"Deception" | |
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House episode | |
Episode no. | Season 2 Episode 9 |
Directed by | Deran Sarafian |
Written by | Michael R. Perry |
Original air date | December 13, 2005 |
Guest appearance | |
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"Deception" is the ninth episode of the second season of House , which premiered on Fox on December 13, 2005. After House is replaced temporarily by Foreman as department head, problems arise as House tries to make life miserable for him.
While House is at off-track betting, a woman named Anica who is standing next to him has a seizure. House tells the bystanders to call the paramedics and to take her to Princeton-Plainsboro. Foreman thinks she has DIC due to the alcohol in her system, and House thinks that she has Cushing's syndrome. Cameron thinks that Anica is injecting herself with adrenocorticotropic hormone, which causes Cushing's, because she has Münchausen syndrome. In order to prove herself right, she puts antibiotics on a desk in front of Anica with a warning label that says dangerous. Foreman then gets a call that Anica's urine has turned orange, which confirms the Munchausen's diagnosis, because it means Anica took the Antibiotics Cameron had baited her with, despite the warnings.
The team is convinced that she has Münchausen's and want to discharge her. House suggests Münchausen's and aplastic anemia, but Foreman will not allow him to do any more tests. Before Anica leaves the hospital, House tells her that she has aplastic anemia and that he needs to inject her with a drug, Colchicine, that will make her seem sick in order to confirm his diagnosis. Anica collapses and begins convulsing. She is sent back to the hospital the next day and begins irradiation treatment.
Meanwhile, House sits in Anica's room and notices a strange odor. After sniffing Anica's pillow and bra, he realizes that she has an infection and stops the treatment. There was no fever because the Cushing's syndrome suppressed her immune system and Cameron's dosing her with antibiotics to prove her theory also suppressed symptoms that would've shown earlier. Anica is treated for her infection and accepts out-patient treatment for her Münchausen's. Cuddy offers Foreman the job of being head of diagnostics permanently, but when he decides to take the offer she refuses, because House's actions convinced her that keeping House in the job is the best thing to do, angering Foreman.
The episode ends with dual scenes of Anica getting admitted to another hospital due to a low white cell count — the side-effect of Colchicine — while House was simultaneously placing bets on races at Off-track betting.
The episode received 14.52 million viewers. [1]
Aplastic anemia (AA) is a severe hematologic condition in which the body fails to make blood cells in sufficient numbers. Blood cells are produced in the bone marrow by stem cells that reside there. Aplastic anemia causes a deficiency of all blood cell types: red blood cells, white blood cells, and platelets.
Neutropenia is an abnormally low concentration of neutrophils in the blood. Neutrophils make up the majority of circulating white blood cells and serve as the primary defense against infections by destroying bacteria, bacterial fragments and immunoglobulin-bound viruses in the blood. People with neutropenia are more susceptible to bacterial infections and, without prompt medical attention, the condition may become life-threatening.
Pancytopenia is a medical condition in which there is significant reduction in the number of almost all blood cells.
Aplasia is a birth defect where an organ or tissue is wholly or largely absent. It is caused by a defect in a developmental process.
Factitious disorder imposed on another (FDIA), also known as fabricated or induced illness by carers (FII) and first named as Munchausen syndrome by proxy (MSbP) after Munchausen syndrome, is a mental health disorder in which a caregiver creates the appearance of health problems in another person, typically their child, and sometimes (rarely) when an adult simulates an illness in another adult partner. This might include altering test samples or injuring a child. The caregiver or partner then presents the person as being sick or injured. Permanent injury or death of the victim can occur as a result of the disorder. The behaviour might be motivated by the caregiver or partner seeking sympathy or attention.
Reticulocytopenia is the medical term for an abnormal decrease in circulating red blood cell precursors (reticulocytes) that can lead to anemia due to resulting low red blood cell (erythrocyte) production. Reticulocytopenia may be an isolated finding or it may not be associated with abnormalities in other hematopoietic cell lineages such as those that produce white blood cells (leukocytes) or platelets (thrombocytes), a decrease in all three of these lineages is referred to as pancytopenia.
Gray baby syndrome is a rare but serious, even fatal, side effect that occurs in newborn infants following the accumulation of the antibiotic chloramphenicol. Chloramphenicol is a broad-spectrum antibiotic that has been used to treat a variety of bacteria infections like Streptococcus pneumoniae as well as typhoid fever, meningococcal sepsis, cholera, and eye infections. Chloramphenicol works by binding to ribosomal subunits which blocks transfer ribonucleic acid (RNA) and prevents the synthesis of bacterial proteins. Chloramphenicol has also been used to treat neonates born before 37 weeks of the gestational period for prophylactic purposes. In 1958, newborns born prematurely due to rupture of the amniotic sac were given chloramphenicol to prevent possible infections, and it was noticed that these newborns had a higher mortality rate compared with those who were not treated with the antibiotic. Over the years, chloramphenicol has been used less in clinical practice due to the risks of toxicity not only to neonates, but also to adults due to the risk of aplastic anemia. Chloramphenicol is now reserved to treat certain severe bacteria infections that were not successfully treated with other antibiotic medications.
"Lines in the Sand" is the fourth episode of the third season of House and the fiftieth episode overall. The episode aired on Fox on September 26, 2006.
"Hunting" is the seventh episode of the second season of House, and twenty-ninth overall. It premiered on Fox on November 22, 2005, and was written by Liz Friedman and directed by Gloria Muzio. House is confronted by a homosexual man who demands treatment when other doctors diagnose him with AIDS, something he admits he does have. House begins making moves on Stacy using sensitive information on her relationship with Mark.
"Paternity" is the second episode of the medical drama House, which was first broadcast on Fox on November 23, 2004. A teenage boy is struck on the head in a lacrosse game and is found to have hallucinations and night terrors that are not due to concussion.
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Bone marrow failure occurs in individuals who produce an insufficient amount of red blood cells, white blood cells or platelets. Red blood cells transport oxygen to be distributed throughout the body's tissue. White blood cells fight off infections that enter the body. Bone marrow progenitor cells known as megakaryocytes produce platelets, which trigger clotting, and thus help stop the blood flow when a wound occurs.
"Perils of Paranoia" is the eighth episode of the eighth season of the American television medical drama series House and the 163rd overall episode of the series. It aired on Fox on November 28, 2011.
Neal Stuart Young is an American physician and researcher, chief of the Hematology Branch of the National Institutes of Health (NIH), and Director of the Center for Human Immunology at the NIH in Bethesda, Maryland. He is primarily known for his work in the pathophysiology and treatment of aplastic anemia, and is also known for his contributions to the pathophysiology of parvovirus B19 infection.