Wo'ah
Yeah, I'd really be bummed out getting a 38c idle and 50c load using a HEATKILLER CPU Rev3.0 water block and as far as I can tell, quality loop componets (I'm not completely sure I know what all of them are) Of course I don't know what OC' your using or what exactly a x2 5600 chip is either
If you're not OC'ing the hell out of that chip you might not get that much better with air, but IMO you should get at least 2c or 3c better at load (IMHO idle temps ain't worth "jack" on most CPU's)
The old "grandpa" adice would be to just reseat your block, carefull of TIM application, make sure everything is copacetic (no kinks, no restrictions, good flow, cool air at the rad, etc)
Good luck and please post some results (and yeah
, you could use bigger more powerful fans, like the post above suggested get fans optimum to your rad)