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roy andrea crabtree

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Is there a doctor in House
By roy andrea crabtree   
Rated "PG13" by the Author.
Last edited: Friday, April 28, 2006
Posted: Friday, April 28, 2006

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Oftimes questions seem to resolve quite plainly; but at times even the best experts just get it wrong. Time and time again.

Is there a doctor in the "House"?

A good show, I like it.

But on occasion, even the best of shows makes mistakes.

Even while entertaining.

Episode 213, "Skin Deep" has a young sick female model.

After going gloriously through the entire show, the doctors, specificaly House, find out that the person actually is a male pseudohermaphrodite with androgen insensititivity syndrome.

... but they pass over the fact that a blood panel was done earlier.

... which would find the sex of the individual involved, through any one of a number of tests (visual microscopic examination of the
chromosomes, and other tests).  Though these tests _can_ be left off a blood panel, they typically are not:  they are done as a secondary assessment and cross check to make sure that the blood tests stay with
the patient involved: sex splits the probability in half of a lab test being reported to the wrong patient (roughly).

SO, mebbe even screen writers make mistakes:  or maybe even doctors as advanced as House himself.

Except, of curse, it appears that I remember _earlier_ shows noting the presence of blood tests in the generic panel determining sex AND being used to find other obvious problems.

There is another condition that could explain this partially:

It seems the Russians had a serial killer by the name of Chikatilo, whom they had to catch twice in order to convict.

The second time they _claimed_ it was essentially cauht in the act. 
The first time they ran DNA against semen samples and came back with a mismatch.

Over here forensic specialists laughed for years when the head Soviet forensic pathologist claimed, after Chikatilo was caught essentially in the act,  that he had a rare genetic condition where his semen
has a different DNA genotype from the rest of his body.

But too late, since the body had been destroyed and tests were too expensive
to run given that the criminal was already convicted.

Of course, if not _actually_ caught in the act ... some doubt remains.

They ridiculed her as incompetent and afraid to admit of the DNA test failures.

Until years later, when chimerism was discovered.  See DHC "I am my own twin" on the topic of chimeras.

SO, technically, the person could have been
a chimera with androgen insensitivity
coupled with female body and male gonads. 

(Other chimerics exist: they are hard to detect at times).

SO, even here the show could be wrong.


Except ...

Anybody care to tell me why this condition
would also be readily apparent to "House" doctors?

Because a biopsy would confirm the state of the gonad(s) as male,  and the blood tests would still show the rest of the body as female.

Give Worldcom (bookkeeping fraud)

and Enron (the above plus shell games with resources)

and  Iraq's missing weapons of mass destruction (a lying administration and an incompetent Congress)

and now Katrina and New Orleans levees
(120+ years of lies about river care natiowide) ...

the point is: not only fools, but experts

  and fools labelled as experts

are oftimes completely dead wrong.

Usually making someone dead when they _are_ wrong.


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Reviewed by Crystal Silver Angel (Reader) 6/9/2006
(((Roy ))) Very fascinating article

Xxxx dove

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