SIO408: Dr. Steve Proper, On the House

Transcript

This transcript was generated automatically and may contain errors — the audio is the record.

0:00:16 Thomas: Hello and welcome to Serious Inquires Only. This is episode 408. I'm your host, Thomas Smith, and got a fun one for you today. Now, I don't do this every month, but sometimes with the Seriously Awful Movies that is available on patreon.com/seriouspod for second tier patrons and above, sometimes I make like a normal episode out of it because, you know, it's long enough and there's some science in it and it can both function as a little preview of, you know, what you might be missing out on over on Patreon, plus an actual fun episode. And so this This one, I resist. This was so funny.

We did an episode of House, which, boy, I'm not a fan of that show. Sorry. So content note, if that's going to offend you, apologies. Not a good show. But hopefully if you can get past that, there's so much funny stuff here because we had Dr. Steve Proper on because this episode featured a peculiar allergy, a let Dr. Steve talk about it in the recording. And so we Had a lot of fun With it.

This also, I Mean, this is an this was the seriously awful movies, there are maybe more more adult jokes than you might be expecting in a normal Serious Inquiries only, just in case you're listening with kids or something. Just wanted to tip you off on that. But this was truly, this was so funny. When I was editing this, I was, my cheeks were hurting. I was laughing so hard at some of these things. So I wanted to share that with everybody. And so here you go.

This is Seriously Awful Movies. I went ahead and cut in a little bit because the first, you know, know, 10 minutes is just me complaining about house. So I figured for the, for the normal feed here, I kind of cut just into Dr. Steve talking about, uh, and the allergy that's in the show. Uh, and also note my wife, Lydia Smith, and my brother, Sam Smith, actually on this episode for some comic relief. So.

Is again, a fine, fine standalone alone thing if you don't want to become a patron. So, you know, don't skip it like it's a small preview. This is a nice chunk of if it does inspire you to get on patreon.com/seriouspod, that would be amazing. We need your support very badly. We appreciate it so much. And, if you do, make sure to, you now, go grab this full version of this Seriously Awful Movies. So, with that said, here is me, Lydia, Sam, and Dr. Steve Proper, and

0:02:34 Thomas: House.

0:02:34 Steve: Of reasons to not like House in terms of the general setup, part of The reason I was specifically dialed into this episode is because as an allergist, there are occasionally weird things that happen and, um, guess I don't want to spoil it, but like one of the things that, um, me to this episode was that they talk about seminal, uh, uh, hypersensitivity. So, like, know, semen fluid. So not the themselves, but there are proteins in seminal fluid that you can get hypersensitivity to, and it is a cause for, you know, actual reactions and localized pain for some women. And so it is a real thing. And I think it's kind of,

0:02:38 Thomas: Look.

0:03:08 Thomas: That's Not Why when I visited you last time, Sam, my entire hand was red and like bubbling. Totally Different. It Was Yeah, it was an Acid attack. I don't know, something. Me, it's

0:03:17 Sam: You Said It was the poison ivy.

0:03:20 Steve: So rare,

0:03:20 Lydia: But It's really rare. Right, Steve? Yeah.

0:03:24 Sam: Yeah. Yeah.

0:03:27 Steve: But of One the people I trained with is sort of an expert in this and does the desensitization of who have this because, you know, a lot of times you have couples trying to conceive and even though it's doesn't really cause infertility, if you have reactions every time you have intercourse, that's not going to go great for your relationship. So, um, want to desensitize if that's possible. And so that was, you know, one of the things that, you know, I got exposure to when I was training and it was one ofthe craziest things to me. Yeah.

0:03:27 Lydia: Right.

0:03:53 Thomas: Lots of semen all kinds

0:03:56 Steve: Yeah. It's

0:03:55 Lydia: I'm

0:03:56 Thomas: Of seman.

0:03:55 Sam: Like First we're gonna see who's allergic to semen just to start this put

0:03:58 Thomas: Yeah. Look to your left, look to your right. One of you is the. Yeah, no.

0:04:02 Sam: Your goggles on. Yeah. I Guess

0:04:09 Thomas: Some fucking weirdo creep, creep was like, "I want that to be my job. I want to specifically do the this sperm semen allergy thing and treat people for that." But one, that actually, I think you embrace it, I think he'd just be like, "Yeah, I'm fucking weird and this is the weirdest job and I just wanted to do it." Yeah.

0:04:23 Lydia: The semen guy. Yeah.

0:04:24 Thomas: Yeah.

0:04:26 Steve: Uh, but better than the lactose intolerance guy in some ways, but, you know, not much. Yeah.

0:04:30 Sam: Helping people have an enjoyable sex life again would be pretty a huge reward if you like fix the problem for him. Of all jobs

0:04:37 Steve: For sure Yeah.

0:04:37 Lydia: Yeah. Something that's just like so basic to the human experience, right, making it so it's not absolute torture.

0:04:43 Thomas: Isn't it just the same thing, you're just like, here, take these semen pills once a day, every Yeah.

0:04:47 Sam: Yeah. Yeah.

0:04:44 Lydia: Yeah. Yeah. Is there like a PB2 equivalent, Steve, for this?

0:04:51 Thomas: Yeah.

0:04:52 Steve: Hope Not, but you know,

0:04:52 Sam: The husband's in there, and you're like, "You know what we do is, you need more exposure to semen," and elbow a couple times, uh,

0:04:53 Steve: Yeah. There's

0:04:58 Thomas: Yeah. He's doing the like dollars, other, other hundred dollar bills under the table. Yeah.

0:05:00 Lydia: Oh, God.

0:05:08 Steve: So many ways this can go wrong, uh, of course. But Yeah.

0:05:08 Sam: We It immersion therapy. Yeah.

0:05:12 Steve: It's a form of that, right? So, yeah, it's real, thing it's super rare. Um, it gets used by shows like House because there's like a kernel of truth to all of these medical diagnoses, right, that they are throwing out there. And that's kind of what makes it interesting. But of course, like, like, as this episode, as with many episodes of House, like the, the medicine itself, like, is plausible, but so unlikely that it is like insane and laughable.

0:05:20 Sam: Yeah.

0:05:23 Thomas: Did

0:05:36 Lydia: And for like one team to get all these unlikely things also.

0:05:39 Steve: Yeah.

0:05:38 Thomas: It. Yeah, well, that's what I wondered, are they the House Institute for the weirdest cases that you can't solve, or they just like place, are they just a hospital

0:05:45 Sam: Yeah.

0:05:40 Lydia: Yeah. I thought it was just a big hospital.

0:05:47 Thomas: Oh my god, that's the stupidest fucking thing

0:05:49 Lydia: Yeah, yeah.

0:05:50 Steve: What it seems like. And it's, yeah, it's in

0:05:52 Sam: Are you to believe that every like big hospital has a team like that, or it's just they're the best in the world, this one hospital, if you're lucky enough to get a terrible thing in that city, then you'll be cured. If not, you just die.

0:06:03 Lydia: Oh,

0:06:02 Thomas: Well, that might That make that part makes sense, actually, I guess a teaching hospital. Okay, yeah.

0:06:04 Lydia: Yeah, it's to be a teaching hospital in New Jersey.

0:06:06 Sam: So Know everyone's listening is going to be asking, so what is the cure, has it just been venadryl like many of the listeners. Oh,

0:06:16 Steve: Some cases. Yes.

0:06:16 Thomas: You your semen replaced with Benadryl and then you shoot that during sex, but

0:06:21 Sam: Yeah.

0:06:23 Steve: As of everything I treat. Yes. The answer is, is in some places just an antihistamine, but, um, a little more complicated than that. Yeah.

0:06:28 Lydia: The daily Zyrtec. Yeah, I

0:06:28 Sam: Yeah. Yeah.

0:06:30 Thomas: Can get sexy with that, you're like, I'm busting out the pink liquid, you know, what are you having, a date night or whatever, like someone's bringing bringing fucking Benadryl to

0:06:40 Sam: Yeah, it's

0:06:39 Steve: Yeah. Yeah. Nothing's

0:06:42 Thomas: Yeah.

0:06:43 Sam: Petals and two small glasses of Venadnyl, yeah.

0:06:45 Thomas: Yeah. A trail of Benadlyl like spilled on the floor up to the bedroom, that's

0:06:50 Sam: Sounds

0:06:54 Steve: I mean, if, yeah, totally, like sedated before your encounters is like your idea of a good time, then you know, perhaps but

0:07:01 Thomas: My idea

0:06:58 Lydia: Know. You need to find that non -drowsy

0:07:01 Thomas: Of yeah it sounds great to me, I should have done it before having to watch this fucking show, speaking of, let's, uh, go into it.

0:07:02 Steve: Yeah. Yeah.

0:07:03 Sam: Pretty good

0:07:08 Lydia: Antihistamine. Let's do it.

0:07:11 Thomas: Well, did anyone answer my question, is that his thing, does he, because he doesn't wear doctor's robes, what do you call, he does, you know your robe, Steve?

0:07:18 Sam: Scrubs. Oh.

0:07:20 Thomas: They're not scrub, what's the white coat.

0:07:21 Lydia: He just has like a coat.

0:07:23 Thomas: Yeah.

0:07:21 Steve: The The white coat, yeah.

0:07:23 Thomas: Yeah.

0:07:24 Sam: Yeah. Lab coat. If

0:07:24 Steve: Yeah.

0:07:25 Thomas: What's the, hold on, technical question, what's difference between the scrubs and the white doctor coat, is

0:07:32 Steve: White doctor coat is when you're trying to be fancy, and the scrubs are for when you don't want to decide what to wear and you just want to wear pajamas to work, work. That's

0:07:39 Thomas: There, like, I want to know, those are rules about, like, if the queen comes into your hospital, you're like, I gotta, fuck, I, I wore my scrubs today, I should have worn my robes.

0:07:40 Lydia: Oh,

0:07:40 Steve: Yeah.

0:07:49 Steve: I think the rule is you just grab the nearest white coat and then put a piece of tape over the person's name if they had it embroidered or whatever and just pretend that it's yours, I, you know, hospital is different, right, some places are actually like color-coded so you have to like wear certain color scrubs if you have different roles, so If you're like a respiratory therapist, you wear a certain color.

0:08:06 Thomas: Yeah. You're like a dark wizard. You wear the, the one, no, okay.

0:08:09 Steve: Exactly. So,

0:08:11 Sam: You dabble in the dark medicines, this is, yeah,

0:08:12 Thomas: Lightning.

0:08:14 Steve: You don't have to to like know anyone's name, you just look at their colors and like, oh, you're, you're red uniform guy so you're gonna die soon, that kind of thing, um, the

0:08:14 Thomas: The dark medicines, yeah. Exactly. You die in the first mission, yeah.

0:08:25 Lydia: Interesting, hon. Sorry. I went down this deep dive of house and he did lose his medical license.

0:08:29 Sam: Can't be interesting.

0:08:31 Lydia: Yeah. Because of his pain addiction.

0:08:26 Thomas: Okay. Yeah. Figured pill addiction, yeah, okay. I figured that out, uh,

0:08:35 Lydia: Yep. Voluntarily entered a psychiatric hospital to detox. And then that's why he's moving in with Wilson. A condition of his release. Season

0:08:38 Thomas: -huh. Oh, but this is season we're in season six, what What?

0:08:45 Lydia: Six? Yes.

0:08:46 Thomas: Did he start the show as a doctor, I thought that was the whole premise. Oh, but

0:08:48 Lydia: Yes. So, he is a doctor and then he loses his medical license.

0:08:53 Thomas: He's So brilliant. They're just like, fuck, we need you, man.

0:08:54 Lydia: Yep.

0:08:55 Sam: Yeah, everyone has to put up with him. I was going to go on this thing about, before we start, how, like, I've been watching The Sopranos, you know, and I was reading about how, before that, there wasn't, like the anti -hero type thing, you know, that was like the first, but the problem is, the antihero has to be likable, like at all, so that you wrestle with, like, oh man, he's a bad person, but he has, like, human character, like, he, he cares about his kids and, you, other people, like, at least for this 45 minutes, yeah.

0:08:57 Lydia: Right.

0:08:57 Thomas: Yeah. He's just too good. Yeah.

0:09:10 Lydia: Especially Early Breaking Bad, right, was, was that way where you're struggling

0:09:25 Sam: He's not likable at all, like mooching off this guy he lives with, being a dick the whole time, it's, how, love, how people do that, oh, we'll just make an anti-hero that sucks, that isn't a hero and

0:09:26 Lydia: Yeah

0:09:33 Thomas: No, you understand he's such a great actor, he's a great director, he's him for this recording.

0:09:35 Sam: Oh, god, I always forget that Yeah.

0:09:40 Thomas: I can't even do my podcast without him. I've been calling him all day. I need him to come here and insult me and then like make miraculously accurate, perfect deductions about everything I've ever done for no reason. So speaking of this, hon, are you doing the, oh, luck. Sorry.

0:09:41 Sam: Oh, man. Yeah.

0:09:53 Lydia: Yeah. Here. Okay, um, we, so, open up with a planetarium, young couple chatting. And, you know, they're

0:10:02 Thomas: You know, that old trope, a planetary of young couple.

0:10:05 Steve: Meet cute at the planetarium.

0:10:06 Lydia: Talking about stars and they're apparently drinking alcohol.

0:10:07 Steve: Yeah.

0:10:09 Thomas: And a minor thing. They're in a, like a planetarium thing, which is awesome. How I have I not taken the kids to that? I want to go do that. I want To live in one of those. And I'm like, okay, so they're at a, you know, they're at a museum or they're out of planetarium thingy. And then the guy's like, what Can, um, that, you know, I'm like, what is he acting like a teacher or something? That's weird. And they are in class in the planetarium.

0:10:15 Lydia: Yeah.

0:10:28 Lydia: It's a field trip. Yeah.

0:10:30 Thomas: And then, you know what, what happens in field trips to planetariums is they're like, oh, you're the teacher of this little class. Oh, take over the whole planetarium like you, you You should do a lesson. Stand in the middle there. Like, that's not anything. What is that?

0:10:36 Lydia: Yeah. Well, but then the question that he tries to use to spark conversation is what conclusions can we draw from the incredible number of stars?

0:10:43 Thomas: Oh, God. From lots of stars. That's not. It's idiots. -year -olds trying to write smart people. It's my favorite thing. What conclusion can we draw from the lot of bunch of stars? What class is this?

0:10:55 Lydia: Yeah.

0:11:04 Thomas: Is it space things? Is that the class? What? What, like if he was astrophysicist, intro to planetarium science, yeah, planetarium studies, yeah.

0:11:08 Sam: To planetariums pre- -planetarium of studies, yeah.

0:11:20 Thomas: Oh, God.

0:11:21 Steve: Did, I did not take that course in college, that was not a prereq for medical school, so

0:11:23 Thomas: Yeah. They're

0:11:26 Lydia: They're in high school, yeah. Chatting.

0:11:26 Thomas: Right? They're, it's a high school intro to planetary studies class. Okay, whatever. So they're drinking and they're fucking, let's just, I'm already mad.

0:11:28 Steve: Yeah. Uh,

0:11:35 Lydia: Yeah, and so the the big thing here is that uh, starts foaming pink gross crap out of her mouth and they call 9-1-1, something is wrong, because you're not supposed to foam pink stuff out of your mouth, yeah.

0:11:42 Thomas: Yeah. Yeah, I

0:11:49 Steve: Can confirm that. Is, but

0:11:50 Lydia: Yes.

0:11:51 Thomas: The through line of the episode, it's called Black Hole. They're like, there's the space stuff and the thing. And then keep a pin in that because it's nothing anyway. So, yeah, they start. I mean, it'S like the classic 42 minute show thing. You

0:11:54 Lydia: Yeah.

0:12:01 Sam: Yeah.

0:12:07 Lydia: So, side plot, a, what, we're not going to get into it, but just so everybody knows, it's House is living with Wilson and they're, you know, going back and forth about uh, yeah, and he's uh, from oncology, they're, vous know, frenemies or whatever, um, they have a little thing where the condo is completely empty and House is saying, you, you know, buy some furniture, admit that you're empty inside.

0:12:16 Thomas: Name would be Wilson. I didn't catch that. I I'm embarrassed for you to have to repeat the plot of that, like I'm literally, it's embarrassing. Like, what is that? It's the empty, he's living, he's mooching, living in his thing. The guy has no furniture. Did he just get divorced maybe or something? He's got no furniture and he's like, all character, this obnoxious asshole has has thoughts and plans about every single person's day. Like, like he go, he must start the day and he keep every single person he works with or knows, he's like, how do I fuck with this person all day, and and furthermore care about the details of their life all the time, which is hard to do, sorry.

0:12:34 Lydia: Yeah. Yep.

0:12:37 Sam: This, yeah, yeah,

0:13:03 Steve: There's... there's no breaks yeah, He cares enough about the details of their life, uh, to really get in their heads, and there is no breaks for him because he does it at work and then he does that at home also. And presumably, while he's sleeping, he's also doing that, but we just don't see that in the show, so but

0:13:16 Lydia: Yep.

0:13:18 Thomas: Yeah, you're in one of the co-workers is in a dream and he comes in, is like critiquing their dream, god damn it, you don't get, get any break from this fucking guy, yeah.

0:13:30 Lydia: But, focusing on our main plot, we get our first main scene in the hospital and we have the doctor team gathered around because Cuddy, who's the hospital administrator, has a new case for them to solve.

0:13:43 Thomas: But we can't just do that, there can't just be a scene of a guy being like, hey House, bro, brilliant and magical House, we have these following words we have to say, like, he's the wizard and Wizard of Oz or something, we need your expertise, they can't do that, he has to come in and he's deduced everything, I didn't know that about this asshole, I thought he was just WebMD, something we've had for a long time that you could just do instead of having this guy work for you, which is just Google all the symptoms and you, you know, it'll tell you maybe what the thing is.

That's basically what he's doing. But he is Sherlock Holmes for dumb people in everyday life. I didn't realize they had him be that too, which is even worse. He walks in, he's like, let me guess. Oh, something, blah, blah case. And it's a girl that's 17. And you're just like, fucking really? Weirdly, he is not wrong ever. Like somebody, like make the version of the show where he's like, oh, coffee stain on your, you pocket. That means that you had a day with a blot and just go on for an hour.

And then they're like, that's all that was wrong. Like literally every part of that was right. I just happened to spill something on. They're never wrong. There's a hundred percent accuracy rate of these deductions from nothing. Does that ever happen in real life? Have you ever seen a single human being ever do anything like that once ever in life ever a single time? Ever? No.

0:13:50 Sam: No,

0:14:12 Lydia: Yep

0:15:01 Sam: Oh,

0:15:01 Lydia: Isn't

0:15:01 Thomas: It never. Literally. No, I love that you're just allowed to do this in writing, like this is a thing, fucking stupid. Not

0:15:02 Steve: No, No, Yeah,

0:15:08 Lydia: Even Sherlock Holmes gets it wrong, right? Like in in the Benedict Cumberbatch Sherlock.

0:15:12 Thomas: Enough, sorry.

0:15:12 Lydia: But I mean, like, at least once. They're going through kind of the, some of the basic information that they have, right? They confirm that the fluid from her mouth was from a pulmonary edema, means the problem is in her heart or it's in her lungs, but the tox screen is completely clean and her blood content is only 0 .05. So she's only had one or two drinks.

0:15:14 Sam: My

0:15:33 Thomas: I changed my mind, I want to play that part of how he gets the case, just to set the tone for the worst thing in the world, Sam, plug your ears here.

0:15:36 Lydia: Sure.

0:15:43 Clip: Talk screen's clean for everything except the alcohol, and her BAC was barely .05, and she only had one of her drink stubs, and there was no sign of trauma, I mean, because if there was, Cuddy wouldn't need me to take the case, how do you know Cud - Norman's the only one in the balls to take a case without checking with me, he's still working on breakfast, which means that the 18, no, 17 year old honor student, Cuddy has a soft spot for smart girls, and they don't start drinking until second semester senior year.

0:15:53 Thomas: Did he know that, wow.

0:16:12 Sam: God,

0:16:11 Thomas: Yeah, every single one ever, ever does the same exact thing, and so you can deduce that, like, what what is what

0:16:24 Clip: You think that smart women look out for each other, which means you're an idiot. Or you think Cuddi's not smart, which mean ssss... I guess it's the same both ways. Then how did you... The picture fell out of the file. She looks smart. What

0:16:30 Thomas: Oh was all a misdirection, he saw the picture, it wasn't really a deduction, but none of that made any sense, the whole show, the whole show is that everybody, 43 minutes of that bad American accent, even though I actually love Hugh Laurie, I think he's actually really good in everything else, um, he's actually pretty good in this, except his his accent and voice is so grating, combined with this mannerism of always predicting everything happening all the time for the entire show, yeah.

0:16:38 Lydia: Yep.

0:17:02 Lydia: His character.

0:17:06 Steve: And whole attitude to his colleagues is just so so grating that you just can't really imagine ever working with anyone like that for more than five minutes. And you're like, okay, I'm out. You have a lot of deference to each other because you know we have to be collegial for things to work, right? Like yeah, yeah, we all have expertise. It's a little different sometimes and you know it always is to your benefit to be nice and to see a portrayed this way is just like so infuriating to me because it's just not at all how we work in any way, so yeah.

0:17:16 Lydia: Yeah,

0:17:21 Thomas: We're both lawyers, yeah, yeah.

0:17:23 Sam: Yeah,

0:17:39 Thomas: You know some asshole or a lot of just like shitty dudes like an impersonation of this in in their everyday life because they think they're that, the from a writing perspective I'm surprised, and maybe this happens somewhere in the show, you gotta have at least one character that's like, all right, buddy, okay, all right, have of the people in this abuser's life have any ability to just be like, shut up, I don't care. Shut up. Stop. No, I don't care. I don't care. Okay. All right. See you later, buddy.

0:17:56 Lydia: Yeah, yeah.

0:18:09 Thomas: Okay. Like, just do that every time he opens his mouth. Okay. Well, you need to buy one piece of furniture. Okay. All right, okay. See you Later. Okay, all right. Yep, Mm-hmm, we'll do, okay, just the whole, I would do that the entire time until he just left. You never have to ever dignify anything he's saying with a reaction.

0:18:09 Steve: Yeah,

0:18:23 Sam: Yeah,

0:18:29 Lydia: We get to their first kind of guess about what's going on, and that maybe it's been rising blood pressure over time from binge drinking. So they're going to run some tests with that in mind.

0:18:41 Thomas: Right Sam, as the doctor, does that make sense? Dr. Steve, you're foaming at the mouth.

0:18:44 Sam: No, I don't know, I wasn't studying.

0:18:49 Thomas: You have a girl foaming at the month. What is your first doctor thought with that?

0:18:53 Steve: See, well, they sort of did the first couple of doctor thoughts, which was look at the fluid, find out where it was coming from, um, so they talked about that, um, you know, if you think it's blood pressure, again, you're talking to a pediatric allergist here, so this is not my wheelhouse, um, if it deals with pulmonary edema, I'm sending you somewhere else immediately, because I am not the person that you want to be talking to, um, being said, um, their first few ideas have to do, you know, with with cirrhosis, and um, for high blood pressure, again, I watched this episode a couple different times before, for the record here, to try to follow their diagnostic path, and I can't, um, well, there's probably lots of reasons why, but the biggest thing is they just throw things I am not good enough, which

0:18:57 Lydia: Okay. Yeah.

0:19:12 Thomas: Yeah.

0:19:34 Thomas: You're not a good enough doctor. You need to develop a pill addiction first. First and foremost,

0:19:40 Steve: Yeah, it's it's like being in the room with someone who has just a flight of ideas where they're just bouncing a hundred different ideas off constantly, and and that was the other thing about House episodes that I have seen. And again, it's not very many because I just couldn't take it. But when you are throwing out your differential diagnosis, which is what you do as doctors when you don't know what's going on, is you throw out ideas about what could this be? And then you sort of go through it. That's reasonable, right?

0:20:08 Thomas: You'd salt each other as much as you possibly can. You fucking idiot. The liver. The liver, the liver. Fuck, that's you. That's you right now. Because that doesn't explain the aortic fucking contusion or whatever that was. Dummy. Fucking moron. Look at this guy.

0:20:16 Lydia: Yeah,

0:20:18 Steve: Yeah, that's

0:20:26 Thomas: Idiot. That's how normal, that's normal. Of course.

0:20:25 Steve: Yeah, exactly. Exactly. So

0:20:28 Sam: And then you're like does anyone else have an idea? It

0:20:35 Steve: Yes. You don't want to, you don't want to be the first like healthy collaboration. Yeah.

0:20:37 Thomas: Yeah. Yeah.

0:20:38 Sam: Fosters it fasters healthy. Yeah, yeah. Exactly, yeah.

0:20:41 Lydia: Collaboration. Yeah.

0:20:45 Steve: Yes, you don't wanna be the eager resident in that room to open your mouth first and be like, what about this? You know, that'll be the last time you ever do that. So, yeah.

0:20:53 Thomas: Every printer in the whole hospital is printing resumes. Just like, oh yeah. Dr. House. Oh, okay. Just, like, 50 ,000 resume. God, I gotta get out. I have to get out of here. Please. Any other place. Can I go be a Doctor in a war zone? Is Fallujah still available? What year is it?

0:20:57 Sam: Yeah. Yeah.

0:21:09 Steve: LinkedIn is crashing while the show is going Because everyone is sprucing up their resume because they're like, I'm out. They throw out a few ideas at this point in the episode, it's pretty unclear what's happening because there's only been one of these weird episodes and I, I believe, if I'm not mistaken, um, boyfriend shows up to the hospital not long after this, right? Um.

0:21:11 Thomas: Lydia?

0:21:28 Lydia: Um, so we do a quick little stop and side plot B, which does have some necessary information in it, so just gonna set that up. Uh, and his wife are fighting, Taub. Taub, I don't know. And his life is going on and he's like, oh my God, I'm gonna die fighting. Um. And she's complaining that they don't do anything together, they only sleep, watch TV, and go out to dinner. Um.

0:21:41 Steve: Yeah.

0:21:46 Lydia: A doctor like I feel like that's pretty reasonable

0:21:45 Thomas: That was a really really awkward yeah Lydia and I were watching this together and he's like, oh, we only sleep, watch TV, and go out to dinner. I was like, oh, fuck, is that, what, are there more things what other things are there man

0:21:57 Sam: It sounds exhausting

0:21:51 Lydia: We're side glance over to each other like oh god are we gonna have this conversation

0:22:01 Thomas: We don't, we don't even do that many things together, that's yeah

0:22:04 Lydia: Yeah

0:22:04 Steve: We we don't even go out to dinner, you, my know, mind, it's like, well, he's, he's winning this is good

0:22:06 Thomas: Yeah

0:22:08 Lydia: Yeah he's doing okay, you know, for a doctor working for House. So we get him back at the hospital, he had been fighting with his wife, Tob, and now he arrives at the hospital. Um, he, the boyfriend and the boyfriend's dad show up and um, say, you, where's Abby? What's going on? And Tom just tells them in the middle of the hallway.

0:22:09 Steve: Yeah yeah

0:22:28 Lydia: Does that happen?

0:22:27 Thomas: This

0:22:26 Steve: It's it's nuts. So the guy, the doctor, so Taub, he's wearing like a, a jacket, a tie, not wearing a white coat, not wearing an stethoscope. He could be an insurance salesman. And just like in, in the hospital, he just happens to be standing in the hallway and this high schooler kid runs up to him because that's what you do in the the hospital to find your family member

0:22:29 Thomas: Is the yeah

0:22:52 Lydia: Yeah.

0:22:40 Thomas: You're right, I'm looking at it now, yeah because the director said go to that the one guy, I'm working, I have it up, he's the one guy who's not a doctor in that crowd, like every everybody else is wearing signs that to say like, hello, please speak to me, like, you know, like, outgoing kind of icebreaker type stuff, and he's just a guy in a suit

0:22:54 Steve: Yeah yeah I'm

0:23:00 Lydia: Yeah.

0:23:10 Steve: I'm like, why is this high schooler looking at Taub, thinking like, that is the fastest way for me to find my girlfriend is to ask this guy, and yeah, he just tells them, so doesn't verify who they are or like what

0:23:21 Lydia: HIPAA violation.

0:23:21 Thomas: Every single conversation in this show takes place not only without any privacy, but also can manufactured so that the most awkward person to overhear it is in the scene and you're just like, would, would no one be like, hey, hey, doctor, doctor, can we maybe not talk about the blowjobbing crap like in front of my mom, like, do you want to just like, do you want to maybe be chill a little, God, yeah

0:23:33 Lydia: Yes. Yes, yeah.

0:23:50 Steve: Maybe take your voice down just a notch and move the privacy curtain in between you as if it blocks sound, also you know, um so that part, like, blew me away because it's like, oh, HIPAA violation right away, you know, some random guy in the hallway knows where your girlfriend is, okay, um, and like, first of all, that he acknowledged is that I, I would, would look around if I were Talb and be like, I'm sorry, are you, are you looking for the front desk, because that's not me, um, I'm not sure why you're talking to me right now, I am in hallway uh who are you and

0:23:57 Thomas: Yeah

0:23:58 Lydia: Just try.

0:24:14 Thomas: How did you get here, yeah, what what floor yeah security, that's what I would be doing actually

0:24:23 Steve: Who do you think I am, because yeah, not wearing a stethoscope, not wearing a white coat, I could just be, you know, the lawyer for this hospital, it's

0:24:29 Lydia: Yeah.

0:24:31 Thomas: My wife is the doctor here? I was, was visiting her, sexist because our son just got in a car accident and he needed a doctor, so yeah

0:24:35 Lydia: Yep.

0:24:45 Lydia: Riddle me that.

0:24:46 Steve: I'm like, what floor is he on, because they, they came up in the elevator together if I'm not mistaken right, they, they were in the same elevator, so you're looking for someone but asking the guy who rode up in the elevator with you where your girlfriend is, it makes no sense, it's so we start off great in this scene so

0:24:49 Thomas: Yeah that's what I've said it's so bad, he's

0:25:04 Lydia: Yeah. So HIPAA violation to kick it off. And the boyfriend has this winner of a line, which I like like wanted to barf at.

0:25:12 Lydia: Can you give her a message? I brought her homework and I love her. And I just like, Like, I can't believe someone wrote that down on paper. Like, that's so bad. So bad. Taub, you know, follows that request of this person.

0:25:21 Sam: Yeah

0:25:21 Steve: Yes

0:25:27 Thomas: Like, well, if I see her in my insurance sales office that I'm going to now, I will tell her, okay

0:25:31 Lydia: And she's getting an MRI. And so he, you knows, goes on the little God Mike thing in the MRI and says, Nick loves you.

0:25:39 Thomas: We've got three doctors administering an MRI, I insane, Dr. Steve? I've gotten three MRIs. It's always one tech who does that and is like, oh, here, okay, we're doing this.

0:25:56 Steve: Um, not a radiologist, but pretty sure that they don't stand by the machine and make sure that everything's running smoothly, you know all

0:26:02 Thomas: Three of them. Like, do they have no other job? I was so mad.

0:26:05 Lydia: It seems kind of expensive to use doctors for that role.

0:26:08 Thomas: Yeah, exactly. The insurance billing.

0:26:09 Lydia: Yeah.

0:26:11 Steve: The radiologists, I know they're in the dark, you know, looking at their images in like a, you know, imaging suite and it's all dark and they all have their different, you where they have multiple screens

0:26:16 Thomas: Yeah. Got to plop it up in that thing, in the top of it real hard to make that noise, you know, when you pop that x -ray up there. As you see here, there's always somebody else to talk to. That's another thing. Like normal doctoring life, Dr. Steve, how many times are you talking to other doctors? I'm just curious.

0:26:24 Steve: Yeah like

0:26:29 Sam: Wait

0:26:38 Steve: Never. And like, that's because, um, part of it's how my office runs, but like, I happen to be in an office that's shared by lots of other doctors, so I actually talk to doctors way more than I feel like other people do, uh, who have like an office, because normally, normally you're talking to your patients, your nurses, your MAs, the people who help you run your day-to-day operation. In the hospital, different story. There are lots more doctors, but in terms of what you're doing moment to moment, like unless you're huddling for, you, or whatever it is, depending on your specialty, right? Right. 'Cause people do rounds, you know, all morning, and you go in these little gaggles of people, and then you, you around each room as you talk about the patients. That's pretty normal. That's when you will talk to a lot of doctors, but throughout the rest of the day, you're just kind of following up labs, doing other things. I would not like stumble across another physician, like waiting for the MRI to slide my patient, you forward and backwards and and then always

0:26:52 Thomas: Right.

0:27:34 Thomas: They each wait in line with their patient like, oh, man, it's almost our turn.

0:27:35 Sam: But -up question, is it true that when you do talk to other doctors, you have to start with "Doctor" to "Doctor" before you say anything Yeah, Doctor to Doc, what are you having for lunch? Yeah.

0:27:46 Lydia: What?

0:27:50 Steve: Yes.

0:27:46 Thomas: What's up, doc? But I worked in ophthalmology practice, which is, they're technically, I think, doctors. I can't remember, ophthalmos And the whole thing is that they are the fucking revenue generating machine of the whole business. Like, they're the one doctor is like just a money making machine that you have to be putting all these billable services with the, the whole thin is designed for them to maximize their time by just going like, patient, patient, patient, like as fast as possible. And then in Dr. House, we're to believe they're just kind of hanging, seven of them in a boardroom, just like, you know, like it's the opposite of what it would be.

0:27:58 Steve: They are. Oh.

0:28:29 Steve: Yeah, you, you're not like finishing the notes that you didn't finish from the day before, um, seeing more patience and doing stuff with that time. Like, there is no such thing as you just hang time in the middle of your day, you know, like

0:28:42 Lydia: Hang time while you're trying to treat a patient? Do you talk a lot about like your personal life while while you're trying to do various diagnostic tests or sometimes even surgery? You

0:28:52 Steve: Not so much, it all depends how awkward you are as a a person and how uncomfortable you enjoy making other people, um,

0:28:57 Thomas: That's the most believable part actually, yeah cause like, in a hospital situation is their workplace, like they're doing that all day you know? So like I do think that what else are they gonna do?

0:28:59 Lydia: Think so I

0:29:07 Steve: Yeah.

0:29:08 Lydia: Don't know, yeah.

0:29:09 Thomas: I think they do kind of talk about what's going on with them around you a little bit. Yeah

0:29:14 Lydia: I guess, like, someone's like literally dying and they're like, "Hey, what do you think about" like,

0:29:18 Thomas: Yeah They might be a little more sensitive than that but

0:29:22 Lydia: "My wife thinks I'm cheating on her still because, because I cheat on her. Like, OK, I don't really know how I'm going to help you with that right now.

0:29:28 Sam: I know

0:29:27 Thomas: If they didn't do that, then you couldn't have many shows that we've had, like, er, every show at

0:29:33 Sam: Yeah

0:29:34 Lydia: All right.

0:29:36 Steve: The medical shows are particularly heavy with people like cheating, that's like a huge subplot for everyone, but I think it's funny while they're sitting there at the MRI because the other doctor is like, "Yeah, I'm probably not the right person to ask about this" in kind of a fuck off and stop telling me about your life

0:29:49 Thomas: Cheating myself yeah yeah

0:29:51 Lydia: Yeah.

0:29:48 Sam: Yeah We're all cheaters, don't you know that the doctors

0:29:53 Thomas: Yeah

0:29:55 Lydia: Yeah, I think there is a running line. Jennifer Morrison, the actress, was one of the main doctors on this team. And she and Dr. Chase, that Australian doctor, were together or something. I don't remember. I unfortunately did watch a little bit of House way back when. Please don't hold it against me. Watching this episode, I was like, like, what was I thinking?

0:30:12 Sam: Nope. Too late.

0:30:13 Lydia: I was a child.

0:30:13 Thomas: Divorce papers are in the mail and all right so We go in between medical emergencies, because that's the easy drama of the show is like, oh, you're having a normal conversation, no you're not, medical emergency she's jogging and then everybody can be all excited, and then commercial break, you know, and that keeps your blood pumping the whole 40 minutes, it's

0:30:18 Sam: You're Not welcome in my house, yeah.

0:30:30 Sam: Yeah

0:30:28 Lydia: Yeah. Yeah, so What we see here from this initial test is they see a black hole within heart, and they're trying to figure out what is that, and they gather around the table again to discuss what it could be. They decide, you know, not a parasite, not a fungus, and they come up with maybe it's fastidious enteric bacteria, and then they talk about all the reasons why it might not be that. It's quite fastidius um, then 13, Olivia Wilde, suggests doing a transesophageal echo to test, and they're foreshadowing echo could trigger a heart attack if about to, what did I write?

0:31:01 Thomas: Weird that it's fastidious though, like

0:31:03 Sam: Then they're like no, you're just being fastidious but

0:31:21 Lydia: Dehiss is what I wrote. I don't know what that is.

0:31:20 Steve: Ds Yes, yeah.

0:31:22 Thomas: I'm de -hiss I'm sure all those words are equally medically valid, I just hope it's not a lugubrious whatever fastidius, is that a medical term?

0:31:29 Lydia: A rhombus.

0:31:29 Steve: You know, you just get a flappy valve, it kind of comes apart, it's it's fine, yeah. It's talking about a specific kind of bacteria, again, not a microbiologist, but, um, yeah, just a classification of certain types of bacteria, so they're just talking about what is, what is that hole in the heart that they saw? It's some sort of, um, of something, so is, is it, is it a thrombus? Is it a ball of bacteria? Is it whatever, right?

0:31:47 Thomas: Nice plumbus

0:31:59 Sam: Many sides on a thrombus, three.

0:32:03 Thomas: Yeah yeah

0:32:04 Steve: What thrombis? Yes. So a but inside the blood vessels. So they're going in to get a better look using the trans esophageal echo, which is, you know, put it down the throat so you can get real close to the heart and get a look at that. And they go ahead and do that, and, know, predictably there's another medical emergency.

0:32:17 Lydia: Yeah.

0:32:22 Steve: That happens

0:32:22 Thomas: Because we need a commercial break so yeah

0:32:23 Steve: Really exactly

0:32:25 Lydia: And they say, we've only got 30 to get her open as they're running down the hall.

0:32:25 Steve: It's been seven minutes, so yeah.

0:32:25 Thomas: Oh yeah then all these MRI doctors, these radiology doctors that are doctors of radiology run down and do a full open heart surgery yeah yeah

0:32:38 Lydia: Doctors of everything. Yeah.

0:32:32 Steve: Yes they Also cardiothoracic surgeons, you didn't know that did you? I didn't, so yeah.

0:32:46 Thomas: They all do everything. What, what an amazing, this is a fine learning institute, like they all. Every single possible procedure there ever could be.

0:32:55 Steve: This part was one of my least favorite parts of the episode, where I was actively screaming at the television, uh, about having 30 seconds to open her up like, well, Well, then how did you, how did you scrub in?

0:33:03 Lydia: Yeah, I was just about to ask that. There's no way. Yeah.

0:33:07 Steve: There's, like, a whole team of people. Like, like are you throwing knives at her chest? Like,

0:33:07 Thomas: Yeah.

0:33:07 Lydia: It's like not a sterile environment now, like, yeah.

0:33:14 Thomas: Guy comes out of the bathroom with toilet paper on his shoe. Shit. Let's go. No time.

0:33:21 Sam: Yeah.

0:33:23 Steve: We got 30 seconds is all we got. Then why are you even talking?

0:33:26 Sam: Was there like a watch ticking inside of her heart they saw, like, they had to clip

0:33:27 Steve: Yeah,

0:33:29 Thomas: Yeah. There's a time bomb. They're actually opened her up and the Joker had put in a, yeah.

0:33:32 Lydia: 24

0:33:32 Sam: The lines yeah 30 seconds based

0:33:37 Steve: 30, it would take you 30 seconds to, like figure out where the OR was in terms of which, which direction you had to turn the gurney. Uh, let alone, like get someone in there and, like have a like yeah, there's a ready OR, like, like, tools are at the ready. They're like, we're just waiting for someone to frantically run in here with The patients

0:33:38 Sam: On what yeah

0:33:47 Thomas: 30 seconds.

0:33:48 Sam: That real scene really turned my gurney

0:33:56 Thomas: Yeah. They

0:34:00 Sam: Yeah

0:33:54 Lydia: Um, with their hands up, like they didn't

0:34:01 Steve: Yes.

0:34:03 Sam: Yeah

0:34:01 Thomas: Scheduled a fucking, yeah, we had a fucking dissect a human heart for some reason procedure scheduled. So yeah, they saw what

0:34:09 Lydia: Show up so

0:34:09 Sam: Last patient canceled their heart just by section

0:34:16 Thomas: The thing was. They're like, I don't want that. Like you're going to rip me open and like, you know, like high five my heart a bunch of times and that's going to help my blood pressure.

0:34:19 Sam: Yeah it's like that's okay we'll probably get another one

0:34:32 Thomas: Yeah, I know. Can I just exercise?

0:34:32 Sam: Just get in here and

0:34:36 Thomas: Well, you could exercise. Yeah, if you want to cancel this and just exercise, yeah, you can do that. Oh, man.

0:34:30 Steve: Just just saying yeah yeah

0:34:36 Sam: Give us your heart

0:34:43 Steve: I think, yeah, Thomas, I did one of your, like, what you know, just screaming, like, when he said we only have 30 seconds, like, and then what, like, I don't know, again, not a cardiothoracic surgeon, but I'm pretty sure that we don't, uh, out you much time remains before you know, certain death I mean team readiness is a good thing, right, but you

0:34:47 Sam: Yeah

0:34:47 Thomas: Yeah. Yeah. Yeah. And the patient's dying in five, four, three. Yeah, he should have been like 30 seconds until my microwave meal is done. And then I need to eat that instead of.

0:35:09 Steve: Uh

0:35:14 Lydia: And then I have to go take a break.

0:35:15 Thomas: Yeah, no, it has nothing to do with this. How

0:35:18 Steve: Like there would have had to have been a whole bypass team ready to go, like, everyone's scrubbed in, tools at the ready, you know, exactly what's happening and it's just insane but

0:35:25 Lydia: There's no way.

0:35:28 Thomas: Much of the thing the part where they play ping pong with their heart like open, how much of that, some amount of that is something, right? Yeah.

0:35:31 Lydia: Yeah. So they're paddling the open chest, right? And then it's not working. They're trying to give her more adrenaline. And then 13 says my hands can do better than, than this, you know, machine can. So I'm just going to pump it myself.

0:35:47 Steve: You know, the heart just has inherent activity, and it will eventually go back to normal if you, if you hit it the right way, right? So the whole purpose of the paddles is to shock it back into its baseline, and then your natural pacemaker will take over. The, the thought of, you know, pumping by hand, like, again, not a cardiothoracic surgeon, so I don't know how realistic that is, but yeah, you can do drugs, you can do paddles, you can try pumping the chest. It's kind of like doing CPR, but just doing it right on, on the heart itself. Um,

0:36:17 Lydia: It was really gross. I didn't, I didn't want to see any of that. Yeah.

0:36:19 Thomas: Is

0:36:19 Sam: Yeah

0:36:19 Steve: A a little bit bloody. Yeah. You are inside the chest. So, um, it's going to be a little bit of that and, know. It's, it drama, which is not my jam. That's I became an allergist for a reason. So I, you know, not going to be in that situation because it's just not my thing. Um yeah, how realistic that is, I don't think it's very realistic at all that she would have survived something like that. Um you only have 30 seconds to get her open, and it was wild, so highly implausible, but

0:36:33 Sam: Yeah

0:36:45 Thomas: Your heart, that isolated, like, visual of it is like it's a little cubby that the heart is in, so they would have had to, like, get rid of, like, all her ribs and stuff

0:36:52 Steve: No, yeah

0:36:54 Lydia: Yeah. Like get through the rib cage. Yeah, a

0:36:55 Sam: The open heart surgery is, yeah, yeah.

0:36:58 Steve: You to have cut open the sternum, and then you have a spreader to to open the ribs.

0:37:02 Thomas: And the next scene after the commercial break, she's just got, like, a little scar.

0:37:06 Lydia: Little scar. And she's just kind of spaced out.

0:37:07 Steve: Yeah. Right.

0:37:08 Thomas: She's like, oh boy, that was oh, wasn't a fan of that, I didn't like that.

0:37:10 Lydia: I understand why the person in front of me canceled.

0:37:16 Thomas: I feel like someone's giving my heart a hand job over here. I can't even believe it.

0:37:20 Steve: Yes.

0:37:17 Sam: Of yeah of All the things that are dumb, that was like the dumbest. She's, like, hanging on to the MRI machine, she just had open heart, heart surgery, like there's no way you wouldn't be able to do anything, they act like she, uh, she had, like, a her little cut on her, no yeah

0:37:27 Lydia: Yeah so.

0:37:31 Steve: Um,

0:37:30 Thomas: Yeah yeah quick like maybe her tonsils out, no, even that is harder than that. I had my tonsils out, I couldn't do anything for a week, yeah.

0:37:40 Sam: I almost died, yeah.

0:37:41 Thomas: It's horrible, she has her heart like taken out of her, her chest, and they play hacky sack with it, and she's like, oh boy, rough morning, huh? Well,

0:37:50 Sam: Yeah

0:37:51 Lydia: So they figure out that that not the answer. Um, whoops.

0:37:56 Sam: What

0:37:57 Steve: She's, she's still alive. So that's good. But we are, we are no closer to figuring this out.

0:37:59 Lydia: Yeah. Literally nothing.

0:37:59 Sam: Did they even find by doing that I don't remember them even nothing

0:38:02 Thomas: They had to save her, that was just to save, because her heart did something I guess, oh

0:38:03 Sam: Oh they just saved her so

0:38:03 Steve: Yeah. So assuming her aorta was dissecting and that's the biggest like artery coming out of your heart.

0:38:11 Thomas: Yeah they do keep saying that yeah

0:38:12 Steve: So, And that is basically when the lining comes free of the outer lining of your... So blood can go into a space it's not supposed to. Yeah, it's really bad.

0:38:10 Lydia: Yeah, yeah. That

0:38:12 Thomas: Oof I

0:38:19 Lydia: Sounds horrible.

0:38:19 Sam: Would she need a full valve replacement for that? Yeah.

0:38:26 Steve: It's not so much the valve as it is just the artery itself coming out of the heart. So the valves are kind of inside the heart that separate the chambers. And then your aorta is just the big highest pressure artery that you have. And um, that's why it can sometimes dissect is because it tends to have the highest pressure

0:38:43 Thomas: Can't can't hear about this or think about this at all, otherwise my heart is gonna do whatever that is the minute. I feel like it's, like, if you think about how to walk, and then any, like, fall over. You know, I'm worried that my heart's gonna do that, my heart's going to be like, oh, is that what I'm, glad, like oh, we mixed it up with a high five and

0:38:48 Lydia: Yeah it's it's pretty disgusting. Yeah

0:38:49 Sam: Yeah

0:38:52 Steve: Yep, I'll stop talking, yeah.

0:39:04 Sam: But how do you fix that oh yeah

0:39:06 Steve: Presumably um, yeah they have special, like, adhesive, like, things that they can run around the artery to kind of contain things again, and you sort of try to sew up what, what was opened, and

0:39:18 Thomas: You probably are totally almost dead, right? I mean, are you, when are you waking up from that?

0:39:24 Steve: The next day, uh, perhaps. I mean, it depends on how they keep you out, obviously, it's a major surgery you're, you're, your chest is open so, like you usually get put on, like a bypass machine, so that you, machine will pump the blood for you so that you can work on your own pump, um

0:39:30 Sam: They just keep you out

0:39:26 Thomas: Yeah can't she lost a lot of what, blood or something, right? I mean, I don't know hemorrhaging here I am pumping my own blood like a sucker, the best Simpsons ever, god.

0:39:46 Sam: You Know what I kept thinking too, like, I don't know if you know the answer to this, but at what point would they just be putting you on antibiotics, because you're going to go to surgery, or you're like, I know, give her antibiotics first thing, which ends up being the thing, you know, like at what point do they just say give them a thing of antibiotics, like, in their IV, when you're in the hospital and you're having all this problem, or are there adverse effects of that, you wouldn't just do that, you know, if you're wondering what else is going on

0:40:00 Lydia: Concurrently.

0:40:01 Thomas: Yeah yeah

0:40:10 Steve: Yeah most yeah of the time you're, if you're doing a surgery, um, you're probably gonna put, put antibiotics on anyways, it's not necessarily going to be part of the overall algorithm that the dream team of House is going to beef you know, figuring out, but you, if you go under for any reason and they're cutting through any parts of your body, whether you're getting a joint replaced, or you know, you're having some sort of scope or other operation, you know, sometimes bacteria can go where they're not supposed to, so you typically get some kind of, um, so yeah, pretty common before, well, as you're getting, uh, put under anesthesia right so, like as the anesthesiologist is kind of hooking you up to everything, and they got your IV placed, they're going to hang a bag of, you, it's some sort of cephalosporin, which is like a penicillin, but it's broad

0:40:18 Thomas: During

0:40:23 Sam: Okay yeah before

0:40:46 Thomas: Kind of, yeah, yeah.

0:40:47 Sam: Yeah, okay yeah right

0:40:59 Steve: Spectrum, kills lots of different kinds of bugs and covers you in most most cases, not parasites

0:41:02 Sam: Like parasites and shells

0:41:03 Thomas: So it would have maybe cured, yeah, oh, not parasites, okay, yeah. All

0:41:05 Steve: Yes

0:41:07 Sam: Of parasites that are causing infections

0:41:09 Lydia: So So alcohol is wrong. It's not trauma. So they're trying to figure out why the dissection happened, probably a genetic defect. And then 13 suggests, hey, what if it's an allergy? And then this is a big, dramatic confrontation because she would be getting better in the hospital if it was an allergy. And dann 13 has this bombshell unless it was inside of her. They decide they're boyfriend for a sperm sample.

0:41:22 Sam: Dr. Steve comes in, yeah.

0:41:33 Steve: Then yes

0:41:10 Thomas: Right yeah I love that leap, unless it's inside of her, well, there's only one thing that could be there's the only one object in the universe that could possibly explain that, we'll go straight to asking the sun about his sex life in front of the dad in in the hallway by the way like not Even okay this is you, we finally got your area.

0:41:36 Steve: Yeah in

0:41:39 Lydia: Only one way. In front of his dad. Yeah. Yeah, yeah. Yeah.

0:41:56 Thomas: This is closer to your area, Dr. Steve, let's say you're at this point where it's like it's an allergy and maybe it's still inside her or something, if that even makes sense, what many thoughts do you have before you get to sperm? Okay, not you personally, like a doctor that's not obsessed with sprint, no, yeah.

0:41:52 Steve: In the hallway yes exactly yeah yes So, exactly, um, I have, I have questions. Um, if, like, if, if the House team calls me up in consults and says, hey, Dr. Steve, I've got a patient who just had an aortic dissection after she had a bunch of pulmonary edema at a planetarium incident, um, you know uh I'm

0:42:16 Thomas: Yeah

0:42:30 Sam: Should

0:42:29 Thomas: Yeah, you probably have shorthand for all that because you're yeah, yeah.

0:42:31 Steve: Yeah

0:42:33 Sam: Have mentioned the planetarium first yeah, are

0:42:33 Steve: Right it's your classic planetarium pulmonary adema situation, um, so I think it's a sperm allergy, and I would just be like, what, you know, it, like, there are so many things that there's There's so So many things that would have to happen to, to make, um, know, a sperm allergy, what would cause the things that have happened up to that point? It'd be like, you knows, someone who survived a really bad car wreck and they're, you about an allergy. And I'm like, well, how about all the glass shards in their chests?

You think you might want to, you might want to check that out first and then, then call me once they're stable. Um, you know, do allergies cause weird reactions? Like, yeah, they can, but this would be like taking the most extreme version of a, you know, plasma hypersensitivity, uh, know, allergy to sperm and then like upping it to the fifth power. You know, like, it's so unlikely. It's like, yeah, sure, people can get struck by lightning like 20 times in a row. Um, it's not very likely at all, and I would never have thought logically that that would be an answer to the question. So yeah.

0:42:35 Thomas: Yeah

0:42:47 Sam: There any doctors over there, you

0:43:06 Thomas: That's

0:43:09 Lydia: Take care of that first. Yeah?

0:43:46 Lydia: They usually like work their way up, right?

0:43:47 Steve: Yes.

0:43:46 Thomas: The thing, like, okay I get it, we're in the House universe where everything's got to be a rare thing, otherwise you don't have a show. Okay, fine, but his first they go, I hold on, I want to play, we got to actually play that just to get, I want to get from point A to point B there.

0:43:49 Steve: Yes. Sure. Sure, okay. Okay.

0:44:02 Clip: Is? The best section is we were wrong about alcohol causing a hypertensive crisis. And by we, you mean you? Yeah. We were the men who didn't have any better ideas. It was not my fault. I was busy trying to judge Taube. Since we already learned about trauma, the dissection is probably a genetic defect. We're running the test, she's not marginalized. What about an allergy?

0:44:21 Clip: A severe enough one could set off a systemic immune reaction, cause fluid in the lungs, and inflammation that could weaken the aorta. If it was an allergy, she'd be getting better in the hospital, what worse? Unless it was inside her.

0:44:21 Thomas: Not Marfanoy here, we go, okay,

0:44:34 Clip: You want my sperm?

0:44:34 Thomas: How long does it take to get roll out, okay, we got we got from that to "you want my sperm," that's, that's literally the first thing, they don't even say like any reason why it has to be that, they're like, an allergy, okay, so is there a peanut in her, is there, uh, you know, any anything? Nope, you want me sperm in the middle of the hallway, that's, it's incredible.

0:44:41 Steve: Yeah.

0:44:41 Lydia: Yeah.

0:45:00 Lydia: So turns out they they had unprotecting sexual contact the night before she collapsed. So we're thought to, you know, it's oral sex. They just didn't use a condom for that. And they're going to test her skin, put some semen on there. And they say they're going to look for a ration about an hour, but they don't even get to an hour because

0:45:17 Thomas: They really should have had him be like, oh, no, don't worry. Her skin doesn't. I mean, yeah, no. Try that. Yeah. Test. Test it. I've seen it all over. I mean. Yeah. Test it definitely. See for the first time if that's anything.

0:45:34 Lydia: Her stomach starts hurting incredibly. And then they find out there's blood in the urine. They do a little peek in the catheter bag and the kidneys are failing. What's going on now? Oh, boy. So then they just start naming a lot of stuff around their table.

0:45:53 Thomas: So you ruled out that. But, like, that's the only allergy you ruled outright. Go

0:45:53 Steve: So. Like sperm is on the list, but it's a a long list and you would talk about more things before that. And what they're showing you in the show is he's trying to do like a skin prick test. You know, to the to sperm. So you have to lightly scratch the skin, typically through a droplet of whatever you're testing.

0:46:07 Lydia: Yeah.

0:46:08 Thomas: Yeah. And then just jizz all over it. I like the idea that

0:46:18 Sam: Put the prick on there and then hold

0:46:15 Steve: Yes. I think maybe officially you're supposed to spin it down first.

0:46:23 Thomas: The doctor's like, no, hold on, don't, he's like God, come on, wait, I'm almost ready, no I'm not done preparing Hold it, no I get, just hurry up, I get it

0:46:23 Steve: Yeah.

0:46:29 Sam: It. Just pinch it. Think

0:46:37 Lydia: Oh, my God.

0:46:40 Sam: Of your grava.

0:46:43 Steve: So that part of the allergy testing thing is accurate in the sense that we do perform skin prick tests, uh, yeah, exactly. So you need a sample from somewhere. You, you're always using the partner's sample, right?

0:46:49 Thomas: Jizz all over people's arms, yeah, I got it was Just going to ask, to bring it back to something scientific, are people, they have this, are they allergic to, like, specifically this dude's semen, or is it just like all semen? Oh,

0:46:58 Steve: Yeah. Yes. Yes. Um, it's, it's all, but you don't see that in the normal context of when patients like show up with this, so. So typically, like, you'll have someone reacting to one partner and, you know, it's

0:47:18 Thomas: Yeah, just the practicality of that is not like, "Well, I was having an orgy the other day and like it, it was really only this guy that did it. I could tell"

0:47:25 Steve: Yeah. I can't say that the literature comments too much on, you know, the multiple partners aspects of sperm hypersensitivity. Right. But, but

0:47:28 Sam: Yeah

0:47:29 Lydia: That means that there's just room for future research, right?

0:47:36 Thomas: Yeah. Yeah. Yeah, okay. Science asked and answered, love it, like

0:47:40 Lydia: Yeah

0:47:38 Steve: Further studies needed. So, um, So there's always a possibility that some, some has an individual difference in in their proteins that makes it, um, that there's a reaction right so that's asparagus

0:47:50 Thomas: They ate you know some mango that that day or whatever, now what is the, yes Yeah.

0:47:54 Sam: Asparagus, yeah, whatever.

0:47:56 Steve: Yes.

0:47:57 Thomas: Um, so what happens here, because the blood and the kidneys, how do we get to, oh, no, it's not the sperm, is just from the skin test, or does this trauma commercial break thing do another thing, I don't remember, oh

0:47:55 Lydia: Oh my

0:48:10 Steve: Not entirely clear because, so the Skin prick test, it only takes 15 minutes for you to wait for a result, but they didn't want to wait that long to get to a commercial, so they inserted another organ, uh, damage, and this time it's kidneys, and who, who the hell knows why, I don't, I've been been trying to follow the diagnosis, yeah.

0:48:12 Thomas: Okay. I Wanted to see them like with her on the table and her kidneys open and bloody and they're like massaging those Like, like, we gotta, you guys high five these kidneys, get them back in order, oh.

0:48:31 Lydia: God can

0:48:32 Steve: Work

0:48:44 Thomas: Right. I'm going to cut it off there. There's so much more funny stuff. Seriously, go to patreon.com/seriouspod. Get the full version of this at that second tier and above. It was so much fun. I want to do a whole show of this, honestly. Maybe we'll see. Dr. C is probably not doing anything, right? He's probably not busy. We'll get him to just come do every medical show with us. And that'll be the new Serious Inquiries Only, just every episode. So maybe not, but doing more of this would be fun. Again, thank you so much for listening. Please support the show on Patreon. Get the rest of this and other stuff and no ads and all that. If you can't, don't want to, no hard feelings, totally get it. Hope you enjoyed this little sampling and we'll see you next time.