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Fourth Season Episodes ::  #415 "House's Head" (1st of Two Parts)

House & Wilson
House (Hugh Laurie) and Wilson (Robert Sean Leonard)
try to diagnose the driver of a bus that was in a serious accident
in the HOUSE episode "House's Head" airing Monday,
May 12 (9:00-10:00 PM ET/PT) on FOX.
©2008 FOX BROADCASTING COMPANY
Credit: Greg Gayne/FOX
Broadcast:
May 12, 2008
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Written by
Peter Blake & David Foster & Russel Friend & Garret Lerner
Story by
Doris Egan
Directed by
Greg Yaitanes
Music
Timeline
One week after House kidnapped a soap opera star.
Timeline Within the Story
  • House left the hospital at 5:23 pm
  • He comes to his senses at 8:50 pm realizing he has a concussion and retrograde amnesia saying, "I've lost at least four hours."
  • "The accepted diagnotic test for global memory impairment is five random words." And House cannot remember the five words given him.
Patient of the Week:
A search for that actual patient. House has suffered a concussion in a bus accident and about the only thing he remembers is that before the crash he disagnosed someone with a life threatening medical problem. So he thinks it is the bus driver, who has some problems. But there are many people on the bus with not just damage from the accident but other things House observes. Only at the end do we discover who the real patient is!
How House gets involved:
He realizes he can't remember four hours and he goes out into the street to see the remains of the bus accident.
The privacy invasion / ethical breach
Well, House does hold onto the bus riders by deciding that one of them has meningitis and the whole ER is guarantined.
Misdiagnoses
House is searching for the real patient and so he sees symptoms everywhere reaching for a diagnosis for each possible patient. Instead of almost killing the patient with the misdiagnoses, House almost kills himself several times trying to remember: he takes four vicodin within a very, very short time. Later he takes phisostygmine and it causes a heart attack and Cuddy and Wilson bring him back to life.
The final diagnosis
His team, Cuddy and Wilson diagnosis House with Edema and swelling in the temporal lobe. House diagnosis the bus driver with an air bubble in his heart but that was dislodged by the accident, it wasn't what he was looking for. At the end he comes up with the real patient: Amber.
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Clinic Patient(s)
None
Additional Information
  • How the bus crash was created (link sent to us by David Lomazoff): Director's take info video
  • Chase did a rotation in Melbourn to do hypnosis.

House
House (Hugh Laurie) struggles to recover his memory after a serious bus accident in the HOUSE episode "House's Head"
airing Monday, May 12 (9:00-10:00 PM ET/PT) on FOX.
Also pictured Olivia Wilde and Peter Jacobson.
©2008 FOX BROADCASTING COMPANY
Credit: Greg Gayne/FOX Universal/FOX
Additional Info on this episode:
Cast: Hugh Laurie as Dr. Gregory House; Lisa Edelstein as Dr. Lisa Cuddy; Omar Epps as Dr. Eric Foreman; Robert Sean Leonard as Dr. James Wilson; Jennifer Morrison as Dr. Allison Cameron; Jesse Spencer as Dr. Robert Chase; Peter Jacobson as Dr. Chris Taub; Kal Penn as Dr. Lawrence Kutner; Olivia Wilde as Thirteen

Guest Cast: Fred Durst as Bartender

Quotes (Quotations), Dialogue
  • Cameron treats House's head wound in the ER. "You're staying the night. We need to monitor your brain for swelling."
    "How much bigger could it get?"
    House has told Wilson that he knows someone will die if he doesn't remember what he diagnosed about that person. Wilson is dismissive. "You don't think it's a little weird that there is a giant crash and a simultaneous mysterious symption sighting."
  • Kutner tells House, "Medical hypnosis can bring the brain to a class II Theta state increasing focus and memory retrival." It is a sign of just how desperate House is that he is willing to let Chase try and hypnotize him, and that Chase actually succeeds in doing so.
  • While House is hypnotized and remembering that he was in a bar, Wilson asks him, "Why'd you get so drunk at 5 in the afternoon alone?"
    "I need a reason?"
    When House then changes subject. Wilson asks Chase, "When he's hypnotized, can he lie?'
    "He—"
    House answers the question. "I can be mistaken but I can't actually lie under hypnosis."
    "Is he lying?"
    "No." Chase says.
    So Wilson asks, "What are you running away from?"
    "When I'm drinking without you, what am I running away from? Hmm. One of those imponderables. Can you hold off on your insecurities until we find his patient."
    After a little more, Amber appears in House's re-creation of the bar and asks, "He's concerned about you. Why does that make him insecure?"
    A moment later, Chase tells House to ignore Wilson and Amber and they disappear from the re-imagined bar. (This turns out to be disasterous to the goal of discovering the "real patient".)
  • Wilson decides while questioning House about Amber: "You have feelings for her. This is bad."
  • House tries sensory deparation and fantasizes being back on the bus with Cuddy and dresses her as a stripper. She objects at first. "Your patient is dying and you want to waste your time with a sex fantasy?"
    "Don't blame me, blame my gender."
    He imagines Cuddy doing a strip tease as they discuss the possible symptoms he could have seen. But then she stops as his mind finds the puzzle more interesting. She tells him, "You'd rather fantasize about finding symptoms."
  • More to Come

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