Changes: Last Resort

Revision as of 04:08, 26 November 2008

Last Resort is a fifth season episode of House which is scheduled to air in November 2008.

HOUSE executive producer Katie Jacobs directs an all-new extended episode, guest-starring recent Emmy Award winner Željko Ivanek. A man (guest star Ivanek) willing to kill – or die – for a diagnosis takes House, Thirteen (Olivia Wilde) and several patients from the hospital waiting room hostage in Cuddy’s office. With one person shot, other patients needing medical attention, Thirteen being used as a guinea pig and the SWAT team closing in, House is determined to end the standoff the only way he knows how: by coming up with the right diagnosis.

Recap

A migraine patient is trying to get Thirteen to rush him through the clinic. Foreman comes in and asks Thirteen if she wants to participate in a Huntington's drug trial. She says she's not interested, and says she's not taking any treatment for her condition.

Another patient comes into Cuddy's office and finds House. He tells him to get lost. However, a few minutes later, the patient comes in with a gun and hostages and demands that someone tell him what's wrong with him. House asks him "What seems to be the problem?".

The patient with the gun starts barricading himself into Cuddy's office. House asks him not to barricade the washroom, but he patient ignores him. The patient starts talking about how many doctors he's seen, how he can't breathe, how tired he is, his insomnia, and his heart palpitations. He shoves his medical records into House's hands.

House examines the patient. He's correctly guessed the patient's medical history without looking at it - all the tests are normal. The patient is having shortness of breath and pain when he inhales. House manages to scrounge a lighter from one of the hostages to test if the patient can blow it out. He wheezes. House diagnoses pulmonary scleraderma.

Cuddy calls the office. House asks for something to confirm the diagnosis. The patient wants Cuddy to deliver the drugs. House gets the drugs from Cuddy, but the patient won't let him inject him without injecting someone else first. Unfortunately, all the patients will suffer an adverse reaction. House finally chooses the migrane sufferer, who is not yet on painkillers. The test goes well and the patient agrees to be injected. However, the migrane patient keels over and the patient realizes that it's a sedative. The patient shoots one of the hostages in the leg to show House that he shouldn't screw with him.

Thirteen treats the gunshot patient. The patient with the gun isn't taking calls. The police arrive at the hospital. Taub, Kutner and Cameron discuss the situation, and all of a sudden get a call from House. He puts both of his teams back together. Chase doesn't want to participate. Foreman starts a differential. House uses the wall as a whiteboard as his team starts a differential diagnosis. House realizes the patient has a way out as he gives him his address. House arranges to transfer a blood sample. The patient with the gun wants to look through the blinds and realizes that there is a police sniper outside. He tells them to back off. House thinks it might be intermittent palsy, but the test is painful and dangerous. The patient agrees to it although the treatment is safe and painless because he needs to know right away. The police are negotiating terms for the exchange. House tells the police not to be so rigid. Cuddy agrees to do the exchange although the police thinks she has an agenda. Cuddy gives House the drugs and recovers two hostages. The patient wants House to inject someone else, but the drug causes nerve and muscle damage. Thirteen agrees to be injected.

House tells Thirteen how stupid she is being - the drug is bad for Huntington's patients. Thirteen collapses in pain. House is trying to figure out the patient and asks him why a diagnosis is so important. The patient reacts in pain to the injection as well.

Taub and Kutner do the environmental scan. The patient has large unpaid medical bills.

Foreman and Cameron can't find any problem with the blood tests. This rules out everthing except a heart problem and cancer. Thirteen notices a problem with his jugular vein. House checks his pulse - its up to 160. House starts a carotid artery massage to slow his heart. Thirteen wants to get a drug to slow down his heart, and the patient agrees to give her thirty seconds. Thirteen freezes when she sees the police officers. The patient points his gun at one of the hostages, but one of the others tells him to shoot her instead. Thirteen rushes back in.

The patient once again asks that someone else be injected. However, the drug slows the heart rate. Thirteen injects herself and passes out with a dangerously low heart beat. House injects the patient and his heartbeat returns to normal. House notices that the patient is only sweating on one side of his face, indicating that it's probably lung cancer.

Thirteen's heart rate continues to fall. House orders one of the hostages to get her moving. House calls Wilson on how to confirm a cancer diagnosis. The patient can't spit. Wilson thinks it's a tumor. The only way to confirm is an X-ray. The patient wants to trade hostages for an X-ray.

The patient bundles the hostages together around him and they start off towards radiology. House still wants to know why the patient is taking such steps. The patient says he just wants an answer.

They get to radiology. House goes to get the computer monitor as the patient gets in the scanning machine, threatening to shoot if anyone moves. House thinks there must be a deeper reason, but the patient denies it. House shows the patient he can't do a CT Scan while he holds the gun. The patient finally gives up the gun and two hostages run out. House asks the other hostage why he stayed. Unfortunately, the scan can't find the tumor. House admits he's stumped. The patient resigns himself to House's failure. House gives him back the gun.

House tells the police that the patient overpowered him. Thirteen starts screaming at House for always having to know and being afraid to be wrong. House yells back at Thirteen that he's only arrogant, that's she's the coward for trying to shorten her own life.

House calls Wilson and the team. He wants to keep up the diagnosis, but Foreman agrees with Chase and quits too. The rest of the team starts a differential. The patient shows a new symptom - partial deafness in his right ear. House thinks it might be Cushing's syndrome. The last hostage other than House and Thirteen leaves. The patient still wants the drug to be used on Thirteen first. Thirteen takes the needle from House and injects herself. The patient finds out Thirteen has no more than ten years to live. House injects the patient.

Thirteen starts having an increased heart rate and fever. House realizes her kidneys are shutting down.

House realizes Thirteen needs more medical care. He's wondering why the patient's kidney's are fine. House slaps the patient and realizes that he has calcium deficiency. Cameron realizes that the protein pump inhibitors he takes as an antacid are protecing his kidneys. House realizes it must be a disease with a very long incubation period. Cameron suggests meliadosis, but it only affects people who have been to the tropics, and the patient's history doesn't indicate that. However, the patient admits he's been to Florida, which he didn't think was in "the tropics". House chastises the previous doctors who left this out of the history. House orders the drug to treat it. The patient wants House to leave, but House realizes that he's going to give Thirteen the drug.

Previous episode:
Emancipation

Last Resort

Next episode:
Let Them Eat Cake

@@ Line 16: / Line 16: @@
 ==Recap==
+A [[migraine]] patient is trying to get [[Thirteen]] to rush him through the [[clinic|clinic]].  [[Eric Foreman|Foreman]] comes in and asks Thirteen if she wants to participate in a [[Huntington's disease|Huntington's]] drug trial.  She says she's not interested, and says she's not taking any treatment for her condition.
+Another patient comes into [[Lisa Cuddy|Cuddy's]] office and finds [[Gregory House|House]].  He tells him to get lost.  However, a few minutes later, the patient comes in with a gun and hostages and demands that someone tell him what's wrong with him.  House asks him "What seems to be the problem?".
+The patient with the gun starts barricading himself into Cuddy's office.  House asks him not to barricade the washroom, but he patient ignores him.  The patient starts talking about how many doctors he's seen, how he can't breathe, how tired he is, his  [[insomnia]], and his heart [[palpitations]].  He shoves his medical records into House's hands.
+House examines the patient.  He's correctly guessed the patient's [[medical history]] without looking at it - all the tests are normal.  The patient is having shortness of breath and [[pain]] when he inhales.  House manages to scrounge a lighter from one of the hostages to test if the patient can blow it out.  He wheezes.  House diagnoses [[pulmonary scleraderma]].
+Cuddy calls the office.  House asks for something to confirm the diagnosis.  The patient wants Cuddy to deliver the drugs.  House gets the drugs from Cuddy, but the patient won't let him inject him without injecting someone else first.  Unfortunately, all the patients will suffer an adverse reaction.  House finally chooses the migrane sufferer, who is not yet on painkillers.  The test goes well and the patient agrees to be injected.  However, the migrane patient keels over and the patient realizes that it's a [[sedative]].  The patient shoots one of the hostages in the leg to show House that he shouldn't screw with him.
+Thirteen treats the gunshot patient.  The patient with the gun isn't taking calls.  The police arrive at the hospital.  [[Chris Taub|Taub]], [[Lawrence Kutner|Kutner]] and [[Allison Cameron|Cameron]] discuss the situation, and all of a sudden get a call from House.  He puts both of his teams back together.  [[Robert Chase|Chase]] doesn't want to participate.  Foreman starts a differential.  House uses the wall as a whiteboard as his team starts a [[differential diagnosis]].  House realizes the patient has a way out as he gives him his address.  House arranges to transfer a [[blood]] sample.  The patient with the gun wants to look through the blinds and realizes that there is a police sniper outside.  He tells them to back off.  House thinks it might be intermittent [[palsy]], but the test is painful and dangerous.  The patient agrees to it although the treatment is safe and painless because he needs to know right away.  The police are negotiating terms for the exchange.  House tells the police not to be so rigid.  Cuddy agrees to do the exchange although the police thinks she has an agenda.  Cuddy gives House the drugs and recovers two hostages.  The patient wants House to inject someone else, but the drug causes [[nerve]] and [[muscle]] damage.  Thirteen agrees to be injected.
+House tells Thirteen how stupid she is being - the drug is bad for Huntington's patients.  Thirteen collapses in pain.  House is trying to figure out the patient and asks him why a [[diagnosis]] is so important.  The patient reacts in pain to the injection as well.
+Taub and Kutner do the [[environmental scan]].  The patient has large unpaid medical bills.
+Foreman and Cameron can't find any problem with the [[blood tests]].  This rules out everthing except a [[heart]] problem and [[cancer]].  Thirteen notices a problem with his [[jugular vein]].  House checks his pulse - its up to 160.  House starts a [[carotid artery]] massage to slow his heart.  Thirteen wants to get a drug to slow down his heart, and the patient agrees to give her thirty seconds.  Thirteen freezes when she sees the police officers.  The patient points his gun at one of the hostages, but one of the others tells him to shoot her instead.  Thirteen rushes back in.
+The patient once again asks that someone else be injected.  However, the drug slows the heart rate.  Thirteen injects herself and passes out with a dangerously low heart beat.  House injects the patient and his heartbeat returns to normal.  House notices that the patient is only sweating on one side of his face, indicating that it's probably lung cancer.
+Thirteen's heart rate continues to fall.  House orders one of the hostages to get her moving.  House calls Wilson on how to confirm a cancer diagnosis.  The patient can't spit.  Wilson thinks it's a [[tumor]].  The only way to confirm is an X-ray.  The patient wants to trade hostages for an X-ray.
+The patient bundles the hostages together around him and they start off towards [[radiology]].  House still wants to know why the patient is taking such steps.  The patient says he just wants an answer.
+They get to radiology.  House goes to get the computer monitor as the patient gets in the scanning machine, threatening to shoot if anyone moves.  House thinks there must be a deeper reason, but the patient denies it.  House shows the patient he can't do a [[CT Scan]] while he holds the gun.  The patient finally gives up the gun and two hostages run out.  House asks the other hostage why he stayed.  Unfortunately, the scan can't find the tumor.   House admits he's stumped.  The patient resigns himself to House's failure.  House gives him back the gun.
+House tells the police that the patient overpowered him.  Thirteen starts screaming at House for always having to know and being afraid to be wrong.  House yells back at Thirteen that he's only arrogant, that's she's the coward for trying to shorten her own life.
+House calls Wilson and the team.  He wants to keep up the diagnosis, but Foreman agrees with Chase and quits too.  The rest of the team starts a differential.  The patient shows a new symptom - partial deafness in his right ear.  House thinks it might be [[Cushing's syndrome]].  The last hostage other than House and Thirteen leaves.  The patient still wants the drug to be used on Thirteen first.  Thirteen takes the needle from House and injects herself.  The patient finds out Thirteen has no more than ten years to live.  House injects the patient.
+Thirteen starts having an increased heart rate and [[fever]].  House realizes her [[kidneys]] are shutting down.
+House realizes Thirteen needs more medical care.  He's wondering why the patient's kidney's are fine.  House slaps the patient and realizes that he has calcium deficiency.  Cameron realizes that the protein pump inhibitors he takes as an antacid are protecing his kidneys.  House realizes it must be a disease with a very long incubation period.  Cameron suggests meliadosis, but it only affects people who have been to the tropics, and the patient's history doesn't indicate that.  However, the patient admits he's been to Florida, which he didn't think was in "the tropics".  House chastises the previous doctors who left this out of the history.  House orders the drug to treat it.  The patient wants House to leave, but House realizes that he's going to give Thirteen the drug.
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