House M.D. Mafia - Doctor Test Round - Feel free to jump in!

[Titus]

I do think lead poisoning is a good place to start.

I also have a nagging idea because miscarriages can occasionally be caused by sperm too.

How are his hydration levels?

[Titus]

You can't be dumber than me on medicine Kuroi.

[Dierfire]

- assume the anti seizure was just to stop the seizure. He has since been off.

Our patient has had at least one witnessed seizure and is not currently on medications for that. We are bad physicians.

I'd like to

start the patient on benzodiazepines

for the seizures.
I've lost track of whether I have diagnostic actions available, but if so I'd like to

check blood levels for heavy metals

(if I have to choose one, I pick lead, I guess).

[Titus]

Go investigate the house for sources of lead, or other metal based toxins

[KuroiXHF]

Kurobo, yes you can join. Everyone, I'm actually going to take the day off this because the wedding is today. You guys are also deserving of real write ups instead of mobIle posts.

So keep guessing, debating amongst yourselfs and try to read between the line.

[Masquerade]

The misscarriages were apparently due to pre-eclampsia. Kidney failure is one risk factor for that. Hypertension is a sign of kidney failure. So it looks like both of them have been poisoned throughout but I still want an answer to
Sir, where is your wife?
Sir, how is your relationship with your wife?

Action: Track down wife and get her to the hospital.

[Masquerade]

Could the lesions point to cysts in the kidneys?

[Masquerade]

Someone do a biopsy of one of the kidneys.

(I meant this as a question btw, not an order)

[Shadow Dancer]

The misscarriages were apparently due to pre-eclampsia.

Where'd you get that from?
Also, I am pretty much already tracking down the wife/trying to confirm the story. Maybe yo should run a whole-body-scan instead (we all know House loves whole-body-scans )

[Masquerade]

Hm maybe I should start writing down everything. Btw, I already asked for family history so you don't have to. There is none according to the guy. So the wife needs to get in. You have no action to track her down, so that's why I am doing that. You check records, and when the wife comes in we can question her. I want to know what the guy is hiding, this is House-flavour, the fact that he doesn't want us to call his wife means there must be something there. If she turns out to be a red herring I can let the subject go. I'm doing this.

With apparently I meant I'm not entirely sure. First the guy said 'my wife misscarried' and then he said pre-eclampsie, so I just assumed the two were related because there was no sign it wasn't. I have a lot of questions that lead to other questions and we can only ask 2 at a time so I'm getting a little frustrated.

[kuribo]

/in

i'd like to ask the patient what sort of flea control the dog is on.

Also, I'd like for the mod to describe the bug bite on the patient's penis

[kuribo]

Also, who is his emergency contact?

[Clumsy]

I have very little medical knowledge, but I feel like I may have an inkling.

/in tentatively

I'd like to ask the patient which neighbor's dog it was. After finding that out, I want to go interview that neighbor. Ask about how much they know each other, how familiar they are with each other... Saving questions about his wife for last.


My thoughts: Why play with the neighbor's dog? Why not tell the wife? Why on the penis? Me thinks something is going on there. This may be too obvious, but I'm not sure what better to do that isn't already covered.

Edit: I accidently typed "this life" instead of "his wife". Dumb phone

[Clumsy]

Also, I think the condition of the house affecting the wife is a very good step as well.


Watch, there is going to be no wife. "I'm not crazy or anything." -_-

[Masquerade]

Yeah I was thinking with the swollen brain maybe he's confused and his wife left him or even passed away maybe and he forgot.

[Clumsy]

Either way, this might tell us a bit about the wife. At worst, we get a "I didn't know anything about a wife".

[MattP]

Action: Track down wife and get her to the hospital.

We need to convince him otherwise we can't contact the wife

[Clumsy]

Would we be able to if there was a chance her health was in danger? Not get her in necessarily for the husband, but for possible contamination of the wife?

[kuribo]

Would we be able to if there was a chance her health was in danger? Not get her in necessarily for the husband, but for possible contamination of the wife?

It wouldn't matter, you'd be breaking confidentiality. Especially considering you don't know for sure that she's been exposed to anything. You can't just toss his rights aside, then demand she come to the hospital for nebulous testing.

[kuribo]

This would make a great mishmash game

[Masquerade]

Action: Track down wife and get her to the hospital.

We need to convince him otherwise we can't contact the wife

No we don't, you should get familiar with the flavour

[kuribo]

How do we not know where to find her anyway?

Members of our team have been to his home, presumably she goes there periodically.

Further, he must have an emergency contract who can be notified if he becomes medically incapacitated.

[KuroiXHF]

Action: Track down wife and get her to the hospital.

We need to convince him otherwise we can't contact the wife

Your point is duly noted, Dr. Cameron.

Also, the wedding is over and I'm headed home to a computer. I will have something tonight.

[KuroiXHF]

So I want to ask the patient about any prior illnesses he or any one in his family had (including the alleged wife of course), and also when those happened and where he was in the last couple of years.

"I told the other doctor that there ain't that many problems with me! I have a little high blood pressure and my wife has pre-eclampsia!"

And finally, did his alleged wife allegedly live in the same dumpster he lives in when she had her alleged miscarriages (and again, how long ago exactly was that, allegedly)?

(Mod Note: These are several questions within one turn and normally I won't allow this. I will for reasons evident at the end of the page.)
"Dumpster? This is my home that you're talking about! You're an ass! I'll have you know that my wife lived in my beautiful home since we became married! She got pregnant and miscarried two years ago and three years ago!"

Since every body lies, I'd also like to search the archives for all available medical records that could confirm whatever he answers to the above questions (so this I assume is considered my action then)

You go through medical records of his main hospital in Trenton, NJ. He was truthful.

Are those eyebrows or is it just a black marker?

(Mod Note: I would answer a question without this counting as one of your two questions as this should be free knowledge.) "I have eyebrows! What's wrong with you!?"

point out that the wife is probably exposed to the same toxic he was and that it may have been related to the two miscarriages

"You think she's sick because she miscarried? The doctors said she had pre-eclampsia!
Dr. Hero: "Sir, you've been having a disconnect between your mind and your body. I also suspect you of having psychiatric symptoms."
"But my wife doesn't have any of those issues. I don't believe you!"
Result: Failed. (Mod Note: For things such as this, you'll have to provide more information that would help your case in succeeding. Here, the patient doesn't agree with you and is unconvinced.

Sir, where is your wife?
Sir, how is your relationship with your wife?

Action: Track down wife and get her to the hospital.

"My wife's at work. Why do you want her? Why do you care so much? And my wife and I have a very loving marriage!"
Dr. Masquerade finds the patient's wife (Brenda) from health records and brings her to the hospital.
Brenda: "Daniel, you jerk! I told you what would happen if you didn't stop eating McDonald's!"
"This has nothing to do with the McDonald's, Brenda!"
*Brenda turns to Dr. Masquerade* "I bet he tells you he only eats there once a week, huh? He eats there EVERY. DAY. Now look at him! He's had a heart attack! I knew this day would come!"

...They bicker and bicker. Time for you to come up with a plan.

/in

i'd like to ask the patient what sort of flea control the dog is on.

Also, I'd like for the mod to describe the bug bite on the patient's penis

"I don't know. I don't own the dog."
While you investigate the bug bite, you conclude that it came from a mosquito. It's not infected.

Also, who is his emergency contact?

"My emergency contact? I suppose it would be my wife, Brenda."

I'd like to ask the patient which neighbor's dog it was. After finding that out, I want to go interview that neighbor. Ask about how much they know each other, how familiar they are with each other... Saving questions about his wife for last.


My thoughts: Why play with the neighbor's dog? Why not tell the wife? Why on the penis? Me thinks something is going on there. This may be too obvious, but I'm not sure what better to do that isn't already covered.

"The dog belongs to my neighbor, Freddy!"

You go over to Freddy's house and knock on his door. He answers:
"Hello? Can I help you?"
"Yes. My name is Dr. Clumsy from Princeton Plainsboro. Your neighbor, Daniel, got sick while playing with your dog."
"No. My puppy bit him? I've never heard of Nugget ever biting someone!"
"No. Your do-... eh, Nugget, never bit him. I was hoping I could ask a couple questions."
"Sure, Doctor. Anything."
"Does Daniel play with your dog a lot?"
"Sure! I mean, I try to keep up with my fence, but lil' Nugget over here likes to jump over them and if he can't, he'll dig underneath. He likes to come over to his house because he can smell the cheeseburgers! Whenever the puppy is over, he'll play with him."
"Okay. And do you hear a lot of complaining with his wife?"
"Ooof! All the time. They argue loudly. They fuck loudly. I sometimes have a hard time getting to sleep!"
"And are you aware of a bug bite on your neighbor's penis."
"i... eh... No. I'd love to say that I've never seen his penis before, but he likes to walk around his house naked. I think one time he walked to his mail box naked."
"...That's enough for me. Thank you for your time, sir."

- assume the anti seizure was just to stop the seizure. He has since been off.

Our patient has had at least one witnessed seizure and is not currently on medications for that. We are bad physicians.

I'd like to

start the patient on benzodiazepines

for the seizures.
I've lost track of whether I have diagnostic actions available, but if so I'd like to

check blood levels for heavy metals

(if I have to choose one, I pick lead, I guess).

Mod Note: You'd have to do one of the other. In this case, I would start the patient on regular anti-seizure medications.
Your patient has been having less steroids! His level of care has improved. You are now liked by the board!

Go investigate the house for sources of lead, or other metal based toxins

You go back to Mr. Hawthorne's house and find a broken piece of wall. It's easy to recover pieces. You also collect the tap water and bring both in for analysis. The water comes back clean, but the analysis on the wall comes back with lead.

Ask the patient:

How old his house is.

Action:

Start patient on chelation therapy for lead poisoning.

"Dr. Heart, the house is kind of old. It was built in 1920-something."
As far as your actions go, you put your patient on chelation therapy. His body instantly starts getting better. You have correctly diagnosed and treated the patient for lead poisoning.

Final Diagnosis: Lead Poisoning
In the game, there will be only one clear winner who receives the benefit for full victory, but I will give 1st, 2nd and 3rd winners on this:

1st: TellTaleHeart. He was quickest to go forward with the correct treatment and the right diagnosis in mind. If this was a real running game, it would require 75% of the players to lynch him.
2nd: Titus. Her action would have correctly diagnosed her patient. However, it would not have started the patient on the correct therapy.
3rd: Dierfire. Dierfire was thinking about heavy metal toxicity with an emphasis on lead. Unfortunately, there were two actions and I've went with the first.

Relevant information:
- Wife's Pre-eclampsia: The doctors misdiagnosed her with pre-eclampsia because of the miscarriages. Lead poisoning can cause miscarriages and sometimes even mimic some of its symptoms.

- Daniel's job: He works at home a lot and has an ebay store. If you concentrated a bit on that, you would have learned that he got himself a hold of lead-based paint in a yard sale and decided to paint his home with it.

- The paint: It was not of the highest quality. It broke easily and the particles affected both him and his wife. However, because he spends more time at home, his lead poisoning was more severe.

- His cheapness: I tried making this a subtle but persistent hint. You took his cheap deli and McDonald's diet as indicative to his poor eating habits, but it was also indicative to him being cheap. If you read into it the right way, you'd see him being the kind of person so cheap to use any kind of paint he could get his hands on. That's why he would use lead based paint.

What was not relevant:
- Other crappy parts of his house. His rugs were ripped. Trash was everywhere. It was not bad to his health.

- The bug bite on his penis. Kind of embarrassing, but I didn't want you to get the answer so easily. Most of you ignored it so that's whatever, but I wanted something misleading.

My ideas on how I will adjust this game:

- I'll put a disclaimer saying something along the lines of: "There may be some mistakes, but I will do my prudent efforts to be as medically accurate as I can. I may make generalized statements if I cannot medically understand some ramifications such as "Low blood sugar" instead of "Blood Glucose at 52."

- I may make the diagnoses to be a little bit more difficult. Not so much, but a bit.

- I may make the patient to get a bit worse perhaps a bit sooner. I think it was fine this game because all that happened were signs of failing kidneys. If you waited longer without correctly diagnosing, it may have meant him slipping into a coma.

Do you guys have any comments, criticisms, ways to improve? Let me know! <3

And thank you all for playing. I've learned so much from this. If you guys want another simulation round, let me know. I can consider it.

[Antihero]

- The bug bite on his penis. Kind of embarrassing, but I didn't want you to get the answer so easily. Most of you ignored it so that's whatever, but I wanted something misleading.

when i heard that, west nile crossed my mind. that was a good red herring.

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