Doctor Challenges House MD: When a Patient Asks to Die S3E3
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- Опубликовано: 15 сен 2023
- Mice take revenge on an animal research tester after he falls unconscious while experimenting. The patient begs the team to end his suffering and House cuts a deal that raise the stakes a lot. In this episode, I discuss:
Legalising euthanasia
Eliminating animal testing
Organ on a chip
Dr Fajgenbaum
Doctors curing their own conditions
Symptoms of HIV seroconversion
Death penalty and euthanasia
Denmark euthanasia case
Cost of intensive care
Nuremberg code
and many many more
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Sermed
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#doctorreacts #housemd #medicine #healthcare 
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This episode makes way more sense when you watch the previous one where a boy has ALIEN DNA. Watch here: ruclips.net/video/foQYHngnZfM/видео.html
You made a small boo-boo there, it was Cameron who euthanized the patient, but House is a good guesser, the next scene should've shown.
But anyway, the 3rd season is my 2nd favorite season, mainly because of the diagnosis, it's full of cool zebras, actually the last episode diagnosis is one of the most creative in my opinion, the show just gets better and better.
Great video as always!
I was going to say the same thing. Glad to see someone already chimed in!
Hi @Joseph,
Not sure how I missed that!! Thank you for pointing it out. I guess House was covering for her in the end there when he was speaking to Cuddy.
Yeah season 3 has been absolutely crazy so far - I’m getting the diagnoses probably 66% less often than I was in S1. Hoping I can up my game though!
It’s a lot of fun doing this though and refreshing my knowledge on some very niche areas.
Great to have you around like always :)
Have to jump in here too for the same reason… but especially because you said ‘Cameron has the highest moral compass’ making the ending so much more poignant!
Still, really enjoying watching house again, and seeing if you can diagnose before him. Keep up the great work
When the video started for a moment I thought the patient was played by Jordan Peterson. I was like: What?! :D
I think euthanasia should be legal in the UK, at least 3 different doctors to assess the patient and sign it off officially.
I think that’s a break of the Hippocratic oath, unless you had specialized doctors who never took the oath
I am from Switzerland and in our country assisted suicide is legal. The important thing is that the patient must be psychologically able to understand his actions and he must take the lethal means himself.
I am a member of a non-profit association that has been providing assisted suicide for many years. As a member of the association, one has the right to such an assisted suicide accompaniment if one so desires.
I do not plan to kill myself, but if you suddenly get an unpleasant medical diagnosis and you know that your death will be very cruel or painful, it is good to have an alternative.
By the way, more than half of the people who get the okay from the association for assisted suicide do not use it afterwards. They die "naturally" from the consequences of their illness. I think for many it is simply reassuring to know "if it gets worse I can do something".
I think our Swiss system is very good and would not want it to be abolished.
What about people who can't administer action themselves like paralyzed? Do they get help? Genuinely curious.
@@sabnock31 No he does not get assisted suicide. The prerequisite is really that the patient must be conscious and able to understand his actions.
And the patient must take the pentobarbital (prescribed by a doctor) on his own.
Otherwise it would be murder, or aiding and abetting murder, or something like that (a court would have to decide).
Specifically, the following must be fulfilled by the patient:
_knows what he is doing (capacity to judge)
_does not act out of emotion and knows the possible alternatives (well-balanced)
_has a lasting desire to die (constancy)
_is not influenced by third parties (autonomy)
carries out the suicide with his or her own hands (autonomy)
These conditions are examined by two independent doctors.
Such an euthanasia clarification takes several weeks/months, there are many examinations (by the independent doctors), many discussions with the euthanasia companions and, if desired, also with family and friends.
And it also needs a psychological expert opinion.
So this is not something where you go in the afternoon and in the evening you are dead.
The process is free of charge. The annual membership fee - with which the whole thing is financed - is comparatively low.
45 Swiss francs per year - as a comparison a Big Mac at McDonalds costs 7 Swiss francs here.
But you can only become a member if you are a Swiss citizen or if you live in Switzerland.
Switzerland has 8.7 million inhabitants. The association has about 155,000 members.
The association carries out about 1000 assisted suicides per year.
@@rueeggerme wow, sometimes i forget how many ppl live in europeans countries. only 8.7 ppl. some cities here have more ppl living in it than that.
@@flavioromano8754 Switzerland is a very small Country. But very beautiful 🙃
Hi @rueeggerme,
Thank you for such deep and formulated insights from the front line of where these treatments are administered. It sounds like the way the Swiss system works helps to overcome many of the ethical issues of a third party physically helping where the purpose of the euthanasia isn’t entirely legitimate.
Very interesting points to add into the discussion. Thank you for that and for your ongoing support!
When you thought that girl was the patient's wife, I was massively confused. Kept waiting to see if you'd eventually realize it was his daughter.
What was major in the episode was the fact that Cameron is the one who granted the patients wishes.
I think that euthanasia should absolutely be legal. I think it should be an option for patients that are terminal (with cancer and other diseases) and that are of sound mind to consent. I ALSO think it should be allowed for individuals who are suffering from dementia or Alzheimer's provided they consented to euthanasia in a medical proxy form. It would have to be filed with their attorney so there's no "he said, she said" with the family and the person would have to reach a state of dementia where they're unable to care for themselves or where their physical health takes a noticeable decline.
I went through this with my grandma. I had never thought about euthanasia before myself and a few other family members had to help my grandma with the end of her life. The sad fact is that she almost undoubtedly had some form of dementia for years that we never really noticed or that the "signs" we're relatively minor and so they went unnoticed. Then, due to a series of MAJOR life events causing immeasurable stress, her situation worsened to the point where we all of a sudden did start to notice things. All of it came to a head when I went to her house to drop something off, let myself in and found her car running in her garage. She was surprisingly fine after being given minor treatment in the hospital...but I got a serious headache after being in her house for about 15 minutes.
Long story short, she repeatedly told us that she didn't want to live anymore when she had to be moved to an assisted care facility. Over the span of the next two years, her memory faded rapidly and it got to the point where she began mistaking me and other relatives for different people. She died at the age of 90.
There isn't a single argument I can think of as to why she had to suffer for the last 2 years of her life. She was of sound enough mind to know she didn't want to live, she was also aware that she was beginning to forget things and that she didn't have much longer. Oddly, she was in such good physical condition that doctors were able (and willing) to implant a pacemaker when she was 89.
Similar to the argument you made in the video. When our pet is clearly in pain or suffering, we deem it to be the "humane" thing to take them to the vet and have them put down. The second we suggest the same thing be allowed for humans...it's unethical and immoral. What blows me away is that there is one MAJOR difference between our pets and our relatives.
Our relatives can tell us that they want to go...they can consent. Our pets cant.
Bro, i totally respect all peoples opinions, but euthanasia should be legal. You should be required to have two seperate psyche evaluations, but after that... let the pain end. Yes people will try to game the system, but we will learn, and make the system better. In america, we have the problem where insurance companies condemn people to death... and for some reason thats completely ok... without any review!
Edit: I respect that you are a qualified doctor and may not be able to comment, specifically, on this matter.
Actually, it was Cameron who euthanized him.
Yeah. House was proud of her.
My mother worked in ICU 25 years ago in the United states, and at the time, ICU cost $50,000 a day or week something like that. It was some obscene number. Google says 10,000 a day is not unheard of.
My mother wanted to die, due to mental health issues and trauma. 20 years later she still wanted that and did. She had care providers the whole time, although her bpd was not diagnosed. Should she have been forced to continue? How long should one be required to wait for “it gets better”?
While euthanasia, or medical assistance in dying as it is called in many places, has a ton of ethical questions relating to who should have access and who or what system decides that access, as well as the methods, at bottom it should be legal. Even treatable and possibly curable conditions all the time end up in a situation where the person faces a horribly painful and/or otherwise hellish existence until they eventually die from organ failure/suffocation/heart attack. At the point where the person's quality of life is inhumane and has no likelyhood of improving regardless of care, the most humane and dignified option is to provide assistance in dying/euthanasia if the patient wishes it.
As to mental conditions, while again it does have infinite variables to account for, there are still several situations where the person has either a degenerating or highly treatment resistant condition, where again the quality of life is incredibly poor with no hope for improvement, in which case allowing the person to choose death is the most humane option.
I would argue opiods poses a far higher risk of a slippery slope and that we have already gone a good way down that slope in the past.
Yes I think assisted suicide should be legal. However I think it should only be for incurable degenerative diseases and people should have to get a letter from 2 separate doctors verifying their condition PLUS have a psychiatric assessment to make sure it’s not just someone mentally unstable.
Need to consider untreatable pain.
@@macmcleod1188 I didn’t include it as it depends on the pain. There are many people yes that cannot cope but then there are those that do learn to live with severe paid. Some take morphine or other drugs to reduce (even if it doesn’t remove) the pain. But we cannot just say “you live in paid you can die”. The pain would need to be debilitating and incurable. Also many of the conditions that cause this are often degenerative too so would fall under the original mantra of what I said.
@@EmilyCheetham you lack empathy.
And experience being in pain that will never end.
@EmilyCheetham and morphine isn't magic. I've had passion so bad morphine was useless. But I knew it was temporary.
Again, if people have untreatable pain so bad they have a consistent desire to die, then they should be allowed to do so.
And personally, I would include quality of life and most forms of dementia. I don't want my empty shell kept alive until it forgets how to swallow at a cost of all the money I want to go to my kids and grand kids .
@@macmcleod1188 no I’m saying how any people who put in rules of who can/cannot get assisted suicide will be reviewing. Being in pain will not automatically get to permission to be allowed assisted suicide if it was made legal to have clinics in UK. It will have to be debilitating, incurable and possibly also degenerative. I’m not saying it’s right but I’m saying what people who pass the laws will most likely deem acceptable to be allowed assisted suicide. If it does pass there will be many people who ant to be accepted but their conditions will not be deemed acceptable unfortunately.
I'm from Denmark, and euthanasia is not legal here. We do not have any government body making those decisions at all.
We had a doctor in Denmark who helped patient commit suicide, although he got arrested and went through the legal system for that.
I can't quite remember, but I'm pretty sure he got found guilty for something to do with that.
And there are lovely people in the sector who will help you with an "extra" dose of morphine to help with your pain. That fact that it will also help you die is just a bonus 😊👍
But it is still illegal and If found guilty, you would go to jail.
I came here to ssay this. as far as I know, Switzerland is the only coutry I know that has it, and that's for a very limited pool of incurable illnesses
Hi Jonzetonze,
Thank you for correcting this - that is an error in the video. The case I mentioned is of a Dutch lady, not a Danish lady. In the Netherlands euthanasia is legal for sets of limited circumstances.
Thanks for giving me the opportunity to clarify that here!
I believe that euthanasia should be legal, but only for certain illnesses that are incurable where the end is long, painful and ends up with the patient suffering. Obviously it should be given whilly-nilly, and after processes to rule out that everything that can be done has been tried.
I don't think Kavorkian was entirely wrong.
I mean dude is right, informed consent etc indeed holds back research, imagine how much we would learn if he had ability to clone people of any age/race and just do unlimited research
In California where this is shot and the writers live, age of consent is 18. In New Jersey where this is set, age of consent is 16. She is legal.
Age of consent to mariage is a controverial thing in the US and varies. Some states will allow it if both parties to marry if both are over the sge of consent but if one or both under the age of marriage but only with extenuating circumstances.(Ranging from simple parental consent to being declared legaly emancipated this trchnicaly an adult) It was even more complicated in the early 2000s but i think it was more complicated by certain religions having there own policy on church sanctioned marages vs in church weddings. Yes our church had a thing where you could not have a in front if the slter weding unless both were over 18
But she was his daughter....
Aaaah. The blonde youth cometh. Was waiting for her to debut.
Cameron displays pharisaic mendacity, not a moral compass. She is the worst and most truly evil of these main characters, and gets off on suffering. Not evident yet, but will be in later episodes.
Yo chill.
I hated when Cameron woke up the agoraphobic guy after they sedated him and took him to the hospital in The Itch episode.
Glad someone else is pointing that out in a better communicated way than I could have done.
That was the clinic patients daughter not wife lol😂
Euthanasia for ptsd.. well ptsd is treatable, but still.. there are some things a living being should not have to endure. If anyone believes otherwise, i surely hope you will learn, but i dont envy a rebirth in such a life.
Yes, I saw another story about a young man, probably in his early thirties, who chose to die after suffering from extreme depression. Having been there, and experiencing it myself, after I got covid, I actually drove myself to a fire station because I was having suicidal thoughts. I could not live like that for long. For me, it lasted for 8 months, and that was far too long.
Still, every individual deserves the right to autonomy. The worst story I've seen as a man who was locked in and refused assisted suicide. For this reason, locked in syndrome is a huge fear of mine. I suppose if I had it, I would just have to be fed sedatives for the rest of my life. I've already taken benzos for 20 years, so I guess what's 40 more?
You know, it amazes me how consistently relevant the conversations around medical ethics are given our recent struggle with covid.
I am not an anti-vaxxer. Never have been. But I butted heads with my peers and superiors throughout the pandemic because I strongly believe that patients should not be forced into medical treatments or procedures against their will.
It's disgusting to me how okay everyone was with telling people they had to be vaccinated to be allowed to work or go to school. In my workplace, you could still work without being vaccinated, but only if you personally covered the cost of tests that were prohibitively expensive, regardless of whether or not you were symptomatic.
It just goes to show, the only reason you have freedom is because those who would take it from you aren't scared enough yet. We suspend our ethical principles as soon as they're inconvenient. Whatever faith I had in the human race disappeared when I saw how people were treated for exercising their right to refuse medical treatment.
I agree when it comes to treatment for individual issues, however vaccines are different in that they promote herd immunity and unvaccinated people pose a risk to other people's health. So it's no longer a personal freedom issue, but an ethical responsibility to protect your community. It's more akin to drunk driving than to medical treatment imo.
@@srhthrdExactly, vaccines are more about the health of the population than the individual, especially in the case of a global pandemic.
The teenager was dother not wife and it was Cameron who euthanized the patient !
Remember happier times when informed consent was a thing rather than you'll do what you're told and no you can't see the data, don't be insane. What are we at in the land of informed consent now, a million doses to save one life at $130/dose and in that million doses there'll be 10-15k _serious_ adverse events? Funny how times change then change again, how quaint this episode is.
Poor Chase, the guy offs one genocidal African dictator and now he's out of the morality club.
Well ok, there was also that time he kissed a 9 year old patient but that was...complex. Yeah I know, 9 years old is 9 years old, but she was also pretty much convinced at that point that she was going to die and so it was basically a last request. I'm not saying I would have done it, but I understand why he did.
You didn't mention MAID (Medical Assistance in Dying) in Canada, so I don't know if you're familiar with it. You mention a slippery slope, well here in Canada we're near the bottom of the slope and coming up on the ramp at the end.
There are people who have fought for years for medical or housing assistance but gave up hope and got approved for MAID in mere weeks. It's now at the point where MAID is being _offered upfront,_ to people like veterans and at least one paralympian, even though they'd given absolutely no indication of any such inclination.
There's also a push to make it available to unde rage people without requiring parental consent.
I think Canada is on the verge of becoming the world's first true dystopia.
Amazing
First.
The House Stalker subplot feels a bit different these days. Sometimes this show just ages badly. Ah well.
tbf, the series framed it as uncomfortable at the time too, As It Should Be, with Cuddy as the moral compass to point it out, several times, so I don't think it aged badly