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"House's Head" is the fifteenth episode of the fourth season of '' House'' and the eighty-fifth episode overall. It was the first part of the two-part season four finale, the second part being " Wilson's Heart". Co-written by several ''House'' producers and directed by
Greg Yaitanes Gregory Charles Yaitanes (born June 18, 1970) is an American television and film director. He is also an angel investor in Twitter. Early life Yaitanes grew up in Wellesley, Massachusetts, where he directed his first film, ''Salad Bar: The Mov ...
, "House's Head" premiered on May 12, 2008 on
Fox Foxes are small to medium-sized, omnivorous mammals belonging to several genera of the family Canidae. They have a flattened skull, upright, triangular ears, a pointed, slightly upturned snout, and a long bushy tail (or ''brush''). Twelve sp ...
. The episode revolves around Dr.
Gregory House Gregory House, M.D. is the titular protagonist of the American medical drama series ''House''. Created by David Shore and portrayed by English actor Hugh Laurie, he leads a team of diagnosticians and is the Head of Diagnostic Medicine at the ...
(
Hugh Laurie James Hugh Calum Laurie (; born 11 June 1959) is an English actor, comedian, writer, and musician. He first gained recognition for his work as one half of the comedy double act Fry and Laurie with Stephen Fry. The two men acted together in ...
), who, after being involved in a bus accident, vaguely remembers seeing someone who is "going to die". House tries to trace back his steps throughout the episode to find out the identity of this person. A woman (
Ivana Miličević Ivana Miličević (; born April 26, 1974) is a Bosnian Croat-American actress and model. She is best known for her starring roles in the Cinemax action drama series ''Banshee'' (2013–2016) and The CW science fiction drama series ''The 100'' (20 ...
), who claims to be "the answer", guides House through hallucinations about the crash. The episode eventually ends in a
cliffhanger A cliffhanger or cliffhanger ending is a plot device in fiction which features a main character in a precarious or difficult dilemma or confronted with a shocking revelation at the end of an episode or a film of serialized fiction. A cliffhang ...
. 14.84 million American viewers watched the broadcasting of "House's Head", making ''House'' the ninth most-watched program of the week. The episode, and in particular a striptease scene involving Cuddy (
Lisa Edelstein 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 ...
), gained positive responses. The episode was submitted for five Primetime Emmy Awards, from which two nominations followed. Greg Yaitanes won the Emmy for "Outstanding Directing for a Drama Series", but Hugh Laurie lost the award in the category "Outstanding Lead Actor in a Drama Series" to
Bryan Cranston Bryan Lee Cranston (born March 7, 1956) is an American actor and director who is best known for portraying Walter White in the AMC crime drama series ''Breaking Bad'' (2008–2013) and Hal in the Fox sitcom ''Malcolm in the Middle'' (2000–20 ...
of
AMC AMC may refer to: Film and television * AMC Theatres, an American movie theater chain * AMC Networks, an American entertainment company ** AMC (TV channel) ** AMC+, streaming service ** AMC Networks International, an entertainment company *** ...
's '' Breaking Bad''.


Plot

Dr.
Gregory House Gregory House, M.D. is the titular protagonist of the American medical drama series ''House''. Created by David Shore and portrayed by English actor Hugh Laurie, he leads a team of diagnosticians and is the Head of Diagnostic Medicine at the ...
is getting a lap dance in a strip club. When he leaves the club, he sees that the bus he was traveling on has crashed. Back at Princeton-Plainsboro Teaching Hospital, House is diagnosed with a concussion and post-traumatic
retrograde amnesia In neurology, retrograde amnesia (RA) is a loss of memory-access to events that occurred or information that was learned in the past. It is caused by an injury or the onset of a disease. It tends to negatively affect episodic, autobiographical, ...
and orders his team to check the bus driver for a possible seizure that precipitated the crash. While the team investigates the bus driver's condition, House overdoses on Vicodin and starts to hallucinate. He finds himself back on the bus, where he sees a woman who was not on the bus. However, before House can speak to her, Wilson awakens him to do an
MRI Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves ...
on him. When House returns to the bus hallucination, Cuddy is with him. As they discuss the bus driver's possible diseases, House realizes they are in his head and tells Cuddy to accompany the discussion with a striptease. The woman from House's earlier hallucination returns and introduces herself as "the answer". She tells House to look at the bus driver's shuffling feet, which House believes to indicate
Parkinson's disease Parkinson's disease (PD), or simply Parkinson's, is a long-term degenerative disorder of the central nervous system that mainly affects the motor system. The symptoms usually emerge slowly, and as the disease worsens, non-motor symptoms becom ...
. When the bus driver needs to be intubated due to a possible
clot A thrombus (plural thrombi), colloquially called a blood clot, is the final product of the blood coagulation step in hemostasis. There are two components to a thrombus: aggregated platelets and red blood cells that form a plug, and a mesh of cr ...
from a
pulmonary embolism Pulmonary embolism (PE) is a blockage of an artery in the lungs by a substance that has moved from elsewhere in the body through the bloodstream ( embolism). Symptoms of a PE may include shortness of breath, chest pain particularly upon breathin ...
, House notices the driver's recent dental work. He reasons that an air bubble being accidentally injected into the patient's bloodstream through the gums would explain all the symptoms. House believes the case to be over, but a dream that night causes him to realize that the bus driver is not the patient he saw suffering from symptoms; the crash merely dislodged the air bubble and caused the driver's problems. In a renewed attempt to retrieve his memory, House has his team re-enact the bus crash. House overdoses on
physostigmine Physostigmine (also known as eserine from ''éséré'', the West African name for the Calabar bean) is a highly toxic parasympathomimetic alkaloid, specifically, a reversible cholinesterase inhibitor. It occurs naturally in the Calabar bean a ...
and his mind flashes back to the bus scene before the accident. "The answer" keeps asking House what her necklace is made from, until he realizes that it's made of
amber Amber is fossilized tree resin that has been appreciated for its color and natural beauty since Neolithic times. Much valued from antiquity to the present as a gemstone, amber is made into a variety of decorative objects."Amber" (2004). In ...
. "The answer" transforms into Amber Volakis, and when Wilson and Cuddy manage to resuscitate House from his overdose-induced
cardiac arrest Cardiac arrest is when the heart suddenly and unexpectedly stops beating. It is a medical emergency that, without immediate medical intervention, will result in sudden cardiac death within minutes. Cardiopulmonary resuscitation (CPR) and poss ...
, he immediately informs Wilson that Amber was on the bus with him, and was injured in the crash.


Production

"House's Head" was the fourth ''House'' episode directed by
Greg Yaitanes Gregory Charles Yaitanes (born June 18, 1970) is an American television and film director. He is also an angel investor in Twitter. Early life Yaitanes grew up in Wellesley, Massachusetts, where he directed his first film, ''Salad Bar: The Mov ...
. It was written by Peter Blake, David Foster, Russel Friend, Garrett Lerner and
Doris Egan Doris Egan (born 1955) is an American screenwriter, producer, and writer. She has worked on ''Smallville'', '' Dark Angel'', and ''House'' as well as many other television programs. Partial bibliography Gate of Ivory trilogy * '' The Gate of ...
. Executive producer
Katie Jacobs Katie Jacobs is an American television producer and director. Katie Jacobs runs the Heel & Toe Films production company with Paul Attanasio, which produced the Fox series ''House'' and ''Century City''. Jacobs made her directorial debut on '' ...
said that the season finale was "a little bit different" than the episodes preceding it. "House's Head" was supposed to air after Super Bowl XLII but due to the 2007-2008 WGA Strike the episode was derailed, and the ''House'' season 4 episode " Frozen" was aired instead. The T-shirt House wears in the episodes, which shows a skeleton drinking coffee, and says "Coffin Break", was created by a designer named Taavo. When
Lisa Edelstein 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 ...
(Dr. Cuddy) heard she had to do a strip scene in the episode, she called actress Sheila Kelley, wife of
Richard Schiff Richard Schiff (born May 27, 1955) is an American actor and director. He is best known for playing Toby Ziegler on ''The West Wing'', a role for which he received an Emmy Award. Schiff made his directorial debut with ''The West Wing'', directing ...
(with whom Edelstein had worked previously on ''
The West Wing ''The West Wing'' is an American serial political drama television series created by Aaron Sorkin that was originally broadcast on NBC from September 22, 1999, to May 14, 2006. The series is set primarily in the West Wing of the White Hous ...
'' and '' Relativity''). Kelley had worked on a movie about strippers long ago and Edelstein asked her for her advice on the choreography of the striptease. On the episode itself, Edelstein commented: "It is very interesting what happens in the first half of the finale in terms of learning about how House sees people and getting the world from his point of view entirely". Before the filming of the scene started, Edelstein showed the dance to Hugh Laurie, who, according to Edelstein, was "incredibly supportive, like a cheerleader". Edelstein commented that after the scene was filmed she, "felt beautiful, and it ended up being a really lovely experience". The whole bus-crash sequence was storyboarded. Greg Yaitanes described stunt-coordinator Jim Vickers as "crucial" for the filming of this sequence. The bus crash scene was filmed in a studio using a big spinning wheel (which Anne Dudek referred to as a "gadget"). This gadget was mainly the back of the bus, and could be turned 360 degrees to increase the authenticity of the scene. For the rest of the bus, a
greenscreen Chroma key compositing, or chroma keying, is a visual-effects and post-production technique for compositing (layering) two images or video Video is an electronic medium for the recording, copying, playback, broadcasting, and displa ...
was used that surrounded the complete outside of the bus. The shots involving Anne Dudek were filmed at another time, using light effects and people simulating a bus crash experience in the otherwise motionless gadget.


Reception


Ratings

The episode premiered in the US on May 12, 2008 on
Fox Foxes are small to medium-sized, omnivorous mammals belonging to several genera of the family Canidae. They have a flattened skull, upright, triangular ears, a pointed, slightly upturned snout, and a long bushy tail (or ''brush''). Twelve sp ...
. The episode was viewed within five hours of broadcast by 14.84 million viewers, and had a 5.8/14 share of the 18-49 demographic. It was the second most-watched program of the night, beaten only by '' Dancing with the Stars''. In the week from May 11, 2008 to May 18, 2008 "House's Head" was the ninth most-watched program. The show was watched by 15.02 million viewers on Live + SD television. In Australia the episode aired May 12, 2008, on Network Ten, where it was watched by 1,432,000 viewers, making it the night's second most watched program. It ranked fourth most-watched show in the 18-49 demographic. In
Canada Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by tot ...
, the episode was broadcast on Global Total, also on May 12. It was watched by 2.296 million viewers, making it the week's fourth most watched program, behind ''
Grey's Anatomy ''Grey's Anatomy'' is an American medical drama television series that premiered on March 27, 2005, on ABC as a mid-season replacement. The series focuses on the lives of surgical interns, residents, and attendings as they develop into s ...
'' and ''
American Idol ''American Idol'' is an American singing competition television series created by Simon Fuller, produced by Fremantle North America and 19 Entertainment, and distributed by Fremantle North America. It aired on Fox from June 11, 2002, to Ap ...
'' (Tuesday and Wednesday). 1.7 million viewers watched the episode's first broadcast on
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the European mainland, continental mainland. It comprises England, Scotlan ...
's Five on June 26, 2008.


Critical reaction

Overall, "House's Head" was very well received by critics. Sara Morrison, from
Television Without Pity Television Without Pity (often abbreviated TWoP) was a website that provided detailed recaps of select television dramas, situation comedy, situation comedies and reality TV shows along with discussion forums. These recaps were written with sarca ...
, called the moment that House gets back his memory "the best ten minutes of television you might ever see". She was also pleased with the hypnotism scene, because it gave Chase "something to do". Morrison graded the episode with an A+. Michelle Romero, of ''
Entertainment Weekly ''Entertainment Weekly'' (sometimes abbreviated as ''EW'') is an American digital-only entertainment magazine based in New York City, published by Dotdash Meredith, that covers film, television, music, Broadway theatre, books, and popular cu ...
'', said that she can watch "House's Head" twice and get as much out of the second viewing as the first. ''
TV Guide TV Guide is an American digital media company that provides television program listings information as well as entertainment and television-related news. The company sold its print magazine division, TV Guide Magazine LLC, in 2008. Corpora ...
'''s Gina Dinunno stated: "It's everything I imagined: brilliant, snarky, confusing; even dirty! They did an amazing job at leaving us with the cliffhanger of all cliffhangers as we wait to see what will happen to Amber".
Alan Sepinwall Alan Sepinwall (born October 19, 1973) is an American television reviewer and writer. He spent 14 years as a columnist with ''The Star-Ledger'' in Newark until leaving the newspaper in 2010 to work for the entertainment news website HitFix. He ...
, from ''
The Star-Ledger ''The Star-Ledger'' is the largest circulated newspaper in the U.S. state of New Jersey and is based in Newark. It is a sister paper to '' The Jersey Journal'' of Jersey City, ''The Times'' of Trenton and the '' Staten Island Advance'', all of ...
'', compared the episode to the ''House'' season two finale " No Reason". He, however, also said that the episode had "several issues", mainly the hints towards "the answer" being Amber. On this, Sepinwall commented "''House'' is, at heart, a mystery, and when the show telegraphs the solution, it isn't half as entertaining". James Chamberlin, of
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 ...
, said that he hoped the second part of the season finale could live up to the first half. He also said that the scenes revolving around "the answer" reminded him of ''
The Matrix ''The Matrix'' is a 1999 science fiction action film written and directed by the Wachowskis. It is the first installment in ''The Matrix'' film series, starring Keanu Reeves, Laurence Fishburne, Carrie-Anne Moss, Hugo Weaving, and Joe Pantolia ...
''. Chamberlin graded the episode with a 9.5 on a ten scale. Barbara Barnett, of Blog Critics, praised both
Hugh Laurie James Hugh Calum Laurie (; born 11 June 1959) is an English actor, comedian, writer, and musician. He first gained recognition for his work as one half of the comedy double act Fry and Laurie with Stephen Fry. The two men acted together in ...
's and
Lisa Edelstein 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 ...
's acting performances. She also said that, although there were many "memorable moments" in the episode, the scene in which the bus crashed was "intense", "tension-filled" and "heart-stopping". Maureen Ryan of ''
Chicago Tribune The ''Chicago Tribune'' is a daily newspaper based in Chicago, Illinois, United States, owned by Tribune Publishing. Founded in 1847, and formerly self-styled as the "World's Greatest Newspaper" (a slogan for which WGN radio and television a ...
'''s ''The Watcher'' stated that, although she did predict the twist about midway through the episode, there were "so many other enjoyable elements" that it didn't bother her. Jennifer Godwin of '' E!'' said the episode was "easily one of ''House'''s best finales ever". Also, several critics were surprised by
Fred Durst William Frederick Durst (born August 20, 1970) is an American rapper, singer, songwriter, actor, and director. He is the frontman and lyricist of the nu metal band Limp Bizkit, formed in 1994, with whom he has released seven studio albums. He ap ...
's brief cameo as the bartender in House's flashback. The scene in which Lisa Cuddy did a pole dance was very positively received by critics, Mary McNarma, of the ''
Los Angeles Times The ''Los Angeles Times'' (abbreviated as ''LA Times'') is a daily newspaper that started publishing in Los Angeles in 1881. Based in the LA-adjacent suburb of El Segundo since 2018, it is the sixth-largest newspaper by circulation in the U ...
'', stated that these scenes "in three minutes earned back the price of
TiVo TiVo ( ) is a digital video recorder (DVR) developed and marketed by Xperi (previously by TiVo Corporation and TiVo Inc.) and introduced in 1999. TiVo provides an on-screen guide of scheduled broadcast programming television programs, whose fea ...
". James Chamberlin of IGN stated that he never expected Edelstein to do a striptease, although he had hoped it. In season four DVD commentary,
Jesse Spencer Jesse Gordon Spencer (born 12 February 1979) is an Australian actor and musician. He is best known for his roles as Billy Kennedy on the Australian soap opera ''Neighbours'' (1994–2000, 2005, 2022), Robert Chase on the American medical drama ...
,
Lisa Edelstein 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 ...
, Anne Dudek,
Jennifer Morrison Jennifer Marie Morrison is an American actress, director, producer, and former child model. She is mainly known for her roles as Dr. Allison Cameron in the medical-drama series ''House'' (2004–2012) and Emma Swan in the ABC adventure-fantasy ...
and
Omar Epps Omar Hashim Epps (born July 20, 1973) is an American actor, rapper, and producer. He has been awarded nine NAACP Image Awards, two Teen Choice Awards, one MTV Movie Award, one Black Reel Award, and one Screen Actors Guild Award. Epps's film r ...
all stated that "House's Head" and " Wilson's Heart" are their favorite ''House'' episodes.


Awards

Cast members
Lisa Edelstein 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 ...
,
Jesse Spencer Jesse Gordon Spencer (born 12 February 1979) is an Australian actor and musician. He is best known for his roles as Billy Kennedy on the Australian soap opera ''Neighbours'' (1994–2000, 2005, 2022), Robert Chase on the American medical drama ...
and
Hugh Laurie James Hugh Calum Laurie (; born 11 June 1959) is an English actor, comedian, writer, and musician. He first gained recognition for his work as one half of the comedy double act Fry and Laurie with Stephen Fry. The two men acted together in ...
submitted the episode for Primetime Emmy Awards on their behalf. In the categories
Outstanding Supporting Actress in a Drama Series This is a list of winners and nominees of the Primetime Emmy Award for Outstanding Supporting Actress in a Drama Series. In early Primetime Emmy Award ceremonies, the supporting categories were not always genre-, or even gender-, specific. Begin ...
(Edelstein), Outstanding Supporting Actor in a Drama Series (Spencer) and Outstanding Lead Actor in a Drama Series (Laurie). Peter Blake,
David Foster David Walter Foster (born November 1, 1949) is a Canadian musician, composer, arranger, record producer and music executive who chaired Verve Records from 2012 to 2016. He has won 16 Grammy Awards from 47 nominations. His music career spans mor ...
, Russel Friend, Garrett Lerner and
Doris Egan Doris Egan (born 1955) is an American screenwriter, producer, and writer. She has worked on ''Smallville'', '' Dark Angel'', and ''House'' as well as many other television programs. Partial bibliography Gate of Ivory trilogy * '' The Gate of ...
, the writers of the episode, submitted the episode on their behalf for a
Primetime Emmy Award for Outstanding Writing for a Drama Series The Primetime Emmy Award for Outstanding Writing for a Drama Series is an award presented annually by the Academy of Television Arts & Sciences (ATAS). It was first awarded at the 7th Primetime Emmy Awards ceremony, held in 1955 and it is given i ...
. The episode was also given up for consideration in the category
Outstanding Directing for a Drama Series The Primetime Emmy Award for Outstanding Directing for a Drama Series is presented to the best directing of a television drama series, usually for a particular episode.Though this category is the dominant one in which dramatic directing has been ...
on behalf of director
Greg Yaitanes Gregory Charles Yaitanes (born June 18, 1970) is an American television and film director. He is also an angel investor in Twitter. Early life Yaitanes grew up in Wellesley, Massachusetts, where he directed his first film, ''Salad Bar: The Mov ...
. Hugh Laurie and Greg Yaitanes' submissions both came through as nominations.'' Academy of Television Arts & Sciences'', (June 17, 2008)
Complete 2008 Nominations List
". Retrieved on 2008-10-18.
Yaitanes won the award, but Laurie lost the award to
Bryan Cranston Bryan Lee Cranston (born March 7, 1956) is an American actor and director who is best known for portraying Walter White in the AMC crime drama series ''Breaking Bad'' (2008–2013) and Hal in the Fox sitcom ''Malcolm in the Middle'' (2000–20 ...
for his performance in
AMC AMC may refer to: Film and television * AMC Theatres, an American movie theater chain * AMC Networks, an American entertainment company ** AMC (TV channel) ** AMC+, streaming service ** AMC Networks International, an entertainment company *** ...
's '' Breaking Bad''.


See also

*''
Fantastic Voyage ''Fantastic Voyage'' is a 1966 American science fiction adventure film directed by Richard Fleischer and written by Harry Kleiner, based on a story by Otto Klement and Jerome Bixby. The film is about a submarine crew who are shrunk to micros ...
'', the subject of a joke by Dr. Taub


References


External links


"House's Head"
at
Fox Foxes are small to medium-sized, omnivorous mammals belonging to several genera of the family Canidae. They have a flattened skull, upright, triangular ears, a pointed, slightly upturned snout, and a long bushy tail (or ''brush''). Twelve sp ...
* {{Good article House (season 4) episodes 2008 American television episodes Emmy Award-winning episodes Buses in fiction fr:Dans la tête de House…