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	<title>Comments on: House &#8212; Episode 17 (Season 5): &#8220;The Social Contract&#8221;</title>
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	<description>a blog of medicine, comics, television, science and other fun stuff</description>
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		<title>By: Tommy Turtle</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-1131980</link>
		<dc:creator>Tommy Turtle</dc:creator>
		<pubDate>Mon, 21 Nov 2011 23:10:53 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-1131980</guid>
		<description>@ Neglars:

&quot;Did he “blurt out” because of his disease or what?&quot;

Yes. The conditions caused damage, and apparently a glucose imbalance, decreasing the blood flow  to the frontal lobe of the brain, the area primarily responsible for &quot;social control&quot; (inhibition and impulse control). 

&quot;I don’t think I get it…. was he healed by the end?&quot;

Yes. The surgery removed damaged parts of the brain, and removal of the &quot;insulin&quot;-(or whatever)-secreting fibroma restored the proper balance of glucose. (which IIUC, not being an MD, is the brain&#039;s only &quot;fuel&quot;.)

Although, strangely enough, he showed few of the other classic signs of low blood sugar -- hunger, shaking, and a bunch of others. 

@ Dr. Scott: True?</description>
		<content:encoded><![CDATA[<p>@ Neglars:</p>
<p>&#8220;Did he “blurt out” because of his disease or what?&#8221;</p>
<p>Yes. The conditions caused damage, and apparently a glucose imbalance, decreasing the blood flow  to the frontal lobe of the brain, the area primarily responsible for &#8220;social control&#8221; (inhibition and impulse control). </p>
<p>&#8220;I don’t think I get it…. was he healed by the end?&#8221;</p>
<p>Yes. The surgery removed damaged parts of the brain, and removal of the &#8220;insulin&#8221;-(or whatever)-secreting fibroma restored the proper balance of glucose. (which IIUC, not being an MD, is the brain&#8217;s only &#8220;fuel&#8221;.)</p>
<p>Although, strangely enough, he showed few of the other classic signs of low blood sugar &#8212; hunger, shaking, and a bunch of others. </p>
<p>@ Dr. Scott: True?</p>
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		<title>By: Tommy Turtle</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-1131759</link>
		<dc:creator>Tommy Turtle</dc:creator>
		<pubDate>Mon, 21 Nov 2011 09:56:49 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-1131759</guid>
		<description>@ Dr. Scott: 

May I suggest that you find a different reference link for &quot;morphine&quot;? According to the site linked to in the review:

&quot;Morphine is not for treating pain just after surgery unless you were already taking it before the surgery.&quot;

Then a very highly-respected, major teaching hospital in the US doesn&#039;t know what they&#039;re doing, either in Recovery or post-surgical recuperation. A friend with severe post--surgical pain upon awakening was given IV morphine pushes in Recovery until the pain was under control. Then back in the room, a PCA pump, plus a nighttime baseline drip, until the pain was finally controllable by lesser narcotics (hydrocodone) a few days later. 

&quot;You may not be able to take morphine unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it.&quot;

What?! Do they have this confused with 160mg Oxycontin? ... Surely there is no reason that an otherwise-healthy person for whom there are no contraindications cannot receive this -- like the pt. mentioned above. As with everything, &quot;the dose makes the poison&quot;. Of course such pts are monitored carefully against ... everything. But the statement is ludicrous. 

Please consider finding another reference source to link to for morphine. Thank you.</description>
		<content:encoded><![CDATA[<p>@ Dr. Scott: </p>
<p>May I suggest that you find a different reference link for &#8220;morphine&#8221;? According to the site linked to in the review:</p>
<p>&#8220;Morphine is not for treating pain just after surgery unless you were already taking it before the surgery.&#8221;</p>
<p>Then a very highly-respected, major teaching hospital in the US doesn&#8217;t know what they&#8217;re doing, either in Recovery or post-surgical recuperation. A friend with severe post&#8211;surgical pain upon awakening was given IV morphine pushes in Recovery until the pain was under control. Then back in the room, a PCA pump, plus a nighttime baseline drip, until the pain was finally controllable by lesser narcotics (hydrocodone) a few days later. </p>
<p>&#8220;You may not be able to take morphine unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it.&#8221;</p>
<p>What?! Do they have this confused with 160mg Oxycontin? &#8230; Surely there is no reason that an otherwise-healthy person for whom there are no contraindications cannot receive this &#8212; like the pt. mentioned above. As with everything, &#8220;the dose makes the poison&#8221;. Of course such pts are monitored carefully against &#8230; everything. But the statement is ludicrous. </p>
<p>Please consider finding another reference source to link to for morphine. Thank you.</p>
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		<title>By: Negerlars</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-1040463</link>
		<dc:creator>Negerlars</dc:creator>
		<pubDate>Fri, 29 Apr 2011 00:19:11 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-1040463</guid>
		<description>Did he &quot;blurt out&quot; because of his disease or what? I don&#039;t think I get it.... was he healed by the end?</description>
		<content:encoded><![CDATA[<p>Did he &#8220;blurt out&#8221; because of his disease or what? I don&#8217;t think I get it&#8230;. was he healed by the end?</p>
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		<title>By: Joe</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-978553</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Wed, 22 Dec 2010 10:37:44 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-978553</guid>
		<description>What is your favorite ep of house scott?</description>
		<content:encoded><![CDATA[<p>What is your favorite ep of house scott?</p>
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		<title>By: ZackD</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-888772</link>
		<dc:creator>ZackD</dc:creator>
		<pubDate>Sat, 10 Jul 2010 23:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-888772</guid>
		<description>why didnt anyone explain to his wife that she would be just as bad in his condition and to get off of her high horse</description>
		<content:encoded><![CDATA[<p>why didnt anyone explain to his wife that she would be just as bad in his condition and to get off of her high horse</p>
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		<title>By: Mezo</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-867187</link>
		<dc:creator>Mezo</dc:creator>
		<pubDate>Sat, 12 Jun 2010 20:48:32 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-867187</guid>
		<description>Thanks alot for the review, Dr.Scott. I almost read them all and I just wanted to thank you for the great effort :)</description>
		<content:encoded><![CDATA[<p>Thanks alot for the review, Dr.Scott. I almost read them all and I just wanted to thank you for the great effort :)</p>
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		<title>By: Jon</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-866979</link>
		<dc:creator>Jon</dc:creator>
		<pubDate>Sat, 12 Jun 2010 14:45:55 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-866979</guid>
		<description>Taub puts on his master cardiology stethoscope the wrong way near the end of the show.</description>
		<content:encoded><![CDATA[<p>Taub puts on his master cardiology stethoscope the wrong way near the end of the show.</p>
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		<title>By: André Branco</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-647553</link>
		<dc:creator>André Branco</dc:creator>
		<pubDate>Wed, 11 Nov 2009 00:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-647553</guid>
		<description>Apart from the great sexual compliments to Thirteen and Cuddy, best dialogues in my opinion were:

[13 x Foreman]
- He didn&#039;t call me attractive. He cast me in his mental porno.
- That&#039;s what attractive means. &quot;I&#039;m attracted to you, sexually.&quot;
- Attracted can also mean &quot;I&#039;m attracted to the whole package. To who you are.&quot;
- It could. It never does. It&#039;s what women choose to hear, not what men say.
- Actually, it&#039;s exactly what men say if they have any brains.

*  *  *
[Patient]
- I think people who publicize important things are people who can&#039;t do important things themselves.

*  *  *
[House x Wilson]
- So you made your one effort to live a normal, selfish life and the universe immediately smacked you down. And because we&#039;re wired to find meaning in semi-random events, you decided never to be that careless again.
- You don&#039;t think that&#039;s a little facile?
- Actually, I don&#039;t. I think you did it consciously. You developed your... people-pleasing talents the way an olympic athlete develops his muscles. Talk about an overreaction to a single event.
- It was a pretty big event.
- Hanging up the phone? That&#039;s what you&#039;re blaming all this on. That&#039;s the behavior you&#039;ve been trying to correct. As though nothing else went wrong in your brother&#039;s life.Of course, he overreacted too, but...

*  *  *

[House x Wilson]
- Does it bother you that we have no social contract?
- My whole life is one big compromise. I tiptoe around everyone like they&#039;re made of china. I spend all my time analyzing: what
will the effect be if I say this? Then there&#039;s you. You&#039;re a reality junkie. If I offered you a comforting lie, you&#039;d smack me over the head with it.Let&#039;s not change that.
- Ok
- No, see, this... If you were implementing the social contract, you&#039;d say that, but only because... It makes me feel better...
- It is kind of fun watching you torture yourself.
- Do you think things will work out with my brother?
- No. But when it does go wrong, it won&#039;t be your fault.
- Thanks, House.
- You do actually like monster trucks.
- Absolutely.</description>
		<content:encoded><![CDATA[<p>Apart from the great sexual compliments to Thirteen and Cuddy, best dialogues in my opinion were:</p>
<p>[13 x Foreman]<br />
- He didn&#8217;t call me attractive. He cast me in his mental porno.<br />
- That&#8217;s what attractive means. &#8220;I&#8217;m attracted to you, sexually.&#8221;<br />
- Attracted can also mean &#8220;I&#8217;m attracted to the whole package. To who you are.&#8221;<br />
- It could. It never does. It&#8217;s what women choose to hear, not what men say.<br />
- Actually, it&#8217;s exactly what men say if they have any brains.</p>
<p>*  *  *<br />
[Patient]<br />
- I think people who publicize important things are people who can&#8217;t do important things themselves.</p>
<p>*  *  *<br />
[House x Wilson]<br />
- So you made your one effort to live a normal, selfish life and the universe immediately smacked you down. And because we&#8217;re wired to find meaning in semi-random events, you decided never to be that careless again.<br />
- You don&#8217;t think that&#8217;s a little facile?<br />
- Actually, I don&#8217;t. I think you did it consciously. You developed your&#8230; people-pleasing talents the way an olympic athlete develops his muscles. Talk about an overreaction to a single event.<br />
- It was a pretty big event.<br />
- Hanging up the phone? That&#8217;s what you&#8217;re blaming all this on. That&#8217;s the behavior you&#8217;ve been trying to correct. As though nothing else went wrong in your brother&#8217;s life.Of course, he overreacted too, but&#8230;</p>
<p>*  *  *</p>
<p>[House x Wilson]<br />
- Does it bother you that we have no social contract?<br />
- My whole life is one big compromise. I tiptoe around everyone like they&#8217;re made of china. I spend all my time analyzing: what<br />
will the effect be if I say this? Then there&#8217;s you. You&#8217;re a reality junkie. If I offered you a comforting lie, you&#8217;d smack me over the head with it.Let&#8217;s not change that.<br />
- Ok<br />
- No, see, this&#8230; If you were implementing the social contract, you&#8217;d say that, but only because&#8230; It makes me feel better&#8230;<br />
- It is kind of fun watching you torture yourself.<br />
- Do you think things will work out with my brother?<br />
- No. But when it does go wrong, it won&#8217;t be your fault.<br />
- Thanks, House.<br />
- You do actually like monster trucks.<br />
- Absolutely.</p>
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		<title>By: Mike</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-617459</link>
		<dc:creator>Mike</dc:creator>
		<pubDate>Sun, 20 Sep 2009 19:27:54 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-617459</guid>
		<description>Joe, racquetball is an American pursuit (good guess), a little like squash. Public courts are popular, as it&#039;s a simpler arrangement, and more forgiving ball, than squash. The advantage (over tennis or most other ball games) is no &#039;equipment&#039; is needed to furnish the court, other than the area itself.

http://en.wikipedia.org/wiki/Racquetball

On a &#039;House&#039; front, I had never watched a single episode until about 5 weeks ago. Then decided to buy seasons 1-4 in a box-set, and have gotten through them all. Now catching up on season 5. And improving my differential diagnosis skills as well(!)</description>
		<content:encoded><![CDATA[<p>Joe, racquetball is an American pursuit (good guess), a little like squash. Public courts are popular, as it&#8217;s a simpler arrangement, and more forgiving ball, than squash. The advantage (over tennis or most other ball games) is no &#8216;equipment&#8217; is needed to furnish the court, other than the area itself.</p>
<p><a href="http://en.wikipedia.org/wiki/Racquetball" rel="nofollow">http://en.wikipedia.org/wiki/Racquetball</a></p>
<p>On a &#8216;House&#8217; front, I had never watched a single episode until about 5 weeks ago. Then decided to buy seasons 1-4 in a box-set, and have gotten through them all. Now catching up on season 5. And improving my differential diagnosis skills as well(!)</p>
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		<title>By: Joe</title>
		<link>http://www.politedissent.com/archives/2238/comment-page-2#comment-587810</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Mon, 17 Aug 2009 23:56:13 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/?p=2238#comment-587810</guid>
		<description>What is racquetball? I&#039;ve never heard of it myself (i&#039;m British). I assume its another one of those sports only the Americans play.</description>
		<content:encoded><![CDATA[<p>What is racquetball? I&#8217;ve never heard of it myself (i&#8217;m British). I assume its another one of those sports only the Americans play.</p>
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