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Cats' Corners: the little HOUSE in the woods....
Where House is NEVER safe...
House: 4.08 You Don't Want To Know--a few observations 
21st-Nov-2007 09:55 am
longtripalone
Interesting episode, which I'll sum up for myself by pointing out that if the PPTH staff would simply stop drinking coffee they'd all be a lot healthier....

Six years ago, my mother went to breakfast with a friend, who requested decaf coffee.  Forty-five minutes later, she was on her way, via ambulance, to the hospital--where she spent two days in the ICU.  Because she'd been given the wrong coffee.  She was allergic to caffeine.  Good thing 13 wasn't, right?  Can you say involuntary manslaughter, House?

And 13, spiking the coffee of an opioid-dependent patient with more narcotics--without knowing how much he'd already ingested?  Let's try repeating after me again--only it's your turn this time, 13.  Involuntary.  Manslaughter.  And much easier to prove, too, as I do believe that 13 might just have a vague idea that House takes frequent doses of opioids.  But maybe not, as she seems pretty clueless in the first-do-no-harm department anyway.

And... I won't even go into the sheer unlikelihood of anyone getting the wrong blood with all the current checks and re-checks in place.  And I'll also leave alone the illogic behind House's  experiment, except to say, one bag 'tainted'?  okay.  an entire lot tainted?  Uh... no.  Just... no.  [And I'll just throw in here, for fun, that AB is the rarest blood type, and that the blood bank of a Level 3 trauma center is highly unlikely to just toss a bag of the precious stuff at anyone who doesn't demonstrate a medical need for the transfusion.  Just sayin'.]

We all know that we'll never know how and why House knows Wilson's bloodtype.  Because that would require someone besides the viewers to actually remember that the line was spoken.  And if the writers can't remember Cuddy's several-episode-arc-of-desperation, mere months ago, to get pregnant, well then--it would be truly unreasonable of us to expect them to remember one 60-second scene, wouldn't it?   [Even Lisa Edelstein questioned this apparent oversight about Cuddy's character in this November 20 TV Guide interview.]

What I don't know--and yes, it's been frustrating me for over a week--is how the writers of last week's Ugly got away with insisting that we had to find that 'target rash' for a definitive dx of Lyme Disease.  Considering that the rash can disappear after just a few hours and that 50% or more of patients never get any rash at all, I'm wondering if the med consultants had gotten into the continuity monkeys' absinthe that week.  [ more info on Lyme here]

And by the way?  I'd figured out Huntington's chorea for 13 a mere eighteen minutes into the episode.  And sometimes I wish I had no medical backround at all, and could buy all these informational errors they are so freely disseminating. [more info on Huntington's here]

[And by the way, again.  I'm so proud of myself that I didn't even touch on the fact that following House's liver [and kidney and lung] biopsy, the inadvertent patient was not made to lie quietly on his right side for two hours. There are damned good reasons for this precaution. But i'm guessing that the immortal House is immune to all those scary little complications to which the rest of us are susceptible .  I mean, a transfusion reaction, a large overdose of narcotics, three painful and potentially dangerous invasive procedures, and a short time later even Wilson's aware that Super!House is --and I quote--"about to run out of here...."    Yup--real proud of myself that I haven't mentioned this wee disregard of medical reality! ;) ]

And... we need more Wilson. 


*** edited to include even more ranting, and also a link to a great Lisa Edelstein interview, 11.21.07 at 5:00pm.
Thoughts 
23rd-Nov-2007 05:34 am (UTC)
There were some really strange things that happened in this episode. The medicine was pretty awful and I have no knowledge of blood typing and crossing. I'm really trying to understand how one of House's employees feels comfortable dosing him, and then giving him a liver biopsy without his consent and without a local. I noticed that the newbies call him House instead of Dr. House.

The only scenes that I truly loved were the House/Wilson ones. But I really, really need a lot moar Wilson. I love the best friend of Wilson S4 House but the other S4 Houses I really don't enjoy. That's probably why I TiVo through everything but the H/W scenes on subsequent multiple rewatches. I really don't enjoy House running around PPTH as if he were a mental patient on the loose.

Cuddy stopped House from firing Taub but she uses House's challenge to try and get rid of Kutner and CTB. Why not just fire them and 13 for that matter. Or suspend House's hospital priveleges since Cuddy holds him responsible for 13's patient kill. Yes the medicine is bad but the central premise of a medical mystery show taking place at a large urban hospital also stretches credulity. Maybe, they're setting House up for a tightening of the reins like never before. I hope so because as it stands, reality seems to have taken a holiday.
23rd-Nov-2007 07:16 am (UTC)
I'm still holding out for that ketamine coma...

I think kidsnurse already knows that about me. *nods* I think she, too, might hope. Because then it means that the insanity (from mid-last season to now) never happened! And as a future medical student, this crap bothers the hell out of me, too. gahdzuks reminded me a couple of weeks ago that it's fiction. I KNOW. Still...it...bothers.

*edited twice because I can be coherent when I put in the effort...make that three times and me getting the sleep I richly need*

Edited at 2007-11-23 07:19 am (UTC)
23rd-Nov-2007 04:56 pm (UTC)
reminded me a couple of weeks ago that it's fiction

and--while i was watching You Don't Want To Know, and then while writing my own antidote to it, T5, i, too, kept reminding myself of that. and i discovered that--while i absolutely know, intellectually, that house is a fictional character, as are wilson and cuddy--emotionally, all three are terribly real to me. and that's... just the way it is.
23rd-Nov-2007 06:29 pm (UTC)
while i absolutely know, intellectually, that house is a fictional character, as are wilson and cuddy--emotionally, all three are terribly real to me. and that's... just the way it is.

Glad to know I am not the only one who feels like this. It is very rare that this happens, I could probably only name two or three other shows that have aired (JAG, Tour of Duty, and Kingdom)where the characters are so well played that I become attached and pretty much think of them as real people, separate from the actors / actresses who play them.