A Pox On Our House
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"A Pox on Our House" is the seventh episode of the seventh season of the American medical drama ''
House A house is a single-unit residential building. It may range in complexity from a rudimentary hut to a complex structure of wood, masonry, concrete or other material, outfitted with plumbing, electrical, and heating, ventilation, and air condi ...
''. It aired on November 15, 2010.


Plot

In the 18th century, the ''Sotos Oosterzoon'', a
Dutch Dutch commonly refers to: * Something of, from, or related to the Netherlands * Dutch people () * Dutch language () Dutch may also refer to: Places * Dutch, West Virginia, a community in the United States * Pennsylvania Dutch Country People E ...
slave ship Slave ships were large cargo ships specially built or converted from the 17th to the 19th century for transporting slaves. Such ships were also known as "Guineamen" because the trade involved human trafficking to and from the Guinea coast ...
, travels to Bermuda. There is an outbreak of
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
among the African captives and, fearing
quarantine A quarantine is a restriction on the movement of people, animals and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have been ...
, the crew throw the slaves overboard but it is too late: the ship is fired upon and intentionally sunk, along with its crew and captives, in order to contain the disease. In modern day, a family on vacation dive into the wreckage of the slave ship. A teen girl brings a sealed glass jar back up from the wreck. She accidentally breaks the jar, cutting herself and exposing herself to the contents of the jar: scabs from the diseased captives. House is certain that the disease is
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
, coming immediately to the same diagnosis as the crew. The family is quarantined, the girl and father, being especially compromised, are put in an isolation room, and the team administers the
smallpox vaccine The smallpox vaccine is the first vaccine to be developed against a contagious disease. In 1796, British physician Edward Jenner demonstrated that an infection with the relatively mild cowpox virus conferred immunity against the deadly smallpox ...
to the two. As soon as the tell-tale blisters begin to appear, the
CDC The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
is called per protocol and institutes a lockdown. As the lockdown is occurring, the team discovers a rash on the girl's armpits inconsistent with smallpox, causing House to change his diagnosis. Dr. Dave Broda, the CDC official overseeing the case, blocks House's team from contact with the patients to make a new diagnosis, so they turn to the only other evidence they have: the captain's logs from the wrecked slave vessel. House enlists the aid of a translator, a
Dutch Dutch commonly refers to: * Something of, from, or related to the Netherlands * Dutch people () * Dutch language () Dutch may also refer to: Places * Dutch, West Virginia, a community in the United States * Pennsylvania Dutch Country People E ...
webcam stripper he finds on the internet. Based on the information in the logs, House is reconfirmed in his opinion that the girl does not have smallpox. House attempts to lie to get his team into the room to test his hypothesis, but is stopped. Masters, although unable to closely examine the patient, notices that the girl lacks the characteristic pustules that would be expected from smallpox. Meanwhile the girl's father begins to develop smallpox symptoms as well, but more characteristic symptoms. House is confounded as to why it appears that the girl does not have smallpox after all, but her father does. He concludes that the father contracted the disease from the smallpox vaccine they gave him. Unbeknownst to them, the father's immune system has been compromised by the return of his kidney cancer (which had been in remission). House demands they administer the treatment for the smallpox variola. When Broda refuses, House risks his own life by entering the containment room and administers the treatment to save the patient. However, the father does not respond to the medication and dies. House figures now that the disease was likely smallpox after all, and also realizes that he has consequently exposed himself. The rest of the team is despondent, but Masters returns to the journal in desperate search for another diagnosis. She notes that a cat on the ship had lost all his fur and then died, strong evidence for
rickettsialpox Rickettsialpox is a mite-borne infectious illness caused by bacteria of the genus '' Rickettsia'' (''Rickettsia akari''). Physician Robert Huebner and self-trained entomologist Charles Pomerantz played major roles in identifying the cause of t ...
, a disease easily treatable with antibiotics. Masters tasks House with searching the father's body for
eschar An eschar (; Greek: ''ἐσχάρᾱ'', ''eskhara''; Latin: ''eschara'') is a slough or piece of dead tissue that is cast off from the surface of the skin, particularly after a burn injury, but also seen in gangrene, ulcer, fungal infections, ...
s. When House successfully spots eschars on the body, Broda orders that the daughter be treated with
doxycycline Doxycycline is a broad-spectrum tetracycline class antibiotic used in the treatment of infections caused by bacteria and certain parasites. It is used to treat bacterial pneumonia, acne, chlamydia infections, Lyme disease, cholera, typhus, an ...
, saving her life. In a subplot, Wilson and Sam reexamine their relationship while treating a young
chemotherapy Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a type of cancer treatment that uses one or more anti-cancer drugs (chemotherapeutic agents or alkylating agents) as part of a standardized chemotherapy regimen. Chemotherap ...
patient whose mother gets locked outside of the hospital during the lockdown. House and Cuddy also face relationship difficulties after Cuddy discovers House lied to her in "
Office Politics Workplace politics is the process and behavior that in human interactions involves power and authority. It is also a tool to assess the operational capacity and to balance diverse views of interested parties. It is also known as office politics and ...
" in order to administer an unconventional treatment of
Hepatitis C Hepatitis C is an infectious disease caused by the hepatitis C virus (HCV) that primarily affects the liver; it is a type of viral hepatitis. During the initial infection people often have mild or no symptoms. Occasionally a fever, dark urine, a ...
(an injection of
Hepatitis A Hepatitis A is an infectious disease of the liver caused by ''Hepatovirus A'' (HAV); it is a type of viral hepatitis. Many cases have few or no symptoms, especially in the young. The time between infection and symptoms, in those who develop them ...
) to a patient.


Critical response

''
The A.V. Club ''The A.V. Club'' is an American online newspaper and entertainment website featuring reviews, interviews, and other articles that examine films, music, television, books, games, and other elements of pop-culture media. ''The A.V. Club'' was cre ...
'' gives this episode a score of B−.


References


External links


"A Pox on Our House"
at
Fox.com The Fox Broadcasting Company, commonly known simply as Fox and stylized in all caps as FOX, is an American commercial broadcast television network owned by Fox Corporation and headquartered in New York City, with master control operations and ...
* {{DEFAULTSORT:Pox On Our House House (season 7) episodes 2010 American television episodes Rickettsioses Smallpox in fiction Smallpox in the United States Centers for Disease Control and Prevention in fiction fr:Saison 7 de Dr House#Épisode 7 : En quarantaine