Real Doctor Reacts to HOUSE M.D. | Medical Drama Review | Doctor Mike


– Hey guys, you requested House MD. – Do I get bonus points
if I act like I care? – Let’s get started. (relaxed music) This reminds me of where
I grew up in Brooklyn. Or is this a jail? (laughing) – Why are you late? – I feel like you won’t like the answer. – I already know the answer. – I missed the bus. – I don’t doubt it, no
bus stops near Brad’s? – Every medical show has to start off with some kind of sexual thing. Medicine is so exciting as it is, why does there have to be sex? Calm down, stop having sex for a second. – You should never keep
anything from your parents. And I told mine- (slurring) (kids laughing) (sighing) (slurring) (kids laughing) – Oh. (slurring) (kids laughing) – Are we having a stroke? Slurred speech, classic sign of a stroke. (slurring) Oh, problems with moving the arms. – C – Call 911 – A-L H-E The! We know that word, the! – Oh no! (grunting) – Oh, that’s a seizure. She’s having a general
tonic-clonic seizure. – [James] 29 year old female, first seizure, one month ago, lost the ability to speak. Babbled like a baby, aggressive deterioration of mental status. – [House] See that, they all
assume that I’m a patient because of this cane. – [James] So put on a white
coat like the rest of us. – [House] I don’t want
them to think I’m a doctor. – [James] You see where the administration might have a problem with that attitude? – [House] People don’t want a sick doctor. – Not wearing your white coat, I guess it’s not really a big deal because sometimes I go
without my white coat and just wear my stethoscope. It’s really for infectious purposes only, so that if you get any
kind of germs on you, you don’t bring it back
home to your family. Or if, obviously, some
blood splatters on you or some other bodily fluid, I guess. – Brain tumor, she’s gonna die, boring. – That was a little cold. – She’s 29, whatever she’s
got is highly unlikely. – Protein markers for
the three most prevalent brain cancers came up negative. – Tumor markers for brain cancer? That’s not how we diagnose brain tumors. We use imaging. That’s the gold standard for brain tumors, obviously in addition to biopsy if needed, but tumor markers are not
a way to rule out a cancer. – And she’s not responding
to radiation treatment. – None of which is even
close to this positive. – Medically, I’m very confused. There’s a patient who had a seizure. They think that she has a tumor, they did some lab work. Doesn’t show she has a tumor. They’re giving her radiation even though that they don’t see a tumor. I could not be more confused right now, or this totally doesn’t
make sense medically. – Shouldn’t we be speaking to the patient before we start diagnosing? – Is she a doctor? – No, but– – Everybody lies. – Doctor House doesn’t
like dealing with patients. – Isn’t treating patients
why we became doctors? – No, treating illnesses
is why we became doctors. Treating patients is what
makes most doctors miserable. – So you’re trying to
eliminate the humanity from the practice of medicine? – If we don’t talk to
them, they can’t lie to us. – Excuse me Doctor House. You can have a good
conversation with patients. You don’t need to believe
every word they say. You can be honest, you
can say you don’t know, but give a plan of what you’re
doing about not knowing. So basically how you’re
getting to the answer. – First thing of medical school, “If you hear hoofbeats, you
think horses, not zebras.” – Very common phrase. – Medical school. – That and Treton could have
screwed up the blood test. I assume its a corollary
that if people lie that people screw up. – Redraw the blood tests
and get her scheduled for that contrast MRI ASAP. Let’s find out what kind of
zebra we’re treating here. – So a contrast MRI
basically allows you to see what blood vessels are
doing within the brain. The fact that they’re going to a lab and questioning if the lab is accurate, we do do that occasionally, but that’s not the first
thing we think about. I guess ’cause this case is more complex. – I was expecting you in
my office 20 minutes ago. – Really? Well that’s odd,
because I had no intention of being in your office 20 minutes ago. – You think we have nothing to talk about? – No, just can’t think of
anything I’d be interested in. – I sign your paychecks. – I got tenure. – I can still fire you if
you’re not doing your job. – I’m here from nine to five. – Your billings are
practically non-existent. – Rough year. – You ignore requests for consults. – I call back sometimes I misdial. – You’re six years behind on your obligations to this clinic. – See, I was right, this
doesn’t interest me. – Six years. Times three weeks. You owe me better than four months. – It’s five o’clock, I’m going home. – Doctors don’t work nine to five’s. We have crazy schedules. If someone that’s more senior to us, obviously like our boss,
like she is in this case, tells you to get something
done, you’re getting it done. But also because we
have a love for the job. We wanna treat patients, I don’t know why he’s
being this sarcastic guy, but I will say it’s really funny. – I’m angry! You’re risking a patients life! – I assume those are two separate points. – You showed me disrespect,
you embarrassed me and as long as I work here you have no– – Is the yelling designed to scare me, because I’m not sure–
– I love her. – What it is I’m supposed to be scared of. More yelling? That’s not scary. That you’re gonna hurt me? That’s scary, but I’m
pretty sure I can outrun ya. (yelling) – ‘Kay. That’s cool that he’s
popping pills on the job. Oh this is in Jersey, Plainsboro. I work in New Jersey. – All right Rebecca, I know you may feel a little
claustrophobic in there, but we need you to remain still. – It’s very true that people
get claustrophobic in MRI’s, you have to lay there for
an extended period of time. The noise is very loud. So there are times that I have
to pre-medicate my patients and give them a dose of a benzodiazepines, like Xanax, most commonly, that you’re probably familiar with. (loud clicking) Yeah it’s really loud,
it’s even louder than this. (loud banging) – I don’t feel so good. – [Doctor] It’s all
right, just try to relax. (loud whirring) (choking) – Oh, is she having another seizure? – Rebecca? (choking) Rebecca? – Is she choking? (choking) – Is she having an anaphylactic
attack to the contrast? – Rebecca? Get her out of there. – She probably fell
asleep, she’s exhausted. – She was claustrophobic 30 seconds ago, she’s not sleeping, we
gotta get her out of there. – It’ll just be another minute. – She’s having allergic
reaction to gadolinium, she’ll be dead in two minutes. – Oh no! Get her out, Epipen into
the upper thigh, quick! – She’s ashen. – She’s not breathing, (mumbling) – Come on! I can’t ventilate. – Too much edema. Where’s the surgical airway tube. – You’re gonna need to go in the neck and do a tracheostomy. (heavy breathing) – Did he give her the
Epi? I didn’t see it. (intense music) Okay that’s way too big of an incision. Okay, not exactly how that goes. If you’re allergic to the contrast that they gave for the MRI, it’s possible that you can
get this anaphylactic attack, which means that your
airway starts closing down. Basically your throat
swells up to the point where you can no longer oxygenate. Some people also vomit, some people get very nauseous,
blood pressure drops. Her airway closed up to the
point where she couldn’t breathe but because it’s her throat
closing up and swelling, if you make an incision
in the trachea right here where there’s a soft
little spot for an opening, you can continue helping
the patient breathe. I’m gonna call some inaccuracies here. If a patient turns blue like that, you’re hitting a code blue. There’s an emergency team coming, nurses, doctors, respiratory therapists. You also gotta get IV’s set, you gotta figure out why
the patients heart stopped or stopped breathing. There’s a lot more that has to happen. You don’t just automatically assume it has something to do with
the contrast that you gave. And he’s still popping pills! What is he popping? I hope those are Advil. – You actually want me
to talk to the patient? Get a history? – We need to know if there’s some genetic or environmental cause as to generate an inflammatory response. – I thought everybody lied? – Truth begins in lies. – Okay. So why did you tell him not to talk to the patient initially Doctor House? “Truth begins in lies.” Just means that in order
to find out the truth, you have the person lie to you, and from there you can then
start making a deduction on what part they’re lying about. So you need to hear the lie. That’s why it definitely makes sense to always talk to patients first, regardless if you believe that they’re telling the truth or not. – What are you doing? – Painkillers. – Oh, for your leg? – No, ’cause they’re yummy. You want one? They’ll make your back feel better. – No, don’t do it! That’s how the opioid
crisis started, House! – Why are you so afraid
of making a mistake? – Because I’m a doctor. – Yes.
– Because, When we make mistakes people die. – Yes. – Come on. People used to have more
respect for cripples, you know. They didn’t really. (laughing) – I can’t see. – Uh oh. – I can’t see. (dramatic music) – She’s having a seizure again. – Little help in here! (intense music) – So turning a patient on their side is the smartest move
because you want them to, if they’re gonna vomit,
they don’t aspirate. – Can you arrange these to tell a story? (sad music) – This is a type of neurological testing to see if the person can
follow a series of events. – Had a couple headaches last month. Mild fever. Sometimes I can’t sleep and
I have trouble concentrating. – Apparently not while researching this stuff on the internet. – I was thinking it also
might be fibromyalgia. – Excellent diagnosis. – Is there anything for that? – Do you know I think there just might be. I need 36 Vicodin and change for a dollar. – And change. – 36 Vicodin and change for a dollar? – Oh, placebo! (laughing) He’s gonna give him sugar pills. Oh and he’s stealing
the Vicodin for himself. Again, obviously Doctor’s
don’t swap out medications. If we prescribe something to the patient, we send an order to pharmacy and the pharmacists fill the order, and we don’t replace it with
sugar pills for placebo effect. – So you didn’t find anything? – Everything I found was in my– – You found ham. – Uh oh. – So? – Where there’s ham, there’s pork. Where there’s pork,
there’s neurocysticercosis. – That’s the condition. Bum bum bam! Tapeworms! – It fits. It’s perfect. It explains everything. – But it proves nothing. – I can prove it by treating it. – No, you can’t. I was just with her. She doesn’t want any more treatments, she doesn’t want any more experiments. She wants to go home and die. – That’s called the principle of autonomy. Basically that a patient has the right to refuse treatment at any point as long as they’re competent and by competent it means that they’re able to
understand the consequences of their actions. So if they say they wanna
go home, and you tell them, “You can possible die if you go home.” They can say that back to you and understand what that
means, they’re free to go home. – You’re being an idiot. (thunder roaring) You have a tapeworm in your brain. It’s not pleasant, but
if we don’t do anything, you’ll be dead by the weekend. He’s right, we should X-Ray her, but we don’t X-Ray her brain, we X-Ray her leg. Worms love thigh muscle. She’s got one in her head, I guarantee you there’s one in her leg. – Um, I did not know this. This is beyond my expertise and probably most Doctors’ expertise. – This here is a worm larvae. – So if it’s in my leg, it’s in my brain? – Are you looking for a guarantee? It’s there. Probably been there six to 10 years. – How does he know that? – Carbenzop. – He’s giving her a de-wormer. – If anyone asks, you have
11 daughters and five sons. – Aw! (kids talking) – Wait that’s 16 students. They said her class has 20. Where are the other five,
why didn’t they show up? Oh wait, 11 and five,
sorry the other four. “We’re happy you’re not dead.” – I want a hug and a kiss
from every single one of you get up here right now! – Don’t give the kids the worms! I’m just kidding. – Doctor House? You have a patient. (laughing) – He says he needs a refill. – Got change for a dollar? (laughing) – That’s funny. Patient got hooked on them tic tacs. There we have it. House episode one, season
one is in the books. Medical accuracy? It’s somewhere in the middle range. These are very rare cases. Almost never seen in the United States, like pork tapeworm. Most of our pork is well
cooked so we don’t see that. The way that they go
about practicing medicine is probably the most
unrealistic part of it. House is just a maniac, treating patients without telling them what he’s treating them for, breaking into their homes. Crazy, but also crazy entertaining, so. I think there’s gonna be some
very interesting episodes to review from Doctor House. If you know any of these specific episodes that carry a good mystery
and a good balance of medical stuff and drama stuff, leave it down below in the comments. If you want me to do a different show, definitely leave it in the comments. The more subscribers we get, again, the better and more content
I can continue making. Subscribe, subscribe, subscribe. Stay happy and healthy. (relaxed music)

100 thoughts on “Real Doctor Reacts to HOUSE M.D. | Medical Drama Review | Doctor Mike

  1. I absolutely love how he IMMEDIATELY knew she was having an allergic reaction and was genuinely concerned for her.

  2. The opioid crisis isn't a new event. People got hooked on opioids for centuries. It's a new shiny object politically because people don't need to go to opium dens nor shoot heroin to sate their addictions. Since pain pills became a thing, I've actually noticed heroine junkies becoming less desperate because they can sate their addictions a lot cheaper and do less crime to support it.
    The fix with all drugs is the same. Treat addiction as a mental disorder and allow companies to legally produce the drug as a regulated and taxed product. That worked with booze and the defeat of Prohibition. Another nation treated addiction as mental health, decriminalizing drug use, and the number of addicts plummeted. Reason always defeats politics as long as reason can be applied to politics… a unicorn situation.
    Oh, as for how House applies medicine… it is a show about a doctor who has an insane level of insight who is also a cynic. He only takes (by choice) "interesting" cases that nearly the whole medical community misses. The show also has an entertainment formula. The patient is taken, a bit of mystery, treatment is applied, something goes wrong, some drama and luck, House has some diviner level answer, the patient is saved. That is also seasoned with some character drama and doctors play as ametuer private detectives. House only got off in the deep end when he defeated a rich a-hole investor who bought his way onto the board who ran the hospital as a business (money corruption power abuse) and then made a bunch of doctors compete for a single position in a mild version of a reality show.

  3. Ok I have an episode suggestion but it's a 2 part episode. Euphoria S2 E 20-21 It's one of my favorite episodes on House. You should definitely check it out. It touches base on more than just medicine .

  4. Doctor Mike, could you watch my two favorite house clips and give your opinion?

    https://www.youtube.com/watch?v=zSSoYmQS6Ng

    https://www.youtube.com/watch?v=qSbkEo1jlw0

  5. Can you imagine bringing this guy home to meet your parents? Everything shitty thing you did between 13-27 would be forgiven.

  6. Wouldn’t it be an emergency cricothyrotomy, not a tracheotomy? I was under the impression that tracheotomies are surgical procedures done in the OR.

  7. I had an MRI for my migraines once and I started getting super fidgety and kept playing with my fingers
    And I had a really bad urge to move my head since they had put it in this thing to keep my head still
    So I had to close my eyes and sing in my head to stop freaking out
    It felt like I was in there forever lol

  8. 9:47, look at the doctor in the show, compared to the doctor in real life. That is the calmest face I’ve ever seen😂

  9. I just found your videos. You should do a review of The Resident. Kinda the "millennial version of ER". It's not awful, and it's fairly accurate. They do stretch a lot, but that's Hollywood medicine.

  10. I subscribed within the first minute of the video. I loved the way you… well… everything about the video. And as a med student, I'm pleased to see that I can come to the same conclusions as you do for each scene… Please do more xD

  11. You should watch the episode break down of the good doctor it’s so sad 😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭

  12. I've watched every episode of every season MULTIPLE times. It's still my all time favorite show. His level of sarcasm is genius…

  13. Sorry doctor but there are some doctors out there that will only do the minimum…House is the extreme opposite…because his hospital is a teaching hospital. My sister is a doctor and told me that there is no way any given person can go through as many diagnostic tests s this hospital does to its patients on each episode unless they pay for most of them that insurance doesn't feel necessary. Some doctors also do not want to cooperate with patients that want to find out or question treatments or methods….I had a doctor respond to me with "why don't you let me be the doctor." There are too many doctors that want to go with the standard of care as opposed to accepting new technology and practices that can be proven…such as the Keto diet. If you know how the body works and how it uses food or stored fat then you would know that Keto is just fine. Also, when doctor House ays everybody lies…there is an absolute chance of that because people don' want to tell you what is what because they may not want to hear the inevitable. If you watch all of the seasons of this show, you will see alot of lying in the initial parts of alot of episode. I watched all of the seasons available to me when I was in Iraq back in 2008.I wanted to become a doctor after that….but the I thought back to when I was in Respiratory Therapy school and during my 2nd clinical…I found out how impatient medial personnel were and how muhof a lack of compassion there was and how much bureaucracy ruled and all the nickel and diming charges there were to people. It was disheartening. I urge anyone who just read this to watch the documentary "Escape Fire: The Fight to Rescue American Healthcare."

  14. I actually caught a doctor stealing some of my pills. I was so conflicted. I didn't say anything until I left the base then I told a nurse that I trusted

  15. I love how you reacting to the woman at the beginning. I noticed how your facial expression changed. Not just because you were anticipating something go wrong, but how you were looking for symptoms. Must be a doctor thing sort of like police. Rather you know or not you are alway noticing things about people and their behavior. It's just something that comes with being trained in a profession that requires observing people to a very critical degree.

  16. YouTube commenter: "quotes"
    Doctor in video: "says something"
    YouTube commenter: [makes a witty but not really witty statement]

  17. I love doctor shows but they stress me out. I had tonic clonic seizures when I was six and I don’t know it just gives me issues so I don’t watch them

  18. Greetings. The central problem of House MD is that the show is acting like a soap opera. All the professionals are behaving like kids or technicians. All of their opinions are either wrong on just about everything not medical related, or simply different from one other, and they are getting into pointless fights. This is why we separate the the knowledgeable people (doctors) from the ignorant (the techs). Smart people behave completely differently, and much better. Smart people rarely act like jackasses, or cheat at everything. And philosophical discussions never sound like the National Enquirer (which is taken as a joke). Bye. 🙂

  19. My mom is allergic to the contrast dye. When she has the reaction she had been sent home and had to be rushed back to the hospital soon after where the ER diagnosed it after finding out she had had the contrast dye just like less than an hour beforehand. Thankfully it wasn't as bad as this and now we know.

  20. Dr. Mike, not every medical show starts with sex! Do you remember "ER"?   NOW THAT WAS A GREAT MEDICAL SHOW!!!!

  21. How did i get here??!!!!

    Why, are you so fucking handsome !!!!???

    Come on man, is not fair for the rest of us goddam it !!!!LOL

  22. You should do saving hope. It’s a very different Canadian show that is part hospital drama and part supernatural story. You might find it fun

  23. I hate that if you hear hoof beats look for horses not Zebras. It caused me 17 years to get diagnosed with a rare genetic disorder that causes a multitude of issues

  24. my fav episode…young girl cant feel pain, who winds up having a 25ft tapeworm in her intestines. for some reason i love that ep.

  25. First time seeing this channel reaction: YES! I have ALWAYS wanted to know what REAL doctors thought of HOUSE! YES! Can't wait to check out this video!!

  26. Never seen this before. Fun. One thing you got wrong Dr., They used process of induction, not deduction. Common mistake though.

  27. “What is he popping?! I hope it’s Advil…” that period had me giggling and I really have no reason why except maybe the awkward pause after lol

  28. lol am I the only one who found the MRI interesting? Never understood why people panic, the worst part for me was when they injected the contrast fluid … and thinking about what actual health problem they might find is fucking more scary than the MRI itself.

  29. Dr. Mike, may I say – this is quite entertaining and fun to watch 🙂 Kudos to you, doc. You strike me as a professional that actually cares about patient's well being.

  30. I'd love to see your take on the anime cells at work. It already got reviewed by Dr Hope from Sick Notes, and seems to have left a very good impression on him.

  31. House only takes complex cases. So all the common routine exams have already been done and they take these cases to house when they are truly stumped on a diagnosis

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