Spyke

I love how it goes more over the top than House itself, but yet feels like most episodes

4
lemmy.ca

I like how every patient gets a big room with huge windows and a team of doctors on call 24/7 and 12 medical tests done a day with no waiting. And no one ever talked about the bills.

100
ZoopZeZoopreply
lemmy.world

Well, his is typically a one-case department. They talk about cutting his department or funding regularly because it is expensive. In the end, they always conclude he does more good than harm and let him keep abusing people to save a life here or there. I'm not saying anything of this is logical, ethical, or consistent with any reality I want to live in, I'm just saying they address a lot of this across the seasons.

44

100%, and I gotta say it was a great show. A little lacking in the last season or two but I loved the ending of the series overall.

19

Yeah, it's obviously not logical or grounded in reality, but it is at least somewhat consistent within the show universe.

I think during the story line, where Cuddy negotiates with the hospital network insurance provider for a new contract, she makes the argument, that their hospial sort of provides a halo effect. Basically the hospital and probably House in particular (but maybe also others like Wilson) are some of the best in their fields, which obviously is great for marketing purposes, if you can say that you have one/the best and well known hospital in your network.


Edit since I thought of another aspect:

Iit regularly comes up that the team writes case reports. So maybe there is also an aspect where they frequently publish in prestigious journals. Especially since it is a teaching hospital adjacent to a university that might also be an important metric. Similar to insurance providers, the university itself might have an interest in having a reputation for excellence.

5
chunesreply
lemmy.world

i bet medical care is like that if you're rich

36

There's a hospital near me that openly advertises that it has penthouse suites at the top that feel like swanky apartments. I've never asked about their cost.

2
Anebreply
lemmy.world

Mood I was in the ER this weekend for a broken collarbone and saw one doctor and two nurses and Tylenol for the pain. I had to make my own follow up appt with an orthopedic doctor in network and I couldn't request my medical records to be forwarded to new office. Fuck healthcare cause 5 days after the break I finally got an opinion from a qualified doctor: NO SURGERY. Fml

16
Catoblepasreply
piefed.blahaj.zone

I think the in universe explanation was that it was a teaching hospital. But I’m pretty sure even those charge patients something in the US.

12

Yes, another in universe explanation, that I already commented somewhere else, is that the hospital is geared towards excellence. There's an episode where Cuddy negotiates with an insurance provider for a new contract and one argument is that they provide a halo effect. So the insurance can claim to have the best in their network or get really bad press for losing them.

1

been awhile since i watched it, but didnt they state it was some hospital in a really rich neighborhood?

9
GaMEChldreply
lemmy.world

Did you watch the show? That's all explained and is not typical. House has a very specialized practice dealing in absurd rare cases that no one can figure out. There was even an entire season arc about money and profits.

9

Wasn’t there also a multi season arc where they made House teach a class and take on interns so that they had other “reasons” to keep his department

2

It doesn't directly, his department is known to be a money pit. But having him at their hospital is kinda a point of prestige for the hospital; kinda like reputation padding. In a way, you can look at the budget for his department as a marketing expense for the hospital.

They get to claim they have a world famous diagnostician on staff who can figure out what's wrong with the most hopeless causes.

9

It's a teaching hospital, so they don't (entirely) rely on the regular patient-funded system common in the USA.

House's reputation can totally help with funding.

6
gnawmonreply
ttrpg.network

the thing is they tamper with the queues to put themselves on top, and nobody says anything

7

Because people want to watch something that makes them feel good... Real life doesnt have beautiful doctors with perfect bodies, hair and makeup either. And the light is not turned down and romantic. Lols.

And I kind of like the story. Imagine if you actually had a genius doctor that would always be right. The hospital wouldnt fire him, or maybe they would, if they dont care if patients get better. In real life, maybe more money in keeping them sick.

1
Ummdustryreply
sh.itjust.works

Also butt hole worms are one of the most common and enduring medical conditions in human history.

57
toynbeereply
lemmy.world

You're right, I only love you for your butthole worms.

My wife, who as far as I know has none, is going to be devastated.

24
Damagereply
feddit.it

And random suffering inflicted upon the patient

10
leminal.space

Nah, not random. If they lied to Dr. House or withheld information, they deserve it (in his opinion).

13
IronBirdreply
lemmy.world

lying to yourself and others is the source of much hardship, both for the patient and everyone else

5
0x0reply

There's a saying around these parts that won't rhyme translated but is along the lines of don't lie to your doctor, lawyer or priest.

1

It's canon in the series that there's an entire budget in that hospital just for settling the lawsuits that arise due to House.

77
lemmy.world

For those who didn't get it House is just sherlock Holmes in a medicinal setting.

His friend is Wilson instead of Watson.

He is a genius, eccentric who solves mysteries using his intellect and deduction, hell he even uses drugs just like Holmes.

71
HugeNerdreply
lemmy.ca

He is a genius, eccentric who solves mysteries using his intellect and deduction

If you've dealt with real doctors, you know that is high fantasy.

18

Disagree, there was a '90s show called Trauma: Life in the ER that was the real shizz. The namby-pambies ruined it. Ack, real blood!

2
lemmy.world

My dad's last doctor was visibly drunk all the time and would unashamedly scroll through my dad's computer records during the appointment to figure out who he was talking to and what his problems were. And of course my dad loved this guy.

4
0x0reply

would unashamedly scroll through my dad’s computer records during the appointment to figure out who he was talking to

The difference being most doctors do that before consultation begins, not during.
At least the guy was honest.

2

That's an idea. Sherlock Holmes, but he uses his powers of deduction to renovate and flip houses on a new reality show set in rural Brittain.

3
lemmy.world

Which is funny because Arthur Conan Doyle based Holmes on a real life doctor who used deductions. It comes full circle!

11
SaraToninreply
lemmy.world

And Doyle got the inspiration for Holmes from watching doctors diagnose patients

10
tetris11reply
feddit.uk

deduction

it's abduction he uses, not deduction.

He doesn't start with a set of potential conclusions and knock them down one by one as he gathers evidence - no, he instead jumps from one extreme thread of intrigue to another, never quite abandoning an idea even if the evidence points otherwise. The universe then apparently conspires to prove him right on credence alone

7
Dasusreply
lemmy.world

it's abduction he uses, not deduction.

This is correct

He doesn't start with a set of potential conclusions and knock them down one by one as he gathers evidence - no, he instead jumps from one extreme thread of intrigue to another, never quite abandoning an idea even if the evidence points otherwise. The universe then apparently conspires to prove him right on credence alone

Less so

4
tetris11reply
feddit.uk

Less so

No? the information he gathers is very sparse, so naturally his conclusions are very wild and based more on hunches than on anything actually empirical

0
Dasusreply
lemmy.world

based more on hunches than on anything actually empirical

That's what abductive logic is.

Clearly he's not being arbitrary. While it isn't purely deduction where the conclusion has to be true if the premises are true, in abductive reasoning it's only "likely" they're true. The better your premises, the better the likelyhood.

And how good are Sherlock and House portrayed as, in this way?

Very.

That's why he's allowed to do almost anything, since he usually ends up finding the right solution despite a little trial and error.

If he constantly turned out to be wrong, he wouldn't have an entire department and there'd be very little point in the whole story

Abduction is basically deduction when you account for reality.

2

I hear what you're saying, but you assume his reality is rational. I think he's a reality warping demon whose guesses are proven to be right only because the universe he lives in loves him.

In a saner world, he would be locked up as a delusional hateful man who got people killed with constant risky misdiagnosis

3
sheogorathreply
lemmy.world

So you're telling me that he's actually a reality warper instead of a genius doctor?

4
Dhs92reply
piefed.social

Hugh Laurie is an amazing actor. I watch the show as more of a character story than a medical show. Watching House's descent is just so intriguing to me

37

At the base of it, the characters are the driving aspect of the show and the episodic cases are just sort of there to drive interactions between the characters. I guess that might be how a lot of shows work though.

8

House does methadone at one point as a replacement for popping hydrocodone/acetaminophen pills (Vicodin), Sherlock shot up cocaine and sometimes morphine.

3
IcyToesreply
sh.itjust.works

Ironically, playing a doctor made the actor sick

Ewww, you just made me click the Daily Racist. I feel crap now.

1

Almost killed them. Almost killed them. Almost killed them. Amazing cure found in the last 5 minutes.

23
Flamekebabreply
piefed.social

I'd really liked to have seen him be right on the first try more often to justify the ego.

6

wasnt he normally only wrong cause the patient was lying to him? a kind of allegory for telling the truth or something idk

10
discuss.tchncs.de

I apologize, but during that time we just were so disillusioned by heros, we couldn't bear them in our fiction. So we invented the "deeply flawed good guy hero".

20
lemmy.world

Invented? Lol,

Dude is a super genius finding clues where others can't whose name starts with an H with a close friend and companion whose name starts W.

Should they have just kept Holmes and Watson instead of House and Wilson to make it clear that it is Sherlock Holmes M.D.?

13

yes, but the "FLAWED" dial is turned up to 11 in House md compared to the original.

6
sunbytesreply
lemmy.world

Oh wow also "homes" (Holmes) vs "house" really makes it less subtle than I thought...

5
lemmy.world

I don't remember it but apparently even House's address is Baker Street 221b

3

Oh wow the more I find out, the more tacky I feels.

Isn't Holmes usually quite polite? Plus he's supposed to be unusually physically strong.

1
lemmy.zip

Been watching Elementary over dinner and it absolutely has the same issue 😂

13
Echo Dotreply
feddit.uk

Yeah that's by design.

House is medical Sherlock Holmes.

House = Homes
Wilson = Watson

2

Yeah definitely 😂

I meant specifically a constantly-committing-crimes problem. Every couple of episodes they're whipping out their lockpicks because they want to be inside some place 😂

1

Excellent satire indeed. Also highlights how having experience with personal medical issues can help broaden perspective on how to help others.

5