"Simple Explanation" is the 20th episode of the fifth season of ''
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 c ...
''. It first aired on
Fox on April 6, 2009.
Plot
As Eddie Novack (
Meat Loaf
Michael Lee Aday (born Marvin Lee Aday; September 27, 1947 – January 20, 2022), known professionally by his stage name Meat Loaf, was an American singer and actor. He was known for his powerful, wide-ranging voice and theatrical live shows. ...
) lies on his deathbed, his wife Charlotte is stricken with
respiratory failure
Respiratory failure results from inadequate gas exchange by the respiratory system, meaning that the arterial oxygen, carbon dioxide, or both cannot be kept at normal levels. A drop in the oxygen carried in the blood is known as hypoxemia; a r ...
. The team takes Charlotte's case and wheels Eddie into her room, as he seems to gain strength when he sees her suffering.
Foreman suggests that she has
melioidosis. The team start her on an IV drip and
aciclovir
Aciclovir, also known as acyclovir, is an antiviral medication. It is primarily used for the treatment of herpes simplex virus infections, chickenpox, and shingles. Other uses include the prevention of cytomegalovirus infections following tran ...
, which works, until she starts gasping.
Thirteen suggests
polyserositis
Familial Mediterranean fever (FMF) is a hereditary inflammatory disorder. FMF is an autoinflammatory disease caused by mutations in the Mediterranean fever (MEFV) gene, which encodes a 781–amino acid protein called pyrin. While all ethnic ...
, so the team starts Charlotte on
indomethacin
Indometacin, also known as indomethacin, is a nonsteroidal anti-inflammatory drug (NSAID) commonly used as a prescription medication to reduce fever, pain, stiffness, and swelling from inflammation. It works by inhibiting the production of pr ...
. Taub does a
echo-cardiogram on Eddie to see if his heart's improving, but it isn't.
Kutner does not show up for work, and
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 c ...
dispatches Thirteen and Foreman to check his apartment. Thirteen finds Kutner's body; he has died by
suicide
Suicide is the act of intentionally causing one's own death.
Risk factors for suicide include mental disorders, physical disorders, and substance abuse. Some suicides are impulsive acts driven by stress (such as from financial or ac ...
. The team must then try to save Charlotte while struggling to make sense of Kutner's death. House, Thirteen and Foreman go to see Kutner's parents, but House blames the parents and leaves. Taub seems to show little interest in Kutner's death.
Cuddy tells the team she's hired a grief counselor and offers them time off. She then goes to talk to
Wilson, who hasn't been with House yet. Wilson goes with House to Kutner's home. House looks around and finally suspects that someone murdered Kutner. House suspects it was the same person who killed Kutner's birth parents.
House eventually realizes Charlotte feigned her illness, but then her liver fails. She then tries to take her own life by overdosing so that Eddie can have her heart. Foreman takes time off.
The team manages to stabilize Charlotte, but the drugs she took damaged her liver. House gets
Cameron to convince Eddie to do a partial liver transplant. With his failing heart, he's bound to die on the table. Then they can give his whole liver to Charlotte, which is what she needs, not part of one. House gets Cameron to convince Eddie to do this. He wants to say goodbye to her, but Cameron notes she would never agree to this if she knew what would happen. As Eddie signs off on the transplant, Cameron notices nodules on Eddie's fingers, which could indicate that his condition might be curable. Meanwhile, House finds out that the murderer of Kutner's birth parents died of an
aneurysm
An aneurysm is an outward :wikt:bulge, bulging, likened to a bubble or balloon, caused by a localized, abnormal, weak spot on a blood vessel wall. Aneurysms may be a result of a hereditary condition or an acquired disease. Aneurysms can also b ...
two months before. Eddie still wants to proceed with the liver donation, but
Taub reveals to Charlotte that Eddie can be cured. House realizes Charlotte was in
Rio without telling Eddie, where she contracted
visceral leishmaniasis. The team starts her on
antimony
Antimony is a chemical element; it has chemical symbol, symbol Sb () and atomic number 51. A lustrous grey metal or metalloid, it is found in nature mainly as the sulfide mineral stibnite (). Antimony compounds have been known since ancient t ...
.
Before Cuddy leaves for the funeral, Taub says that they diagnosed Charlotte too late and she will die. Cuddy offers Taub a ride which he refuses. Cuddy says that Charlotte's death bought them more time to save Eddie and to transplant her heart which will give her death meaning, but Taub says it won't. Taub stays with Charlotte and Eddie until she dies. He then walks out into the corridor and breaks down crying. House goes to Kutner's apartment to look for an explanation. The rest of the team attend Kutner's funeral.
Production
Kutner's suicide was scripted due to actor
Kal Penn
Kalpen Suresh Modi ( born April 23, 1977), known professionally as Kal Penn, is an American actor, author, and former White House staff member in the Barack Obama administration.
As an actor he is known for his portrayals of Kumar Patel in t ...
's decision to accept the position of Associate Director of the
White House Office of Public Liaison in President
Barack Obama
Barack Hussein Obama II (born August 4, 1961) is an American politician who was the 44th president of the United States from 2009 to 2017. A member of the Democratic Party, he was the first African American president in American history. O ...
's administration.
Release
Leading up to the premiere of "Simple Explanation",
Fox aired commercials suggesting that the episode would contain a major event, calling the episode, "beyond words".
Critical reception
Kutner's death was criticized in ''
The Star-Ledger
''The Star-Ledger'' was the largest circulation newspaper in New Jersey. It is based in Newark, New Jersey. The newspaper ceased print publication on February 2, 2025, but continues to publish a digital edition.
In 2007, ''The Star-Ledger''s ...
'', with columnist
Alan Sepinwall arguing that the death was pointless, and seemingly written only to create a "
Very special episode
A "very special episode" is an advertising term originally used in American television promos to refer to an episode of a sitcom or drama series which deals with a difficult or controversial social issue. The usage of the term peaked in the 198 ...
." ''
The A.V. Club
''The A.V. Club'' is an 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 created in ...
'' praised the episode for its surprising twist, but also claimed that the sudden death of a major character for no discernible reason was "a dramatic cheap shot". ''
Entertainment Weekly
''Entertainment Weekly'' (sometimes abbreviated as ''EW'') is an American online magazine, digital-only entertainment magazine based in New York City, published by Dotdash Meredith, that covers film, television, music, Broadway theatre, books, ...
'' commended the show's handling of the death, believing that it was presented in a dramatically effective and realistic manner.
References
External links
*
{{DEFAULTSORT:Simple Explanation
House season 5 episodes
2009 American television episodes
Television episodes directed by Greg Yaitanes
Television episodes about suicide
Television episodes about funerals
fr:Il n'y a rien à comprendre
it:Episodi di Dr. House - Medical Division (quinta stagione)#Una spiegazione semplice