The reason the jump to bizarre ideas, is that the premise is people only get to House if all the normal things have already been ruled out by other doctors.
Isn't going to house like praying for hail Mary full of grace it's supposed to be a magical fix for everything sorry if I offended you if you're Catholic
"When you hear hoofbeats, think zebras not horses!" G. House When all your patients have gone through tens of doctors and hundreds of tests, then the horse would already been found, this majestic beast is a zebra or hundred horses.
the thing about chronic pain (at least, in my 7 years of experience) is that pain is a signal telling your brain something is wrong, as you said, but when there's nothing you can do to fix what is wrong you just get to go through life with your brain screaming at you SOMETHING IS WRONG all the time with no respite. the pain hurts, yes, but the unendingness of it is what really sucks. ALSO, in regards to the whole "psycho-somatic pain isn't real" thing. ALL pain is in the brain. not feeling pain doesn't mean something isn't wrong, and feeling pain doesn't always mean something is wrong medically. we like to think of the mind as separate from the body, so pain from a broken bone is real but pain from a mental illness isn't, but the brain is just another part of our body, and it's the vehicle through which we experience our bodies. so if something's going on in your mind, it can affect how you experience the rest of your body.
Outside of clinic hours house is usually the 5+ doctor to get the patients. All normal tests and thoughts have been disproven several times at different levels. He jumps to the most extreme because for it to be simple, several respected professionals would have had to miss the same basic things. P.s. houses pains is half real half psychosomatic.
To be fair in regards to criticisms... House, as much as I love it, is still pretty iffy on a bunch of medical stuff. Again, it's a show, it gets plenty of leeway because let's face it, 99% of the audience won't care about the nitty gritty. Loved reading Polite Dissent analyzing the show.
So his pain is entirely real, the source is just partly physical and partly psychosomatic. Yes, semantics, I know, but the idea that just because something has a psychological cause it is any less real is so harmful
Fantastic episodes that really brought House and his personality into true perspective. The fact you can see how he affects those around him is such a dramatic way was brilliant
10 years ago I was diagnosed with fibromyalgia. A Dr. House Episodes even makes fun of this condition by acting as if it's imaginary. About 3 years ago I got diagnosed with ADHD and surprise.. The medication for ADHD lessens my pain symptoms of my Fibromyalgia. There is even a study which points out that ADHD and Fibro are often comorbid.
Had exact same experience although to be fair to house it was kinda imaginary when the show was written most medicine related to the brain is awful right now and fibromyalgia is definitly a brain and nervous system thing
That's fascinating! I was diagnosed with autism and ADHD two years ago and diagnosed with ME/CFS half a year later. I've been thinking about fibro too, since it's got a lot of commonalities with ME/CFS, but I haven't had it checked yet. But it makes sense if ADHD and fibro are often comorbid the same could potentially be true for ME/CFS. I however don't really feel like my ADHD meds lessen my pain symptoms unfortunately. But I'm so happy for you that it helps you!
@@MerelvandenHurk just an update. I took last year a stool test. In the laboratory they discovered that I had missing bacterias and disbalance... The doctor then made me take some of the bacterias, vitamin b and d, some enzymes... Since then I don't consider myself to have Fibromyalgia. Only problem left is my insomnia otherwise it is great
everything you can get high off of has helped my symptoms. But the rebound pain is worse, especially with alcohol. And dependency is a fucker. Cure please!
Do you mean in the pilot? That was just making fun of the guy who was diagnosing himself with fibromyalgia or a few other things because he had a couple of headaches and had trouble sleeping sometimes
I responded very well to this video and have a feeling of validation seeing this be discussed, towards the end of 2018 I was diagnosed with delusional disorder, with mixed delusions, mostly around somatic delusions, I would have sensations of heart attacks where my chest would hurt, my heart beat hard and fast and my left arm go numb, or if I ate food that I hadn't tried before I would have anaphylactic symptoms without actually experiencing any symptoms, pills would feel like they get stuck in my throat, I could physically feel cancer growing through my body or get such rapid shallow breathing that I would hyper ventilate because I thought I aspirated a tiny bit of fluid, I've even had to go to the hospital for pain that made it difficult to walk and everytime I tell the doctors or nurses about my condition I feel insane and a burden on resources because it never has actually been something physically wrong and has lead to many distressed nights where I can get no sleep until my brain is so exhausted it shuts down, so thank you so much for spreading information on somatic pain!
Oddly, I've had something like the exact opposite of your condition. A few years ago I began to feel terrible pain in my leg, with occasional attacks so bad I couldn't walk (or stand, or talk, or much of anything). Before I went to see a doctor, I had already deduced that it was neurological; it _felt_ like a broken femur (I guess), but I was confident that there was nothing actually wrong with my leg. After some physical therapy the pain cleared up, but I limped for weeks. And I had trouble sleeping because I felt an elastic band wrapped tightly around my foot; it wasn't painful, and I knew it wasn't there, but I _really_ wanted to take it off! At one point in the process, I was talking to the neurologist about either the pain or the elastic band (I forget) and said "it isn't as bad now. Either it's getting less severe or I'm getting used to it... I'm not sure there's a difference between those two things."
I got fibromyalgia so similar, so painful, and sometimes the opposite which is numbness. Last winter I couldn't feel my feet. And doctors get exasperated when they don't find anything in my blood or on a scan, so now I'm being sent between psychiatry and neurology and nobody really knows what is going on, but I have had enough of doctors making me cry, it's not worth it.
This reminds me of a few years back, when suddenly I felt a pain in my foot, as if something broke when I was walking. It was extremely painful and I couldn't walk for almost a week, despite there seemingly being no physical issue. Then, suddenly, it just... stopped. I never understood what happened there at all.
ive been accused of somatoform pain by an intern, i heard him speaking to another doctor and he goes "let me see if this is in this guys head or not", then sighs and walks in . turns out I had EA t cell lymphoma in my small intestine
I was diagnosed with Conversion Disorder. I lost the ability to walk, extreme fatigue, loss of feeling in my legs & feet, general weakness. But a few years before I had been diagnosed with CRPS with the same symptoms.
I have a severe chronic pain disorder called CRPS - complex regional pain syndrome. My sympathetic nerves are constantly misfiring sending pain singnals to my brain even though there is mo longer any injury there. The pain is a constant ant stabbing burning pain with lots of swelling, extreme sensitivity (to where I can't have clothes touching my skin in my problem areas on most days) and occasionally red and blotchy skin. I bring this up because I developed this from an injury I had at 16 years old, 21 years ago, and it took 3 years and over 20 different doctors from across the country to get a diagnosis and then find a doc who knowledgable in n how to treat this rare condition. Do you know how many have told me I need to see a psychiatrist/psychologist/therapist of some kind because this was all kn my head? If I ever have to go to the hospital I get treated so badly and like a drug seeker (even if I never even ask for anything for pain and am there for a totally different reason). If a doctor doesnt understand what something is, it is automatically something psychological. Why not look it up? Call my CRPS specialist? I don't understand why doctors are full of themselves and can't say I don't know and look it up instead
100% agree, just like me, doctors can be pricks (esp when you need pain relief). I have chronic pain too (abdominal sensitisation, chronic severe period pain, with no period; not endometriosis), but you get fobbed off. I've only ever received opioids from my GP, who took a risk in prescribing (in Australia, they never give out opioids). Without em I'd be dead (euthanasia; there's no life in 6-10/10 pain). Constantly given anti-depressants even though they only work for about 50% pop. and I get terrible side effects. I don't really have depression, its just the pain that lowers my mood - as it would for anyone. It's exhausting. I wish there weren't people who abused the meds but I know half of heroin addicts have chronic pain too... We're all suffering and the 'drug war' policies in place don't help us.
at the end of the day doctors r humans n humans r pricks my father wasnt one though as he had the same disease so he understood my pain was real but even his doc friends would dismiss the severity of the pain, so i for yrs now know that medicine is just a big business where docs r the salesperson selling pills, also if a doc hasnt suffered from the same disease that u have he'll never understand what u r going through so be outspoken n dont always agree with ur doc & be afraid to consult with a different one
There is something that many people miss with this show. A lot of people say stuff like "why do they just jump to the extreme?" or "if you hear hooves think horses not zebras" and stuff like that. But people miss the major point that House and his team are specifically for the zebras. They are for the cases that other doctors simply cannot figure out. So a lot of basic testing would have already been done way prior to House even considering the case
I took a pain science course with the cognitive neuroscientist Lorimer Mosely. Among the factors influencing the placebo effect were whether or not the placebo was "branded" and whether or not the clinician was attractive or wore glasses.
I've also heard that research found that it often doesn't matter whether the patient knew it was a placebo or not, and that it often even works if they know on beforehand that it's just a placebo. The human body is capable of some really amazing stuff.
Just going back to watch some older videos. This suddenly clicked with me that House's addiction is similar to how Holmes gets depressed when he doesn't have a case and rationalises the 7% solution and more dangerous situations he puts himself in. I knew it was there before in the show and books, but it's just been reignited in my mind especially since this is beyond House's regular drug taking. Also still can't believe you don't have more subscribers!!!!❤
yeah as somebody who lives on gabapentin, my pain isn't psychological lol. The pills have varying degrees of effectiveness...but essentially let me live semi-normal without screaming all day. My pain seems to get really serious at night, causes sleepless nights, and wake up pissed off at the world.
Gabapentin makes my unbearable itching stop, which makes me think it's real ( itching is another symptom that makes doctors think you are crazy, along with dizziness and unexplained pain)
the majority of the show is "ethically dubious" but the in sn show justification for why he get away with it is because he's usually right and has a higher rate of lives saved than most doctors on cases no one else can figure out
House and Intervention are two shows that did almost as much damage to people suffering with long term intractable pain as the propaganda from Perdue did. In fact saying "chronic pain" is practically a dog whistle for "junkie" now and most places refuse to treat chronic pain despite the evidence for serious conditions causing it. People suffering with serious breakthough pain now have nowhere to go but the black market and that is causing certain doctors to believe that people in pain are looking for something other than pain relief. This is unprecedented in medicine and people in pain are dropping like flies from suicide and dangerous black market counterfeit drugs laced with Fentanyl. Patients need safe controlled access to pain meds that work.
Spot on. It always bothers me that docs seem to jump from ‘can’t find anything structurally wrong on scans and test, therefore it’s psychological in nature. What if it is something that just doesn’t show up on these tests? Or it does but doctors don’t yet know how to interpret it?
For how long? Pain management isn't about popping pills that you become resistant to, it's about finding ways to deal with pain without relying on the pills except in extreme circumstances. I had a family friend who had COPD and became addicted and highly tolerant to opiods because their doctor kept prescribing increasing stengths of them to the point where the pills could no longer manage it. Once they finally weaned off the pills, the pain was suddenly much more manageable and far less frequent. The only reason this friend is alive and has some level of peace today is because they learned to manage pain without relying entirely on pills.
Chronic pain is weird stuff. My wife had lumbar and sciatic pain from degenerative disks. She also has depression. Once she finally got her depression worked out with the right prescription, her back problems seemingly went away.
You might do a reaction to the season 1 episode Three Stories! There you get to know the origin of House's chronic pain! House: Because of the extent of the muscle removed, utility of the patient’s leg was severely compromised. Because of the time delay in making the diagnosis, patient continues to experience chronic pain.
Favourite placebo strengthening technique is if the person administering it seems like they really care it's more effective than if it's just going through the motions/administering it based on a checklist/referral. Makes sense, but does make me wonder what the future of medicine will look like given AI is getting better than doctors at early diagnosing/identifying specific diseases(from things like images of blood cultures or scans), yet we obviously want a human who cares about us to be our doctor, not a machine which knows the answer but not the person. Maybe a weird hybrid of both(AI doing a lot of the work behind the scenes and humans doing the patient interaction).
"somatoform pain" has been the reason why I haven't been diagnosed with four rare diseases, one including a severe immune deficit leading to the three others, during 30 years, despite my insisting that I was not actually dealing with anxiety. These diagnosis are still regularly dismissed by other GPs as "attention seeking", even while they are written in black and white on paper with the name of specialists in the field on it, hard to contradict very pattent blood tests and the likes. Yeah, they do exist, but they are also overwhelmingly overdiagnosed, especially on women. And the medecine and its practitionners should be aware and wary of it.
I have something wrong with my pancreas because it doesn't produce enough of the digestive enzyme for meat. I have gone through some shit from it and tested things out via diet and otc enzymes. But since I have functional neurological disorder my gut stuff hasn't been taken seriously, so I had to go vegetarian to treat my problem by myself.
I had been to 13 different doctors for my chronic pain and hand swelling. I am in pain constantly. It ended up I have RSD also known as CRPS in my hand and scar tissue in my shoulder. By the time I was diagnosed it was too late. After 2 1/2 years of therapy it got worse. I finally found a pain doctor who helped me immensely. I now have a spinal cord stimulator and take numerous pain medicine,along with medical marijuana. The stimulator and the medical cannabis allowed me to quit taking opioids of which I am so grateful. Unlike House my pain presents differently.. I am unable to move and get depressed. But I am definitely better now.
‘Get one your lackeys to give you it’ wasn’t her ordering the procedure… she was saying to ask other qualified doctors for the treatment, because she knows they’ll also refuse (and he knows, hence he’s asking her).
I think that this episode and the show in general shows just how much the medical field had progressed in the past two decades (I am operating on the assumption that the show was reasonably realistic for its time).
I think what alot of doctors react to house miss is that, if it makes sense or not...houses entire unit and team are supposed to "solve the cases that ER can't figure out" They jump to rare things BECAUSE theres an assumption that the basic tests and common causes were already addressed and checked
Well, it IS a medical issue. The only difference is that we don't have a cure of it (yet), and finding a cure is even dissuaded now that the condition is normalized.
Why is it when ever a doctor reacts to House they always complain about House thinking it's something rare and unlikely instead of something obvious???? HELLO People, a case only ever gets to House if all the common and likely causes have already been ruled out by other doctors and they can't figure out what's wrong. It's then given to House who thinks of something so brilliant and out of the box that no one else would think of.
Yeah it annoys me when they don't understand the premise of the show. It's Sherlock Holmes in a Hospital. If the explanation was something obvious and mundane, there wouldn't be a show.
I think there's still somewhat of a case to be made for less absurd guesses. There are surely enough diseases that more plausible but still uncommon diseases could be thought of as guesses.
Why do people keep watching videos of real life professional doctors reacting to a tv show about doctors and medicine and upset when the reaction is that House may be a well done, entertaining tv show but not accurate at all? If you like House and you don't like seeing people break it down, then just watch House lol
I have just discovered your channel and love all your reactions, so informative and entertaining! It would be really cool if you reacted to the golden girls episodes "sick and tired" part 1 and 2, I think you'd have a lot to say
Spoilers but season six if I'm not mistaken has House actually be hospitalized in a psychiatric ward for an episode or two. Super inaccurate but could make for good content explaining practices in a psychiatric ward.
Psychosomatic symptoms are incredibly interesting, I’m somewhere in between bipolar 1 w/ psychotic symptoms and schizoaffective and in the week or two leading up to my depressive episodes I would get really sick (vomiting, sweating, bones feeling like glass) and it was all a manifestation of the building psychological distress in my subconscious.
Not really overly important, but House was taking Vicodin, which is Hydrocodone rather than Oxycodone. Aside from that, your point of pharmacological tolerance stands.
Old video so this might get buried or completely ignored. I had an MUS when I was a kid that caused to to produce blood in my mouth. I spent two years going in and out of various local hospitals and nobody could find anything physically wrong with me. Now some 11/12 years later and there is still no normal diagnosis.
Interesting, I've never heard that one before... I'd always just pegged him as an obvious narcissist. There are definitely some things that could indicate ASD, but also a lot of things I'm missing that I would expect. For just one example, if he had ASD I would have expected more difficulties surrounding the processing of stimuli, for example. I have ASD myself and I could be considered 'high functioning', and my autism radar is usually pretty good but it doesn't go off when I see House. By the way, I would like to kindly point out to you that it might be preferable not to use functioning labels when describing autistic people. Firstly because it underestimates the needs and suffering of 'high functioning' autistic people and underestimates the capabilities of 'low functioning' autistic people, but also because it leaves out the people in the middle. It also creates this stigma that people who are 'low functioning' are somehow lesser, as if they're stupid or can't live a full life. Many people (I'm going to assume this doesn't include you) see low functioning autistic people as automatically also of low intelligence, while that really doesn't have to be true at all. I used to describe myself as high functioning too but later I discovered how many resources that I needed were unavailable to me because I was classifiable as high functioning. I now have a fantastic ambulatory attendant (if that's the right English term, idk), while I never thought they were available to people with autism who could somewhat function on their own. I thought that because I was high functioning it shouldn't be so hard for me to shower regularly, or to keep my housekeeping in order, or to go to a concert without being completely overstimulated. Yet at the same time I didn't identify with the people who were classified as 'low functioning' because I am just able enough to live on my own. It creates this unnecessary division and kind of negates the whole inclusion of the word 'spectrum' into ASD. I know that you most likely don't mean any harm by it, and I know that you most likely don't see 'low functioning' autistic people as lesser, but your language reinforces stereotypes that are harmful when they remain commonly used. To my knowledge there isn't yet a clear consensus on which terms would be preferable to refer to what you wanted to refer to, but I've heard many people use 'high/low support needs' instead. It's not perfect, but it's a step up. At least it does a little more to make resources available to everyone. :)
@@MerelvandenHurk You should watch the episode where House treats the Little kid with autism. It's very interesting. I don't think the writers intended for the audience to come away thinking House is Autistic or on the spectrum, but there was enough there, wrapped in House's usual deceptive abrasiveness, that really made me think about it. I think he lets people think he's being a jerk because it's easier than admitting when he wants or needs something... and because he is also a jerk.
Dr. Elliott, I am in chronic pain and no one wants to prescribe pain medicine. What do I do?!? I served my country (US) and I have been in agony. Can you please have a video about this? I have been reaching out to everyone I can think of and I have had no luck.
In my brain I cannot fanthom having a legit reason for pain but...end up becoming addicted to it (And by addicted, I mean, more than just 'physically' addicted which will happen no matter what when it comes to opioids)..like, thats awful. Lose-Lose.
Have you ever reviewed the old Fry And Laurie clip, where both of them think they are psychiatrists with a delusion patient who thinks he is a psychiatrist?
I'm sure it's been mentioned to you already but the reason House and his team jump to obscure and rare cases over the normal things is because when a case gets to him it's because nobody can figure out the problems. We all know the saying "If you hear hoofbeats, think horses, no zebras," but when House gets a case it's because horses have already been ruled out.
I took a placebo once When I was a kid up until my late teens I would sometimes get a burning sensation when I would urinate I had it operated on, my parents once took me to the children's hospital in Indianapolis and had a camera shoved up my pee hole and they could find anything wrong. Finally a doctor suggested I wasn't getting enough vitamin C in my diet so he gave my vitamin C pills (which tasted like orange juice so I didn't mind taking them) and eventually the sensation went away permanently then years later my dad confessed the pills where a placebo
Isn’t it just as simple as the different levels of hormones that get released during intense emotional tides? Different ratios of adrenaline to cortisol to dopamine to serotonin to vasopressin, do we even know all the different potential effects that different proportion hormonal mixtures do to us?
She wasn't seriously encouraging house to get one of his patients to illegally get him drugs, it's just that she knows normally House wouldn't be above doing that, and there had to be some reason he hadn't already done it.
I generally like your insights or I wouldn’t bother commenting but I need to take exception to your explanation of medically unexplained symptoms. You state that “no medical explanation” = pychgenic. This is problematic on at least three grounds: 1) House pretty obviously has a variety of mental health challenges. You don’t need the unexplainable nature of his pain to point out psych issue. And in fact DSM5 specifically says that one can’t use a lack of explanation alone to diagnose a physical symptom as psychogenic. 2) our current diagnostic techniques are much better at isolating static causes that can be seen on repeat imaging than it is at diagnosing intermittent and variable symptoms that depend on stochastic biochemical processes. The patient lives with and observes themselves 24/7 or at least 16/7 if you exclude sleep. Medical professionals see the patient for a 15 minute snapshot. That’s fine for a static condition : a broken bone isn’t going away. But it is a pretty crappy sampling rate for a variable process. Add to that that our chemical assays sample only a small portion of the byproducts, products and reactants in the manifold chemical processes in the body. For all we know (and we know a lot), there is still a lot we don’t know. A little bit of humility about the limits of clinical observation is perhaps in order. 3) if the limits of our diagnostic processes isn’t convincing, perhaps a historical perspective might be. In every generation from Hippocrates to the present physicians have believed their science and methods were the best possible fit for the evidence. And when they can’t fix the patient they have assumed either a moral or a psychogenic cause. Hippocrates, for example, simply couldn’t believe he could be wrong. Some of the passages describing his careful attention to the patient at bedside appear in a context expressing his distrust - like House he believed the patient often lies (happy to provide the quotes). We think the humoral system and blood-letting is bizarre, but for centuries it was considered state of the art medicine based on observation. It was only the introduction of statistical methods in French hospitals that lead to the eventual questioning of its efficacy. (Google debate between Broussaia and Pierre Charles Alexander Louis ). We take statistical analysis of outcomes for granted these days, but even now they continue to develop - what was acceptable evidence in 1980 is not often acceptable today. And what was undetected due to statistical noise in 1980 is sometimes verifiable today. There is also a long history of psychogenic attribution of unexplained symptoms which is eventually rejected when our knowledge of the human body expands. TB was considered psychogenic until the TB bacillus was found. In the 1930’s amenorrhea and excessive menustration in non-anorexic individuals was considered psychogenic because it didn’t respond to surgical intervention or returned after a brief improvement ( ahem, endometriosis caused by dysfunctional multi-potent cells? ). In the 1980’s I was taught that peripheral neuropathy (aka hand glove neuropathy) was psychogenic because there was no one dermatome that went to the entire hand. 40 years later we now know that a number of factors that affect the biochemical environment at nerve endings can cause peripheral neuropathy (common examples: B12 deficiency, diabetes). Nor is psychological attribution psychologically neutral. We are social creatures so when respected others repeatedly tell someone that an unexplained symptom is psychogenic and their refusal to accept it is a symptom of lack of self knowledge, that can be a form of gaslighting. Undermining healthy self perception is not a good thing. Better that everyone involved have the courage to say “I don’t know”. Unexplained simply means unexplained. If “I don’t know” is scary, that can be a topic requiring support, but forcing an explanation when in fact we have none is itself a way of avoiding reality. Put another way: if someone has a comorbid mental health issue by all means, treat the mental health issue but do it because they fit the diagnostic criteria for the comorbid mental health disorder, not merely because there is (as yet) no known physiological explanation. At a minimum they will be in a better place to deal with a problem that our current medical knowledge can’t fix. If they are lucky maybe the problem will also resolve but we should also be aware that we have no way of knowing if the resolution is causative, coincidental or a variant of the placebo effect.
offtopic but my least favorite epsiode is when a guy's eyes pop out (forgot the name of the condition but they were able to fix it and he could still see) i hate ANYTHING having to do with eyes
Hugh Laurie is an amazing and hyper talented actor who I thought was ultimately wasted on this show. The stories were ham fisted and emotionally hyperbolic with SOME real medical basis but little fact checked follow through. I liked it for the first few seasons then came to see it for what it really was - a cash cow for Ill informed greedy studio execs addicted to false irony. The plot themes just repeating on a loop ad nauseum.
I believe it's later in going to say season 5 maybe house gets shot in the leg that hurts him and he has this weird fever dream where ketamine will fix him and for a while it actually takes away his pain enough to where he's actually running jogging being a normal human being but it doesn't last forever because fate is a cruel b****
Some people wouldn’t like or want the coloured pills. They’d rather the boring white ones or better still no colour at all. Why? Because they’re the type of person who doesn’t like additives in their foods. You know like artificial colours, flavours, sweeteners. That kind of thing…… As for Placebos? I’m in two minds here. Is it ethical to lie to a patient? But I have heard of patients who were in double blind studies who’ve gotten better on placebos. In fact much better that the real thing on placebos. And who when told they were on the placebo asked their doctor to keep on prescribing the placebo ( It’s like some phantom limb Jedi Mind Trick. It just blows my mind)…….. ⚛️☮️ 🤔 🌏
Ha well i have nerve pain cause i have a brain tumor and i was taking 60 mg 2x day and was knocked down to 15 2 xday and now i can hardly function and have have agonizing pain and i tried every other pain med before morphine did not work ive been on 60mg for years and it was working just fine didnt up it didnt adjust it just kept it at 60 now more and more tumors are growing places and agonizing pain shocking stabbing ripping pain so bad i wanna die and i dont want that cuz i have a 1 year old so
They already removed the dead thigh muscle and everything else that was necrotic in the surgery that Cuddy and Stacy decided to do against House's wishes and he still continued to be in pain. Even a complete amputation of his leg wouldn't heal his chronic pain!
One of the biggest problems with House is that he has a hole in his leg, so he can always lean on that to explain away the psychological issues. It's a genius piece of writing.
If you want to get more subscribers I advise you to reverse you video so that you're the small screen and not the big one. 90% of people watch on their phones...and we have to squint hard to see the tiny picture in picture. We would rather see more of the video than you.
