
Yes! Genuinely going to remember it like this now.
Phantastic!
strange lee . Lol!
@strange lee, don't you mean, "phixed"!?! Please phix your spelling, Sir!
Permafrost?
The presentation near the end is fantastic~
about the snake bite case: they are so common here in Brazil we have hospitals just to deal with this kind of thing.Not just snakes but scorpions too. Love your channel keep on the good work.
So can people die of scorpion bite?
It's more like stings rather than bites. It's rare, fewer than 20,000 (US) cases per year. Treatment consists of anti-inflammatories, but most stings don't need treatment. Severe cases may need anti-venom.
Polyvalent anti-venoms now days are so good you don't need to identify the type of snake. Obviously if you can identify it, it just means they can give the specific AV for that snake. But the general advice is to not waste time trying to find and identify. Just get a splint with compression bandages on the victim and get them to medical help.
It doesn't show in the chosen clips, but in the episode the farmer turns out to be highly allergic to the generic antivenom and goes into anaphylactic shock before even House notices the captured rattlesnake's high venom concentation. Idk if this changes much about the second antivenom they were looking for, but it certainly didn't the first just 'not work' as it's presented here.
I would imagine if they were allergic to the generic it would have been the same with the specific? However if you get the right treatment straight away (splint and bandage), there is a higher chance you won't even need anti-venoms as you have prevented the venom getting into the blood stream (also they can test the bite wound to see what venom it is if you haven't done anything silly like wash it).
Probably, unless the person is not allergic to the active agent of the antivenom, rather another ingredient and they could somehow take it out? That's reassuring, isn't it, that a snake bite can be dealt with so easily. But it probably doesnt apply to the farmer since he must have come relatively late in for treatment, given that the doctors couldn't tell if it were a snake or a dog bite.
Oh for sure this case they would have been too late.
@@Mhor not necessarily. Generics cast a wider net so antivenoms for one snake probably have a different active ingredient or theres no point.
Interesting fact about snakebites in the UK...
We add a dash of blackcurrant cordial to the lager and cider.
One thing medical school teaches you; NEVER wear a white top on a student night.
Lmao
'Snakebite and black'
I think there are no poisonous snakes in the UK, except 1 species which is also very rare though I don't know exactly.
Which was why historians think that the Snake pit from the Ragnar story was made up.
You have amazing talent in explaining difficult concepts in a simple to follow way!. Have you thought about setting up a second channel for medical students. I would have found you very useful during GP VTS where we get examined on explaining diseases like you do so naturally.
There's alreday Dr. Goljan.
17:50 I wish all doctors would see that the same way. A friend and I once became witnesses of a girl being hit by a car (luckily not that hard, she fell off her bike and had leg pain, but no dramatic obvious injuries) and we drove her in my friends car to a doctor. We offered her to also drive her home, so we picked her back up about two hours later and she told us, she had to wait over an hour with pain because they didn´t want her to get pain killers to not muddle with the diagnostics (turned out one of the bones in her lower leg was broken). She was understandably pissed about that one
*SNAKE WRANGLER!*
...Sounds a bit naughty.
LOL
I'd imagine the snakebite/dogbite confusion is probably from the disease/venom, like House said they were at the black-leg stage, probably hard to tell the general shape of the bite at that point, especially if the dog only glancingly bit.
Last time i was bitten, ER took a photo of my injury. - Probably a good idea to do yourself, if you suspect a bite.
YAY! This was so much fun! I wish you had been my physiology teacher in nursing school. I love when you do diagrams and demos. ♥️
I grew up watching House, I was quite obsessed with it actually. It did inspire me to get into the medical field, and I am a nurse now. This video is amazing, so entertaining and interesting. I loved how you explained House's injury so well, and made it easier to understand! PLEASE keep making more videos like this! They are my favourite and I love watching them all. Thank you for making medical knowledge exciting for everyone!
I know nothing about medicine, I’m not sure I have the mental capacity to be in the medical field, and yet I love this channel so much.
me too i have the mental capacity for engineering in any field but biological and understand nuclear physics but medicine i cannot
It's literally the first time I've ever watched a 25 min video on TH-cam without forwarding it.. i didn't expect to like this video this much! I really enjoyed it! Thanks a lot ❤
dude you where dead for 5 min when you got to the hospital what saved you???
…hope….hope did *looking up into the sky*
*looks up as well*
*dr hope waving out of the window*
"SUP GUYS"
That animation showing the leg vein was beautiful :D Really enjoyed this episode!
Dog bites look completely different from snakebites, especially a pit viper like a rattlesnake. Those are two very neat puncture wounds, about an inch or so apart.
Yes and no, the dog gave the owner necrotizing fasciitis, there a snake poisons that have a similar impact on tissue simple called flesh-eating venom. So if in this case the NF had some time to do it's thing, it could look similar to a snake bit. It would have obscured any bit makers, making it difficult to determine there origine. Given the fact that the owner wanted to protect his dog, it is reasonable to assume some time had past since the bit.
Sure, but the only North American snake with cytotoxic venom, AFAIK, is the cottonmouth, which a rancher is unlikely to run into unless he's close to water. Another thing that it could potentially be is a brown recluse bite, since those also have necrotizing venom. This actually feeds into what Dr. Hope was talking about; establishing where the dude was (Geographic region as well as general location, since the brown recluse has a defined range and cottonmouths hang out near water) helps rule out potential venom sources.
:edit: In addition to that, both the rattlesnake which I originally posited and the cottonmouth have obvious threat displays, which a rancher would know and recognize. If he didn't mention either, it casts doubt on the idea that it could be a snakebite!
Gothmog, Lord of the Balrogs In general, yes. However if a dog only grazes the skin and one or two teeth end up puncturing the skin, it can be harder to tell.
Also, the coral snake should have never been on the list of candidates. It's not really found north of Virginia, it rarely bites humans, and even if it does, its venom is a ridiculously strong neurotoxin. He'd have been struggling to breathe _long_ before he reached the "leg turning black" stage.
@@gregoryhouse5240 amd cottonmouths breath reeks
I had several patients pulling out catheters. It's a real nightmare.
Dr. Hope,you should do a video about either how we deal with confused patients/dementia or MRSA prevention and treatment
I loved this video
Epoxygleu thank you. I know how to deal with it. But is still a nightmare because sometimes the trauma is not visible straight away and you have to wait and see how bad it is and try to put a new one and all that
I've had one patient with dementia pull out a pigtail catheter, working to pull it out throughout the night, staying up the whole time and making sure he wasn't detected by the nursing staff. Only time I have ever seen a pigtail catheter pulled out by a patient.
+AS sa At what point do you start thinking of moving them to a psychiatric ward or hospital?
I'M Running Thaangs go me it happened in hospital. I was a ward nurse. You don't send them to psychiatric wards especially because most of those who do this are having acute confusion,most likely caused by an infection
I'M Running Thaangs This was at a gen surg ward. The patient had diverticulitis with a pelvic abscess that was being drained percutaneously. The patient wouldn't need to be managed in an inpatient setting otherwise. He was also febrile and had some degree of delirium which contributed to the preexisting condition he had.
Such a good episode (Your video) can we have this format commissioned by Netflix? You could do the other couple of hundred episodes of House too😁
I always look at the Wikipedia explanations of the diseases/cases in House episodes but it can get really confusing sometimes. That’s why I loved your explanation so much!! It helped me very clearly visualize/picture the situation. Keep it up!
Great job mate...As a final year med student I think that this video is an useful review for all kind of med student...keep going!!!! Cheers from Italy!
if they initially thought he was a drug seeker, they may not have made as much effort, also sometimes you may not have a typical presentation which meant it was over looked or they were just busy...
i have heard of lots of stories of patients screaming in pain and almost dying because the doctors and nurses thought they were exaggerating.
This was a really nice video! You made it easy to understand House's problem and gave a nice insight into how doctors think when faced with a patient. I'm really grateful for this kind of content. Good wishes from Brazil!
you look like vaguely like a combo of hugh laurie and freddie highmore
I definitely can see Freddie Highmore!
Oh my god I see it
That makes him The Good Dr. House
I think he looks like Benedict Cumberbatch! ;D*
Love how simple and entertaining you've made these concepts.
My mom has struggled with issues of deep vein thrombosis so anything to make it easier learn about vascular issues is appreciated.
Perishingly cold is probably much easier than poikilothermia, but equally fun to say, at least.
Snakes bites are ALLLLLL over EM board review stuff over here, and there is usually at least one question on the annual inservice training exam. Which is probably good because we definitely see them on a not too infrequent basis during the summer.
Could you do a British medical drama? Or, like, a costume drama with a doctor to compare what they did then to what we do now- Oh my god, Dr. Quinn Medicine Woman, maybe, hahahaha. I've never seen it, it might not work, but could be fun. I'm gonna go look this up, now...
I think this is the third time I'm watching your reaction on this episode and I just now noticed that they kind of foreshadowed the last patient is House himself cause in the self injection scene the patient and House are wearing the same clothes 😱
Good to see you back, been wondering what happened, but figured its the busy life of a doctor. Awesome video!
I absolutely love when you explain the diagnosis. And you make it simple to understand.
Wow, just the fact you did a stop motion animation in this reaction video gets an A+ in my book. Well done!
Finally something good in this day!
He is a beautiful man and seems like a phenomenal doctor
He looks like Wilson.
I love the visualization of the last patients condition, very well done.
Dr Hope, I loved the explanation of deep vein thrombosis. Once where all through the pandemic I look forward to more of these. Thanks for these great videos and thanks for what you do everyday at your hospital, you’re a hero!
How do we define 'pale' in Britain... ?
Ha! So true. To answer seriously it would be compared to the other leg.
HAHAHAHHAHAHAAHAAAA that made me laugh more than it should have :D
(From a very pale New Zealander with Brit ancestry)
Yes yes yes, i missed your beautiful face and lovely personality
And a big yes for house
Ps: thank you for spending your time explaining things to us
I learn so much watching your videos. The way you explain things makes it so simple to understand. You are a better teacher than any I had when I was in school! Thank you Dr. Hope for another great video!
This was absolutely brilliant.. The way you explain everything makes it all so understandable.. Also, MORE HOUSE..! 🙌🏻
You're an excellent teacher
Thanks for this!... I love House, I love doctors' terminology, I love your pedagogical way of explaining things to make them easy to understand aaaaaaaaaaaaaaand... I love your accent :) Thanks :D
Your channel is amazing. Seriously you explain and present things so well!
Yas this is one of my absolute fave episodes!! I also LOVE the way you do these videos and explain the medicine... the perfect combo
You've been very missed in the few weeks off! **sending love** Love the quality content as always!
A few days ago I was diagnosed with Otitis, my ear hurt so bad, the otorhinolaryngologist told me that was an infection and the orifice of my ear was so thin because the inflamation. Now I know why is called otITIS, thanks man, I really learn from you. Sorry for bad english, greetings from Argentina!
Very nice to find you in my recommended vids. Given, I've been on a House M.D. binge over the last few days and scrutinizing so many small details it is refreshing to hear of the ones that actually do make sense. Subscribed and the "all notifications" options chosen. Thank you Dr. Hope!
You are a very enthusiastic and thorough teacher! Thank you for taking the time to do these videos. Your explanation of a thrombosis is very understandable.
These are pretty damn great! I feel like I should do something similar! Fellow UK doctor 👌🏽👌🏽
That Medic yesss you should! I like your videoss
Yes you totally should, your channel is great! :)
Please do, send out invites (to me) Perhaps you and Hope can collaborate.
When you fan girl a little too much cus you received a notification through for a new Dr Hope video!! 😁 Loved House and I love your videos!! 😁 Glad you're back!!! :)
Alison Hepburn I actually said "I missed you so much" out loud when I opened the video 😂😂
yes!! simply amazing!! one of my all-time favorite episodes. i think i’ll go watch it now lol.
and the way you explained house’s infarction at the end, i finally understand it more! love your channel!
The explanation about aneurysm and thrombosis was so good. I heard these terms from my mother who was a MD several times and never grasped the concept. And now I did! Thank you so much for this.
A great video especially because it's not looking at the pilot =D Beyond the great and clear explanations, I also loved the naughty "snake wrangler" and the pandemic cubes! Hopefully you can catch a breather from after your emergency rotation =)
Not going to lie, first thing I did was google Fournier's Gangrene. Very good job I have a strong stomach
Thank you for this easy to understand information. You make it fun and interesting. Keep you the good work and keep having fun with it.
The explanation part on the table was super useful and easy to follow. Thanks for another good video!
Big fan of House! this is gonna be great, thanks for the lovely entertainment!
Yessss ... Honestly today I was sitting and just thinking it's been a while since you've posted and I went to your Instagram and saw your post about this but didn't know it was coming today! Just getting a chance to sit down and watch and I'm excited 😂😊
Yay! Glad to see you back!
Love the simplified way that you show how these things are gotten and explaining it
Well done ,you would make a great teacher!
Oh, also, I'd love to see you review shows that are actually non-fiction. It'd be so interesting to see your response to, or education about, some of the documentary-style videos like Save My Life, Children's Hospital, ICU, and another one from Boston that I can't recall. They take place on live calls/cases, some even show surgeries, and more. While I'm sure they'd be "accurate", I'm sure there are still things that are maybe done different in the UK vs the US, calls you would've make differently, or interesting lessons you could teach along the way!
Love your channel, I learn alot.
Love watching these. Would gladly watch you breakdown the medical story to multiple episodes to each show.
I love your videos! Your explanations are so clear and it gives me a better understanding of what’s going on in terms of the medical terms, procedures and etc.
And it’s really fun to watch your reactions too. I also watched house and enjoyed it a lot
I love your videos and can binge watch them! Anyway you can do a video on EDS (type 3 and the others) because I'd love to actually understand it
Obligatory positive comment to beat the TH-cam Algorithm Monster.
Glad to see you back!
I love the way you explain things, it's so clear! Please do more of these types of videos :) or hell, any types of videos 😁
Several years ago my aunt had a brain aneurysm. Her symptoms presented as a headache acutely in one spot. Within 24 hours she nearly died and lost her vision. She was a smoker the majority of her life and with time it had weakened her arteries significantly. Its nice to have learned how an aneurysm works, so that I can better understand what she went through.
So basically the episode is House being a GM for an educational RPG.
That was awesome and interesting. I'm in Australia (West of Brisbane) so I hope our Doctors have a teeny tiny bit more knowledge of snakes than you do. I enjoyed this video. I'm sure you would be a kind doctor.
It's fair to say that's more useful knowledge for Aussie doctors than for British or American ones.
Matthew Swenson Yeah mate. I was being silly when I said that. We have so many things out here that have the ability, and sometimes determination, to kill us.
Loved the reaction and thoroughly illuminating explanation and visual representation of House's aneurysm. I'd love to see more of that with more House and Scrubs eps. Job well done Doctor.
I really liked how you explained the thought process for a differential diagnosis! Good video!
I wonder why a Doppler, both arterial and venous, wasn't done immediately? Those "P"s all indicate an arterial problem.
Dr. Mike did it again, he reviewed another House episode, guess which one
I'm pleased he's such a dedicated fan of my channel!
I just came from his video
Actually, his fans are your fans, and consequently they ask the same things from the both of you. Dr. Mike's review videos are done by fan request and given that you two share fans, you can see how you have been most probably overlapping your material.
I wanted to head this off now as last time things got testy it left a bad taste in my mouth for the both of you. I rather like both of the programs and it'd be a shame if some petty rivalry damaged my esteem for either.
In my heart of hearts, I still hope that one day the two of you will find common ground (and common time) on which to collaborate.
@Dream0Asylum I'm just making a bit of fun out of it that's all.
Yes, but I find this more informative.
This was another very fascinating look into the medical profession. Thank you for these videos!
You are amazing! I love all your videos but this one in particular was really interesting to me because you managed to make vascular problems interesting to me again. I was so sick of learning about the circulatory system after becoming a certified nursing assistent. It was so much to read and write haha. You are an amazing teacher and I am convinced that you are a just as awesome doctor. I just love your videos... hehe
I’ve got my first year clinical OSCE exam tomorrow, and the bit about history taking is exactly what I needed 😂 Ps ,did you also go to Notts ?
I did! Are you enjoying it? Good luck in the exams!
Dr Hope's Sick Notes it’s been everything I hoped it would be, I’ve had an amazing year. Just gotta pass these exams tho 😂 loving the content!
You’ve kinda made me wanna start my own channel haha
They really liked surprising us with random test results during our OSCEs and our SPs would withhold everything unless specifically asked. I still remember my internal medicine OSCE, it was an SVT ECG flung at us by the SPs at the latest possible moment.
House season 2 ep 1 would be interesting to hear about from your point of view.
Your videos brighten my day. Thank you very much for sharing your knowledge with us!
I am thrilled to have found your channel. Thank you very much for reinforcing all my will to do medicine! Wish I could sit down and geek out with you about physiology and disease! Love your vids. All the best ❤
Explaining something medical by comparing it to something car related? Nope, doesn't work for me. The opposite however ...
as a mechanical engineer and a mechanic, i can tell the procedures he explained, are quite similar when diagnosing a car, the bright side is the car cant die.
Yeah, when looking at engine oil you're looking for small parts that's scraped off from inside the engine such as from corrosion and/or physical damage or burnt oil. When looking at blood tests from patients that may or may not have had a heart attack, you're looking for the same thing, sort of, cells that have died and are leaking into the circulatory system.
Admittedly I may be completely wrong since my field is in immunology, but we run some very similar analyses.
yes, for example, high levels of potassium or sodium in the engine oil are indicative of glycol leak, which can be indicative of blown head gaskets, cracked, cylinder heads, etc, this can lead to a higher wear of metallic parts that are subjected to friction(which also will show up as a higher count of lead, copper, aluminum, etc in the oil) because the lubricant effectiveness is lowered due to the content of glycol
lucas arteta impressive!
@Marie I wish you didn't say 'nope', seems a bit too dismissive for me.
Did House make the comparison, or did Dr Hope?
Why does it not work for you?
Good video but what about the treatment house wanted, the possible amputation(would this actually be necessary after just a few days) and also the middle ground they wound up doing?
Yes absolutely, I probably should have talked about this more. If there is a complete blockage then tissue will begin to die within minutes / hours (depending on how metabolically active the cell is) so it's a race against the clock, so certainly 3 days you'd expect significant necrosis, and likely require amputation.
It was quite well described in the episode how simply restoring the blood flow to necrotic tissue can kill you, as all the ions, proteins, cells and bacteria from the necrotic tissue would suddenly be sent around the body and could cause a cardiac arrest at worst (from potassium) or life threatening septic shock (from inflammatory cells / proteins).
I love that you take the time to respond to so many questions!!
I love these videos! Especially the House ones because I'm a big fan of House. Loved the little makeshift diagram/presentation you did. Actually cleared up some misconceptions I had about aneurysms.
Thanks for a new wonderful video! I don't know how learning about terrible diseases can be satisfying, but it definetely is!=)) And you talking about snakebites reminded me of how my Mom, who is a doctor in Russia, watched "House" and asked me if life overseas really was so different and complicated that their patients had all those crazy illnesses.🤣🤣
Are those cubes from Pandemic?
Yes! Gold star for you.
When you play Pandemic, what names do you come up with for the four diseases? We always end up naming one the Zombie Plague!
I was going to ask this!!!
DJ Chizzly
In Pandemic Legacy Season 1, my group decided to name each disease based on its colour. Black death, yellow fever, and blue flu (not a real disease, but is a real term). And red we had trouble with, but with Google we found a disease in plants called red thread.
How about Scarlet Fever. I've just had the jab it's not great but better than getting it
You should totally watch some Scrubs
Love your videos 🤩
Thanks! I did the first episode here: th-cam.com/video/GhHwunzKfIA/w-d-xo.html it was BRILLIANT and so close to my first days, I'll definitely look at more episodes of it.
EDIT: link update
Wow! I learned quite a lot from this episode! I initially understood the explanation of infarction back when I saw the episode, but you explained this so thoroughly and in such simple terms, so that even someone with no medical trainning can fillow! THank you. Other therms like stent, bypass etc. were always so vague to me, but now I'll definitely remember what they are! :D
I love the way you explain things it makes it easier to understand. Thank you , I love your videos.