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Episodes ::  #501 "Dying Changes Everything"

Dying
Wilson (Robert Sean Leonard) returns from his leave after Amber's death and tells House (Hugh Laurie, L)
he is resigning in the HOUSE season premiere episode "Dying Changes Everything"
airing Tuesday, Sept. 16 (8-9 PM ET/PT) on FOX.
2008 FOX BROADCASTING COMPANY, Credit: Adam Taylor/NBC/FOX
Broadcast:
September 16, 2008
Dying
The team (L-R: Olivia Wilde, Peter Jacobson, Omar Epps and Kal Penn) discusses the case of a young woman who has a strange hallucination during a business meeting in the HOUSE season premiere episode "Dying Changes Everything" airing Tuesday, Sept. 16 (8:00-9:00 PM ET/PT) on FOX.
2008 FOX BROADCASTING COMPANY
Credit: Adam Taylor/NBC/FOX
Download this episode after September 17
From Amazon Unbox for $1.99 (available a day or so after initial broadcast - please always click on our page to order your download)
Written by
Eli Attie
Directed by
Deran Sarafian
Timeline
Two months after Amber's death (last episode, end of Season 4)
Patient of the Week:
Lou, the assistant to a high powered feminist consultant, hallucinates insects crawling all over her. She has been traveling all over the world as part of her job. She is 37 but House thinks she looks 30.
How House gets involved:
Cuddy wants House to talk to Wilson and House takes the case because he doesn't want to face him.
The privacy invasion / ethical breach
House walks out on the case to guilt Wilson into staying. But Wilson doesn't react as he always has in the past.
Preliminary diagnoses
B-12 deficiency, pregnancy growing in the intestine, MS, something missed during Chase's surgery, lymphoma.
The final diagnosis
Lepromatous leprosy ("Pretty" leprosy).
Clinic Patient
None
Additional Information
  • House tells the rest of the team that Thirteen is going to have Huntington's
  • Episode ran about a minute more than it's time slot so some people missed the end of the last scene so that is the first scene we did below.

501 Dying
House (Hugh Laurie, R) and Thirteen (Olivia Wilde, L) treat a young woman (Christine Woods, C) who has a strange hallucination during a business meeting in the HOUSE season premiere episode "Dying Changes Everything" airing Tuesday, Sept. 16 (8:00-9:00 PM ET/PT) on FOX.
2008 FOX BROADCASTING COMPANY
Credit: Adam Taylor/FOX
Additional Info on "Dying Changes Everything":
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: Christine Woods as Lou; Jamie Rose as Patty; David Kagen as C.E.O.; Paul Haitkin as Another Suit; Bob Sherer as Patient; Janet Song as Surgeon; Bobbin Bergstrom as Nurse.

Quotes, Quotations, Dialog, Scenes:
  • House finally goes to see Wilson and when he pauses in telling Wilson about his current case and feminism and sluts, Wilson tells him, "I'm leaving."
    "What? Are you going to take another two months. Boy, you're really milking this bereavement thing, aren't you?" House pauses. "I mean good for you. Take all the time you need."
    "I'm resigning. Maybe moving out of New Jersey. I don't know yet."
    "Okay. That's an understandable reaction."
    "It's not a reaction. It's a decision. I'm writing Cuddy my resignation right now. I'm just back for a week to wrap up my clinical and administrative duties."
    "You of all people should know, this is bereavement 101. You think that a chance in venue—"
    "Well, that spares me decades of psychoanalysis."
    "I'm not saying you're not in pain."
    "You're saying my pain's a cliche."
    "I'm saying that pain fades."
    "Did yours?"
    "Physical pain is different."
    "I'd rather have my leg chopped off."
    You don't know that 'cause you haven't felt—"
    "Neither have you."
    There is an interruption after which then House responds, "This is your grief talking. And yeah, it is a little textbook. So, before you give away all your possessions to the Salvation Army—"
    "My girlfriend's dead. I'm glad you've read that book before. I haven't."

  • House's conversations with Wilson get progressively worse. So House turns to Cuddy, telling her, "You have to stop Wilson from committing career malpractice."
    "Talk to him."
    "I already talked to him. Twice."
    "Mocking him and insulting him --- let's see --- yes, technically those are categories of conversation.... Talk to him. Deal with his grief. Talk to him about what he's going through."
    "That's a brilliant idea. I'll take him out for a beer. That'll make up for the fact that Amber's in a pine box and that there's randomness and chaos in the universe."
    Cuddy discovers that House denies any responsibility or guilt over his part in Amber's death. House tries to blackmail Wilson threatening to leave his patient to die and when Wilson doesn't fall for it, House walks out on his progressively worsening patient. So through threats Cuddy gets them both together for couples counseling with predictable results.

  • Cameron approaches Wilson since she has had a similar experience: the death of her husband. "So, your last day's Friday."
    I'm going to miss you."
    "You shouldn't go."
    "Did House ask you to talk to me or are you trying to save the patient? Because there will always be—"
    "House asked me."
    "And you're doing it—"
    "I told him to go to hell."
    "Thanks."
    "But I think he's right." Wilson had started to walk away but he turns back. "You think you're making a rational choice. You think the worse is over. And then six months later you look back and you realize you didn't know what you were doing."
    "Are you saying the pain doesn't go away?"
    "It gets easier. Not in two months. Not in two years. But no. It never really goes away."
    Being here— This building— I was just in the lounge. I kept staring at Amber's locker."
    "I saw a guy wearing a scarf this morning. The color reminded me of his eyes. We lived 500 miles from here."
    "I have to do something."
    "Then do it. But don't think it's the right choice. Because there isn't one."

  • Meanwhile Foreman and the new team are trying to save the patient without any help from House. Foreman desperately asks Wilson to evaluate for possible Lymphoma. Wilson questions him. "This isn't just a pretext to pressure me into staying?"
    "Does it look like a pretext?"
    "No. She really is dying, isn't she?"
    "...It could be Lymphoma.... I'm an oncologist. I see cancer."
    After Foreman decides to start her on chemo, he tells Wilson, "You should leave. House doesn't want to lose his sidekick. Cuddy doesn't want to lose her check on House. No one's talking about what you want.
    "It's not that I want to."
    "Want to. Need to. If there's any chance that being away from here will make your life even a little bit easier. Do it. It's what everyone else here would do."

  • Thirteen opens herself up to the patient for whom she has made so many wrong diagnoses. "I have Huntington's Chorea. A dozen years or so my nervous system, my cognitive skills, even my emotional balance. They'll all start to fray.... I won't be able to walk. I won't be able to breathe.
    Lou gets it. "And you want to make sure your life matters
    Thirteen nods. "I don't want to just be tightening blots and following instructions. I want something to be different because of me."

  • Cuddy tries again to get House to talk to Wilson. It doesn't have the outcome she hoped but it does give him an idea and with that he goes to diagnose the patient. Thirteen had wanted to come up with the solution herself. And she wanted Lou to go on to better things. She later tells House, "She almost died. Because of that job..."
    "Almost dying changes nothing. Dying changes everything."

  • At the end House goes to Wilson and says, "I'm sorry. I know I didn't try to kill her. I know I didn't want to hurt. I know it was a freak accident. But I feel like crap and she's dead because of me."
    "I don't blame you. I wanted to. I tried to. I must have reviewed Amber's case file a hundred times to find a way— but it wasn't your fault."
    "Then we're okay? I mean I know you aren't but— Maybe I can help."
    Wilson finally responds, with lots of pauses while in spite of all his habits to spare House, Wilson tells him what he's really feeling. "We're not okay. Amber was never the reason I was leaving. I didn't want to tell you because— because I was trying like I always do to protect you, which is the problem. You spread misery because you can't feel anything else. You manipulate people because you can't handle any kind of real relationship. And I've enabled it. For years. The games. The binges. The middle-of-the-night phone calls. I should have been the one on the bus not—" Wilson catches himself doing what he has always done. "You should have been alone on the bus. If I've learned anything from Amber it's that I have to take care of myself." Wilson picks up the last of his belongings before walking out with these parting words. "We're not friends any more, House. I'm not sure we ever were."
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