The author of this article: Liu ManAs the saying goes, “A layman watches the fun, an expert watches the doorway.” The same medical drama, some people After watching it and then aftertaste, I only remember the emotional line in the play; some people have seen it if they understand, and lamented that life and death are impermanent in the face of disease; But for this doctor, everyone else watching medical dramas is full of excitement, and only he can be considered as a “expert”: A difficultpatient who has left many hospitals at a loss and has been referred multiple times was admitted to the hospital. In the plot of “Doctor House”, the patient’s disease was immediately diagnosed, and an SCI with a score of 79 was issued based on this. 
Reference 1 Screenshot of the website Almost blind and deaf, unexplained fever, heart failureArt comes from life. Usually, the incurable diseases in medical dramas are based on reality, but this article published in The Lancet operates in reverse, telling a reality that emulates a TV plot. Case Reports. A German male patient sees hospital after hospital, unable to diagnose what kind of disease he has. Hypothyroidism, unexplained fever, reflux esophagitis, swollen lymph nodes at multiple sites… His condition has been getting worse. As the disease progressed, his vision was severely reduced to the point of total blindness, and his hearing was impaired to the point of near total deafness. Most fatally, he developed severe heart failure. The most likely cause of chronic heart failure is coronary artery disease, but this patient’s arteries are in good condition, so doctors suspect that his heart failure is caused by caused by cardiomyopathy. But in the face of so many symptoms and overall judgments, everyone still fails one after another. The critically ill patient was eventually transferred to the Medical Diagnostics Center at the University of Marburg in Germany, where, unlike his previous disappointments, he was lucky Meet “Doctor House“ who is good at solving intractable diseases. The real “Doctor House” whose name is is Schaefer, and he asked the patient in detail about his condition. Medical history, noting that this patient had a hip transplant. As an avid “House” fan, he realized within minutes thatthe patient’s symptoms were remarkably similar to those of a character on the show!
Source: Image Worm Creative >In that episode, the character is House’s mother-in-law, who also has a history of a metal hip transplant and also suffers from a variety of unexplained symptoms, including heart failure. Dr. House’s Diagnosis: Cobalt PoisoningLet’s go back to Schaefer< /span>In the episode of “Doctor House” deep in the doctor’s memory. ten More than one symptom appeared in one patient at the same time, and the complex disease tested everyone in the hospital, including Dr. House. Through an item-by-item examination, the conjectures including blood tumors, alcoholism, endocarditis, and rheumatic immune diseases were ruled out. Haus even The patient was thought to be hypochondriacal. Of course, this possibility was also dismissed in the patient’s one episode of atrial fibrillation. Later, the patient developed symptoms of the central nervous system, and House realized that it might be caused by heavy metal poisoning in multiple nervous and circulatory systems. The complex issue is boiled down to a common medical history at the beginning of the episode: hip replacement. 
Source: Screenshot of “Doctor House” TV series House immediately operated on the patient. During the operation, it was found that the muscles of the patient’s hip joint had been blackened, which verified his conjecture that “the excessive wear of the artificial metal hip joint causes cobalt poisoning”. After the operation, the patient’s condition improved quickly. 
Worn Metal Hip Prosthesis (Reference 1)This real patient was finally diagnosed and his condition improved. And his luck after the twists and turns is due to an expert who loves to watch “Doctor House” and can apply what he has learned. In the real world, however, there is another patient with cobalt poisoning who has not encountered To the doctor who loves watching medical dramas. Anyone who doesn’t watch medical dramas and those who only watch but don’t learn is slightly inferior< span>I don’t know why it is so coincidental that two major medical journals are concerned about cobalt poisoning at the same time. An article published in the New England Journal of Medicine also described an artificial metal hip joint A case report of cobalt poisoning. 
Reference 5In the case of a female patient, her attending physician, Allen,after a root search like Dr. House did The cause of this rare case was discovered. The report states that tens of thousands of people around the world have had similar hip implants, but almost no one has ever had a similar condition, so doctors don’t. With that in mind, it’s easy to ignore it. And this woman’s case serves as a good warning—it tells doctors that, no matter how rare, cobalt poisoning should be considered whenever a patient develops symptoms after a metal hip prosthesis. . This, Schaefer who watched “Doctor House” has long realized. So Dr. Allen couldn’t help but sigh in the interview“If I also saw Dr. House’s After the diagnosis and treatment, I will definitely consider this diagnosis earlier. Unfortunately, I have only watched 2 episodes in total.”Source of title map: Screenshot of literature span>Planning: MetforminProducer: gyouza References1.Dahms K , Sharkova Y , Heitland P , et al. Cobalt intoxication diagnosed with the help of Dr House[ J]. Lancet, 2014, 383(9916):574.2.https://www. bmj.com/content/348/bmj.g14243. https://www.nytimes.com/2014/02/07/health/house-plays-a-role-in-solving-a-medical -mystery.html4. “Doctor House” Season 7 Episode 115.https: //www.nejm.org/doi/full/10.1056/NEJMcps1213196Lilac Garden Recruitment< /strong>1. New media operation intern (Lilac Garden)Independent operation of Lilac Garden public account Lilac Zao Read the columnAssist in operating the official account of Lilac GardenWorking Location: HangzhouClick here to send your resume directly strong>2. New media operation (Lilac Garden)Complete original content independently PlanningAssist in the operation of Lilac Garden official account WeiboWorking location: HangzhouClick here to send your resume directly< /strong>You can also send your resume to the mailbox[email protected]< /span>Mail Title: Post Name-Name