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	<title>Comments on: House &#8211; Episode 3: &#8220;Occam&#8217;s Razor&#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: Marceau</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-718163</link>
		<dc:creator>Marceau</dc:creator>
		<pubDate>Tue, 16 Feb 2010 16:49:46 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-718163</guid>
		<description>I&#039;m just now watching the first four seasons again, and spotted another nit to pick...

It&#039;s been a number of years since I thumbed thru a PDR, but don&#039;t they still have a section of color plates that show the appearance of various pharmaceuticals? Why is House in the pharmacy looking for &quot;small round yellow&quot; colchicine tablets, similar to the &quot;cold medicine&quot;. Wouldn&#039;t it have been much simpler to sit at his desk to look?</description>
		<content:encoded><![CDATA[<p>I&#8217;m just now watching the first four seasons again, and spotted another nit to pick&#8230;</p>
<p>It&#8217;s been a number of years since I thumbed thru a PDR, but don&#8217;t they still have a section of color plates that show the appearance of various pharmaceuticals? Why is House in the pharmacy looking for &#8220;small round yellow&#8221; colchicine tablets, similar to the &#8220;cold medicine&#8221;. Wouldn&#8217;t it have been much simpler to sit at his desk to look?</p>
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		<title>By: Pere Ubu</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-691707</link>
		<dc:creator>Pere Ubu</dc:creator>
		<pubDate>Tue, 26 Jan 2010 02:52:11 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-691707</guid>
		<description>Maybe it&#039;s just me... but I&#039;ve never seen colchicine tabs that looked like the ones in the episode. 

All the ones I&#039;ve seen are tiny round white pills... and, from my limited pharmacy tech experience, hard to mistake for anything else.</description>
		<content:encoded><![CDATA[<p>Maybe it&#8217;s just me&#8230; but I&#8217;ve never seen colchicine tabs that looked like the ones in the episode. </p>
<p>All the ones I&#8217;ve seen are tiny round white pills&#8230; and, from my limited pharmacy tech experience, hard to mistake for anything else.</p>
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		<title>By: The autistic guy, now in popular TV detective shows</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-680797</link>
		<dc:creator>The autistic guy, now in popular TV detective shows</dc:creator>
		<pubDate>Mon, 11 Jan 2010 15:50:05 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-680797</guid>
		<description>I DO think TV shows should spend more attention to the methods that are being used to revive a person.

I can&#039;t stress enough how our common CPR method still refuses to distinguise between different heart treatments. That is: heart rythm trouble and heart stopping trouble.
For lets say: heart attack-, overdosis-, and drowning victims.

If blood is still circulating through the body, (which means the brain is still getting oxigen), the CPR treatment should focus far less on mouth-to-mouth breathing.
Too much time is spend on senselessly trying to get more oxigen into the victim while it takes at least 2 minutes for a human body to use up too much of the oxigen that&#039;s already present within the bloodstream.

Why would you try to start a heart that never stopped working?
Shocks can be applied to reboot the heart so it beats properly again, but heart massages and mouth-to-mouth are useless if the blood is still flowing.
Even if the heart is just beating in an irregular rythm, CPR should focus on buying time for the victim and on the prevention of brain damage.
This could in fact increase the survivalrate of all heartinfarct victims twothird and extend the survival of the everage CPR revival victim by at least 4 to 7 minutes.

ps. my first language isn&#039;t English so please don&#039;t get sand in your vegina about my grammar or spelling.</description>
		<content:encoded><![CDATA[<p>I DO think TV shows should spend more attention to the methods that are being used to revive a person.</p>
<p>I can&#8217;t stress enough how our common CPR method still refuses to distinguise between different heart treatments. That is: heart rythm trouble and heart stopping trouble.<br />
For lets say: heart attack-, overdosis-, and drowning victims.</p>
<p>If blood is still circulating through the body, (which means the brain is still getting oxigen), the CPR treatment should focus far less on mouth-to-mouth breathing.<br />
Too much time is spend on senselessly trying to get more oxigen into the victim while it takes at least 2 minutes for a human body to use up too much of the oxigen that&#8217;s already present within the bloodstream.</p>
<p>Why would you try to start a heart that never stopped working?<br />
Shocks can be applied to reboot the heart so it beats properly again, but heart massages and mouth-to-mouth are useless if the blood is still flowing.<br />
Even if the heart is just beating in an irregular rythm, CPR should focus on buying time for the victim and on the prevention of brain damage.<br />
This could in fact increase the survivalrate of all heartinfarct victims twothird and extend the survival of the everage CPR revival victim by at least 4 to 7 minutes.</p>
<p>ps. my first language isn&#8217;t English so please don&#8217;t get sand in your vegina about my grammar or spelling.</p>
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		<title>By: Marc</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-569712</link>
		<dc:creator>Marc</dc:creator>
		<pubDate>Sat, 25 Jul 2009 18:38:55 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-569712</guid>
		<description>Defibrillating asystole is such a common &quot;TV Doctor&quot; mistake, and I&#039;ve moaned about it for so many years that my wife (with no medical training at all) now recognizes when it happens in shows!

For the public, it&#039;s simple.  Flatline is bad.  Shocking is good.  So we shock flatline!  Easy (but wrong).

The other thing I kind of have enjoyed watching over the years is the various ways that the actors react when they are apparently &#039;defibrillated&#039;.  Sometimes they arch their back and hold it for a few seconds, sometimes they kind of spas out all their limbs.  I even saw a guy moan once.  Makes you think he might not have been dead!  

Still it&#039;s fun.</description>
		<content:encoded><![CDATA[<p>Defibrillating asystole is such a common &#8220;TV Doctor&#8221; mistake, and I&#8217;ve moaned about it for so many years that my wife (with no medical training at all) now recognizes when it happens in shows!</p>
<p>For the public, it&#8217;s simple.  Flatline is bad.  Shocking is good.  So we shock flatline!  Easy (but wrong).</p>
<p>The other thing I kind of have enjoyed watching over the years is the various ways that the actors react when they are apparently &#8216;defibrillated&#8217;.  Sometimes they arch their back and hold it for a few seconds, sometimes they kind of spas out all their limbs.  I even saw a guy moan once.  Makes you think he might not have been dead!  </p>
<p>Still it&#8217;s fun.</p>
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		<title>By: Greg</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-539860</link>
		<dc:creator>Greg</dc:creator>
		<pubDate>Mon, 22 Jun 2009 03:09:49 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-539860</guid>
		<description>&quot;just curious what kind of cough medication comes in pill form. i am only familiar with over the counter cough medicine, and only know of liquid medicine–the idea being, i guess that coating the throat helps with the cough, or the tickle that generates the cough. i don’t think the liquids really helf for more than a few minutes. so there must be a different type of medicine that is prescription only.
but what is it and how does it treat a cough?&quot;

Although cough medicines are more common as syrups than as pills, they still work by acting on the brain, not on the throat. The whole &quot;liquid&quot; thing is just a marketing gimmick. Furthermore, you can get cough meds in pill form without a prescription.

&quot;And I recently read in the BBC website that the US is probably the only country where they actually advertise prescription drugs on television. No offence to any Americans, but it sounds to me like drugs are too commercialised over there.&quot;

You obviously haven&#039;t seen the ads in question. For every minute-long ad, about 15 seconds will be advertising and the other 45 will be explaining the possible side effects and interactions (&quot;taking X with alcohol may cause severe complications, like seizures or death, so talk to your doctor...&quot;). 

&quot;Several times watching, I have seen patients “heart stop” i.e. asystole on the cardiac monitors and “the team” debrillates them back to NSR. This is sorta … wrong … debrillation is exactly what it means, it is to stop fibrillation NOT jump start a heart that is dead, no pulse… meds are given to “jump start the heart” in addition to CPR.&quot;

Welcome to the wonderful world of TV and movies. You obviously haven&#039;t seen ER, Scrubs, or any other show or movie in which defibrillators are used... ever.</description>
		<content:encoded><![CDATA[<p>&#8220;just curious what kind of cough medication comes in pill form. i am only familiar with over the counter cough medicine, and only know of liquid medicine–the idea being, i guess that coating the throat helps with the cough, or the tickle that generates the cough. i don’t think the liquids really helf for more than a few minutes. so there must be a different type of medicine that is prescription only.<br />
but what is it and how does it treat a cough?&#8221;</p>
<p>Although cough medicines are more common as syrups than as pills, they still work by acting on the brain, not on the throat. The whole &#8220;liquid&#8221; thing is just a marketing gimmick. Furthermore, you can get cough meds in pill form without a prescription.</p>
<p>&#8220;And I recently read in the BBC website that the US is probably the only country where they actually advertise prescription drugs on television. No offence to any Americans, but it sounds to me like drugs are too commercialised over there.&#8221;</p>
<p>You obviously haven&#8217;t seen the ads in question. For every minute-long ad, about 15 seconds will be advertising and the other 45 will be explaining the possible side effects and interactions (&#8221;taking X with alcohol may cause severe complications, like seizures or death, so talk to your doctor&#8230;&#8221;). </p>
<p>&#8220;Several times watching, I have seen patients “heart stop” i.e. asystole on the cardiac monitors and “the team” debrillates them back to NSR. This is sorta … wrong … debrillation is exactly what it means, it is to stop fibrillation NOT jump start a heart that is dead, no pulse… meds are given to “jump start the heart” in addition to CPR.&#8221;</p>
<p>Welcome to the wonderful world of TV and movies. You obviously haven&#8217;t seen ER, Scrubs, or any other show or movie in which defibrillators are used&#8230; ever.</p>
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		<title>By: DAVID</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-473834</link>
		<dc:creator>DAVID</dc:creator>
		<pubDate>Wed, 18 Feb 2009 03:48:19 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-473834</guid>
		<description>?&#039;s
I have recently started watching this show.
I am a RN and by no means a doctor but I have several ?&#039;s...

Several times watching, I have seen patients &quot;heart stop&quot; i.e. asystole on the cardiac monitors and &quot;the team&quot; debrillates them back to NSR. This is sorta ... wrong ... debrillation is exactly what it means, it is to stop fibrillation NOT jump start a heart that is dead, no pulse... meds are given to &quot;jump start the heart&quot; in addition to CPR.
I have looked for a site that lists the &quot;medical errors&quot; on the show but i haven&#039;t found it yet so I post here.

On this episode, the &quot;jump started&quot; a heart in asystole and they keep saying &quot;cc&quot; instead of mg (milligrams)... cc or ml is a fluid amount of medication, has nothing to do with how much medication is given. In other words... 1 cc of epinephrine can contain 1 mg of the medication or 10mg of the medication or even 100mg. So when it was said &quot;i gave her a cc of epi&quot; doesn&#039;t tell us anything except it was 1 millilter of fluid....

thanks for listening</description>
		<content:encoded><![CDATA[<p>?&#8217;s<br />
I have recently started watching this show.<br />
I am a RN and by no means a doctor but I have several ?&#8217;s&#8230;</p>
<p>Several times watching, I have seen patients &#8220;heart stop&#8221; i.e. asystole on the cardiac monitors and &#8220;the team&#8221; debrillates them back to NSR. This is sorta &#8230; wrong &#8230; debrillation is exactly what it means, it is to stop fibrillation NOT jump start a heart that is dead, no pulse&#8230; meds are given to &#8220;jump start the heart&#8221; in addition to CPR.<br />
I have looked for a site that lists the &#8220;medical errors&#8221; on the show but i haven&#8217;t found it yet so I post here.</p>
<p>On this episode, the &#8220;jump started&#8221; a heart in asystole and they keep saying &#8220;cc&#8221; instead of mg (milligrams)&#8230; cc or ml is a fluid amount of medication, has nothing to do with how much medication is given. In other words&#8230; 1 cc of epinephrine can contain 1 mg of the medication or 10mg of the medication or even 100mg. So when it was said &#8220;i gave her a cc of epi&#8221; doesn&#8217;t tell us anything except it was 1 millilter of fluid&#8230;.</p>
<p>thanks for listening</p>
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		<title>By: Stevie</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-439527</link>
		<dc:creator>Stevie</dc:creator>
		<pubDate>Sat, 22 Nov 2008 18:01:34 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-439527</guid>
		<description>Since about ten people have now expressed dubious statements about what Occam&#039;s Razor is or isn&#039;t: it is not a principle specifically concerned with medicine, it is also not mere logic, neither is it a principle of epistemology. It is a methodological principle. Occam&#039;s original statement was roughly: Do not multiply entities beyond necessity. (http://en.wikipedia.org/wiki/Occam%27s_razor - unfortunately, the wikipedia article is in many respects pretty bad.) A less mysterious sounding reformulation: do not posit the existence of certain things / things of a certain kind until you have shown that assuming them to exist helps explain data / genuine phenomena in need of such explanation.

What Occam&#039;s Razor certainly is not is the (utterly silly) claim: the simplest explanation is always the correct one. (As Chase seems to think.) It is not even the much less silly version you obtain by substituting &#039;often&#039; for &#039;always&#039;.

That being said: great show, love it.</description>
		<content:encoded><![CDATA[<p>Since about ten people have now expressed dubious statements about what Occam&#8217;s Razor is or isn&#8217;t: it is not a principle specifically concerned with medicine, it is also not mere logic, neither is it a principle of epistemology. It is a methodological principle. Occam&#8217;s original statement was roughly: Do not multiply entities beyond necessity. (<a href="http://en.wikipedia.org/wiki/Occam%27s_razor" rel="nofollow">http://en.wikipedia.org/wiki/Occam%27s_razor</a> &#8211; unfortunately, the wikipedia article is in many respects pretty bad.) A less mysterious sounding reformulation: do not posit the existence of certain things / things of a certain kind until you have shown that assuming them to exist helps explain data / genuine phenomena in need of such explanation.</p>
<p>What Occam&#8217;s Razor certainly is not is the (utterly silly) claim: the simplest explanation is always the correct one. (As Chase seems to think.) It is not even the much less silly version you obtain by substituting &#8216;often&#8217; for &#8216;always&#8217;.</p>
<p>That being said: great show, love it.</p>
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		<title>By: King of Waltham</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-392976</link>
		<dc:creator>King of Waltham</dc:creator>
		<pubDate>Sat, 19 Jul 2008 09:59:55 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-392976</guid>
		<description>Duke,

&quot;people here seem to know better than not to follow the doctor’s instructions&quot;

Your logic is as vapid as it is narcissistic.</description>
		<content:encoded><![CDATA[<p>Duke,</p>
<p>&#8220;people here seem to know better than not to follow the doctor’s instructions&#8221;</p>
<p>Your logic is as vapid as it is narcissistic.</p>
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		<title>By: House 103: Occam&#8217;s Razor Review &#171; monash medical student</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-375638</link>
		<dc:creator>House 103: Occam&#8217;s Razor Review &#171; monash medical student</dc:creator>
		<pubDate>Fri, 04 Jul 2008 03:22:26 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-375638</guid>
		<description>[...] House disagrees, saying that simultaneous development of hypothyroidism and a sinus infection is more likely.They treat him with intravenous levothyroxine (an artificial thyroid medication) and Unasyn, a pencillin to treat the sinus infection. Again, bollocks. Levothyroxine is given orally. Polite Dissent has also pointed this out. [...]</description>
		<content:encoded><![CDATA[<p>[...] House disagrees, saying that simultaneous development of hypothyroidism and a sinus infection is more likely.They treat him with intravenous levothyroxine (an artificial thyroid medication) and Unasyn, a pencillin to treat the sinus infection. Again, bollocks. Levothyroxine is given orally. Polite Dissent has also pointed this out. [...]</p>
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		<title>By: The Duke of Waltham</title>
		<link>http://www.politedissent.com/archives/408/comment-page-1#comment-373583</link>
		<dc:creator>The Duke of Waltham</dc:creator>
		<pubDate>Wed, 02 Jul 2008 03:13:11 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/408#comment-373583</guid>
		<description>It makes sense, but it still shows a different mentality; people here seem to know better than not to follow the doctor&#039;s instructions. And I recently read in the BBC website that the US is probably the only country where they actually advertise prescription drugs on television. No offence to any Americans, but it sounds to me like drugs are too commercialised over there.</description>
		<content:encoded><![CDATA[<p>It makes sense, but it still shows a different mentality; people here seem to know better than not to follow the doctor&#8217;s instructions. And I recently read in the BBC website that the US is probably the only country where they actually advertise prescription drugs on television. No offence to any Americans, but it sounds to me like drugs are too commercialised over there.</p>
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