Que Sera Sera (House episode)

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House episode
"Que Sera Sera"
Episode no. HOU-306
Airdate November 7, 2006
Guest star(s) Pruitt Taylor Vince as George

House Season 3
September 2006 - May 2007

  1. Meaning
  2. Cane and Able
  3. Informed Consent
  4. Lines in the Sand
  5. Fools for Love
  6. Que Sera Sera
  7. Son of Coma Guy
  8. Whac-A-Mole
  9. Finding Judas
  10. Merry Little Christmas
  11. Words and Deeds
  12. One Day, One Room
  13. Needle in a Haystack
  14. Insensitive
  15. Half-Wit
  16. Top Secret
  17. Fetal Position
All House episodes

"Que Sera Sera" is the sixth episode of the third season of House and the fifty-second episode overall.

Contents

[edit] Plot Overview

The episode begins as firefighters are attempting to recover the body of a morbidly obese man, who was apparently discovered dead in his apartment. Whilst trying to move him, they hear an excretion of flatulence, leading them to believe he might not be dead. On double checking his vital signs they find he is alive, but comatose.

Dr. Cuddy brings his file to the team's attention for a consult, only to find Dr. House hasn't yet come in to work. Initial differential diagnosis says that despite his obesity he is relatively healthy, with no diabetes or high cholesterol - which are normal symptoms for a man of his size.

We discover that Dr. House is still in jail, from his arrest in the previous episode "Fools for Love", by Detective Tritter, a cop who was angered by Dr. House's anti-social behavior and prank. Dr. House asks to be arraigned or released and Tritter gives him the choice. Dr. House is arraigned (presumably because he refused to apologise), and is released on bail, with Dr. Wilson providing the $15,000 bond. Dr. Wilson advises Dr. House to get a lawyer, to which he replies "I already have one". Dr. Wilson takes this to mean he'll represent himself, and advises him against it.

While the team is talking about Dr. House's absence, he arrives in the room. The initial differential diagnosis draws a blank, and Dr. House suggests getting a full medical history and checking out his home looking for environmental stimuli that might have caused his condition. Dr. Cameron does and talks to a neighbour who says he has prostitutes visit his apartment.

Dr. House then does his clinic duty, where he meets a man who wakes with a pain in his arm every time he sleeps on it. After asking him to alter his sleep behavior, which the patient refuses to do, Dr. House sarcastically offers to have his arm removed. The patient then storms out of the examination room. Dr. House also leaves the room and is confronted by Detective Tritter where they have another verbal altercation.

The team then attempts another differential diagnosis with the initial assumption of syphilis. Dr. House dismisses this saying the problem has to do with his weight. Dr. House suggests checking his brain for clots. When the team suggests he is too heavy for both the MRI and CT scanner, he suggests skipping it and going for treatment (blood thinners). Despite this, Dr. Foreman and Dr. Cameron attempt to give him an MRI. Dr Cuddy goes to Dr. House with the name of a lawyer. During the scan, the patient starts choking and moving as he awakes from his coma, breaking the MRI machine.

The team conducts another differential diagnosis when Dr. Cuddy storms in accusing Dr. House of breaking the newly-repaired MRI machine. Dr. House proclaims his innocence, and Dr Cameron says it was her idea, citing the possible lawsuit the hospital would have faced if the hospital didn't treat him properly because of his weight, which is a legally registered disability. During the differential diagnosis, Dr. Foreman suggests the problem is hormonal while Dr. Cameron suggests the problem is STD-related. Dr. House says to check him for both, while he tells Dr. Chase to "sit on your ass," as he had said it was a haematoma that went on its own.

Dr. Foreman and Dr. Cameron talk to the patient who says he has been tested for hormonal imbalances and diabetes before, although he claims to have had nystagmus, an eye disorder, from birth. The patient claims to be better and wants to go home. The doctors advise against this, citing the seriousness of him previously falling into a coma. The patient then cites the number of fatalities that are caused by hospital-borne infections.

Dr. House is talking to Dr. Wilson when Dr. Foreman and Dr. Cameron go up to him citing all the tests were normal. Dr. House visits the patient, when he receives an alarming phone call. He rushes back to his apartment, where his possessions have been disturbed. He then finds Detective Tritter who was executing a search warrant of the apartment. Tritter finds a vast amount of Vicodin tablets, saying the sheer amount could appear to be intent to traffic to a DA.

Dr. House goes back to the hospital where he orders his team to discharge the patient. He confronts Dr. Wilson thinking he talked to the cop, which Dr. Wilson denies and tells him to visit his lawyer. The patient is discharged and tries to leave but becomes disoriented, and falls through a glass window, taking Dr. Cameron with him. Re-admitted, it transpires that Dr. Cameron gave him a drug which caused the fall, saying she didn't think he should leave the hospital. It is revealed that the patient skipped a meal which leads Dr. House to think it could be a parasite causing the loss of appetite. Being too big for a lumbar puncture, he suggests brain surgery. During the procedure, the patient becomes blind. The team suggest this could be MS, while Dr. House still thinks it's diabetes.

Dr. Cameron visits the patient who becomes agitated when Dr. Cameron still suggests it's diabetes that's causing the problems. He repeatedly refuses the sugar drink that Dr. Cameron tries to give him, stating that he'll refuse any treatment that has to do with his weight. Meanwhile, Dr. House visits a lawyer. The lawyer recommends a plea bargain, but Dr. House refuses this. They then decide to go to court. Dr. House visits the patient again to try to coerce him to cooperate. While the patient refuses, Dr. House notices his hands are clubbed and suggests X-raying his hands, among other diagnostic tests. Dr. Cameron asks how the patient will agree to the procedures, when Dr. House tells her to tell the patient it's for lung cancer. The tests confirm this diagnosis, and Dr. Cameron informs the patient he has terminal lung cancer.

The episode ends with Tritter interviewing Dr. Wilson in his hotel room. Tritter confronts him with prescriptions that don't match Dr. Wilson's signature, from a previous episode where Dr. House stole a prescription pad from Dr. Wilson and forged his signature. Dr. Wilson fails to contain his surprise and lies to cover this by saying he sometimes signs his name differently. Sensing the lie, Tritter gives him another chance, which Dr. Wilson refuses. Tritter then leaves citing the trouble both Dr. Wilson and Dr. House would be in if he is lying. Tritter leaves the room leaving Dr. Wilson visibly agitated.

[edit] Diagnosis

Small cell lung carcinoma

[edit] Medical Terms

[edit] Clinic Patients

A man who says that his arm hurts when he sleeps on it. House suggests surgery to remove it, which causes the patient to leave in a huff.

[edit] Arc Advancement

[edit] Happenings

[edit] Characters

Cameron: During the course of this episode, it is clear that Cameron wants to provide George with the same care as any other patient. She breaks an MRI machine, and then admits and defends her actions when Cuddy accuses House of breaking the machine, which is something very out of character for Cameron. House suspects that Cameron had some sort of event in her past that may have caused this affinity for equal care for obese individuals.

Chase: Chase doesn't like George because he is obese. Cameron criticizes this, but Chase is clearly showing that he dislikes obese people because "they are addicted". He also disappears halfway through the episode and is not seen again for the rest of the episode, resulting from House telling him to "go sit on his ass".

House, Tritter, and Wilson: Detective Tritter searches House's home, and finds a huge amount of Vicodin. Tritter then goes to Wilson with a copy of all of House's prescriptions, and asks Wilson if he wrote them. Wilson says yes, but then Tritter shows him some prescriptions with a slightly different signature. Wilson realizes that House forged his signature, but Wilson denies it to defend his friend. Tritter gives him "second chance to rethink that answer", but Wilson only reiterates his position and defends House, leaving the episode with an image of Wilson obviously distressed and looking out of a window at the rain.

[edit] Self References

  • This is the second episode where the MRI machine has been broken. It was previously broken in "Euphoria, Part 1" when bullet fragments from a dead body's head were sucked into the machine, damaging the magnet.

[edit] Trivia

[edit] The Show

  • Dr. Chase went missing shortly after the beginning of the episode, when House told him to sit on his ass. He didn't reappear for the remainder of the episode, and was only mentioned once.
  • At the end, George says, "C'est la vie", which means "That's life" in French. Similarly, "Que Sera Sera," the title of the episode, means "Whatever will be, will be."
  • House plays his guitar in this episode, playing a song he made up.

[edit] Behind the Scenes

[edit] Allusions and References

  • Steven Pasquale appears as one of the firemen in the first scene. He stars as a fireman on the show Rescue Me.
  • George, who is played by Pruitt Taylor Vince, mentions he has had nystagmus from birth, a condition Vince actually has. It leads to involuntary rapid eye movement, which has become a trademark of his acting style.
  • Star Wars: Near the start of the episode where House and his team first tries to diagnose the patient, House refers the obese patient as Jabba, a obese character from the Star Wars Trilogy.

[edit] Memorable Moments

  • This is the second patient to die during the third season; the other was Dr. Ezra Powell in Informed Consent.

[edit] Quotes

"Is Salma Hayek from Mexico or Spain?"

"Kids these days. Got no respect for other people's property."

"It's probably her mom. I bet she's huge. She is from the Midwest. Since when do you eat beets?"

Dr. House upon hearing of the obese patient's asking to be released: "Yeah, Places to go. People to Eat"

[edit] Music

[edit] References

    [edit] External links

    House
    Episode list | Awards | Soundtrack
    Cast and crew
    David Shore | Hugh Laurie | Lisa Edelstein | Robert Sean Leonard | Omar Epps | Jennifer Morrison | Jesse Spencer
    Characters
    Gregory House | Lisa Cuddy | James Wilson | Eric Foreman | Allison Cameron | Robert Chase