House, MD Nominations & Awards

"House": The Show
Nomination: Producers Guild Awards nominees Nominations announced January 3, 2007 Episodic television, drama: "Grey's Anatomy," "House," "Lost," "The Sopranos," "24." 18th Annual Producers Guild Awards will be announced January 20, 2007
Nomination: Emmy (2006)
Nomination: TV Critics
The American Film Institute's Awards of 2005 - "House" is one of AFI Top 10 TV Programs of the Year ("..HOUSE's focus is on the pharmacological--and the intellectual demands of being a doctor. The trial-and-error of new medicine skillfully expands the show beyond the format of a classic procedural, and at the show's heart, a brilliant but flawed physician..)
Nomination: NAACP Image Awards -->
The Writing:
Win: Emmy 2005 - David Shore won the Emmy for Outstanding Writing for a Drama Series for the Season One episode "Three Stories"
Win (2006): Writers Guild of America - "For Episodic Drama: "House, M.D." - Lawrence Kaplow - For episode "Autopsy". "
"Three Stories" won the Humanitas Prize, for screenwriting that helps "entertain, engage and enrich the viewing public." from a "deekay" posting at the Television Without Pity's House Forum a quote from an AP story on it: "Judges cited its 'poignant probe into the pain and confusion that comes when someone we love disappoints us.'"
The Acting: Hugh Laurie

Win: Screen Actors Guild (SAG): Outstanding Performance by a Male Actor in a Drama Series January 28, 2007 See a transcript of his acceptance speech - note: it's more than half way down the page.
Win: Best Actor Golden Globe Award January 15, 2007 In his speech Laurie said, "I am speechless. I'm literally without a speech. It seems odd to me that in the weeks leading up to this event, when people are falling over themselves to send you free shoes and free cufflinks and free colonic irrigations for two, nobody offers you a free acceptance speech. It just seems to me to be a gap in the market. I would love to be able to pull out a speech by Dolce & Gabbana."

Win: TV Critics 2006 and 2005 July 23: "At the 22nd annual Television Critics Association awards" - the second win in a row. See this blog on the 2006 Individual achievement in drama, to Hugh Laurie of 'House.'" for some excerpts from Mr. Laurie's acceptance speech including: "I feel very much in the position of the man who has got a very, very fast car. ... I am, every day that I go to work, deeply sensible of the honor I have to sit at the wheel and drive this wonderful character called House." Images of Hugh Laurie's acceptance speech: Image A, Image B and Image C and at the hughlaurie.net News page
Win: Golden Globe January 2006
Julie of housefans.net has put up a transcript of Laurie's very funny speech
And see a picture of him on stage and comments about the speech.
Win: Satellite Award Outstanding Actress in a Supporting Role in a Series, Mini-Series or Motion Picture Made for Television for: "House M.D." (2004)
Nomination: Emmy 2005 Outstanding Lead Actor in a Drama Series
Nomination: Screen Actor's Guild 'Best Actor in a Drama Series' award (SAG Awards to be announced on TNT Jan 29, 2006)
Win: The Television Critics Association awards - Best Actor on a TV Drama (July 2005)
Hugh Laurie got a nod for one of the sexiest men on TV in "Who" magazine just recently. "Who" magazine is the Australian equivalent and sister magazine of "US" Magazine in the USA. (info from post by "Wallaby" in Television Without Pity's House Forum
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The Acting: Others
Omar Epps — Nomination: NAACP Image Awards
The Directing:
Nomination (winners will be announced Jan. 28, 2006): Director's Guild of America "Paris Barclay for the 'Three Stories' episode of 'House'"
Other Awards and Nomination
Nomination - Emmy 2005 Outstanding Casting for a Drama Series: Amy Lippens, C.S.A.
Nomination - Emmy 2005 Outstanding Main Title Design: for "House" title design
Matt Mulder
Jake Sargeant
Dan Brown
Dave Molloy
Nomination - Emmy 2005 Outstanding Music Composition for a Series: Christopher Hoag

House, MD Season 4 Episode 412: Don't Ever Change

At her Hasidic Orthodox wedding to Yonatan Arnoff, a woman named Roz Viner becomes ill. As she is lifted in a chair for a traditional Jewish wedding dance called the hora, she falls off and loses control of her bladder. She breaks her leg in the fall.
House approaches Wilson and presses him about dating Amber. Wilson tells him that they have been together for four months.
The Fellows wait for House in his office. Thirteen hands him Roz's file. In the midst of discussing the patient, the men on the team want to talk about Amber. Thirteen suggests that Roz has Endometriosis of the bladder. Kutner brings up carbolic acid poisoning.
Taub and Foreman go to Roz's apartment and find hard rock CDs that she served as a producer on. When they return to the hospital and ask her about them, Roz explains that she only converted to a Hasidic a few months ago. Although previously into drugs and sex, she has now reformed her ways.
Amber enters her own apartment to find House there. He wants to know if she using Wilson just to get to House.
Roz's condition has not changed and she tests negative for endometriosis or drugs. House thinks that her conversion to Hasidism six months prior is a sign of porphyria -- a rare genetic disorder that causes an over-production of certain proteins that contribute to mental problems.
Kutner tells Roz and her husband about House's theory. Yonatan asks Cuddy for a new doctor. Cuddy sees that the team has brought up the possibility of cryoglobulinemia, so she instructs them to treat her for that. Suddenly, Roz lapses into a hypoxic state. The team reviews the symptoms: bloody urine, no bladder control, altered mental status and dyspnea. Foreman suggests Wegener's, while House considers Lupus.
House goes to the restaurant where Wilson and Amber are on a date. Amber asks him to join them. She gets the maitre d' to seat them ahead of the other people waiting. House sees many of his own qualities in Amber. He questions whether Wilson is really in love with him instead. House runs out.
Roz undergoes a cardio stress test while Taub and Yonatan discuss marriage. Roz falls to the ground, crying in pain about an unbroken leg. House orders Foreman to do an MRI to look for blood clots in her leg. Foreman and Thirteen conduct a brain scan. Foreman claims Thirteen is bisexual.
House thinks Roz gets a form of pleasure from pain. He tells Foreman to restart her IV to cause her discomfort so that her reaction will show up in the brain scan. House is proved right, but Roz tells Thirteen that she had been praying. This could explain the brain activity. When Roz rises from the machine, her vital signs drop and she collapses.
Roz's vitals are stressed when they should not be, and the team tries to figure out why. It may be an electrical problem in her body. Roz gets her heart tested by Taub and Kutner. Although she is supposed to be sedated, Roz hears them talking.
Roz undergoes another test inside a chamber with rising heat to test her body function. She is not sweating in the heat. She starts shaking and has a seizure. Thirteen finds that Roz's body is freezing. The team ponders why her body is physically showing the opposite of what it is supposed to be doing. She could have Addison's and be in need of cortisol.
House asks Cuddy to sleep with Wilson in order to save him from Amber. Cuddy warns Wilson about the former Fellow.
Roz begins to feel better with cortisol but then she suddenly falls into shock. Thirteen inserts a syringe into a swollen area on Roz's abdomen. She is bleeding internally. Chase examines an MRA of Roz. She is not bleeding from the source of the problem. She will have to be opened up. Roz wants to wait until later that night, to spend one Shabbat with her new husband. This gives the team less time to diagnose her. Chase suggests to House that they "move" sundown earlier so that she can have her Shabbat in her room.
Amber comes to see House. He makes her an offer. If she can solve this case then she can return to Princeton-Plainsboro -- on the condition that she leaves Wilson. Amber turns him down.
The team impatiently waits for the Shabbat ceremony to end. House has Roz stand up and he holds her right abdomen. When he lets go, her vitals go haywire. He says that she has nephroptosis -- a "floating kidney." It was shaken loose during the hora dance and has been dropping ever since. She can have it reattached.
House finally concedes to Wilson about Amber. Wilson comes after him in the hospital lobby. He can't believe that House would approve of his relationship.

House, MD Season 4 Episode 411: Frozen

At an American base in the frozen South Pole, a man named Sean tries to fix an electrical generator system during a storm. He heads back to his station when a blade from one of the windmills snaps off and hits him in the leg. He radios for help. Dr. Cate Milton rushes through the snow to get him. Back inside, Cate attends to his wounded leg when suddenly she falls and doubles over in pain.
At Princeton-Plainsboro, Cuddy finds House in a comatose patient’s room fumbling with the TV. He has been requested to treat Cate, who is an adjunct professor at the hospital but is located in the South Pole. Cuddy also informs him that cable is now available in rooms -- for a fee.
House and the team discuss the possible diagnoses of kidney stones or appendicitis. He presents a box in which the contents are the only supplies that Cate has available to her. House goes to Cameron and urges her to press her budget committee to reinstall free cable in patients’ rooms. House sends Taub, Kutner and Thirteen to annoy Cameron in the Emergency Room. They tell her that they are staying there until House gets his cable TV restored.House and Foreman talk with Cate over teleconference. She has a plastic jug filled with water and an egg hanging on a wire ring with a flaw detector to produce sound waves. Cate performs the sound wave procedure and the egg splatters. Foreman asks her to do a chem 7 test to check her kidney function. House tells her to administer cefuroxime to herself in the meantime.
Foreman informs Cate that her kidney function is declining. House notices that she has not been taking the medicine. She wants to save the limited supply that is at the base. Cate breathes heavily. Foreman and House can see that her neck veins are distended. Her lung is collapsing. They instruct her to stab herself in the chest with a syringe to inflate her lung.
Cate resorts to using an oxygen mask to breathe. Foreman covers the webcam microphone and says aside to House that she may have cancer. House tells Cate this, and asks her to x-ray her whole body, since that’s the only imaging equipment on the base. She takes the images of herself. Wilson and House examine the slides and find a lymph node enlarged in her chest. They need to do a biopsy and find a stain. House realizes that Wilson is unusually wearing a lavender shirt. It’s for someone in particular.
House speaks to Cate online from his apartment. She resists taking her clothes off for an examination because he’s alone at home. She asks to get a look at his place and he moves the webcam around to show her. Cate analyzes him. Meanwhile, as Foreman and Wilson search for a dye to use in the biopsy, they remark how Cate is perfect for House.
House guides Cate in finding the lymph node in her body. She detects a swollen one in her stomach. Wilson and House supervise her biopsy of the node. She inserts a needle into her belly. Wilson is quick to notice that House is weirdly kind to Cate, and he senses that House has feelings for her.
House asks Wilson who he is going to meet for lunch. Cameron tells House that she has resigned from the budget committee. Thirteen, Taub and Kutner remain waiting for House in the Emergency Room. He enters with a stack of fliers that have Cameron’s phone number listed below a headline for free puppies. House wants the team to get Cameron to make an error in the ER so that she can be blackmailed for cable TV.
Cate has put the biopsy into red wine. Wilson looks through her microscope at the image. He assures her that she does not have cancer. Yet she still is in pain. Her kidneys are failing.
Once again, House talks to Cate over webcam from his apartment. He thinks she may have autoimmune diseases SLE or vasculitis, and wants her to start on prednisone. She wants proof before she takes the medication.
Back in the office, Foreman suggests that Cate go outside to cool the inflammation. House has taken Wilson’s wallet. Yet Wilson comments that House only took his receipts and left the cash.
To test for autoimmunity, Cate must drop a paperclip in a test tube of her blood. If she does have it, her cells will enlarge. House talks to Cate again later that night from his home.
The next day at the hospital, Cuddy tells House and Foreman that she was forced to fire Cameron for a mistake in the ER. House thinks Cuddy is lying. Cate appears on the webcam. Her test is negative. Foreman wants her to try going outside in the cold temperature. House insists that she take the prednisone but she passes out in a coma. House pushes Wilson to reveal his new girlfriend’s name.
House gets Sean to drink Cate’s urine. A strong taste means that there is a kidney problem, but if it’s watery then the problem is in the brain. House realizes Sean in love with Cate.
House confronts Taub about whether Cameron was really fired. Taub admits that it is a lie. House lectures his Fellows to not play games with him. They need to pay for his cable.
Sean tastes Cate’s urine and finds that it is watery. She may have increased intracranial pressure or a hypothalamus malfunction. Sean will need to drill into her skull. Since he’s not a doctor, Foreman and House walk him through the procedure.
Cate regains consciousness. The team tries to come up with reasons for the symptoms. Kutner suggest fat emboli clotting her blood flow. House says this is impossible unless she has an unrepaired broken bone. He realizes that he did not see her feet during the exam because he let her keep her socks on. Her big toe is broken. Bits of bone marrow have been leaking into her blood stream. Cate is surprised because her toe does not hurt. Sean pulls the toe to fix the broken bone. He and Cate embrace as she thanks House.Wilson is waiting for his date in a restaurant when House arrives to badger him about the date’s identity. House turns to see Amber -- the “cutthroat bitch” former Fellow. She greets Wilson with a kiss. House is shocked.

House, MD Season 4 Episode 410: Its A Wonderful Lie

Eleven year old Jane climbs a rock wall at a gym. Her mother, Maggie, coaches her from below. Unable to climb anymore, Jane slips down the wall and propels downward. Maggie cannot grip the rope holding her daughter because her hands have become paralyzed. Jane plunges to the floor and lands on her arm.
Foreman, Taub, Thirteen and Kutner review the case of the hand paralysis. House enters and pulls down Kutner’s Christmas decorations. Thirteen explains that Maggie’s mother died of breast cancer when she was young. Maggie inherited the BRCA1 mutation so she underwent a preventative double mastectomy. House tells the team to MRI the woman’s chest to see if she still developed breast cancer.
After talking to Jane, House discusses with Wilson the role of lying in interpersonal relationships. House is annoyed that Maggie claims to be so forthright with her daughter. He senses that there is a lie somewhere. Wilson gives House the results of Maggie’s MRI. She does not have breast cancer.
House wants Taub and Foreman to follow up with Maggie’s recent multiple sex partners. They meet with Roger, who admits giving her the drug ecstasy. They take his stash for examination.
In the clinic, House examines a young woman for strep throat. He deduces that she must be a prostitute. Taub tells him that Kutner is starting Maggie on hemodialysis while Thirteen examines the ecstasy. During the treatment, Maggie loses her sight.
The team gathers in the office to confer about the case, but House has prepared a Secret Santa game for the group. Thirteen reports that the ecstasy is clean. Foreman suggests that Kearns-Sayre Syndrome fits the symptom of blindness. House wants Thirteen to go to the patient’s home to find her computer. Taub wonders if the patient has Multiple Sclerosis. House orders an MRI for MS and a fluorescein angiogram of the patient’s eyes.
In the doctor’s lounge, Wilson asks House about the Secret Santa for the team. House intends for it to start infighting among them.
Kutner and Thirteen return to the hospital with the laptops from Maggie’s apartment. The eye test is negative and there is nothing abnormal on the MRI. As the team looks on the patient’s computers, Foreman suggests that perhaps her brain has a conversion disorder where her mind is tricking her body.
House asks Jane to lie to her mother because it will help diagnose her. Taub pretends to administer medicine to Maggie and tells her that Jane has to stay out of the room.
The doctors realize that House gave all of them his name in the Secret Santa game. They debate whether to even get him any presents. Meanwhile, Maggie is unable to breathe as her lymph nodes swell and cut off her airway.
In House’s office, the team searches Maggie’s emails for any information that might help them. House announces that she suffers from sarcoidosis. From the emails, he sees that she has had trouble walking for a while. House opens a gift that has been sitting on his desk. It is an iPhone. Thirteen thinks House gave the gift to himself, but House is pleased that he caused the team to argue.
Maggie is given a bronchoscope test on her lungs. At the end, her eyes start to bleed. She does not have sarcoidosis and her blood platelets have dropped. The team scrambles for answers. Kutner tells House he is his secret Santa and hands him a small gift.
In the clinic, House treats the young woman with strep. He asks if she performs a donkey show. She says yes and invites him to it.
Chase and Foreman perform a bone marrow biopsy on Maggie. The drill, however, cannot penetrate her bone.
Maggie is in her room after being given a full body bone scan. The team bickers about the scan. Foreman suggests that perhaps her entire skeleton is turning to stone. Kutner mentions carbonic anhydrase type II deficiency genetic disorder. House orders blood tests. If it is positive, then she will need a bone marrow transplant. Jane is the best donor choice, but Maggie forbids her daughter from doing so.
The results show that Maggie is suffering from something worse than CA-2 deficiency. House orders the team to research the cause. Jane comes into the lab and says she wants them to test her bone marrow.
House questions whether Jane is not really Maggie’s daughter. Maggie confesses that Jane’s biological mother was a drug addict who didn’t want the baby. Jane bluntly tells Maggie that she is going to die.
House enters the Christmas party in the lobby, and grabs Wilson. House says he is impressed by Jane’s ability to tell the truth.
House comes to the lab, singing. House tells the team to give Maggie an anti-psychotic drug called risperidone. House explains why as he examines the patient. Although they discounted breast cancer in the beginning, sometimes extra breast tissue is found in areas of the body where it does not belong. Risperidone causes breast tissue to swell, making it more detectable. She could have breast cancer outside of the breasts. House finds a lump at the back of Maggie’s knee. He stabs a syringe into it as white liquid pours out. He tells Jane to open her mouth and he squirts the liquid in. Risperidone causes galactorrhea, which is milk production. House calls for chemo and removal of the tumor to treat Maggie.
As House exits the hospital, he walks past his team who is at the hospital party. His scheme to split them up failed. House enters a church service in the middle of a living Nativity scene. The woman from the clinic is playing Mary. She rides in on a donkey. House exchanges knowing glances with her.

House, MD Season 4 Episode 409: Games

Jimmy Quidd, a hard living 40-something rocker, hangs out in an alley behind a nightclub. His band waits for him to go onstage. Quidd takes his bandmate’s new guitar and smashes it. He declares that he is ready. Following the musicians inside, he coughs uncontrollably and collapses in the alley.
Cuddy interrupts House’s soap opera watching to press him to make a decision about the Fellows. She threatens to move his parking spot if he doesn’t pick his new hires.
House searches for a case in the ER and finds Quidd. He introduces Quidd to the Fellows in the lecture hall as the final case of the competition. With multiple problems, Quidd also has drugs in his system. Foreman argues that Quidd is merely a drug addict, but House is insistent that the patient suffers from so many symptoms that it has to be something else making him sick. House declares that only the person who is given the anatomical model of an eyeball can run tests. He hands it over first to Amber.
Foreman complains to House about making this hiring process a game. House asks Wilson for his opinion on Amber. Wilson just realized that he has misdiagnosed a healthy patient with terminal cancer.
As they wait for Quidd outside the men’s room, Amber and Thirteen bicker. His oxygen tank explodes when he sneaks a cigarette. He lies injured on the floor of the bathroom.
Accompanied by House, Wilson meets with the misdiagnosed patient to tell him the good news. The patient is actually upset that he will live because of how the terminal diagnosis changed his life for the better.
House tallies up each Fellow’s points. He asks Amber and Taub to do a biopsy on Quidd, who resists their attempts to insert the tube in his arm. His heart rate rises. Foreman quickly gets the tube in Quidd’s arm. Foreman reveals that the patient’s arm is covered with nicotine patches. The man’s fingers have blood clots.
House asks the Fellows what could be causing the clots. Thirteen suggests Malaria. House gives the eyeball to her. House inquires about why Amber hates drug addicts, but he really wants to know why she is so afraid of not winning. Amber says she will do anything to not lose.
Taub has a bag of prescriptions for House. He really doesn’t care about the patient. He and Thirteen realize Quidd is missing. House is in Wilson’s office playing a song by Quidd. Wilson is going to give money to the cancer patient and get a liability waiver. Taub and Thirteen tell House that the patient is missing. House talks to Thirteen to find out why she has sympathy for Quidd. She believes the drugs are masking something else.
Taub and Thirteen find Quidd playing with kids in the pediatric ward. Quidd collapses.
Cuddy tells House to contain his patient. He says that he wants to keep all the Fellows. Cuddy would keep Kutner and Taub. Kutner and Thirteen come in to tell them that the test for Malaria was negative but that they found bad blood fragments.
House goes to talk to the members of the band. He finds a dirty syringe in one of the guy’s jackets. Sharing needles is the cause for the blood clots and the bad blood fragments. They find Quidd on the floor in his room suffering from respiratory failure. They put him in the ICU. Foreman watches as the Fellows and House regroup in a laundry room.
Wilson writes a check to his patient but the man rips it up. He wants to sue the hospital for more money because when Wilson told him he was going to live, it ruined the happiness he had found.
House finds that Quidd has masses around his heart. He looks over the test results with Taub and Kutner. House wants Chase to do exploratory heart surgery on the patient. Chase resists but then Taub convinces him. Taub assists Chase on the surgery and they see swollen lymph nodes. Quidd’s blood pressure suddenly drops.
In his office, House fires and rehires Kutner and Thirteen in order to shake them up. Until they can find the source of the drugs, House tells them to treat Quidd for heavy metal poisoning. Amber treats Quidd in the ICU.
Wilson comes to House about his legal problems. Kutner tells them that one of the guys in the band told him that Quidd visits an orphanage every week.
In the lecture hall, House becomes frustrated and fires Taub and Amber to make them more competitive. House and the Fellows go to Cuddy to get approval for a brain biopsy on Quidd. House diagnoses measles in the brain. He could have contracted the disease from his lowered immune system and the time he spent around children. Cuddy agrees, but only if he can induce a seizure. House blasts Quidd’s music to irritate his brain.
In the lecture hall, House plays Quidd’s early folk music from before he went punk. House fires Amber and Thirteen. He’s keeping all the men. Amber is upset. Amber tends to Quidd in his room as he is treated for measles. Cuddy insists that House keep one woman on his team. She wants him to hire Thirteen back. House smiles. That was his plan all along.

House, MD Season 4 Episode 408: You Don't Want To Know

Kutner and Cole are in the audience of a magic show in a night club in Atlantic City. Finn, the magician on stage, is replicating Houdini's famous water chamber trick. He calls Cole up to the stage. Wrapped in chains, Finn is dropped in the tank but loses consciousness as soon as he enters the water.
Back at the hospital lecture hall, a bored House announces a contest for the Fellows. The winner will be spared from getting fired and will get to nominate two competitors. House will choose one from that pair to get the axe. Kutner suggests taking the case of the magician. He wants to run tests to find out why Finn's heart stopped in the water. House is sure the magician was faking. If Kutner is wrong, then he is fired. House declares that the contest objective is to retrieve a pair of Cuddy's underwear and bring it to the group. The Fellows debate taking the challenge. They will.
Thirteen helps Kutner examine the patient. Finn has her to pick a card from a deck and then asks Kutner for his wallet. He sets the wallet on fire. The card she picked is inside of it.
Taub and Amber conspire to obtain Cuddy's underwear. Amber tries to spill coffee on Cuddy, but that doesn't work. Then Amber smokes a cigarette to set off the fire alarm. Yet Cuddy stands with Taub away from the sprinklers and fully dry.
Kutner tells Foreman that the tests show there was no cause for the heart failure. Foreman suggests running a lung MRI. Finn suffers from internal bleeding. He has had three units of AB positive blood transfusions, so Thirteen considers that he has an intestinal infarct. She drops her files.
Taub enters the MRI unit with Cuddy's black panties. House, however, says that Cuddy is wearing a red bra. He deduces that Cuddy would be wearing red panties to match her bra. House asks Amber to lift her skirt. She refuses. House knows that Taub and Amber cut a deal. The black ones are Amber's.
While Finn is being operated on, House steps in and sticks his hand in Finn's gut. He pulls out a key. After Finn wakes, House informs him that the MRI magnet ripped it through his intestines. House tries to debunk him. The playing card that House chooses from Finn's deck is stuck to the glass wall. Finn refuses to tell House how he performs the trick. Suddenly, the magician starts to bleed profusely out of his nose. House realizes something is still wrong.
House gathers the Fellows in his office. He declares the underwear challenge is now off. Finn's cardiac arrest is actually a symptom of something more serious. Shockingly, Cole produces the panties. Amber proves that they're not hers, and then she suggests that Finn has Polyarteritis nodosa. Taub throws out the possibility that the nose bleed was caused by cocaine. House tells Taub and Kutner to go to the patient's home. He orders Amber and Cole to do a biopsy of Finn's heart. House tells Thirteen to come to his office. He thinks she is hiding a medical condition from him. She denies it.
Kutner and Taub find old arcade games, rabbits and marijuana in Finn's home. Taub theorizes that the rabbits could have given Finn pericarditis from a tick.
House demands to know how Finn did the card trick earlier. Finn performs a slight of hand with House's vicodin pills. They continue a discussion about knowledge of truth versus the magic of the unknown. House says it is better to know how things work and put all the pieces together. He diagnoses Finn with tularemia from his rabbits.
In the hallway, House drops his vicodin bottle so that Cuddy will bend down. He is amazed when he sees no panty line. He asks Cole to tell him how he was able to get her pants off. The Fellows interrupt because Finn now has bleeding around his heart. It could be cancer. House notices that Thirteen's hand is shaking. He tells them to find where the cancer is located.
As Cole gives Finn the MRI, Amber tries to influence his choice on who should be kicked out. Finn predicts that he will be dead by the next day. The doctors notice that Finn is bleeding inside all over.
Kutner considers a tainted blood transfusion. Foreman says that the low immunoglobulin levels and the other symptoms indicate amyloidosis. The Fellows' pagers go off at the same time. Finn has had a grand mal seizure. As Kutner and Cole attend to the patient, Kutner reminds Cole that he is his friend and should not be nominated for elimination.
While playing foosball, Wilson and House discuss how Cole could have gotten Cuddy's underwear. Kutner and Thirteen enter with the news that Finn has kidney failure. House believes that this proves the diagnosis of amyloidosis, and not a bad blood transfusion as Kutner suggested. House believes that Finn needs a bone marrow transplant. Wilson says that the patient needs to be irradiated first. House wants a subcutaneous fat biopsy taken and gives the Fellows two hours to check the blood theory.
Taub offers Cole $5,000 to not be chosen. In the hospital blood bank, House checks in on Foreman, Thirteen and Kutner's progress tracking the blood. Cole finds that the biopsy is negative. House wants them to next test Finn's organs. Yet Foreman no longer thinks it was amyloidosis. House wants to put the blood in his own body to see if it is tainted because he is the same blood type.
As Thirteen gives House the blood transfusion, he tells her that he saw a picture of her mother in her wallet. He explains that he Googled the obituary and knows her mother died from Parkinson's disease at young age. Thirteen admits that she may have inherited Huntington's chorea disease. House says that he has been switching her decaf coffee with caffeinated to see her reactions. Yet she refuses to be tested for the disease because not knowing her fate encourages her to live life fuller.
House falls sick from the blood transfusion and passes out. Thirteen tests his organs and admits that she spiked his tea. She leaves a bottle of water in the room. Wilson stops by House's office to see how he is. Wilson is type O, according to House. Wilson worries how House knows that. Did he test his blood? They realize that they gave the magician the wrong blood type. Finn tells House he is type-A blood. He is not AB, but his body is making an extra antibody of type B. That explains the symptoms after the transfusion. House says all the other symptoms point to Lupus.
House enters the lecture room with the underwear of Cuddy on a pillow. He asks Cole to nominate two candidates. Cole chooses Amber, the cutthroat bitch, and surprisingly, Kutner. House realizes that Cole made a deal with Cuddy to choose who she wanted out. In Cuddy's mind, Kutner's history of accidents means he is a liability to the hospital. House wanted someone to subvert Cuddy instead of dealing with her. He fires Cole.
Thirteen enters House's office with an envelope that contains her genetic test results for Huntington's. House had them performed from her DNA on the water bottle. Thirteen says that the not knowing is what gives her hope and that this is all she has to go on. House tosses out the unopened envelope into the trash.

House, MD Season 4 Episode 407: Ugly

A young girl screams on a train platform when she sees teenager Kenny Arnold’s grossly deformed face. Kenny’s father, Joe intervenes. They walk out of the station, followed by a documentary film crew. They are on their way to Princeton-Plainsboro Hospital for Kenny’s long-awaited cranial reconstruction surgery.
The film crew tracks Dr. Chase in the operating room as he preps Kenny for a facial bipartition. Kenny goes into cardiac arrest on the table. Cuddy, Chase and House are filmed discussing the case. Until they can locate the cause of the boy’s heart problem, the reconstructive surgery must wait.
The film crew must have full access to the doctors because they are paying for Kenny’s surgery. Cuddy thinks that this documentary will bring positive publicity to the hospital. House is concerned that the Fellows will be afraid to say the wrong thing on camera.
Dr. Terzi, the CIA doctor that House hired, is among the Fellows in the lecture hall. Amber harps on Terzi. House enters with the camera crew and they all walk down to a radiology room. Yet there is no metal allowed inside because of the magnetism so he is allowed to ditch the camera crew. House and the Fellows brainstorm about the case while an MRI is performed on a patient. Cole suggests that Kenny is using drugs. Discoloration of skin around his nose indicates huffing Freon. House orders a Nuclear Study to see if there is scarring on the heart. Terzi asks House if he definitely hired her. She gave up her job to be here.
House voices his concern to Wilson. He feels like he made a mistake about Terzi. She gave a poor answer in the differential.
Joe is angry when Taub suggests that his son is doing drugs. Kutner administers the nuclear test to Kenny. In order to lose the camera crew, House, Taub and Kutner review the test results in an operating room, dressed in scrubs. There is no scarring on Kenny’s heart. Taub insists that Kenny has increased intracranial pressure and would like to do a CT scan. House orders an EP study. Cuddy learns from the film producer that House has been ditching them.
Taub prepares the EP, threading a catheter into Kenny’s heart. Taub tries to get Kenny to admit he uses drugs when the patient starts to vomit blood. The camera films House and the Fellows in Cuddy’s office. The Fellows have spruced up for the camera. Kutner is wearing a tie and Amber has put on lipstick.
Taub and Cole are assigned to run a scope for stomach cancer although this test may cause Kenny to bleed again. Wilson jokingly tells the camera crew that House is a practicing Wiccan.
House admits to Wilson that perhaps he was blinded by Terzi’s beauty and he’s not sure if she is up to par with his other Fellows. House gets paged when Kenny starts to bleed from the scope. It could be a mitochondrial disorder, so Taub and Amber are sent to check for signs of retinal degeneration.
The camera crew captures Cameron in the ER with an uncooperative patient. She mixes up her words on camera and ends up saying that she loves Dr. House.
Amber fails to examine Kenny’s eye because his deformed head cannot fit into the slit lamp. Taub uses an ophthalmoscope and sees swelling. There is no degeneration. Taub argues with House about the causes. House decides it is Juvenile Rheumatoid Arthritis. Taub goes behind House’s back and tells Joe on camera that he will have House tossed off the case.
In Cuddy’s office, House and Taub debate. The father refuses putting Kenny on steroids. House fires Taub and wonders why he even took this job. Cuddy intervenes that no one will be fired in the middle of a case. She orders a CT scan to see if there is a midline shift. Foreman and Taub do the test.
House goes to Taub’s old practice and pretends to be a patient in for a plastic surgery consult. He is there to glean information about Taub.
Taub waits in House’s office with the scans of Kenny’s head. House and Taub show Cuddy the films. House says that he talked to Taub’s wife. Taub admits that he had an affair with a nurse and when his partners found out, he resigned. Cuddy doesn’t see anything on the scan and tells House to start Kenny on steroids for JRA. She also orders Taub to stay away from Joe.
House tries to convince Kenny to start the steroids. Kenny does not like House and only trusts Taub. House thinks the reconstructive surgery will kill Kenny. The father insists that Kenny needs the surgery.
Later that night, House enlists Wilson’s help in covertly obtaining the documentary crew’s footage to see Terzi up close. Wilson agrees that she made mistakes in the differentials. Cameron wants to fix her comments that she made earlier about House.
Taub shows House the slides again and points out a mass. House concurs with the diagnosis, and they pay a visit to the patient. Kenny is feeling better, but House notices Kenny’s pinky finger twitching. Something is off. There needs to be a better diagnosis. Thirteen comes up with Lyme Disease. He displays all the symptoms, except a target-shaped rash associated with the disease. Taub suggests a test to check whether House was right. If Kenny’s pacing wire is removed and his heart beats fine, then he can have his operation. If House is correct, then Kenny’s heart will stop.
The wires are removed and Kenny’s heart is in order. He can have the surgery. As Kenny is prepped in the OR, Thirteen tells the camera crew that if House is right then something bad will happen. She notices on the scans that there is discoloration around Kenny’s nose. Thirteen alerts House and stands by her Lyme Disease diagnosis. House dismisses this because there is no sign of the target rash. However, he acknowledges that no one examined him close enough. Chase shaves Kenny’s hair and the rash is there.
In the lecture hall, Taub discloses that he withdrew from his practice in order to keep his partners quiet about the affair. House decides to keep Taub and let Terzi go. House and Cuddy watch a copy of the documentary in which House is edited to look like a hero. House is annoyed and leaves. Yet Cuddy sees the ending as a post-operative Kenny thanks House.

House, MD Season 4 Episode 406: Whatever It Takes

Female drag racer Casey Alfonso preps for a race. Her crew chief is her father, Lou. As Casey maneuvers the dragster on the track, her eyes begin to blur. She manages to regain control and win the race. At the finish line, a reporter interviews her. Casey’s eyes blur once more and she passes out.
House and the Fellows debate whether to take on the case. Foreman suggests that Casey only had severe heat stroke. A federal agent enters and asks for Dr. House. The CIA wants him to consult on a case where an operative might have been poisoned. The agent leads House to a helicopter waiting on the hospital roof.
Brennan and Foreman tend to Casey. Foreman tells the patient that, while she is only dehydrated, they will run another cat scan to be sure. He calls House, who is aboard a private jet. House tells Foreman that he is on a mission for the CIA and he suggests that Casey has Miller-Fisher inflammation. Thirteen comes up with the same diagnosis.
Casey suffers a seizure. She is angry that the doctors cannot make a clear diagnosis. Foreman apologizes to her and she falls into a fever induced delirium. The Fellows debate whether Casey shows signs of MS or Lupus. Brennan and the others challenge Foreman.
At the CIA hospital, House meets a beautiful doctor named Samira Terzi. The CIA has also brought in Dr. Curtis, another consultant from the Mayo Clinic. House is not permitted to know about the CIA patient’s background but “John” is clearly unwell and suffering.
All Dr. Terzi admits to knowing is that John has been in Bolivia and his file says that he ate chestnuts. House does not believe that John has been poisoned. He thinks it is pancreatitis. Dr. Curtis argues that John has radiation poisoning, and John is started on treatment for it. House insists that John is hiding that he drinks.
House switches John’s medicine to treat pancreatitis instead of radiation poisoning. However, John’s progress deteriorates and he falls unconscious. Dr. Curtis admonishes House for his misdiagnosis. House now believes John suffers from Waldenstrom’s, a rare blood cancer.
Back at Princeton-Plainsboro, Casey’s lab results indicate the possibility of both MS and Lupus. Foreman leans toward MS, but Amber and Taub secretly consult Cameron about the Lupus. Foreman is angry when he finds out that Amber and Taub start treating Casey for Lupus, approved by Cameron. This is in addition to treating the patient for MS. They rush into the patient’s room when she says she cannot feel her legs.
Foreman argues that Taub and Amber’s steroid treatment could have overloaded Casey’s system and made her legs paralyzed. Taub suggests botulism. Brennan argues for polio even though there have been no U.S. cases for decades. This is similar to the polio cases he has seen in the Third World. Foreman clashes with Brennan and starts treatment for Botulism.
Cameron finds Foreman waiting for her in the ER. He has dismissed her patient. Although he really did not do that, she knows he only said it to let her know how it feels to have another doctor interfere in a case. When Cameron complains to Chase, he tells her that she needs to let go of working with House. The Fellows test food from Casey’s refrigerator for Botulism. Brennan wants to check for Polio.
House calls Wilson to consult on John’s cancer. Wilson doesn’t believe that he is really at the CIA. House offers Terzi one of his fellowships. John is feeling better, but when his hair falls out, House realizes he may be wrong about the diagnosis. Dr. Curtis chastises House and Terzi. House suggests an herbal treatment.
Brennan brings his test results to Foreman -- Casey has polio. Cuddy asks Wilson where House is. She doesn’t believe him and assigns the doctors extra clinic hours.
Foreman apologizes for being stubborn about Casey. Brennan advises administering high doses of Vitamin C. Brennan and Foreman tell Lou about the vitamin remedy.
House also gives John an unorthodox treatment derived from Chinese herbs. As he tells House that he spent forty days of Carnival as an attaché to a female government minister, House realizes that Carnival in Bolivia only lasts eight days. John was in Brazil, not Bolivia. He ate too many Brazil Nuts. The selenium in the nuts caused his illness.
Casey feels her legs again. The protocol of Vitamin C worked. Foreman is stunned. Cameron supports Foreman and admits that she misses the thrill of working with House.
House leaves the CIA hospital, smitten with Dr. Terzi.
The next day in the lecture hall with the Fellows, Foreman brings Casey’s file to House. Casey is free of polio because she never even had it. House describes the scenario: Casey had symptoms that seemed like polio because she was poisoned with thallium and then was apparently cured with Vitamin C. Brennan did this to her in order to obtain research for curing polio in the Third World. Foreman was right -- it simply was severe heatstroke.
House won’t fire Brennan and he makes him quit instead. He tells the Fellows to listen to Foreman. Cuddy asks House where he has been. At first she believes the lie he gives her, but then doubles his clinic hours in doubt. Dr. Terzi is waiting for House at the Princeton-Plainsboro entrance. She wants to take him up on his offer. House thinks she is flirting, but what she means is she is accepting the Fellowship offer.

House, MD Season 4 Episode 405: Mirror Mirror

As a man in his thirties walks along the street, he is mugged by two young men. Although the man tries to defend himself, he starts to become very sick. One of the hoodlums uses the man’s phone to call 911.
At the hospital, House is lecturing the Fellows that the victim’s respiratory failure is like a “cat burglar.” Cuddy walks in with Foreman to show House that he has returned. Cuddy tells the remaining Fellows that Forman will be her eyes and ears. House announces that he will now make Foreman miserable. Forman responds that he already is.
The mugging victim who suffers from memory loss has no ID on him, so the doctors name him “Mr. X.” Amber and Brennan stress the patient on a treadmill, which causes him to have abdominal pain and tingling limbs. The team tries to unify the symptoms including laryngospasm.
Chase takes bets on which Fellows will get fired. Forman wants to quit but no one will hire him now. House plans to humiliate Cuddy until she fires Foreman. Suddenly, the patient crashes. Lying unconscious on the floor, Mr. X is wearing a doctor’s coat. Forman thinks he must be faking. He might be suffering from Munchausen’s Syndrome and copying the symptoms of neighboring patients. House deduces that it is actually Giovannini Mirror Syndrome, where one innocently picks up the attributes and senses inner thoughts of others to cope with memory loss.
To prove that X is not faking, House has the man join him in a surgery. In the operating room, X is about to perform a surgical cut on the patient when House stops him. House pulls off X’s glove, slices his hand and finds that the blood is frozen. House knows the man cannot fake that.
On the way to the cafeteria, House tells the Fellows that the effect of the temperature change on X’s blood requires testing for an infection. He will need an ultrasound, blood cultures and a medical history. In order to punish Cuddy for hiring Foreman, House announces that there is tainted mayonnaise in the cafeteria. He suggests every customer go complain to Cuddy.
They requires some clues from X’s life. With the patient’s car key, House sends Cole and Thirteen to search X’s car. Amber draws blood from Mr. X and he mimics her. She gets a look at herself through his eyes. Taub performs an ultrasound and X emulates him as well. Taub finds a lesion on his liver.
Wilson informs House that Giovannini patients mimic whomever they think is in charge. Cuddy sends the Fellows to the clinic to treat the hospital cafeteria’s food poisoning victims. House comes to the clinic to retrieve his doctors and asks them about the liver lesions. He then calls out tests for all the uninsured patients in order to upset Cuddy.
Brennan gives Mr. X an ultrasound and finds fungal black pus. This is just like what he found in survivors of the recent tsunami. Brennan tells House that Mr. X has helped him realize that he wants to go back overseas. House rejects this. Amber and Kutner discover that Mr. X is covered in a rash. They put him in a whirlpool to circulate his blood.
Brennan is wrong about his career change and the fungus. Antibiotics are not working, so House needs more information on the patient. Thirteen and Cole search for the car but it has been towed. They drug the guard dogs at the tow yard.
House wants more blood cultures and more accurate patient history. The Fellows respond to House over Forman. Forman turns to Cameron, who insists that he belongs with House. Kutner takes spinal fluid from X to find the places the man has lived. In mimicking Kutner, X says that he likes hot tubs. Wilson catches Cuddy switching House’s pills with laxatives. Wilson advises her to play up to House’s ego instead.
Mr. X’s spinal fluid shows he has been to Ohio, California and Central America. Although he complains of having laxative “issues,” House suggests heating X from the inside with medication to cause overheating by inducing a high fever. Forman follows him into the men’s room to challenge this.
Cuddy feigns protest to the treatment in order to get House to think he has won. House sees through her charade and says that he knows his pills have been switched. He then lets it slip that perhaps her birth control pills have also been swapped. While Forman attends to him in the hot tub, Mr. X mirrors Foreman. He collapses from the heat. The doctors dry the patient off and Kutner uses the paddles on him to induce cardiac arrest. Kutner shocks himself because X is not completely dry.
Mr. X continues to suffer, and the team tries to figure out the cause. Foreman thinks there is an infection in his heart which requires a biopsy. House informs Foreman that he has set up another job for him, but Foreman declines. Thirteen and Cole return with items from the patient’s car. Knowing that Thirteen didn’t want Mr. X to mirror her, House tries to get the man to imitate her. Yet X instead responds as House. Kutner failed to report that X had a memory about himself in the hot tub. The rash returns.
House dresses in Mr. X’s clothes and reflects back to himself using things from the car in order to get X to reveal more about his life history. X uses the vapor rub found in the car to mask the smell of “dung.” House realizes the problem. Mr. X is a farm equipment salesman from Ohio and has contracted an infection from pig feces called eperythrozoon.
Before they start treatment on the patient, Foreman wants X to do one more thing. House and Cuddy present themselves to X to see who is more dominant. Wilson, Foreman and the team watch. Wilson tells Foreman that House was lying about the job. Mr. X observes and mimics House and Cuddy. House is the more dominant. Flush with victory, House lets the team know that none of the Fellows are fired because they all made mistakes. Chase wins his bet. Foreman is aware that Chase was splitting his winnings with House, which is why no one is fired. Foreman is staying.

House, MD Season 4 Episode 404: Guardian Angels

Working alone in a funeral home’s prep room, Irene Walesa cuts the hair of a cadaver. As she pours herself a cup of coffee, she has a feeling someone alive is in the room with her. She turns to see a man standing in front of her, ready to attack. Irene grabs a pair of scissors but the man takes them. Suddenly, the other dead bodies are also attacking her. She calls out for help, but she is choking and gasping. When a co-worker arrives, he finds Irene on the floor having a grand mal seizure as if someone were shaking her. The corpses she thought were alive still lay dead on the tables.
The remaining Fellows wait for House in the lecture hall of the hospital. Amber tries to suck up to Thirteen, but she is interrupted when the phone rings. House is calling from his office. Cameron enters with news about Foreman being fired from Mercy Hospital. She then accuses House of being extra hard on Cole. They make a one hundred dollar bet that Cole will confront House.
The fellows discuss Irene’s case, as Taub and Amber give the patient an MRI. Irene sees her mother is there to comfort her. Yet it is a delusion. Irene’s mother has been dead for a long time.
Foreman interviews for a new job. Meanwhile, Cole, Henry and Kutner search the funeral home for clues. Cole suggests that embalming fluid could have caused the seizure. House dismisses him over speaker phone. Although Irene is a vegetarian, she could have gotten a brain infection from one of the carnivore cadavers.
House orders the Fellows to dig up a corpse embalmed by the funeral home two years ago which could have had a case of Mad Cow Disease. Cole cannot go because he is a single father. Amber tries to curry favor with Cuddy by offering her assistance to the hospital clinic. Cuddy tells her to just do whatever House asks.
The Fellows unearth the grave to get a brain sample from the corpse. Amber arrives three hours late. The Fellows are annoyed with her, even though she has brought coffee and donuts. Amber continues to unnerve the very private Thirteen by asking personal questions.
Back at the Hospital, Cuddy questions House about the grave robbing. The test on the brain tissue does not support the diagnosis. Every suggestion that Henry makes is welcomed by House.
Cole, Amber and Thirteen are treating Irene when they realize that she is hallucinating that her dead mother is present. The Fellows struggle to diagnose her. Amber and Thirteen clash on how to react to Irene’s delusions. Irene mentions the imaginary guy in the wheelchair that she sees. It is Stark, the man that died under Thirteen’s watch.
Cuddy and Foreman meet in a restaurant to discuss the possibility of Foreman returning to work for House. Foreman resists, but Cuddy needs someone who knows how to handle House. Foreman attends another interview. Although it goes well, his actions at Mercy Hospital disqualify him from consideration.
The Fellows tell House that Irene saw Stark. They must find out how Irene’s mother died because only Irene believes her mother is still alive. House visits with the patient, and Irene claims to see Grandpa House in the room. House hides out in Wilson’s office to make Irene think that he believes her. He hopes to gain her trust so that she will divulge what her mother had. When House returns, he is able to talk to Irene about her mother. He deduces that Irene has inherited Parkinson’s Disease.
Irene has a psychotic episode imagining that Thirteen is attacking her arm with a needle. Thirteen sees that Irene’s arms are covered with red welts. The Fellows lean toward a diagnosis of vasculitis, which restricts blood flow to nerves and electrical function.
Cameron advises Cole to stand up to House because he will respect that. She then goes to House to discuss Cole.
Amber and Thirteen are checking Irene’s eyes when a dog collar appears on a table. Irene becomes sickened from the eye exam and vomits up blood. Chase and Cole perform intestinal surgery on Irene’s enlarged spleen. They notice that her liver is severely damaged. House instructs Cole and Brennan to perform a visceral angiogram. Cole is saying a prayer over Irene when she grabs his inner thigh lasciviously. Cole is alarmed, and Irene suffers another seizure.
The Fellows go to consult with House. He debates with Cole about his religious and scientific convictions. House provokes Cole to the point that he punches him. The discussion about historical cases of persecution makes Amber realize what is wrong with Irene. She has Ergot poisoning from moldy bread. The organic rye bread she eats has caused the hallucinations and symptoms similar to those displayed by young women burned at the stake as “witches.”
Amber and Thirteen treat Irene, and her illusion of the mother disappears. House has to let one of the Fellows go. He hands out peonies to all except Henry, who is actually not a doctor. Although Henry has offered ideas, they are ones that House has already thought of. The team is necessary to come up with new, fresh ideas.
Cameron collects her winnings from House’s bet on Cole. Foreman comes to see Cuddy and accepts her offer to return, but he has a few requests. Cuddy rejects them because she knows that his options are limited. She is the only one that will hire him.
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House, MD Season 4 Episode 403: 97 Seconds

Thomas Stark, a young man in a power wheelchair, and his English Shepard service dog, Hoover, exit a minivan. Stark begins to motor himself across the street when he suddenly loses consciousness. Hoover reacts as cars approach. A driver that is changing her radio station dial is unaware of the impending crash. She hits the breaks just in time. The woman runs out to check on the young man slouched in his wheelchair in the middle of the road.
At Princeton-Plainsboro, House arrives in the lecture hall to describe Thomas Stark’s condition to the remaining Fellows. He wants to split the candidates into two teams to investigate the condition. Twin 15B suggests women be pitted against men. Amber asks to be on the men’s team to increase her chances of being selected. Yet the guys resist because they hate her. The men and women discuss options for diagnosis. Kutner suggests that the patient’s recent trip to Thailand had something to do with his illness.
Amber approaches Cameron in the ER to get her help on the case. House attends to Mark Allmore, a young man who is bruised from a car accident. Suddenly, Allmore pulls out a knife and sticks it into an electrical socket, electrocuting himself.
Thirteen believes that Stark picked up a thread worm called Strongyloides while in Thailand. She gives him a cup with two pills and he asks for some water. Kutner and Brennan enter the room to perform tests on Stark. They carry him to the bathroom to collect samples. Cuddy asks House what is wrong with Stark. He really does not know.
House obsesses with Wilson about the man who shocked himself. House plays with the knife Allmore used.
Amber walks into the men’s team but she is unwelcome. She offers information from Cameron in exchange for entry onto their squad and they agree. Amber administers a test on Stark that involves a jar of bugs biting him. He starts to choke.
The Fellows and House discuss the new development. Thirteen insists that Stark has Spinal Muscular Atrophy and Strongyloides worms. Twin 15A thinks they need to stress Stark’s system. House penalizes the men with detention for only performing tests while the women actually tried to heal Stark.
Allmore tells House that he wasn’t trying to kill himself. He was only trying to re-experience the bliss of the 97 seconds he was technically dead caused by a car crash.
Amber and the men’s team deduce that a tumor in Stark’s neck could be the trouble. She sneaks out and finds Stark on a tilt table, where his vitals remain stable despite being swung like a human see-saw.
House has decorated the lecture hall like a tribal council. Amber enters holding a CT film that House dismisses. She then hounds Chase in the operating room to look at the scan. She convinces him to run a blood test on Stark for her. Amber takes the blood from Stark. It is the color green -- which is the unprocessed dye from the CT test. His kidneys are failing.
House is stumped. He was sure that Thirteen’s diagnosis of Strongyloides was correct. Amber stands by her theory of scleroderma. When he finds out that Chase helped Amber, House confronts Chase in front of the Fellows. House believes Stark really has cancer.
At Mercy Hospital, Forman is trying to diagnose a case with a team of his own but he is struggling. He’s accustomed to thinking “outside-the-box,” and he cannot find common ground with Schaffer, his new “play–it-safe” supervisor. Foreman comes to a decision about what to do. He pushes his patient’s bed in the hallway, literally taking things into his own hands.
Back at Princeton-Plainsboro, House wants to remove Stark’s eye because he believes this is the source of the cancer. This enrages Cuddy. Stark refuses the surgery. He does not want to live if it means not walking, not eating and now not seeing. House belittles Stark’s belief in the beyond to Wilson. Misery, he says, it better than nothing. House contemplates death and the afterlife in his office. He plays with Allmore’s knife and stares longingly at an electrical socket.
Amber and Thirteen attend to Stark’s lungs. He can barely breathe, and the liquid removed from his lungs is clear, not bloody. If he had cancer, there would be blood.
Amber is paged by House and she finds him lying unconscious on his office floor from electric shock. House wakes up in the same room as Allmore. Wilson takes over leadership of the Fellows.
Wilson lets House know that Allmore just passed away and that Stark probably has Eosinophilic pneumonia rather than cancer. Wilson prescribes House some extra pain meds. This, of course, pleases House.
Stark is near death. The Fellows assure him that the new medicine will work. He asks for his faithful service dog, Hoover.
After Stark dies, Amber brings the news to House and asks why he summoned her with the page. He explains that, if he died, she’d never get the job. He knew she wouldn’t let that occur.
When they get to Stark’s room, Hoover the dog is also dead. House asks Thirteen if she actually witnessed the patient take the pills for thread worm. She hesitates. The medicine is fatal for dogs like Hoover with the MDR1 gene. House finds the empty pill cup on the floor. There are dog teeth marks on it.
At Mercy, Foreman’s unorthodox treatment works for his patient. Yet his supervisor Schaffer is unhappy. She does not tolerate bending of any rules. Schaffer fires Foreman on the spot.House meets with Thirteen. Her initial diagnosis was correct -- Stark would have lived had he taken the pills. She begs to be spared the lecture and for him to just fire her. Yet House is giving the lecture because he is not firing her. He knows Thirteen will never let something like this happen ever again.

House, MD Season 4 Episode 402: The Right Stuff

A female Air Force pilot named Greta flies a Stealth fighter jet with precision over a desert landscape. She begins to perceive sounds for the flight rather than visuals. She heads for a crash into the mountainside. Greta is actually in a virtual reality flight simulator inside a warehouse. Angry and confused, she blames the controller for her crash.
In the hospital lecture hall, House asks the Fellowship candidates to identify the man on the screen behind him. It is the actor Buddy Ebsen, who was diagnosed with an allergy to aluminum dust in the make-up used on him as the original Tin Man character in “The Wizard of Oz.” House dismisses the group to investigate the allergy. Cuddy comes to the door to tell House he’d better start eliminating candidates. House proceeds to fire the entire Row C. Yet when a pretty applicant goes to leave, House changes it to Row D instead.
House gets a page from his own pager number. He enters his office to find Greta waiting. She offers him fifty thousand dollars in cash to diagnose what is wrong with her. It appears that she is seeing with her ears, and she hopes to keep this fact from NASA and the Air Force where she is a candidate for astronaut training.
House brings the case of synesthesia to the remaining group of applicants and tells them to keep it a secret. He assigns some candidates to perform different tests on the patient. Another group is sent to break into Greta’s home to find out what she is hiding. He tells the rest of the candidates to wash his car.
While candidate Jeffery Cole washes House’s car, the others assigned to it complain. Amber Volakis has them all stop, and she takes the car to a carwash with Cole.
The trio designated to break into the patient’s home also complain. Henry Dobson, a candidate far older than the others, manages to break into the apartment and outsmarts his younger colleagues.
Candidates Taub, Jody and “Thirteen” report back to House that the patient has an elevated red blood count. A group of doctors walk past House’s office and he notices that one looks very much like Chase. House decides that the cause of Greta’s problem must be carbon monoxide poisoning from her fireplace.
When Amber returns from the carwash, House has her put the patient into a hyperbaric chamber. In the chamber, Greta suffers a heart attack from the oxygen therapy. The doctors try different methods to save her. When they hit her with defibrillator paddles, Greta is set on fire.
House asks the doctors what could have caused the heart attack. Henry suggests a cardiomyopathy, and House tells him to do a transesophageal echo. He orders the rest to go document ten things that cause infection in the hospital cafeteria. House tells Wilson that he saw Chase. Wilson thinks it’s only an illusion, and he attributes it to House’s guilt because Chase and Cameron are in Arizona.
Henry hesitates inserting the endoscope into Greta and gives it to Thirteen to do instead. The Fellows follow House down the hallway to update him. He recommends a test for hyperthyroidism. While candidate Chris Taub administers the test, the patient has a panicked reaction when she finds out that they had been to her home. Greta runs out of the room and locks herself in the hospital chapel. As the Fellows try to reason with her, House arrives. He notices someone who looks like Cameron but with blonde hair. Cuddy comes upon House to ask the identity of the mystery patient in her hospital. She admonishes him about running everything past her.
House checks in with the team, and they decide that the patient suffers from liver cancer. House asks Wilson for advice on how to test Greta. Lawrence Kutner, who was eliminated as number 6 has returned with his number upside down as a 9. Kutner provides the answer: they should get Greta drunk and measure her response. House chooses Cole, a Mormon who does not drink alcohol, to be the control group.
While feeding Greta shots of tequila, House thinks that he sees Forman walk by. He chases him down the hall. By the time House returns to Greta’s room, she has disappeared. Cuddy chastises House for the unorthodox tests he is doing. She takes a whiff of him and asks if he has been drinking.
With Cole and Thirteen, House examines Greta’s belabored breathing and concludes that she has lung cancer. Greta refuses surgery, fearing that NASA will see the scars it will cause. House consults the Fellows. Since Taub is a plastic surgeon, he suggests breast implant surgery to mask the scars. Prior to surgery, Cuddy asks House to explain why the patient is undergoing cosmetic surgery. He says it is in the best interest of the patient.
During the surgery, the team finds cysts on Greta’s lungs. House calls out to the doctors for a diagnosis. He hears someone in the viewing gallery give the correct answer -- Von Hippel-Lindau Syndrome. That person is Chase. House is unsure if this is another vision but then realizes it is not. Chase has joined the surgical staff of the hospital and he was really in the hall.
House confronts Wilson who knew all along that Chase returned from Arizona. Cameron now works downstairs in the emergency room of Princeton-Plainsboro. Forman is at New York Mercy Hospital.
Greta awakes from surgery and still insists on not telling NASA. House lets her know that he told NASA himself.
House is in front of the candidates in the lecture hall and announces his selections. In the hallway, he addresses the eldest candidate, Henry. House says that he knows Henry did not attend medical school. He offers him the position of assistant.
House approaches Cameron in the ER. He says that he had lied about telling NASA of Greta’s condition. He couldn’t kill her dream.

House, MD Season 4 Episode 401: Alone

When a gas main explodes, a young woman named Megan Bradberry is buried beneath a collapsed building. Severely injured, her face almost unrecognizable, Megan is rushed to a hospital, where she undergoes a tracheotomy and is placed on a ventilator. Cuddy is puzzled by one aspect of the case: Megan is suffering from an unexplained fever. House isn’t interested in the case, as he doesn’t have a team. When Cuddy orders him to take the case, House says he’ll do it on his own, provided she goes away for a week if he makes the correct diagnosis.
As House mulls over the facts in Megan’s case, he talks out loud, as if his team was in the room with him. He then bounces ideas off the janitor, Leon, and eventually concludes that the fever was triggered by an infection. Dressed in a lab coat, Leon accompanies House to Megan’s room. There, House interviews Megan’s boyfriend, Ben, and her mother, hoping to discover what might have caused the infection. When that avenue dead-ends, House and Wilson break into Megan’s residence to look for clues. House finds Megan’s secret diary. Inside are entries describing her depression. House suspects Megan has been taking anti-depressants which, in combination with the drugs she’s being given at the hospital, produced the infection. At the hospital, House convinces Ben and Mrs. Bradberry that it’s in Megan’s best interest to be placed on dialysis, even though both of them refuse to believe she’s secretly been taking medication for depression.
When House returns to his office, he discovers that his prized guitar has been kidnapped. He suspects Wilson is to blame, but Wilson denies it. Meanwhile, Cuddy asks Megan a series of questions. Since Megan is unable to talk, Cuddy instructs her to blink once for “yes” and twice for “no.” Suddenly, Megan’s heart rate soars. Cuddy is forced to use defibrillator paddles to return Megan’s heart rate to normal.
House and Cuddy are now faced with two unexplained symptoms: fever and tachycardia. House proposes a second explanation for the illness: the DTs. Ben dismisses the idea as nonsense; he knows Megan isn’t an alcoholic.
Convinced that Wilson stole his guitar, House shows up to Wilson’s hotel apartment and begins erasing his beloved telenovelas. Meanwhile, at the hospital, Cuddy realizes Megan is silently screaming.
Cuddy tells House that Megan has developed pancreatitis. House attributes the development to the IV alcohol being used to treat Megan DTs. Later, Wilson reacts with mock revulsion when he pulls the tremolo arm of a guitar out of a package mailed to House. He tells House that the kidnappers mean business. House insists he’s not hiring a team to help him diagnose cases.
An MRI shows no abnormalities on Megan’s pancreas, but House realizes she’s bleeding internally. House enters the operating room where Megan is undergoing surgery. He examines Megan’s uterus with the help of an endoscope. It shows she recently underwent an abortion. This leads him to conclude that Megan was taking birth control pills. A short time later, House meets Doug McMurtry, whose girlfriend, Liz Masters, was working with Megan at the time of the explosion. Doug tells House that Liz died from her injuries.
House tells Ben that Megan had an abortion and is on birth control medication. Ben insists this isn’t true, as they both wanted kids. House places Megan on tamoxifen, an anti-cancer drug, to block estrogen receptors. Cuddy relays word that Megan is now experiencing breathing difficulties and her kidneys are failing.
A young doctor suggests to House that Megan is suffering from ARDS and Crush Syndrome, both reactions to severe trauma. The problem is, there’s nothing doctors can do to save her. House gives Ben and Mrs. Bradberry the bad news. Yet House notices a lump on Megan’s arm. It turns out the lump was triggered by an allergic reaction. Ben and Mrs. Bradberry insist the allergy diagnosis doesn’t make sense.
Still convinced that Wilson stole his guitar, House moves one of Wilson’s cancer patients to another room in the hospital. Wilson confronts House, and warns of catastrophe should the patient be given the wrong medication. House thinks about this for a moment -- and makes a connection. House makes his way to Megan’s room, where he tells Ben and Mrs. Bradberry that the girl on the bed isn’t Megan. It’s Liz Masters. Both women have the same build and hair color. This explains why nothing added up in terms of a diagnosis: House had the wrong patient. Unfortunately, it also means that Megan is dead.
Cuddy orders House to assemble a team. Later, as House twangs his guitar, he addresses a group of candidates.

House, MD Season 3 Episode 324: Human Error

A Coast Guard helicopter hovers over the ocean. A Cuban refugee named Marina Hernandez sits in the cabin, wrapped in thermal blankets and shivering from hypothermia. An officer struggles to save her husband Esteban from the choppy water below, but Esteban refuses to let go of Marina’s suitcase. With the chopper running low on fuel, the officer dunks Esteban which forces him to release the suitcase before pulling him to safety. On board, Esteban screams in Spanish that Marina’s medical records are in the suitcase and that Dr. House needs to see them. Esteban watches helplessly as the suitcase floats away.
Cuddy tries reaching House, but he is no longer answering his cell phone because he has become “world famous.” Instead, House watches from a distance as Foreman attends a going-away lunch with the nursing staff.
Later, Chase and Cameron go over Marina’s admission exam while Foreman checks his email. House saunters in to see where they are. Since Fidel Castro emphasizes medical care in Cuba, House figures that Marina has already been filled with antibiotics. He rules out simple diseases like parasites or infection and requests an MRI. He also wants the team to check Esteban for any symptoms caused by being stranded at sea. They can subtract those from Marina’s list.
Chase observes that Foreman isn’t going to leave. This piques House’s interest. Chase thinks Foreman doesn’t want to leave and that House doesn’t want to let him leave. He assumes House will cave, just like he did with Cameron. Foreman obviously wants something from House, so Chase suggests he try telling Foreman what he wants to hear.
Foreman discovers that Marina has Multiple Sclerosis. They should start her on interferon and see if she improves. Esteban complains that Cuban doctors would have spotted MS. Marina cries in pain. When Foreman rotates her forearm as a test, her bones snap in a spiral fracture. House suspects bone cancer because metastatic tumors would explain the abnormal MRI, kidney damage, cotton mouth and double vision. House orders a PET scan to see what else the cancer is breaking. Convinced it’s not cancer, Chase argues that House is stupid to think that Foreman will forget the last three years and stay there if House starts agreeing with him. House ignores him and again asks for the PET scan.
Chase finds House in his office and starts talking about Foreman again. House cuts him off and fires him. He explains that Chase has been there the longest. Either he has learned all he can or hasn’t learned anything at all. This means that it is time for a change. A stunned Chase shuffles out of the office.
Foreman and Cameron perform the PET scan but don’t find any signs of bone cancer. Chase comes in to break the news that he has been fired. Suddenly, Chase sees a hotspot by Marina’s humerus on the scan.
Cameron and Foreman barge into House’s office, demanding to know why he fired Chase. Then Cuddy enters, kicks out Foreman and Cameron and asks the same question. She orders him to rehire Chase. House calls Chase and asks about Marina’s PET scan. Chase says that there is a blood clot in the arm. House doesn’t hire him back.
Foreman informs Esteban that Marina will need an angiogram to confirm the presence of a clot. Esteban demands to see House, but he has left for the evening. Foreman gives Esteban House’s phone number and instructs him to keep calling because House doesn’t always pick up. Foreman smiles at his prank.
The next morning, Foreman and Cameron perform the angiogram in the middle of arguing about Chase’s firing. An exhausted and angry House comes in, questioning whether Foreman gave Esteban his home number. After he leaves, Foreman marvels that House would stay up all night listening to the phone ring rather than talking to a patient for five minutes. Cameron notes that a trick like that makes Foreman worse than House. All their bickering stops when Marina goes into V-Tach. Although her EKG flat lines, Marina keeps talking to them. She loses consciousness and the doctors begin CPR.
The doctors are still working on her three hours later. They have yet to start bypass surgery because House fears the clot will break loose and head for the brain. Foreman explains the situation to House and Cuddy together. Cuddy immediately okays the bypass. As the doctors rush Marina into surgery, Esteban finds House relaxing in his office. House is disinterested, but Esteban emotionally pleads that he looked him up because he has a reputation for fixing people when other doctors have given up. Esteban questions why House is just sitting there and not tending to Marina. House thinks for a moment and then heads into the OR.
House has the surgeon turn over Marina’s non-beating heart but there is nothing physically wrong with it. He asks the surgeon to shock the heart, but seven attempts don’t revive it. The surgeon is merely keeping bypass going until Esteban can say goodbye. Marina’s heart simply won’t start. She’s dead.
House retreats to his office in an attempt to figure out why the heart won’t start while the bypass is still keeping Marina’s brain alive. Cameron and Foreman argue that it’s over, but they realize House doesn’t want to tell Esteban because that will mean House failed.
Cameron goes to meet Chase at a nearby bar. She tells him that everything will work out in the end, but Chase has already come to grips with the firing. He figures it probably is time for a change.
Late that night, Cuddy finds House in his office and asks when he plans on telling Esteban that Marina is dead. Cuddy wonders whether House was hoping for a storybook ending, but House argues that he honestly doesn’t care. He just wants to know what the problem is. House tracks down Esteban in the chapel and informs him that nothing seems to be working. He can say goodbye to Marina before House removes her from bypass.
Esteban apologizes to his wife, kisses her one last time and House begins shutting off the machines. Esteban leans down to hug his wife and feels her heart beating. House explains that it is just residual blood flow. Esteban grabs House’s hand and places it on Marina’s heart. House flicks on the EKG and sees that her heart is beating normally. Her eyes open and she regains consciousness. House is shocked. Esteban thinks it’s a miracle.
Three hours later, Foreman reports to House and Cameron that Marina is still stable. Her blood pressure, EKG and kidney function are all normal. House thinks about the angiogram and wonders if human error wasn’t to blame. Maybe it was divine error. A congenital heart defect in an artery would be susceptible to inflammation. This causes arrythymia, which causes angina and clots. They will need another angiogram to be sure.
The procedure begins and House injects the dye into Marina’s heart. The right and left coronary flow both look normal, which makes House worry that this test is about to go bad. Cameron spots something odd on the monitor. Marina has a third ostium. Humans should only have two. This third one is causing inflammation, is becoming infected and sending out clots. This is everything that has been plaguing Marina. After one more surgery she should be fine.
That night, Chase opens his apartment door to find Cameron on his stoop. They kiss and head inside.
Wilson meets up with House in the doctor’s lounge. Foreman enters and the room freezes. House says he wants Foreman to stay on because he is an important part of the team and he needs him. Foreman agrees, but says he doesn’t need House. House tries to argue that he just solved a case by predicting a never-before-seen heart defect even though Foreman gave up on it. Foreman points out that House is only happy for now. Soon he will be jonesing for the next case to come along. Foreman doesn’t want to solve cases. He only wants to save lives. House becomes angry, and yells that Foreman only cares about himself and his ego. This is the reason he dragged out his quitting over three weeks. Foreman looks at House and then simply walks out.
House retreats to his office. Cameron is waiting for him with her resignation letter. House asks if she expects him to break down and ask Chase back. Cameron smiles and says she expects House to make a joke, move on and be just fine. But she says she will miss him.

House, MD Season 3 Episode 323: The Jerk

Sixteen-year old chess prodigy Nate Harrison easily mows down an older opponent while mocking his moves. Afterwards, the opponent offers Nate a handshake and congratulations. Nate winces and begins breathing rapidly. He picks up the chess clock and smashes it in his opponent’s face. Nate jumps on the man, pounding him with punches until proctors are able to drag him away. Nate holds his head in agony, fighting for breath.
As Chase examines Nate in the hospital, the boy’s mother Enid stands at his bedside. Nate is sarcastic and difficult to him. Chase ignore his jibes and presses on with the exam. Chase presents the case to the team. He says that the boy is dealing with rage and head pain, plus various bumps and bruises from the seventeen fights he’s been in this semester alone. House adds “personality disorder” to the list of symptoms. Suspecting that the diagnosis is cluster headaches, House asks them to start Nate on blood thinners and he prescribes Transcranial Magnetic Stimulation.
Foreman performs the procedure on Nate, who continues to be obnoxious. Outside, Chase explains to Enid that cluster headaches often cause irritability or hostility. If they are right about the prognosis, then treatments could change Nate. This delights Enid. She had thoughts that she was a bad mother because she hated Nate.
The next morning, the team explains to House that the blood thinners and TMS had no effect. They rule out cluster headaches and now suspect hemochromatosis or hypothyroidism. House quickly shoots down both conditions because they don’t match Nate’s personality issues. House sticks with cluster headaches, arguing that symptoms never lie. Cameron points out that the only approved treatment left is brain surgery, which is not a guarantee. House smiles, noting that they will be forced to use an unapproved treatment.
When the meeting ends, Foreman storms out. He tells House that he had an interview lined up for the day before at New York Mercy Hospital, but they said he cancelled. Yet he never called them. Foreman accuses House of going behind his back and questions whether he has a neurological issue. House claims innocence, coldly explaining that he only sabotages people he deems worth the trouble.
House congratulates Cuddy on her cunning move of canceling Foreman’s interview. Cuddy firmly informs him that it wasn’t her but that she is awaiting board approval to make Foreman an offer to stay. House asks permission to give Nate mushrooms to treat his cluster headaches because the psilocybins in them work on the headaches. Cuddy only permits a low dosage of less than ten milligrams given in a tightly controlled setting. House also must obtain parental approval.
Chase and Cameron administer the drugs and then observe Nate. He is not feeling any pain in his head but rather the opposite. Cameron says that this confirms a diagnosis of cluster headaches. Nate then invites Cameron to have sex with him and he lifts up his blanket. The doctors see that his testes are undersized but that his other sexual characteristics are normal. They turn their focus to the hypothalamus. House orders Chase and Cameron to biopsy the pituitary.
Enid is all for the procedure but Nate refuses to have his brain cut open. Suddenly, Nate becomes disoriented and blacks out. Chase notices that his gums are yellow and realizes that Nate is jaundiced. The liver is shutting down. Chase and Cameron start the patient on sodium polystyrene sulfonate.
The boy’s liver is operating at around twenty percent and deteriorating fast. It’s possible that the liver failure caused the other symptoms, but what caused the liver failure? Foreman gets a page. House assumes it’s from Cuddy and excuses Foreman to handle his business. Chase mentions that Nate was raised a vegetarian but then started eating meat a few months ago. House observes that, with an OTC deficiency, Nate wouldn’t be able to metabolize the nitrogen and this would damage the liver. He orders the doctors to stuff Nate full of meat and wait for his ammonia levels to spike.
Cuddy presents Foreman with a deal to double his salary and put him in charge of his own diagnostic group. He would work parallel to House but have complete autonomy. Foreman thinks about it and then quickly declines. Since somebody at the hospital sabotaged his interview, he can no longer work there.
Chase and Cameron bring Nate a giant platter of hamburger patties. He demands a higher quality meat and won’t eat them. Chase snaps. He threatens to strap Nate down and force the meat into his system. Nate backs down and takes a bite.
Cuddy accuses Wilson of killing Foreman’s interview in order to help House. Wilson says he hopes Foreman will leave so that House realizes he needs another doctor to stand up to him. Cuddy doesn’t believe him, labeling Wilson an enabler. Wilson calls Cuddy paranoid.
The hamburger test shows no change in Nate’s enzyme levels, meaning he is not affected by OTC deficiency. House’s next idea is to starve the boy because diabetic steatosis will screw up the liver, which will allow them to see if the blood sugar pops. Chase warns that messing with Nate’s blood sugar could set off another rage.
The changes do cause Nate to rage, and the doctors find him jaundiced in his room. Nate is swinging around his IV pole and threatening the nurse and his mother to feed him. The doctors tell Nate that once they get a urine sample he can eat. Nate defiantly pees on the floor. Yet his urine changes from bright yellow to blood red.
A chem panel confirms that the bloody urine is due to kidney failure. Nate is put on dialysis, which he will need for the rest of his life. Now the team is stuck for answers. Foreman throws out hepatic fibrosis or MCADD. Considering that it might be a genetic disorder, House asks them to acquire the sequencing primers and figure out if it’s one of the genetic diseases they can actually fix. Foreman announces that he has to leave and House questions if he’s going to a job interview. Foreman wants to know whether House will stop him if it is.
Wilson tries to get Cameron to believe Cuddy is going to fire him for sabotaging Foreman’s interview but she sees right through his weak attempt. Wilson becomes annoyed, noting that she would have fallen for this three years ago. Cameron asks whether he thinks she was the culprit, but she denies it. Cameron finds Chase in the lab and asks if he did it because he wanted to sabotage Foreman. Chase is stunned that she would consider him to be that petty.
The genetic lab tests show that Nate has a partial HPRT enzyme deficiency, which means he could have Kelley-Seegmiller syndrome. Yet since it’s partial, he might not have it. Cameron argues that patients with this syndrome self-mutilate, and Nate hasn’t been chewing his lips or banging his head. Chase points out that self-mutilation only happens when the patient is stressed. House wants to stress Nate to the breaking point in order to receive their confirmation.
House walks into Nate’s room with a chessboard and immediately starts mocking him for not wanting to play. This gets Nate riled up. As the game progresses, Nate is surprised that House is a good match for him. House begins taunting Nate, pointing out that nobody likes him. House tells Nate that he’s dying and then takes the boy’s knight with his queen, which puts Nate in check. Nate’s breathing quickens, but then he moves his bishop and smiles. He asks House if he wants to lay down his king, explaining the next four moves that will put House in checkmate. Looking at the board, House realizes that Nate is right. Yet the greater surprise is that Nate is starting to convulse with a seizure.
The next day, House is studying a chessboard and announces to the team that he hates Nate. The team despairs, realizing that they have one more symptom and one less explanation. Chase asks if Nate took any medication and lied about it. This sparks an idea in House. He crosses personality disorder off of the whiteboard and declares that now they are dealing with a normal jerk who suffers from amyloidosis. House tells the team to flush Nate with immunosuppressants, perform a biopsy to confirm and find a bone marrow donor.
The biopsy, however, comes back clean with no signs of amyloidosis. Yet House isn’t deterred, and tells Foreman to biopsy the sinuses for a different reading. Foreman resists, but House says that he can either argue about it and then do it or just do it. Foreman shrugs and walks away. House shouts after him that he wasn’t finished. The third option was to not do what House asked. He could have stuck Nate on antibiotics but he didn’t because he still trusts House’s judgment more than his own.
Chase finds House in his office that night. He knows House was the one who sank Foreman’s interview. Everybody has been chasing ghosts over this, so either nobody did it or somebody wants everybody chasing ghosts. He thinks this sounds like House’s doing. House smiles, admitting that sometimes he forgets why he hired Chase. If House wants Foreman to stay, Chase advises him to just simply tell him. At least it will make Foreman see that House isn’t evil. This idea gives House an epiphany about Nate’s case. When they crossed off personality disorder, they forgot to add another symptom.
House strolls into Nate’s room holding two chess pieces and asks if he wants white or black. Nate grabs for a piece and House notices that he keeps his thumb straight when grabbing objects. House bends the thumb backwards and Nate yelps in pain. He cannot bend his thumb because the bones have formed abnormally due to the junk that has pushed its way between them.
Nate has hemochromatosis, and his body is absorbing iron from his food but he can’t process it. The iron is building up in the organs and joints, creating havoc. As for the personality disorder, House points out that Nate is simply a jerk and that this has nothing to do with the iron. House pulls out the IVs and pokes Nate’s wrist with a scalpel. He calls in a nurse, instructing her to stop the bleeding when three pints have dripped into the garbage can. Nate will need dialysis and a blood drain about every three months for the rest of his life. Other that that, he will be fine.
House finds Foreman in the lab and asks whether he is still running the biopsy for amyloidosis. House has Foreman run it again to recheck his results, and warns him that he will probably have an all-nighter in front of him.

House, MD Season 3 Episode 322: Resignation

A young woman named Addie becomes dizzy in her karate class. She begins coughing up blood. Later, at the hospital, the team reviews the case. Cameron postulates drugs, toxins or infection. She figures that if Addie coughed up blood, then it came from the lungs. However, Addie has no fever or elevated white count, which rules out infection. A blood panel was negative for toxins and her bronchoscopy showed pristine lungs. Cameron then assumes it must have come from the girl's stomach, indicating an ulcer or GI bleed. Yet the ER also did an upper and lower GI. There's no occult blood in the stool, meaning no ulcer or GI blood. Basically, the blood didn't come from anywhere.
House enters asks the team if they've figured out yet that the blood came from nowhere. Cuddy pulls House and Foreman out into the hallway to inquire about Foreman's resignation. He's sure that he still wants to quit. Cuddy has him sign a form to make it official. House wonders why Cuddy isn't begging him to stay. She thinks it wouldn't make a difference. Back in the office, Foreman breaks the news to Chase and Cameron.
Resuming Addie's case, Chase mentions the possibility that a hyperdynamic heart could have forced too much blood into the lungs. It wouldn't leave a trace because the blood came from the veins. House orders Foreman to run an echo stress test on Addie. He sends Cameron to check out the girl's dorm before re-running the ER labs.
While performing the echo stress, Chase asks Foreman why he's leaving but Foreman doesn't give up anything. Chase wonders if that means Foreman is embarrassed about the reason. Addie's heart rate spikes to 170 and Chase can only see goose bumps on her arm. House still thinks it's an infection. He instructs Foreman to start treatment and get a lung biopsy. When Foreman leaves, Chase asks House why Foreman has resigned. House answers that Foreman has decided to raise llamas. Chase realizes that House is also ashamed of the real answer.
House tells Wilson that Foreman is leaving because he doesn't want to turn into another House. Wilson yawns, which House finds intriguing, and then suggests he try to bargain with Foreman. Maybe he can offer him a raise.
As the doctors discuss Addie's case, House asks them what pandiculation is symptomatic of. He is pretending this is in reference to Addie when really it's to learn about Wilson. House then makes a lame joke that Foreman chuckles at. Chase stops short, accusing Foreman of doubting his decision. He's never laughed at one of House's jokes before, but did now because he's nervous. House begins to realize that he was wrong about the infection. He tells the team to attend to Addie before she crashes. They rush in with the crash cart to find her gasping for air. The doctors slide a laryngoscope down her throat.
Chase later explains to the group that Addie couldn't breathe because she had a pleural effusion, which indicates either cirrhosis or heart failure. However, her heart is fine and the liver enzymes are normal. House keys in on the fact that there was blood in the pleural effusion. This confirms his supposition about infection, but Chase argues that it was only minute traces of blood in an otherwise clear liquid. House orders them to double the dosage of antibiotics and check the lungs with an arteriogram.
The arteriogram test comes back normal. House is still convinced it's an infection. The team is skeptical that Addie would keep fighting off an infection that returns, but House wonders if maybe she's missing a protein that cannot be tested. Picking up on his lead, Chase blurts out the disorder of complement factor H deficiency. That would mean Addie is as good as dead. Her body cannot fight off bacteria, and she will succumb to one infection after another until her body shuts down. Since there's no diagnostic test for complement factor H deficiency, House wants them to isolate the cells that are most attractive to that affliction. They need to stick a needle in her eye.
Despite the case, House is still subject to clinic duty. He treats a man named Steve who complains of floating stool. Accompanying Steve is his girlfriend, a free-spirited nutritionist named Honey. She is disappointed because Steve has been cheating on her by eating meat. House sees this as an opening to ask Honey out. She accepts.
House crushes up some amphetamine pills and secretly drops them into a cup of coffee for Wilson. Wilson is naturally suspicious of House being nice. So he grabs the cup that House isn't offering, but that is the one filled with the amphetamine.
Addie's macular biopsy comes back negative, proving that it is not complement factor H deficiency. House still thinks it's an infection. They take a brain MRI, and Addie cries out during the procedure that her head hurts. When the doctors pull her out from the machine, they are shocked to see that the top of Addie's head has somehow burst open, leaving blood and tissue oozing onto the table.
The doctors anesthetize Addie and begin debriding the tissue. Foreman notes massive tissue death and Cameron notes that it doesn't have any pus, which should rule out infection. House again refuses to back off his diagnosis. Chase thinks it's more likely to be autoimmune, which means they need to start steroid treatment immediately. House invites him to proceed as long as Cameron stands by with the crash cart. If Chase is wrong, Addie's heart will give up almost as soon as they start with the steroids.
House stands by in the hallway as Chase starts the steroid drip, eagerly anticipating the massive heart attack. Yet nothing happens. Cameron smiles and turns the crash cart off. House is somewhat annoyed.
Wilson calls Foreman to his office. Foreman immediately notices that Wilson is going a hundred miles an hour. Wilson blurts out that House wants Foreman to stay. Before he leaves, Foreman says that he knows House is a good doctor.
Wilson tracks down House at home and angrily accuses him of drugging the coffee. When Wilson yawns, House is positive that the yawning is a symptom of something else. He posits that Wilson is taking anti-depressants. House says he would be on them as well if he wasn't in denial about his depression.
That night, Cameron wakes House up because he wasn't answering the phone. She informs him that Chase was wrong. Addie's kidneys have shut down. House actually smiles at the news.
At the hospital, Cameron announces that hemolytic uremic syndrome is what caused Addie's kidneys to shut down. House remarks that this is usually caused by an infection or a protein deficiency. House gloats that he was able to diagnose an invisible disease based on coughed up blood. The team is more interested is what they're going to do next. If House is right, the steroid treatment means that Addie's next infection will be ferocious. So they decide to wait for a stroke or heart attack to confirm an infection.
Eventually, Addie suffers a heart attack. The doctors are barely able to save her. Foreman gives the news to House then asks if he even knows the patient's name. House doesn't, but he argues that this is not what is important to him or the family. House thinks Foreman doesn't want to quit. Foreman asks if that statement actually means House doesn't want him to quit. House scoffs that Foreman is under the impression he can make House a gentler person. Foreman cuts him off, charging that House is about to tell a young girl she's dying but all he can think about is himself. Foreman hopes to God he's not like House.
House walks into Addie's room, apologizes and then tells her she's dying. The infections will continue to get worse. She has two days or less to live. House attempts to explain the disease, but she doesn't want to hear it. House is amazed that Addie doesn't want to know what's killing her. She questions whether knowing will make her live longer. House wonders what life is without curiosity. As he talks about diagnosing problems, Addie notices that he is smiling. He catches a reflection of himself and she's right. House is actually smiling as he talks about this in front of a dying girl. He abruptly exits.
House barges into Wilson's office and blames him for dosing House with anti-depressants. Wilson smiles, unable to hide the truth. They've obviously worked. A miserable girl just noticed how happy he was. House counters that she wasn't miserable and has been in that same mood all along. House freezes with an epiphany.
House barges into Addie's room and orders her parents out. He sits down and tells Addie that depression manifests itself in many different ways. She tried to kill herself by downing kitchen cleanser. Since she is intelligent, she knew that it would sting her mouth and throat. So she must have wrapped the cleanser in a gel cap, which burned a hole in her intestine yet left no other trace behind. Scar tissue fixed the hole but also formed a bridge between a vein and an artery. Instead of her veins sending bacteria into her fecal matter where they should be eliminated, the bacteria was being sent back into her system. Yet does Addie want them to fix her? Surgery will only take two hours but the psychotherapy will take longer. Addie cries, confessing that she's never been happy. She begs House not to tell her parents because they will blame themselves.
As surgeons work on Addie, Cuddy tells Foreman that House isn't actually that bad. She questions whether he really is afraid of turning into House. Foreman says it's not worth it and leaves.
That night, House meets Honey at a bar. He orders the same peppermint tea that she's drinking. Honey is under the impression that House is interested in hiring her as a nutritionist for his team, but House has another, more personal, relationship in mind. He points out that he hates tea. Then he lists all of his many shortcomings. Honey is not put off by any of it.