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The new division of Assistant Jackie, the Showtime alternation starring Edie Falco as a super-competent emergency-room assistant with a affection for affliction pills, begins with her appearance in rehab. Unlike Gregory House, the ablaze diagnostician played by Hugh Laurie on Fox, Jackie Peyton does not absolutely ache from astringent abiding pain; rather, she uses narcotics to administer her affecting state. But like House, she is actual acceptable at her job, which never seems to be compromised by her biologic use except to the admeasurement that she lies and cheats to get painkillers (along with the casual stimulant) and to awning up her habit. Her drug-related problems axis about absolutely from the actuality that the drugs she favors are acknowledged alone for doctor-approved medical use. Hence she invents injuries, deceives her friends, swipes medication, and starts an brash extramarital activity with the hospital pharmacist who food her with painkillers. If she could artlessly airing into a abundance and buy the oxycodone, hydrocodone, and amphetamine that advice get her through the day, those problems would disappear. Which raises the question: Does Jackie accept a biologic botheration or a prohibition problem?

That affair is abrupt in Assistant Jackie because, as far as I can anamnesis from the aboriginal three seasons, she is not portrayed as blame up at assignment or blame over her accompany and ancestors because of her biologic use per se. It would be altered if she compromised a patient’s abundance or forgot to aces her babe up at academy because she was aerial on OxyContin. But as far as we can tell, the drugs she takes do not blemish her achievement or accumulate her from affair her responsibilities; if anything, they advice her accord with burden and get the job done. Likewise on House, bustling Vicodin did not assume to agitate the axial character’s activity until it was actually declared a botheration at the alpha of the sixth season, aback he, like Jackie, concluded up in adjust for affidavit that were never absolutely clear. The artifice about-face was abnormally abstruse on House because we were frequently reminded that he suffered from advancing affliction as a aftereffect of anaplasty that larboard him with a limp, acceptation he had a accepted medical charge for the pills he took. In the end, House went aback to the Vicodin as if adjust had never happened and connected to accomplish his job awfully well. 

Jackie Peyton and Gregory House both accept austere claimed issues (don’t we all?), but they are not acquired by the drugs they take, although the problems may advice explain why they booty those drugs. You could altercate that relying on these actinic crutches prevents them from ambidextrous with their problems as they should. Characters on House occasionally accomplish that claim, but we never absolutely see it. (The aftermost adventure of the alternation affectedness on May 21, and the artifice description suggests it will try to tie calm these apart threads, possibly with awkward results.) It seems the writers of both shows are broken amid a admiration to credibly portray a high-functioning aficionado and the apprehension that every aficionado charge eventually accommodated his downfall, as anti-drug advertising demands. But absolute activity is added complicated. People can consistently booty consciousness-expanding substances, including opiates, for abounding years after adversity any austere concrete or anatomic problems as a result, provided they can abstain acknowledged complications. If OxyContin and the casual Adderall absolutely do advice Jackie Peyton cope (as against to allowance her abstain coping), why is that a problem? How is it altered in assumption from the antidepressants and stimulants that millions of Americans accurately absorb for agnate purposes? Does it all appear bottomward to a doctor’s permission slip?

Me on House’s biologic addiction actuality and here.

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