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fadedflowerchild- 08-21-2010

That doesn’t make Stacy’s assessment wrong that House was basically the same person before his leg got ruined, but the pain surely made streaks of character which were already there more pronounced and harder to deal with. House says this himself to Hannah in "Help Me" when convincing her to accept amputation-that the decision to keep his leg had made him "a harder person, a worse person."

Namaste- 08-21-2010

House tried everything to keep the pain abbey, and not only in season 6 Actually, he tried a few things, but he certainly didn't try everything. In Detox, after he admits his addiction, Wilson points out that there are other therapies, that Cuddy would give him time off to go someplace, and House outright rejects it because he sees Vicodin as being the best solution for him. He admitted that he never finished the therapy program immediately after the infarction because he thought the whole issue to "visual your pain" was a crock. I think that prior to Season Six, House sought out and tried methods that would completely alleviate his pain -- the Ketamine, the nerve graft concept, the methadone -- but other therapies and drugs for pain management, he rejected.

Bea- 08-21-2010

even the team had noticed that House's pain had gotten worse Are we sure it has gotten worse? Is it really physical deterioration? (They could go there for drama, if he stays with Cuddy and off the Vicodin) Or is he feeling it worse because he only took ibuprofen, which is highly ineffective alone in those injuries, and felt bad because he was uneasy with his situation (Cuddy, Sam, trying to be nice....) Well, I meant that the pain had gotten worse, I think that's undeniable. As for the cause, I guess we'll see in season 7, I'm sure they'll address this at some point. I think I already wrote in another thread, that I expect House to hide it from Cuddy, should his pain get worse again. He probably doesn't want to be seen as weak and pitiful and perhaps (although maybe that's too sappy for House?) he doesn't want her to think that their relationship isn't enough to make him happy enough to keep the pain at bay? And since hiding pain is exhausting, he could end up pushing her away and letting her think of him as an asshole instead of addressing any pain issues. But maybe that's just something the old House would have done and maybe he has learned to go about this differently since 'Broken', we'll see. And I do think that Cuddy is the caring type, after all she's usually portrayed as a mother figure to House. spoiler: I mean, look at the beach pics, she's all body contact, touching him a lot, so I'm sure she's a pampering kind of woman ;). Thank you. House looks at his best when caught off guard, vulnerability and masculinity mixed up. Perfectly said! It's exactly that mixture of manly roughness and those puppy dog eyes that I love about him.

ruthless- 08-21-2010

I agree with Bea that Cuddy is the caring type. Sitting at his hospital bed site at the end of season 5; even after she was humiliated by him at the end of season 6, she runs to him and asks him if he's alright, caressing his face after he confesses to his hallucinations. In "Locked In, she's running after him down the hall to check on his minor injuries, etc etc. I also agree with Bea that House would try to hide his pain. That's why I think she should be proactive. Make sure he gets regular massages, perhaps whirlpool baths. When House is really in pain, he uses the tub...although I'm not sure I understand how, I assume, warm or hot water helps.

Anonyme- 08-21-2010

I agree with Bea that Cuddy is the caring type. Sitting at his hospital bed site at the end of season 5; even after she was humiliated by him at the end of season 6, she runs to him and asks him if he's alright, caressing his face after he confesses to his hallucinations. In "Locked In, she's running after him down the hall to check on his minor injuries, etc etc. I also agree with Bea that House would try to hide his pain. That's why I think she should be proactive. Make sure he gets regular massages, perhaps whirlpool baths. When House is really in pain, he uses the tub...although I'm not sure I understand how, I assume, warm or hot water helps. Cuddy's character became caring after the third season, for me. As she tolerates House calling her Mommy from time to time, I don't think she is a very tender woman (what she said to Vogler, calling her on her softness, about obtaining her job by her feminine wiles). She's tough. But House loves that, it seems. He would probably welcome caring if it looked unintended, but I don't think mothering him would be accepted. But what do I know? After all, he may like being pampered.

Visitkarte- 08-21-2010

House tried everything to keep the pain abbey, and not only in season 6 Actually, he tried a few things, but he certainly didn't try everything. In Detox, after he admits his addiction, Wilson points out that there are other therapies, that Cuddy would give him time off to go someplace, and House outright rejects it because he sees Vicodin as being the best solution for him. He admitted that he never finished the therapy program immediately after the infarction because he thought the whole issue to "visual your pain" was a crock. I think that prior to Season Six, House sought out and tried methods that would completely alleviate his pain -- the Ketamine, the nerve graft concept, the methadone -- but other therapies and drugs for pain management, he rejected. Well, of course there are methods he refused. There are so many official and unofficial treatments, and there are always valid reasons to refuse to try some of them. He was not THAT desperate. He refused visualizing the healing... Well, big thing, I'd have refused that on his place, too. He stopped rehab but got quite a good mobility back on his own. Orthopedic rehab wouldn't have done a better job, I have worked as a rehab doctor and I know what rehab can do and what it can't. House has done greatly on his own. A lot of people refuse the psychological part in a rehab therapy. It depends on the temperament of the person, and it's not necessarily a bad thing to refuse that part if a person has a strong minded character, and House is certainly a strong willed and minded person. It worked for him as well as it could, and chronic pain will not go away if you ask it politely to do so. Cutting the leg off wouldn’t have guaranteed him a pain free existence either. There is a big chance of developing phantom pain, imperfectly fitting prosthesis causes also pain, perfectly fitting less so, but not none. Trying literally everything to get rid of the pain means sometime being desperate enough to drink your own urine (not that it helps, it doesn’t, but you get the idea). I think House did everything within reason. I also think that after Mayfield he is in more pain than before, but less than he feared, meaning not enough to overcome his fear of the returning hallucinations.

Bea- 08-21-2010

Well, of course there are methods he refused. There are so many official and unofficial treatments, and there are always valid reasons to refuse to try some of them. Well, Cuddy's and Wilson's point is that he's not taking the Vicodin solely for his physical ailments, but also to numb any emotional issues he's having. So they want him to try therapy or something, to learn to process and deal with his problems without opiates. And also to try different medication that is less damaging to his health (not unreasonable, and he's obviously not opposed to taking medication). He stopped rehab but got quite a good mobility back on his own. Orthopedic rehab wouldn't have done a better job, I have worked as a rehab doctor and I know what rehab can do and what it can't. House has done greatly on his own. Yeah, just because it has been mentioned that he didn't finish his rehab back then, I've never believed that House didn't work on improving his leg/walking abilities. We've seen what he was capable of at the beginning of season 3 and that he's determined and able to push through the pain, and I think that's consistent with his obsessive and stubborn nature. He probably just preferred to do this alone, so I'd say he educated himself and exercised etc. on his own, without any "idiot" rehab doc telling him what he should and shouldn't do ;). A lot of people refuse the psychological part in a rehab therapy. It depends on the temperament of the person, and it's not necessarily a bad thing to refuse that part if a person has a strong minded character, and House is certainly a strong willed and minded person. You've got a point, I have always wondered how successful the psychological part of rehab would have gone for House, anyway. If he doesn't believe in its effectiveness and is subconsciously rejecting the whole concept, then he'll never be able to really get involved with this, even if he'd be prepared to at least try, I just don't think that he could change what he believes in. She's tough. But House loves that, it seems. He would probably welcome caring if it looked unintended, but I don't think mothering him would be accepted. But what do I know? After all, he may like being pampered. I'll say he hates and loves it at the same time ;). He's probably annoyed by the nagging and infantilising that goes along with it, but secretly also enjoys the attention.

Anonyme- 08-22-2010

She's tough. But House loves that, it seems. He would probably welcome caring if it looked unintended, but I don't think mothering him would be accepted. But what do I know? After all, he may like being pampered. I'll say he hates and loves it at the same time ;). He's probably annoyed by the nagging and infantilising that goes along with it, but secretly also enjoys the attention. From my point of view, he would love the attention, but not if she made it clear she went out of her way for him. I mean, she should say "Oh, I had a craving for pancakes, do you want any?" or "I'm in the mood for a hot bath, care to join?" Not, "I made you pancakes" or "I draw you a bath". Similarly, I think that "Come on, I'll give you a massage" would work better than "Do you need me to massage your leg?". This is the kind of guy you need to be assertive with, for their own good. But once again, maybe I'm interpretating.

Visitkarte- 08-22-2010

Well, of course there are methods he refused. There are so many official and unofficial treatments, and there are always valid reasons to refuse to try some of them. Well, Cuddy's and Wilson's point is that he's not taking the Vicodin solely for his physical ailments, but also to numb any emotional issues he's having. So they want him to try therapy or something, to learn to process and deal with his problems without opiates. And also to try different medication that is less damaging to his health (not unreasonable, and he's obviously not opposed to taking medication). Well, part of the reason any person takes the said opiate is the 'mood lifting effect'. The thing is, every pain patient needs sooner or later an antidepressant added to the basic medication. But antidepressants have also their downsides, and I can understand House for refusing them long time. Until he had to face the fact that he actually is clinically depressed and needs help. The other thing is, telling a person with House’s disability that their pain is psychosomatic is just bold and isn’t going to make you their friend. Their way to deal with the problem was highly unprofessional and wasn’t doing any good to make him more compliant. That’s why friends mustn’t ever treat friends.

ruthless- 08-22-2010

Neither Wilson nor Cuddy ever said that House's pain was psychosomatic. They have ALWAYS acknowledged the fact that the infarction left him with a great deal of pain. But they were also aware that he had good and bad days and that his general mood had a great impact on how much pain he was feeling. On the other hand, neither believed that the way he handled it was the best for him in the long run. I'd say they were correct. Was their tampering unprofessional? That's not the term I would use. It's hard to see someone you care about run himself into the ground. I'd say it was ineffective and useless. The only one who can help an addict is the addict him/herself.

Vicodin- 08-22-2010

The only one who can help an addict is the addict him/herself. In the first place House is a pain patient! The fact that he is a pain patient is the reason, why he has become an addict. And as a pain patient he deserves to be respected, get help to treat his pain and not to be stamped as an addict. The fact that he has been stamped as an addict as he went to the hospital the first time because of his leg pain, is to blame for the three days long delay of the infarction diagnosis. House takes the medicine because he has a real medical condition and therefore has a good reason. He does not take his medicine just for fun.

ruthless- 08-22-2010

Read the article in Salon.com about chronic pain. It's a very good discussion about pain in general, involving a woman who is a sufferer and has written a book about it. Not everyone who has such pain becomes an addict. If you wish to continue to excuse House's approach to this problem, be my guest, but don't expect me to join you.

Visitkarte- 08-22-2010

@ Ruthless I don't need another article about pain patients, having the professional knowledge myself and the necessary qualifications in that area. When I say Cuddy and Wilson handled the situation unprofessionally, I meant in the first line the way how they were nagging on him. They were acting like a mum and a brother, as biased and ineffectively as it goes. Cuddy gave him placebo and rubbed it under his nose, for crying out loud! This proves nothing, it is very insulting and shows the patient that you dismiss his pain and the value of his complaints. I agree with Vicodin: The fact that House has been treated like an addict was the reason for the great delay in the diagnosis. They have no right to lecture him on addiction, especially not Cuddy. And no, not every pain patient becomes addicted to pain meds. Every pain is different and reacts to different medication. Rheumatic disorders react great to Ibuprofen and similar meds, Cortisone helps also a lot. Neuropathic pain can react very well to antiepileptic like Gabapentine or Progabaline. There are pain patients who rather isolate themselves of commit suicide in the end. I don't think any of these options is better than becoming dependent on opiates. Partly amputated limbs or severe leg injuries tend very often to bring the person to the brink of madness. They have no way to avoid putting strain on the badly injured limb (it’s much simpler to go easy on your non-dominant arm, for example). The damaged self image is one of the reasons aggravating the symptoms (as we could see in the arm amputated man in ‘The Tyrant’). The problem is, a mirror wouldn’t do House any good, his mind won’t let him do the trick. What stays, is a hardly manageable pain witch wouldn’t go away, and an increasing amount of opiates needed. This leads to addiction and even opiate induced pain. Sad, but true: That’s how it might end, and that’s what brought House in Mayfield.

ruthless- 08-22-2010

I understand what you are saying, but after Mayfield he doesn't appear to have any worse pain than he had before, when he was on drugs. At least that's not what was portrayed in season 6. He had good and bad days, just like before. And how he felt his pain was related to what was happening in the rest of his life. To me this proves that he didn't need drugs to the extent that he was using them before. They didn't really improve his life, at least during the time we see him in the series. He seemed to be taking them, at times, because he was afraid he might have more pain if he DIDN'T take them. House appears to be the type of person who will always take the easy way out, even though, in the long run, it may turn out to be very complicated.

Visitkarte- 08-22-2010

I understand what you are saying, but after Mayfield he doesn't appear to have any worse pain than he had before, when he was on drugs. At least that's not what was portrayed in season 6. He had good and bad days, just like before. And how he felt his pain was related to what was happening in the rest of his life. To me this proves that he didn't need drugs to the extent that he was using them before. They didn't really improve his life, at least during the time we see him in the series. He seemed to be taking them, at times, because he was afraid he might have more pain if he DIDN'T take them. House appears to be the type of person who will always take the easy way out, even though, in the long run, it may turn out to be very complicated. While I agree with you that it's how they made it seem in the season 6, they also explained the thing with the opiate induced pain (shortly, opiates make the brain feel much more pain inducing more drug intake etc). The main reason for that must have been an intervention of the FDA. (The plot is not consistent with 'The Tree Stories'.) Another reason might be taking the plot line with Mayfield and after. Be it s it may, I'm sure House is just too scared of hallucinations to go back to Vicodine, and that's the reason why he tolerates a HIGHER level of pain than before. House is not a person to take the easy way out. He is obsessive and persistent, he tries hard and never relents to save his patients (I never bought his 'I only want to solve puzzles'). He simply wanted to be pain free (a very healthy reasoning!) and fell in the Vicodine trap (Vicodine is a terrible medicament for chronic pain sufferers, he should have been on some slow releasing and constant pain management drug like Oxycodone or similar). That's not his mistake, that's what you get when treated by a friend. Friends are not objective.