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House's Team

Season Five Summary

I regret that without transcripts I don't feel I can come up with an accurate tally of points, so I'm going to just count actual diagnoses.

In season five the team consisted of House, Foreman, Kutner, Taub and Thirteen. Kutner left the show after episode 19. Chase and Cameron participated occasionally.

There were 24 episodes, and a total of 28 patients. Three of these patients died and 25 were saved, giving House's patients a survival rate of 89%. There were two patients in Not Cancer, Joy, Emancipation, and Simple Explanation. One patient died in Not Cancer and one in Simple Explanation because their illnesses were not diagnosed in time, as did the patient in Joy to the World. One of the patients in Emancipation was treated and diagnosed by Foreman alone, with assistance from Chase and Cameron.

Cuddy diagnosed the doomed patient in Joy to the World, and Wilson was given co-credit for the diagnosis in Birthmarks. The patient in the season finale Both Sides Now was diagnosed by his own girlfriend. Cameron had two diagnoses of her own, one in Last Resort and one in Simple Explanation, which is very good considering she's no longer on House's team!

Thirteen lead the Housepets with three diagnoses (in Emancipation, Joy to the World and Painless). Foreman had two diagnoses, in Emancipation and The Softer Side. Kutner had the epiphany moment in his final episode Locked In and Taub had the diagnosis in House Divided (if I'm remembering the episode correctly).

House outdiagnosed them all with 23 diagnoses (remember that many episodes have more than one diagnosis). I haven't done an analysis but I believe he's getting the diagnosis much more often than he did in seasons 1 or 2. I doubt this is deliberate on behalf of the writers.

In five seasons, House and his team(s) have diagnosed 124 patients. Of those, 107 were saved. That's an overall survival rate of 86%.

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Season 5, Episodes 17 to 24

I'm back! Again, without transcripts these summaries are brief. I'll post a season summary later but given the sketchiness of my reviews without transcripts, my results will not be as precise as I'd like.

5.17 The Social Contract

Initial Symptoms: Man with frontal lobe disinhibition + nosebleed
Diagnosis: Doege-Potter Syndrome (House) + autoimmune reaction to tumor (House)

Contributions by Team
House (2): Diagnosis for Doege-Potter Syndrome, diagnosis for autoimmune reaction
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (2): Sees patient's kidneys are failing, orders full body scan
Kutner (0): None
Taub (1): Suggests diabetes
Thirteen (0): None

The team saw the fibroma on the patient's full body scan, but misdiagnosed it as a lung cyst.
Taub gets a point for suggesting diabetes because the glucose tolerance test House ordered based on Taub's suggestion provided a vital clue. Doege-Potter Syndrome causes hypoglycemia.

5.18 Here Kitty

Initial Symptoms: Woman with bronchospasm
Diagnosis: Carcinoid tumour in appendix (House)

Contributions by Team
House (2): Sees patient's rash, diagnosis for carcinoid tumour
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (0): None
Kutner (1): Sees spider veins on patient's back
Taub (0): None
Thirteen (0): None

"Death cat" was based on a true story.
The patient faked an illness to get to see House. I'm only counting what happened after they determined she really was ill, but it's worth noting that Taub deduced she'd faked her symptoms with methylene blue.
I don't know what caused the brown urine in the end. Also, why didn't they notice at the beginning that the patient's temperature was elevated?

5.19 Locked In

Initial Symptoms: Man with locked in syndrome
Diagnosis: Leptospirosis (Kutner)

Contributions by Team
House (2): Sees patient isn't brain dead, realizes patient has liver failure
Cameron (0)
Chase (N/A)
: Not part of diagnosis
Foreman (0): None
Kutner (1): Diagnosis for leptospirosis
Taub (1): Idea for brain-computer interface
Thirteen (2): Observes patient has bloody urine, diagnoses ulcerative keratitis.

Diagnosis was complicated because the patient couldn't speak.
The infection caused liver failure, which caused the locked in syndrome. The medical reviewer at Polite Dissent noted this didn't make much sense. Notice that the patient's original doctor thought the locked in syndrome was caused by an infection.
Cameron suggested that the team perform a lumbar puncture, but they were unable to complete because the patient went into cardiac arrest. I'm not sure if the lumbar puncture would have helped to diagnose leptospirosis, so I'm not awarding a point for it.

5.20 Simple Explanation

There was only supposed to be one patient this week, but instead there were two. Patient A was Eddie, dying of heart failure supposedly caused by lung cancer, and patient B was his wife who was the team's original patient.

Case A

Initial Symptoms: Man diagnosed with terminal lung cancer
Diagnosis: Blastomycosis (Cameron)

Contributions by Team
House (1): Confirmed Cameron's diagnosis
Cameron (1): Diagnosis for blastomycosis
Chase (N/A): Not part of diagnosis
Foreman (0): None
Taub (1): Observes that patients' heath were connected and used this to help them
Thirteen (0): None

Case B

Initial Symptoms: Woman with acute respiratory failure
Diagnosis: Visceral leishmaniasis (House)

Contributions by Team
House (3): Realizes patient is faking symptoms, observes muscle atrophy in left leg, diagnosis for visceral leishmaniasis
Cameron (N/A): Not part of diagnosis
Chase (1): Notices scarring on liver
Foreman (0): None
Taub (1): Sees patient has an infection
Thirteen (0): None

Cameron observed nodules on Eddie's fingers and told House that he may not have lung cancer. House investigated and determined that Cameron was correct, Eddie had a fungal infection. Cameron was awarded the Diagnosis because although she didn't identify the disease, she was the only one who recognized the patient was incorrectly diagnosed. Without her he would have died. Nice going, Eddie's original doctors.
Charlotte, patient B, died because her infection was diagnosed too late.
RIP Kutner, who committed suicide at the beginning of the episode.

5.21 Saviours

Initial Symptoms: Man unable to stand
Diagnosis: Sporotrichosis (House)

Contributions by Team
House (2): Sees swelling on patient's neck is crepitus, diagnosis for sporotrichosis
Cameron (1): Sees patient's chronic hiccups are a symptom
Chase (N/A): Not part of diagnosis
Foreman (2): Observes swelling on patient's neck, rules out bone cancer with bone biopsy
Taub (0): None
Thirteen (0): None


Cameron fully participated in the differential diagnosis and patient treatment.

5.22 House Divided

Initial Symptoms: Deaf boy with exploding head syndrome
Diagnosis: Sarcoidosis (Taub)

Contributions by Team
House (3): Discovers patient has neuropathy, idea to compare past and present brain MRIs, realizes patient has arrhythmia
Cameron (N/A): Not part of diagnosis
Chase (1): Sees nerve inflammation during brain biopsy
Foreman (1): Diagnosis for sarcoidosis
Taub (1): Diagnosis for sarcoidosis
Thirteen (0): None

House and Chase both lose points for installing a cochlear implant in the patient without consent: House for doing it, and Chase for falling for House's lies.
I may be remembering wrong but I think that Taub was the first to suggest sarcoidosis. Foreman later realized that the patient's chewing tobacco habit suppressed his immune system, hiding the symptoms. I'm therefore awarding Taub credit for the Diagnosis and Foreman credit for realizing Taub was right.

5.23 Under My Skin

Initial Symptoms: Woman with collapsed lungs
Diagnosis: Gonorrhea (House)

Contributions by Team
House (3): Diagnosis for gonorrhea, diagnosis for toxic epidermal necrolysis, idea to stop heart to obtain MRI image
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Spots heart abscess on MRI
Taub (1): Idea to use vasodilators to save patient's hands and feet
Thirteen (0): None

Whose idea was it to give the patient dopamine to stabilize her so that Chase could remove the abscess? Did they say? That person gets a point.

5.24 Both Sides Now

Initial Symptoms: Man with alien hand syndrome + bloody tears + loss of sense of taste
Diagnosis: Propylene glycol poisoning

Contributions by Team
House (2): Observes that patient has liver failure, realizes source of blood clots
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Suggests blood clotting issue
Taub (1): Realizes the patient has propylene glycol poisoning
Thirteen (1): Observes splinter hemorrhages underneath patient's fingernails

There's just no way around it, the patient's girlfriend diagnosed him. House's team can't claim credit for it. She suggested to Thirteen and Taub that his deodorant was causing the problem, and their research confirmed which ingredient was the culprit. I've awarded a point to Taub because it appeared that he was the one to narrow it down to propylene glycol, but it's possible he was taking the credit for Thirteen's discovery.
Wilson counseled the patient on how to handle his alien hand, and he seemed to be correct: after hearing his advice, the patient's hand never acted up again.


Season 5, Episodes 12-16

5.12 Painless

Initial Symptoms: Man with chronic pain
Diagnosis: Epilepsy (Thirteen)

Contributions by Team
House (4): Realizes patient has attempted suicide by blowing air into his IV, idea for spinal block procedure, realizes patient drank rubbing alcohol in suicide attempt, diagnosis for epilepsy
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Orders CT test which finds intestinal edema + air in blood vessels
Kutner (0): None
Taub (0): None
Thirteen (2): Diagnosis for pulmonary embolism, suggests non-motor seizures

Notes: I'm fuzzy on this, but I believe that what Thirteen was suggesting when she said "non-motor seizures" is what House eventually diagnosed him with. Therefore, Thirteen gets the credit.
The patient attempted suicide twice in the hospital. These were not considered diagnoses unto themselves, but House received credit for deducing the attempts.

5.13 Big Baby

Initial Symptoms: Woman coughing blood
Diagnosis: Patent ductus arteriosus (PDA) (House)

Contributions by Team
House (2): Orders bleeding test, diagnosis for PDA
Cameron (0): None
Chase (N/A): Not part of diagnosis
Foreman (0): None
Kutner (1): Finds pleural effusions with ERCP test
Taub (0): None
Thirteen (0): None

Notes: Cameron loses a point for allowing House to cut off the top of the patient's head. (There's a sentence I never thought I would type.)

5.14 The Greater Good

Initial Symptoms: Woman with spontaneous pneumothorax + history of uterine myoma
Diagnosis: Endometriosis (House)

Contributions by Team
House (1): Diagnosis for endometriosis
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Spots something on MRI (I'm not sure what it really was, he thought it was a granuloma)
Kutner (1): Spots increased interstisal markings on CT
Taub (1): Sees patient is bleeding into her abdominal cavity
Thirteen (0): None

Notes: The liver failure was never explained. Was it because she was bleeding from her hepatic artery?
The part about the patient scratching through her skull may have been taken from this story.
Foreman and Thirteen didn't contribute much to the differential because they had their own drama going on.

5.15 Unfaithful

Initial Symptom: Man with hallucination
Diagnosis: Alcoholism (House) + Wiskott-Aldrich Syndrome (House)

Contributions by Team
House (2): Diagnosis for alcohol abuse, diagnosis for Wiskott-Aldrich Syndrome
Cameron (1): Diagnoses alcohol abuse
Chase (N/A): Not part of diagnosis
Foreman (0): None
Kutner (0): None
Taub (2): Finds patient has pneumocystis (indicative of compromised immune system), suggests hyper IgE syndrome (genetic immune disorder)
Thirteen (0): None

Notes: The patient enters the ER with a hallucination, which Cameron attributes to alcohol abuse. House brings the case to the team as a "fake", which everyone quickly figures out. The patient ends up getting sick for real (his toe falls off), and the hallucination is considered the first symptom. House finally diagnoses the patient by attributing the hallucination to alcohol. Therefore House is credited with diagnosing the patient, but Cameron receives a point too.

5.16 The Softer Side

Initial Symptoms: Child with genetic mosaicism + severe abdominal pain
Diagnosis: Dehydration (Foreman) + kidney damage (House) + poisoning from MRI contrast (House)

Contributions by Team
House (2): Realizes patient's kidneys are damaged from energy drinks, diagnosis for dye poisoning
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Diagnosis for dehydration
Kutner (0): None
Taub (0): None
Thirteen (2): Sees patient is in cardiac tamponade, notices patient's palms are red indicating kidney damage

Notes: It's confusing but I'm attributing the patient's initial symptom, abdominal pain, to dehydration + kidney damage from energy drinks (and seriously, how much of that stuff was he drinking?) and his subsequent symptoms to poisoning from the MRI contrast.
Unlike House himself, I'm not docking him a point for giving the patient the MRI which caused his illness.
I don't remember if Chase was the surgeon who found the gastric fistula caused by necrotizing pancreatitis. He gets a point if it was.
Thirteen loses a point for telling the parents that their son was suicidal when he wasn't and for giving the patient the truth about his condition. I'm docking her this point because it caused a rift between a seriously ill child and his parents, right when he most needed to trust them.
House was absent for part of the case.


Season 5, Episodes 7-11

I know I haven't updated in a while, but I am catching up. I will complete season 5 and am also considering adding a list of diseases discussed on the show.
As I discussed in my previous post, my reviews here have suffered because I no longer have transcripts to go by. I will continue to post my abbreviated versions. This is complicated by the fact that I waited so long to write them that I'm having trouble remembering what happened!

5.07 The Itch

Initial Symptoms: Man with agoraphobia + headache + seizures
Diagnosis: Lead poisoning from bullets left inside patient after a shooting (House)

Contributions by Team
House (2): Realizes patient's bowel is obstructed, diagnosis for lead poisoning
Cameron (2): Persuades patient to allow team to keep treating him, observes flattened villi in bowel
Chase (0): None
Foreman (1): Idea to perform EEG to diagnose cause of seizures
Kutner (0): None
Taub (0): None
Thirteen (0): None

Notes: The team was limited while diagnosing and treating this patient, as he refused to leave his home.
Removing the bullet fragments without anaesthesia was brutal even by House's own standards.
I'm assuming the partial bowel obstruction was also caused by the lead poisoning.
House spent a lot of the episode trying to force the patient to go to the hospital against his wishes. I'm calling this a value judgment and therefore am not awarding or deducting points around this issue.
Taub loses a point for igniting the patient's intestinal gas during the surgery, but that may be excusable given the circumstances under which he performed the surgery.

5.08 Emancipation

There were two cases for the Housepets this week. Foreman diagnosed a clinic patient with help from Chase and Cameron.

Case A
Initial Symptoms: Girl with pulmonary edema
Diagnosis: Arsenic poisoning (House) + acute promyelocytic leukemia (APL) (Thirteen)

Contributions by Team
House (2): Diagnosis for arsenic poisoning, gets patient to admit truth and contact her family
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (1): Notices blood in patient's urine
Kutner (1): Observes on fMRI that patient is lying about her family
Taub (0): None
Thirteen (1): Diagnosis for APL

Notes: I'm assuming that the arsenic poisoning was contributing to her symptoms, or that it would have made her sick if she hadn't also had APL (which is treated with arsenic).
From the patient's fMRI Kutner deduces that the patient is lying about her parents, and House later figures out that she's lying from guilt and persuades her to contact her family. Because the patient is a minor and (according to the show) would need a bone marrow transplant to save her life, I'm awarding points for this.

Case B
Initial Symptoms: Boy with lethargy, diarrhea, bloody vomiting
Diagnosis: Iron toxicity from too many vitamins (Foreman)

Contributions by Team
House (N/A): Refuses to participate in diagnosis
Cameron (0): None
Chase (1): Suggests patient is being poisoned by his mother or brother
Foreman (1): Diagnosis for iron toxicity
Kutner (N/A): Not part of diagnosis
Taub (N/A): Not part of diagnosis
Thirteen (N/A): Not part of diagnosis

Notes: I'm going to brag here: I called the patient's brother poisoning him long before Foreman figured it out. But then I think most of the audience did.

5.09 Last Resort

Initial Symptoms: Man with lack of breath, fatigue, headaches, stomach aches, skin rashes, heart palpitations, insomnia
Diagnosis: Melioidosis (Cameron)

Contributions by Team
House (4): Observes patient has low lung volume, diagnoses seventh-nerve palsy, observes patient is sweating on just one side of his face, diagnoses patient with low calcium (Chvostek's sign)
Cameron (2): Suggests patient's medications have been protecting his kidneys, diagnosis for melioidosis
Chase (N/A): Refuses to participate in diagnosis
Foreman (1): Suggests chronic lung infection
Kutner (0): None
Taub (0): None
Thirteen (2): Observes patient has high heart rate, suggests chemical cardioversion to restore heart rate

Notes: Diagnosis was complicated by the patient, you know, holding House and Thirteen hostage.
The medicine was confusing. If the writers can't keep it straight, don't expect me to; I'm just doing the best I can.
Since chronis melioidosis can affect the brain, I'm assuming here that the patient's palsy and anhidrosis (sweating on one side of his face) were symptoms.

5.10 Let Them Eat Cake

Initial Symptoms: Woman with difficultly breathing
Diagnosis: Hereditary coproporphyria (House)

Contributions by Team
House (1): Diagnosis for hereditary coproporphyria
Cameron (N/A): Not part of diagnosis
Chase (N/A): Not part of diagnosis
Foreman (0): None
Kutner (0): None
Taub (1): Sees problem has spread to the patient's muscles
Thirteen (0): None

Notes: Either Kutner or Taub noticed that the patient had lost sensation in her foot, but I don't remember which.

5.11 Joy to the World

Initial Symptoms: Girl with hallucinations, vomiting, liver failure
Diagnosis: Eclampsia (Cuddy) + poisoning with hallucinogenic mushroom (Thirteen)

Contributions by Team
House (2): Notices high alkaline phosphate levels in patient's blood, stops Wilson and Cuddy from putting patient on chemotherapy
Cameron (N/A): Not part of diagnosis
Chase (1): Gets students to admit to poisoning patient
Foreman (0): None
Kutner (0): None
Taub (0): None
Thirteen (1): Diagnosis for hallucinogen poisoning

Notes: Yay, Cuddy got the diagnosis! She also found the patient's abandoned baby.


Update: Season 5, Episodes 1-6

I haven't been posting my analyses for Season 5 for two reasons. First, I haven't been able to find transcripts. Second, the medicine has gotten so confusing that sometimes I'm not even sure what the final diagnosis is. Here is a breakdown of diagnoses for the first six episodes of Season 5, but this doesn't include points. Sorry. I hope I can go back to analysis one day, but in the meantime I'm grateful to Scott at Polite Dissent for posting medical reviews of the show. What follows is pretty much cribbed from him, and the Fox recaps.

5.01 Dying Changes Everything
Initial Symptoms: Woman with hallucinations, abdominal pain, anemia, bradycardia, memory loss
Diagnosis: Ectopic pregnancy (House) + lepromatous leprosy (House)

Notes: How could the team have missed the ectopic pregnancy? Kutner should lose a point for that.
Foreman should lose a point for giving the patient chemotherapy which would have killed her if House hadn't diagnosed her infection in time.
Someone suggested she had an infection picked up while traveling, which was the case.

5.02 Not Cancer
Initial symptoms: Two patients who received organs from the same donor. Four other patients who received organs from this donor had died.
Diagnosis: Cancer stem cells from the donor (House)

Notes: The team was trying to save two patients. One died before the diagnosis was made, and one was saved.
I couldn't make any sense at all out of Kutner's intestinal perforation theory, and neither could the physician who writes the medical reviews.
At the beginning they said no blood is transmitted in a corneal transplant, so how did the cornea transplant receipient get the donor's cancer cells in her brain?

5.03 Adverse Events
Initial Symptoms: Man with visual agnosia
Diagnosis: Experimental drug interactions (House) + bezoar (House)

Notes: House deduced that the patient was in different experimental drug trials. I think he also figured out that the patient had a bezoar but I don't remember.
Taub earns a point for confirming from the patient's old paintings that the patient's symptoms are caused by drug interactions.

5.04 Birthmarks
Initial Symptoms: Woman with abdominal pain + vomiting blood
Diagnosis: Pins in patient's brain (House + Wilson)

Notes: I'm attributing the final diagnosis to both House and Wilson because House's diagnosis followed from Wilson's realization that the patient's parents tried to kill her when she was born.
I'm really uncertain about what caused the patient's symptoms here. At first House suggested that she had iron overload, but in the end it was all attributed to the pins in her brain. Was it one or the other? Or both? I think we're supposed to believe it was just the pins, that's how the Fox recap reads, but that shouldn't have caused all those symptoms.

5.05 Lucky Thirteen
Initial Symptoms: Woman with tonic clonic seizure, severe fatigue, history of retinal vein occlusion
Diagnosis: Sjogren's Syndrome (House)

Notes: I really had a problem with House's behaviour this episode. I thought he was torturing the patient for fun.
Why would the lung cysts have smooth muscle cells in them?

5.06 Joy
Initial Symptoms: Man with blackouts + hallucinations
Diagnosis: Familial Mediterranean Fever (House)

Notes: House deduced that the patient's daughter suffered the same illness as he did, so this case counts as two patients.
The symptoms don't match the diagnosis at all.
Cuddy met with a woman whose unborn baby she wanted to adopt. With Cameron's help she ended up diagnosing the unborn baby with underdeveloped lungs and the mother with placental abruption. This isn't part of the analysis because it wasn't House's team working on the case, but still worthy of note.



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