97 Seconds

97 Seconds

House (TV series) episode
episode_name= 97 Seconds
episode_no= HOU-403
airdate= October 9, 2007
writer= Russel Friend & Garrett Lerner
director= David Platt
guest_star= Brian Klugman (Thomas Stark)
Kathleen York (Foreman's boss)


season= 4
diagnosis = Strongyloidiasis

"97 Seconds" is the third episode of the fourth season of "House" and the seventy-third episode overall. It aired on October 9, 2007.The primary patient in "97 Seconds" is a man with spinal muscular atrophy (SMA) who develops symptoms that could be related to his SMA or something else.However, the title "97 Seconds" is linked to a different patient in this episode who was clinically dead for 97 seconds after a car accident.

Plot

tark

Thomas Stark is a man with spinal muscular atrophy (SMA), using an electric wheelchair.While he and his assistance dog were crossing the street he faints (syncope) and is almost hit by an SUV.

House sets his team of ten fellowship candidates to compete in a race to find the diagnosis first.To do this he splits them into two teams: men and women, but Amber Volakis (guest star Anne Dudek) elects to defect to the men's team. When House suggests this is because she thinks the female candidates are inept, she says it's because House has never had more than one woman on his staff so if he's going to fire an entire gender it will be the women's team. Because of her previous behavior trying to get on the team, including getting others fired, House and the other fellowship candidates begin calling her "Cut-throat Bitch." Amber continues to do whatever she feels it takes to get the job, initially starting by attempting to schmooze Dr. Cameron into giving her advice.

Initially, Thirteen (Olivia Wilde) treats him for strongyloides with ivermectin but with no favorable changes. The doctors eventually decide that they have cured him, and House holds a "tribal council" and fires some of the doctors, including Amber. Amber then turns to Dr. Chase, and attempts to appeal to his grudge against House for firing him in order to get him to help perform some blood tests that she no longer has privileges to do. However, Stark develops a pulmonary aspiration then renal failure and pneumonia and eventually dies from asphyxiation because of the pneumonia. House, Thirteen, and Jody discover that his assistance dog has also died. Based on Dr. House's knowledge of the dog's genes (the Collie family has a defect in the MDR1 gene), a search of the room reveals that Stark did not take the ivermectin, but the dog did.Autopsy of Stark reveals that he indeed had "Strongyloides", confirming Thirteen's diagnosis.

House confronts Thirteen, who failed to watch Stark take the ivermectin, with a lecture on her screw-up.He does not fire her because he's positive she will not make a similar mistake again. He does, however, fire the other three members of Thirteen's team: the twins and Jody.This leaves seven candidates remaining.

House

In the clinic, House encounters a patient wearing a cervical collar who, immediately upon House's entry, sticks a knife into an outlet and tries to electrocute himself. Later he reveals that the best 97 seconds of his life were when he was "technically dead" after being hit by a drunk driver and before paramedics revived him. His explanation that the experience was unlike any hallucinogenic drug leads him to believe that there is much more to the mortal life. This is in direct opposition to House's belief that there is no afterlife of any kind.

When the teams postulate that Stark has cancer, Wilson is brought in for a consult. Stark's dismissal of an additional few months to live leads House to deride his philosophical beliefs. Wilson confronts House, saying that he doesn't know any better than anyone whether there is an afterlife. House later uses the same knife as the clinic patient in his office to electrocute himself (after paging Amber seconds before to come resuscitate him). The experiment sends him into a temporary coma, forcing Wilson to take over the differential and potential candidates. At first, the potential fellows, unfamiliar with the depths of House's eccentricity, think that House has attempted suicide. When House finally wakes up, he finds Wilson waiting for him. Wilson demands to know why House did it, and House reveals he wanted to see for himself what would happen while he was "dead." Wilson reminds him he's had two near death experiences already (references to "Three Stories" and "No Reason"). He tells House that "just looking at you hurts. I'm upping your pain meds." House replies, "I love you", and his tone is unexpectedly heartfelt.

Although House does not reveal what he saw to Wilson (only asking for the clinic patient, who Wilson informs him has died), he tells Stark's body in the morgue, "I'm sorry to say, I told you so," indicating that he saw nothing.

Foreman

Foreman is head of a diagnostic department at New York Mercy and leads a team of at least four (including himself), much like House was at Princeton-Plainsboro. He is faced with a patient who has similar symptoms as in "House Training" where he chose radiation to treat cancer but was a simple Staph infection. Foreman believes this patient has anaplastic large cell lymphoma but his boss tells him to stick to the rules/protocol and administer cephalosporin (an antibiotic).

Late at night, Foreman decides to treat with radiation. Tests reveal that this treatment saved her life because she, indeed, had cancer. Since Foreman didn't follow the rules and — according to the un-Cuddyish Dean of Medicine — "confused saving her life with doing the right thing", she fired him.

The fellows

House splits the 10 remaining doctors up into two groups to compete head-to-head to diagnose the patient first.

He splits them up:
* "if your sex organs dangle...you're the confederates"
* "if your sex organs are aesthetically pleasing...you're the yanks"

After this initial division he consistently refers to the "confederates" as "the danglers" instead. For example, when Amber wants to change teams, he says it's all right with him if it's all right with the Danglers.

Effectively, he splits the group of 10 into 5 men and 5 women, at least initially.Part way through Amber convinces the "Danglers" to let her switch teams: making it 6 vs. 4. House announces that this inequity is OK, because one of the Danglers is not a real doctor anyway (this is 26, "ridiculously old fraud", who was revealed in the prior episode as not having a medical license).

Confederates vs. Yanks is a naming reference to the American Civil War.

"Confederates/Danglers"

"Yanks"

In the end, House eliminates the "Yanks" team, with the exception of Thirteen, who made the correct diagnosis, and inadvertently caused the death of the patient by failing to supervise his actual ingestion of the medication.

Cultural references

*House holds a mock "tribal council", wearing a bandana and standing behind a row of lit Bunsen burners, imitating reality show "Survivor".
*Wilson's observation that "the rain in Spain doesn’t actually fall in the plain all that much" spoofs the Lerner and Loewe musical "My Fair Lady", where the phonetic phrase "The rain in Spain stays mainly in the plain," is used to teach proper pronunciation.
*Referring to the patient, House asks "Is he a Vulcan? If no, what makes Nimoy bleed green?". Actor Leonard Nimoy played the Vulcan science officer Mr. Spock, on the television series "Star Trek". Vulcans have copper-based blood, turning it a green color.
* The song featured in this episode is "Not as We" by Alanis Morissette.
* When Wilson is confronting House about the patient's beliefs and wishes, one of House's retorts is "Will there be 72 virgins also?". This is referring to Islam.

References

External links

*imdb episode | id= 0412142 | episode =97 Seconds
* [http://www.housemd-guide.com/season4/403seconds.php "97 Seconds"] at the [http://www.housemd-guide.com/ "House M.D." Guide]
* [http://www.fox.com/house/recaps/403.htm "97 Seconds Recap"] at [http://www.fox.com/house/ FOX]
* [http://politedissent.com/archives/1771 Medical review of "97 seconds"]


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