House's Head
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"House's Head" is the fifteenth episode of the fourth 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 ...
'' 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. At the age of 18, Yaitanes moved to Los Angeles and at ...
, "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 ("brush"). Twelve species ...
. The episode revolves around Dr.
Gregory House Gregory House is a fictional character and 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 Diagnos ...
(
Hugh Laurie James Hugh Calum Laurie (; born 11 June 1959) is an English actor, comedian, singer, musician and writer. He first gained professional recognition as a member of the English comedy double act Fry and Laurie with Stephen Fry. Fry and Laurie act ...
), 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 Croatian-American actress and model based in the United States, best known for her starring roles in the Cinemax action-drama series ''Banshee (TV series), Banshee'' (2013–2016) and The CW science ...
), 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 situation, facing a difficult dilemma or confronted with a shocking revelation at the end of an episode of serialized fiction or bef ...
. 14.84 million American viewers watched the broadcasting of "House's Head", making ''House'' the ninth most-watched program of the week. The episode was submitted for five
Primetime Emmy Awards The Primetime Emmy Awards, or Primetime Emmys, are part of the extensive range of Emmy Awards for artistic and technical merit for the American television industry. Owned and operated by the Academy of Television Arts & Sciences (ATAS), the P ...
, 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. After taking minor roles in television, he established himself as a leading actor in both comedic and dramatic Bryan Cranston filmography, works on stage and screen. He has received ...
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 ''Breaking Bad'' is an American crime drama television series created and produced by Vince Gilligan for AMC (TV channel), AMC. Set and filmed in Albuquerque, New Mexico, the series follows Walter White (Breaking Bad), Walter White (Bryan Cran ...
''.


Plot

Dr.
Gregory House Gregory House is a fictional character and 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 Diagnos ...
is getting a lap dance in a strip club when he suddenly realizes he has no memory of the past four hours. 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 A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. Symptoms may include headache, dizziness, difficulty with thinking and concentration, sleep disturbances, a brief ...
and post-traumatic
retrograde amnesia In neurology, retrograde amnesia (RA) is the inability to access memories or information from before an injury or disease occurred. RA differs from a similar condition called anterograde amnesia (AA), which is the inability to form new memories f ...
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 generate pictures of the anatomy and the physiological processes inside the body. MRI scanners use strong magnetic fields, magnetic field gradients, and rad ...
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 neurodegenerative disease primarily of the central nervous system, affecting both motor system, motor and non-motor systems. Symptoms typically develop gradually and non-motor issues become ...
. When the bus driver needs to be
intubated Intubation (sometimes entubation) is a medical procedure involving the insertion of a tube into the body. Most commonly, intubation refers to tracheal intubation, a procedure during which an endotracheal tube is inserted into the trachea to supp ...
due to a possible
clot A thrombus ( thrombi) is a solid or semisolid aggregate from constituents of the blood (platelets, fibrin, red blood cells, white blood cells) within the circulatory system during life. A blood clot is the final product of the blood coagulatio ...
from a
pulmonary embolism Pulmonary embolism (PE) is a blockage of an pulmonary artery, 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 dyspnea, shortness of breath, chest pain ...
, 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 and ...
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. Examples of it have been appreciated for its color and natural beauty since the Neolithic times, and worked as a gemstone since antiquity."Amber" (2004). In Maxine N. Lurie and Marc Mappen (eds.) ''Encyclopedia ...
. "The answer" transforms into Amber Volakis, and when Wilson and Cuddy manage to resuscitate House from his overdose-induced
cardiac arrest Cardiac arrest (also known as sudden cardiac arrest CA is when the heart suddenly and unexpectedly stops beating. When the heart stops beating, blood cannot properly Circulatory system, circulate around the body and the blood flow to the ...
, 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. At the age of 18, Yaitanes moved to Los Angeles and at ...
. 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 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 Super Bowl XLII was an American football game between the National Football Conference (NFC) champion New York Giants and the American Football Conference (AFC) champion New England Patriots to decide the National Football League (NFL) champion ...
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 Edelstein ( ; born May 21, 1966) is an American actress and artist. She is known for playing Dr. Lisa Cuddy on the Fox medical drama series ''House'' (2004–2011). Between 2014 and 2018, Edelstein starred as Abby McCarthy in the Bravo s ...
(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. He is best known for playing Toby Ziegler on ''The West Wing'', a role for which he received an Emmy Award. Schiff made his television directorial debut with ''The West Wing'', directing an ...
(with whom Edelstein had worked previously on ''
The West Wing ''The West Wing'' is an American 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 House, where t ...
'' 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 or more images or video streams together based on colour hues ( chroma range). The technique has been used in many fie ...
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 ("brush"). Twelve species ...
. 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 ''Strictly Come Dancing (widely known as Dancing with the Stars)'' is an international television franchise based on the format of the British TV series '' Strictly Come Dancing,'' itself a successor to the show ''Come Dancing'' (1950–1998) ...
''. 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 Australia, officially the Commonwealth of Australia, is a country comprising mainland Australia, the mainland of the Australia (continent), Australian continent, the island of Tasmania and list of islands of Australia, numerous smaller isl ...
the episode aired May 12, 2008, on
Network Ten Network 10 (commonly known as the 10 Network, Channel 10 or simply 10) is an Australian commercial television network. It is a wholly-owned subsidiary of Paramount Global's Paramount Networks UK & Australia, UK & Australia division and is o ...
, 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 Provinces and territories of Canada, ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, making it the world's List of coun ...
, 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 focusing on the personal and professional lives of surgical internship (medicine), interns, residency (medicine), residents, and attending physician, attendings at the fictional ...
'' and ''
American Idol ''American Idol'' is an American Music competition, singing competition television series created by Simon Fuller, produced by Fremantle (company), Fremantle North America and 19 Entertainment, and distributed by Fremantle North America. It a ...
'' (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 Northwestern Europe, off the coast of European mainland, the 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, 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 online magazine, digital-only entertainment magazine based in New York City, published by Dotdash Meredith, that covers film, television, music, Broadway theatre, books, ...
'', 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 In mass communication, digital media is any media (communication), communication media that operates in conjunction with various encoded machine-readable data formats. Digital content can be created, vi ...
'''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'' 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 ...
'', 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'' is an American video gaming 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 district and is headed by its former e ...
, 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 film, science fiction action film written and directed by the Wachowskis. It is the first installment in the The Matrix (franchise), ''Matrix'' film series, starring Keanu Reeves, Laurence Fishburne, Ca ...
''. 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, singer, musician and writer. He first gained professional recognition as a member of the English comedy double act Fry and Laurie with Stephen Fry. Fry and Laurie act ...
's and
Lisa Edelstein Lisa Edelstein ( ; born May 21, 1966) is an American actress and artist. She is known for playing Dr. Lisa Cuddy on the Fox medical drama series ''House'' (2004–2011). Between 2014 and 2018, Edelstein starred as Abby McCarthy in the Bravo s ...
'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 an American daily newspaper based in Chicago, Illinois, United States. Founded in 1847, it was formerly self-styled as the "World's Greatest Newspaper", a slogan from which its once integrated WGN (AM), WGN radio and ...
'''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 Frederick Allen Mayne III; 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 release ...
'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'' is an American Newspaper#Daily, daily newspaper that began publishing in Los Angeles, California, in 1881. Based in the Greater Los Angeles city of El Segundo, California, El Segundo since 2018, it is the List of new ...
'', 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. He is known for his roles as Billy Kennedy on the Australian soap opera ''Neighbours'' (1994–2000, 2005, 2022), for which he was nominated for two Logie Awards, Dr. Robert ...
,
Lisa Edelstein Lisa Edelstein ( ; born May 21, 1966) is an American actress and artist. She is known for playing Dr. Lisa Cuddy on the Fox medical drama series ''House'' (2004–2011). Between 2014 and 2018, Edelstein starred as Abby McCarthy in the Bravo s ...
, Anne Dudek,
Jennifer Morrison Jennifer Marie Morrison (born April 12, 1979) is an American actress and director. She is most known for her roles as Dr. Allison Cameron in the medical-drama series ''House'' (2004–2012) and Emma Swan in the ABC adventure-fantasy series '' ...
and
Omar Epps Omar Hashim Epps (born July 20, 1973) is an American actor, rapper, and producer. Epps's film roles include ''Juice (1992 film), Juice'', ''Higher Learning'', ''The Wood'', ''In Too Deep (1999 film), In Too Deep'', and ''Love & Basketball''. His ...
all stated that "House's Head" and " Wilson's Heart" are their favorite ''House'' episodes.


Awards

Cast members
Lisa Edelstein Lisa Edelstein ( ; born May 21, 1966) is an American actress and artist. She is known for playing Dr. Lisa Cuddy on the Fox medical drama series ''House'' (2004–2011). Between 2014 and 2018, Edelstein starred as Abby McCarthy in the Bravo s ...
,
Jesse Spencer Jesse Gordon Spencer (born 12 February 1979) is an Australian actor. He is known for his roles as Billy Kennedy on the Australian soap opera ''Neighbours'' (1994–2000, 2005, 2022), for which he was nominated for two Logie Awards, Dr. Robert ...
and
Hugh Laurie James Hugh Calum Laurie (; born 11 June 1959) is an English actor, comedian, singer, musician and writer. He first gained professional recognition as a member of the English comedy double act Fry and Laurie with Stephen Fry. Fry and Laurie act ...
submitted the episode for
Primetime Emmy Awards The Primetime Emmy Awards, or Primetime Emmys, are part of the extensive range of Emmy Awards for artistic and technical merit for the American television industry. Owned and operated by the Academy of Television Arts & Sciences (ATAS), the P ...
on their behalf. In the categories Outstanding Supporting Actress in a Drama Series (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 record producer, composer, arranger, and musician. He has won 16 Grammy Awards from 47 nominations. His career began as a keyboardist for the pop group Skylark in the early 1970s befor ...
, 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 episode was also given up for consideration in the category Outstanding Directing for a Drama Series 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. At the age of 18, Yaitanes moved to Los Angeles and at ...
. Hugh Laurie and Greg Yaitanes' submissions both came through as nominations.''
Academy of Television Arts & Sciences The Academy of Television Arts & Sciences (ATAS), also colloquially known as the Television Academy, is a professional honorary organization dedicated to the advancement of the Television in the United States, television industry in the United S ...
'', (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. After taking minor roles in television, he established himself as a leading actor in both comedic and dramatic Bryan Cranston filmography, works on stage and screen. He has received ...
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 ''Breaking Bad'' is an American crime drama television series created and produced by Vince Gilligan for AMC (TV channel), AMC. Set and filmed in Albuquerque, New Mexico, the series follows Walter White (Breaking Bad), Walter White (Bryan Cran ...
''.


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 is shrunk to microsco ...
'', 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 ("brush"). Twelve species ...
* {{Good article House season 4 episodes 2008 American television episodes Television episodes directed by Greg Yaitanes Emmy Award–winning episodes Fiction about buses Television episodes about amnesia fr:Dans la tête de House…