The summary is:
A doctor reacts to a scene from the TV show House, where a 600-pound patient falls into a coma and wakes up blind. The doctor criticizes the unrealistic and unethical medical practices shown in the show, such as drugging the patient, lying to him, and not doing basic tests. He also explains some of the possible causes and complications of the patient's condition, such as lung cancer, paraneoplastic syndrome, and clubbing of the fingers. He ends by inviting the user to watch another video about obesity.
Here are the key facts from the text:
1. A 46-year-old man is admitted to the hospital weighing over 600 pounds.
2. The patient is in a coma, but the cause is unknown.
3. The patient's blood sugar, cholesterol, and tox screens are normal.
4. The patient's neurological exam and EEG are also normal.
5. The doctors discuss the challenges of treating obese patients, including difficulty with equipment and mobility.
6. One of the doctors, House, suggests that the patient's weight is not the primary issue.
7. The patient wakes up from the coma, but his condition is still unknown.
8. The doctors consider various tests, including a CAT scan, MRI, and LP.
9. The patient is eventually diagnosed with a small cell lung carcinoma, which caused a paraneoplastic neurologic syndrome.
10. The patient's lung cancer is inoperable, but radiation treatments are available.
11. The patient is told that radiation treatments may give him a few more months to live.
12. The patient is shocked by the diagnosis, as he never smoked.
13. Not all lung cancer cases are caused by smoking, some are caused by asbestos.
14. The patient's fingers are clubbed, indicating a possible connection to the lung cancer.
15. The patient's liver is failing, and he is jaundiced.
16. The doctors get an x-ray of the patient's hands, which shows clubbing of the fingers.
17. The patient's vision is affected, and he experiences blindness during a procedure.
18. A doctor, Cameron, suggests that the patient may have an emotional issue causing him to overeat.
19. The hospital has equipment limitations for obese patients, including MRI machines.
20. The patient is eventually able to leave the hospital, but his long-term prognosis is uncertain.