Ugly (House)
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"Ugly" is the seventh 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 seventy-seventh episode overall. It aired on
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on November 13, 2007. The episode revolves around a teenager named Kenny Arnold with a major facial deformity. He is set to get surgery in order to remove the deformity, but has a heart attack just prior to the surgery. Dr. Gregory House, who still has not hired a new diagnostic team out of six interns, tries to figure out what is wrong with Kenny. Kenny was being filmed by a documentary crew during the process of the surgery. House has to find out what is wrong with Kenny while being filmed by the crew. The episode was watched by 11.4 million viewers, making it the eighth most-watched program of the week. The episode gained positive reviews by critics, who were surprised by the story surrounding Dr.
Chris Taub ''House'' (also known as ''House, M.D.'') is an American medical drama television series created by David Shore for Fox. It ran for eight seasons from November 16, 2004, to May 21, 2012. It features the life of Dr. Gregory House (Hugh Lauri ...
, one of the fellowship applicants, in the episode.


Plot

A documentary film crew is chronicling a teenager named Kenny with a major facial deformity who opts to undergo a dramatic reconstructive procedure. When Kenny suffers a
heart attack A myocardial infarction (MI), commonly known as a heart attack, occurs when Ischemia, blood flow decreases or stops in one of the coronary arteries of the heart, causing infarction (tissue death) to the heart muscle. The most common symptom ...
just prior to the surgery, House and the team are called in to determine the cause. As the film crew continues to document Kenny, House becomes increasingly annoyed and tries to avoid them by briefing his team by the
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 ...
machine and in surgery. However, ultimately he cannot escape the cameras and the candidates find themselves acting self-consciously in front of the lens. Meanwhile, House begins to regret recruiting former
CIA The Central Intelligence Agency (CIA; ) is a civilian foreign intelligence service of the federal government of the United States tasked with advancing national security through collecting and analyzing intelligence from around the world and ...
doctor Samira Terzi when she fails to demonstrate the intelligence he witnessed at Langley. During the episode the film crew also interviews Cameron, asking why she resigned and making it look like she was romantically attracted to House. Dr. Taub, using his experience as a plastic surgeon, gains Kenny's and his father's trust and frequently clashes with House on the diagnosis. House believes Kenny is suffering from
juvenile idiopathic arthritis Juvenile idiopathic arthritis (JIA), formerly known as juvenile rheumatoid arthritis (JRA), is the most common chronic rheumatic disease of childhood, affecting approximately 3.8 to 400 out of 100,000 children. ''Juvenile'', in this context, ref ...
while Taub believes it is merely the side effects of increased
intracranial pressure Intracranial pressure (ICP) is the pressure exerted by fluids such as cerebrospinal fluid (CSF) inside the skull and on the brain tissue. ICP is measured in millimeters of mercury ( mmHg) and at rest, is normally 7–15 mmHg for a supine adu ...
. By persuading Kenny's father not to follow House's treatment and by attempting to kick him off the case, House fires Taub, only to have his decision reversed by Cuddy. Ultimately both House and Taub are proven wrong when
Thirteen Thirteen or 13 may refer to: * 13 (number) * Any of the years 13 BC, AD 13, 1913, or 2013 Music Albums * ''13'' (Black Sabbath album), 2013 * ''13'' (Blur album), 1999 * ''13'' (Borgeous album), 2016 * ''13'' (Brian Setzer album), 2006 * ...
realizes Kenny is suffering from
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, with the telltale rash hidden by his hair. In the end, Taub is not fired, but Dr. Terzi is let go and House's request for a date is turned down. Cuddy and House watch an early cut of the documentary, which has been edited to portray House as a compassionate, sympathetic doctor. House is aghast and leaves the room, questioning whether he can still trust
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movies. The documentary continues, revealing that the surgery was successful, and that Kenny thanks Dr. House.


Production

The episode was written by Sean Whitesell, who had previously worked as co-executive producer on the series. To date, this is the only ''House'' episode Whitesell has written. The episode became the second ''House'' episode to be directed by David Straiton, who had previously directed "Family". "Ugly" featured the second appearance of Dr. Samira Terzi (
Michael Michele Michael Michele Williams (born August 30, 1966) is an American actress and fashion designer. She began her career on stage before appearing opposite Wesley Snipes in the 1991 film ''New Jack City''. In the 1990s, Michele had leading roles in t ...
), who made her first appearance in "Whatever it Takes". Michele had previously played a doctor named
Cleo Finch Cleo Finch is a fictional character from the NBC television series '' ER''. She was portrayed by Michael Michele and appeared on the show from the sixth season's episode, "Leave It to Weaver," which aired on September 30, 1999, until the eighth ...
on the medical drama '' ER''.
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 ...
, who stars in ''House'' as Dr.
Eric Foreman ''House'' (also known as ''House, M.D.'') is an American medical drama television series created by David Shore for Fox Broadcasting Company, Fox. It ran for eight seasons from November 16, 2004, to May 21, 2012. It features the life of Dr. G ...
, also starred on ''ER'', but two years before Michele. As usual, the filming took place on the
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 ...
lot in
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. This episode contained the song ' My home is your head' by
Joseph Arthur Joseph Lyburn Arthur (born September 28, 1971) is an American singer-songwriter and artist from Akron, Ohio. He is best known for his solo material, and as a member of Fistful of Mercy and RNDM. Arthur has built his reputation over the years t ...
.


Reception

The episode was the eighth most-watched program of the week along with
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's ''Sunday Night Football'', with 11.4 million viewers, it received a 17 share in the ratings. Overall, the episode was well received by critics. Nina Hämmerling Smith of ''
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'' quoted: "Perhaps the best thing about the episode was the amount of screen time given to old favorites like Wilson (
Robert Sean Leonard Robert Lawrence Leonard (born February 28, 1969), known professionally as Robert Sean Leonard, is an American actor. He is best known for his portrayal of Neil Perry in the drama film ''Dead Poets Society'' (1989) and Dr. James Wilson in the med ...
) and Cuddy (
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 ...
). The show's most convincing writing has always been in the scenes when those two spar with House, and I was thrilled to see more of that". Most critics were surprised and interested by the performance of
Chris Taub ''House'' (also known as ''House, M.D.'') is an American medical drama television series created by David Shore for Fox. It ran for eight seasons from November 16, 2004, to May 21, 2012. It features the life of Dr. Gregory House (Hugh Lauri ...
in this episode. Richard Keller of
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, wrote that he was almost certain of the fact that Taub was going to be fired and he was glad that he wasn't. He also quoted, "For some reason I like Taub. Maybe because he's not pretty like the rest of them. He's just an everyday schlub who's a pretty decent doctor". Buzz Byrne from Critics Rant called Taub, "interesting". James Chamberlin of
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did not think that the black and white documentary really worked for him, and when it was over he didn't feel like he had just watched an episode of ''House''. Chamberlin graded the episode with a 7.7. 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, ...
'' commented "I loved it when House told his crew that she ''Dr. Terzi'' got the gig because she had more experience than the swimsuit model".
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graded the episode with a B− (out of 84 votes). According to Glen L. Diaz, of
BuddyTV BuddyTV is an entertainment-based website, which generates content about television programs and sporting events. The website publishes information about celebrity and related entertainment news through a series of articles, entertainment profile ...
, various fans think that the smile on Cuddy's face at the end of the episode explains everything about how she thinks of House. Peter Jacobson submitted the episode for a
Primetime Emmy Award 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 his behalf in the category Outstanding Supporting Actor in a Drama Series. Sean Whitesell submitted the episode on his behalf in the category Outstanding Writing in a Drama Series. Neither nomination came through.
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 ...
, (July 17, 2008)
Complete 2008 Nominations List
". Retrieved on July 17, 2008.


References


External links



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 2007 American television episodes fr:La Belle et la Bête (Dr House)