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{{Episode Infobox
 +
{{Episode Season 1
−
| episode_name = DNR
 +
|episode_name = DNR
  +
|image = 1x9DNR.jpg
⚫
| episode_no = 9 (1-09)
  
  ⚫
|director = [[Fred Keller]]
⚫
| airdate = February 1, 2005
  
−
| writer = David Foster
 +
|writer = [[David Foster (II)]]
  ⚫
|airdate = February 1, 2005
⚫
| director = Frederick King Keller
  
  ⚫
|episode_no = 1.9
−
| guest_star =
 
−
| image =
+
|rating = 8.8
  +
|guest_star = [[Harry J. Lennix]], [[Brandy Norwood]]
−
| diagnosis = Arteriovenous malformation
 +
|diagnosis = [[Arteriovenous malformation]]
  +
|zebra = 3
  +
|S1 = yes
 
}}
  
}}
   
  +
{{Dialogue a-b-a|Foreman|You assaulted that man!|House|Fine! I’ll never do it again.|Yes you will!|DNR}}
−
'''DNR''' is a first season episode of ''House'' which first aired on February 1, 2005.
  
  +
  +
'''DNR''' is a 1st season episode of ''House'' which first aired on February 1, 2005. A famous musician with ALS loses all hope when he realizes he can no longer play his trumpet. However, House doubts the ALS diagnosis is correct and encourages Foreman to pursue an aggressive course of treatment. When House defies the patient’s “Do Not Resuscitate” order and is kept away from the patient, he still won’t let the matter drop.
   
 
==Recap==
  
==Recap==
  ⚫
While at a recording session, a [[John Henry Giles|legendary jazz musician]] with [[amyotrophic lateral sclerosis]] (Lou Gehrig's Disease) starts to have trouble breathing.
   
  ⚫
Giles is taken to [[Princeton-Plainsboro Teaching Hospital|Princeton-Plainsboro]]. [[Gregory House|House]] asks to be assigned to the patient. He thinks the [[paralysis]] has an undiagnosed cause. [[Lisa Cuddy|Cuddy]] thinks the patient has only developed [[pneumonia]]. However, [[Eric Foreman|Foreman]] had previously worked with the patient's regular doctor, [[Marty Hamilton]], and has already been assigned to the case.
⚫
While at a rare session, a legendary jazz musician with [[amyotrophic lateral sclerosis]] (Lou Gherig's Disease) starts to have trouble breathing.
  
   
  +
Foreman takes charge of the team, but House isn't taking him seriously. House asks about the paralysis, but Foreman points to the ALS diagnosis. However, House points out there is no definitive diagnostic test for it, and it is incurable. House starts a differential anyway, but Foreman shoots down the proposal because no other possible cause fits. House points out it's a death sentence, but Foreman says that doesn't make it wrong.
⚫
The patient is taken to [[Princton-Plainsboro Teaching Hospital|Princeton-Plainsboro]]. [[Gregory House|House]] asks to be assigned to the patient. He thinks the [[paralysis]] has an undiagnosed cause. [[Lisa Cuddy|Cuddy]] thinks the patient has only developed [[pneumonia]]. However, [[Eric Foreman|Foreman]] had previously worked with the patient's regular doctor and has already been assigned to the case.
 
   
−
Foreman takes charge of the team, but House isn't taking him seriously. House asks about the paralysis, but Foreman points to the ALS diagnosis. However, House points out there is no definitive diagnostic test for it, and it is incurable. House starts a differential anyway, but Foreman shoots down the proposal because no other possible cause fits. House points out it's a death sentence, but Foreman says that doesn't make it wrong.
 +
Foreman goes to see the patient, and tells him the pneumonia is probably related to the ALS. The patient learns House is on his case, and the patient asks Foreman for House's opinion. Foreman disagrees with House, so the patient doesn't consent to an [[MRI]]. The patient also asks for a [[do not resuscitate]] order, or DNR. Foreman can't dissuade him.
   
−
Foreman goes to see the patient, and tells him the pneumonia is probably related to the ALS. The patient learns House is on his case, and the patient asks Foreman for his opinion. Foreman disagrees with House, so the patient doesn't consent to an [[MRI]]. The patient also asks for a [[Do Not Recussitate]] order (DNR). Foreman can't disuade him.
 +
Foreman tells House about the DNR. Foreman is treating the pneumonia with [[steroids]], but House wants him to treat for other conditions. Foreman starts him on House's suggested treatment, but doesn't tell House or the patient.
   
  ⚫
The patient goes into [[respiratory arrest]] as the result of House's suggested treatment. House comes in and finds the team obeying the DNR order. House starts resuscitating him anyway. At that moment, the [[Cora|patient's agent]] comes in and asks what is going on.
−
Foreman tells House about the DNR. Foreman is treating the pneumonia with [[steroids]], but House wants him to treat for other conditions. Foreman starts him on House's suggested treatment, but doesn't tell House or the patient.
  
   
  ⚫
The patient is put on a [[respirator]]. Foreman challenges House over his efforts to save the patient. House says the only reason the patient signed the DNR was because he thought he had ALS; if he doesn't, he wouldn't want to die. Foreman storms out. House starts a differential with Chase and Cameron. However, at that moment, House is served with a restraining order. House orders tests on the remaining [[blood]], and asks Chase to do a [[lung]] [[biopsy]] and move the patient nearer the clinic so the restraining order will prevent him from having to work there.
⚫
The patient goes into [[respiratory arrest]] as the result of House's suggested treatment. House comes in and finds the team obeying the DNR order. House starts recussitating him anyway. At that moment, the patient's agent comes in and asks what is going on.
  
   
  ⚫
Cuddy asks House if he needs a lawyer. She's upset, but she has set aside money for legal expenses and she's under budget and she sees no point arguing with House. However, she informs House that Marty Hamilton is flying in to take charge of the case.
⚫
The patient is put on a [[respirator]]. Foreman challenges House over the procedure. House says the only reason the patient signed the DNR was because he thought he had ALS; if he doesn't, he wouldn't want to die. Foreman storms out. House starts a differential with Chase and Cameron. However, at that moment, he's served with a restraining order. House orders tests on the remaining [[blood]], and asks Chase to do a [[lung]] [[biopsy]] and move the patient nearer the clinic so the restraining order won't let him work there.
  
   
  ⚫
House goes to court over the restraining order. [[Morris|House's lawyer]] argues that the patient can't be allowed to die because an assault complaint has been laid against House and the patient must be alive in order to testify. House tells [[James Wilson|Wilson]] he's only going through the process to buy time to diagnose the patient. House impresses the [[Judge Winter|judge]] by pointing out [[clubbing]] in his fingers which indicates a heart condition and tells the judge to seek treatment. The judge turns out to have a family history of the disease, and rules in House's favor - the patient can't be taken off life support until House's trial. However, House admits to Wilson he was only guessing about the heart disease and saw no clubbing.
⚫
Cuddy asks House if he needs a lawyer. She's upset, but she has set aside money for legal expenses and she's under budget and she sees no point arguing with House. However, she informs House that the patient's regular doctor is flying in to take charge of the case.
  
   
  ⚫
House goes back to Chase and Cameron to ask them to treat the patient. House does it himself in defiance of the court order. He runs into the patient's regular doctor. He tells the other doctor he's treating the patient for [[granulomatosis with polyangiitis]] (GPA). Foreman has a reunion with Dr. Hamilton. House points out they can't kill the patient, but Hamilton tells him they have dropped the charges.
⚫
House goes to court over the restraining order. House's lawyer argues that they can't kill the patient because an assault complaint has been laid against him and he needs the patient alive to testify. House tells [[James Wilson|Wilson]] he's only going through the process to buy time to diagnose the patient. House impresses the judge by pointing out [[clubbing]] in his fingers which indicates a heart condition and tells the judge to seek treatment. The judge turns out to have a family history of the disease, and rules in House's favour. However, House admits to Wilson he was only guessing.
  
   
  ⚫
They disconnect the patient from the respirator, but he starts breathing on his own. This proves it isn't GPA. House admits he was wrong - again.
⚫
House goes back to Chase and Cameron to ask them to treat the patient. House does it himself in defiance of the court order. He runs into the patient's regular doctor. He tells the other doctor he's treating the patient for [[Wegner's disease]]. Foreman has a reunion with the doctor, his old boss. House points out they can't kill the patient, but the patient's doctor points out they have dropped the charges.
 
   
  ⚫
The patient is stable, but one of his arms is now paralyzed. The progression of paralysis once again confirms ALS. Cameron suggests a [[stroke]]. House notes that the restraining order is no longer in place and goes to see the patient. He asks the patient to let him complete a diagnosis. The patient agrees to indulge House's obsession, but since he can't play music any more, he feels he has no reason to live. The patient points out that diagnosis is to House what music is to him. At that point, House takes him to get an MRI.
⚫
They disconnect the patient from the respirator, but he starts breathing on his own. This proves it isn't Wegner's. House admits he was wrong - again.
  
   
  ⚫
Foreman is talking to Dr. Hamilton. He's asked if he enjoys working with House and if he's in a serious relationship. He offers Foreman a partnership at three times his current salary.
⚫
The patient is stable, but one of his arms is now paralyzed. The progression of paralysis once again confirms ALS. Cameron suggests a [[stroke]]. House notes that the restraining order is no longer in place and goes to see the patient. He asks the patient to let him complete a diagnosis. The patient agrees to indulge House's obsession, but he can't play music any more, and that is his reason for living. The patient points out that diagnosis is to House what music is to him. At that point, House takes him to get an MRI.
  
   
  ⚫
Foreman points out to his colleagues that he has a contract, but they tell him House wouldn't care if he left. At that moment, Chase finds evidence of a stroke, explaining the paralysis in the arm, but not the legs. They want to treat the patient with [[blood thinners]], despite the risk of [[bleeding]] in his lungs, but the patient refuses. Foreman suggests directly removing the [[clot]] and the patient agrees because it won't affect his lungs. They do the procedure to remove the clot successfully.
⚫
Foreman is talking to his old boss. He's asked if he enjoys working with House and if he's in a serious relationship. He offers Foreman a partnership at three times the salary.
  
   
  ⚫
Foreman goes to House about the difference between House and Dr. Hamilton. House isn't impressed with Hamilton's faked humility, but Foreman points out House has been wrong on every step of this case.
⚫
Foreman points out to his colleagues that he has a contract, but they tell him House wouldn't care if he left. At that moment, Chase finds evidence of a stroke, explaining the paralysis in the arm, but not the legs. They want to treat the patient with [[blood thinners]], despite the risk of [[bleeding]] in his lungs, but the patient refuses. Foreman suggests directly removing the [[clot]] and the patient agrees. They do the procedure to remove the clot successfully.
 
   
  ⚫
The patient's arm function improves. Dr. Hamilton congratulates House, but at that moment the patient reports feeling in his leg.
⚫
Foreman goes to House about the difference between House and his old boss. House isn't impressed with the old boss's humility, but Foreman points out House has been wrong on every step of this case.
 
   
  ⚫
House is glad the patient is getting better, but they have no idea why. Dr. Hamilton figures it is the previous treatment, but Foreman is sceptical. One treatment is definitely working, but they can't figure out which one. They have to try each medication one at a time, so they have to convince the patient's doctor to discontinue his ongoing treatment. However, Dr. Hamilton wants to know what medications House has been using. The patient has started getting worse. House orders another MRI and steroids.
⚫
The patient's arm function improves. Foreman's old boss congratulates House, but at that moment the patient reports feeling in his leg.
  
   
  ⚫
Cameron points out that House would have to either let Foreman out of his contract to work for Dr. Hamilton or admit he needs him. Meanwhile, House is talking to Foreman about the job offer, telling him that if he thinks Dr. Hamilton is a better doctor, he should go and work for him.
⚫
House is glad the patient is getting better, but they have no idea why. The patient's doctor figures it is the previous treatment, but Foreman is skeptical. One treatment is definitely working, but they can't figure out which one. They have to try the medication once at a time, so they have to convince the patient's doctor to discontinue his ongoing treatment. However, the patient's doctor wants to know what medications House has been using. The patient starts getting worse. House orders another MRI and steroids.
 
   
  ⚫
The new MRI shows a malformed [[blood vessel]] compressing the spine, but previous radiology showed nothing. It turns out the abnormality's [[inflammation]] hid it from x-rays until they got the swelling down with the steroids. If they remove it, he will recover the use of his legs.
⚫
Cameron points out that House would have to either let Foreman out of his contract or admit he needs him. Meanwhile, House is talking to Foreman about the job offer.
 
   
  ⚫
The patient is given surgery and regains the feeling in his legs. After [[physiotherapy]], he is walking again and ready to leave the hospital. The patient thanks House, but guesses House's personality was still unpleasant before House's leg was injured. The patient gives House his instrument on the condition he never play it. He then asks how many pills House takes. When House says he's in pain, the patient reminds him they all are.
⚫
The new MRI shows a malformed [[blood vessel]] on the spine, but previous radiology showed nothing. It turns out the abnormality's swelling hid it from x-rays until they got the swelling down. If they remove it, he will get better.
  
   
  ⚫
House sees Foreman, and addresses him by his first name for the first time in an attempt to be more friendly.
⚫
The patient is treated and starts walking again. The patient thanks House, but guesses House's personality was still bad before House's leg got bad. The patient gives House his instrument, but asks how many pills he takes. When House says he's in pain, the patient reminds him they all are.
  
   
  +
==Clinic Patient==
⚫
House sees Foreman, and addresses him by his first name for the first time in an attempt to be more friendly.
 
  ⚫
A [[Willie|middle-age man]] comes in for [[Viagra]]. House figures out the patient has [[diabetes mellitus|diabetes]] and that he has not been managing his condition. He tells him his [[impotence]] will go away if he manages his [[blood sugar]]. However, he gives him Viagra anyway, while casually mentioning that they may kill him.
   
−
== Clinic Patient ==
 +
==Zebra Factor 3/10==
  +
Arteriovenous malformations aren't rare, can cause paralysis to the affected area, and are often caused by scarring. It was even part of the differential diagnosis by both Dr. Hamilton and Dr. House.
   
  +
==Major Events==
⚫
A middle-age man comes in for [[Viagra]]. House figures out the patient has [[diabetes mellitus|diabetes]] and that he has not been managing his condition. He tells him his [[impotence]] will go away if he manages his [[blood sugar]]. However, he gives him Viagra anyway.
  
  +
*Foreman's former boss, Dr. Marty Hamilton comes to PPTH to help oversee the treatment of House's latest patient, John Henry Giles. We learn that Foreman did his [[resident|residency]] with Hamilton.
  +
* Foreman is offered a new job by Hamilton but politely declines.
  +
* House and Wilson watch another episode of [[Prescription Passion]].
  +
* As thanks for saving his life, Giles gives House his trumpet as a gift
  +
* This is the first episode with the opening music changed to what it will remain the rest of the series.
   
  +
==Trivia & Cultural References==
⚫
== Starring ==
  
  +
*[http://en.wikipedia.org/wiki/Brandy_Norwood Brandy Norwood] appears as herself at the start of this episode. Brandy is an actress and R&B singer who has been in show business since she was 14, releasing her first album when she was 15. She has won over 100 awards as a recording artist.
⚫
* [[Jesse Spencer]] as [[Dr. Robert Chase]]
  
  +
*Wilson uses the term "Rubik's complex" to describe House's obsession with solving riddles. The term refers to the [http://en.wikipedia.org/wiki/Rubik%27s_Cube Rubik's Cube], one of the most popular puzzles of all time that was first invented in 1974 and is still one of the best selling games on the market.
⚫
* [[Jennifer Morrison]] as [[Dr. Allyson Cameron]]
  
  +
*Contrary to this episode's plot, a breathing apparatus is in fact legal in some states. DNR means no measures may be used to bring someone back to life (usually in the form of restarting their heart via CPR). It does NOT always preclude maintaining a patent airway, which is what House did. A separate document called a DNI (Do Not Intubate) may sometimes be needed in a patient's care.
⚫
* [[Robert Sean Leonard]] as [[Dr. James Wilson]]
  
⚫
* [[Hugh Laurie]] as [[Dr. Gregory House]]
  
⚫
* [[Omar Epps]] as [[Dr. Eric Foreman]]
  
⚫
* [[Lisa Edelstein]] as [[Dr. Lisa Cuddy]]
  
   
  +
==Quotes==
−
== Guest Starring ==
  
  +
{{Dialogue a-b|Cora|What did you just do?|Cameron|He just saved his life.|DNR}}
⚫
* [[Brandy Norwood]] as Herself
  
  +
−
* [[David Conrad]] as [[Marty Hamilton]]
  
  +
{{Dialogue a-b-a|House|That paralysis thing. Guy can't walk for two years, nobody knows why. It seems mildly interesting.|Cuddy|Forget his paralysis.|Tell that to the rest of his bowling team.|DNR}}
  +
  +
House:
  +
{{Quote|Like I always say, there's no 'I' in team. There's a 'me,' though, if you jumble it up.|DNR}}
  +
  +
{{Dialogue a-b|House|My staff are idiots. I'm sure you know what that's like.|Judge|Sit down!|DNR}}
  +
  +
{{Dialogue a-b|House|Medicine is in the pharmacy, patient is immobilized in the I.C.U. It seems like a simple problem of geography.|Cameron|Are you asking us to jeopardize our medical licenses for this treatment?|DNR}}
  +
  +
{{Dialogue a-b|House|There's an error rate, Dr. Hamilton|Dr. Hamilton|And there's a time to let go.|DNR}}
  +
  +
Wilson to House in the court room:
  +
{{Quote|Some doctors have a Messiah complex, thinking that they have to save the world. You have a Rubix complex...|DNR}}
  +
  +
House to his team:
  +
{{Quote|Yes, his arm is paralyzed; yes, his legs are paralyzed. Why is everyone so gung-ho to connect these two conditions?|DNR}}
  +
  +
House is trying to put his breathing mask on the patient's mouth.
  +
{{Quote|Foreman|What are you doing? You can't do this! You ''can't'' do this!|DNR}}
  +
  +
{{Dialogue a-b|John|So you're telling me that I might not be able to move, but I'll still be able to enjoy a rainbow and be able to tell that life is full of butterflies?|House|Those things are nice.|DNR}}
  +
  +
John to House:
  +
{{Quote|You don't risk jail unless you got that one thing, something, anything.|DNR}}
  +
  +
{{Dialogue a-b|Dr. Hamilton|You enjoy working for House?|Foreman|Not the word I'd use.|DNR}}
  +
  +
{{Dialogue a-b|Cameron|What do you want from him? More torment, more hand wringing, him crying to himself to sleep at night?|Foreman|Yes! I want him to show something that says that he's knows, that he actually cares.|DNR}}
  +
  +
{{Dialogue a-b-a|John|Doc, you just touched my leg.|House|What? Are you going to charge me with assault again?|No. I felt it.|DNR}}
  +
  +
{{Dialogue a-b-a|House|We'll take him off everything, and then we'll add one medicine at a time, and when he feels better, we'll have our answer.|Cameron|And if he doesn't?|Well, then, we're in trouble. Not as much as he is.|DNR}}
  +
  +
House to Foreman as John is getting worse:
  +
{{Quote|You still work for me. Come on.|DNR}}
  +
  ⚫
== Cast ==
  ⚫
* [[Hugh Laurie]] as [[Gregory House]]
  ⚫
* [[Lisa Edelstein]] as [[Lisa Cuddy]]
  ⚫
* [[Omar Epps]] as [[Eric Foreman]]
  ⚫
* [[Robert Sean Leonard]] as [[James Wilson]]
  ⚫
* [[Jennifer Morrison]] as [[Allison Cameron]]
  ⚫
* [[Jesse Spencer]] as [[Robert Chase]]
  +
* [[Harry J. Lennix]] as [[John Henry Giles]]
  ⚫
* [[Chloe Webb]] as [[Cora]]
 
* [[Mike Starr]] as [[Willie]]
  
* [[Mike Starr]] as [[Willie]]
−
* [[Harry Lennix]] as [[John Henry Giles]]
 +
* [[Victor Raider-Wexler]] as [[Judge Winter]]
 
* [[Rif Hutton]] as [[Morris]]
  
* [[Rif Hutton]] as [[Morris]]
 
* [[Michael Oberlander]] as [[Ross]]
  
* [[Michael Oberlander]] as [[Ross]]
−
* [[Victor Raider-Wexler]] as [[Judge Winter]]
 +
* [[David Conrad]] as [[Marty Hamilton]]
  ⚫
* [[Brandy Norwood]] as Herself
  +
* [[Clint Baker]] as [[Tommy (DNR)|Tommy]]
  +
* [[Courtney Henggeler]] as [[Process Server]]
 
* [[Dennis Howard]] as [[Chaplain]]
  
* [[Dennis Howard]] as [[Chaplain]]
−
* [[Courtney Henggeler]] as Server
 +
* [[Richard Sinclair]] as [[Doctor (DNR)|Doctor]]
−
* [[Chloe Webb]] as [[Cora]]
 +
* [[Madison Bauer]] as [[Soap Opera Patient]]
  ⚫
* [[Deirdre M. Smith]] as [[Carol Moffat]]<!--this goes at the bottom of the article-->
−
* [[Richard Sinclair]] as Doctor
  
⚫
* [[Clint Baker]] as [[Tommy]]
  
   
  +
== Video ==
⚫
<!--this goes at the bottom of the article-->
  
  +
[[File:House Gets Humbled - House M.D.|left|thumb|330x330px]]
 
{{episodes|previous=Poison|next=Histories}}
  
{{episodes|previous=Poison|next=Histories}}
−  
 
[[Category:Episodes]]
  
[[Category:Episodes]]
  +
[[Category:Season 1]]
  +
[[Category:Zebra Factor 3]]

Revision as of 03:34, 27 January 2020

Season One Episodes:

  1. Pilot
  2. Paternity
  3. Occam's Razor
  4. Maternity
  5. Damned If You Do
  6. The Socratic Method
  7. Fidelity
  8. Poison
  9. DNR
  10. Histories
  11. Detox
  12. Sports Medicine
  13. Cursed
  14. Control
  15. Mob Rules
  16. Heavy
  17. Role Model
  18. Babies & Bathwater
  19. Kids
  20. Love Hurts
  21. Three Stories
  22. Honeymoon

Episodes • 1 • 2 • 3 • 4 • 5 • 6 • 7 • 8

Foreman: "You assaulted that man!"
House: "Fine! I’ll never do it again."
Foreman: "Yes you will!"
— DNR

DNR is a 1st season episode of House which first aired on February 1, 2005. A famous musician with ALS loses all hope when he realizes he can no longer play his trumpet. However, House doubts the ALS diagnosis is correct and encourages Foreman to pursue an aggressive course of treatment. When House defies the patient’s “Do Not Resuscitate” order and is kept away from the patient, he still won’t let the matter drop.

Recap

While at a recording session, a legendary jazz musician with amyotrophic lateral sclerosis (Lou Gehrig's Disease) starts to have trouble breathing.

Giles is taken to Princeton-Plainsboro. House asks to be assigned to the patient. He thinks the paralysis has an undiagnosed cause. Cuddy thinks the patient has only developed pneumonia. However, Foreman had previously worked with the patient's regular doctor, Marty Hamilton, and has already been assigned to the case.

Foreman takes charge of the team, but House isn't taking him seriously. House asks about the paralysis, but Foreman points to the ALS diagnosis. However, House points out there is no definitive diagnostic test for it, and it is incurable. House starts a differential anyway, but Foreman shoots down the proposal because no other possible cause fits. House points out it's a death sentence, but Foreman says that doesn't make it wrong.

Foreman goes to see the patient, and tells him the pneumonia is probably related to the ALS. The patient learns House is on his case, and the patient asks Foreman for House's opinion. Foreman disagrees with House, so the patient doesn't consent to an MRI. The patient also asks for a do not resuscitate order, or DNR. Foreman can't dissuade him.

Foreman tells House about the DNR. Foreman is treating the pneumonia with steroids, but House wants him to treat for other conditions. Foreman starts him on House's suggested treatment, but doesn't tell House or the patient.

The patient goes into respiratory arrest as the result of House's suggested treatment. House comes in and finds the team obeying the DNR order. House starts resuscitating him anyway. At that moment, the patient's agent comes in and asks what is going on.

The patient is put on a respirator. Foreman challenges House over his efforts to save the patient. House says the only reason the patient signed the DNR was because he thought he had ALS; if he doesn't, he wouldn't want to die. Foreman storms out. House starts a differential with Chase and Cameron. However, at that moment, House is served with a restraining order. House orders tests on the remaining blood, and asks Chase to do a lung biopsy and move the patient nearer the clinic so the restraining order will prevent him from having to work there.

Cuddy asks House if he needs a lawyer. She's upset, but she has set aside money for legal expenses and she's under budget and she sees no point arguing with House. However, she informs House that Marty Hamilton is flying in to take charge of the case.

House goes to court over the restraining order. House's lawyer argues that the patient can't be allowed to die because an assault complaint has been laid against House and the patient must be alive in order to testify. House tells Wilson he's only going through the process to buy time to diagnose the patient. House impresses the judge by pointing out clubbing in his fingers which indicates a heart condition and tells the judge to seek treatment. The judge turns out to have a family history of the disease, and rules in House's favor - the patient can't be taken off life support until House's trial. However, House admits to Wilson he was only guessing about the heart disease and saw no clubbing.

House goes back to Chase and Cameron to ask them to treat the patient. House does it himself in defiance of the court order. He runs into the patient's regular doctor. He tells the other doctor he's treating the patient for granulomatosis with polyangiitis (GPA). Foreman has a reunion with Dr. Hamilton. House points out they can't kill the patient, but Hamilton tells him they have dropped the charges.

They disconnect the patient from the respirator, but he starts breathing on his own. This proves it isn't GPA. House admits he was wrong - again.

The patient is stable, but one of his arms is now paralyzed. The progression of paralysis once again confirms ALS. Cameron suggests a stroke. House notes that the restraining order is no longer in place and goes to see the patient. He asks the patient to let him complete a diagnosis. The patient agrees to indulge House's obsession, but since he can't play music any more, he feels he has no reason to live. The patient points out that diagnosis is to House what music is to him. At that point, House takes him to get an MRI.

Foreman is talking to Dr. Hamilton. He's asked if he enjoys working with House and if he's in a serious relationship. He offers Foreman a partnership at three times his current salary.

Foreman points out to his colleagues that he has a contract, but they tell him House wouldn't care if he left. At that moment, Chase finds evidence of a stroke, explaining the paralysis in the arm, but not the legs. They want to treat the patient with blood thinners, despite the risk of bleeding in his lungs, but the patient refuses. Foreman suggests directly removing the clot and the patient agrees because it won't affect his lungs. They do the procedure to remove the clot successfully.

Foreman goes to House about the difference between House and Dr. Hamilton. House isn't impressed with Hamilton's faked humility, but Foreman points out House has been wrong on every step of this case.

The patient's arm function improves. Dr. Hamilton congratulates House, but at that moment the patient reports feeling in his leg.

House is glad the patient is getting better, but they have no idea why. Dr. Hamilton figures it is the previous treatment, but Foreman is sceptical. One treatment is definitely working, but they can't figure out which one. They have to try each medication one at a time, so they have to convince the patient's doctor to discontinue his ongoing treatment. However, Dr. Hamilton wants to know what medications House has been using. The patient has started getting worse. House orders another MRI and steroids.

Cameron points out that House would have to either let Foreman out of his contract to work for Dr. Hamilton or admit he needs him. Meanwhile, House is talking to Foreman about the job offer, telling him that if he thinks Dr. Hamilton is a better doctor, he should go and work for him.

The new MRI shows a malformed blood vessel compressing the spine, but previous radiology showed nothing. It turns out the abnormality's inflammation hid it from x-rays until they got the swelling down with the steroids. If they remove it, he will recover the use of his legs.

The patient is given surgery and regains the feeling in his legs. After physiotherapy, he is walking again and ready to leave the hospital. The patient thanks House, but guesses House's personality was still unpleasant before House's leg was injured. The patient gives House his instrument on the condition he never play it. He then asks how many pills House takes. When House says he's in pain, the patient reminds him they all are.

House sees Foreman, and addresses him by his first name for the first time in an attempt to be more friendly.

Clinic Patient

A middle-age man comes in for Viagra. House figures out the patient has diabetes and that he has not been managing his condition. He tells him his impotence will go away if he manages his blood sugar. However, he gives him Viagra anyway, while casually mentioning that they may kill him.

Zebra Factor 3/10

Arteriovenous malformations aren't rare, can cause paralysis to the affected area, and are often caused by scarring. It was even part of the differential diagnosis by both Dr. Hamilton and Dr. House.

Major Events

  • Foreman's former boss, Dr. Marty Hamilton comes to PPTH to help oversee the treatment of House's latest patient, John Henry Giles. We learn that Foreman did his residency with Hamilton.
  • Foreman is offered a new job by Hamilton but politely declines.
  • House and Wilson watch another episode of Prescription Passion.
  • As thanks for saving his life, Giles gives House his trumpet as a gift
  • This is the first episode with the opening music changed to what it will remain the rest of the series.

Trivia & Cultural References

  • Brandy Norwood appears as herself at the start of this episode. Brandy is an actress and R&B singer who has been in show business since she was 14, releasing her first album when she was 15. She has won over 100 awards as a recording artist.
  • Wilson uses the term "Rubik's complex" to describe House's obsession with solving riddles. The term refers to the Rubik's Cube, one of the most popular puzzles of all time that was first invented in 1974 and is still one of the best selling games on the market.
  • Contrary to this episode's plot, a breathing apparatus is in fact legal in some states. DNR means no measures may be used to bring someone back to life (usually in the form of restarting their heart via CPR). It does NOT always preclude maintaining a patent airway, which is what House did. A separate document called a DNI (Do Not Intubate) may sometimes be needed in a patient's care.

Quotes

Cora: "What did you just do?"
Cameron: "He just saved his life."
— DNR


House: "That paralysis thing. Guy can't walk for two years, nobody knows why. It seems mildly interesting."
Cuddy: "Forget his paralysis."
House: "Tell that to the rest of his bowling team."
— DNR

House:

"Like I always say, there's no 'I' in team. There's a 'me,' though, if you jumble it up."
―DNR
House: "My staff are idiots. I'm sure you know what that's like."
Judge: "Sit down!"
— DNR


House: "Medicine is in the pharmacy, patient is immobilized in the I.C.U. It seems like a simple problem of geography."
Cameron: "Are you asking us to jeopardize our medical licenses for this treatment?"
— DNR


House: "There's an error rate, Dr. Hamilton"
Dr. Hamilton: "And there's a time to let go."
— DNR


Wilson to House in the court room:

"Some doctors have a Messiah complex, thinking that they have to save the world. You have a Rubix complex..."
―DNR

House to his team:

"Yes, his arm is paralyzed; yes, his legs are paralyzed. Why is everyone so gung-ho to connect these two conditions?"
―DNR

House is trying to put his breathing mask on the patient's mouth.

"Foreman"
―What are you doing? You can't do this! You can't do this![src]
John: "So you're telling me that I might not be able to move, but I'll still be able to enjoy a rainbow and be able to tell that life is full of butterflies?"
House: "Those things are nice."
— DNR


John to House:

"You don't risk jail unless you got that one thing, something, anything."
―DNR
Dr. Hamilton: "You enjoy working for House?"
Foreman: "Not the word I'd use."
— DNR


Cameron: "What do you want from him? More torment, more hand wringing, him crying to himself to sleep at night?"
Foreman: "Yes! I want him to show something that says that he's knows, that he actually cares."
— DNR


John: "Doc, you just touched my leg."
House: "What? Are you going to charge me with assault again?"
John: "No. I felt it."
— DNR
House: "We'll take him off everything, and then we'll add one medicine at a time, and when he feels better, we'll have our answer."
Cameron: "And if he doesn't?"
House: "Well, then, we're in trouble. Not as much as he is."
— DNR

House to Foreman as John is getting worse:

"You still work for me. Come on."
―DNR

Cast

Video

House_Gets_Humbled_-_House_M.D.

House Gets Humbled - House M.D.

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