The Show That House Never Built
Posted in miscellaneous, pop culture, science on August 15th, 2009 by Ira Altschiller – Comments OffMuch as I like the show House I have to admit I grit my teeth until I get into the narrative. The formulaic characters, the quick-talk affectations, the fact that House is never wrong and the fawning sycophants are always wrong is a lot to navigate for the fun in their banter.
The show is at war with itself: It is supposed to be, according to its creator, a mystery, where the bad guy is the disease, but devolves to conventional “character” driven formulas, which then further deprecates into silliness — the cheap thrill of a good line — rather than revelation about the characters.
You never fully understand what the House characters are discussing medically and the final outcome where patient is saved and endearingly grateful to an indifferent Greg House (who cares only about solving mysteries) makes you want a site to go to where you can read about the medical premise and leave the ego laden crew behind.
Turns out the NYT has a more satisfying alternative, as a doctor recounts what are essentially medical short stories, which happen to be true. Informative. Provocative. Nutritive. No bloat.
These tales of medical sleuthing and the vagaries of diagnosis (often pure luck in that the right intern was there to see the presenting patient) leave you amazed at the cleverness — and feeling vulnerable that the successful outcomes hang by the frail thread of pure chance encounter.
From the moment Palomba first laid eyes on the wasted and febrile patient, she knew she had to do something fast. “It was clear he was dying,” she told me. Looking through his chart, Palomba concluded that he probably wasn’t having a recurrence of his cancer.She went back to the idea suggested by the medical student. Could he have HLH? In this disease, the balance between the body chemicals that suppress macrophages and those that turn them on is somehow lost, and as a result, these primitive fighter cells ramp up into a frenzy and consume everything in their path.
As it turns out, the doctor who writes this Diagnosis series for the NYT is a consultant for House. She should write the shows.

































