- House's preoccupation with Wilson leaves his team without direction and endangers the patient, a female whose exhaustive work schedule and demanding boss may have caused her condition.
- A new season of "House" is upon us and, for whatever reason, I'm just now noticing the "TV-14" rating for "suggestive dialogue." That Dr. House sure does have a way with words, doesn't he?
Eeeeewww! Was that a giant close-up of an ant? Cute little guy -- oh, wait. Some lady just smashed him with a newspaper. Wonder if that's going to come back? The woman, an assistance to a women's organization leader, went to a meeting and while standing in the background saw ants were crawling over her. She started screaming and tearing off her clothes, unable to get them off of her, screaming, "HELP ME, PLEASE!!!"
Cue: awesomely cool theme song.
House (Hugh Laurie) is playing video games in a coma patient's room. Wilson's back and Cuddy (Lisa Edelstein) wants House to talk to him. He hasn't talked to Wilson (Robert Sean Leonard) since Amber died. Foreman (Omar Epps) told House about the woman who tore off her clothes and House thought it was a psych case. Foreman listed off a bunch of fancy doctor words and said they "aren't psychiatric symptoms. I believe him.
House and the team talked through the first batch of possibilities, including international travel, long work hours, a bad diet. Thirteen (Olivia Wilde) was frustrated everyone assumed "a strong career woman was being made sick by her strong career," which House jumped on. He said Thirteen was irrationally defending the patient's strong career and lack of a life outside of work because she, Thirteen, also didn't have a life and her life span had been cut in half by her positive test for Huntington's Disease. She told Kutner (Kal Penn), Taub (Peter Jacobson) and Foreman she doesn't have Huntington's, saying it's none of their business.
Thirteen was running a test on the patient when the patient thought she had a bowel movement in bed (thanks, TV-14 rating!). Turns out it was blood.
House went to visit Wilson and, as usual, made it all about himself first by bemoaning his feminist patient. "I'm leaving," Wilson said. House mocked him and asked if he was going to take another two months. Wilson said he was resigning and was possibly moving out of New Jersey. Thirteen interrupted to tell House about their patient and House angrily told her to get out of the room. House told Wilson it was his grief talking. Wilson made it clear he wasn't changing his mind and said, "Bye."
Thirteen asked Taub if it bothered him House wouldn't take "just two seconds" to talk about their patient. She wonder if, "that's the way it works around here? We get cut slack while we work on personal issues?" A colonoscopy showed the patient was bleeding from ... nowhere. Kutner was giddy at discovering the patient's pregnancy test was positive and explains her symptoms. But an ultrasound showed no baby.
House was only half paying attention as the team wondered about the false pregnancy test and other contradictions. He was focused on Wilson and went to confront him again, calling him an idiot. "You're blowing up your career," he told him. Wilson told House it wasn't his business. Wilson wanted House to respect his decision and House said, "I respect things that deserve respect." Thirteen still wanted to talk about the patient and House insisted she's pregnant.
House barged into the patient's room and did the quickest ultrasound in history, finding the baby lodged in the woman's fallopian tube. It was using her intestine as a blood supply, causing the rectal bleeding, and the baby was pressing on a nerve that was slowing the woman's heartbeat. "Yank the fetus," House said. "If she survives the surgery, she'll be fine." He left. Thirteen chased him, asking what if the patient wants to keep the baby. She said whole fetuses have been successfully transplanted. House insisted the surgery to remove it is dangerous enough. He thought Thirteen was letting her own health scare color her every medical opinion. "You didn't think a death sentence would..." she said before he cut her off, saying, "People die. You, Amber, everyone. Don't act like you just figured that out." He told her he gave her the diagnosis, "you don't like it, there are exits on every floor."
Thirteen told the patient the doctors had no choice, and she agreed easily to removing the fetus. House went to Cameron (Jennifer Morrison) to see if she'd talked to Wilson and convinced him not to leave. She said Wilson needed to handle his grief his own way, and House reminded her about what she did when her husband died: She got a new job and she moved. "See how crappy that turned out?" he asked.
In surgery, there were complications when Chase (Jesse Spencer) was removing the fetus from her intestine. Thirteen was visibly shaken as Chase removed the fetus.
House went to Cuddy to try to get her to stop Wilson from committing "career malpractice." She wanted House to talk to Wilson, deal with his grief. She wanted him to tell Wilson he was sorry because she was out because of him. House listed off the reasons why he wasn't to blame. She asked if he really didn't feel any sense of guilt. He didn't respond. She told him to at least tell Wilson he feels like crap. "It'd be meaningless," House said. "Well, find some meaning and do something," she said. House left.
Thirteen and Taub discovered the patient had a neurological problem because she wouldn't stop blinking. Foreman realized the pregnancy was just a coincidence. When the patient lost consciousness, Thirteen called for help and they all discussed how they'd paged House with no response.
House's pager buzzed on Wilson's desk. House asked Wilson if it would change anything if he told him he was sorry. Wilson said he wouldn't believe him. House said he was going home until Wilson agreed to stay at the hospital. House read the text message, which said the patient was going into cardiac arrest, but he wouldn't leave until Wilson agreed to stay, telling him, "Your friendship means more to me than this patient." Wilson said he's got to do what's right for him, just as House does. House left, leaving his buzzing pager on Wilson's desk. As the doctor's asked, "Where is he?" House was seen walking out of the hospital with his backpack on his shoulder.
Cuddy went to the team and told them to do the same thing they'd do if House was there. They tried to figure it out themselves. Thirteen thought it was MS and Foreman told her to start treating her for it.
Cuddy went to House's apartment and yelled at him for risking his life rather than truthfully apologizing to Wilson. She said he was afraid to make himself vulnerable in the event Wilson were to leave anyway. He closed the door in her face as she shouted, "You're doing the same thing he is. Running away. Except he's not killing anyone in the process." Ouch.
Cuddy coaxed both House and Wilson into her office and forced them to sit down for her version of couples counseling. As they watched video from one of the tests on the patient, Taub ripped into Thirteen for letting her Huntington's her compromise her judgment. He said she was desperate to solve the case without House because she has something to prove. Kutner noticed a possible tumor Chase might have missed during surgery. They needed to open up the patient and get a piece of it for testing.
In couples counseling, House and Wilson wouldn't talk about anything real and Cuddy chimed in, laying into Wilson for walking away. She asked if Amber would have wanted him to do that. "Nobody at this hospital even liked Amber," he said, before leaving.
Chase refused to do a second surgery because it would require a third surgery if they found what was being looked for. Kutner suggested they "think like House" and get creative with a solution. They were going to push a light into her intestine and push it toward the skin so they could cut it themselves.
Cameron told Wilson she thought he was making a mistake. She told him that six months after leaving he'd look back and realize he didn't know what he was doing. She said the pain "never really goes away." Wilson insisted he had to do something. "Then do it," Cameron said. "But don't think it's the right choice, because there isn't one." Meanwhile, the team realized they couldn't figure out what was wrong with their patient without House. Thirteen suggested lymphoma.
Foreman went to Wilson to see if he could come up with something, and he said it could be lymphoma. Foreman told him he should leave because no one was talking about what Wilson needed. "If there's any chance that being away from here would make your life even a little bit easier, it's what everyone else here would do," Foreman told him.
They started the patient on chemo for lymphoma, which she said made her feel better. Thirteen apologized for having gotten upset with the patient for letting her boss walk all over her. She then revealed to the patient she has Huntington's and explained it'll wear her down over time. She said she wanted to make sure her life mattered. Thirteen said she wanted something to be different because of her.
Cuddy asked House why he thought Wilson was leaving. He again said he thought Wilson was an idiot. She decided House didn't want to know why Wilson was leaving because he was afraid to. He left.
House came into the patient's room and told the doctors to stop chemo because it's not lymphoma. He said what appeared to be bruises were actually microbacterial lesions. She had a form of leprosy which could be cured with antibiotics. Thirteen confirmed for the patient House's diagnosis was right, and the patient told Thirteen she was going back to work for her boss, rather than taking a chance of doing something on her own.
Thirteen told House she was frustrated the patient didn't have the guts to quit her job and do something for herself. "She almost died" doing that job, Thirteen said. "Almost dying doesn't change anything," House said. "Dying changes everything." The writers gave us a moment to bask in their cleverness before cutting to House walking into Wilson's office and sincerely apologizing.
"I know I didn't try to kill her. I know I didn't want her hurt. I know it was a freak accident. But I feel like crap and she's dead because of me," he told Wilson. Wilson said he didn't blame House. "We're not OK," Wilson said. He said he was leaving anyway, and not because of Amber. Because of House. "You spread misery because you can't feel anything else," he told House. "We're not friends anymore, House. I'm not sure we ever were." After Wilson left the room, House could be seen standing there in stunned silence.
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