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Informed Self-Diagnosis
- 115 statements
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- 16 referencing feature instances
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Most people, when they fall ill, will only describe their symptoms in general terms ("My stomach hurts", "I think I'm going to throw up", "AAA-CHOO!", etc.) This makes sense - most of us don't have much medical knowledge and can only use vague terms to talk about the complex things happening to us. Not so when the patient is a doctor, however. They will give a full account of their condition, with all the relevant jargon, even if they're in the middle of collapsing. If they're already in hospital, they will probably be an Annoying Patient, particularly if the other doctors disagree - it's well known that doctors make the worst patients. Occasionally, it will be shown that the patient isn't actually sick, just that they're a Hypochondriac or simply a worrywart. See also A Fool for a Client, the equivalent trope for lawyers. Compare Diagnosis from Dr. Badass. |
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| Informed Self-Diagnosis / int_109b4a22 | type |
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| Informed Self-Diagnosis / int_109b4a22 | comment |
In Predators, Topher Grace's character does this when he gets caught in something akin to a bear trap. He expresses relief that his tibial artery was missed by inches. Royce, an expert in warfare rather than medicine, explains that the trap was meant to maim him rather than kill him, in order to slow down the whole group. | |
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Sherlock has a non-doctor example- the titular Insufferable Genius diagnoses himself after being shot in the chest by Watson's fiancé Mary. He mentally plays out both evaluating his condition and being advised by mental representations of people he knows- mainly his smug brother Mycroft- to determine that the bullet is still in his body (because it didn't shatter the mirror behind him) and which direction he should fall down in to increase his chances of survival, as well as forcing himself to think of a happy memory (his dog from his childhood) for the same reason. This takes about 5 minutes on-screen but in-universe he mentally goes through all of this in about a second. He later points out that had Mary truly wanted to kill him, she was good enough to make a kill-shot, and it's possible he thought of that at the time of being shot too. | |
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| Informed Self-Diagnosis / int_1463a028 | type |
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On Law & Order: Special Victims Unit, Dr. Warner gets shot. As she, Olivia, and several others are being held captive by the insane woman who shot her, she has to guide Olivia through performing an emergency procedure on her while describing what the bullet has done to her body. | |
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| Informed Self-Diagnosis / int_1cc09117 | type |
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| Informed Self-Diagnosis / int_1cc09117 | comment |
In a Bleach fanfiction Dr. Granz Is In, the second chapter has everyone's favorite pink-haired Espada diagnose himself with appendicitis. He then enlists the help of Espadas 3 through 6 to perform the operation. Nnoitra leaves early, Grimmjow faints at the site of his organs, and Ulquiorra and Harribel do it all fairly well. After all, Ulquiorra was apparently a surgeon in his past life. (Notably, the symptoms and surgery are all realistically portrayed, since the author is actually in medical school and had even just gotten over said disease.) | |
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| Informed Self-Diagnosis / int_21eccc35 | type |
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The Doctor Blake Mysteries: In "Mortal Coil", Lucien self-diagnoses his symptoms as possibly being cirrhosis of the liver and starts making preparations for his possible demise. However, when he eventually gets blood tests done, it turns out to be the far less serious (and more treatable) hepatitis, which has similar symptoms, combined with additional symptoms from his attempt to quit drinking. | |
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Dr Sheldon Hawkes of CSI: NY, having just been rescued from a nasty underwater incident, tells a paramedic he has "a full range of motion - probably just a hairline fracture." | |
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| Informed Self-Diagnosis / int_2275c659 | type |
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| Informed Self-Diagnosis / int_2275c659 | comment |
Unsurprisingly, this happens on House multiple times. In "Three Stories," House prints a graph from his heart monitor, calls a nurse and tells her she has twenty seconds to inject him before he goes into tachycardia. He then crashes immediately, with a surprised "I was wrong..." In the Season 4 finale, Amber gets some of her medical info from Wilson, but quickly puts it all together and figures out for herself that she's doomed. House had done this earlier in the finale for himself on awakening with a concussion and retrograde amnesia. House is also able to work out that somebody spiked his coffee with narcotics when he realizes his mouth is dry. It turns out to be 13, getting revenge for House switching regular coffee for decaf and making her think she was suffering from Huntington's Wilson also does this in one of the funniest scenes of the whole series when he realizes House spiked his coffee with amphetamines, although it's only after confusing Foreman and winking at a patient while he's doing a breast exam. Also used in "The Greater Good," when a chef's apprentice collapses while reciting her symptoms in big medical words. Turns out she's a doctor. One episode with the pregnant photographer opens with her self-diagnosing a stroke that's she's having. In an unusual example, she's not a medical professional, and is using a self-diagnosis technique that everyone can (and should) learn to identify a stroke (though it's revealed that she learned it from a nurse she'd dated). In the episode "Epic Fail", a videogame programmer, who complains that his hands felt like they were on fire, uses online resources to self-diagnose himself, which alienates the doctors of Princeton-Plainsboro. However, they soon prove his self-diagnosis wrong. Instead of doing the logical thing and letting THEM help, he keeps trying to self-diagnose and, eventually, get help from doctors outside the hospital. Near the end of the episode, he offers a $25k prize for the doctor who solves his case, which he posted online. In an (at first) ironic twist, one of the online doctors DOES solve the case and gets the money. But at the end of the episode, it's revealed that House, who had previously resigned and not even looked at the patient once, was the one who solved the case and got the money, which helps convince him that he needs to keep working at the hospital. |
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| House | hasFeature |
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Scrubs: Averted in an early episode when JD himself gets sick. He's diagnosed by the hospital personnel and seems overall intimidated by viewing the hospital from the patient's side. Of course, at this stage, he was just an intern starting out, so his opinion wouldn't be as informed as everyone else's anyway. Played with by having four older doctors all sharing a hospital room. JD is understandably intimidated, but they very kindly inform him of their condition and what's required. Then prank him. Another episode features the "Annoying Patient" angle. Not only does the doctor in question diagnose himself, he brings along a lackey who automatically agrees with everything he says to try and legitimize his claims that the Sacred Heart doctors should just sign off on the drugs he's prescribed himself and let him go about his merrily arrogant way. Then subverted when he hires Elliot for his private practice precisely because she stood up to and disagreed with him (though it's implied he still went with his own diagnosis), because he has too many lackeys like the one he brought along. When the retired Dr. Kelso is admitted and makes sure to keep the interns assigned to treat him busy with nonsense work so he can carry on treating himself. |
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In a Dilbert comic, Catbert made Google the new company health plan, saying "from now on, employees must use Google to diagnose their own illnesses." | |
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In The X-Files: Fight the Future, Scully is stung by a bee and has an immediate reaction. She goes down, describing how she feels — even correcting Mulder when he suggests she's allergic. | |
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In Forward, Simon gives a self-diagnosis when he gets stabbed in the chest by a pair of scissors when the ship goes haywire. Later on, River gives herself a diagnosis of all of the injuries she's accrued, including broken bones, gunshot wounds, and sunburns. | |
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Done in Doc Martin with the "gets it wrong" variant of this trope. Dr Dibbs self-diagnosis almost kills her before Martin manages to correct it. Martin's Aunt Ruth diagnoses herself with a terminal illness, listing all the symptoms, but thankfully Martin is on hand to point a couple of symptoms she's missed which means he has to break the bad news that she is going to live as she has something totally different. | |
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Rizzoli & Isles: In "Dirty Little Secret," Maura is able to ascertain that her injured leg is developing compartment syndrome, and talks Jane through performing an emergency fasciotomy with a piece of glass from a broken cellphone screen. | |
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| Informed Self-Diagnosis / int_8d814070 | type |
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| Informed Self-Diagnosis / int_8d814070 | comment |
Averted in the M*A*S*H episode "Bless you, Hawkeye," when Hawkeye starts sneezing repeatedly and he insists he is alright. When Col. Potter demands an explanation of why he thinks that, Hawkeye simply says "I can tell!" Of course, Col. Potter does not accept that cop-out for a second and orders him relieved of duty at post-op and put to bed. Played straight in season six's "Fade Out, Fade In," in which one of the wounded is a doctor who keeps doing this and telling the surgeons not to bother with him. |
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Lost "Something Nice Back Home," with a twist. Jack knows he has appendicitis, but won't admit it until Juliet calls him on it, at which point he says his appendix hasn't ruptured yet. | |
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In Serenity, Simon is shot in the stomach while trying to assess an injury Kaylee has just taken. As Inara tries to stem the blood flow, he dictates the medication he and Kaylee will both need for their respective injuries. | |
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In Firefly episode "Objects in Space," Simon is shot in the leg. Although he's the only medic on board, Zoe has some battlefield first aid experience. As a result, she has to perform surgery on Simon's leg while he stays conscious enough to talk her through the process. | |
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Dr. Maturin, in the Aubrey-Maturin series, himself falls prey to a wide variety of injuries and ailments over the course of the series. His self-diagnoses are almost always on the mark, too, though he notably fails to recognize his own addiction to the (opium-based) alcoholic tincture of laudanum. | |
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Frasier; Doctors dealing with the Crane family have learnt to dread having one as a patient, or even a relative of Niles or Frasier. The accepted procedure appears to be to humour a fellow medical professionalnote While making it clear that a psychiatrist is somebody with very little relevant recent experience in general medical work and in some respects is no better informed than a member of the public and then to ignore whatever they say and to do it your way anyway. | |
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Star Trek: The Next Generation: The episode "Arsenal Of Freedom": after Dr. Crusher takes a nasty fall, Picard has to take care of her, and she has to tell him how to do it. During another episode where the entire crew is slowly vanishing and Beverly is the only one who notices, she performs a self-diagnostic, mentioning rather tersely that "being the only doctor on board, I had to do it myself." |
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