Monday's House episode

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heatmiser
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   Posted 11/19/2009 10:54 PM (GMT -6)   
I just watched House from Monday and the patient had cd. Did anyone else see this? They said it was the "too clean" theory and gave the guy worms.
Dxd CD in 2003. Scope Aug/09 shows UC.
Meds: Colazal, prilosec, darvocet


Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 11/19/2009 10:57 PM (GMT -6)   
I did see that, and it made me wonder....but I didn't grow up in a "too clean" environment. I played in the dirt all day! I think they kinda twisted things to sound smart or something.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, sublingual B12, Coumadin


GDen
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   Posted 11/19/2009 10:59 PM (GMT -6)   
I haven't seen it yet, but saw the mention here:

www.starpulse.com/news/index.php/2009/11/17/no_one_can_be_happy_on_house_

House said...
Thirteen and Taub are trying to be happy in their normal life, but House keeps plaguing them with the case and telling them to come back. It works, naturally, and they are the ones to come up with the diagnosis. He was protected too much as a child and he got an autoimmune disorder because of it: extra intestinal Crohn's disease. When they took out the worms, he got worse; the worms were helping him. Ew. Does he need to put the worms back in?

PV
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Date Joined May 2006
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   Posted 11/19/2009 11:05 PM (GMT -6)   
And they started the patient on methylprednisone and then also gave him helminth therapy. Helminth therapy while available today, is not really provided by most hospitals and doctors, because of a lack of study I guess. And the guy also had a lot of the extra intestinal manifestations of crohn's - uveitis, blocked bile ducts because of possible PSC. And strangely, he was peeing blood - I didn't recall that being a symptom of crohn's.

They found worms in his liver and dewormed him, and he got worse. . . and they theorized that the worms were keeping the crohn's in check. But I thought the worms need to be in the intestine . . . maybe it doesn't matter where the worms are . . .

But it was good to see a disease like crohn's in mainstream TV. More awareness is probably a good thing. I do think they got a few things wrong and used the worms for their shock effect I guess. But still, way more correct than like ER. :-)

PV
Husband with Crohn's
Diagnosed March 2003 Ulcerative Proctitis
Diagnosed March 2008 Crohn's & C-diff, hospitalized 45 days
Canasa, Lialda, Remicade, VSL#3, Florastor
In Remission since June 2008
Stopped vancomycin for c-diff Jan 1 2009
C-diff free, until Sep 2, 2009
Fighting c-diff, I guess for life


spookyh
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Date Joined Oct 2008
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   Posted 11/19/2009 11:21 PM (GMT -6)   
I saw most of the episode, but when I went to put my bird to bed, I missed the ending. Thanks for letting me know it was crohn's :-).
34 years old, Crohn's disease for 15 of them
Resection of ileocecal valve on 09/22/09
Current Meds: Pentasa, Effexor XR, Zyrtec
Supplements: 3 kinds of Fish Oil, Multi-Vitamin, B-Complex, Vitamins D, E, & K, Calcium, Magnesium, Enzymes
SCD since 12/01/08 - eating Stage 3 foods


pb4
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Date Joined Feb 2004
Total Posts : 18012
   Posted 11/20/2009 1:39 AM (GMT -6)   
It was discussed that very night on the UC forum...the guy actually had worms when he went into the hospital, they got rid of his worms and he got really sick so they gave him worms again....the worms he went into the hospital with were apparently keeping his crohn's activity at bay but oddly enough not his extraintestinal manifestations.

That is one of the theories out there about CD, overly clean environment...but House made a remark about how the guy should have ate dirt when he was a kid (like that would have kept him from getting CD)...I enjoyed more than my fair share of mud-pies when I was a kid considering I had a few older sisters that made sure of it LOL...and it didn't stop me from getting CD.

The worms do have to be in the intestines to be of benefit and they are in a capsul, not swimming loosely in a glass of water when they are administered, that's just cruel and unusual punishment (but then so is having CD).

:)

aoccc
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Date Joined Feb 2005
Total Posts : 455
   Posted 11/20/2009 7:56 AM (GMT -6)   
I love House and it is great to get some pub for Crohn's but I was disappointed by the ending. Made it look way too easy.
SCD since 01, remission since 01, occasional random junk food breaks :)
No meds ever.


LMills
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   Posted 11/20/2009 9:02 AM (GMT -6)   
aoccc said...
Made it look way too easy.


Makes you wonder about all of the other diseases "diagnosed" on these shows. I feel like it's a double-edged sword. It's good because it spreads awareness, but detrimental because it makes it seem like it's so easy to overcome.
Diagnosed with Crohn's in May of 2008.
Currently taking: Prednisone, pentasa, omeprazole, and humira. Using probiotics and a multivitamin.
bonniegriffith.blogspot.com/
Learning how to live again.
"He who has a why to live for can bear with almost any how."


aoccc
Regular Member


Date Joined Feb 2005
Total Posts : 455
   Posted 11/20/2009 2:22 PM (GMT -6)   
Yeah you are right Lmills. Half of them I have never heard about but now I start to wonder lol. So if you knew nothing about crohn's and seen House you now either connect it with being a adult film star or think it can be cured by drinking worms. Lucky us.
SCD since 01, remission since 01, occasional random junk food breaks :)
No meds ever.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18012
   Posted 11/20/2009 2:42 PM (GMT -6)   
They actually have docs involved with writing the medical parts of the show to ensure accuracy...just a little tid-bit I learned between commercials during House.

:)

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18012
   Posted 11/20/2009 3:00 PM (GMT -6)   
I should have clarified, the eggs of the worms are encapsulated so they are released in the GI tract and then grow and are able to do their job (eating away at bad bacteria), I think most of us here knew that already from our own research... unfortunately it seems as though the docs they used to help write this show skipped some of those details and made it look pretty sick with having the patient drinking a glass of worms which I highly doubt is how any doc would administer them, must have done it that way for the "gross effect".

:)

GDen
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Date Joined May 2009
Total Posts : 703
   Posted 11/20/2009 6:31 PM (GMT -6)   
I just watched the episode and think they were really reaching to call it extraintestinal Crohn's. I've never heard of anybody having CD solely outside of the intestines.

I also didn't have a clean childhood. We played outside all the time, made mud pies, and even ate edible plants in scouts.

But on the plus side, Chronnies should now be in demand as adult film stars or at least thought as being able to perform as such, no? :)

pimfram
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Date Joined May 2009
Total Posts : 506
   Posted 11/20/2009 8:22 PM (GMT -6)   
If anyone wants to watch...

http://www.megavideo.com/?d=F856LZS7
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.

Amor fati - Nietzsche


jpnutritionfirst
Regular Member


Date Joined Apr 2009
Total Posts : 362
   Posted 4/29/2010 11:24 AM (GMT -6)   
I think you guys are wrong about the worms having to be in the intestines. The worm can really be anywhere because the mechanism is diverting the t cell pathway towards the Th2 line (anti-parasite/allergy) and away from the Th1 line (antibacterial/viral; most predominant in Crohn's). Worms would also induce more Tr1 differentiation, which would release more IL-10 and TGF-B to downregulate both Th1 and Th2. The worms would just need to be accessible by the immune system.
Crohn's Colitis diagnosed 6/08
Organic SCD since 4/09
Remicade since 6/09
Boswellia + Natren's Healthy Trinity probiotic + Cinnamon + Wild Oregano Oil + vitamin D + zinc + Barlean's fish oil
Remission


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 4/29/2010 2:41 PM (GMT -6)   
I haven't followed the worm therapy for several years. I thought they were using hookworms then I saw information they where using whipworms. Have they changed? Are there two different approaches w/two different worms going on? Yeah, yeah, I know, I correct myself: worm eggs.
My computer says I need to upgrade my brain to be compatible with its new software.


Grandpato2
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Date Joined Dec 2009
Total Posts : 681
   Posted 4/30/2010 1:12 AM (GMT -6)   
nono Great now friends and family will all have the cure for me! We'll be hearing about this for months just you wait and see! Oh Rob I was watching House and.......Snorrrrre redface
Male, 54 years old with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003. Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks,5-asa Asacol, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. 5-asa Salofalk, Entecort, Imuran and Prednisone in the past.

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