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	<title>Comments on: House &#8211; episode 19</title>
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	<link>http://www.politedissent.com/archives/711</link>
	<description>a blog of medicine, comics, television, science and other fun stuff</description>
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		<title>By: Lily</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-1163098</link>
		<dc:creator>Lily</dc:creator>
		<pubDate>Sat, 21 Jan 2012 00:40:56 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-1163098</guid>
		<description>I had TTP in real life and the only reason many nurses knew about TTP was from this episode. There is however, no definitive test, and I was constantly released, until finally I arrived having a stroke, seize, super low plasma and red blood, 106 deg F temp and high white blood cells. I was unconscious at first, vast blood tests performed, but never once was I tested for pregnancy, asked, or even family with me as a guess. (I discovered this while getting tunneled catheters (plasmapheresis) to leave a 2 month hospital stay and they said they never had a pregnancy test. (After TONS of high dose meds, CTS scans, MRIs, Xrays, EEGs, EKGs, so on.)

AND to everyone saying wouldn&#039;t she know she was pregnant with morning sickness, I mean not every woman gets it, BUT with progressed TTP I was puking constantly, I thought I had a horrible flu til it became abnormally persistent, weirder still is that it&#039;s common to gain weight, or at least not lose waist despite frequent vomiting with TTP, even little appetite (until the steroids), I got weaker and weaker.  Finally once admitted the for a Iong stay (after many shorter ones) I was pronounced near death, paralyzed on the Rside &amp; at that point considered severely brain damaged. jaundice, bruising everywhere, plasmapheresis and blood transfusions several times a day (not a good time to have ABneg-(rarest blood), often had to wait hours for enough supply), and so on.
I DO agree a brain ultrasound makes no sense, but I learned I was a trial subject, with a rare blood disorder affecting only 3 to 6 in a million causes per year. Every few days a new doctor was on the floor (rotating about 5 doctors) and they ALL had different views and fought often about my treatment. SO it&#039;s hard to judge was is right in this disorder. I have joined online groups and am thankful I had successful, MANY people still die, go into coma, need new spleens, kidneys, livers, heart work, and  so on. Until the advent of spinning out plasma with plasmapheresis it was considered fatal.  

Sorry about the long post, just thought I&#039;d share my experience suffering from TTP, Or if anyone wanted to ask if anything did/didn&#039;t happen compared to the show or anything,?</description>
		<content:encoded><![CDATA[<p>I had TTP in real life and the only reason many nurses knew about TTP was from this episode. There is however, no definitive test, and I was constantly released, until finally I arrived having a stroke, seize, super low plasma and red blood, 106 deg F temp and high white blood cells. I was unconscious at first, vast blood tests performed, but never once was I tested for pregnancy, asked, or even family with me as a guess. (I discovered this while getting tunneled catheters (plasmapheresis) to leave a 2 month hospital stay and they said they never had a pregnancy test. (After TONS of high dose meds, CTS scans, MRIs, Xrays, EEGs, EKGs, so on.)</p>
<p>AND to everyone saying wouldn&#8217;t she know she was pregnant with morning sickness, I mean not every woman gets it, BUT with progressed TTP I was puking constantly, I thought I had a horrible flu til it became abnormally persistent, weirder still is that it&#8217;s common to gain weight, or at least not lose waist despite frequent vomiting with TTP, even little appetite (until the steroids), I got weaker and weaker.  Finally once admitted the for a Iong stay (after many shorter ones) I was pronounced near death, paralyzed on the Rside &amp; at that point considered severely brain damaged. jaundice, bruising everywhere, plasmapheresis and blood transfusions several times a day (not a good time to have ABneg-(rarest blood), often had to wait hours for enough supply), and so on.<br />
I DO agree a brain ultrasound makes no sense, but I learned I was a trial subject, with a rare blood disorder affecting only 3 to 6 in a million causes per year. Every few days a new doctor was on the floor (rotating about 5 doctors) and they ALL had different views and fought often about my treatment. SO it&#8217;s hard to judge was is right in this disorder. I have joined online groups and am thankful I had successful, MANY people still die, go into coma, need new spleens, kidneys, livers, heart work, and  so on. Until the advent of spinning out plasma with plasmapheresis it was considered fatal.  </p>
<p>Sorry about the long post, just thought I&#8217;d share my experience suffering from TTP, Or if anyone wanted to ask if anything did/didn&#8217;t happen compared to the show or anything,?</p>
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		<title>By: Mattias</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-1136822</link>
		<dc:creator>Mattias</dc:creator>
		<pubDate>Wed, 30 Nov 2011 22:06:29 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-1136822</guid>
		<description>And why don&#039;t they ever give anesthesia for lumbar punction for example? It literally takes five extra minutes, and with no suspicion of meningitis I can&#039;t think of a reason to be in such a hurry. It&#039;s not a dramatic thing to do if it&#039;s done right.</description>
		<content:encoded><![CDATA[<p>And why don&#8217;t they ever give anesthesia for lumbar punction for example? It literally takes five extra minutes, and with no suspicion of meningitis I can&#8217;t think of a reason to be in such a hurry. It&#8217;s not a dramatic thing to do if it&#8217;s done right.</p>
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		<title>By: Mattias</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-1136819</link>
		<dc:creator>Mattias</dc:creator>
		<pubDate>Wed, 30 Nov 2011 22:04:37 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-1136819</guid>
		<description>Why was she admitted in the first place? Because of a random fever and a rash (the neck was already explained)? She was obviously well enough to perform an advanced, and very mentally and physically demanding, dive. There is nothing that says she can&#039;t just be sent home and told &quot;maybe you should see a doc for that fever...&quot; somewhere where it&#039;s NOT already overrun by meningitis patients.

Second, is it really necessary to flood the entire hospital and set up a quarantine because of one confirmed case of meningitis? Telling hundreds of people who just happened to be in the same swimming hall for a few hours to overrun the hospital and have doctors leave their normal duties to perform hundreds of tests seems WAY overreacting. 
In Sweden profylactic antibiotics is given only to close contacts (family and close friends, not classmates if there&#039;s only one sick kid in the class for example). Also it takes at least two days for someone newly infected to get sick, meaning none of the people who stormed the hospital should have symptoms.

I just have a hard time believing an entire hospital is being shut down every time someone gets sick with meningitis.</description>
		<content:encoded><![CDATA[<p>Why was she admitted in the first place? Because of a random fever and a rash (the neck was already explained)? She was obviously well enough to perform an advanced, and very mentally and physically demanding, dive. There is nothing that says she can&#8217;t just be sent home and told &#8220;maybe you should see a doc for that fever&#8230;&#8221; somewhere where it&#8217;s NOT already overrun by meningitis patients.</p>
<p>Second, is it really necessary to flood the entire hospital and set up a quarantine because of one confirmed case of meningitis? Telling hundreds of people who just happened to be in the same swimming hall for a few hours to overrun the hospital and have doctors leave their normal duties to perform hundreds of tests seems WAY overreacting.<br />
In Sweden profylactic antibiotics is given only to close contacts (family and close friends, not classmates if there&#8217;s only one sick kid in the class for example). Also it takes at least two days for someone newly infected to get sick, meaning none of the people who stormed the hospital should have symptoms.</p>
<p>I just have a hard time believing an entire hospital is being shut down every time someone gets sick with meningitis.</p>
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		<title>By: ecoli</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-1117564</link>
		<dc:creator>ecoli</dc:creator>
		<pubDate>Thu, 20 Oct 2011 21:15:15 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-1117564</guid>
		<description>I am not a doctor, but which idiot suggests an abortion on someone with an as-yet uncontrolled clotting disorder? They should wait at least until the clotting normalizes.</description>
		<content:encoded><![CDATA[<p>I am not a doctor, but which idiot suggests an abortion on someone with an as-yet uncontrolled clotting disorder? They should wait at least until the clotting normalizes.</p>
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		<title>By: S</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-1013890</link>
		<dc:creator>S</dc:creator>
		<pubDate>Sat, 05 Mar 2011 02:36:44 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-1013890</guid>
		<description>Dana&gt; No, some 12yos do know what menstruation is: I started my (very regular) period very young, so I knew what to expect by the time I was 12. Puberty does have a broad range, after all.

Marina&gt; It&#039;s not as common nowadays, but there are middle schoolers who have sex, so it&#039;s definitely possible for a 12yo to be pregnant. It&#039;s normal both to have people that age to have periods and to not have periods.</description>
		<content:encoded><![CDATA[<p>Dana&gt; No, some 12yos do know what menstruation is: I started my (very regular) period very young, so I knew what to expect by the time I was 12. Puberty does have a broad range, after all.</p>
<p>Marina&gt; It&#8217;s not as common nowadays, but there are middle schoolers who have sex, so it&#8217;s definitely possible for a 12yo to be pregnant. It&#8217;s normal both to have people that age to have periods and to not have periods.</p>
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		<title>By: Marina</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-1004850</link>
		<dc:creator>Marina</dc:creator>
		<pubDate>Sun, 06 Feb 2011 19:24:11 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-1004850</guid>
		<description>Is it just me or does nobody mention that it would be strange for a 12 year old to be pregnent, it would be normal to not have her period, let alone have sex and get pregnent.</description>
		<content:encoded><![CDATA[<p>Is it just me or does nobody mention that it would be strange for a 12 year old to be pregnent, it would be normal to not have her period, let alone have sex and get pregnent.</p>
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		<title>By: Dana</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-993297</link>
		<dc:creator>Dana</dc:creator>
		<pubDate>Sat, 15 Jan 2011 03:49:10 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-993297</guid>
		<description>Everyone else is focusing on that disease the girl had.  I&#039;m finding myself focusing on one of the first commenters from, what, six years ago?  The one who said the twelve-year-old should have known she was pregnant from the morning sickness?

ooh boy, here we go.

1.  She was a 12-year-old.  They barely know what menstruation is, much less how it feels to be pregnant.  Except the ones who start early, but considering there are adult women who believe silly things about the female reproductive system... you know.

1a. Teenagers who are still relatively new to menstruation are more likely to have irregular periods, making diagnosis even more difficult, especially if they *don&#039;t* have morning sickness--see next item.

2.  Not every pregnant woman gets morning sickness.

3.  Not every woman who gets morning sickness in one pregnancy gets it in all of them.

In my first pregnancy my period was still pretty irregular beforehand.  I had a couple episodes of lightheadedness, and I&#039;m not one to faint, but both episodes were connected with me being overheated, so I could more easily dismiss them.  No indigestion, no weird food cravings, no nothing.  It was my husband who finally said to me, &quot;I think you might be pregnant,&quot; prompting us to go first to the drugstore and then to the clinic for confirmation.

In my second pregnancy I started getting morning sickness right after a household-wide bout of the creeping crud, where *everybody* had upset tummies.  I assumed I&#039;d simply caught what was going around.  It was when I continued vomiting day after day (morning sickness doesn&#039;t necessarily only happen in the morning either!) that I clued in that something was probably going on.  My periods were still sorta irregular then, but I found out I was expecting a lot sooner than I had with my first pregnancy.  They couldn&#039;t even pick up the heartbeat with a stethoscope yet.

I realize this is one of those stereotypes about women that everyone loves to repeat, so I thought maybe I should say something, since none of the medical experts here had bothered.  Given that you ignored that glaring error from a commenter, I&#039;m wondering whether I should trust the information *you&#039;ve* given out, either.</description>
		<content:encoded><![CDATA[<p>Everyone else is focusing on that disease the girl had.  I&#8217;m finding myself focusing on one of the first commenters from, what, six years ago?  The one who said the twelve-year-old should have known she was pregnant from the morning sickness?</p>
<p>ooh boy, here we go.</p>
<p>1.  She was a 12-year-old.  They barely know what menstruation is, much less how it feels to be pregnant.  Except the ones who start early, but considering there are adult women who believe silly things about the female reproductive system&#8230; you know.</p>
<p>1a. Teenagers who are still relatively new to menstruation are more likely to have irregular periods, making diagnosis even more difficult, especially if they *don&#8217;t* have morning sickness&#8211;see next item.</p>
<p>2.  Not every pregnant woman gets morning sickness.</p>
<p>3.  Not every woman who gets morning sickness in one pregnancy gets it in all of them.</p>
<p>In my first pregnancy my period was still pretty irregular beforehand.  I had a couple episodes of lightheadedness, and I&#8217;m not one to faint, but both episodes were connected with me being overheated, so I could more easily dismiss them.  No indigestion, no weird food cravings, no nothing.  It was my husband who finally said to me, &#8220;I think you might be pregnant,&#8221; prompting us to go first to the drugstore and then to the clinic for confirmation.</p>
<p>In my second pregnancy I started getting morning sickness right after a household-wide bout of the creeping crud, where *everybody* had upset tummies.  I assumed I&#8217;d simply caught what was going around.  It was when I continued vomiting day after day (morning sickness doesn&#8217;t necessarily only happen in the morning either!) that I clued in that something was probably going on.  My periods were still sorta irregular then, but I found out I was expecting a lot sooner than I had with my first pregnancy.  They couldn&#8217;t even pick up the heartbeat with a stethoscope yet.</p>
<p>I realize this is one of those stereotypes about women that everyone loves to repeat, so I thought maybe I should say something, since none of the medical experts here had bothered.  Given that you ignored that glaring error from a commenter, I&#8217;m wondering whether I should trust the information *you&#8217;ve* given out, either.</p>
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		<title>By: kwh</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-965425</link>
		<dc:creator>kwh</dc:creator>
		<pubDate>Wed, 17 Nov 2010 16:48:10 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-965425</guid>
		<description>Just an observation: they swallow a LOT of pills without water in this show. I take Vicoden occasionally as needed for pain, the 7.5/750 dose, and those things are horse pills. I take a lot of medication and I can take huge handfuls of pills on only 1 or two gulps of water, but I can&#039;t imagine taking even 1 of my Vicoden alone without at least a sip of something.</description>
		<content:encoded><![CDATA[<p>Just an observation: they swallow a LOT of pills without water in this show. I take Vicoden occasionally as needed for pain, the 7.5/750 dose, and those things are horse pills. I take a lot of medication and I can take huge handfuls of pills on only 1 or two gulps of water, but I can&#8217;t imagine taking even 1 of my Vicoden alone without at least a sip of something.</p>
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		<title>By: JeffH</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-962735</link>
		<dc:creator>JeffH</dc:creator>
		<pubDate>Mon, 08 Nov 2010 07:21:29 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-962735</guid>
		<description>In the scene where the kid comes out of the bathroom stall after making straining noises, House says &quot;You know what a hemorrhoid is? Well Google it.&quot;   Wouldn&#039;t it be more productive to google &quot;constipation&quot;?</description>
		<content:encoded><![CDATA[<p>In the scene where the kid comes out of the bathroom stall after making straining noises, House says &#8220;You know what a hemorrhoid is? Well Google it.&#8221;   Wouldn&#8217;t it be more productive to google &#8220;constipation&#8221;?</p>
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		<title>By: Diseraph</title>
		<link>http://www.politedissent.com/archives/711/comment-page-1#comment-949210</link>
		<dc:creator>Diseraph</dc:creator>
		<pubDate>Thu, 14 Oct 2010 14:01:25 +0000</pubDate>
		<guid isPermaLink="false">http://politedissent.com/archives/711#comment-949210</guid>
		<description>No one thought about the female interviewee whom House dismissed because of her shoes? I haven&#039;t been on the lookout but I&#039;m sure Cameron was wearing heels throughout the seasons. Barring actor&#039;s pay etc, I think I would have taken the interviewee over Cameron any day. 

Also considering House&#039;s &quot;everybody lies, motto&quot; no one ever really questioned the trainer? I mean I&#039;m sure its constitutional rape. I am surprised the parents didn&#039;t beat the living crap out of him.</description>
		<content:encoded><![CDATA[<p>No one thought about the female interviewee whom House dismissed because of her shoes? I haven&#8217;t been on the lookout but I&#8217;m sure Cameron was wearing heels throughout the seasons. Barring actor&#8217;s pay etc, I think I would have taken the interviewee over Cameron any day. </p>
<p>Also considering House&#8217;s &#8220;everybody lies, motto&#8221; no one ever really questioned the trainer? I mean I&#8217;m sure its constitutional rape. I am surprised the parents didn&#8217;t beat the living crap out of him.</p>
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