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House: Under My Skin

by Hemal Jhaveri, posted May 5th 2009 12:45PM

(S05E23): Aside from whatever people think about the House/Cuddy relationship, and no, I'm not going to give it a cute nickname like Chuddy, or Huddy or whatever people on the Internet forums are going by, can we agree that Hugh Laurie is indeed awesome? While this wasn't the most brilliant episode of House, Hugh Laurie really shines when it comes to depicting House's inner turmoil, and he had plenty of material to work with last night.

The cold open of the show focused on a dying ballerina, but the real patient of the week is House himself. While the team tries to find out why Penelope the ballerina's skin is falling off in gross, bloody chunks, House tries to diagnose himself, and figure out what's causing his Amber-vision.

So, Amber is still around and making a pest of herself, causing House to lose the one thing he values most, his ability to think rationally. And we all know how much House values rational thinking. For him to lose that part of his mind, and not practice medicine, which is his entire life, would be devastating. Like the pretty ballerina who doesn't want to live if she's not able to dance, House doesn't want to live without his ability to practice medicine. His worst fear isn't death or loneliness, it's not being able to practice medicine.

Finally enlisting the help of Wilson, House runs through every diagnoses from MS to Schizophrenia, trying to find the least scary option. It's Wilson who comes up with the most reasonable and rational, but equally devastating conclusion: House's hallucination isn't caused by some underlying neurological disorder, but rather, is a result of the outrageous amounts of Vicodin in his system. His only choice to rid himself of Amber is a painful detox.

The scene where House realizes he needs more help than he initially thought, the one where he's 'celebrating' at the bar after going into insulin shock, with Amber's creepy voice drifting over him, is tremendous. You can see the sheer terror in his face as calls Wilson and asks for a ride home. In a flash he goes from smug bastard to utterly pathetic drunk. It's brilliant.

And Wilson again plays the long-suffering but dutiful friend. He knows House is in pain and tries his best to help. I really liked the scene between House and Wilson early in the episode, with House and Wilson arguing, and Amber being is annoying subconscious. It showed just how hard House has to fight himself sometimes, despite having good intentions.

Regardless of how good a friend Wilson is, House knows he'll be able to easily manipulate him and the rehab center into scoring Vicodin. Knowing this about himself, House turns to Cuddy. Now, I'm not really sure I buy the premise that Cuddy is really the only one who can stand up to House and therefore get him through this. They've down a pretty good job of showing that Cuddy generally backs down from House when push comes to shove, so I just don't get why it would be different this time around. But, I guess it is. If anything, it should have been her and Wilson together that get House to detox, but whatever.

To get rid of Amber, House goes through a pretty painful detox where we see just how desperate he's become. It's gut wrenching to watch him crawl across the bathroom floor for that one pill. Now, the detox scene only lasts one harrowing night. I find that hard to believe. Do people really come down off a serious drug addiction after only one night? Wilson's rehab idea sounded like it would be a few weeks at least. I'm all for the idea of House detoxing off of Vicodin and us being able to see what he's like without the drug, but that happened way to fast.

At the end of their long dark night, Cuddy and House kiss. Now, I'm all for this relationship, but it feels like the entire Amber plot line, and House's detox, was just leading up to this. It's good to see House finally acknowledge that he has feelings for Cuddy, and we see him in a rare, vulnerable state, even if it's only temporary.

Honestly, I'm a little glad my DVR (once again) cut off slightly early. House and Cuddy going at it like a couple of teenagers made me want to cover my eyes. It's like catching your parents making out. No one wants to see that. I am fan of the House/Cuddy relationship, as long as all parties remain fully clothed.

Also, please just end the Cameron & Chase story line. It annoys me that Cameron said, in response to saving her husband's sperm, "I didn't plan on him dying..", Um, yes you did. Didn't Cameron marry the guy knowing full well he had terminal cancer? That's either Cameron being emotionally manipulative, or bad writing. Either way, it doesn't look good. Poor Chase. As vapid as he can be sometime, I admire his resolve in finally walking away from Cameron.

So, has House made any real changes? Do you think that they will be lasting and significant? And where is the House/Cuddy relationship going?

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rachael

bruce,

Thanks! It's nice to know that there are other people out there who who also think the concept of hallucinations caused by "Vicodin overdose" and the fact that House is still even taking Vicodin anyway is ridiculous.

I love House and it's one of my all-time favorite shows. I suspect that the reason House takes Vicodin is because Vicodin is something that people know about, but talking about "Vicodin levels" and hallucinations and so on really stretches it for me. I agree with you, at the very least he'd be popping OC 5's or something else without acetaminophen.

I also think it's amusing that when House takes a pill, he seems to feel its effects immediately. In reality it would take at least 20 minutes or so.

OF COURSE it's a TV show and thus somewhat unrealistic, but people still learn from TV shows.

May 27 2009 at 4:20 PM Report abuse rate up rate down Reply
Michelle

Seriously guys, it's a TV show. It's NEVER going to be realistic. Even CSI admits that tests that take days or even weeks in real life are done in hours or minutes in the show. And many of the diseases on the show are misconstrued and the symptoms put in the wrong order or even just added in in order to make it more interesting. Besides, the detox will probably take course over the whole next season (if it lasts that long). I realize it's fun to talk about how unrealistic a TV show is in certain points you're interested in. Even I do it, but you don't have to be so serious about it.

May 15 2009 at 2:43 AM Report abuse rate up rate down Reply
chaosorder

http://www.druglib.com/adverse-reactions_side-effects/vicodin/seriousness_hospitalization/reaction_hallucination/

I believe that has documented cases of Vicodin causing hallucinations in more then one instance?

May 12 2009 at 11:32 AM Report abuse rate up rate down Reply
bruce

jffm: If you can find one actual, reported case of someone who had been taking vicodin for an extended period and then suddenly began having hallucinations as a result of the vicodin, I will concede my error. But I stand by my statement.

Maybe someone could have some extremely odd allergic reaction to the drug, get a high fever, and as a result of the fever have hallucinations. But there was no indication that House was allergic to vicodin. And what they're really implying is that all opioids cause hallucinations. That's because nobody suggested switching to another painkiller. It was either detox and suffer pain, or have hallucinations from the medicine.

May 05 2009 at 10:15 PM Report abuse rate up rate down Reply
1 reply to bruce's comment
jffm

bruce said...
jffm: If you can find one actual, reported case of someone who had been taking vicodin for an extended period and then suddenly began having hallucinations as a result of the vicodin, I will concede my error. But I stand by my statement.


Like I said, just looking at what's out there one way or the other. No interest in concessions. Right now, there happens to be a lot more showing up on the "yea" side than the "nay" side.

May 05 2009 at 11:30 PM Report abuse rate up rate down Reply
ciel

I haven´t seen him already!!! so I skipped your comments so you wouldn´t spoil it. I am getting ready to watch it now!
I love DR House. For those who missed it!
Hilarious Bloopers and an alternate take between Cuddy and Cameron!
http://hahaha-havealaugh.blogspot.com/search/label/Bloopers%20Dr%20House

May 05 2009 at 9:53 PM Report abuse rate up rate down Reply
bruce

One other thing that really bugged me about this episode.

7. Why not a single mention of rapid, naltrexone-induced detox? House did that to a patient a long time ago (young model addicted to heroin). You're put in a medically-induced coma with barbiturates, and then your body is pumped full of naltrexone (opioid antagonist) which makes you go through extreme withdrawal in a short period. Kinda flushes it out of you. When you're woken up in a day or two, the worst of the detox is over. But even then, you still feel pretty crappy - too crappy to make out with your boss, for sure. Why was this not even mentioned as an option? I guess because in the world of House, one can simply do an "overnight detox" on your own, which invovles feeling bad for about 12 hours and then it's all over - back to normal. Why wasn't this an option for the young model back in season 1 or 2 (whenever it was)?

jffm: Like I said, name any controlled substance and name any negative side effect, and you can google a page that lists the side effect as a consequence of taking the controlled substance. AIDS and marijuana, cancer and cocaine, brain tumors and valium, scizophrenia and oxycontin, melanoma and crystal meth. There are anti-drug pages out there which are more than happy to publish false symptoms/side effects of drugs they don't want you to take. I've known plenty of long-term chronic pain patients, as well as many pain management doctors and I stand by my statement that no person has ever hallucinated from Vicodin alone. Maybe vicodin plus LSD. But that's because of the LSD.

Now, there is some evidence that people going through opiate WITHDRAWAL have had hallucinations. There's a famous scene in the movie "Trainspotting" about that (baby on ceiling). But House was not going through Vicodin withdrawal when he was seeing Amber - he was on Vicodin at the time. They are saying withdrawal was the CURE for the hallucinations. That's absolutely bullshit. The only time House would have plausibly seen hallucinations was during his one night of "extremely rapid detox." Even then, that's an extremely uncommon side effect of opiate withdrawal. But it's absolutely not a side effect of opiate use.

May 05 2009 at 5:06 PM Report abuse rate up rate down Reply
1 reply to bruce's comment
jffm

"jffm: Like I said, name any controlled substance and name any negative side effect, and you can google a page that lists the side effect as a consequence of taking the controlled substance. AIDS and marijuana, cancer and cocaine, brain tumors and valium, scizophrenia and oxycontin, melanoma and crystal meth. There are anti-drug pages out there which are more than happy to publish false symptoms/side effects of drugs they don't want you to take."

Just trying to figure what's what. You've stated that Vicodin doesn't cause hallucinations. A quick google turns up more than a few sources saying otherwise.

A doctor out of Indianapolis writes a blog called Polite Dissent that reviews the medicine on each episode of House and while he was pretty scathing of the medicine in the patient of the week portion of the show, the only quibble he mentions concerning the Vicodin is regarding the use of the terminology "Vicodin level". No mention of Vicodin causing hallucinations as being problematic.

May 05 2009 at 7:03 PM Report abuse rate up rate down Reply
Willmore2000

House and Cuddy sitting in a tree
K-I-S-S-I-N-G

May 05 2009 at 4:23 PM Report abuse rate up rate down Reply
Fullman

Seriously, the scene in the bar with the ominous music and Amber singing in a really, creepy voice and seeing the terror on House's face really made me ridiculously uncomfortable. That's what made it a great scene!

May 05 2009 at 3:31 PM Report abuse rate up rate down Reply
xnifex

please don't let amber be gone. i really like anne dudek!

May 05 2009 at 2:18 PM Report abuse rate up rate down Reply
RevJonathan

Setting aside the ridiculous notion that you can detox in one night, these last two episodes were so awesome.

Seriously, this is the best written show on TV.

May 05 2009 at 2:12 PM Report abuse rate up rate down Reply

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