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House: 320 : House Training

House Episode 3-20 : House Training

Airdate April 24, 2007

The Hook:

A street hustler pitches the old Three Card Monte to the passers-by. A young girl, the shill, tries her luck and is amazingly successful on the first two tries. The marks are about ready to try, and the hustler gives the girl one more go, just to set the hook. But she hesitates, suddenly unable to make a choice, she hesitates more : no matter what she's asked, she can't make a choice. The hustler presses her for a choice, repeatedly, and she collapses. The hustler collapses his case and hurries off as the crowd gathers around the fainting girl.


Act 1

Foreman identifies her condition as abulia. He interviews her and discovers she's had a series of nothing jobs punctuated by unemployment periods. He recognizes the type : a scam hustler who works just long enough to qualify for unemployment, and suspects drug use complications.

House et al are gather to discuss the case. House is intrigue by the ‘loss of free will' and suggests a consult with Thomas Aquinas. Opinions fly rapid fire. Chase and Cameron speculate about clots. No sign, could have dissolved. Foreman say clots unlikely in a young woman not on the pill. He likes ‘vaso spasm caused by drugs'. Chase wonders about ADD. Foreman discounts this. Chase asks about infection. Foreman says no fever, white blood cell count normal. As the Hice natter on, House is distracted by the sight through the blinds of Wilson talking to a young woman by the elevator. They seem to be chatting amiably and she kisses him on the cheek. ‘Toxic exposure'? Chase suggests. For wonders why he doesn't suspect drugs as usual. Chase thinks Foreman is just prejudiced against black people (heh). More details of the patient are revealed : pregnant at 15, baby died of SIDS. But the tox screen just came back negative, Chase triumphs. The turn to look at House, but he's left the room while their backs were turned.

House enters Wilson's office to ask what the ‘second ex-Mrs. Wilson wanted. Her name is Bonnie and she's not asking fro money and now has her realtor's license, we learn. Even though the market's doing badly, she's not looking for money from Wilson, she's moving to a condo and needs someone to take her dog, hector, whish she and Wilson got on their honeymoon. Wilson lives in a hotel and can't take the dog either. No longer interested in Bonnie, House shares that he asked go Cuddy to a play with him on Thursday, and she turned him down. Wilson titters, then realized House is serious. House says she said she was busy. Wilson speculates that House didn't believe her, so bribed a janitor and broke into her office and computer to see if she was really busy. House says the offer was a test, which show him that she's interested in Wilson but not House. Wilson refuses to get sucked into the junior high level insanity. House says Wilson's leading her on. Wilson says he'll think about that after he takes her to the Hockney exhibit, on Thursday.

I'd not a date, Wilson says, just giving Cuddy some relaxation, which she enjoys and deserves, because she works hard. Dubious look from House.

House pushes the Hice to find the source of the girl's confusion. I don't think we ever hear her name, but I'm just going to jump in with my cast list and say it's Lupe, so I don't have to keep calling her "the girl".

As Chase and Foreman head for the girl's apartment, in the lobby they encounter Foreman's dad, Rodney (Charles S. Dutton, last seen in last season's two-parter where Foreman almost died). Foreman's been avoiding going home for Mom Foreman's 60th birthday, so Dad has brought the birthday, and the birthday girl, to Foreman. We discover Foreman hasn't been home in eight years. Foreman's uncomfortable because his mom only know who he is "sometimes" when they talk on the phone. I've been there. Get over it, Foreman, and treasure the lucid moments she has left.

Foreman and Chase search Lupe's apartment for toxic sources. The apartment is old and disordered. They find a crack pipe, but not much else. Even thought her tox screen was clean, Foreman says, the drugs could have been cut with arsenic or rat poising and these toxins remained behind after the drugs washed out of her system. He'll do the lab work to check for these, her says, but Chase enjoying Foreman's discomfiture, says he'll do all the lab work so Foreman can spend time with his parents.

House is staring an abstract painting in the hospital hall, then turns to ask Cuddy if she likes Hockey (who is more of a pop artist than abstract, by the way) House chides Cuddy about her "date", while she denies the motivations he attributes to her. She says House is only jealous because "you think you saw somebody pick up a tow from the sandbox and suddenly you want it." Now we've regressed from junior high to kindergarten. She says she's going with Wilson because he's the ‘safe' choice. (By the way, ladies, men hate to be known as the safe choice.) This delights House, to think he's the ‘unsafe' choice, but he warns he Cuddy that Wilson is not safe : he always marries them in the end.

Foreman meets his parents in their hotel room for a mostly comfortable reunion. Foreman is worried about his mother's encroaching Alzheimer's, but she is up for this meeting, greets Foreman by name and tells him an anecdote from his teen-age years, how he always looked in the back of his math books to see how far he'd go in the coming year, as a means of gauging how far he'd come. She asks him if he's been praying like his father wants (he doesn't answer this). It's a nice visit.

Foreman interviews the patient and she denies doing drugs, saying the crack pipe belonged to an old roommate. Foreman says he'll check her hair for arsenic (as was found in the pipe) any way. Lupe again denies doing drugs but has a coughing fit that brings up blood, then goes into respiratory arrest, perhaps due to the stress of the interview.


Act 2

Cameron and Chase guide Lupe through the MRI as they review their own relationship. Chase asks her out, but says he's not stalking her, only occasionally giving her an option to change her mind. Which he'll do once a week. Every Tuesday. Which sounds a lot like stalking to me. Wonder if Cameron will start calling in sick on Tuesdays. They find a mass, just outside the [something -- lingulum?].

Reviewing with the team, they say white blood cells are lining her blood vessels. Cameron suggests autoimmune disease. House wants to know what kind. Doesn't matter what kind, Foreman says, the treatment's always steroids. Bo-ring, says House. House glumly goes along with the steroids, then says he's got to go, because "Wilson has a date."

House is looking a condos, with a realtor : Bonnie! She's trying to sell a condo, but House is much more interested in finding out how she and Wilson got together. Bonnie wants to talk about granite countertops, House wants to talk about their first data.

Wilson and Cuddy discover the Hockney exhibit is gone from the museum, and seems to have been replaced by Robert Maplethorpe : a rather embarrassing date. Now Cuddy's enjoying Wilson's discomfiture.

House presses Bonnie for more details on Wilson. She reveals that Wilson was a fantastic lover, but neglected her later in the marriage. Their first date was ‘not a date' (we all use that line, ladies) to help her rebound from a bad relationship. "Then he jumped you," House speculates. But Bonnie insists Wilson was just being protective. "It was very endearing : he really just wanted to be a friend. So, I jumped him."

Back in the museum, Cuddy examines a photograph (we don't see it) and says : "That's such a bad idea : there's no way that won't cause damage to the large intestine." Yup, sounds like a Maplethorpe exhibit. Wilson asks is she's purposely keeping them there to torture him, then leans in to look at the same photograph : "Is that a bicycle pump?"

Bonnie tells House that al that attention was addictive. She recruits House to try and help get Wilson to take the dog, but House resists. She says sex with Wilson was fantastic : he worked hard to make the act pleasurable to the woman, and someh0w this convinces House that if she'd just had sex with Wilson first, she would never have developed a relationship with him.

Lupe tells Foreman she doesn't do drugs but took a hot off the crack pipe one or two times. Foreman interviews the patient some more and they argue because she feels that he is judging her. She's right. She's still coughing, and now her eyes are showing yellow.

Her liver is shutting down, and Foreman argues that this indicates a fast advancing cancer. Cameron argue for auto-immune, based on the white blood cells. First brain, then lungs, now liver, all getting worse in two days it's too fat and gotta be cancer, Foreman says. "Lymphomatoid granulomatotis" rare : but fits the symptoms and further that there's not time for a week of tests to find out what kind : she needs whole body radiation and she needs it now. The radiation might suppress her immune system, but that's what they're trying to do with the steroids they're treating her with now, anyway. House is convinced and tells Foreman to get her consent. Foreman says he's not the patient's favorite person right now, and House says OK he'll get it.

House reels off a list of possible complications to Lupe, and intersperses it with questions about her view of Foreman. He really downplays the complications and presses her hard to sign the consent for the radiation treatment. Lupe is reluctant, but House presses more. Now her abulia is back and nothing's getting decided. Lupe has another attack. House tells the nurses who rush in to give her blood thinners and take her to radiology : her attack will be over in twenty minutes and then, he says, she'll want to sigh the form.

House finds Wilson in the cafeteria and Wilson says he knows House has approached his ex. Bonnie is the worst realtor in New Jersey, Wilson says, is this some sort of retaliation? "You're an addict," House says, and "I'm saving you from yourself." He wants to nip ‘this Cuddy thing' in the bud before she becomes the fourth ex Mrs. Wilson. His answer? "You have to have sex with Cuddy." Wilson misunderstands and thinks this means Bonnie said he was lousy in bed. House doesn't disabuse him of the notion.

Lupe's had her radiation, and Cameron and Foreman examine her. Foreman detects a heart murmur, and Lupe begins to scream from pain from the application of a blood pressure cuff. Something's seriously wrong.


Act 3

The team is depressed. The pain Lupe felt indicates that her problem is sepsis, not cancer - an infection, which if it has spread to her heart, and it almost certainly has, she's going to die, because the radiation turned off her immune system. House says to confirm that the infection is in the heart, and if it is House says he'll tell her, but Foreman says it's his job.

House sits glumly in his office when Bonnie comes by to try to interest him in another condo. House tells her he's out of the market. Feeling used, Bonnie tells House he was a big factor in her breakup with Wilson, that House's neediness caused Wilson to spend too much time with him and neglect her. And further that they named the dog Hector because he was the worst un-house trained dog ever and they indirectly named him after House.

House doesn't let her go easily but fights back telling her she's a lousy realtor and hit's not his job to make her feel better. I think he's taking out his pain at killing Lupe on the wrong party.

Foreman strolls the hall with Wilson and asks for advice on how to tell Lupe that she's dying. It's a job that Wilson, as an oncologist, has a lot of practice at. Wilson's advice is basically to be there for her and not try to hide anything, not try to minimize the hurt.

Foreman breaks the truth to Lupe. She has less than twenty four hours to live and no one can do anything. Her first reaction is anger, and she sends him away. Outside her room, Foreman punches the wall and breaks his hand.


Act 4

Cameron treats Foreman's hand, and tries to sympathize, but Foreman won't be comforted. Foreman discovers House is about to take samples from Lupe's body to determine the source and type of the infection. Foreman angrily tells him he'll have to wait until after she's dead.

Foreman orders the ICU staff to move her to a private room, which is contrary to hospital policy for patients who have had total-body radiation, but he say's the ICU can't help her and she deserves the privacy.

Nighttime, and Foreman come to visit Lucy. She's groggy and hostile at first, but his soft manner eventually affects her. Her grandparents have been called, but haven't arrived yet, and Foreman can't bring himself to leave her alone.

Wilson and House can't leave either, but sit around elsewhere on death-watch. Wilson brings House a cup of coffee, and the two friends sit silently together.

Foreman confesses to Lupe that she was right about him : that he did resent her at first, but that she was also wrong about him, that he did make a lot of mistakes in his youth. He always feels he has to be first and best or he could lose all he had gained. Lupe opens up and shares some of her mistakes with him as well. He stays with her, holding her hand, to the end. When it comes he turns off the machines and notifies House.

House begins his autopsy.

Chase offers Foreman sympathy, and a shoulder, and a drinking companion if he wants, but Foreman doesn't. Chase shares how he talks with God in the low moments, and how they were all wrong, even House, "you know?" Foreman say he knows, but we can see that knowing doesn't help. Ho goes to do some lonely paper-work.

House sits alone with the body and Wilson enters. Wilson has obtained consent for the autopsy from the late-arriving grandparents. Consent that House didn't wait for. House reveals that Lupe died from a simple staph infection : which gained entry when she scratched herself with her bra hook. She died from a simple staph infection, Wilson says. That, and some bad decisions, House says.

House delivers some coping advice to Foreman. "I killed her," Foreman says. "Yeah, me too," House says. This is the price of being a diagnostician, House says, we save more than the ordinary doctor but we can also kill with the least mistake. The only comfort is in the numbers, which don't lie. But they're terribly cold.

Wilson and House leave the hospital. Wilson asks House is he wants to go get something to eat. House says he can't, "I've got a dog waiting at home." The closet softy.

Foreman returns to his parent's hotel room, where there is a birthday cake on the table. He kisses his mother. He confesses his problems to his mother, and she comforts him, but the Alzheimer's is closing in and it's the anonymous comfort of a sweet person : she doesn't recognize her son. It's a cold, lonely world.

- Cecil

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Next Week:
A leukemia patient needs a donation from a healthy brother to live. But the brother is sick and getting sicker. Can House and team cure one in time to save the other?

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Prev Episode: 3-19 Act Your Age
Next Episode: 3-21 Family

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Guest Cast Ep. 3-20, "House Training" Aired 4/24/2007

Lupe Monique_______Gabriela Curnen
Rodney Foreman_____Charles S. Dutton
Alicia Foreman______Beverly Todd
Bonnie_____________Jane Adams


Posted by Cecil on April 24, 2007 2:11 PM
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