In their article “The Depiction of Illness and Related Matters in Two Top-Ranked Primetime Network Medical Drama in the United States”, Ye and Ward (2010) were interested in investigating the diseases, injuries and patient demographics portrayed in Grey’s Anatomy and ER. The authors were very descriptive in their sample selection starting with how and why the programs chosen were selected. Using the recently available DVD seasons for each show was a novel way to investigate the content. However, as a result of this self-imposed sample limitation to only DVDs which are available, one study limitation that the authors mention is the asynchronous nature of the shows studied. That is, the researchers did not study the shows during the initial air dates. The characters, content and plot line of the show do not change because you watch it on DVD and are not (to my knowledge) affected by the asynchronous or synchronous nature of the viewing so why mention it? Perhaps I am thinking about it with 2012 eyes and with knowledge that time shifting is on the rise. Would using Hulu (with a one day turnaround from air date) make any difference in this disclosure?

Ye and Ward provide great detail to the operational definitions of their variables. The categorization of the type of illnesses to be coded is not only helpful in replicating the study but is also helpful in establishing a general categorization of these illnesses for future research.

In the results section, Ye and Ward state that “461 injuries, illnesses and diseases were identified” (P. 562) but it is not known whether this number represents 461 unique illnesses or a running tabulation of all illnesses (where duplication can occur). If it is the former then that is a ton of illnesses but if it is the latter then that could mislead one to think that a ton of illnesses are represented in these educational entertainment shows.

In the discussion section, Ye and Ward suggest that “more attention to chronic diseases is needed” and support this claim by providing evidence from their current research indicating that “fewer than 10 diabetes cases were identified.” (P. 565)  Ye and Ward then go on to suggest ideas for further research to examine other medical shows such as House, Scrubs and Nip/Tuck. This brings up an interesting point. House frequently uses Multiple Sclerosis and/or Lupus as a first diagnosis but it never ends up “sticking” and the patient always comes out with something else in the end. Putting these two ideas together, it would be interesting to see what chronic diseases are frequently found in entertainment education media and specifically what context they are used (diagnosis vs. misdiagnosis). It is such a pervasive parody on House that there is even a (unofficial) T-shirt about it…

Here is a link to two (of many) lamentations regarding the way House treats MS and chronic diseases in general  – http://www.medhelp.org/posts/Multiple-Sclerosis/Dr-House-and-reality/show/1046522 & http://lupusandhumor.blogspot.com/2011/05/its-never-lupus-may-10-is-world-lupus.html.

The House MD social game also pokes fun at the misdiagnosis of Lupis.

What does Multiple Sclerosis look like in the media? 

House
Who constantly misdiagnoses MS (& Lupus and other autoimmune diseases):

  • Season 1, Episode 2 (Paternity) – Sexual abuse is the first misdiagnosis then the team decides it is Multiple Sclerosis. It turns out to be measles.
  • Season 4, Episode 6 (Whatever It Takes) – Heat stroke is the first misdiagnosis then Miller Fisher Inflammation and finally MS or Lupus. In the end the patient is sick from eating too many Brazil nuts.
  • Season 4, Episode 10 (It’s a Wonderful Lie) – Breast cancer is the first diagnosis but the MRI of the chest comes up negative. House then orders an MRI for MS. It turns out to be Breast Cancer in the patient’s leg.

Law & Order: Special Victims Unit

  • Season 11, Episode 17 (Disabled) – Black female victim has multiple sclerosis and is quadriplegic. Disturbing scenes of caretaker violence against the woman by her caretaker sister.
  • Season 3, Episode 8 (Inheritance) – Benson and Stabler visit a person of interest with primary progressive MS. He is an older black male shown in a wheelchair and ostensibly housed in a group home.
  • Season 4, Episode 9 (Juvenile) – Benson and Stabler visit a person of interest who is a part of a medicinal marijuana club/co-op in the city. She is a young, professional white woman who states that “The only thing that controls my tremors from MS is smoking once in a while.”
  • Season 13, Episode 17 (Justice Denied) – Benson finds out that the officer who logged a scarf into evidence was color blind due to early onset Multiple Sclerosis. A false conviction of a serial rapist occurred due to the officer’s claim that the scarf was green (instead of red).

Other

  • The Talk  (18 June 2012) announced Jack Osbourne’s recent multiple sclerosis diagnosis. Sharon Osbourne was visually upset through the announcement and was hesitant to speak.
  • Accused (6 December 2010); Season 1, Episode 4 (Liam’s Story) – The accused Taxi driver’s (Liam’s) wife suffers from “progressive” multiple sclerosis. Liam mentions this to the woman whom he is stalking and from whom he has burgled. The wife is shown in a wheelchair and in a consistently depressed state.
  • West Wing – The president has multiple sclerosis but does everything he can to hide it.
  • Cold Case (2006); Season 3, Episode 16 (One Night) – Terrible misrepresentation of MS including mention of it as a “terminal” illness. Most individuals with MS live regular life spans…just stuck inside a body that does not want to cooperate. In this episode, the serial killer has MS but this is not disclosed until the police visit his wife. His (estranged) wife tells the police that the husband called recently to tell her that the tremors came back. This, to the husband now serial killer, indicates that he is “dying.” In other words, a relapse triggers the man to kill young boys because “they don’t realize what life is worth” at that age.
Celebrities
  • Annette Funicello – Actress (Mickey Mouse Club) and singer
  • Richard Pryor – Actor (See No Evil, Hear No Evil), comedian and writer
  • Montel Williams – Talk show host and MS champion
  • David “Squiggy” Lander – Actor (Laverne and Shirley), comedian and musician
  • Jack Osbourne – Actor (The Osbournes) and media personality
  • Jonathan Katz – Writer (Dr. Katz, Professional Therapist), comedian, actor
  • Alan Osmond – Singer (Osmond Brothers)
  • Teri Garr – Actress (Young Frankenstein)
  • Betty Cuthbert – Athlete (Australia)
  • Lena Horne – Singer (Stormy Weather and other Jazz favorites) and actress
  • Clive Burr – Musician (Iron Maiden)
  • William Hartnell – Actor (Doctor Who)

References:
Ye, Y. and Ward, K.E. (2010). The Depiction of Illness and Related Matters in Two Top-Ranked Primetime Network Medical Drama in the United States. A Content Analysis, Journal of Health Communication, 15(1): 555-570.

Advertisements