A few years ago, I became obsessed with the TV show, House
MD. If you aren’t a fan of medical sitcoms, it’s a series about the snarky,
maladjusted Gregory House and his work as the head of the diagnostics
department at Princeton-Plainsboro University Hospital. The specialty of the
diagnostics department is solving the unsolvable medical mysteries, so everyone
who would come into Dr. House’s office was always suffering from some
life-threatening disease of which no one had ever heard. Now, pretty much every
episode of this show followed the same basic outline: (1) someone would get
sick, (2) House would get the case, (3) his team would spend the entire episode
trying to solve the case and keep the patient alive, and (4) at the very last
minute House would come up with the brilliant diagnosis that 95% of the time
would save the patient from certain death.
There was usually some background drama to go along with it,
like who House was in love with or what shenanigans he was getting into in his
off time, but I didn’t really care about any of that stuff. My favorite part of
every episode was always the diagnosis work. You see, Dr. House and his crack
team of the brightest minds in medicine would get into a rhythm with their work
as they sought to find the problem and derive a solution from it, and although
they used a process, no two cases were ever the same. Their diagnostic
detective work followed this basic outline: (1) they used a white board to
compile a list of all of the symptoms so that they could assess the situation
from every angle, (2) they carefully checked and ruled out any possible source
of the infection such as patient medical history, living conditions, travel
history, and human interaction, (3) they would cross check present symptoms with
all sorts of rare and unpronounceable diseases from around the world, working
with a fine-toothed comb to determine the cause of the patient’s condition, (4)
the other doctors on the team would offer up plausible possibilities as to what
the problem was throwing around terms like autoimmune disorder, carcinomas,
legionnaire’s, and lupus (It was never lupus, but I swear they would bring it
up at the beginning of every episode…), and (5) House would systematically rule
out all possibilities until he hit upon the correct diagnosis, usually by
discovering something that was overlooked or hidden before.
No two cases were ever alike, yet House was always able to
solve them by going through this process to reach a diagnosis.