my favourite thing is how many patients have had to deal with house's outright medical malpractice but at the end of the episode they're like nah it's ok because you cured me 👍 hilarious
I remember a writer from House MD saying they based episodes on real case studies, they just jazzed it up for TV. Might be interesting for you to get the lead writer on for an interview.
One of the doctors involved in finding cases also had a show on Netflix where she traveled around talking to people with unsolved medical cases. It was really quite interesting and due to the age of some of the cases they had to find... "interesting" ways of blocking access to newer technology. Such as no access to a CT in one episode due to a mass casualty event.
House : "yeah, i know we treated the concussion, but we need to know WHY he had a concussion. Go break into his house and check his underwear drawer for termites! NOW! HE'S DYING!!"
The thing about House that Dr. Mike still doesn't understand is that most of the time, House knows there are more straightforward ways to do things. However, he often chooses the most bizarre or complex methods because he gets a thrill from understanding and discovering things, rather than actually helping people, which is secondary to him. So, when we see him using an old technique to measure a patient, it's not because there are no modern alternatives, but because he already knew about the equipment and wanted to try it for a long time. It's his opportunity to do so. This applies to everything in the series; it's not that he thinks poorly of modern methods, but he knows a lot and likes to experiment with different approaches. His team is very good at handling the problems for him while he just "does his thing." There are even many episodes where he doesn't have his team to help, and things go wrong every time because he needs people to "babysit" him.
With this as context I can entirely believe that as something a person could do. What keeps me confused is how then does House keep his job while everyone mentions House as the best at what he does?
The way Dr.Mike was like “HE’S NOT TAKING THE MEDS ANYMORE, HE’S STABLE, HE WOULD’VE RECOVERED ON HIS OWN IF HOUSE DID NOTHING!” has me laughing so hard! 😂
yea lets also not forgot that he would be on a hospital diet so he would be losing waight or using the stored fat cells wich would carry the drugs as well.
@@MK_Search A quick search indicates that SSRIs are fat soluble, though as said, that was a QUICK search looking at the excerpt of the first results of a google search.
I love how every House episode they try like ten different things, then the patient almost dies and finally they find the correct solution at the end of the episode
To be fair, the patients usually recover. From House nearly killing them. The answer if often something super complex like, a bandaid or a little salt on their food or half an aspirin.
It's movie/show logic that any vehicle that crashes, if it's meant to also catch on fire, then it's made of TNT. Watch actual vehicle crashes (like crash-tests) and you'll see they tend to flare up and smoke, without exploding. But that doesn't look dramatic and cool on screen, so they rig things and often add VFX to make a proper fiery explosion.
Which was confusing, what exactly exploded, the pile of concrete pipes? Why did the kid just drive into them? Why was the dad chasing the kid, because he knew the end of the road ended up slamming into a pile of pipes? If so why were they on that road, or why did the dad not at least warn the kid what's at the end of the road? Did the dad see the pile of pipes and jump off his ATV instead of using the brakes? If so why wouldn't the kid also see them? I guess it's like the door in Titanic. It doesn't matter, the plot needed a burned kid so it created a burned kid.
Yeah, unfortunately Maggot therapy is a thing, them mfs eat your dead tissue, not the living one, if you get cut, not treat it, and it goes necrotic, they come in clutch, and save the zone from being extracted or death
To be honest Mike is almost like Wikipedia. He often gives links or refers to studies so you can check up on them yourself. Even Mike can make a mistake but at least you've some kind of sources you can check the info yourself. But props to Mike and his team for fact checking these shows.
Small inaccuracy: bupropion (Wellbutrin) is a norepinephrine dopamine reuptake inhibitor. It would not contribute meaningfully to serotonin syndrome. However, bupropion does increase seizure risk.
So surprisingly Wellbutrin has been shown to contribute to serotonin syndrome when taken with SSRI’s. I found a couple of articles on pubmed and springer.
2:45 sometimes even when House MD isn't unrealistic, it gets away with outdated medicine because it started airing nearly 20 years ago...... Not in this episode though, because the paper Doctor Mike is quoting from was itself nearly a decade old when this episode first aired 😅
My dad was badly burned almost 15 years ago, it was one of the scariest experiences of my life, so seeing Dr. Mike bringing light to how they help others with significant burns makes me happy. Thank you, Dr. Mike!
I think the wildest episode is the one with the daughter who got her dad drunk to seduce him. So she could hold it over him, and she could do whatever she wanted.
@@ДарьяМайер-ъ3иdo you mean wild as in crazy plots or as in medical cases? Because “Last Resort” (S5E9) has House and his team held hostage and forced to find the cure to their attacker’s illness by using other patients. “No Reason” (S2E24) is kinda both, the plot is insane but there’s also some pretty wild stuff regarding the main patient.
13:49 Well I'm pretty sure he's done a lot worse and somehow kept his job, at the top of my head: -Breaking into a veterans house, sedating him, tying him to a chair and then forcing him to do a treatment -Trapping a girl in the hospital elevator to look for a tick
Ik it’s not the same show but my mom is a surgeon and my grandma watched the greys anatomy episode of the bomb and she was begging my mom not to go to work 😂. Good thing I showed her dr mike otherwise she would’ve had a heart attack.
2:40 About the modified ECG clips: I have poor skin integrity (Ehlers-Danlos Syndrome) and have used the clip-style ECG tabs many times. They still tear off my skin and are problematic. They reduce the need for clips to be constantly re-applied to the same torn and compromised skin, allowing a few more readings, but they don't last. Even with the help of adhesive remover, they continued to be challenging. Thought some anecdotes may help add context 😄
House treats every patient like they're the only person in the entire hospital so everyone dedicates every resource to the person and does every test to eliminate any possible cause for the symptoms
I keep trying to point out that House holds a made-up position of running the Differential Diagnosis Department; he and his fellows (important: they are NOT residents, they are already experts in their fields) are meant to be looking for the zebras in cases that other doctors can't figure out. Most of the original testing has already been done MOST OF THE TIME. He's a version of Sherlock Holmes (Home= House, Watson= Wilson) and is the only one that can ultimately solve the mystery.
@@lich109 It's the setup that House and his team get all the zebras, but as often as not he ends up picking up some rando that happened to catch his interest as he was walking by their room, so its plausible that many of "his" patients really didn't have the testing that theoretically would have been done if they'd been passed to him through normal (the show's idea of normal anyway) channels. And of course even in the "normal" cases, the usual testing would be limited to whatever the symptoms most likely showed. Ie: there wouldn't be a brain scan on someone who came in with a leg injury or vice-versa. Not until House and his team intuit some wild connection caused by some unexpected disease and start looking elsewhere. And there's a lot of "the lab probably got it wrong run it again" though, even on the patients that ostensibly did have the full panel. I'm sure there's more than a few episodes where they order tests that theoretically should already have been done without even the "bet the lab did it wrong" excuse, but I'm not sure I'd go so far as to call it common given all the (slightly more) legitimate reasons they could be doing it.
Makes it obvious that Mike here is just watching the DDX and treatment scenes for these vids. The whole plot of the episode is predicated on House assuming an underlying cause provoked the accident and not the other way around. But it's still somewhat entertaining to watch Dr. Mike.
@@stryderknight9927 His observations aren't very good either. I remember in an old video he was yelling at House for wanting to do a scan to find out if there was any more damage to the patient while then saying that they should do said scan to help find any problems. And later in the episode Mike asks how do they know the patient has a fever while completely ignoring the fact that they were literally just taking her temperature.
0:40 it always makes me laugh when there's a dramatic fall in a TV show/ movie because the clip of them "falling" is basically just the stunt actor rolling for safety but when it cuts to the "injuries", the character is absolutely wrecked 😂
would give house some slack for the galvanometer use. the belgium doc he mentioned is actually the inventor of the ECG, and the ECG is actually a modern high sensitivity galvanometer. in earlier iterations, the electrical signal were read by placing the patient's arms and left leg in separate buckets of saline solution instead of the modern electrical leads.
The response to House is always so interesting because like. The overwhelming response from people who have difficult to diagnose conditions or symptoms seems to be "yeah, I'd let him commit malpractice on me if he fixed what was wrong, it's better than being dismissed and ignored because doctors don't believe me." like yeah he's constantly committing malpractice but looking at it as wish-fulfillment to go along with the absurd drama does give it an interesting flavor.
Well, even though House is unrealistic in many aspects, there's a lot of actual commentary and critique on how most doctors will avoid taking risks on diagnoses to avoid lawsuits, or surgeons not wanting to do surgery on high-risk patients, even when the latter have nothing to lose, because they don't want to "taint their record". I understand it's not their fault, it's just the system that was put in place, for better or for worse.
exactly. House does not spend months having you go to the office for somethng, testing some medicine on you, doing this over and over, only considering the most likely illnesses, etc.. House immediately brainstorms and thinks of many possibilities, and I found it odd the Dr Mike was mad about it. It was hurting no one to ask, could this be x, y, z. House is the Dr we all want. He almost always solves the case and quickly.
Glad Dr. Mike is here to help clear up misinformation on these types of shows. People do understand that these are just T.V shows for entertainment but there is that part of the brain that tends to start storing some of this information as true or true enough. It's kind of like Crime shows like Law and Order or CSI. Some people get accustomed to how these shows operate over how it's done in real life.
I mean, these shows are supposed to be based on reality and follow it to a certain extent. But House is 20 years old so many things that could be right then are not anymore.
@@traduzindocrochegeovana9080 To be clear, this was just as completely ridiculous at the time it was made, the show was never afraid of admitting that. It was built on the idea that "I guess that TECHNICALLY could be true" is very entertaining, and they were right. But the people who worked on the show never made any allusions to the idea that it was meant to be taken seriously.
For me, those "people" who think that these shows depict real life and actual practice are children. I'd like to think that most grown-up adults aren't that gullible lol There's no "misinformation" that these shows are spreading because it's fiction 😂😂 There's a ton of absurd and ridiculous medical practices and cases in this show. Maybe there's a reality to some extent for the sake of being relatable to what the profession does in actual practice but a drama is just a drama. It will never have absolute accuracy because it doesn't have an objective to spread accurate information or procedure in medicine. It's there to entertain only. Coz what if there's no Doctor Mike to "clear up misinformation", what are people gonna do? If something goes bad because they followed a procedure or medical advice from the show, they'll sue the writers/directors of House? 😂
@@ForeverForty today I learned that a galvanometer might be able to be used to detect electrical signals in the body. Got my money's worth out of this episode.
Question; Where do hospitals get the maggots? Are they from a specific insect? Who breeds them? Is there specific protocol for disposal of the maggots afterwards?
Yes, they are specifically bred for hospitals… they are bred in A completely sterile environment… although I am not sure which species of maggot they are…
*not a professional* but I'd imagine the maggots come from specific breeders to ensure that they are sanitary. They would also have a biohazard procedure for disposal
Dr. Mike saying "why is he running after him? That thing's going 40mph." That's his kid, it could be going 600mph, he would still run after him. Did you forget about human instinct there, doc?
Oh ok, that was unexpected - I was expecting another rant when the maggot scene came up and then Dr. Mike is just confirming that it's actually used somewhat commonly. I wonder where they get the maggots from on short notice - surely they don't just keep a stock of maggots in the hospital.
@@danielrobertson5968 Right right but what are the delivery times on that? I imagine they don't have em in store and when they need them for treatment it's probably urgent?
@@xTobsecretx Likely they have a line to suppliers that can them there quickly. Perhaps not as fast as something like a heart transplant (which can travel the country in a matter of hours) but If you assume most big cities have a nearby supplier it wouldn't take more than a day, maybe two for a large scale hospital.
The funny thing is that I think the writers of this show must know a lot about medical science because you’d need to know what’s right in order to know how to get it so spectacularly wrong.
Hey man, I'm so glad you're getting back into the House MD reactions now. If you're gonna be doing more of these, you should definitely react to House S3 E7, Son of a Coma Guy. It's an extremely interesting episode that I think you'd enjoy
Well, I assume there's others who have had ovarian cysts, but used tampons before the metals were discovered? Have they shared their accounts on how it affected them? In fact, have you used the tampons before hand regularly? If there have been no side effects, I assume it should be fine. Unless the side effects are the type to appear decades later of prolonged use, but Idk. If he doesn't cover it, maybe someone on RUclips has. If not, searching online through forums and such could yield more results.
I would love if you could react to Dr house season 6 episode 22 - Help me. Its the episode where a crane collapses and buries a woman beneath rubble and she has her leg trapped and House is trying his best to not amputate her, but time is running out. A very dramatic and hard episode, one of the best episodes of the series imho. I'd love your take on it.
I just got into the show, and binged the first season in about a week. Having it explained to me that all of these scenarios were bs was very helpful, albeit disheartening.
@@zanefreeman954probably the closest to realistic that I’ve seen is ER. There are a lot of “errors” in that show, but those are more about the backstories than the medicine. Just one example is when they’ve mentioned the ages of some of the residents and students. Unless they were all prodigies who skipped college, many are too young to be at the level they’d be in real life.
Note on something in the episode that you didn't comment on: Antidepressants are NOT known to cause seizure in children, or anyone else for that matter. Many anti-seizure medicines are actually also used as antidepressants. Overdosing on those drugs may do the opposite and cause a seizure, but taking as directed will not.
@@bricktasticanimations4834 I think they meant that they excited that someone else is a fan of a show they like. That's why they said stop that way. I think 🤔?.
MS Expert here 😂 24 years with it and retired RN due to it. I totally agree with you. And my Dad had a subarachnoid hemorrhage when he was 40. It took me a spinal tap, MRI and many more tests to get diagnosed. The normal time to get diagnosed is 3-7 years and is often done on a R/O basis. You and I could never watch medical shows together……no one could hear the show because we would be talking and yelling during the show 😂😂😂😂
As someone who has recently been casually rewatching house after watching it fully for the first time in 2020 I can definitely say it’s far more entertaining than it is medically accurate. I also see way more of the parallels with it basically being Sherlock (house instead of Holmes and Wilson instead of Watson just to name a couple) but in a modern hospital now as I somehow didn’t connect the dots then.
the way my eyes widened when I heard the ssri and then wellbutrin for the last case, and it leading to serotonin syndrome (I take both (plus adderall), recently started taking a new antidepressant, and I got concerned because one night it looked like my pupils were blown up _huge_ , when I looked up when it could be symptoms of, and then drug interactions since I forgot for a minute that that was a thing, I got very concerned it could be serotonin syndrome at first until any major symptoms of it start appearing, we're just running with the idea that I was looking at my eyes late at night, that's why my pupils were so large, and the medication combo probably influenced the size a bit, but were not, in fact, a sign of me suffering serotonin syndrome still scared though! :D)
The B plot was about a researcher who was publishing stuff in obscure (to the House universe) journals and house trying to debunk the research as revenge on the researcher. May be a fun topic as sometimes, scrounging for literature leads one to obscure journals (I have patients who do this), and also that taking one case (House himself in this case) out of context does not necessarily debunk the research (particularly with migraine medication). BUT The B plot was extremely entertaining nonetheless lol
Ngl, I love how frustrated Mike gets with this show. Even as a medical technologist myself, I love this show. It's one of the reasons I went in to medicine in the first place.
Miiike, they're a special diagnostics department! Their job is to constantly ask questions, so House can slowly figure it out. And also, most of their patients are sent to them after going through the "regular" check ups. As in, once all the horses are tested, they go to their department for Zebras. At least in most cases. Only time they don't is when House is like "Yo, hold on, something is wrong with this patient that isn't mine. I'm intervening."
i love in these scenes where all the doctors and house are arguing back and forth and doctor mike chimes in, it makes me feel like hes one of the doctors in the episode
My mum was a maggot nurse up until just after Covid, when she retired. The irony is that I'm absolutely petrefied of maggots. I even had to look away from them in this video haha!
My neuro unit used to watch every episode and talk about it when we got together that shift. One of our docs would watch too and join us. We stopped after one episode when all of us couldn’t find the diagnosis in any of our books. The doctor found out they’d made it up for the show. I can’t even tell you how disappointed we all were.
Dr Mike inspired me to take some first aid courses - to learn CHEST COMPRESSIONS and other stuff. Fun fact: in Russian CPR is actually named "heart and lungs reanimation". Also, привет из Казани, Мишаня ✨
I have MS. I screamed watching this episode. Give him and LP and MRI, done. Doctor Mike, I wished you talked more about chronic illnesses and teach people that it's in fact chronic.
There was an episode of House where it's explained that by the time someone gets to House, all the normal diagnostics have been exhausted. So House's team almost exclusively look for zebras. It's still completely ridiculous, but they did at least explain why they jump to the most insane theories first in the series.
In the episode where they drained a little girl, they had a portable MRI machine. Either screenwriters forgot about it, or did it to add DRAMA. On related note: I have a polish encyclopedia of medicine from 70's that shows the usage of ECG with buckets of salt water as electrodes for hands and feet.
To answer Mike's question, yes - House is the kid's attending. Part of the role of the Differential Diagnostic Department is that the hospital gets to be able to say they have super genius physician Dr. Gregory House on staff, and he gets to pick and choose what cases he takes. And for whatever case he takes - he gets complete say over it. Unless it's something absurdly expensive or potentially unethical, in which case he DOES have to go Cuddy (and later Foreman) for approval.
One of the best tests that House did was put a needle in a patient's eye while awake! This is one scene I'd love for you to react to. There's several episodes but the drama is something else
Oh....if you watch, pretty much every other doctor in the world hated House. They thought he was reckless, psychotic, and a sarcastic ass. But the point of House is you hear hoofbeats, you think horses, not zebras....House is there for the zebras. And the medical accuracy isn't as important as the beautiful sarcasm.
It's refreshing to watch a doctor actually try to seek a diagnosis or at least effective treatment for somebody with mystery symptoms-especially to a person who has had mystery symptoms for months or years and only a long list of useless doctors to show for it
In veterinary medicine we used to put in wire sutures and clip the alligator clips to them if we couldn’t clip to the skin directly or in CCU patients who needed 27/7 ekg monitoring, worked great!
At the end though, knowing all the info form the episode, he mentions that it all could have been fixed so easily, so I don’t know if this case exactly was that bad or not to warrant this antisocial dude to be his doctor, but I’m leaning towards not.
Dr Mike! How could you skip the scene where House gives himself a migraine with a nitroglycerin injection to prove that Dr. Weber's anti-migraine drug didn't work? I was really looking forwards to you absolutely roasting House for his stupid idea, so I guess I'll have to do it. Nitroglycerin only causes migraines in predisposed subjects, so people who already suffer with migraines. If House did suffer with migraines, then why wasn't it shown on the show previously? Secondly, taking an anti-migraine drug a few seconds _before_ inducing a migraine wouldn't work anyway. Many drugs used for migraine prophylaxis have to be taken for several days/weeks before you feel any benefit, and may not work against a nitroglycerin-induced migraine anyway.
We use aligator clips in vetmed for ekg's, they easily work on humans too. For a halter monitor for cardiology, they use the pads, but they're incredibly terrible on patients with hair... almost all domestic pets. 😂
its so funny how he look at the people who have some sort of shocks and start shaking LOOOL he just does the same face all the time all the episodes hahahaha
Before when I watched someone die I’m just like meh Now when I watch someone die I yell at the top of my lungs CHEST COMPRESSIONS CHEST COMPRESSIONS CHEST COMPRESSIONS 😅😂
Dr Mike having beef with House is so in accordance to the lore of the show lol
Dr Mike Hurani
1000%. Ofc almost every doctor disagrees, they did the same in the show
lore?
He hates him because House, despite being a fictional character, has more experience than Mike.
@@liamroarke7991 !?!!???? This is a show that is scripted and made up to make houses character seem smart
"This is so unethical and illegal." That's when you know you're watching an episode of House MD.
for real 😂
i think hes watching a resume so some symptoms and more are missing
thats how you know its a good episode, the worse the better
The M in House MD is for malpractice.
my favourite thing is how many patients have had to deal with house's outright medical malpractice but at the end of the episode they're like nah it's ok because you cured me 👍 hilarious
"This would never happen" is the entire point of House, I believe.
House Misinformation
@@XylonXD MD stands for Medical disinformation
yeah House keeps saying "think horse not Zebra" while exclusively treating Zebra cases
@@XylonXDit’s a tv show
House MD deals in philosophical and psychological issues in the guise of a medical show. The medicine was never the point.
I remember a writer from House MD saying they based episodes on real case studies, they just jazzed it up for TV. Might be interesting for you to get the lead writer on for an interview.
Seconded
One of the doctors involved in finding cases also had a show on Netflix where she traveled around talking to people with unsolved medical cases. It was really quite interesting and due to the age of some of the cases they had to find... "interesting" ways of blocking access to newer technology. Such as no access to a CT in one episode due to a mass casualty event.
This is such a good idea!
Ooh, cool idea
I totally agree! ❤
Patient:*gets a concussion*
House: it's a infection in the testicles
Better do a lumbar puncture 💪
😂
🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
@@Tommie-l7l We will have him singing Soprano in no time.
House : "yeah, i know we treated the concussion, but we need to know WHY he had a concussion. Go break into his house and check his underwear drawer for termites! NOW! HE'S DYING!!"
The thing about House that Dr. Mike still doesn't understand is that most of the time, House knows there are more straightforward ways to do things. However, he often chooses the most bizarre or complex methods because he gets a thrill from understanding and discovering things, rather than actually helping people, which is secondary to him. So, when we see him using an old technique to measure a patient, it's not because there are no modern alternatives, but because he already knew about the equipment and wanted to try it for a long time. It's his opportunity to do so. This applies to everything in the series; it's not that he thinks poorly of modern methods, but he knows a lot and likes to experiment with different approaches. His team is very good at handling the problems for him while he just "does his thing." There are even many episodes where he doesn't have his team to help, and things go wrong every time because he needs people to "babysit" him.
That sounds unethical lol
@@TheJingles007oh it is lol. Princeton Plainsboro has an entire subsection of the legal department dedicated to dealing with House lawsuits.
@@TheJingles007 it it’s.
With this as context I can entirely believe that as something a person could do. What keeps me confused is how then does House keep his job while everyone mentions House as the best at what he does?
Sounds like criminal malpractice to me.
The way Dr.Mike was like “HE’S NOT TAKING THE MEDS ANYMORE, HE’S STABLE, HE WOULD’VE RECOVERED ON HIS OWN IF HOUSE DID NOTHING!” has me laughing so hard! 😂
Raiders of the lost plot line.
As useful as Indianna Jones in Raiders of the lost Ark.
yea lets also not forgot that he would be on a hospital diet so he would be losing waight or using the stored fat cells wich would carry the drugs as well.
@@gm2407HAHA this comment is gold!
@@joshharrison6020 I don’t think the drugs he was taking would be the kind that get stored in the fat cells, right?
@@MK_Search A quick search indicates that SSRIs are fat soluble, though as said, that was a QUICK search looking at the excerpt of the first results of a google search.
I love how every House episode they try like ten different things, then the patient almost dies and finally they find the correct solution at the end of the episode
To be fair, the patients usually recover. From House nearly killing them. The answer if often something super complex like, a bandaid or a little salt on their food or half an aspirin.
Yeah how interesting would it be if they figured stuff out immediately? 😆
I thought the crash was bad but then came the fiery explosion
Let’s get it🎉
@Taurus_Pookie13 Maybe... don't read the comments before watching the video. That's entirely on you, lol.
It's movie/show logic that any vehicle that crashes, if it's meant to also catch on fire, then it's made of TNT.
Watch actual vehicle crashes (like crash-tests) and you'll see they tend to flare up and smoke, without exploding. But that doesn't look dramatic and cool on screen, so they rig things and often add VFX to make a proper fiery explosion.
Which was confusing, what exactly exploded, the pile of concrete pipes? Why did the kid just drive into them? Why was the dad chasing the kid, because he knew the end of the road ended up slamming into a pile of pipes? If so why were they on that road, or why did the dad not at least warn the kid what's at the end of the road? Did the dad see the pile of pipes and jump off his ATV instead of using the brakes? If so why wouldn't the kid also see them?
I guess it's like the door in Titanic. It doesn't matter, the plot needed a burned kid so it created a burned kid.
Even worse is after all that House treated him.
The only part I wanted Mike to yell, "NO WE DON'T DO THAT" was the maggot part and that's the only part he seemed cool with lmfao
yeah cuz its common procedure unlucky
@@Dalauan_Sparrowbros using a Nokia to watch RUclips 😂
@@matth227 and?
Yeah, unfortunately Maggot therapy is a thing, them mfs eat your dead tissue, not the living one, if you get cut, not treat it, and it goes necrotic, they come in clutch, and save the zone from being extracted or death
teacher: what were your sources on this presentation
Me: oh that one guy i found on RUclips
To be honest Mike is almost like Wikipedia. He often gives links or refers to studies so you can check up on them yourself. Even Mike can make a mistake but at least you've some kind of sources you can check the info yourself.
But props to Mike and his team for fact checking these shows.
Small inaccuracy: bupropion (Wellbutrin) is a norepinephrine dopamine reuptake inhibitor. It would not contribute meaningfully to serotonin syndrome. However, bupropion does increase seizure risk.
So surprisingly Wellbutrin has been shown to contribute to serotonin syndrome when taken with SSRI’s. I found a couple of articles on pubmed and springer.
well, physiology is not that simple, even if bupropion doesn't affect directly the serotnin reuptake, it could trigger other mechanism that does
2:45 sometimes even when House MD isn't unrealistic, it gets away with outdated medicine because it started airing nearly 20 years ago...... Not in this episode though, because the paper Doctor Mike is quoting from was itself nearly a decade old when this episode first aired 😅
I'd love to watch someone explaining how some of the most accurate parts of House are now outdated. Like "how House would work nowadays" haha
My dad was badly burned almost 15 years ago, it was one of the scariest experiences of my life, so seeing Dr. Mike bringing light to how they help others with significant burns makes me happy. Thank you, Dr. Mike!
The fact that this wasn't the most wild house episode
Exactly
Not even by a longshot, indeed!
I think the wildest episode is the one with the daughter who got her dad drunk to seduce him. So she could hold it over him, and she could do whatever she wanted.
What do you think the wildest was? I've never watched House and I only want to see The Worst
@@ДарьяМайер-ъ3иdo you mean wild as in crazy plots or as in medical cases? Because “Last Resort” (S5E9) has House and his team held hostage and forced to find the cure to their attacker’s illness by using other patients. “No Reason” (S2E24) is kinda both, the plot is insane but there’s also some pretty wild stuff regarding the main patient.
13:49 Well I'm pretty sure he's done a lot worse and somehow kept his job, at the top of my head:
-Breaking into a veterans house, sedating him, tying him to a chair and then forcing him to do a treatment
-Trapping a girl in the hospital elevator to look for a tick
Ik it’s not the same show but my mom is a surgeon and my grandma watched the greys anatomy episode of the bomb and she was begging my mom not to go to work 😂. Good thing I showed her dr mike otherwise she would’ve had a heart attack.
Bless her heart😂
that doesn't even make sense
@@anthosm Bless her heart is an expression.
@@ArloTheDancer my comment was a reply to op, not you
@@anthosm my bad
2:40 About the modified ECG clips: I have poor skin integrity (Ehlers-Danlos Syndrome) and have used the clip-style ECG tabs many times. They still tear off my skin and are problematic. They reduce the need for clips to be constantly re-applied to the same torn and compromised skin, allowing a few more readings, but they don't last. Even with the help of adhesive remover, they continued to be challenging.
Thought some anecdotes may help add context 😄
When you went to that ad read I genuinely thought you were about to say “let’s take a minute to talk about orgasms.” 😂
Same here
I want that video.
let's
"They're great. Now back to the show ..."
0:11 Speed has never killed anybody, suddenly becoming stationary... thats what gets you 😂
The force of the speed when you become stationary makes it go through you and shift organs, cause internal hemorrhages, and even break bones.
@@IverolIt is an old meme from top gear britain
Watching Dr Mike get frustrated by fake doctors is my new favorite thing to see
House treats every patient like they're the only person in the entire hospital so everyone dedicates every resource to the person and does every test to eliminate any possible cause for the symptoms
I keep trying to point out that House holds a made-up position of running the Differential Diagnosis Department; he and his fellows (important: they are NOT residents, they are already experts in their fields) are meant to be looking for the zebras in cases that other doctors can't figure out. Most of the original testing has already been done MOST OF THE TIME. He's a version of Sherlock Holmes (Home= House, Watson= Wilson) and is the only one that can ultimately solve the mystery.
it took me listening to a sherlock audio drama to realize the similarities between the two and it made it so much better!
People keep saying that the usual testing has already been done when time and time again, that doesn't happen in a lot of these episodes.
@@lich109 It's the setup that House and his team get all the zebras, but as often as not he ends up picking up some rando that happened to catch his interest as he was walking by their room, so its plausible that many of "his" patients really didn't have the testing that theoretically would have been done if they'd been passed to him through normal (the show's idea of normal anyway) channels.
And of course even in the "normal" cases, the usual testing would be limited to whatever the symptoms most likely showed. Ie: there wouldn't be a brain scan on someone who came in with a leg injury or vice-versa. Not until House and his team intuit some wild connection caused by some unexpected disease and start looking elsewhere.
And there's a lot of "the lab probably got it wrong run it again" though, even on the patients that ostensibly did have the full panel.
I'm sure there's more than a few episodes where they order tests that theoretically should already have been done without even the "bet the lab did it wrong" excuse, but I'm not sure I'd go so far as to call it common given all the (slightly more) legitimate reasons they could be doing it.
Me, every time Dr. Mike reacts to a House, MD video. The show is all about the Zebras.
@@Puffologic Except this episode was about a smoker, which is about as far from a zebra as you can get.
Thanks for blurring that small burn on 14:35 and not the complete shot with all the burns😂
You are missing a point; House is interested in this case because he thinks the teenager crushing an ATV is also a symptom.
Because it is, the teenager crashed due to a stroke/siezure which made him unable to stop the ATV
I've watched nearly half of the House MD series so yh
Makes it obvious that Mike here is just watching the DDX and treatment scenes for these vids. The whole plot of the episode is predicated on House assuming an underlying cause provoked the accident and not the other way around. But it's still somewhat entertaining to watch Dr. Mike.
@@stryderknight9927 he doesn't understand when House gets a case, all normal stuff have been ruled out
@@stryderknight9927 His observations aren't very good either. I remember in an old video he was yelling at House for wanting to do a scan to find out if there was any more damage to the patient while then saying that they should do said scan to help find any problems. And later in the episode Mike asks how do they know the patient has a fever while completely ignoring the fact that they were literally just taking her temperature.
7:46 Dr. Mike turned into a velociraptor 💀
Love the switch between talking seriously about medical facts and getting frustrated at fake doctors 😂
0:40 it always makes me laugh when there's a dramatic fall in a TV show/ movie because the clip of them "falling" is basically just the stunt actor rolling for safety but when it cuts to the "injuries", the character is absolutely wrecked 😂
would give house some slack for the galvanometer use. the belgium doc he mentioned is actually the inventor of the ECG, and the ECG is actually a modern high sensitivity galvanometer. in earlier iterations, the electrical signal were read by placing the patient's arms and left leg in separate buckets of saline solution instead of the modern electrical leads.
The response to House is always so interesting because like. The overwhelming response from people who have difficult to diagnose conditions or symptoms seems to be "yeah, I'd let him commit malpractice on me if he fixed what was wrong, it's better than being dismissed and ignored because doctors don't believe me." like yeah he's constantly committing malpractice but looking at it as wish-fulfillment to go along with the absurd drama does give it an interesting flavor.
Well, even though House is unrealistic in many aspects, there's a lot of actual commentary and critique on how most doctors will avoid taking risks on diagnoses to avoid lawsuits, or surgeons not wanting to do surgery on high-risk patients, even when the latter have nothing to lose, because they don't want to "taint their record". I understand it's not their fault, it's just the system that was put in place, for better or for worse.
exactly. House does not spend months having you go to the office for somethng, testing some medicine on you, doing this over and over, only considering the most likely illnesses, etc.. House immediately brainstorms and thinks of many possibilities, and I found it odd the Dr Mike was mad about it. It was hurting no one to ask, could this be x, y, z. House is the Dr we all want. He almost always solves the case and quickly.
@@itoibo4208 "House is the Dr. we all want."Correction:House is the Dr. no one wants,but some may need.
@@Gaboxxy96 Where did you come up with that fantasy?
Uhh no.
Dr Mike is literally the voice in my head when I watch these medical drama shows.
“Speed has never killed anyone… suddenly becoming stationary that’s what gets you.” -Jeremy Clarkson
Glad Dr. Mike is here to help clear up misinformation on these types of shows. People do understand that these are just T.V shows for entertainment but there is that part of the brain that tends to start storing some of this information as true or true enough. It's kind of like Crime shows like Law and Order or CSI. Some people get accustomed to how these shows operate over how it's done in real life.
I mean, these shows are supposed to be based on reality and follow it to a certain extent. But House is 20 years old so many things that could be right then are not anymore.
@@traduzindocrochegeovana9080 To be clear, this was just as completely ridiculous at the time it was made, the show was never afraid of admitting that. It was built on the idea that "I guess that TECHNICALLY could be true" is very entertaining, and they were right. But the people who worked on the show never made any allusions to the idea that it was meant to be taken seriously.
If meant for entertainment not to take it seriously if one does then maybe they shouldn 't be watching it.
For me, those "people" who think that these shows depict real life and actual practice are children. I'd like to think that most grown-up adults aren't that gullible lol
There's no "misinformation" that these shows are spreading because it's fiction 😂😂 There's a ton of absurd and ridiculous medical practices and cases in this show. Maybe there's a reality to some extent for the sake of being relatable to what the profession does in actual practice but a drama is just a drama. It will never have absolute accuracy because it doesn't have an objective to spread accurate information or procedure in medicine. It's there to entertain only.
Coz what if there's no Doctor Mike to "clear up misinformation", what are people gonna do? If something goes bad because they followed a procedure or medical advice from the show, they'll sue the writers/directors of House? 😂
@@ForeverForty today I learned that a galvanometer might be able to be used to detect electrical signals in the body. Got my money's worth out of this episode.
“it’s so unethical and illegal” we call it “malpractice md” for a reason mike
Question; Where do hospitals get the maggots? Are they from a specific insect? Who breeds them? Is there specific protocol for disposal of the maggots afterwards?
Yes, they are specifically bred for hospitals… they are bred in A completely sterile environment… although I am not sure which species of maggot they are…
*not a professional* but I'd imagine the maggots come from specific breeders to ensure that they are sanitary. They would also have a biohazard procedure for disposal
@Drummerchef13 It makes me wonder how far the maggots have to travel to get to hospitals
Would prob be fed and bred for non targeting of human life tissue
@dominusdone5023 they only feed on dead tissue so they don't need training
Dr. Mike saying "why is he running after him? That thing's going 40mph." That's his kid, it could be going 600mph, he would still run after him.
Did you forget about human instinct there, doc?
Plus you want the person to like...Hear you yelling at them? No shade meant, but I feel like there's some plausible explanations there.
@@StonedtotheBones13 I don't think I understand.
@@triciaramgoolam4045 They were agreeing with you and adding more to the comment
@@erihtea0719 ahh. I see. Thanks.
Oh ok, that was unexpected - I was expecting another rant when the maggot scene came up and then Dr. Mike is just confirming that it's actually used somewhat commonly. I wonder where they get the maggots from on short notice - surely they don't just keep a stock of maggots in the hospital.
Pharmaceutical grade or Medicinal maggots are a thing. They would probably be sourced by the hospital pharmacy. It's really an interesting subject.
@@danielrobertson5968 Right right but what are the delivery times on that? I imagine they don't have em in store and when they need them for treatment it's probably urgent?
@@xTobsecretx Likely they have a line to suppliers that can them there quickly. Perhaps not as fast as something like a heart transplant (which can travel the country in a matter of hours) but If you assume most big cities have a nearby supplier it wouldn't take more than a day, maybe two for a large scale hospital.
amazon same day delivery
I thought the same exact thing!
The funny thing is that I think the writers of this show must know a lot about medical science because you’d need to know what’s right in order to know how to get it so spectacularly wrong.
Hey man, I'm so glad you're getting back into the House MD reactions now. If you're gonna be doing more of these, you should definitely react to House S3 E7, Son of a Coma Guy. It's an extremely interesting episode that I think you'd enjoy
6:57 Unethical? Illegal? In an episode of House? Surely not! 😂
doctor mike i beg of you address the recent study that found toxic heavy metals in most tampon brands as an ovarian cyst haver i am terrified
Well, I assume there's others who have had ovarian cysts, but used tampons before the metals were discovered? Have they shared their accounts on how it affected them?
In fact, have you used the tampons before hand regularly? If there have been no side effects, I assume it should be fine. Unless the side effects are the type to appear decades later of prolonged use, but Idk.
If he doesn't cover it, maybe someone on RUclips has. If not, searching online through forums and such could yield more results.
@@GrimmBonesarsenic and lead are always harmful, so....
I would love if you could react to Dr house season 6 episode 22 - Help me.
Its the episode where a crane collapses and buries a woman beneath rubble and she has her leg trapped and House is trying his best to not amputate her, but time is running out. A very dramatic and hard episode, one of the best episodes of the series imho.
I'd love your take on it.
I just got into the show, and binged the first season in about a week. Having it explained to me that all of these scenarios were bs was very helpful, albeit disheartening.
It’s such a good show. Keep watching. It’s about the mystery of house that makes the show. All medical shows are super fake.
@@LivvyAlexW I will. Just wish there was a realistic medical show.
@@zanefreeman954 realistic medical show would be boring asf
@@zanefreeman954probably the closest to realistic that I’ve seen is ER. There are a lot of “errors” in that show, but those are more about the backstories than the medicine. Just one example is when they’ve mentioned the ages of some of the residents and students. Unless they were all prodigies who skipped college, many are too young to be at the level they’d be in real life.
@@zanefreeman954The Resident is pretty good and realistic :)
fun fact : burnt patient are really susceptible to hypothermia need to monitor that carefully
So early Doctor Mike hasn't said chest compressions once
No chest compression for this ķid x)
Note on something in the episode that you didn't comment on:
Antidepressants are NOT known to cause seizure in children, or anyone else for that matter. Many anti-seizure medicines are actually also used as antidepressants. Overdosing on those drugs may do the opposite and cause a seizure, but taking as directed will not.
STOPPP I’M LITERALLY WATCHING HOUSE MD RIGHT NOW
Which episode?
I'm nearly finished 😅
Then why did you watch the video if you knew it was going to spoil the episode?
@@bricktasticanimations4834 I think they meant that they excited that someone else is a fan of a show they like. That's why they said stop that way. I think 🤔?.
Why aren't you at work?
MS Expert here 😂 24 years with it and retired RN due to it. I totally agree with you. And my Dad had a subarachnoid hemorrhage when he was 40. It took me a spinal tap, MRI and many more tests to get diagnosed. The normal time to get diagnosed is 3-7 years and is often done on a R/O basis. You and I could never watch medical shows together……no one could hear the show because we would be talking and yelling during the show 😂😂😂😂
Dr Mike is definitely better than House at boxing
That one right hook he gave to Chase once begs to differ
lol
Yeah sure, but he can't dance like Dr. House can 🤣 Nobody can 🤣
As someone who has recently been casually rewatching house after watching it fully for the first time in 2020 I can definitely say it’s far more entertaining than it is medically accurate. I also see way more of the parallels with it basically being Sherlock (house instead of Holmes and Wilson instead of Watson just to name a couple) but in a modern hospital now as I somehow didn’t connect the dots then.
Doctor Mike: Speed scares me
Me who rides a sport bike on the daily basis: Guess Imma die.
Cool! I was thinking of getting my own sport bike when I grow older. What would you recommend for a beginner? 🤔
Which one
A wise man once said: "Speed has never killed anyone. Suddenly becoming stationary, that's what gets you"
@@schmijo If you don't have speed and become stationary you don't die
"Life is like riding a bicycle. to keep your balance you must keep moving"
- Einstein
the way my eyes widened when I heard the ssri and then wellbutrin for the last case, and it leading to serotonin syndrome
(I take both (plus adderall), recently started taking a new antidepressant, and I got concerned because one night it looked like my pupils were blown up _huge_ , when I looked up when it could be symptoms of, and then drug interactions since I forgot for a minute that that was a thing, I got very concerned it could be serotonin syndrome at first
until any major symptoms of it start appearing, we're just running with the idea that I was looking at my eyes late at night, that's why my pupils were so large, and the medication combo probably influenced the size a bit, but were not, in fact, a sign of me suffering serotonin syndrome
still scared though! :D)
The B plot was about a researcher who was publishing stuff in obscure (to the House universe) journals and house trying to debunk the research as revenge on the researcher. May be a fun topic as sometimes, scrounging for literature leads one to obscure journals (I have patients who do this), and also that taking one case (House himself in this case) out of context does not necessarily debunk the research (particularly with migraine medication). BUT The B plot was extremely entertaining nonetheless lol
The B plot is one of favs in all the series. I was hoping Dr Mike would show us the scene when House sits in on the Researcher's talk at the hospital.
@@NashaWriter85 ditto!!
Ngl, I love how frustrated Mike gets with this show. Even as a medical technologist myself, I love this show. It's one of the reasons I went in to medicine in the first place.
I WAS PRAYING FOR MORE HOUSE MD THANK YOU DR MIKE!
Miiike, they're a special diagnostics department! Their job is to constantly ask questions, so House can slowly figure it out.
And also, most of their patients are sent to them after going through the "regular" check ups. As in, once all the horses are tested, they go to their department for Zebras. At least in most cases. Only time they don't is when House is like "Yo, hold on, something is wrong with this patient that isn't mine. I'm intervening."
i love in these scenes where all the doctors and house are arguing back and forth and doctor mike chimes in, it makes me feel like hes one of the doctors in the episode
I was just watching this exact episode on TV and in the middle of it I checked to see if Dr. Mike has uploaded any new House episodes.
My mum was a maggot nurse up until just after Covid, when she retired. The irony is that I'm absolutely petrefied of maggots. I even had to look away from them in this video haha!
Dr. Mike in his black scrubs is a piece of art.
just like The Kiss😊
My neuro unit used to watch every episode and talk about it when we got together that shift. One of our docs would watch too and join us. We stopped after one episode when all of us couldn’t find the diagnosis in any of our books. The doctor found out they’d made it up for the show.
I can’t even tell you how disappointed we all were.
Do you remember the episode or the fictitious diagnosis?
@@hunterGroehlno, sadly
house is my favorite doctor show so far.. house has definitely got interesting tactics, but they seem to always work out somehow 🤣❤
It’s so good
Yesss I love that show 😅😊
Lmaooo I love these Dr Mike. Please never stop until you cover the whole series.
Those “maggots” are wax worms! They are caterpillars! They eat wax in beehives! This is hilarious!😂😂😂😂😂😂😂😂
Nothing I love more than dorctors reaacting to house!
Looking from that crash, it seems like Micheal Bay was directing the episode
I love you so much!!!! 😅 I love when you exclaimed "He would have just recovered!" It makes me happy all day :)
Would you still love him after knowing he's actually dating an onlyfans model?
Dr. Mike yelling at these medical dramas is all I need to have a good day!! 🤣🤣🤣
Dr Mike inspired me to take some first aid courses - to learn CHEST COMPRESSIONS and other stuff. Fun fact: in Russian CPR is actually named "heart and lungs reanimation". Also, привет из Казани, Мишаня ✨
I pray for my hair to turn grey as beautifully as Doctor Mike's. Amen🙏
Yeah, he was hot before but GOOD LORD-
Just makes him hotter!!
I love it😊
💀💀💀💀
I have MS. I screamed watching this episode. Give him and LP and MRI, done. Doctor Mike, I wished you talked more about chronic illnesses and teach people that it's in fact chronic.
There was an episode of House where it's explained that by the time someone gets to House, all the normal diagnostics have been exhausted. So House's team almost exclusively look for zebras. It's still completely ridiculous, but they did at least explain why they jump to the most insane theories first in the series.
This is something most people forget, that's the whole point of houses clinic
yea.. it was in s1 ep1 i believe
"HE WOULD HAVE JUST RECOVERED" is the most impassioned line delivery anyone has ever spoken while watching House, and it's so on-theme
In the episode where they drained a little girl, they had a portable MRI machine. Either screenwriters forgot about it, or did it to add DRAMA.
On related note: I have a polish encyclopedia of medicine from 70's that shows the usage of ECG with buckets of salt water as electrodes for hands and feet.
To answer Mike's question, yes - House is the kid's attending. Part of the role of the Differential Diagnostic Department is that the hospital gets to be able to say they have super genius physician Dr. Gregory House on staff, and he gets to pick and choose what cases he takes. And for whatever case he takes - he gets complete say over it.
Unless it's something absurdly expensive or potentially unethical, in which case he DOES have to go Cuddy (and later Foreman) for approval.
5:13 honestly my mind went straight to A Clockwork Orange with the Ludavico technique- which is torture so 🤷♂️
"House you can't wake a burn victim up to play 20 questions" had me laughing so hard
I just woke up and the title caught me so off guard I thought my vision was still blurry from just waking up
I’m sry but, U WOKE UP AT 12??!!
THATS TOO EARLY
@@I_Lov3_KidsThey might be in a different time zone
@@Lucy-uu7bb Oh yea, my bad
14:10. That is the entire department
14:14 It is the whole department, House runs his own afaik and has Forman, Chase and Cameron helping him. Sometimes Wilson too.
One of the best tests that House did was put a needle in a patient's eye while awake! This is one scene I'd love for you to react to. There's several episodes but the drama is something else
Oh....if you watch, pretty much every other doctor in the world hated House. They thought he was reckless, psychotic, and a sarcastic ass. But the point of House is you hear hoofbeats, you think horses, not zebras....House is there for the zebras. And the medical accuracy isn't as important as the beautiful sarcasm.
It's refreshing to watch a doctor actually try to seek a diagnosis or at least effective treatment for somebody with mystery symptoms-especially to a person who has had mystery symptoms for months or years and only a long list of useless doctors to show for it
House will always be my favorite doctor🤣🤣🤣 I don't he's great😆❤
3:47
That looks like a seismometer to me. Can we have a seismologist weigh in to see if my assumption is correct?
In veterinary medicine we used to put in wire sutures and clip the alligator clips to them if we couldn’t clip to the skin directly or in CCU patients who needed 27/7 ekg monitoring, worked great!
Me: spitting my tea out everywhere after hearing what happened to patient 7:25
Those cases are super rare, thats why those cases goes to house, cus thats what his speciality is.
At the end though, knowing all the info form the episode, he mentions that it all could have been fixed so easily, so I don’t know if this case exactly was that bad or not to warrant this antisocial dude to be his doctor, but I’m leaning towards not.
Dr Mike! How could you skip the scene where House gives himself a migraine with a nitroglycerin injection to prove that Dr. Weber's anti-migraine drug didn't work?
I was really looking forwards to you absolutely roasting House for his stupid idea, so I guess I'll have to do it. Nitroglycerin only causes migraines in predisposed subjects, so people who already suffer with migraines. If House did suffer with migraines, then why wasn't it shown on the show previously? Secondly, taking an anti-migraine drug a few seconds _before_ inducing a migraine wouldn't work anyway. Many drugs used for migraine prophylaxis have to be taken for several days/weeks before you feel any benefit, and may not work against a nitroglycerin-induced migraine anyway.
We use aligator clips in vetmed for ekg's, they easily work on humans too. For a halter monitor for cardiology, they use the pads, but they're incredibly terrible on patients with hair... almost all domestic pets. 😂
Thanks Mike I was eating lunch when the maggot scene came up
I LOVE how worked up he is getting over these DDX's, it's so funny
You’re actually so hilarious I’m crying
Thank you very much for sharing this Medical advice Dr Mike
4:50 I said "what" here out of pure confused confusion. You saying "what" low-key scared me😂
I love how mad Dr Mike gets about ridiculous medical practices. He’s a warrior against misinformation no matter what and its adorable
Crazy title and even crazier thumbnail
its so funny how he look at the people who have some sort of shocks and start shaking LOOOL he just does the same face all the time all the episodes hahahaha
Before when I watched someone die I’m just like meh
Now when I watch someone die I yell at the top of my lungs CHEST COMPRESSIONS CHEST COMPRESSIONS CHEST COMPRESSIONS 😅😂
I love how you changed a name in the caption🤣🤣 but why is that the first thing I noticed when I clicked the video💀💀
I want to watch every episode of this show with Dr. Mike