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House: 514 - The Greater Good

House Episode 5-14 - "The Greater Good"

Airdate: Monday February 2, 2009

The Hook:

A chef leads a cooking class, bantering with his assistant as he does so. He remarks on the assistant's slowness, but she's stopped for a reason. She's feeling dizzy and her lips are turning blue - but she calls it "cyanotic". She says she's a doctor, and also says she needs a doctor, just before she collapses.

Act 1

The beginning of a new day:

Foreman and Hadley awake in bed together. He tells her she drools. "Shut up!" she rejoinders.


Wilson is washing up the dishes. Wearing a tie. I think he sleeps like that, too. He pointedly leaves one cup on the counter unwashed. Guess who's.

House enters the hospital. Both elevators have "Temporarily Out of Service for Scheduled Maintenance" signs on them. Great scheduling PPTH. He heaves a sigh and makes his way wearily up the stairs. He limps into the office to a smart remark from Taub. None of the other doctors have noticed any out of service elevators.

Hadley hands him the file for "Dana Miller, cancer researcher" (and assistant chef?), admitted with spontaneous pneumo-thorax. Miller is famous in the cancer community for being near a cure for retino-blastoma - cancer of the eye. A lot of theories are thrown out. Kutner comes in late. He didn't have any elevator trouble either. House directs them to do a CT scan.

Taub and Hadley prepare the patient for a scan, chatting her up about her research. Miller reveals she quit cancer research eight months ago after having emergency surgery for a ruptured uterine myoma (cancer) that fortunately was benign. She decided she wasn't happy in cancer research and took up cheffing.

House wanders into Cuddy's office. Cuddy is watching Rachel on baby-cam. House complains about the elevators. Cue says those darned old elevators can sure be capricious, such as crashing whenever the SOB who forced her to keep regular office hours again needs them. It's Cuddy pay-back time, and no bones about it."Seeking vengeance", Cuddy says "Congratulations, you've officially dragged me down to your level." "OK," says House calmly.

Leaving, House sees a maintenance man standing by with repair signs, but piggybacks a ride with another doctor and smiles at the janitor.

Taub, Kutner, and Foreman view the CT scan and discuss Miller's quitting. Foreman says people have a right to be happy. Hadley opines that she doesn't care if Jonas Salk has a horrible life as long as he cures polio (which actually, he didn't, just came up with a way to avoid getting it in the first place). House contributes that all anyone does is what makes them happy, and lists reasons each of the others is happiest where they are at the moment. Fairly depressing reasons.

Kutner sees something that makes a diagnosis of pulmonary fibrosis possible, and House sends them to do a biopsy. For some reason none of this week's tests are life-threatening, unlike last week. Guess 'cause Cameron quit.

House calls Foreman back to discuss Hadley's case and Foreman's violation of the protocols,, but Foreman denies it.

Foreman tests Hadley in the trials, but she has a headache. Foreman expresses concern that it might be a side effect of the experimental Huntington's drug, but Hadley reasons that, if she's on it she's been on it for weeks so no reason one would crop up now. Foreman hides his guilty look. Hadley does OK on her memory test.

Miller doesn't want her open-lung biopsy because it would take her 'out of commission' for weeks. Taub wonders what that matters for someone doing nothing important. They discuss Taub's career choices, but it doesn't change Miller's mind. She says her abdomen doesn't feel right. Taub palpitates the spot, then plunges a l-o-o-o-o-ng needle into is and withdraws blood, telling her that her belly's filling with the stuff.

Act 2

House leads the group down the hall to the office discussing this new development. As he enters the office, he trips over something. Strangely enough, it's a trip-wire. All the doctors disclaim responsibility. House is not concerned about who did it, which leads Taub to conclude House already knows. House turns the conversation back to why their patient's liver is bleeding. More theories abound, and I think the winner is blastomycosis, aggravated by the steroids they gave the patient. The test for which is to grab a piece of her lungs and look at it under a black light and see if it glows.

House asks Foreman to stay again. He's noted that Hadley seems to be losing some peripheral vision. Foreman, like the others steps, over the trip wire when he leaves. Why doesn't anyone remove it?

House is treating his abrasions from the fall when Wilson comes in and wonders why House isn't retaliating. House says he doesn't want anything currently, so fighting would just prolong the situation. "The only way to win this war is to lose it. Let her punch herself out." Wilson can see this, though he'd been hoping House's motivation was guilt. Wilson notices and recognizes the name on House's file. (It's his specialty, after all.)

Wilson stops by to talk to Miller. She remembers him from a conference in Chicago. He notices her scratching an itch. He asks her why she quit and tells her he has kids who need her research. She's not moved.

Taub and his wife chat in bed. He raises the subject of having kids. It's apparently an old subject. She told him on their third date she didn't want kids, and he was fine with it at the time, but now he's having second thoughts. She's not.

Foreman tests Hadley's peripheral vision. Apparently she hadn't notice she'd been losing it. Foreman admits his placebo tampering. Now her headaches assume a more ominous shadow. Hadley says she'll go give the results to House. She's a bit unnerved at what chances Foreman took with his career in his effort to help her.

Foreman visits Dr. Miller to tell her the tests were negative and remove her I/V. But she's been scratching her head in her sleep... So hard she scratched right through her skull and has bits of brain matter on her fingers!

Act 3

Taub reports that Dana's been sealed back up with no brain damage, but reports still itching. The doctors confer in an open area of the hallway, and House casually hooks his cane overhead and leans on a desk. House thinks the itching is psychosomatic. Various hospital staff walk past the area while the brainstorming goes on. House suggests meningitis or encephalitis. He orders the staff to MRI the patient's head, then turns to pick up his cane. It's gone! He spots a janitor's mop bucket, with mop, nearby.

Foreman quizzes Hadley about her headaches. He thinks she needs an MRI, too. Foreman sees Hadley is taking pills with codeine in them - twice the regular amount.

House wheels the mop bucket into Cuddy's office, leaning on the mop. He claims to have the latest issue of Parenting magazine which says that working parents are more engaged with their children than stay-at-homes. Cuddy dismisses the study, especially when she sees the magazine is really Nurses' Quarterly, and figures House is just there to slop mop water on her rug, and would he get it over with, please. House takes the high road and limps out without dumping.

Foreman studies Hadley's MRI in progress and apologizes for not telling her what he was doing. He sees something that makes his eyes widen and exclaims "Oh God!"

Taub reports the patient's MRI was negative. House has a new cane, which Kutner remarks on. None of the others are in the office. Foreman comes in, House issues a little sarcasm, and Foreman leaves again. House tells Kutner and Taub to 'shock the patient' to restart her nerves and get rid of the itch.

He hails Foreman in the hallway. Foreman tells him Hadley has a tumor and he's going to the drug company to admit his misdeeds and find out if any other study subjects developed tumors and how they were treated. House, of course ,simple recommends lying to Hadley. Foreman won't take that cop-out. He tells Foreman to wait "Because if this thing doesn't just go away (with the cessation of the drug) she's going to need you to still have a medical license." This apparently gets through to Foreman.

Foreman goes to Hadley's apartment to report that House convinced him, and... but we never find out what. Hadley's leg is bleeding. Because she fell over the table. Because she couldn't see the table. Because she can't see, period.

Act 4

Wilson finds House sleeping on a hospital couch. Because "Mrs. House" phoned the utility companies and had his lights and heat turned off. He has 17 phone messages.

House enters the office, where Kutner and Taub report that the patient began experiencing her own shocks before they could shock her. Now the latest theory is 'an aggressive spinal hemangioma'. House orders them to 'go find it.'

House enters Hadley's apartment, where she sits alone in the proto-dark. He's looking for Foreman, he tell her. He realizes Hadley can't see and asks where Foreman is. On the way to the drug company. Again. House wants to call him off. Again. He tells Hadley that he told Foreman not to switch the drugs 'unless he loved her.' He recruits Hadley to help call off Foreman by using the same tactic on her.

Wilson goes into Cuddy's office to tell her "You're hurting him." "You're physically hurting him." He deserves it, she says, for making her miserable. Wilson says she's loving this, and likes working with House. He challenges her, it he's not right, to "Fire him. And go be home with the baby." Cuddy says "I like what he does for this hospital." What he does is who he is," Wilson says, "And the same goes for you."

House and Foreman conduct a private operation, leading a tube down Hadley's carotid artery to get it near the optic portion of the brain and inject some radioactivity to shrink the tumor.

Act 5

Kutner and Taub conduct the MRI of the patient, while Kutner wonders what House and Foreman are doing. 'Best not to know' is Taub's philosophy. They find the hemangioma they're looking for, and plenty more masses all over the patient's body.

Taub and Kutner report to House. Taub thinks it's mesothelioma. House ponders the irony of a cancer researcher with an aggressive cancer, which wasn't there a few days ago. He ask them to have Wilson do a biopsy to confirm the diagnosis. Kutner objects to being kept in the dark about Hadley and Foreman.

Wilson tests Dana, and apologizes for his statements of the previous day, and says he is indeed stuck in a rut, surrounded by Amber's things in her apartment. Yoda-like, Dana tells him "the only wrong thing is to do nothing." Dana bleeds where Wilson sticks her, and they both recognize "That's not supposed to happen."

Foreman watches Hadley, while Kutner, who's tracked them down, asks if he's thought of going to the drug company. Hadley wakes up. Hadley spouts some House philosophy as to why Foreman should not go to the drug company. Kutner calls the b.s. on this. Foreman ponders.

Wilson talks to House and Taub in the hall. Mesothelioma doesn't cause bleeding, he says. House wonders what does. Theories abound, but none sounds promising. Taub's beeper goes off. The patient's heart just stopped.

Kutner reports that she's bleeding into her pericardium and the BP's dropping. He's administered some drugs for the BP, which he says is working. Taub contradicts him and points out that the patient is now bleeding from the nose.

Act 6

Taub reports heroic measures to keep up with the blood loss, but they may not be enough. Kutner says they need to resect the vascular tumor to stop the bleeding. "Too late," House says, "no surgeon's going to touch her now." We go on the aggressive - cut out the arteries that feed blood to the tumors. Taub wonders what that bodes for the healthy tissue served by the same blood vessels.

Cuddy gives House his cane back. Peace offering. Cuddy tries to apologize, but House, annoyingly continues to rag on the job she's doing, and attributes her anti-House activities to her monthly period. Epiphany time. Cuddy "When I was being a jerk you acted human, but now that I'm being human you're acting like a jerk!" House philosophizes about the nature of their crappy relationship. "Nature of life." "Or this whole thing is just an act, " Cuddy says, a little House-lust creeping back into her voice and eyes. "You should go talk to Wilson. Rationalization man needs a faithful side-kick. Now Rational Man needs to go save a life." Smiles from Cuddy.

As Taub and Kutner prepare for the procedure, House rummages in the trash can in the patient's room, turning up an empty box of sanitary pads. Means she's having her period. The other two doctors are unimpressed. House says "She's menstruating and she's bleeding everywhere." What are the chances this is coincidence? His new diagnosis is ectopic endometriosis. The doctors who treated her myoma eight months ago punctured the uterine wall, allowing tissue to escape, spread all over the body through the blood stream, and set up little mini-uterine materials that swell and bleed in time with her period. Remove the masses, remove the problem. Assuming she can survive until her period is over. The doctors are impressed.

Foreman watched the sleeping Hadley. He apologizes. But she wakes, and can see him. They hug.

Taub talks to the patient, who's feeling better. But her 'I need to be happy' philosophy hasn't changed. Someone else will have to do that research.

Foreman makes a call to the drug company and confesses.

House finds Foreman in the locker room and realizes he told on himself. Foreman is out of drug testing, forever, but keeps his license. Because he broke protocol, the company doesn't even have to report Hadley's results, and keeps on testing. House takes money from a wallet in an unlocked locker. Foreman realizes it isn't House's locker, and calls him on it. "It's a LOCK-er room. How else are they going to learn?" I can name a military school that could have trained this foolishness out of House.

It's music time: Brand New Day by Joshua Radin.

Rachel Taub awakens to see her husband sitting in a chair, thinking. The subject of children is back in play. They cuddle in the chair.

Hadley awakens next to Foreman. "You snore." She says. "Shut up!" he rejoinders.

Wilson is washing up again. With tie, of course. He ponders a weighty moral decision and washes the last traces of Amber out of that cup.

- Cecil

Next Week:
House threatens to tear the team apart. (Apparently giving Foreman and Hadley an ultimatum to break up or one must quit.) A priest that has no faith has deadly symptoms that have no cause.
Last Episode: 01/19/09 5-13 Big Baby
Next Episode: 02/09/09 5-15 Last Resort

Cast and Crew Ep. 5-14, "The Greater Good" Aired 02/02/2009

Cast and Crew

Director:... Lesli Linka Glatter
Writer:...... Sara Hess


Hugh Laurie................Dr. Gregory House
Lisa Edelstein..............Dr. Lisa Cuddy
Robert Sean Leonard...Dr. James Wilson

Omar Epps...................Dr. Eric Foreman
Olivia Wilde................Dr. Remy Hadley (Thirteen)
Peter Jacobson.............Dr. Chris Taub
Kal Penn......................Dr. Lawrence Kutner

Jesse Spencer...............Dr. Robert Chase
Jennifer Morrison........Dr. Allison Cameron

Recurring Role:

Bobbin Bergstrom........Nurse

Guest Stars:

Judith Scott...............Dana Miller
Jennifer Crystal Foley...Rachel Taub
David Purdham..........Chef Anthony


Brand New Day........Joshua Radin

Posted by Cecil on February 2, 2009 10:52 AM
Permalink |

Thank you HOUSE for your episode on lung endometriosis/ catamenial pneumothorax. This will definitely help to enlighten the world about this disease. Author: Living With Lung and Colon Endometriosis: Catamenial Pneumothorax

-- 1. Posted by: Glynis D. Wallace at February 4, 2009 8:06 PM

I really enjoyed the 13/Foreman storyline in this episode, but the most powerful scene was when Wilson apologized to the patient, and confessed he was in a rut. Here's hoping they do something with it soon!

-- 2. Posted by: FenwayBen at February 5, 2009 10:12 PM

Wow, distinguished authors! Nice to hear from you Ms. Wallace.

-- 3. Posted by: Cecil at February 6, 2009 7:25 PM

2 FenwayBen:

>I really enjoyed the 13/Foreman storyline in this episode, but the most powerful scene was when Wilson apologized to the patient, and confessed he was in a rut. Here's hoping they do something with it soon!

Reckon we might have a love triangle House/Wilson/Cuddy brewing?

One thing episodic television doesn't always convey well is how much time is supposed to have passed between episodes/seasons. I know it took me years to recover from the deaths of my father and mother and can't imagine how long it would take me to recover from the death of my wife - or if I even could.

Wilson's feelings for Amber were portrayed as deep, so who knows how long a proper mourning period is, or if it has even had a chance to pass.

-- 4. Posted by: Cecil at February 6, 2009 7:31 PM

Might have a love triangle brewing? It's been percolating for a while, but house won't make a move (especially if it means taking a step towards happiness), and Wilson (so far) has refused to make a move on Cuddy if house might one day...

-- 5. Posted by: FenwayBen at February 7, 2009 2:41 AM

Talking about love just prooved my point...this show is not's becoming more of a continual "soap opera". If you like the make-believe and soap operas, watch it and be satified watching these formula storylines. The mythical Dr. House gets the right diagnosis at the can always bet on it...ALL THE TIME! BORING! You probably likes the soaps. then sure, you'll surely like this show. "House's Head" was a fantastic episode...excellent imagination in the writing in this episode. More of that, less of the other, is all i'm saying.

-- 6. Posted by: jeffrey at February 7, 2009 11:05 PM

Well, would we read Sherlock Holmes if he *didn't* solve the case? The enjoyment is not in the suspense over the eventual outcome, but in the process of getting there. And the character subplots help us care more about the people involved.

Soap or not, it would be hard to watch "Wilson's Heart" without a tear in your eye.

-- 7. Posted by: Cecil at February 8, 2009 4:38 AM

What kind of nonsense? This is not interesting. There is no such a thing.

-- 8. Posted by: Paige at September 23, 2011 10:00 AM

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