1
00:00:05,914 --> 00:00:09,774
House Explained. Season 1, Episode 1.
2
00:00:09,774 --> 00:00:10,194
Pilot.
3
00:00:11,354 --> 00:00:13,454
Dr. Gregory House is a brilliant,
4
00:00:13,454 --> 00:00:17,894
misanthropic diagnostician who walks with a cane and avoids patients.
5
00:00:18,674 --> 00:00:20,614
He leads a three-person team,
6
00:00:21,234 --> 00:00:24,314
neurologist Eric Foreman, immunologist Allison Cameron,
7
00:00:25,034 --> 00:00:26,494
and intensivist Robert Chase,
8
00:00:27,354 --> 00:00:29,894
solving cases from a whiteboard rather than the bedside.
9
00:00:30,534 --> 00:00:33,094
His only friend is oncologist James Wilson.
10
00:00:33,674 --> 00:00:36,254
Their boss, Dean of Medicine Lisa Cuddy,
11
00:00:36,434 --> 00:00:39,574
is the one person who can rein House in.
12
00:00:40,674 --> 00:00:43,794
When a kindergarten teacher collapses mid-sentence from a seizure,
13
00:00:44,554 --> 00:00:50,374
Wilson manipulates House into taking the case with a lie that will shape the entire diagnosis.
14
00:00:51,574 --> 00:00:55,994
So House opens with one of the most unsettling cold opens I've seen in a medical show.
15
00:00:56,614 --> 00:00:58,274
A kindergarten teacher is talking to her students,
16
00:00:58,274 --> 00:01:00,754
and mid-sentence she just starts speaking gibberish.
17
00:01:01,454 --> 00:01:02,714
The kids think she's joking,
18
00:01:03,214 --> 00:01:06,934
but she scrawls something on the board and collapses into a full seizure.
19
00:01:07,694 --> 00:01:09,354
Right, and we jump ahead a whole month,
20
00:01:09,954 --> 00:01:12,894
she's been deteriorating with no diagnosis and no answers.
21
00:01:13,794 --> 00:01:16,074
That's when Wilson, House's oncologist friend,
22
00:01:16,514 --> 00:01:19,254
brings the case to him and tells House that Rebecca is his cousin.
23
00:01:19,874 --> 00:01:21,614
Which turns out to be a complete lie,
24
00:01:21,974 --> 00:01:24,634
but it's exactly what gets House to care enough to take the case.
25
00:01:25,434 --> 00:01:27,694
And that lie drives the entire episode.
26
00:01:28,254 --> 00:01:29,714
House wouldn't have touched it otherwise.
27
00:01:30,754 --> 00:01:33,554
He's this diagnostician who deliberately avoids patients,
28
00:01:34,154 --> 00:01:36,174
walks with a cane, doesn't wear a lab coat,
29
00:01:36,754 --> 00:01:39,594
doesn't want to be seen as either a doctor or a patient.
30
00:01:40,394 --> 00:01:43,174
He's basically a medical detective who works from a whiteboard.
31
00:01:43,874 --> 00:01:47,034
His team throws out ideas, Chase suggests aneurysm,
32
00:01:47,414 --> 00:01:48,394
Cameron says mad cow,
33
00:01:49,034 --> 00:01:51,154
new hire Foreman thinks Wernicke's,
34
00:01:51,154 --> 00:01:53,214
and House picks apart every single one.
35
00:01:53,894 --> 00:01:55,854
Meanwhile Cuddy, the Dean of Medicine,
36
00:01:56,314 --> 00:02:00,414
is FURIOUS because House is six years behind on clinic duty.
37
00:02:01,054 --> 00:02:02,934
She can't fire him, he has tenure,
38
00:02:03,334 --> 00:02:04,954
but she can make his life miserable,
39
00:02:05,574 --> 00:02:09,594
so she strips all his hospital privileges until he actually sees patients.
40
00:02:10,274 --> 00:02:12,314
Which kills their main diagnostic tool.
41
00:02:13,074 --> 00:02:15,594
Exactly. When the team finally runs the MRI,
42
00:02:16,254 --> 00:02:20,114
Rebecca has an anaphylactic reaction to the contrast dye and stops breathing.
43
00:02:21,114 --> 00:02:23,374
Chase saves her life with an emergency tracheotomy.
44
00:02:23,894 --> 00:02:25,474
So now they can't image her brain.
45
00:02:25,474 --> 00:02:26,674
What does House do?
46
00:02:27,554 --> 00:02:32,074
Guesses vasculitis. High-dose steroids, no biopsy, pure gamble.
47
00:02:32,894 --> 00:02:35,314
And the gamble pays off at first, she improves,
48
00:02:35,574 --> 00:02:37,234
she's eating, her spirits are up.
49
00:02:37,894 --> 00:02:40,574
Cuddy goes to stop the treatment and finds the patient doing great.
50
00:02:41,334 --> 00:02:42,994
But if the steroids are clearly helping,
51
00:02:43,294 --> 00:02:44,734
why does everything suddenly collapse?
52
00:02:45,734 --> 00:02:48,334
Rebecca suddenly goes blind, seizes again,
53
00:02:48,834 --> 00:02:50,894
and goes into full cardiac arrest.
54
00:02:51,634 --> 00:02:52,434
They bring her back,
55
00:02:52,654 --> 00:02:55,954
but cognitive tests show her brain is failing intermittently.
56
00:02:56,274 --> 00:02:59,914
The steroids helped, but something deeper is destroying her.
57
00:03:00,074 --> 00:03:01,654
And House admits he's stumped.
58
00:03:02,014 --> 00:03:06,234
For a character who's built his whole identity around being the smartest person in any room,
59
00:03:06,534 --> 00:03:07,574
that's a huge crack.
60
00:03:08,394 --> 00:03:09,414
He stops all treatment.
61
00:03:10,294 --> 00:03:13,974
So he sends Foreman and Cameron to actually break into her apartment for clues.
62
00:03:14,894 --> 00:03:17,414
And what they find is ham in the kitchen.
63
00:03:18,054 --> 00:03:19,054
And Wilson is Jewish.
64
00:03:19,594 --> 00:03:21,394
So if Rebecca were really his cousin,
65
00:03:21,694 --> 00:03:22,914
there wouldn't be ham in the house.
66
00:03:23,674 --> 00:03:26,014
One detail exposes two things at once,
67
00:03:26,574 --> 00:03:28,174
Wilson lied about the family connection,
68
00:03:28,534 --> 00:03:31,594
and her pork consumption points straight at the real diagnosis.
69
00:03:32,254 --> 00:03:34,054
Right, because pork means tapeworm.
70
00:03:34,594 --> 00:03:37,474
The medical term is neurocysticercosis,
71
00:03:37,474 --> 00:03:40,234
a larva lodges in the brain, and when it dies,
72
00:03:40,714 --> 00:03:42,434
the immune response causes swelling.
73
00:03:43,294 --> 00:03:47,014
That's why steroids reduced symptoms but couldn't fix the underlying damage.
74
00:03:47,774 --> 00:03:50,574
So they finally have a diagnosis that explains everything,
75
00:03:50,574 --> 00:03:53,774
the seizures, the temporary improvement, the crash.
76
00:03:54,314 --> 00:03:56,574
But Rebecca flat-out refuses treatment.
77
00:03:57,014 --> 00:04:01,854
She's been through too many wrong answers and would rather go home and die than keep getting experimented on.
78
00:04:02,674 --> 00:04:04,874
And House does something completely out of character,
79
00:04:05,294 --> 00:04:07,354
he goes to her bedside, which he never does,
80
00:04:07,874 --> 00:04:09,194
and tells her about his own leg.
81
00:04:09,814 --> 00:04:12,794
He had a muscle infarction in his thigh that wasn't caught in time,
82
00:04:13,214 --> 00:04:16,054
and the pain was so bad he wished he would die.
83
00:04:16,754 --> 00:04:17,734
Does that change her mind?
84
00:04:18,424 --> 00:04:20,874
No, she wants proof before she'll agree to anything.
85
00:04:21,534 --> 00:04:25,774
Chase suggests they X-ray her leg where another larva should show up against muscle tissue.
86
00:04:26,294 --> 00:04:28,274
They find it, she sees it with her own eyes,
87
00:04:28,664 --> 00:04:30,114
and finally agrees to treatment,
88
00:04:30,834 --> 00:04:32,434
two pills a day for a month.
89
00:04:33,434 --> 00:04:34,654
What gets me is the ending,
90
00:04:35,334 --> 00:04:36,994
House asks Wilson why he lied,
91
00:04:37,474 --> 00:04:39,714
and Wilson just says it got you to take the case.
92
00:04:40,454 --> 00:04:41,874
No guilt, no apology.
93
00:04:42,754 --> 00:04:44,914
They sit there watching a medical drama on TV,
94
00:04:44,914 --> 00:04:47,974
and it's weirdly warm for two people who caught each other lying.
95
00:04:48,834 --> 00:04:51,774
Everybody lies. That's the whole thesis.
96
00:04:52,674 --> 00:04:54,934
Including the one person House actually trusts.
97
00:04:56,034 --> 00:04:57,354
Bold way to launch a series.
98
00:04:58,954 --> 00:05:01,414
Wilson lied and House let it slide.
99
00:05:02,274 --> 00:05:04,554
The team still doesn't know why they were hired.
100
00:05:05,374 --> 00:05:08,194
Watch how trust bends before it breaks.
00:00:05,914 --> 00:00:09,774
House Explained. Season 1, Episode 1.
2
00:00:09,774 --> 00:00:10,194
Pilot.
3
00:00:11,354 --> 00:00:13,454
Dr. Gregory House is a brilliant,
4
00:00:13,454 --> 00:00:17,894
misanthropic diagnostician who walks with a cane and avoids patients.
5
00:00:18,674 --> 00:00:20,614
He leads a three-person team,
6
00:00:21,234 --> 00:00:24,314
neurologist Eric Foreman, immunologist Allison Cameron,
7
00:00:25,034 --> 00:00:26,494
and intensivist Robert Chase,
8
00:00:27,354 --> 00:00:29,894
solving cases from a whiteboard rather than the bedside.
9
00:00:30,534 --> 00:00:33,094
His only friend is oncologist James Wilson.
10
00:00:33,674 --> 00:00:36,254
Their boss, Dean of Medicine Lisa Cuddy,
11
00:00:36,434 --> 00:00:39,574
is the one person who can rein House in.
12
00:00:40,674 --> 00:00:43,794
When a kindergarten teacher collapses mid-sentence from a seizure,
13
00:00:44,554 --> 00:00:50,374
Wilson manipulates House into taking the case with a lie that will shape the entire diagnosis.
14
00:00:51,574 --> 00:00:55,994
So House opens with one of the most unsettling cold opens I've seen in a medical show.
15
00:00:56,614 --> 00:00:58,274
A kindergarten teacher is talking to her students,
16
00:00:58,274 --> 00:01:00,754
and mid-sentence she just starts speaking gibberish.
17
00:01:01,454 --> 00:01:02,714
The kids think she's joking,
18
00:01:03,214 --> 00:01:06,934
but she scrawls something on the board and collapses into a full seizure.
19
00:01:07,694 --> 00:01:09,354
Right, and we jump ahead a whole month,
20
00:01:09,954 --> 00:01:12,894
she's been deteriorating with no diagnosis and no answers.
21
00:01:13,794 --> 00:01:16,074
That's when Wilson, House's oncologist friend,
22
00:01:16,514 --> 00:01:19,254
brings the case to him and tells House that Rebecca is his cousin.
23
00:01:19,874 --> 00:01:21,614
Which turns out to be a complete lie,
24
00:01:21,974 --> 00:01:24,634
but it's exactly what gets House to care enough to take the case.
25
00:01:25,434 --> 00:01:27,694
And that lie drives the entire episode.
26
00:01:28,254 --> 00:01:29,714
House wouldn't have touched it otherwise.
27
00:01:30,754 --> 00:01:33,554
He's this diagnostician who deliberately avoids patients,
28
00:01:34,154 --> 00:01:36,174
walks with a cane, doesn't wear a lab coat,
29
00:01:36,754 --> 00:01:39,594
doesn't want to be seen as either a doctor or a patient.
30
00:01:40,394 --> 00:01:43,174
He's basically a medical detective who works from a whiteboard.
31
00:01:43,874 --> 00:01:47,034
His team throws out ideas, Chase suggests aneurysm,
32
00:01:47,414 --> 00:01:48,394
Cameron says mad cow,
33
00:01:49,034 --> 00:01:51,154
new hire Foreman thinks Wernicke's,
34
00:01:51,154 --> 00:01:53,214
and House picks apart every single one.
35
00:01:53,894 --> 00:01:55,854
Meanwhile Cuddy, the Dean of Medicine,
36
00:01:56,314 --> 00:02:00,414
is FURIOUS because House is six years behind on clinic duty.
37
00:02:01,054 --> 00:02:02,934
She can't fire him, he has tenure,
38
00:02:03,334 --> 00:02:04,954
but she can make his life miserable,
39
00:02:05,574 --> 00:02:09,594
so she strips all his hospital privileges until he actually sees patients.
40
00:02:10,274 --> 00:02:12,314
Which kills their main diagnostic tool.
41
00:02:13,074 --> 00:02:15,594
Exactly. When the team finally runs the MRI,
42
00:02:16,254 --> 00:02:20,114
Rebecca has an anaphylactic reaction to the contrast dye and stops breathing.
43
00:02:21,114 --> 00:02:23,374
Chase saves her life with an emergency tracheotomy.
44
00:02:23,894 --> 00:02:25,474
So now they can't image her brain.
45
00:02:25,474 --> 00:02:26,674
What does House do?
46
00:02:27,554 --> 00:02:32,074
Guesses vasculitis. High-dose steroids, no biopsy, pure gamble.
47
00:02:32,894 --> 00:02:35,314
And the gamble pays off at first, she improves,
48
00:02:35,574 --> 00:02:37,234
she's eating, her spirits are up.
49
00:02:37,894 --> 00:02:40,574
Cuddy goes to stop the treatment and finds the patient doing great.
50
00:02:41,334 --> 00:02:42,994
But if the steroids are clearly helping,
51
00:02:43,294 --> 00:02:44,734
why does everything suddenly collapse?
52
00:02:45,734 --> 00:02:48,334
Rebecca suddenly goes blind, seizes again,
53
00:02:48,834 --> 00:02:50,894
and goes into full cardiac arrest.
54
00:02:51,634 --> 00:02:52,434
They bring her back,
55
00:02:52,654 --> 00:02:55,954
but cognitive tests show her brain is failing intermittently.
56
00:02:56,274 --> 00:02:59,914
The steroids helped, but something deeper is destroying her.
57
00:03:00,074 --> 00:03:01,654
And House admits he's stumped.
58
00:03:02,014 --> 00:03:06,234
For a character who's built his whole identity around being the smartest person in any room,
59
00:03:06,534 --> 00:03:07,574
that's a huge crack.
60
00:03:08,394 --> 00:03:09,414
He stops all treatment.
61
00:03:10,294 --> 00:03:13,974
So he sends Foreman and Cameron to actually break into her apartment for clues.
62
00:03:14,894 --> 00:03:17,414
And what they find is ham in the kitchen.
63
00:03:18,054 --> 00:03:19,054
And Wilson is Jewish.
64
00:03:19,594 --> 00:03:21,394
So if Rebecca were really his cousin,
65
00:03:21,694 --> 00:03:22,914
there wouldn't be ham in the house.
66
00:03:23,674 --> 00:03:26,014
One detail exposes two things at once,
67
00:03:26,574 --> 00:03:28,174
Wilson lied about the family connection,
68
00:03:28,534 --> 00:03:31,594
and her pork consumption points straight at the real diagnosis.
69
00:03:32,254 --> 00:03:34,054
Right, because pork means tapeworm.
70
00:03:34,594 --> 00:03:37,474
The medical term is neurocysticercosis,
71
00:03:37,474 --> 00:03:40,234
a larva lodges in the brain, and when it dies,
72
00:03:40,714 --> 00:03:42,434
the immune response causes swelling.
73
00:03:43,294 --> 00:03:47,014
That's why steroids reduced symptoms but couldn't fix the underlying damage.
74
00:03:47,774 --> 00:03:50,574
So they finally have a diagnosis that explains everything,
75
00:03:50,574 --> 00:03:53,774
the seizures, the temporary improvement, the crash.
76
00:03:54,314 --> 00:03:56,574
But Rebecca flat-out refuses treatment.
77
00:03:57,014 --> 00:04:01,854
She's been through too many wrong answers and would rather go home and die than keep getting experimented on.
78
00:04:02,674 --> 00:04:04,874
And House does something completely out of character,
79
00:04:05,294 --> 00:04:07,354
he goes to her bedside, which he never does,
80
00:04:07,874 --> 00:04:09,194
and tells her about his own leg.
81
00:04:09,814 --> 00:04:12,794
He had a muscle infarction in his thigh that wasn't caught in time,
82
00:04:13,214 --> 00:04:16,054
and the pain was so bad he wished he would die.
83
00:04:16,754 --> 00:04:17,734
Does that change her mind?
84
00:04:18,424 --> 00:04:20,874
No, she wants proof before she'll agree to anything.
85
00:04:21,534 --> 00:04:25,774
Chase suggests they X-ray her leg where another larva should show up against muscle tissue.
86
00:04:26,294 --> 00:04:28,274
They find it, she sees it with her own eyes,
87
00:04:28,664 --> 00:04:30,114
and finally agrees to treatment,
88
00:04:30,834 --> 00:04:32,434
two pills a day for a month.
89
00:04:33,434 --> 00:04:34,654
What gets me is the ending,
90
00:04:35,334 --> 00:04:36,994
House asks Wilson why he lied,
91
00:04:37,474 --> 00:04:39,714
and Wilson just says it got you to take the case.
92
00:04:40,454 --> 00:04:41,874
No guilt, no apology.
93
00:04:42,754 --> 00:04:44,914
They sit there watching a medical drama on TV,
94
00:04:44,914 --> 00:04:47,974
and it's weirdly warm for two people who caught each other lying.
95
00:04:48,834 --> 00:04:51,774
Everybody lies. That's the whole thesis.
96
00:04:52,674 --> 00:04:54,934
Including the one person House actually trusts.
97
00:04:56,034 --> 00:04:57,354
Bold way to launch a series.
98
00:04:58,954 --> 00:05:01,414
Wilson lied and House let it slide.
99
00:05:02,274 --> 00:05:04,554
The team still doesn't know why they were hired.
100
00:05:05,374 --> 00:05:08,194
Watch how trust bends before it breaks.
