Season 4 Episode 15

House's Head

I'm all for weird episodes, but this one is still a little hard to understand for me at this point. It's looking like Wilson's girlfriend was on the bus that Dr. House was on. And now Amber is dying.

The previews from next week show Wilson's girlfriend in the hospital bed, tubes and everything. Hmm. More later.

This was part one of the season 4 finale. I hate when they have the old "to be continued
crap. It's bad enough that television is 2/3 commercials, and only 1/3 program. Then they have to screw you and make you wait for the conclusion.

Anyway, the whole episode was inside House's head, where he was trying to figure out what happened in the bus accident. Overall, neat, but a little too Twilight Zone for House MD.

A New Year of House - Liveblog

At the scene of a fire, a firefighter is having trouble breathing. He starts toward the fire. A female firefighter stops him. He says he's freezing.

Apparently he's been burned before. He's had skin grafts.

House is in court. A preliminary trial date is set, after he pleads not guilty.

Yep. Burns over 54% of his body a year ago. House doesn't seem to care about the case. Cuddy called him a "stubborn adolescent idiot." She gave him a scrip for vicodin. "you function better on it."

House says it could be male menopause. He says the patient is on Viagara.
Burn boy is freaking out! He choked Cameron.

Officer Brownshirt is there. House MD said, "I'm sorry." He says he lives in pain. Brownshirt says, "Thank you." But accuses House of being insincere and says, "I'll see you at the hearing."

House is going to check into rehab.

BTW. What's with the site design?

Cuddy and Wilson can't believe he's checking in to rehab. He says it's to help his case.

Chase is thinking like House. "Everybody lies." All three are paged at once. Burn Boy is freaking out again. He's having a heart attack. Chase was right. He's been having a whole series of heart attacks. Cameron is going to see House.

House is detoxing and is puking up his guts. He thinks the firebabe is somehow behind what's going on. Burn Boy goes into cardiac again immediately.

Cameron asks Burn Boy if he's in love with Fire Babe. He says she's engaged to his brother. Cameron thinks he's literally dying of a broken heart. House suggests electro-shock therapy. Cuddy says go ahead.

I thought House was gonna deck Brownshirt. He admitted he's just got a vendetta against House.

Burn Boy's done being shocked. His brother is there to see him. Then Fire Babe walks in. He doesn't remember either of them.

House apologizes to Wilson for being mad that Wilson turned him in.

Ho---ly---crap! Firebabe and burn boy's brother aren't getting married. They fried his brain for nothing. House is consulting while in the courtroom. He leaves and the judge threatens to hold him in contempt.

Spinal Meningioma. Obstructs the flow of the blood to the brain which causes the false memories that were killing Burn Boy.

Cameron hugs House.

Cuddy said she swapped the vicodin with a placebo. The case is dismissed. House still has to spend the night in jail for contempt, then he needs to go back to rehab.

Burn Boy is fixed but has no memories. House asks Cuddy for a conjugal visit. She says she perjured herself. His ass belongs to her. Double clinic duty, and then some.

Heh. House is still taking vicodin. Nothing's changed.

Merry Little Christmas

So it looks like Wilson is turning rat bastard on House to Officer Brownshirt.

House has to go to rehab, and get off the Vicodin. House is demanding the chart and some pills for the elf.

"Let's go see a dwarf about a gallium scan."

"You don't look a day over 4 feet."

Looks like the mom elf has a bit of a complex about being an elf. Cuddy is chewing out Wilson for being a rat. Dirty rat. She says he won't be able to function without the Vicodin.

Cuddy is suspending Dr. House and cutting off his Vicodin. He's off the case. He said she'll be begging him to get back on the case.

Now Cameron is getting all self righteous because Cuddy is bending the rules. Haha House was right. She's having liver failure. Wilson wants to talk to Cameron. He thinks she's bitter about him ratting out House. Rat bastard.

"How do you pretend your windfall isn't relevant to this decision?" Pwned!

"Hmm. Medical mystery. Sounds like the kind of thing I would be good at."

He trades Foreman info for pills. He gives the info, but no pills.

"House. You've tanned." Wilson realized that Foreman gave House's diagnosis. He sucks.

House is arguing with the doctor. He leaves before the guy calls security.

Elfkin goes unconscious. Her breath smells fruity. Her pancreas is failing. House was right again. He refuses to help without the Vicodin. I mean flat refuses.
"
"You have no idea what's wrong with my daughter." Where's house? "He better be really damn sick." Wilson says he is.

House is detoxing. He looks awful. He suggests the elf has an autoimmune problem. He can't even think straight.

"How bad is he?"
"Are you asking because you care or because you don't know whether to trust his judgment?"
"Both"

I hope Wilson chokes on a sandwich.

"I'm strung out, haven't slept , puking every hour, and I still out diagnosed you."

Wilson is talking with Officer Brownshirt. He says he won't testify. He'll be charged with interfering with an investigation.

The elf is bleeding. House just stole some Vicodin.

They can't decide what's wrong with the elf. Cuddy says gimme a half an hour. She goes to see House. Haha he's arguing with the little girl about whether she has a bear or a dog. Then he says they need to x-ray her leg.

"Normal's not normal if you're not normal."

He says they just assumed she's a dwarf but maybe it's her pituiary. "You got your cancer in my autoimmune."

No growth hormone. She's not a dwarf. She has a granuloma. She wants to stay a dwarf. Mom's all proud. "Just tall enough to wipe her own butt." Mom says to take the pills.

The deal expires tomorrow. It's Christmas eve. House calls his mom. "Just wanted to say Merry Christmas." He takes another pill. Wilson is at the door. House is passed out. The freakin bottle is empty. I think he's trying to kill himself.

He goes to Brownshirt to take the deal. It's off the table. Because House took the dead patient's pills.

Then the jackass says 'Merry Christmas." Merry Fk you pal.

What Happened To House's Leg?

I've noticed we've been getting a lot of hits about what happened to Dr. House's leg. Also, "What happened to House's wife?" Even though technically Stacy wasn't his wife, they were just life partners or whatever.

The following is a recap of the episode where you will learn, what happened to House' leg, but if you're truly impatient, you can just scroll down to the second to last paragraph and get the quick summary version.

Season One: Episode 21 - Three Stories

Originally broadcast 5/17/2005
Watch and Download the Full Episode of House MD

Anyhoo, House was working Cuddy to get out of having to lecture a medical student class. He finally gave in with the agreement that he would get two hours off of clinic duty. While heading to the class he runs into Stacy, who needs him to help with a case. She gives him her husband's file. House is a bit taken aback, because he didn't know that she was married. In typical House form, he suggests it's probably just a case of indigestion, a kidney stone, or something.

His symptoms are abdominal pain and fainting. He's been to 3 different doctors, but they've turned up nothing. She's desperate for House to help, so she begs for House to take the case. House quips that he isn't sure that he wants her husband to live.

Cut scene to the class of 3rd year medical students. House is lecturing the students on a hypothetical case where 3 different patients are suffering from leg pain, one of the patients winds up in a coma. The students make suggestions as to what might be the problem, and the back and forth is much like that with House and his team. He chides them that everybody lies. Trust no one.Do your own detective work, and never have strong feelings for the patient. House also points out that sometimes a wrong diagnosis can kill a patient.

During a break, House talks to Wilson about Stacy's husband. Wilson thinks that there must be something seriously wrong with her husband if she is desperate enough to seek help from House. The students interrupt House and drag him back into the lecture hall. They continue to take guesses at what is wrong with the leg pain patients.

House suggests a scenario where a farmer is bitten by a snake. The procedure is to find what type of snake bit him, and administer the correct antivenin. If that doesn't work, then you try a different type of snake that it could have been, and administer another antivenin. Then he poses the question. Who simply tries on antivenin after another, and who would try to determine the exact type of snake it was first. The class is split. House lets them know that 1/2 the class saved the patient, and the other half killed him. The point of course being that mistakes kill.

House feeds the students more information about the 3 leg pain patients. One treatment works, the other doesn't. One patient doesn't respond to treatment, and one just might be a drug addict trying to weasel a killer score.

Back to the snakebite. He tells the farmer he's going to die from a snakebite. The farmer asks what will happen to the dog. It turns out the dog bit the man, not a snake. Patients lie. Everybody lies.

The possible druggie is having brown discharge in his urine, meaning blood. His kidneys are shutting down. This is caused by muscle death, which releases myoglobin and is toxic to kidneys. The students prescribed antibiotics and bed rest, so the patient will be dead in 3 days. They screwed up and killed someone, and they’ll need to learn to deal with that.

In the final case, it turns out that the patient is a high school voleyball player who has tendonitis. A closer exam showed a nodule in the girl’s neck. An MRI then revealed an osteosarcoma, which is a cancerous tumor in the femur. It has to be removed surgically, but if it’s too large or too ingrained the leg might need to be amputated.


Quite coincidentally, the farmer has flesh-eating bacteria contracted from the dog’s mouth. The damaged tissue has to be removed, and the farmer’s leg might also require amputation.

In one of the hospital rooms, Cuddy tells a 30something man that an MRI showed a problem... and they may need to amputate his leg.

Back in the lecture hall, Cameron, Chase, and Foreman are observing House from the back row. When House explains that an MRI showed that the a clotted aneurysm caused the leg pain, and that led to a subsequent infarction, the doctors finally realize that the three fictional patients are in fact only one real patient -- House himself.

Flashback to the hospital room, where Cuddy tries to convince the man that he needs surgery. The man is House. He refuses to allow them to amputate his leg. Stacy begs him to get the amputation, but House will have none of it.

In the classroom, the empty seats begin to fill up. House explains why doctors amputate. The more you make sure that all the bad tissue is gone for good, the less chance there is that anything can go wrong, post surgery.

In the flashback, House utterly refuses surgery. He insists on having a bypass to try and restore the circulation to his leg, thus revitalizing the tissue. Stacy is in disbelief at his stubbornness. The surgery appears to be successful, but with the agonizing pain that he was told he would go through. House studies his own chart, and is disturbed by the rise in his potassium levels. He calls a nurse, and demands to be given a dose of calcium glutinate, but before she can do anything, House goes into cardiac arrest. Cuddy runs in and fires up the paddles.

Were back to the classroom again, and House explains that the patient was clinically dead for more than one minute. House flashes to the time when he was "dead." He sees the farmer, and the volleyball player. They are wearing prosthetic legs, and living almost as if nothing had ever happened. They have adapted, and the technology of prosthetics is very good.

Wilson interrupts and asks if house thinks the visions were real. He says it's just a chemical reaction in the brain, as it begins to shut down. Cameron and Foreman ask why he would explain it that way, and not in a more religious fashion. House replies that it is more comforting for him to believe that life isn't simply a test. (To see if you're worthy of an afterlife)

Flashback. Stacy is by House in his hospital bed. He is struggling with the pain, and she pleads with him to just go through with the amputation. He tried it his way, now it's time to do it the right way. He would never let one of his patients refuse the correct treatment the way he is doing himself. He wants to be put into a chemically induced coma to sleep through the agony of recovery. Stacy has a plan, that as his medical proxy, she can make decisions for House while he is under. Cuddy agrees to it even though she is torn on the ethics of it.

Once House is under, Stacy asks about that middle ground where it's more drastic tissue removal than a bypass, but less drastic than an amputation. Cuddy explains how they would cut out the dead muscle tissue, and Stacy agrees to have them go forth with that procedure.

House explains to the students that so much muscle was removed that the leg was nearly unusable. Since they took so long to finally remove the tissue, the patient is still in chronic pain, to this very day. As the students begin to debate whether stacy made the right decision, House asks when the class is over. Cuddy, who was another observer of the class by this point, replies that the class was actually over 20 minutes ago.

House limps out of the class and we see him back in his office. He calls Stacy and tells her he will see her husband the next morning.

Whew! To summarize, what happened to House's leg was that there was muscle death of the leg. He should have had it amputated, but he didn't. Instead, he wound up with a nearly useless, and chronically painful leg. Stacy, as a participant in this demise, well, I guess the relationship was all downhill from there. House realizes it was all his fault. If he would have just got the amputation, he wouldn't have screwed it all up.

So that's what happened to House's leg. I hope that clears things up.