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Storyline
A girl crashes a Porsche after her boyfriend starts coughing up blood and continues to have unexplained bleeds. Clinic Cases: Cuddy gives House a month off clinic duties if he can spend a week off his pain meds.
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Did You Know?
Trivia
This is the first time that Lupus is offered as a possible diagnosis.
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Goofs
Opiate is a term used to describe the naturally occurring narcotics in opium, which are mainly codeine and morphine, whereas opioid is a term used for the semi-synthetic analgesics like hydrocodone (Vicodin, Lortab and Norco), oxycodone (Percocet and OxyContin) and Hydromorphone (Dilaudid), as well as the fully synthetic narcotic analgesics like methadone and fentanyl. When House exhibits the effects of opioid withdrawal, Dr. Cuddy states it is because House is addicted to the Vicodin; however, just because someone is experiencing withdrawal after stopping an opiate or opioid does not mean that they are addicted. It just means that their body, mainly the brain and nervous system, had become tolerant to the drug. Only some people using opiates and opioids become addicted to them (meaning they take the drug for the high). Everyone else taking opiates or opioids for more then a couple weeks just becomes tolerant to the drug because of its similarity to chemicals secreted in the brain, mainly endorphins and dopamine (our bodies' natural painkiller and "feel good hormone"). In fact, endorphins are very similar to morphine, both chemically and in its effects on the nervous system; so, since these drugs are a lot like those chemical neurotransmitters secreted in the brain, the brain stops making them. Any sudden halt to taking opiates or opioids throws the brain into a chemical imbalance, which is what withdrawals are. Once our brains are able to catch up and start producing normal levels of endorphins and dopamine, the withdrawal subsides. To sum it up, going into withdrawal after the cessation of opiates or opioids does not necessarily mean one is addicted to them.
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Quotes
Dr. Wilson:
You learn anything?
Dr. Gregory House:
Yeah. I'm an addict.
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Connections
References
The Deadly Tower (1975)
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Soundtracks
You Don't Have To Worry
(uncredited)
Written by
Wayne Jones and
Windy Wagner
Performed by
Windy Wagner See more »
This is actually season one episode 12 with Amanda Seyfried. sorry this is not a review just a note. this is a great show and i would rate all episodes at least an eight or higher