House TV Series : Series Overview

Gregory House, M.D., is a misanthropic medical genius who heads a team of diagnosticians at the Princeton-Plainsboro Teaching Hospital in New Jersey. Most episodes start with a cold open, somewhere outside the hospital, showing the events leading up to the onset of symptoms for that episode’s main patient. The episode follows the team in their attempts to diagnose and treat the patient’s illness. Most of the time they do not succeed until the patient is critical. House’s world-renowned department typically only sees patients who have failed to receive a correct diagnosis, making the patients’ cases complex. Furthermore, House rejects cases that he does not find interesting. Although the show revolves around diagnosing the patient, it focuses on the characters rather than concentrating solely on the environment.


The team arrives at diagnoses using differential diagnosis, with House guiding the deliberations, using a whiteboard, on which he writes and strikes off possible symptoms and diseases with a marker. The patient is usually misdiagnosed over the course of the episode and treated with medications appropriate to the misdiagnosis. This usually causes further complications in the patient, but in turn helps lead House and his team to the correct diagnosis, since the complications can often be seen as new symptoms. Usually, House comes up with the correct diagnosis in the middle of a conversation or due to a remark made by another character.


Often the ailment cannot be easily deduced because the patient has lied about symptoms, circumstances, and/or his or her personal history. House frequently mutters, "Everybody lies", or proclaims during the team’s deliberations: "The patient is lying", or "The symptoms never lie". Even when not stated explicitly, this assumption guides House’s decisions and diagnoses.Because House’s theories about a patient’s illness tend to be based on an epiphany or controversial insights, he often has trouble obtaining permission from his boss, hospital administrator Dr. Lisa Cuddy, to perform medical procedures he thinks are necessary, especially when the procedures involve a high degree of risk or are ethically dubious. A clash also persists with House and his team, especially Dr. Allison Cameron, whose views in medical ethics are far more established and moral than the other characters.


House is also required to spend time treating patients in the hospital’s walk-in clinic in the hope that the interactions will improve his bedside manner.House’s grudging fulfillment of this duty or creative methods of avoiding it is a recurring subplot on the show. During clinic duty, House confounds patients with unwelcome insights into their personal lives, eccentric prescriptions, and unorthodox treatments but impresses them with rapid and accurate diagnoses after seemingly not paying attention. Realizations made during some of the simple problems House faces in the clinic often help him solve the main case. "It’s not a show about addiction, but you can’t throw something like this into the mix and not expect it to be noticed and commented on, there have been references to the amount of his consumption increasing over time. It’s becoming less and less useful a tool for dealing with his pain, and it’s something we’re going to continue to deal with, continue to explore".
-Shore on House’s Vicodin addiction.


Another large portion of the plot centers on House’s abuse of Vicodin to manage pain stemming from an infarction in his quadriceps muscle some years earlier, an injury that forces him to walk with a cane. In the episode "Detox", House admits he is addicted to Vicodin, but says he does not have a problem because, "[The pills] let me do my job, and they take away my pain." His addiction has led two of his colleagues, doctors James Wilson and Lisa Cuddy, to encourage him to go to drug rehabilitation several times, but no attempts have successfully gotten House off the drug. Sometimes when House does not have access to Vicodin, or when he perceives the Vicodin alone is not enough to relieve his pain, he self-medicates with other narcotic pain relievers such as oxycodone and morphine, and once, methadone.

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