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The House writers got the medicine close to right in ‘Skin Deep’, an episode about a hermaphroditic supermodel. There were, of course, other foul-ups along the way. Season 1, Episode 20 – The very first F.House’s team jumps to the conclusion that a patient has a heart infection because he has mitral valve prolapse, a condition afflicting millions of people that does not mean there is a heart infection.But testosterone shouldn’t have caused many of those symptoms, such as menstruation in a little girl. Season 3, Episode 19: ‘Act Your Age’ A family’s strange symptoms are caused by the testosterone cream dad has been keeping to help him keep up with his girlfriend, his kids’ day care teacher.Season 3, Episode 24: ‘Human Error’ A couple comes to house from Cuba via a rickety boat the woman is diagnosed with an infection, then MS, nearly dies, than turns out to have a hole in her heart.Season 5, episode 23 A ballerina collapses due to a heart infection that can’t spread to the rest of the body, but does cause septic shock and a lung collapse.This is not the way to diagnose an aortic aneurysm. Season 7, Episode 16: ‘Out of the Chute’ A bull rider at a rodeo gets trampled, and House figures out he has an aortic aneurysm, and then proves it by cracking the patient's chest and increasing his blood pressure until blood spurts out.Over the course of the series, Morrison awarded six F grades, including ‘Known Unknowns’ Here are the others: House's writers had to combine them, and sometimes the medicine suffered badly. Runners Down: Writing about medicine is hard so is writing soap opera. There are no drugs that act as truth serums nor can an MRI really tell if a patient is lying, as occurs in the episode. The problem, Morrison writes, is that the symptoms don’t match oyster poisoning at all.
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In the end, she was poisoned by bacteria in oysters. One of his doctors gives the girl a drug to serve as a “truth serum” and insists she’s been poisoned by a date-rape drug. He initially insists she has rhabdomyolysis, a disorder that results when muscle is damaged, leading to problems elsewhere in the body. The next day, one of them begins to have extreme swelling in her extremities, resulting in her being admitted to the hospital and seen by House. Great high concept: two teenage girls manage to sneak into a rock band's after party. The Worst: Season 6, Episode 6: ‘Known Unknowns’ Season 1, Episode 17 A rising African-American politician appears to have AIDS, but doesn’t.Season 2, Episode 1: ‘Acceptance’ An inmate on death row collapses while exercising House figures out that he has a rare tumor.
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House figures out that both of them have a rare genetic condition called hereditary angioedema – for reasons that involve a considerable ick factor.
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This, Morrison says now, was absolutely the top House episode when it came to getting the medicine right. The Best: Season 2, Episode 15 'Clueless' Advice: click through to Polite Dissent, and read the reviews. Here, then, is a look at the most- and least-accurate House episodes, as rated by Morrison, with links to his reviews over at Polite Dissent. “An average House episode may rate a C,” he says, “but that is still miles above any other show out there.” He is as tough on House as House is on other doctors. Since sometime during season one he has rated each episode using academic-style A-F letter grades not only on its plot, but on the quality of its medicine. But how realistic was the medicine behind those adrenaline- and vitriol-drenched storylines? There’s really only one authority on that: Scott Morrison, a physician in O’Fallon, Illinois, (and, previously, in the Air Force) who has reviewed every single episode of House, M.D., on his blog, Polite Dissent.