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"Homer's Triple Bypass" is the eleventh episode of the fourth season of the American animated television series ''
The Simpsons ''The Simpsons'' is an American animated sitcom created by Matt Groening for the Fox Broadcasting Company. The series is a satirical depiction of American life, epitomized by the Simpson family, which consists of Homer, Marge, Bart, Lisa, ...
''. It originally aired on the
Fox network 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 an ...
in the United States on December 17, 1992. In this episode,
Homer Homer (; grc, Ὅμηρος , ''Hómēros'') (born ) was a Greek poet who is credited as the author of the ''Iliad'' and the ''Odyssey'', two epic poems that are foundational works of ancient Greek literature. Homer is considered one of the ...
suffers a
heart attack A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to the coronary artery of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may tr ...
due to his very poor health and diet.
Dr. Hibbert Dr. Julius Michael Hibbert, M.D. is a recurring character on the television animated sitcom ''The Simpsons''. He is Springfield's most prominent medical professional. Although he has a kind and warm persona, he is also often characterized as gree ...
tells Homer that he needs a
triple bypass Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") is a surgical procedure to treat coronary artery disease (CAD), the buildup of plaques in the arteries of the heart. It can relieve chest pai ...
, but the Simpson family resorts to discount surgeon Dr. Nick after learning how expensive the operation would be in a regular hospital. The episode was written by Gary Apple and Michael Carrington and directed by David Silverman.


Plot

One evening while eating dinner in bed,
Homer Homer (; grc, Ὅμηρος , ''Hómēros'') (born ) was a Greek poet who is credited as the author of the ''Iliad'' and the ''Odyssey'', two epic poems that are foundational works of ancient Greek literature. Homer is considered one of the ...
seems to be having heart problems but is not concerned. The next morning,
Marge Marge is a feminine given name, a shortened form of Marjorie, Margot or Margaret (name), Margaret. Notable Marges include: People *Marge (cartoonist) (1904–1993), pen name of Marjorie Henderson Buell, American cartoonist *Marge Anderson (1932 ...
makes him oatmeal for breakfast but he rejects it in favor of bacon and eggs, despite the chest pains he has just been feeling. Driving to work, he hears an irregular thumping noise, and is relieved when a gas station mechanic tells him it is his heart, not his car. At work,
Mr. Burns Charles Montgomery Plantagenet Schicklgruber "Monty" Burns, usually referred to as Mr. Burns, Monty, or C. Montgomery Burns, is a recurring character and the main antagonist of the animated television series ''The Simpsons'', voiced initially by ...
observes Homer eating and sleeping at his post. He fires him, and berates his gross incompetence. At this, Homer has a heart attack.
Dr. Hibbert Dr. Julius Michael Hibbert, M.D. is a recurring character on the television animated sitcom ''The Simpsons''. He is Springfield's most prominent medical professional. Although he has a kind and warm persona, he is also often characterized as gree ...
informs him and Marge that he needs coronary artery bypass surgery, which will cost $30,000. Hearing this, Homer has another heart attack, and the fee rises to $40,000. This is far beyond the Simpsons' means. Homer manages to obtain an insurance policy, but has another heart attack as he is signing the contract, which causes it to be immediately revoked. He then approaches leaders of various religious communities, hoping for help, without success. Finally, he decides to be treated by
Dr. Nick Riviera The American animated television series ''The Simpsons'' contains a wide range of minor and supporting characters like co-workers, teachers, students, family friends, extended relatives, townspeople, local celebrities, and even animals. The write ...
, who will perform any operation for $129.95. The doctor rents a tape to learn how to perform this operation, but something else has been recorded over important parts of the tape. In the operating theater he does not know where to start, but
Lisa Lisa or LISA may refer to: People People with the mononym * Lisa Lisa (born 1967), American actress and lead singer of the Cult Jam * Lisa (Japanese musician, born 1974), stylized "LISA", Japanese singer and producer * Lisa Komine (born 1978), J ...
, who has been reading up on the subject, calls down instructions from her place in the viewing gallery. The operation is a complete success.


Production

The idea for "Homer's Triple Bypass" came from
James L. Brooks James Lawrence Brooks (born May 9, 1940) is an American director, producer, screenwriter and co-founder of Gracie Films. His television and film work includes ''The Mary Tyler Moore Show'', ''Taxi'', ''The Simpsons'', '' Broadcast News'', ''As G ...
, who pitched the idea of Homer having a heart attack. However, the writers disagreed with such a heavy topic. The episode was not written by a member of the show's regular staff, but was instead scripted by
freelance ''Freelance'' (sometimes spelled ''free-lance'' or ''free lance''), ''freelancer'', or ''freelance worker'', are terms commonly used for a person who is self-employed and not necessarily committed to a particular employer long-term. Freelance w ...
writers Gary Apple and Michael Carrington, who were hired by Brooks due to the show suffering from a depleted writing team after the third season ended, and because the remaining members did not bother to do the episode. Carrington would provide voice work for later episodes, such as "
I Love Lisa "I Love Lisa" is the fifteenth episode of the fourth season of the American animated television series ''The Simpsons''. It originally aired on the Fox network in the United States on February 11, 1993. In the episode, Lisa gives Ralph Wiggum a ...
" (as Sideshow Raheem), "
Homer and Apu "Homer and Apu" is the thirteenth episode of the fifth season of the American animated television series ''The Simpsons''. It originally aired on the Fox network in the United States on February 10, 1994. In the episode, Homer participates in a ...
" (as a comedian), and "
Simpson Tide "Simpson Tide" is the nineteenth episode of the ninth season of the American animated television series ''The Simpsons''. It originally aired on the Fox network in the United States on March 29, 1998. After being fired from the Springfield Nuclea ...
" (as Homer's drill instructor). Apple and Carrington decided to have a scene where Lisa and Bart visit Homer before his surgery and were unsure of how to do it, so they approached Brooks, who made up the entire scene on the spot. Originally, the surgery was supposed to be performed by
Dr. Hibbert Dr. Julius Michael Hibbert, M.D. is a recurring character on the television animated sitcom ''The Simpsons''. He is Springfield's most prominent medical professional. Although he has a kind and warm persona, he is also often characterized as gree ...
, but it was later changed to Dr. Nick. In the original airing of the episode, Dr. Nick's phone number was the number of a real legal clinic, whose lawyers made them change it to 1-600-DOCTORB. The episode's production staff decided that David Silverman would be able to make the episode funny, so he was selected to direct it. He went "all out" and did his best to make Homer's grimaces as humorous as possible, to keep the episode at least somewhat lighter in tone. Silverman added some special touches: for example, when Homer has an out of body experience, his foot was still touching his body to signify that he was not dead. A doctor acted as a medical consultant for the episode. The episode was to have concluded with Homer eating a pizza in his hospital bed following the operation, and with Marge asking a nurse where the pizza had come from. This reflects the earlier flashback scene where
Grampa Simpson Abraham Jebediah "Abe" Simpson II, better known as Grampa, is a recurring character in the animated television series ''The Simpsons''. He made his first appearance in the episode entitled " Grandpa and the Kids", a one-minute Simpsons short on ...
watches Homer as an infant, chewing on a slice of pizza in the hospital. Out of concern that it was making light of the unhealthy lifestyle that had caused the infarction, the episode instead concluded with the family visiting Homer while he is recuperating in
intensive care Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes pro ...
.


Cultural references

The opening sequence of the episode is a parody of American television show '' COPS''; it was not in the original
animatic A storyboard is a graphic organizer that consists of illustrations or images displayed in sequence for the purpose of pre-visualizing a motion picture, animation, motion graphic or interactive media sequence. The storyboarding process, in the ...
and added later because the episode was too short to fit in its required 22-minute length. When Homer is performing a sock-puppet show to Lisa and Bart, he uses Akbar and Jeff, both of whom are characters from
Matt Groening Matthew Abram Groening ( ; born February 15, 1954) is an American cartoonist, writer, producer, and animator. He is the creator of the comic strip ''Life in Hell'' (1977–2012) and the television series ''The Simpsons'' (1989–present), ''Fut ...
's weekly comic strip ''
Life in Hell ''Life in Hell'' is a comic strip by Matt Groening, creator of ''The Simpsons'', ''Futurama'', and ''Disenchantment'', which was published weekly from 1977 to 2012. The strip features anthropomorphic rabbits and a gay couple. The comic covers a w ...
''. Homer follows behind the house that was the birthplace of
Edgar Allan Poe Edgar Allan Poe (; Edgar Poe; January 19, 1809 – October 7, 1849) was an American writer, poet, editor, and literary critic. Poe is best known for his poetry and short stories, particularly his tales of mystery and the macabre. He is wide ...
, which was placed in the episode by David Silverman. During this scene Homer starts to hear a heartbeat, a reference to Poe's "The Telltale Heart". The scene where Homer sings in a church as a boy is based on the film ''
Empire of the Sun ''Empire of the Sun'' is a 1984 novel by English writer J. G. Ballard; it was awarded the James Tait Black Memorial Prize and was shortlisted for the Booker Prize. Like Ballard's earlier short story "The Dead Time" (published in the anthology ...
''. Bart refers to being a part of the
MTV Generation The MTV Generation refers to the adolescents and young adults of the 1980s and early-mid 1990s, a time when many were influenced by the television channel MTV, which launched in 1981. The term is often used to refer to Generation X. The development ...
who "neither feel high nor low." When Homer tries to allay his children's concern over his forthcoming heart operation by telling them only bad people die, Bart then asks about
Abraham Lincoln Abraham Lincoln ( ; February 12, 1809 – April 15, 1865) was an American lawyer, politician, and statesman who served as the 16th president of the United States from 1861 until his assassination in 1865. Lincoln led the nation thro ...
, to which Homer incorrectly tells him that he sold poisoned milk to schoolchildren, which is a reference to Abraham Lincoln's mother Nancy who
died Death is the irreversible cessation of all biological functions that sustain an organism. For organisms with a brain, death can also be defined as the irreversible cessation of functioning of the whole brain, including brainstem, and brain ...
of
milk sickness Milk sickness, also known as tremetol vomiting or, in animals, as trembles, is a kind of poisoning, characterized by trembling, vomiting, and severe intestinal pain, that affects individuals who ingest milk, other dairy products, or meat from a ...
, an illness that is caused by drinking the milk of cows that have eaten the poisonous herb white snakeroot.


Reception

In its original broadcast, "Homer's Triple Bypass" finished 16th in ratings for the week of December 14–20, 1992, with a
Nielsen rating Nielsen Media Research (NMR) is an American firm that measures media audiences, including television, radio, theatre, films (via the AMC Theatres MAP program), and newspapers. Headquartered in New York City, it is best known for the Nielsen rati ...
of 14.3, equivalent to approximately 13.2 million viewing households. It was the highest-rated show on the Fox network that week, beating '' Married... with Children''. Warren Martyn and Adrian Wood, authors of ''I Can't Believe It's a Bigger and Better Updated Unofficial Simpsons Guide'', called it "a cautionary tale that gives Dr Nick his biggest chance to shine." They also praised the "cloud goes up, cloud goes down" line.
IGN ''IGN'' (formerly ''Imagine Games Network'') is an American video game and entertainment media website operated by IGN Entertainment Inc., a subsidiary of Ziff Davis, Inc. The company's headquarters is located in San Francisco's SoMa distri ...
noted that the episode "introduced fans to one of the show's more endearing background players, Dr. Nick." Krusty's line "this ain't make-up" is one of
Matt Groening Matthew Abram Groening ( ; born February 15, 1954) is an American cartoonist, writer, producer, and animator. He is the creator of the comic strip ''Life in Hell'' (1977–2012) and the television series ''The Simpsons'' (1989–present), ''Fut ...
's favorite lines from the show.


References


External links

* * {{The Simpsons episodes, 4 The Simpsons (season 4) episodes 1992 American television episodes Television episodes about diseases and disorders fi:Simpsonit (4. tuotantokausi)#Pumppu pettää (Homer's Triple Bypass)