House, M.D.

You Don't Want to Know - S4-E8

Factual error: Amber triggers a fire alarm by heating the sprinkler with her lighter. Unfortunately that fire sprinkler doesn't detect heat (or smoke). The sensor is located between the ceiling lamps, about two meters from the fire sprinkler. (00:09:00)

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Suggested correction: Heat applied to the sprinkler would cause it to activate and spray water. All modern fire systems will detect this water pressure drop and activate the alarm.

You Don't Want to Know - S4-E8

Factual error: Dr. House argues that the symptoms of the patient (DIC, bleeding, and multisystem failure) can be explained by the fact that they gave him the wrong type of blood (type AB). House says the reason they could make such a mistake is that they don't test blood type, they test antibodies. Dr. Foreman responds it's because the human body only makes those antibodies when you have that type of blood. This part is incorrect. In fact, it's the exact opposite. You only produce antibodies against the antigens that you DO not have. If you did, your immune system would attack your own red blood cells (RBCs), which would cause autoimmune hemolytic anemia (aiha). For example, if your blood type is A, you make antibody B and vice versa. A person with blood type AB has A and B antigens on the RBCs, but does not produce antibodies A or B and is therefore a universal recipient. Ironically, the latter is also mentioned by Dr. Wilson in a conversation with House earlier in the episode when he says "Of course you're type AB - universal recipient. You take from everybody." House then says that the patient has blood type A, but he's making an extra antibody of type B, which led them to believe he has blood type AB and therefore give him type AB blood. House then deduces that this caused the immunologic reaction, leading to the diagnosis, SLE (lupus), which can cause acquired aiha. It's correct that giving type AB blood to a person with blood type A would cause this, but the first part is wrong. If he is type A, he is supposed to make antibody B, not antibody A, so if he were making an extra antibody, it would be antibody A, not antibody B. (00:38:20)

Hamza Mughal

It's A Wonderful Lie - S4-E10

Factual error: House diagnoses contagious ecthyma in a patient exposed to a donkey. This zoonosis is however NOT transmitted by donkeys. "Contagious ecthyma virus causes papillomatous lesions on lips and mouth, and sometimes on the interdigital areas of primarily young sheep and goats. The hosts of contagious ecthyma virus are sheep, goats, alpacas, chamois, Rocky Mountain Bighorn sheep, Doll sheep, steenbok, wild thar, dog, camel, reindeer, musk ox, and man." https://doi.org/10.1016/B978-0-12-524180-9.50039-X. (00:27:07 - 00:27:40)

Living the Dream - S4-E14

Factual error: In episode 414, "Living the Dream," the patient Evan is given a nerve function test. We see Kutner and Taub performing the test by puncturing Evan's legs with needles. Modern nerve function tests actually rely on electrical impulses from a small computerized device, with no needles necessary.

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Suggested correction: House ordered an EMG (electromyography) to test for motor nerve entrapment. During an EMG, one or more small needles (electrodes) are inserted through the skin into the muscle. The electrical activity picked up by the electrodes is then displayed on an oscilloscope. An audio amplifier is used so the activity can be heard. When an electrode is inserted, a brief period of activity can be seen on the oscilloscope, but after that, no signal should be present.

Maternity - S1-E4

Factual error: House's team listed the potential offending organisms of the infection as "MRSA, H. Flu, VRE, and pseudomonas." House then suggests Vancomycin and Aztreonam. Vancomycin only covers gram (+) organisms and Aztreonam only covers gram (-) organisms. VRE is a gram (+) organism, thus it would not be covered by Aztreonam. VRE stands for vancomycin resistant enterococcus, thus it would not be covered by Vancomycin either. House's team therefore failed to cover for an offending organism that could have caused the infection during their initial differential. (00:09:10)

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Humpty Dumpty - S2-E3

Dr. Foreman: You really want to screw Whitey? Be one of the few black men to live long enough to collect social security. Take the medicine.

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Trivia: Bryan Singer was looking for an American actor to play House and when he saw Hugh Laurie's audition tape said that he had found his American actor. Hugh Laurie is in fact British.

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Whatever It Takes - S4-E6

Question: In this episode, Cuddy gives House crap about lying that he was working for the CIA. Exactly how did a CIA helicopter land on the hospital roof, and the hospital's dean not notice it?

Answer: She would have No Reason to know it belonged to the CIA. If she did know he went off in the helicopter, all she would know is that it wasn't an ambulance helicopter.

Greg Dwyer

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