Brain dead patient tries to communicate his pain #shorts | House M.D.

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Patient was so lucky to have doctors that actually listened to him.

rmartinez
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They found a scratch on the patient's finger that could have let in the leptospirosis. They found rats in the basement that tested positive for leptospirosis and they started treating the patient for it. The patient soon began to exhibit voluntary movement again. He eventually started speaking again.

FrankWolenczak
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He's not brain dead, he's paralyzed.

walkerx
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Dude, his brain is literally the only thing that still functions

galffygergojozsef
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Locked-in syndrome is real. It often occurs when the basilar artery gets occluded or blocked off. The basilar artery supplies a large portion of the brain, including most of the brainstem and bilateral cerebellar hemispheres.

greensky
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Mans got his priorities straight. “First scratch my foot, then I can try to help you figure out the problem.”

rinpaisys
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It is absurd to call this patient braindead. He obviously is not.

Ploskkky
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The most complicated way to say "My foot itches".

frozenfusion
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"brain dead" when the patient is definitely not brain dead

Fontana
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That's not brain death. Brain death means all that mind and self is gone and not coming back. The body is working on automatic.
Like greensky says, this is locked-in syndrome, one of the scariest conditions I can imagine.

drlnielsen
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For those who are wondering.

This is a scene from the nineteenth episode of the fifth season of House. The name of the episode is Locked In. It aired on March 30, 2009. Large portions of the episode are shown from the perspective of the patient, who retains consciousness but lacks the ability to move.

House is injured in a motorcycle accident in Middletown, New York, and finds himself in bed next to a patient (Mos Def) suffering from locked-in syndrome after a bicycling accident. His attending doctor diagnoses brain death, and suggests transplanting his heart into another patient. House notices the patient following the doctors with his eyes, and is immediately interested in taking up his case. Thirteen suggests a well-placed tumor, so the team does an MRI. House sees a lesion on the scan. However, the patient's attending thinks the patient has an infection and has him on antibiotics. House tells the patient if he has cancer, the antibiotics could kill him. However, they could almost kill him, in which case it would confirm that the patient doesn't have an infection. Just then, the patient seizes. Communicating through blinking, the patient requests transfer to Princeton Plainsboro.

The team plans to do a brain biopsy on the new patient, but he loses his eyelid movement in the operation, and with that, his only way to communicate with the doctors. Dr. Taub suggests they should use a brain–computer interface for communication with the patient. It takes the patient a while, but he finally manages to shift the arrow up, showing he's still mentally present. Communicating via yes or no (up for yes and down for no) on the computer, the team takes the patient's history. He claims he did not visit St. Louis, contradicting his wife. Because he is unable to explain himself, his wife concludes that he has had an affair. Further investigation reveals that the patient has stayed at a friend's home, in order to maintain the facade of a successful business. Unbeknownst to his wife, he was moonlighting as a janitor, where he was exposed to cadmium, leading the team to believe that he has heavy metal poisoning.

Thirteen notices that he has a tear in the epithelial cells in his eye, and a fluorescein stain reveals ulcerative keratitis. Cameron suggests the team does a lumbar puncture, noting that polys (polymorphonuclear leukocytes) would mean it's varicella, and lymphs, Behçet's. During the lumbar puncture however, the patient crashes. They bring him back, but his foot starts to itch, which he manages to communicate to the team after several questions. This indicates liver failure. Thirteen suggests that the dying liver released toxins which led to locked-in syndrome. Foreman suggests that the liver, kidney and eye point towards sclerosing cholangitis. House orders a biopsy to confirm.

As the team gets ready to perform the biopsy, Kutner notices a rash on Thirteen's wrist, where some of the patient's urine had spilled. He deduces that it is a rash due to leptospirosis, which was transferred from rats, living in the basement where the patient had stayed. Sure enough, the patient has a paper cut on his index finger. The treatment is started, and Kutner manages to get the patient to lift a finger. The patient gradually regains control of his body, and thanks House, who has gone to the patient's room to retrieve a recorder which he's been using to listen in on his team from under the patient's pillow.

Meanwhile, Wilson gets curious as to why House was in Middletown. At the end of the episode, Wilson finds out that House was there to see a psychiatrist, and confronts him on the issue. House reluctantly acknowledges Wilson's accusation, but says he is not going to continue any further sessions. The episode ends with Wilson predicting House will end up alone, and showing that House's vision blurs in a similar fashion to the "locked-in" patient as he looks towards Wilson.

Foreman also tells the patient that he bought his first girlfriend a silver necklace and she never wore it, so he never bought his girlfriends jewelry again, until he met Thirteen. He bought her a bracelet, but again, she doesn't appear to be wearing it. Later during the liver biopsy, Kutner asks Thirteen why she's not wearing her bracelet. Foreman says he didn't realize she was wearing it at all, and Thirteen questions why Kutner noticed but not Foreman. Kutner then notices Thirteen's rash, which he attributes to the patient's urine which could have entered through a scratch from the bracelet.

🙂🙂🙂🙂

Vaginus
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This is an interesting episode, i like it when house focuses on the various conditions than the relationship between characters.

Imbatmn
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Worst part is at the beginning of the episode, the doctor that found him didn't do any kind of thorough inspection to make sure there was something wrong. He fully planned to use him for organs. And had it not been for House literally ripping himself off his own ER bed to look at the guy, he would've been completely conscious, watching each of his organs get ripped out right in front of his eyes, completely unable to scream. Malpractice at its finest and it's all too common.

tyratyra
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That's like one of my worst nightmares to be locked in and have to depend on my family for care.

susieq
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These contraptions should be standard for every non responsive patient, just in case. The chances of becoming locked in is slim but never zero.

Voltaic_Fire
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when I have to ask my gf what's wrong

kevin
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I had locked in syndrome, all I could do was move my eyes from centre to right and back. Was very fortunate to have fairly recovered but I still get nightmares, was only 22 when it happened

samnikolinagrekov
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I suffered a stroke in 2018 and was locked in my own head for the most part until 2020. I could move about but my speech and emotional ability to communicate was greatly affected. It's not always this severe to total paralysis, but can sometimes be an invisible disability no one even realizes you have. Horrifying experience. A caretaker of mine was abusing me while it was happening, and I couldn't do anything about it emotionally until i recovered mentally fully. Pains me to think what would have happened if I hadn't.

TimeWizard
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I told my family for years this was my biggest fear, being locked in and unable to communicate I was in pain... Then I fell into a coma and woke up completely paralyzed except I could move a lil bit of my face. They tried all sorts of things to communicate with me including a computer reading my eye movements. They kept saying I was a vegetable but my husband stuck up for me saying No she's not! She's def in there, he even said if after 20yrs of marriage my wife couldn't communicate with me with just her eyes we'd be doing something wrong.

This was the most horrific time of my life, almost! I went into this at the end of 2019, so I woke up with 5 amputations in the beginning of Covid! It was like a fucked up movie! It was a non stop struggle, my body kept trying to die in some very weird ways, when I see those doctors or nurses now they are absolutely stunned that I lived! Anyway the moral is that locked in syndrome is a horrific sounding disease because it is absolutely horrific!! ... Thank you for coming to my Ted Talk lol

colesuqs
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My mom was in a nursing home supposedly for two weeks while they tried to figure out if they should implant a morphine pump in her. So they left the pump outside to begin with. She called me and told me she as in alot of pain and that her bed was wet. I had two kids and went over there immediately. THe nurses had not even bothered to check out the pump or anything. There was ahole in her line and all the morphine was dripping onto the sheets under her. Maddening. I had to go over there all the time because the nurses were not doing their job. They eventually killed her by not giving her a breathing treatment at night and the morphine kept her from waking up. The coroner told me there was no way I would ever prove they were responsible. Maddening. She should have been able to come home...

bluewaters