House M.D., Season 3 Episode 4 "Line In The Sand" is a wild one. The story centers around a child who lives with Autism ...

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Doctor Reacts To House MD | &quot;Eye Worms&quot;

house i'm challenging you to not flinch during my reaction video still drawing those lines instead of looking at the cards more juice lots more juice he has to ask for it he's choking time to institute the heimlich maneuver and stop bullying your child it's impossible what do you mean it's impossible what is mac and cheese unchokeable all right the fact that he's yelling though makes it a little bit less likely that he's actually choking if you're yelling that means you're moving air 10 year old boy screams for his life for no reason he's autistic severely autistic okay so a child with autism what we have is an autism spectrum disorder and we don't know where in that spectrum this child lies can't talk can't make eye contact screaming's probably his way of communicating yeah you know some children that have been diagnosed with autism one of the challenges that they face is verbal and non-verbal communication some children don't have good social cue identification where they can't understand someone's emotion by reading their body language or they can't speak themselves or they choose not to speak themselves his brain can filter information it's a constant assault on his senses i'd scream too one of the main things that go hand in hand with asd hypersensitivity sometimes to light touch sound and remember while we're only naming the challenges there are some positives that can come from a diagnosis of asd some children are super smart some have the ability to memorize things way better than the average child so it's not only about the challenges it's about the strengths too er checks throat no obstructions nothing which means the only symptom was a scream which is diagnostic of nothing i completely agree with foreman you have a child who was diagnosed with autism who started screaming and the parents are very worried about it and now they're doing like this giant workup with multiple specialists i wouldn't even know what the consultation would ask of the specialist stool sampled a check for parasites blood culture to rule out infection and a a for lupus because he screamed i love investigating if there is an investigation warranted you're checking for ova and parasites and lupus you can't order tests willy-nilly because false positives are really a thing dust wheat pollen toxin or something it could literally be anything because right now your one symptom is screaming run a lung ventilation scan lungs are in the chest too right i had a date last night she screamed should we spend a hundred thousand dollars testing her why did your date scream that was a weird revelation first not this isn't a veterinary hospital see actually the veterinary hospital thing is kind of funny to me because in medicine we oftentimes say treating kids working in pediatrics is a lot like being a vet because sometimes the children if they're really young can't tell you what's wrong with them so it's almost like treating a dog who can't tell you what's wrong with them either you know what it's going to be like trying to put an autistic kid into a nuclear scanner i don't envy you guys in those cases we do sedate uh we give medications like benzodiazepines for temporary sedation can't you sedate him or something good if i don't want the test results to mean anything are they doing a ct if they're doing a ct you could take the child i don't know why you said that the test won't mean anything [Music] god did they just break into people's homes all the time [Music] big shocker dad's depressed and they're getting information on the parents this is so unethical [Music] this workup on a screaming child is gonna cost 10 million dollars they're gonna test his sand out of his sandbox who is paying for this i can't get insurers to pay for an antibiotic if it comes in an easy to swallow capsule and they're gonna get insurance to pay for sand testing fecal matter is there a sample we can look at parents have the smear kit the kid is constipated go up his rear and get a smear talk about creating a traumatic situation for a child for absolutely zero reason at this time but somehow because it's a house md episode he's gonna be right i don't even know what they're looking for in this sphere they already got it over in parasite samples so what makes fluid fill the lining of the kid's lungs infection tumor i feel like i'm one of his students just yelling stuff out if there's a plural effusion we have to rule out heart failure the pleura by the way is the lining uh that covers the lungs organs are covered by pleural membranes which essentially prevents the organs from rubbing all over each other so like there's a cardiac membrane there's a lung membrane get the kidney cardiogram adam very hard to perform an echo as is but to perform one on an uncooperative patient or combative patient even harder what what is it is his heart okay no echo suggested a conduction abnormality ekg confirmed it a conduction abnormality is basically when there's a problem with electrical conductivity of the heart so basically in one part of your heart you have a node that starts your cardiac rhythm and then it travels throughout the rest of the heart the reason it has to travel throughout this conductive system is because you don't want the entire heart beating simultaneously otherwise it's going to have all the blood just splat against each other but if you have the top of the heart beat first and then the bottom of the heart beats then you can have like a rhythmical pulsation of the blood throughout the heart get a lung biopsy well it took a half an hour to get the mask on the kid for the lung scan oh i'm sorry was there somewhere you needed to be what are they gonna do with bronchoscopy i don't understand how they're gonna do a lung biopsy like interventional radiology what part of the lung are they gonna test this makes no sense this is brutal we wanna do a lung biopsy lung biopsies usually come back negative so biopsy a lymph node under the arm why are they against sedating this poor child sedate please it will not change your biopsy results and the child will not be further traumatized by this medical experience hope is what's making them miserable what they should do is get a cocker spaniel dog would look him in the eye wag his tail when he's happy animal therapy for children with autism can actually be quite beneficial there's less judgment that comes from animals almost no judgment actually the interaction that you could have with the animal is so much simpler that is an easier introduction to human interaction which is much more complex horses dogs that kind of thing supportive animals really go a long way for children who have autism not for all but in some cases no cancer because these aren't lymph cells then what are they okay let me try and guess these aren't lymph cells so what did he get a biopsy of a huge sweat gland an abscess a dermatofibroma oh my god what could have he gotten oh oh a teratoma that has hair cells in ah i can't have no idea liver cells does he have liver cancer that is metastasized to his armpit what's the difference between cancer cells and liver cells why can one pass through walls but the other can't cancer cells of damage lets them grow into blood vessels go wherever they want so if the liver cells are damaged liver isn't damaged tests were normal well tests on a liver being normal doesn't necessarily mean the liver is normal because the tests that we use to check liver function which we call liver function test is actually a misnomer they're actually liver inflammation tests that tell us if the liver is damaged thereby releasing liver enzymes and if these liver enzymes are elevated then we know there's a problem with the liver however if your liver is so diseased that it's in the end stage of liver cancer cirrhosis those numbers can be normal because your liver is almost fried and there's no enzymes left to be had it's not his liver his heart or his lungs it's the calcium carbonate in his stool he was constipated parents probably just overdid it maybe he ate a bunch of chalk or tubs or they didn't do it at all calcium carbonate's also what's in chalk oh sure didn't cause a plural effusion forget the chalk this kid's got pica take him to a buffet he's gonna eat the table pika it's a condition where you start eating things that are not edible paint off of the walls mud show me what you ate [Music] some kind of sand fly or sand weasel inside of that sand it's a micro tumor started in his lung which caused a pleural effusion then it metastasized to his liver which made his slough cells no it has to be some kind of worm traveling throughout his body hey kill the lights i'm seeing them all the time what are you looking for he's telling us what he was seeing telling us exactly what was wrong with him drawing them for us over and over again hello my british nematodes it's not a tumor foreman it's worms we said we also said everything else so i'm not gonna even take credit for it animal makes potty in sandbox boy it plays in the sandbox boy eats the sand you can probably tell where this is going by now stool samples were negative for parasites raccoon round worms are not excreted by their human host cameron tested bro stop acting like you knew about raccoon poop without looking it up i swear worms spread from his gut to the rest of his body he attacked his lungs that's what made him scream i don't even care that he knew it was raccoon poo it's the fact that he knew humans don't release it in their own fecal matter if that information that ever becomes useful to me for some weird way i'm going to send a thank you letter to the writers of the show they attack his eye and the muscles surrounding it making his eyeball do a backflip laser photocoagulation to fix the eye and a high dose of benzomidazole to kill the worms just think about the sequence of events here a child that's diagnosed with autism comes in screaming into the er house immediately starts running tests on him and finally gets down to it that he ate raccoon poop from a sandbox how did we get here i had a unique patient case myself click here for that full story doctors kept misdiagnosing this gentleman see what happens here click as always stay happy and healthy [Music]

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