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	<title>Comments on: House &#8211; Episode 12 (Season 4): &#8220;Don&#8217;t Ever Change&#8221;   (likely the Season Finale)</title>
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	<link>http://www.politedissent.com/archives/1899</link>
	<description>a blog of medicine, comics, television, science and other fun stuff</description>
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		<title>By: JeffH</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-1022338</link>
		<dc:creator>JeffH</dc:creator>
		<pubDate>Tue, 22 Mar 2011 07:19:15 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-1022338</guid>
		<description>Slightly unimpressed with how the main theme of the episode - religion - was irrelevant to the diagnosis.   I like episodes where the diagnosis is in some way related to who the person is, or what they do, or where they&#039;ve been, etc. - as opposed to an entire story of red herrings thrown in for the sake of novelty.</description>
		<content:encoded><![CDATA[<p>Slightly unimpressed with how the main theme of the episode &#8211; religion &#8211; was irrelevant to the diagnosis.   I like episodes where the diagnosis is in some way related to who the person is, or what they do, or where they&#8217;ve been, etc. &#8211; as opposed to an entire story of red herrings thrown in for the sake of novelty.</p>
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		<title>By: Jason</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-981825</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Wed, 29 Dec 2010 15:46:52 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-981825</guid>
		<description>Ok - you&#039;re the only person I&#039;ve seen complain about House MD issues...

I&#039;ve had a gripe with this episode a long time now...

Roz has &quot;nephroptosis&quot; which is floating kidney. 

Am I really this ignorant on my anatomy or... Does House, at the episode&#039;s end where he yells, &quot;stop that jew!,&quot; manipulate her liver? 

&quot;Here, &quot; he says to 13, &quot;press here, hard.&quot;

She and he both press and pick up under the rib, in the front. Where the liver is. 

Now a floating liver is hepatoptosis and not nephroptosis correct?

The kidneys are in the back. Liver is in the front right. Hepatoptosis is front right. Nephroptosis is in the back.

Tell me I&#039;m right or wrong please.</description>
		<content:encoded><![CDATA[<p>Ok &#8211; you&#8217;re the only person I&#8217;ve seen complain about House MD issues&#8230;</p>
<p>I&#8217;ve had a gripe with this episode a long time now&#8230;</p>
<p>Roz has &#8220;nephroptosis&#8221; which is floating kidney. </p>
<p>Am I really this ignorant on my anatomy or&#8230; Does House, at the episode&#8217;s end where he yells, &#8220;stop that jew!,&#8221; manipulate her liver? </p>
<p>&#8220;Here, &#8221; he says to 13, &#8220;press here, hard.&#8221;</p>
<p>She and he both press and pick up under the rib, in the front. Where the liver is. </p>
<p>Now a floating liver is hepatoptosis and not nephroptosis correct?</p>
<p>The kidneys are in the back. Liver is in the front right. Hepatoptosis is front right. Nephroptosis is in the back.</p>
<p>Tell me I&#8217;m right or wrong please.</p>
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		<title>By: Jax</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-941663</link>
		<dc:creator>Jax</dc:creator>
		<pubDate>Sun, 03 Oct 2010 17:17:53 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-941663</guid>
		<description>As for the Chase being the only surgeon we see now, I think it could have to do with House now having someone on the surgical team that he trusts, so he probably insists that Chase do his patient&#039;s surgeries. It&#039;s probably the same reason he makes his ducklings (fellows) do all the tests themselves, because he trusts them over random lab techs or other doctors.
Just a theory.</description>
		<content:encoded><![CDATA[<p>As for the Chase being the only surgeon we see now, I think it could have to do with House now having someone on the surgical team that he trusts, so he probably insists that Chase do his patient&#8217;s surgeries. It&#8217;s probably the same reason he makes his ducklings (fellows) do all the tests themselves, because he trusts them over random lab techs or other doctors.<br />
Just a theory.</p>
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		<title>By: Dr. Illutionist</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-913877</link>
		<dc:creator>Dr. Illutionist</dc:creator>
		<pubDate>Mon, 30 Aug 2010 12:01:34 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-913877</guid>
		<description>This was an Awesome  episode in a while. Perhaps one of the best of this season.

I thoroughly enjoyed one-liners and the jewish plot in this epi.

Especially Wilson&#039;s * Excellent disguise, House. *

and
* Kutner: Saw Amber drop Wilson off this morning.
  House: Yes. The male always drives the female. *

and
* Amber : Why do you have to believe that I have an ulterior motive?
 House : For the same reason I believe that crack whores can have sex. For crack *

and
* House : You do it both ways right?
13 : What?
 House : The Ultrasound: do it standing up and lying down... What else would I mean? *

ROFL :-)

The diagnosis was a stretch ... quite uncommon but the whole aura of this episode was great. Loved it :)</description>
		<content:encoded><![CDATA[<p>This was an Awesome  episode in a while. Perhaps one of the best of this season.</p>
<p>I thoroughly enjoyed one-liners and the jewish plot in this epi.</p>
<p>Especially Wilson&#8217;s * Excellent disguise, House. *</p>
<p>and<br />
* Kutner: Saw Amber drop Wilson off this morning.<br />
  House: Yes. The male always drives the female. *</p>
<p>and<br />
* Amber : Why do you have to believe that I have an ulterior motive?<br />
 House : For the same reason I believe that crack whores can have sex. For crack *</p>
<p>and<br />
* House : You do it both ways right?<br />
13 : What?<br />
 House : The Ultrasound: do it standing up and lying down&#8230; What else would I mean? *</p>
<p>ROFL :-)</p>
<p>The diagnosis was a stretch &#8230; quite uncommon but the whole aura of this episode was great. Loved it :)</p>
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		<title>By: rivka</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-633228</link>
		<dc:creator>rivka</dc:creator>
		<pubDate>Wed, 14 Oct 2009 05:02:28 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-633228</guid>
		<description>JAS, with apologies, you clearly don&#039;t know what you&#039;re talking about. Chasidim are a subset of Charedim, and have themselves about a dozen subsets (depending how you count), only some of whom wear streimlach.

As for &quot;conversion&quot;, she self-identifies as a ba&#039;al-teshuva. That&#039;s someone who was born a Jew but became religious as an adult. (The phrase literally means &quot;one who returns/repents&quot;, and she really should have said ba&#039;al&lt;b&gt;as&lt;/b&gt; teshuva, the feminine version.) It can be a fairly short process -- six months is on the fast side, but not unreasonable. Conversion, OTOH, generally takes 1-3 &lt;b&gt;years&lt;/b&gt;. Or longer. And if she were a convert, she would have said &quot;ger&quot; (or giyores).

Her husband should have pushed her to have the surgery, Shabbos or no. Not doing so is tantamount to suicide, as was mentioned above. She might have picked the emotional appeal of Shabbos with her husband, but how was he swayed so easily?


Bobby, Shabbos ends at full dark. It &lt;b&gt;begins&lt;/b&gt; at sunset.

But really, no one has pointed out the worst religious mistake. That BEARD and mustache!!! yikes!</description>
		<content:encoded><![CDATA[<p>JAS, with apologies, you clearly don&#8217;t know what you&#8217;re talking about. Chasidim are a subset of Charedim, and have themselves about a dozen subsets (depending how you count), only some of whom wear streimlach.</p>
<p>As for &#8220;conversion&#8221;, she self-identifies as a ba&#8217;al-teshuva. That&#8217;s someone who was born a Jew but became religious as an adult. (The phrase literally means &#8220;one who returns/repents&#8221;, and she really should have said ba&#8217;al<b>as</b> teshuva, the feminine version.) It can be a fairly short process &#8212; six months is on the fast side, but not unreasonable. Conversion, OTOH, generally takes 1-3 <b>years</b>. Or longer. And if she were a convert, she would have said &#8220;ger&#8221; (or giyores).</p>
<p>Her husband should have pushed her to have the surgery, Shabbos or no. Not doing so is tantamount to suicide, as was mentioned above. She might have picked the emotional appeal of Shabbos with her husband, but how was he swayed so easily?</p>
<p>Bobby, Shabbos ends at full dark. It <b>begins</b> at sunset.</p>
<p>But really, no one has pointed out the worst religious mistake. That BEARD and mustache!!! yikes!</p>
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		<title>By: Just Me</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-475427</link>
		<dc:creator>Just Me</dc:creator>
		<pubDate>Sun, 22 Feb 2009 04:25:32 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-475427</guid>
		<description>With all the medical personnel who post on this board, nobody found it odd that they were feeding Roz before surgery?

And House is a Nephrologist. He would have caught onto the nephroptosis far sooner considering kidneys are his specialty!</description>
		<content:encoded><![CDATA[<p>With all the medical personnel who post on this board, nobody found it odd that they were feeding Roz before surgery?</p>
<p>And House is a Nephrologist. He would have caught onto the nephroptosis far sooner considering kidneys are his specialty!</p>
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		<title>By: seamus</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-453632</link>
		<dc:creator>seamus</dc:creator>
		<pubDate>Sat, 20 Dec 2008 01:00:16 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-453632</guid>
		<description>Actually, the cast on her leg is visible in many scenes, so they did in fact care for her fractured leg.
Good job on the reviews!</description>
		<content:encoded><![CDATA[<p>Actually, the cast on her leg is visible in many scenes, so they did in fact care for her fractured leg.<br />
Good job on the reviews!</p>
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		<title>By: Matt</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-452058</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 16 Dec 2008 04:42:39 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-452058</guid>
		<description>Greetings from Philippines..They should rule out Addison&#039;s first and start corticosteroids...They should run the ACTH Stimulation test if suspected at first and it will explain endometriosis and therefore should have ordered for intravenous urography if uremia was manifested. It can be confirmed even supine...</description>
		<content:encoded><![CDATA[<p>Greetings from Philippines..They should rule out Addison&#8217;s first and start corticosteroids&#8230;They should run the ACTH Stimulation test if suspected at first and it will explain endometriosis and therefore should have ordered for intravenous urography if uremia was manifested. It can be confirmed even supine&#8230;</p>
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		<title>By: Ivan</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-423160</link>
		<dc:creator>Ivan</dc:creator>
		<pubDate>Thu, 25 Sep 2008 11:40:14 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-423160</guid>
		<description>I&#039;m 1. year med student so exuse me if i got this wrong . :-) 
Just wondering if House can really hold the kidney up by putting his arm below the patients rib cage? Despite kidneys being situated retroperitoneal ?</description>
		<content:encoded><![CDATA[<p>I&#8217;m 1. year med student so exuse me if i got this wrong . :-)<br />
Just wondering if House can really hold the kidney up by putting his arm below the patients rib cage? Despite kidneys being situated retroperitoneal ?</p>
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		<title>By: J-F</title>
		<link>http://www.politedissent.com/archives/1899/comment-page-2#comment-363861</link>
		<dc:creator>J-F</dc:creator>
		<pubDate>Mon, 23 Jun 2008 03:42:08 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/1899#comment-363861</guid>
		<description>Hi from Montreal,

I&#039;m a pharmacist in Quebec, Canada. Just a little precision, here: the medicine used to treat endometriosis in the episode (danazol) is not an aromatase inhibitor (as for example anastrozole)... it is a gonadotrophin inhibitor... just  a little different. 

Thnaks... and good word for all these reviews.</description>
		<content:encoded><![CDATA[<p>Hi from Montreal,</p>
<p>I&#8217;m a pharmacist in Quebec, Canada. Just a little precision, here: the medicine used to treat endometriosis in the episode (danazol) is not an aromatase inhibitor (as for example anastrozole)&#8230; it is a gonadotrophin inhibitor&#8230; just  a little different. </p>
<p>Thnaks&#8230; and good word for all these reviews.</p>
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