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At the beginning of the episode, with the very open demonstration of death and loss, there was a mixed feeling of horror and realism. Death staring at you in the face. Dr. Treiber begins the autopsy of a woman whose time of death has just been called. We explicitly see her heart being taken out of her chest. This image her heart being ripped out makes me think of how House feels about Wilson dying. Dr. Treiber slices open his face during what seems like a psychotic break, which house dismissively diagnoses as 'walking corpse syndrome', another dark parallel to Wilson's current situation. Treiber won't trust anyone but House to take his case as he is obsessed with medical conduct and malpractice. He is absolutely meticulous in his work, to the point where the final diagnosis comes in part from the soap he obsessively washes his hands with. That combined with the energy drink he has to stay sharp causes hypothyroidism.
Wilson decides he will be 'indifferent', a term he uses throughout the episode to prove that he is letting go of any concerns, any feelings towards other people to live a selfish life of fun. His overuse of the word indicates just how impossible it is for him to stop caring. He buys, or more likely rents, a convertible red corvette to go on a road trip. He forces House to join him. Usually House would be raring to go, but from the moment Wilson takes on this 'new' attitude House's concern for him grows. Wilson says he wants to go and see Julie Christie, who he's had a crush on since he was young. He later admits that this is just an excuse to stay away from
The patient this week is a six year old girl Emily who has a rare genetic disease (AT). As she is a double carrier of the gene marker it means she doesn't present with the usual symptoms. Emily convinces her dad to let her ride the carousel at the park. After spells of dizziness she begins to have a nosebleed and collapses. Emily's parents are separated, and following the Season 8 theme of 'parents', hers argue constantly about her health and well being. In simplistic terms, it could be argued that the father represents the 'heart', taking an interest in his daughter's emotions, while the mother is the 'head', taking interest in her daughter's medical condition. The constant back and forth demonstrates the necessary interplay of the two. Her mother is a doctor who specialises in Emily's genetic condition. She joins the team. Although she tries to distance herself by referring to Emily as 'the patient' we see the impossibility of objectivity in the case. This parallels Wilson's cancer treatment. He refuses to follow medical advice and believes that he can be his own doctor. House highlights the insanity of his plan to endure a double treatment of chemotherapy and radiation because of the extreme side effects and a much higher risk that it might kill him. Wilson can't be objective despite being an oncologist. In a moving scene he picks up mementos of patients with high survival rates who passed away.
The mother takes matters into her own hands and treats Emily with...
***
Body and Soul
A young boy suffers from respiratory trouble after dreaming about a spirit who walks into his room and strangles him. House believes it is Sudden Unexpected Nocturnal Death Syndrome which kills males who are of Hmong heritage. It is soon noted that medicine is failing him as none of the treatments work. The grandfather believes that, similarly to his son who murdered his boss with a sledgehammer, his grandson is possessed. When science appears to provide no answer and thus no cure, the boy's mother gives up her reluctance to believe in alternative spiritual treatments. House is extremely distressed that religion could provide a cure science (he) was unable to give. The boy dreams that his grandfather is the one strangling him and when he awakes we see he has red imprints around his neck. We see the effects but not the cause.
The theme of dreams runs throughout the episode and provides scenarios in which Park fantasises about Chase and he fantasises about her, both claiming that dreams don't mean anything. Taub convinces Park that it means trust, security and friendship and so she tries to prove her theory by farting in the elevator. I love Chase's reactions to the things she says. Again we see the effects (sex dreams) but not necessarily the true cause (reason behind) the dream. It leads us perhaps to understand that...
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