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However, the myocarditis was irreversible and the patient was soon suffering from [[Congestive heart failure]]. The only available treatment was a heart transplant, but the [[transplant committee]] refused because of the patient's age. |
However, the myocarditis was irreversible and the patient was soon suffering from [[Congestive heart failure]]. The only available treatment was a heart transplant, but the [[transplant committee]] refused because of the patient's age. |
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| − | However, Dr. House and his team managed to salvage the heart of a 40-year old female accident victim, after finding out, ironically, that she had been suffering from [[gonorrhea]]. They treated the |
+ | However, Dr. House and his team managed to salvage the heart of a 40-year old female accident victim, after finding out, ironically, that she had been suffering from [[gonorrhea]]. They treated the gonorrhea and transplanted the heart just as the patient's heart failed. |
The patient was last seen reconciling with his ex-wife. |
The patient was last seen reconciling with his ex-wife. |
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Henry was put on [[broad spectrum]] [[antibiotics]] in the hope that the infection could have been caught in time. But soon he went into [[cardiac arrest]] confirming that they hadn't caught it on time and now the only thing they could do was get him a [[heart]] [[transplant]]. |
Henry was put on [[broad spectrum]] [[antibiotics]] in the hope that the infection could have been caught in time. But soon he went into [[cardiac arrest]] confirming that they hadn't caught it on time and now the only thing they could do was get him a [[heart]] [[transplant]]. |
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| − | The transplant |
+ | The transplant committee wouldn't give him a new heart because of his age. [[Dr. Simpson]] pointed out that he would only have another five, ten or if he was very lucky twenty years. |
Henry asked how much longer he had left to live. He was told that he only had about a week. House told Cameron to keep track of everyone who died in the hospital hoping that they could find him a new heart. She found several useless ones such as a 90 year old, a baby and someone who died of a [[heart attack]]. But she did find a 40 year old who was in a car crash. She wasn't a [[nicotine|smoker]] but she was [[obesity|overweight]]. The only thing was that she wasn't dead yet. |
Henry asked how much longer he had left to live. He was told that he only had about a week. House told Cameron to keep track of everyone who died in the hospital hoping that they could find him a new heart. She found several useless ones such as a 90 year old, a baby and someone who died of a [[heart attack]]. But she did find a 40 year old who was in a car crash. She wasn't a [[nicotine|smoker]] but she was [[obesity|overweight]]. The only thing was that she wasn't dead yet. |
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| − | House asked her husband about her health. He had had a [[fever]] and a [[stomach ache]]. She was then declared dead. Her organs were declared not |
+ | House asked her husband about her health. He had had a [[fever]] and a [[stomach ache]]. She was then declared dead. Her organs were declared not viableable due to [[hepatitis]] C. But House didn't think she had it. House kept her on a [[ventilator]]. Her husband didn't want her heart to be given to Henry so that she could have some dignity. |
As he was leaving to turn the ventilator off, Henry's daughter Amy thanked him. House told him that Amy's father would die in a week without his wifes heart. He consented to it. |
As he was leaving to turn the ventilator off, Henry's daughter Amy thanked him. House told him that Amy's father would die in a week without his wifes heart. He consented to it. |
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Revision as of 23:40, 16 August 2009
Henry Errington, a 65 year old retiree with a history of acid reflux, presented at the emergency room accompanied by his 20 year old daughter after suffering an absence seizure. He was examined by Eric Foreman, who admitted him. Dr. House was assigned as his attending physician when the cause of the seizure was not immediately apparent.
On further examination, the patient also presented with a swollen testicle. Dr. House suspected an STD, but the patient denied having any sexual contacts after his divorce from his wife over a year ago. However, when the daughter left the room, the patient admitted to a short sexual liason with his ex-wife. He had withheld the information fearing that it would alienate his daughter from her mother. The patient was immediately treated with antibiotics, but suddenly started vomitting blood.
After a further differential, Dr. House asked the patient if he had eaten any unpasteurized cheese as the patient had mentioned that he had seen his wife at a cheese-tasting party. The patient revealed that he had. House immediately diagnosed a brucellosis infection, complicated by myocarditis. The patient had been the only one who became infected because the antacids he had been taking lowered the level of acid in his stomach, making him prone to a stomach infection The patient was put on broad spectrum antibiotics in the hope that the infection has been caught in time.
However, the myocarditis was irreversible and the patient was soon suffering from Congestive heart failure. The only available treatment was a heart transplant, but the transplant committee refused because of the patient's age.
However, Dr. House and his team managed to salvage the heart of a 40-year old female accident victim, after finding out, ironically, that she had been suffering from gonorrhea. They treated the gonorrhea and transplanted the heart just as the patient's heart failed.
The patient was last seen reconciling with his ex-wife.
Medical History
Henry Errington had been suffering from acid reflux for the past couple years. This was his last hospitalization since breaking his leg at 22.
Case History
Henry Errington was playing bridge when suddenly he froze for a second and was unaware of it.
The case was given to House. Foreman told him that he had an absence seizure. Henry told him that he had been suffering from acid reflux for the past two years. He took an antacid for it. Henry sent his daughter out of the room told get coffee and then showed him that one of his testicals was twice as big as the other.
Chase thought that it was testicular cancer. But House dismissed it as they were "wearing the wrong shoes for cancer". House thought it might have been a sexually transmitted disease or lymphoma. He told them to treat him for it.
Foreman told him that they thought it was an STD. Henry denied having any sex since his divorce. Foreman offered to talk in private with his daughter out of the room but Henry didn't want to. House thought he was lying, he told Foreman that he would get paged when his daughter went out for lunch and then told him to page him. Foreman got paged shortly after House told him that.
With his daughter out of the room, Henry admitted sleeping with his ex-wife because they happened to be at the same italian cheese tasting. Amy entered the room, House lied and said that he met a women in church and that's how he got an STD. The he started vomiting blood. His daughter asked how an STD could do that, House told her that it wouldn't.
Cameron thought that it could just mean different systems starting to fall apart. Then House figured it out. House asked about the cheese at the italian cheese tasting, he gave him regular cheese with bacteria on it. He asked if that was what it tasted like, Henry told him that it was. House told him that that was what made him sick. House asked why no one else at the cheese tasting got sick. House informed him that it was because of the antacid he was taking for the acid reflux. He had a brucellosis infection.
Henry was put on broad spectrum antibiotics in the hope that the infection could have been caught in time. But soon he went into cardiac arrest confirming that they hadn't caught it on time and now the only thing they could do was get him a heart transplant.
The transplant committee wouldn't give him a new heart because of his age. Dr. Simpson pointed out that he would only have another five, ten or if he was very lucky twenty years.
Henry asked how much longer he had left to live. He was told that he only had about a week. House told Cameron to keep track of everyone who died in the hospital hoping that they could find him a new heart. She found several useless ones such as a 90 year old, a baby and someone who died of a heart attack. But she did find a 40 year old who was in a car crash. She wasn't a smoker but she was overweight. The only thing was that she wasn't dead yet.
House asked her husband about her health. He had had a fever and a stomach ache. She was then declared dead. Her organs were declared not viableable due to hepatitis C. But House didn't think she had it. House kept her on a ventilator. Her husband didn't want her heart to be given to Henry so that she could have some dignity.
As he was leaving to turn the ventilator off, Henry's daughter Amy thanked him. House told him that Amy's father would die in a week without his wifes heart. He consented to it.
The team diagnosed her with gonharia. They took her heart and gave it to Henry. They treated her gonharia in him.
Amy called Henry's ex-wife Cecile, they presumably got back togeteher.