Since you were wondering why she's being seen by a doctor like House and had no workup done I believe its explained elsewhere in the series that patients he ends up seeing are patients who have been to a number of other specialists and none of them could work out the cause of a patient's symptoms.
True and when those previous doctors did run tests, House’s usual procedure is to redo them because he assumes that labs/people screw up all the time. He also has tests rerun multiple times to make sure he didn’t get a false positive/negative result.
For all house's shortcomings He has taught me many things about the human condition Cheif among which is Everybody lies And yes I'm a doctor, i think the medicine in the show is really just a stage for house to point out the many hypocritical ways we interact. He is rude and inappropriate but it is definitely with a purpose
Back when I was working as call-in technical support House also helped me get better diagnosing and repairing issues by adopting the attitude: "the person on the other line is lying to me, ask round about the questions that trip-up the person relieving info." The results where higher repair success rate and lower follow-up repairs then my colleges...with greater result of people leaving reviews referring to me as "yes that asshole fixed the problem but..."
Thank you for explaining this in an easy, approachable, and kind way. and still referring to the patient as her usual pronouns. I know it's a fictional character but it means a lot to hear a doctor be respectful about the topic of gender.
Dr. Malik, this was phenomenal! As a bit of an armchair physician, I always liked the House program: a technical medical whodunit but, OK, with lots of dramatic license and technical inaccuracies that sometimes even I could spot. I guess the over-the-top elements of House's character were part of why we all liked it. Your critique was really great for information, for calling out the BS and especially for the insensitivity of his bedside manner. I think today even House would not do what he did in the reveal. It shoes how far we have come in dealing with gender issues.
Fascinating episode, one of the reasons I liked House. Quite disturbing father-daughter relationship. Thank you for providing the medical explanation and point of view in a very easy to understand manner.
yay another House MD! This is gonna be exciting! I remember a clip of this on the House MD channel on YT, now I finally get to see most of the episode.
I'm always so impressed by your knowledge and you tactful discussion of sensitive medical topics! Seeing such excellent female doctors (especially the ones who are also awesome moms) always inspires me to continue to pursue a career in medicine!
the majority of doctors become like house ( with time ) : they have thousands of patients , do you really think they can give (compassion) to everyone ??!! it's too much asking !!
simplythebest286 If anyone is becoming truly like House, they’re going down a bad road. I do think some patients should manage their expectations with medical professionals. Some are not going to be warm and fuzzy but still can be a damn good clinician. Nonetheless, some doctors do need to do better with explaining things to patients and truly listening to the issues they bring up. It is a balance. A doctor certainly can improve on these things without experiencing burnout.
Great episode to choose and terrific review. I haven’t seen this episode in years, but I remember thinking the team were boneheads for failing to discover this sooner. AIS is rare (although not quite as rare as House said-more like 1 in 20,000 or 2 in 50,000), and this had another zebra, but the lack of menarche at 15 should have made them investigate further. A simple question about pubic and axillary hair growth would have revealed it was sparse, and that should have tipped them off to do a pelvic US. I think it is done when House suspects cancer, but then it’s a goof to not have them observe the lack of uterus during the US. Okay, so there’d be no episode if this was totally realistic, haha. Heck, the worst mistake was not reporting the father for abuse!
Every time I watch these medical reviews, the good doctors (such as yourself) say "no one does that" or "that is HORRIBLE bedside manner and totally inappropriate," and every time it's some crap a doctor is done to me. I've had doctors threaten me, hit on me, say they're going to give me a cath just to try to test if I was malingering, I immediately consented to the cath (because I was having something that seemed like a seizure, but who knows, they never gave me any answers, and I could not walk to the bathroom at all) --- and they STILL thought I was malingering anyway. And for what? Ativan? WHY? None of it makes sense. And I've been denied pain medication during miscarriage (horribly painful), all kinds of crazy crap. I've had a myriad of unbelievably bad experiences with doctors. Like, really bad.
@@IcyTorment Good Lord, that's gross and creepy. I've never had a doctor be that sexually inappropriate, but it doesn't surprise me that much either. Usually it's just cruelty, not believing you, acting like you're crazy/it's all in your head, not giving a damn if you're in pain b/c you're sort of weird looking so you must be a junkie, etc., etc.
Thank you for explaining this episode. I remember watching it years ago and to be honest I was more confused after it was over then I was before it started. Perhaps just the circumstance caught me off guard enough to become more confused. You know, the thing with the dad.
i love how openly you negatively/disapprovingly react to offensive dialogue in these shows that doesn’t have to do with the medical plot, especially when it’s a man saying something scummy LOL. it’s something small but i love that you are so honest and use your voice.
The thing with House is that he likes the puzzle of his job, but he's really a philosopher, ho does those things because he knows that people try to do their best to hide the truth, he's mean but he is real, he is one of the closest to Nietzsche's Überman, I honestly prefer to be treated like that if he's going to find the answer than to be treated kindly if he's going to just ease my pain, and actually I learned to tell everything to my doctors so they can know what I'm having. House is the King
carlos881104 he doesn’t, because he’s not a good character. He’s not someone you should praise, he’s an asshole and rude. He was purposefully written that way, but that doesn’t make it right to call a this woman a ‘man’.
Oof this episode did not age well. A girl who has lived as a girl her entire life, with nearly every female sexual characteristic and a few male ones she never even knew about, and House basically goes “you’re a man”. Old nonsensical notions on intersex
This is a TV show for entertainment! They're not imitating real hospital protocols. The show is made purposely to diagnose medical problems in an unorthodox manner. It's a show meant to grasp the imagination for viewership ratings.
i think it's quite obvious that those were supposed to be sarcastic remarks.... underage girls are sexualised on a regular basis by the fashion industry yet noone bats an eyelash and he's being sarcastic about it.. and comments like yours criticising house for his remarks and not the fashion mag for publishing basically nudes of an underage girl kinda proves his point
@Nick Fanchette read properly first please... it's obvious that you do not understand my comment even on a base level.. but if you do not understand something as basic as character motivations being also part of the show, i can't help you
Thank you for reviewing this episode. I enjoy House very much even though he is often painfully offensive because it is fun, in a perverse way, to see just how offensive it is possible for a person to be. For me, part of the reason it is fun is that *everyone knows* just how offensive he is, and since it's fiction, and most of the people around him are strong enough to take it in stride, we're granted permission to laugh at it. What bugs me about this episode, though, is that there are probably a lot of people in the audience who are *not* aware of just how truly awful it is for House to give the patient the news that she has CAIS in the way he does. As you explain, people with CAIS generally have female external genitalia and generally identify as female even though they are chromosomally male; there is absolutely no reason for this patient not to continue identifying as female after this diagnosis, but House insists on referring to her with masculine pronouns and calling her a man. She's a child! In my mind, this crosses the (rather fuzzy) line from offensive into abusive, and it's disappointing that the writers just played this for shock value and didn't at least find a way to give him some pushback. (I also agree with other commenters that the gang should have guessed CAIS sooner. Didn't their scans reveal how underdeveloped her uterus was?)
As a complete fictional environment you can also consider he's attacking the father more than the child with presenting the information in this matter, like a "So you were confortable having sex with your daughter, but are you comfortable with having sex with your son?" which of course shouldn't be consider on an attack on homosexuality but more of throwing what sticks to the child abuser.
Im intersex and I have periods but when I first start my period I get pain in my stomach it feels like a headache but in your stomach and I will passout in the bus and not remember nothing and i once almost skipped my stop and I was sent to the nurse and ive been passing out on rides for the past 3 years I had sleep disorder since I first started my period 3 years ago and sometimes it take 10-30 minutes for me to sleep and ill be awake and than passout
Im sure that if I remember this episode correctly, all that testing had already been done either via the clinic or via the time you skipped. Also, it's a show. He is as rude as he is because its apart of the show, and that's why it's loved so.
It's pretty disgusting that the writers of the show thought it was ok to have House talk to and about a 15 year old in such a manner. It's highly inappropriate.
@@ChristusRex081He isn't a psychopath, he's just extremely anti-social and misanthropic. He doesn't believe he has to follow social norms and since he was basically written to be a doctor version of Sherlock Holmes, is extremely narcissistic. He just does whatever he wants and doesn't care about what others think about it.
I agree with the commentor below, could you do a whole video on just intersex - the whole hermaphrodite issue? You've got great videos here by the way.
What happened to Alex after she had a surgery and the end of the episode since she was never seen again? The question is she still continued to be a girl after she found out the truth and has her father disown her?
I used to watch House all the time as a kid and this episode always really upsets me. I try to put a "positive spin" on it and tell myself this was the writing staff imposing their own personal views into the show, because realistically with how much House knows about medicine, and also how he basically doesn't give a shit about anyone or what they do, he would know this patient was medically classified as intersex and he wouldn't be suddenly and deliberately acting cruel simply based on undescended testes. Like seriously, for everyone who hasn't seen this episode, right after House heartlessly tells this patient of her diagnosis, he basically bullies her into a complete mental breakdown. She's only 15 and received this horrible news in what he made an intentionally traumatic way, she's in shock, crying, and he keeps referring to her by male pronouns and insisting she's male even when she says she's not, and he keeps "correcting" her until she eventually becomes so overwhelmed that she snaps and exposes her naked body to him, saying something along the lines of "I'm not a man, look at me! I'm a girl! I'm a girl!" And he just walks away. He just traumatized a 15 year old sexual incest victim because he wanted to make dumb edgy humor. Also like... His excuse for keeping the father around was in case the daughter lied and they needed more info. After he made his diagnosis he or his team should have immediately contacted DFS. Seriously, his team is just as heartless as he is with the things they let him get away with because "oh my god he's such a genius doctor except when he's costing the hospital millions of dollars because he runs so many tests it bankrupts his patients" Great video: educational and entertaining! I've been hooked on these "real doctor reacts to" type videos lately and it's great to find more channels :)
But that is the point of House, he's an asshole, he doesn't care about what you the patient think, he's cruel because that's how he gets the truth from people, he's cruel, so you react cruel to him, it's a form of manipulation, and if the team had called to the police, they have never known that she had testicular cancer so she probably had died... But she could have died happily and that's better than to live with the truth... right? Ignorance is bliss
The writers of this episode worked as hard as they could to characterize both the daughter and father as colossal jerks, I assume in part so that House could be a huge jerk in the end of the episode to shame them and put them in their place. Interestingly, the writers decided to tackle a 2nd intersex patient in another episode, also a child, and they handled it a bit more realistically, even though it's an extremely rare condition, but they still managed to get a few things wrong, and while House's ending line to the patient's parents was still quite mean-spirited, it was at least more called for. (Paraphrased) "You gave birth to a freak, but you should stop treating him like one."
Dude, it's 2006 episode, back then people were fine to be direct about things, the person is XY - it's a male. And it doesn't matter what that person insists. Also, it's not a "victim", it was a cruel girl that seduced everyone around to get people blackmailed. So that's the response.
They called the police in that episode but the girl lied about it to the social worker. There's nothing more they could do at that point. She admitted that she wanted to sleep with her dad to manipulate him.
I loved the series. I always wondered with the cost of medicine anyway, what is these patients’ hospital bills are like after this even if they have insurance. They always do these crazy and invasive tests.
@@GeroG3N it’s not being a snowflake. She clearly was comfortable in her identity as a woman, proven by the fact her brain would be impossible to map as male
The switch of pronouns that House did really annoyed me. It's like the horrible people that who learn a woman who they've been calling she is a trans woman, and suddenly pointedly use male pronouns.
MichiruEll so it annoys you that house, who is an a-hole is in fact an a-hole? Also this was made far before transgenderism became a mainstream issue, and seeing how house is a purely logical based person, it wouldn’t make sense that he would care about pronouns.
Remember that House doesn't care about being polite, he loves to solve the puzzle, and that's what he did, and he's using the he pronoun to prove his point of testicle cancer, if he wouldn't have done that, they wouldn't have probably believed him.
I assume you have not watched many episodes of House. He is very straight forward, no nonsense and yes very little bedside manners. But, he is the doctor I would want if I had health issues.
If a transsexual woman, who has gone through SRS, wants to know if she had an intersex condition when growing up, how can the diagnosis be approached? Is genetic testing the only alternative?
Me: sitting on couch with a bowl of popcorn, completely absorbed in the show, trying to solve the mystery before House does... Dr Rena: Running the dust buster and giving me instructions to move a little so she can get the stray popcorn kernels, while explaining everything House does wrong... A perfect Saturday night 😉👍
It is a little odd that a 15 yr. old girl with developed breasts who has never had a period had not been see by a gynecologist. Also if the female physician in the show had perform a gynecological exam, wouldn't she have noticed something strange... Wouldn't they have checked her hormone levels?
There is another episode of House (season 5 episode 16) where a boy finds out his parents were told by the doctor that he was intersex and they needed to choose which gender to raise him as.
We're all female during the first two weeks of gestation (that's why males have nipples) and once the Y chromosome makes an appearance, ovaries become testicles, the clitoris becomes a penis, and the labia becomes a scrotum, depending XX/XY. I can understand things can become "jumbled" during rare cases.
actually, it’s around week 6 or so that the sry gene in the y chromosome starts to make the neutral pre-gonads into testicles, which pump out testosterone that masculinizes the baby. i have a y chromosome, but i don’t have an sry gene, so i have a female anatomy
Very interesting. We use to watch House, probably because of the abstract way he presented his methods. I always got a kick out of the guy who came to him with constipation issues. House's resolution was to smoke a couple of cigarettes a day.
"Another great reaction video from the Hot Dick Doc." - Dr. House In all seriousness, I love your channel, dudette. Thanks for the entertainment and info! I feel like you really showed your breadth of knowledge on this one. I was like damn, maybe she should have House' gig 😁
If he/she is having complete androgen insensitive, then the female reproductive system would not have developed from Mullerian duct, so she wouldn't have a uterus but also the male internal reproductive organs are not present, so she/he has a blind sac , wouldn't the Doctors would have found that on USG? Is it then a plothole?
I am a huge "House" fan and I have a doctor in my family and she HATES House and any medical TV dramas. Anyway, Dr. Gregory House is the best but ALWAYS have unprofessional bedside manner. I think its the Vicodin he is popping. But the actor Huge Laurie makes the show great. I love to see doctors like you give us watching show like this the REAL break down of medical realism of some of these medical TV shows people watch.
@@RenaMalikMD Another really good show is ABC "The Good Doctor" directed by the same person that directed "House, M.D.." I would like to know have you seen this show and your opinion on can a savant with autism really get hire to be a medical surgeon? Thanks for your super videos I'm becoming a fan.
Hi, I have enjoyed some of your videos even tho I am not a medical student. I just find medicine interesting. That said. I’m a former heroin addict. And I have heard before of rapid detox under anesthesia. A quick google search did find some results and studies of using agonist medications while patients were under general anesthesia for some hours. However it doesn’t seem to be very common practice of course. Are you saying it is never done, ever? Did they figure out it wasn’t an effective method, or is it just too risky or expensive compared to other more common detoxification protocols? Also this episode has to be over a decade old at this point, is it possible it was more common then? Paused it to type that out, gonna watch the rest now :)
At the end of this " Episode, " / When All has been " Said and Done, " / > the, good Dr. Rena Malik has Proven all These Characters to be Not but > " Foolish Animals " !
Hi Rena, just curious there must be hundreds of really rare conditions, is there a checklist of things to test for if you can't find a reason for your patients illness or condition. Just found your channel today, your an interesting lady, I love house even with all his demons.
This video was very surprising and interesting. My question, though, is: Would this person have the chromosomes of a man, or of a woman? Yeah, I could see how a diagnosis like this would be devastating.
yeah, she has xy chromosomes and testicles inside the abdomen that pump out testosterone the body doesn’t respond to, and so it turns into estrogen and anatomically female development takes place.
I've commented a few times, and I apologize to you and others who read the comments for being so personal in my comments. I'm a 27 year old Male who used to wake frequently with morning wood,and here lately I haven't been. I'm not wetting the bed and I'm not waking up in the middle of the night to urinate. Is this something in your professional medical opinion I should be worried about? Or should I just not worry about it, and wait to see if it comes back? And if it doesn't come back in your professional medical opinion should I consult an urologist to make sure everything is in working order?
It’s not one or the other. There are great doctors with great bedside manners, I have one. You were critical of Dr. House’s bedside manner. Yes, I understand he is a fictional doctor, but his bedside manner is irrelevant to me if he can treat whatever condition I have. Bedside manner is not what is important to me, it is competence.
Exactly!!! She says House is inappropriate....well DUH that's the character!! His character is the top diagnostician in the country who happens to be an a$$
I know house is really not a nice person, but if i have a rare diseases and no one have the answer except for house, i don't care if he is the most inappropriate human been, i just want to be cure o have an answer
7:54 You BLAMED the VICTIM. She didn't have intercourse with her dad. HE did that TO HER. If I recall the episode, she said she seduced him, but that's exactly what a certain kind of victim would say to protect the perpetrator, which is a whole complicated symptom of trauma. MINORS can't consent. HE IS THE ADULT. END OF STORY. Is it possible that she really did seduce her dad, knowing full well what she was doing, and that it was out of the blue without her dad ever making gross comments about sex, her body, giving her creepy looks, and touching her weirdly? Um....maybe 1 in a million times, and I get that this show is about rare stuff happening, but YOU as an actual medical professional, should be pointing out that protecting the perpetrator basically always happens, and is itself, a symptom of trauma.
It is interesting to find this video years later and to read the comments and how they've changed as time has moved on and more people are thinking about gender and intersexed issues. I do not have more time to read all the comments, but in time I will come back to this to read them and learn more. In the meantime I hope everyone has a great holiday season. :)
I suppose it's necessary to critique this sjoe because on average many viewers don't understand one basic fact. It's fantasy it's not real it's not reality that's not the way the world works it's entertainment. For the rest of us that understand those facts your RUclips critique of house is boring in a waste of time period
i love how people think a fictional character made by a tv show company’s opinions are more valid than the factual explanations of _actual, real life professionals in the field._ sorry if you’re being sarcastic, but you can never know in this day and age.
Hi Rena, Love your channel. I have a question about viagara. If I am taking blood pressure medication, can I take Vaiagara? Because it seems that I have a difficult time getting full erections and I wonder if it is alright to take pills like viagara. Or is it, that my medications are causing ED problems. What are your professional opinions. I know that I should talk to my doctors about it but it seems like that they don't really take it seriously, and even gotten angry at an urologist for being scornfully dismissive of me.
She can’t give you specific medical advice because she’s not your doctor and doesn’t have a full history. But since I’m not a doctor I can give you some advice. Get another doctor. If you are on doctor number four or five then you are the problem but you should be able to find a good for you doctor in one or two tries. It can be frustrating, especially for getting a urologist or gyno because of the nature of their work, but should be easily doable, (I’ve been lucky myself, but I also have reasonably low self esteem so I put up with professionals I don’t like easily).
@@john-paulsilke893 Are you her spokesperson? Since you're not a doctor why would I want to listen to you. I can just look it up on google. She doesn't have to answer I don't care. But I suspect she can answer for herself.
@@kurt1338 John is right though. She cannot give you that kind of advice if you are not her patient and doesn't have your history. It might even be illigal for her to do so. If you can't speak to your doctor about that either call him/her out on the fact that you don't feel you are taken seriously or just change doctors. It ist your right as a patient.
Kurt You definitely deserve to be heard as a patient with a doctor you trust (and meet IRL). I’d start with the clinician who prescribes you the blood pressure medicine. If they’re one of the providers who already haven’t taken this seriously, I’d try again. I know it’s hard when a health issue hasn’t been addressed properly, but try to discuss it calmly and without bringing attitude to the appointment. If you’re still blown off, don’t hesitate to seek a second opinion with a primary care provider. They can get to the bottom of this or refer you to a better urologist who can. Best of luck.
House is a pain killer junkie. He should not be there. If the woman has Heroine in her system then send her home and tell her to come back when she has resolved that.
I Appreciate your views and opinions,but to the others, don't forget that it's just TV,no doctor or nurse can get away with what house does in real life
bruh! Stop talking about his bedside manner , come on ! It's a show! That wouldn't be House otherwise! he's like Sherlock: genius but anti-social. Every doctor out there says that his bedside manner is not appropriate.....wow, really, i didn't know that, cause i considered that a standard
@@dgillies5420 you’re right about the first part, but not about the chimerism part, which is when a person has two different sets of dna in their body because they absorbed their twin in the womb
Since you were wondering why she's being seen by a doctor like House and had no workup done I believe its explained elsewhere in the series that patients he ends up seeing are patients who have been to a number of other specialists and none of them could work out the cause of a patient's symptoms.
True and when those previous doctors did run tests, House’s usual procedure is to redo them because he assumes that labs/people screw up all the time. He also has tests rerun multiple times to make sure he didn’t get a false positive/negative result.
If it's sent to house that means they already went through all the normal stuff and he tries to figure it out
Figuring out AIS really isn't that difficult.
Usually all the other doctors WANT to do tests for the normal stuff and House just bulldozes through that idea.
It's probably covid
House is a snowflake buster 😁
For all house's shortcomings
He has taught me many things about the human condition
Cheif among which is Everybody lies
And yes I'm a doctor,
i think the medicine in the show is really just a stage for house to point out the many hypocritical ways we interact.
He is rude and inappropriate but it is definitely with a purpose
Back when I was working as call-in technical support House also helped me get better diagnosing and repairing issues by adopting the attitude: "the person on the other line is lying to me, ask round about the questions that trip-up the person relieving info."
The results where higher repair success rate and lower follow-up repairs then my colleges...with greater result of people leaving reviews referring to me as "yes that asshole fixed the problem but..."
more useful to us if u say you specify whether u r a physician in particular ie clinician, surgeon etc.
@omaryhassan6477
You're a doctor who doesn’t know how to properly use capital letters? Your comment was even edited and still wrong.
The way you shook your head when he said “You had me at teenage supermodel” was hilarious! This channel is awesome!!
69 likes
Let’s keep it that way
I thought it rather disappointing. That's House's personna. What's wrong with teenage supermodels?
Thank you for explaining this in an easy, approachable, and kind way. and still referring to the patient as her usual pronouns. I know it's a fictional character but it means a lot to hear a doctor be respectful about the topic of gender.
Hahaha I love the face you do when House does some inappropriate thing... You're like real life Cuddy XD
1:03-Yes House IS inappropriate. That’s part of his character.
Dr. Malik, this was phenomenal! As a bit of an armchair physician, I always liked the House program: a technical medical whodunit but, OK, with lots of dramatic license and technical inaccuracies that sometimes even I could spot. I guess the over-the-top elements of House's character were part of why we all liked it. Your critique was really great for information, for calling out the BS and especially for the insensitivity of his bedside manner. I think today even House would not do what he did in the reveal. It shoes how far we have come in dealing with gender issues.
Fascinating episode, one of the reasons I liked House. Quite disturbing father-daughter relationship. Thank you for providing the medical explanation and point of view in a very easy to understand manner.
yay another House MD!
This is gonna be exciting!
I remember a clip of this on the House MD channel on YT, now I finally get to see most of the episode.
As a long-time pain patient and victim of the current opioid hysteria, I guarantee poorly treated pain can directly affect decision-making.
Agreed!
I'm always so impressed by your knowledge and you tactful discussion of sensitive medical topics! Seeing such excellent female doctors (especially the ones who are also awesome moms) always inspires me to continue to pursue a career in medicine!
Thank you!
Great explanation Doc. Thanks for once again properly informing us about such a sensitive subject.
My favorite Baltimore Urologist!
BOOM💥
If I’m ever in Baltimore with a kidney stone... you’re my doc.
I wish my Urologist was as compassionate and helped me understand my problems. He was more like House; very straightforward and unemotional.
the majority of doctors become like house ( with time ) : they have thousands of patients , do you really think they can give (compassion) to everyone ??!! it's too much asking !!
simplythebest286 If anyone is becoming truly like House, they’re going down a bad road. I do think some patients should manage their expectations with medical professionals. Some are not going to be warm and fuzzy but still can be a damn good clinician. Nonetheless, some doctors do need to do better with explaining things to patients and truly listening to the issues they bring up. It is a balance. A doctor certainly can improve on these things without experiencing burnout.
This is an important discussion and I think it's not unreasonable to expect doctors to give you good information and treat you with respect.
@@simplythebest286 It's not too much to ask for basic fucking respect
@@simplythebest286is it something one loses with time?
I’m a labor and delivery nurse in Annapolis! I’m sure we’ll never cross paths haha but cool that’s we’re in similar areas
Neighbors! 😎
Great episode to choose and terrific review. I haven’t seen this episode in years, but I remember thinking the team were boneheads for failing to discover this sooner. AIS is rare (although not quite as rare as House said-more like 1 in 20,000 or 2 in 50,000), and this had another zebra, but the lack of menarche at 15 should have made them investigate further. A simple question about pubic and axillary hair growth would have revealed it was sparse, and that should have tipped them off to do a pelvic US. I think it is done when House suspects cancer, but then it’s a goof to not have them observe the lack of uterus during the US.
Okay, so there’d be no episode if this was totally realistic, haha. Heck, the worst mistake was not reporting the father for abuse!
Every time I watch these medical reviews, the good doctors (such as yourself) say "no one does that" or "that is HORRIBLE bedside manner and totally inappropriate," and every time it's some crap a doctor is done to me. I've had doctors threaten me, hit on me, say they're going to give me a cath just to try to test if I was malingering, I immediately consented to the cath (because I was having something that seemed like a seizure, but who knows, they never gave me any answers, and I could not walk to the bathroom at all) --- and they STILL thought I was malingering anyway. And for what? Ativan? WHY? None of it makes sense. And I've been denied pain medication during miscarriage (horribly painful), all kinds of crazy crap. I've had a myriad of unbelievably bad experiences with doctors. Like, really bad.
@@IcyTorment Good Lord, that's gross and creepy. I've never had a doctor be that sexually inappropriate, but it doesn't surprise me that much either. Usually it's just cruelty, not believing you, acting like you're crazy/it's all in your head, not giving a damn if you're in pain b/c you're sort of weird looking so you must be a junkie, etc., etc.
I like it better when the gaps in your speech aren't edited out as compared with the videos from your desk.
Thank you for explaining this episode. I remember watching it years ago and to be honest I was more confused after it was over then I was before it started. Perhaps just the circumstance caught me off guard enough to become more confused. You know, the thing with the dad.
I see Doctor reacting to House, i click
i love how openly you negatively/disapprovingly react to offensive dialogue in these shows that doesn’t have to do with the medical plot, especially when it’s a man saying something scummy LOL. it’s something small but i love that you are so honest and use your voice.
Thanks so much!
The thing with House is that he likes the puzzle of his job, but he's really a philosopher, ho does those things because he knows that people try to do their best to hide the truth, he's mean but he is real, he is one of the closest to Nietzsche's Überman, I honestly prefer to be treated like that if he's going to find the answer than to be treated kindly if he's going to just ease my pain, and actually I learned to tell everything to my doctors so they can know what I'm having. House is the King
carlos881104 there’s a difference between being honest and being offensive
@@chilipeppa7388 And you think House is someone that cares about being polite because....
carlos881104 he doesn’t, because he’s not a good character. He’s not someone you should praise, he’s an asshole and rude. He was purposefully written that way, but that doesn’t make it right to call a this woman a ‘man’.
Oof this episode did not age well. A girl who has lived as a girl her entire life, with nearly every female sexual characteristic and a few male ones she never even knew about, and House basically goes “you’re a man”. Old nonsensical notions on intersex
He literally sexually harasses her at the start. I never watched it when it was popular but now I'm horrified that it was so popular!
he wasn’t wrong though
Noel Oommen i wouldn’t even consider that hitting on her, more of an uncomfortable compliment
To be fair. He is an asshole so.
@Noel Oommen it's 10,000% sexual harrassment even if she "liked it" he's her doctor and she's 15 years old.
This is a TV show for entertainment! They're not imitating real hospital protocols. The show is made purposely to diagnose medical problems in an unorthodox manner. It's a show meant to grasp the imagination for viewership ratings.
Reminds me of why I could never stand more than a walk by of House! But Dr Malik saves the day with some science.
As always well done. This one is way outside of any thing I have any knowledge of.
are we just gonna ignore how much that doctor was sexualizing him 15 year old patient?? there’s more than one thing wrong with that
Watch the episode again, try to understand
It’s house. He’s messed up
i think it's quite obvious that those were supposed to be sarcastic remarks.... underage girls are sexualised on a regular basis by the fashion industry yet noone bats an eyelash and he's being sarcastic about it.. and comments like yours criticising house for his remarks and not the fashion mag for publishing basically nudes of an underage girl kinda proves his point
@Nick Fanchette read properly first please... it's obvious that you do not understand my comment even on a base level.. but if you do not understand something as basic as character motivations being also part of the show, i can't help you
House should be a Marvel series, It's not meant to be realistic, it's meant to be a medical superhero comedy.
Thank you for reviewing this episode. I enjoy House very much even though he is often painfully offensive because it is fun, in a perverse way, to see just how offensive it is possible for a person to be. For me, part of the reason it is fun is that *everyone knows* just how offensive he is, and since it's fiction, and most of the people around him are strong enough to take it in stride, we're granted permission to laugh at it. What bugs me about this episode, though, is that there are probably a lot of people in the audience who are *not* aware of just how truly awful it is for House to give the patient the news that she has CAIS in the way he does. As you explain, people with CAIS generally have female external genitalia and generally identify as female even though they are chromosomally male; there is absolutely no reason for this patient not to continue identifying as female after this diagnosis, but House insists on referring to her with masculine pronouns and calling her a man. She's a child! In my mind, this crosses the (rather fuzzy) line from offensive into abusive, and it's disappointing that the writers just played this for shock value and didn't at least find a way to give him some pushback. (I also agree with other commenters that the gang should have guessed CAIS sooner. Didn't their scans reveal how underdeveloped her uterus was?)
As a complete fictional environment you can also consider he's attacking the father more than the child with presenting the information in this matter, like a "So you were confortable having sex with your daughter, but are you comfortable with having sex with your son?" which of course shouldn't be consider on an attack on homosexuality but more of throwing what sticks to the child abuser.
Im intersex and I have periods but when I first start my period I get pain in my stomach it feels like a headache but in your stomach and I will passout in the bus and not remember nothing and i once almost skipped my stop and I was sent to the nurse and ive been passing out on rides for the past 3 years I had sleep disorder since I first started my period 3 years ago and sometimes it take 10-30 minutes for me to sleep and ill be awake and than passout
So stomach ache
Im sure that if I remember this episode correctly, all that testing had already been done either via the clinic or via the time you skipped. Also, it's a show. He is as rude as he is because its apart of the show, and that's why it's loved so.
You’ve got to have a strong sense of humour when you watch House.
Ikr. She doesn't seem to understand House is just always being a smartass. He wouldn't actually hit on a teenager.
Yeah, she's not it.
It's pretty disgusting that the writers of the show thought it was ok to have House talk to and about a 15 year old in such a manner. It's highly inappropriate.
Agree!
I think he's supposed to be a psychopath if I remember correctly
@@ChristusRex081He isn't a psychopath, he's just extremely anti-social and misanthropic. He doesn't believe he has to follow social norms and since he was basically written to be a doctor version of Sherlock Holmes, is extremely narcissistic. He just does whatever he wants and doesn't care about what others think about it.
Common W House Writers
I agree with the commentor below, could you do a whole video on just intersex - the whole hermaphrodite issue? You've got great videos here by the way.
What happened to Alex after she had a surgery and the end of the episode since she was never seen again? The question is she still continued to be a girl after she found out the truth and has her father disown her?
Very interesting and informative video. Keep up the great work, Doctor.
I used to watch House all the time as a kid and this episode always really upsets me. I try to put a "positive spin" on it and tell myself this was the writing staff imposing their own personal views into the show, because realistically with how much House knows about medicine, and also how he basically doesn't give a shit about anyone or what they do, he would know this patient was medically classified as intersex and he wouldn't be suddenly and deliberately acting cruel simply based on undescended testes. Like seriously, for everyone who hasn't seen this episode, right after House heartlessly tells this patient of her diagnosis, he basically bullies her into a complete mental breakdown. She's only 15 and received this horrible news in what he made an intentionally traumatic way, she's in shock, crying, and he keeps referring to her by male pronouns and insisting she's male even when she says she's not, and he keeps "correcting" her until she eventually becomes so overwhelmed that she snaps and exposes her naked body to him, saying something along the lines of "I'm not a man, look at me! I'm a girl! I'm a girl!"
And he just walks away. He just traumatized a 15 year old sexual incest victim because he wanted to make dumb edgy humor. Also like... His excuse for keeping the father around was in case the daughter lied and they needed more info. After he made his diagnosis he or his team should have immediately contacted DFS. Seriously, his team is just as heartless as he is with the things they let him get away with because "oh my god he's such a genius doctor except when he's costing the hospital millions of dollars because he runs so many tests it bankrupts his patients"
Great video: educational and entertaining! I've been hooked on these "real doctor reacts to" type videos lately and it's great to find more channels :)
But that is the point of House, he's an asshole, he doesn't care about what you the patient think, he's cruel because that's how he gets the truth from people, he's cruel, so you react cruel to him, it's a form of manipulation, and if the team had called to the police, they have never known that she had testicular cancer so she probably had died... But she could have died happily and that's better than to live with the truth... right? Ignorance is bliss
Yes, thanks you! This episode had me mad af! I know it's just tv, but jesus, this was awful.
The writers of this episode worked as hard as they could to characterize both the daughter and father as colossal jerks, I assume in part so that House could be a huge jerk in the end of the episode to shame them and put them in their place. Interestingly, the writers decided to tackle a 2nd intersex patient in another episode, also a child, and they handled it a bit more realistically, even though it's an extremely rare condition, but they still managed to get a few things wrong, and while House's ending line to the patient's parents was still quite mean-spirited, it was at least more called for. (Paraphrased) "You gave birth to a freak, but you should stop treating him like one."
Dude, it's 2006 episode, back then people were fine to be direct about things, the person is XY - it's a male. And it doesn't matter what that person insists.
Also, it's not a "victim", it was a cruel girl that seduced everyone around to get people blackmailed. So that's the response.
They called the police in that episode but the girl lied about it to the social worker. There's nothing more they could do at that point. She admitted that she wanted to sleep with her dad to manipulate him.
I love house but as someone who is intersex I was disgusted and horrified how house talked to her about.
It was horrible!
For a fictional character?
@@starman3533 no, for the actual intersex people who have to endure this bullshit from society and the medical community at times as well :)
Yeah, I think the Season 5 Episode "The Softer Side" is way better.
At least you don't have tumor in your balls right?
Thank you, I loved this session with your accurate explanation
I loved the series. I always wondered with the cost of medicine anyway, what is these patients’ hospital bills are like after this even if they have insurance. They always do these crazy and invasive tests.
I'd love to hear your expert opinion on the secondary plot of the guy experiencing sympathetic pregnancy and begins developing breasts.
I loved this reaction video! I especially appreciate your use of the character's pronouns, I literally *cringed* when House was using he/him/his
Could you be more of a snowflake?
@@GeroG3N it’s not being a snowflake. She clearly was comfortable in her identity as a woman, proven by the fact her brain would be impossible to map as male
@@Beth-td6vj It's fiction! A series.
Ffs, you really are snowflakes
@@GeroG3N :)
The switch of pronouns that House did really annoyed me. It's like the horrible people that who learn a woman who they've been calling she is a trans woman, and suddenly pointedly use male pronouns.
MichiruEll so it annoys you that house, who is an a-hole is in fact an a-hole? Also this was made far before transgenderism became a mainstream issue, and seeing how house is a purely logical based person, it wouldn’t make sense that he would care about pronouns.
You do realize what she has is a disorder? So she is indeed a female, but a female with a disorder. It's not the same thing as transgender.
Well scientifically she is male and so he will call her that it's not like he would ever care.
Remember that House doesn't care about being polite, he loves to solve the puzzle, and that's what he did, and he's using the he pronoun to prove his point of testicle cancer, if he wouldn't have done that, they wouldn't have probably believed him.
@@Jungfrun1 she is intersex. Males aren’t insensitive to androgens. Females don’t have testicles.
Whats funny is House was gentler than normal delivering the final diagnosis and he was STILL an ass.
I remember that dad was really creepy, too🤔
Insightful take on my favourite medical drama.
I assume you have not watched many episodes of House.
He is very straight forward, no nonsense and yes very little bedside manners.
But, he is the doctor I would want if I had health issues.
Could you react to the Venture Bros episode "Are You There, God? It's Me, Dean?" It depicts a neurosurgeon performing testicular surgery.
If a transsexual woman, who has gone through SRS, wants to know if she had an intersex condition when growing up, how can the diagnosis be approached? Is genetic testing the only alternative?
typically, yes.
Me: sitting on couch with a bowl of popcorn, completely absorbed in the show, trying to solve the mystery before House does...
Dr Rena: Running the dust buster and giving me instructions to move a little so she can get the stray popcorn kernels, while explaining everything House does wrong...
A perfect Saturday night 😉👍
Wow, are you seriously fantasizing a doctor vacuuming your house for you? Like what does this have to do with ANYTHING 😂
It is a little odd that a 15 yr. old girl with developed breasts who has never had a period had not been see by a gynecologist. Also if the female physician in the show had perform a gynecological exam, wouldn't she have noticed something strange... Wouldn't they have checked her hormone levels?
There is another episode of House (season 5 episode 16) where a boy finds out his parents were told by the doctor that he was intersex and they needed to choose which gender to raise him as.
Your facial expression while House was complimenting the girl were hilarious 😂
House's team is made up of highly trained specialists, not "trainees."
They have no problem speaking up to him. That's what they are there for.
Interesting as always Doctor, I appreciate your channel.
So, is it fair to say that the diagnoses and such in House are real (albeit insanely rare) and everything leading up to them is just good TV?
We're all female during the first two weeks of gestation (that's why males have nipples) and once the Y chromosome makes an appearance, ovaries become testicles, the clitoris becomes a penis, and the labia becomes a scrotum, depending XX/XY.
I can understand things can become "jumbled" during rare cases.
actually, it’s around week 6 or so that the sry gene in the y chromosome starts to make the neutral pre-gonads into testicles, which pump out testosterone that masculinizes the baby. i have a y chromosome, but i don’t have an sry gene, so i have a female anatomy
Very interesting.
We use to watch House, probably because of the abstract way he presented his methods.
I always got a kick out of the guy who came to him with constipation issues. House's resolution was to smoke a couple of cigarettes a day.
"Another great reaction video from the Hot Dick Doc." - Dr. House
In all seriousness, I love your channel, dudette. Thanks for the entertainment and info! I feel like you really showed your breadth of knowledge on this one. I was like damn, maybe she should have House' gig 😁
If he/she is having complete androgen insensitive, then the female reproductive system would not have developed from Mullerian duct, so she wouldn't have a uterus but also the male internal reproductive organs are not present, so she/he has a blind sac , wouldn't the Doctors would have found that on USG?
Is it then a plothole?
If you want to get to what the title of this video refers to, it starts at 10:55
I am a huge "House" fan and I have a doctor in my family and she HATES House and any medical TV dramas. Anyway, Dr. Gregory House is the best but ALWAYS have unprofessional bedside manner. I think its the Vicodin he is popping. But the actor Huge Laurie makes the show great. I love to see doctors like you give us watching show like this the REAL break down of medical realism of some of these medical TV shows people watch.
Hugh Laurie is a great actor!
@@RenaMalikMD Another really good show is ABC "The Good Doctor" directed by the same person that directed "House, M.D.." I would like to know have you seen this show and your opinion on can a savant with autism really get hire to be a medical surgeon? Thanks for your super videos I'm becoming a fan.
Please react to more house!
So you mean, Hollywood isn't always true?
Hi, I have enjoyed some of your videos even tho I am not a medical student. I just find medicine interesting. That said. I’m a former heroin addict. And I have heard before of rapid detox under anesthesia. A quick google search did find some results and studies of using agonist medications while patients were under general anesthesia for some hours. However it doesn’t seem to be very common practice of course. Are you saying it is never done, ever? Did they figure out it wasn’t an effective method, or is it just too risky or expensive compared to other more common detoxification protocols? Also this episode has to be over a decade old at this point, is it possible it was more common then?
Paused it to type that out, gonna watch the rest now :)
I meant it's not routinely done due to risk. It has never been a common practice in the modern Era to my knowledge
Its never lupus
Would you be reviewing episode 16 from Season 5? It is another intersex-related episode.
Great explanation 👏
10:22 Its never lupus
At the end of this " Episode, " / When All has been " Said and Done, " / >
the, good Dr. Rena Malik has Proven all These Characters to be Not but >
" Foolish Animals " !
But Dr. Malik, he's Dr. House. What do you expect?
Hi Rena, just curious there must be hundreds of really rare conditions, is there a checklist of things to test for if you can't find a reason for your patients illness or condition.
Just found your channel today, your an interesting lady, I love house even with all his demons.
This video was very surprising and interesting. My question, though, is: Would this person have the chromosomes of a man, or of a woman? Yeah, I could see how a diagnosis like this would be devastating.
Male chromosomes
yeah, she has xy chromosomes and testicles inside the abdomen that pump out testosterone the body doesn’t respond to, and so it turns into estrogen and anatomically female development takes place.
I've commented a few times, and I apologize to you and others who read the comments for being so personal in my comments. I'm a 27 year old Male who used to wake frequently with morning wood,and here lately I haven't been. I'm not wetting the bed and I'm not waking up in the middle of the night to urinate. Is this something in your professional medical opinion I should be worried about? Or should I just not worry about it, and wait to see if it comes back? And if it doesn't come back in your professional medical opinion should I consult an urologist to make sure everything is in working order?
See a urologist.
Rena Malik, M.D. love this comment lol. Awesome video!
@ 1:54 " With Both Videos " Simultaneously Stopped " It is Obvious that
" Dr. Rena Malik M.D. "
Is " Not Acting " !
I would rather have a brilliant doctor with a lousy bedside manner, than a nice doctor that is incompetent.
Why is it one or the other?
It’s not one or the other. There are great doctors with great bedside manners, I have one. You were critical of Dr. House’s bedside manner. Yes, I understand he is a fictional doctor, but his bedside manner is irrelevant to me if he can treat whatever condition I have. Bedside manner is not what is important to me, it is competence.
But would you want a doctor who sexually harasses your underage child?
Exactly!!! She says House is inappropriate....well DUH that's the character!! His character is the top diagnostician in the country who happens to be an a$$
@@teslakanta8869 harassment?
That's very strong word
House is my hero
I know house is really not a nice person, but if i have a rare diseases and no one have the answer except for house, i don't care if he is the most inappropriate human been, i just want to be cure o have an answer
It's a shame you can't just enjoy House because it's such a funny show
I watched it many years ago and enjoyed it. Now it just makes my eyes roll haha
Hitting on a minor, misgendering people, yo wtf
7:54 You BLAMED the VICTIM. She didn't have intercourse with her dad. HE did that TO HER. If I recall the episode, she said she seduced him, but that's exactly what a certain kind of victim would say to protect the perpetrator, which is a whole complicated symptom of trauma. MINORS can't consent. HE IS THE ADULT. END OF STORY. Is it possible that she really did seduce her dad, knowing full well what she was doing, and that it was out of the blue without her dad ever making gross comments about sex, her body, giving her creepy looks, and touching her weirdly? Um....maybe 1 in a million times, and I get that this show is about rare stuff happening, but YOU as an actual medical professional, should be pointing out that protecting the perpetrator basically always happens, and is itself, a symptom of trauma.
If she wanted to compete in college or Olympic sports, would she be classified as male or female?
This episode kinda scared the shit of me
It is interesting to find this video years later and to read the comments and how they've changed as time has moved on and more people are thinking about gender and intersexed issues. I do not have more time to read all the comments, but in time I will come back to this to read them and learn more.
In the meantime I hope everyone has a great holiday season. :)
Rena is more attractive than the "model" patient.
I suppose it's necessary to critique this sjoe because on average many viewers don't understand one basic fact. It's fantasy it's not real it's not reality that's not the way the world works it's entertainment. For the rest of us that understand those facts your RUclips critique of house is boring in a waste of time period
By the way Dr. Malik kinda look like Dr. Cuddy
Yeah right, I'm gonna listen to you a 'normal' doctor over super mega genius doctor. I love how real life Doctors think they know better than House.
i love how people think a fictional character made by a tv show company’s opinions are more valid than the factual explanations of _actual, real life professionals in the field._ sorry if you’re being sarcastic, but you can never know in this day and age.
I dig a chick that has balls😆 there's a TED talks that a girl actually has this condition. You should have a look.
Ah you mean Emily Guinn
It’s a tv show not reality.
Theres a disease called Kawasaki's Disease???
Hi Rena, Love your channel. I have a question about viagara. If I am taking blood pressure medication, can I take Vaiagara? Because it seems that I have a difficult time getting full erections and I wonder if it is alright to take pills like viagara. Or is it, that my medications are causing ED problems. What are your professional opinions. I know that I should talk to my doctors about it but it seems like that they don't really take it seriously, and even gotten angry at an urologist for being scornfully dismissive of me.
She can’t give you specific medical advice because she’s not your doctor and doesn’t have a full history. But since I’m not a doctor I can give you some advice. Get another doctor. If you are on doctor number four or five then you are the problem but you should be able to find a good for you doctor in one or two tries. It can be frustrating, especially for getting a urologist or gyno because of the nature of their work, but should be easily doable, (I’ve been lucky myself, but I also have reasonably low self esteem so I put up with professionals I don’t like easily).
@@john-paulsilke893 Are you her spokesperson? Since you're not a doctor why would I want to listen to you. I can just look it up on google. She doesn't have to answer I don't care. But I suspect she can answer for herself.
@@kurt1338 John is right though. She cannot give you that kind of advice if you are not her patient and doesn't have your history. It might even be illigal for her to do so. If you can't speak to your doctor about that either call him/her out on the fact that you don't feel you are taken seriously or just change doctors. It ist your right as a patient.
Kurt You definitely deserve to be heard as a patient with a doctor you trust (and meet IRL). I’d start with the clinician who prescribes you the blood pressure medicine. If they’re one of the providers who already haven’t taken this seriously, I’d try again. I know it’s hard when a health issue hasn’t been addressed properly, but try to discuss it calmly and without bringing attitude to the appointment.
If you’re still blown off, don’t hesitate to seek a second opinion with a primary care provider. They can get to the bottom of this or refer you to a better urologist who can. Best of luck.
Sorry you've had a bad experience. You can also discuss with your pharmacist or find a urologist/pcp who can help answer your question
Dr. Can you Remove my Testicles?
How bizarre.
House is a pain killer junkie. He should not be there. If the woman has Heroine in her system then send her home and tell her to come back when she has resolved that.
Yep that patient has DSD
I Appreciate your views and opinions,but to the others, don't forget that it's just TV,no doctor or nurse can get away with what house does in real life
bruh! Stop talking about his bedside manner , come on ! It's a show! That wouldn't be House otherwise! he's like Sherlock: genius but anti-social. Every doctor out there says that his bedside manner is not appropriate.....wow, really, i didn't know that, cause i considered that a standard
House is rude and reckless therefore we all love him. Besides he is fictional, no doctor can say or do things like that and not get complaints.
So this is not sexual chimerism?
No, complete androgen insensitivity syndrome (AIS). Chimerism is from things like kleinfelter's disease (XXY chromosome, or even XXXY).
@@dgillies5420 you’re right about the first part, but not about the chimerism part, which is when a person has two different sets of dna in their body because they absorbed their twin in the womb