House M.D. Diagnostics Test Run - Take Two.

[Realeo]

Ah. Really? That's new knowledge......

I will keep my medication though... I'm still curious about the blood vessel.

[FakeGod]

I think you're restoring his electrolyte imbalance too fast and caused the coma.

[Shadow Dancer]

That would be very bastard of the mod...

[FakeGod]

Central pontine myelinolysis

[Realeo]

I keep forgetting that I'm playing the doctor, not the programmer.

I mean, if I screw up a program, I can just rewrite a zero.

But a doctor? I can't kill the patient ><

Or can I?

[Shadow Dancer]

You most definitely can!

Central pontine myelinolysis

I don't think so.
- neurological symptoms and brain degeneration were there before I gave him his IV suplements.
- mod explicitely stated that giving medications would follow good practice/proper dosage guidelines unless explicitly demanded otherwise, to I doubt this kind of severe reaction should not be expected to happen

Anyway, have I still got an action, or does my (hopefully) stabilizing the patient count as my normal action already?

[KuroiXHF]

Stabilizing your patient would be your action.

[Shadow Dancer]

Well, so I'll have to let the others figure it out then :\...

[KuroiXHF]

Note For All Doctors: Your patient is beginning to show signs of gangrene on his feet. Amputation may soon be necessary on some of his toes.

Procedure:

Diagnose with Creutzfeldt-Jakob disease. Do a lumbar puncture and look for 14-3-3 protein to confirm.

The test for CJD came back negative.

test for presence of white blood cells in cerebrospinal fluid.

Results of white blood cell count in cerebrospinal fluid came back normal.

Real action:

Check if the patient has excess growth hormone

I have no idea if this can even be checked though

You've performed a growth hormone stimulation test on his pituitary gland. The results indicate that the level of growth hormones on a fifteen-year old male is normal.

Have you had any problems reading or writing lately?

Have you experienced orientation problems in the recent past?

"No. No problems writing or reading. I'm actually doing pretty well in English. I probably could have gone into writing if I wasn't so good at sports. And I'm awesome on my feet. I don't get confuse. As my coach always says,

If you confuse, you lose!

"

Put the patient in isolation and monitor him 24/7 to see if there is any improvement.

You put the patient in isolation. It's too early now to see if this helps him, although his parents aren't too happy with you. You may receive resistance in them answering future questions from you.

what the shit

Diagnosis: electrolyte imbalance from malnutrition

(MOD NOTE: Based on your previous action of putting him into isolation, I consider it fine to combine them both since it realistically isn't so difficult to put the patient into an isolated room.)
Before I answer, how would you like to confirm?

Ask Parent: According to a canvas research on your neighborhood (I have to lie about breaking into his house right?), we predict that you have vegetables, poultry, fruit, bottled water and perhaps green tea.

My questions is this: you said that his diet has never changed--so if we predict this fridge correctly--he have been eating this food like this right? Like, no variation at all?

[/quote]
"Woah, there, kid. You PREDICT? You fucking went inside my house, did you? There's no way you guessed all the food I eat. No, my food doesn't change."

Ask Parent: Do you kid have cold in recent history? At least during the last year?

"No, I don't have a god damn cold, you felon. I'm healthy, up until this hospital started making me sick. But since you know so much of what I like, go get me a glass of water. I'm thirsty!"

Common Knowledge: Check if there is discoloration or cold part of the body

It wouldn't be common knowledge if you wanted to touch his body to see if something felt cold, but his temperature is normal and his body is only discolored near his feet from the lack of circulation.

Diagnose: Raynaud's disease

Medication:

[*]Turn the opiates off
[*]Administers Alpha Blocker

(The Alpha Blocker is going to enlarge his vessel--but to make it works you still need to turn off the opiates right? Otherwise it's a waste)

[*]Strap hot pack on both his foot and hand
[*]Post medication: He may not mile running and weightlifting. But he still may sprint, play baseball and dodgeball.

Kuroi, you're a genius for putting the kid on opiates =p.

(MOD NOTE: Yes, I am a genius. )
You administer alpha blockers and take off the opiates. Time will tell if this helps or hurt him.

Check breathing and heartbeat and oxygen saturation of his blood, hook him up to a monitor (if he is not already) and get him to the ICU. Add oxygen if his saturation is bad.

His heart beat is still within normal range, but you do happen to notice his heart beat is definitely increased.

[KuroiXHF]

House calls all doctors into the office.

Dr. House: "Our patient is getting worse."

Dr. Charloux: "Did you call us here to tell us what we already knew?"

Dr. House: "I called you all here to find out why you haven't diagnosed him yet."

Dr. Dancer: "We have diagnosed him. We've just been getting it wrong."

Dr. House: "No? Really? I'm shocked."

Dr. God: "Well my suggestion is-"

Dr. House: "I don't want to hear it, Dr.

God

. I don't even believe in here. This seriously can't be as hard as we're making it. We're missing something. I want us all to think about all the assumptions that we've made. Some step along the way, we must have made a faulty assumption. Think long and hard. It's there - I just know it."

All the doctors look at House a bit longer.

Dr. House: "That's okay. Just stay where you are. It's not like we have a patient that's DYING!"

All the doctors begin to walk off.

Dr. House: "Dr. Hero. Hold it."

Dr. Hero stops. Dr. House limps over to him."

Dr. House: *Ahem.*

Dr. Hero: *sighs and pulls out a medicine bottle with Dr. House's name on it.* Can't blame me for trying.

[Masquerade]

Do glucose tolerance test.

Type 1 diabetes. Prescribe insulin and adjust diet. Monitor patient for a while to adjust to insulin in combination with his exercise and diet.

[Realeo]

Hold on a second, how a coma kid answered Shadow Dancer's question?

[KuroiXHF]

Hold on a second, how a coma kid answered Shadow Dancer's question?

Oh, you're right. I shouldn't have answered this. I screwed up so let's say he answered the questions in confidence to Dr. Heart, but Dr. Dancer sneaked in.

[Shadow Dancer]

As long as he's in the coma, he should not be able to answer any questions any more....

[Realeo]

Yeah, I think Masquarade's wins this. Diabetes type 1 maybe the reason of all this. It makes senses. Diabetes causes PAD--PAD hits the brain, hits the hand, hits the stomach (vomiting) .

[Charloux]

If Masquerade didn't get it right; Action:

Cut his undeveloped testacle off

[Realeo]

I can see some concepts flying on my brain--but I can't really put the answer together.

So

why?

[Shadow Dancer]

If Masquerade didn't get it right; Action:

Cut his undeveloped testacle off

some one had to do it at some point I guess ;P

[TellTaleHeart]

Yeah, I think Masquarade's wins this. Diabetes type 1 maybe the reason of all this. It makes senses. Diabetes causes PAD--PAD hits the brain, hits the hand, hits the stomach (vomiting) .

A1C and pancreatic function were normal. We would've caught diabetes on either of those.

[TellTaleHeart]

Procedure:

Run an angiogram to look for any obstruction in the blood vessels.

[Masquerade]

I think it was normal because he got a lot of exercise and healthy food. He hasn't been exercising since he got admitted and also the hospital food is worse than what he gets at home.

[Masquerade]

Procedure:

Run an angiogram to look for any obstruction in the blood vessels.

If I'm wrong that;s definitely what I'd do next.

[Masquerade]

And while you do that, maybe take a look at his legs as well for signs of infection or trauma or something? I mean, you're working his legs so it should be possible?

[Realeo]

also the hospital food is worse than what he gets at home.

Can it's possible that the hospital salad doesn't sucks, but its tongue that gets sucks?

I mean, human tongue loses its tasting power when they don't get enough blood right?

[Antihero]

I think it was normal because he got a lot of exercise and healthy food. He hasn't been exercising since he got admitted and also the hospital food is worse than what he gets at home.

for type 1 diabetes there's no diet or exercise that's going to keep it at bay. there's no insulin to begin with b/c the beta cells are kaput so blood sugar's going to run rampant and bump up that a1c regardless of what the kid does.