House: His MRI showed that the leg pain wasn’t caused by the self-injection, wasn’t caused by an infection. It was an aneurysm that clotted, leading to an infarction.
(...)
Cuddy: We have to do the surgery. The necrotic tissue has to be removed. If there’s too much –
(...)
Cuddy: The blockage of blood flow –
House: Four-day blockage.
Cuddy: Yes. It caused muscle cell death. When those cells die, they release cytokines and potassium --
House: If you restore the blood flow instead of just lopping it all off, then all that crap gets washed back into my system. The cytokines could cause organ failure, the potassium could cause cardiac arrest. On the other hand, I may just get the use of my leg back.
Cuddy: The post-operative pain alone –
(...)
Stacy: You’re in pain, you’re not thinking right.
House: That’s why I need the damn morphine!
(...)
Stacy: Oh my God, how much longer is the pain going to last?
Cuddy: It depends on how much muscle cell death there was. He could be right, he could come out of this with almost full use of his leg.
Stacy: Or?
Cuddy: He could be in pain for the rest of his life. There’s a third option, surgically. A middle ground between what we did and amputation.
(...)
Stacy: The middle ground you were talking about?
Cuddy: We go in, take out the dead muscle. There’s still some risk of reperfusion injury, but –
(...)
House: Because of the extent of the muscle removed, utility of the patient’s leg was severely compromised. Because of the time delay in making the diagnosis, patient continues to experience chronic pain.
bronHopelijk is het zo duidelijk
"Pain is my friend. I can trust pain. I can trust pain to make my life utterly miserable."
"My brain is too smart for me."
"We don't need no education." "Yes you do, you just used a double negative."