Elapsed time numbers are for the DVD copy.
PROLOGUE
Visual continuity glitch:
Dan's lacrosse jersey was reversed right to left in one shot.
The stunt guy who doubled as Dan didn't look that much like the actor
who played Dan, but he wasn't onscreen for long.
ACT 1
1:37
The magazine that House was reading a copy of in the exam room:
Bio
James Finds
True Love
The
Crown
Prince
First time House ate a lollipop onscreen.
HOUSE: Close the door. Close the door!
WILSON: [Complies.] Is Cuddy down the hall counting to fifty?
lol.
House took his first Vicodin of the episode while talking to Wilson in
exam room one about slacking on clinic duty.
WILSON: Just tell Cuddy you've got an urgent case. You had to
leave early.
HOUSE: That would be lying.
WILSON: And that would be wrong. But luckily, the definition of
'urgent' is fungible.
HOUSE: Not the definition of 'case' though.
House did seem to prefer more indirect forms of deception to outright
lying in the old days if he could manage them.
WILSON: You have no cases? You have NO cases?
It was such a simple scene, and yet it has made me snicker even on
multiple viewings. Wilson is a wonderful character foil, wonderfully
played, the intelligent but normal counterpoint to House, who is
brilliant, brilliantly played, and well off the beaten track. It's just
usually easy for Wilson to get lost in the shuffle, since his primary
function is not to illuminate himself, but to illuminate House by
offering the normal person's reaction to House.
The friendship between Wilson and House is one of the deeper mysteries
of the show to me. Why Wilson? Yeah, he's a nice enough guy and
evidently a good doctor, but the same could be said of the other doctors
on the show. What sets Wilson apart? Did he take a thorn out of
House's paw or what?
WILSON: You've got handpicked doctors, specialists, working for
you, and they're sitting on their hands?
HOUSE: Cameron's answering my mail.
WILSON: Oh, time well spent I'm sure. Foreman and Chase?
HOUSE: Research?
I read somewhere that the scene where the fellows were killing time in
the office -- answering mail, doing crosswords, looking bored -- was
transplanted from the unaired version of the pilot that was distributed
in magazines as an advance promotion. The wardrobe of Foreman and Chase
bore this out, as they seemed to be wearing the same clothes they wore
in the first office scene in the pilot. (You couldn't see Cameron's
street clothes in the transplanted scene.) When House went back to the
office for the first differential diagnosis session in "Paternity," he
was wearing the same clothes as before, but Foreman and Chase weren't.
Actually, I should say that House was wearing almost the same clothes as
before, because he emerged from exam room one wearing different sneakers
from the ones he was wearing inside the exam room. According to the
production codes, "Paternity" was the fifth episode to be shot, but the
second to be aired. I've never read an interview explaining why the
decision was made to air it second, but my suspicion is that the opening
scene to Act I, with House slacking in the exam room and the scene of
the bored fellows humorously spliced into the middle of that, was added
to the episode last to make for a better flow from the pilot because
clinic duty was still a brand-new burden for House at that point. So
the slacking scene could have been shot quite a while after principal
photography for "Paternity" had finished, which would explain why they
could still find most of House's original wardrobe for it, but managed
to misplace the shoes.
The text around Chase's crossword puzzle was an article on George
Stephanopoulos. (No, it's not relevant, but I just love rubbernecking
with the zoom function on the DVD player.) Nine down really did look
like it said, "Iodine deficiency in children." The word "CRETINISM" was
already filled in before Chase asked Foreman what the answer was.
Foreman has a tattoo near where his left thumb joins his left
forefinger. I couldn't make it out. It reminded me of a stick figure
parachuting with one of those arch-like sports chutes.
There was what appeared to be a light-skinned woman with long brown hair
in a pony tail in Cuddy's secretary's office.
The text of Cameron's forged letter to Dan's parents. This one actually
did contain some relevant information:
I want to first say thank you for contacting my office in regards to
your son, Daniel. I am sorry[...]
about your son's present condition.
I have reviewed the data you forwarded to my office. There certainly
are some interesting results[...]
Daniel's testing thus far. I also have some concerns from the CT
Scans[sic] I reviewed. Although I respect[...]
the work of the physicians you have consulted previously, I do feel it
is time that Daniel met with a[...]
specialist. I feel it is imperative for Daniel to seek advanced medical
treatment immediately. Often[...]
neurological condition, time is the patient's greatest enemy.
I am unable to make appointments in my office at Princeton-Plainsboro
teaching hospital. I only consult
on patients that are referred to my office from within the hospital. I
do however see patients daily at
our walk-in clinic. This clinic is designed to treat patients who need
to see a physician within Princeton-
Plainsboro Teaching Hospital.
We are unable to schedule appointments within the walk-in clinic. I am
scheduled to see patients daily,
Monday through Friday between the hours of 3-6 PM. Thank you for
contacting my office and I look
forward to consulting you and your family.
Sincerely,
[signed] Gregg House
Gregory House, M.D.
While House can obviously be a champion slacker when he wants to be,
this made it sound like at least part of the difficulty in seeing him is
administrative because you can't see House via an outpatient
appointment. You either have to be admitted to the hospital or else
seek him out at the clinic.
CAMERON: It's impossible to get to you through normal channels.
They have called, emailed --
HOUSE: Perseverance does not equal worthiness. Next time you
want to get my attention, wear something fun. Low-rider
jeans are hot.
Since Cameron seemed to be shocked and thrown off her game at House's
admission in the pilot that he had hired her because she was pretty
(among other reasons), I wonder if he didn't start the sexual harassment
until after she reacted that way.
CAMERON: Sixteen-year-old male. Sudden onset of double vision
and night terrors with no apparent cause. The kid's
been to two neurologists and he --
HOUSE: Night terrors? As in big scary monsters?
CAMERON: Yes. [House gets up.] Well, where are you going?
HOUSE: To see the family.
CAMERON: YOU'RE going to examine a patient?
HOUSE: Nine times out of ten there's no reason to talk to a
patient, but night terrors in a sixteen-year-old is a
VERY good reason to talk to this family. Good work.
I really liked this about House. There's nothing particularly zebra-ish
about sexual abuse, unfortunately, but he got off his ass and made a
beeline for the patient when he thought it was going undiagnosed.
HOUSE: You're an only child, aren't you?
CAMERON: Why would you say that?
HOUSE: Because everything is about you.
Morrison had a good reaction shot here but damn, she looked like an
affronted puppy. She has that kind of rosy-cheeked twenty-something
face that they would cast on the WB to play a teenager, and yet they're
asking her to play close to 30 here. At least they started making up
her face to look older later on.
HOUSE: Fifty bucks says I'm right.
FOREMAN: I'll take your money.
The first onscreen bet between House and another regular.
CAMERON: No, parents said he was conscious during the event and
didn't remember anything afterwards. That's a night
terror.
CHASE: "Parents said"?
HOUSE: That's a good point.
I loved Chase's self-satisfied chomp on his pencil at this. They really
laid it on thick with his eagerness for approval in this episode. Jesse
Spencer is last billed and rarely shoved to the forefront, but he does
some good nonverbal stuff when the director's getting coverage of Chase,
and the editor sometimes takes the bait.
They lightened Cameron's hair a bit from its extremely dark color in the
pilot. Over time, I think they lightened Chase and Wilson's hair
slightly too.
It seemed like the same truck was parked out in front of the hospital in
all those first-season aerial establishing shots whether it was daytime
or night. Night filters? There did seem to be remarkably well-
differentiated shadows in the night shots.
Anamorphic lens for the nightmare of House cutting off Dan's toe?
Visual continuity glitch:
Foreman and Chase appeared to be in their next-day clothes when they
were setting up for the sleep study. When they saw the night terror on
the EEG screen, though, they were back to their clothes from the day
before.
ACT II
10:43
CHASE: Meningeal enhancement. My bet is viral meningitis.
HOUSE: Excellent. You see what he did there? He took a small
clue that there's a neurological problem and wasn't
afraid to run with it.
FOREMAN: There's no evidence of meningitis on that MRI.
HOUSE: No, there's not. He's completely wrong.
CAMERON: Then what clue are you talking about?
HOUSE: He knew that I saw something on the MRI, so he figured
there must be something there and took a guess.
Clever, but also pathetic.
Heh. Chase was the kid who always put his hand up first in school.
CHASE: There's some bowing, there. An upward arch.
HOUSE: Are you guessing?
CHASE: Yes.
HOUSE: Too bad. You're right.
Hee.
FOREMAN: He probably just moved. Nobody stays perfectly still
for their entire MRI.
HOUSE: Yeah. Probably got restless and shifted one hemisphere
of his brain to a more comfortable position.
lol.
Hm. There seemed to be some dates on Dan's MRI scans:
22-SEP-1969
15-SEP-1997
But since Dan was born around 1988 and admitted to PPTH in 2004, I have
to assume these were artifacts of the real-life patient the scans were
taken of.
There was a silent nurse or tech assisting Foreman during the
radionucleotide cisternogram. While sometimes they just dispense with
nurses and techs on this show, I also think it's sometimes easy not to
notice the extras who don't have lines to say.
Foreman was observant enough to notice the eye flecks in Dan and his
father, but not observant enough to notice the cleft-chin clue, which I
would have thought was a more well-known genetic trait. (Then again, I
missed it too the first time, and I had even heard about it before.)
Interesting quasi-"invisible" cut between the nurse running out of Dan's
empty room to Cameron running in to tell Foreman about the security
cameras.
Quite a set of stiletto heels on Cameron. Very professional.
There were two cigars in House's ashtray at home. At least one of them
was smoking.
On House's piano:
Sohmer & Co.
The nightmare of House cutting off Dan's toe was grotesque, but the
lacrosse field at night, with Chase trying to talk Dan out of it, was
downright eerie.
There were skyscrapers behind Chase and Dan in the medium shots during
the rooftop scene. In that part of New Jersey?
Digital compositing to put the human figures on top of the long shot of
the PPTH roof?
ACT III
21:36
HOUSE: How'd you talk him down?
FOREMAN: Actually, Chase tackled him.
HOUSE: How come you didn't do it?
FOREMAN: Right, well, I am black, but he was closer.
Loved Foreman beating House to the punch. House almost seemed to smile.
HOUSE: Why does everybody always think I'm being sarcastic?
Operant conditioning.
HOUSE: [To Foreman] You want some of this? [Indicates
coffee.]
FOREMAN: Yeah, sure.
Heh. House not only got coffee for Foreman, but he knew without asking
what to add to it.
CAMERON: What about sex?
HOUSE: Well, it might get complicated. I mean, we work
together. I'm older, certainly, but maybe you like
that.
CAMERON: I meant maybe he has neurosyphilis.
HOUSE: Heh. Nice cover.
I'm surprised House couldn't see any way that this might backfire.
HOUSE: Show of hands. Who thinks I'm not in my right mind?
[No one moves.] And who thinks I forget this fairly
basic neurological fact? [No one moves.] Who thinks
there's a third option? [Chase raises his hand.] Very
good. What's the third choice?
CHASE: No idea. You just asked if I thought there was one.
Chase taking guesses based, not on what he knew, but instead on what he
figured House had to know, was a great running gag. Betting on House is
the percentage guess (Chase was the only one not to weigh in on the
paternity bet), but it doesn't exactly test your own skills.
HOUSE: Yeah, pain'll make you do stupid things.
House took a Vicodin while examining the infected leg in the clinic.
This was also the second and, I believe, last time he shared a Vicodin
with a patient.
HOUSE: Now, why would you drive seventy miles to get treatment
for a condition that a nine-year-old could diagnose?
It's the free-flowing pus that's the tipoff.
FUNSTEN: I was in town.
HOUSE: Not for family. Not for work.
My first guess as to why Funsten, the litigious clinic patient, drove
out of his way to get treatment was that he was having an out-of-town
affair. My second guess was that he was known by the closer hospitals
to be wanted by the law.
CUDDY: How's your hooker doing?
HOUSE: Oh, sweet of you to ask. Funny story, she was going to
be hospital administrator, but just hated having to screw
people like that.
CUDDY: I heard you found her on the roof.
HOUSE: You have very acute hearing.
CUDDY: You notify the parents?
HOUSE: In due course, of course.
lol.
HOUSE: My guy knows a guy who can get you in for fifty bucks.
CUDDY: Fine. Tell your guy if I win, you attend the faculty
symposium and you wear a tie.
HOUSE: And if I win, no clinic hours for a week.
Smart wager on Cuddy's part, since I can't imagine any amount of money
inducing House to wear a tie. On the other hand the particulars of the
bet should have had everyone holding onto their wallets. Maybe the
fellows hadn't been around long enough to know better, but surely Wilson
and Cuddy already knew that House didn't make medical bets on a whim.
Robert Sean Leonard is a good-looking guy, but sometimes I could swear
he looks a little cross-eyed.
Since the hallucinatory voices weren't credited, I wonder if the same
people who played Dan's parents voiced the hallucinations as well.
ACT IV
28:20
HOUSE: [To Funsten] Uh-uh. These are mine now. I'll see you
in court.
If you annoy House, he'll take it as a challenge be more annoying back
at you. It's funny when he does it to people who have no business being
annoying.
There was a young light-skinned brunette secretary (possibly the same
one as before) in the outer chamber of Cuddy's office when House burst
in on the meeting with Dan's parents. The woman did look like she was
about to protest what House was doing, but House was too fast for her.
HOUSE: [To Cuddy] Can we get off my screw-ups and focus on
theirs? Theirs is bigger. [To the parents] You're not
Dan's parents.
House cleverly admitted to screwing up only because he had the means to
deflect attention to something else.
HOUSE: [To Cuddy] Again, why are we getting hung up on what I
did? [To Dan's parents] Your medical history is
useless.
DAD: No, we gave you a detailed history of his biological
mother.
MOM: Her history: nonsmoker, good health, low cholesterol, no
blood pressure problems.
DAD: Dan was adopted two weeks after he was born. You have
his history. There's nothing you need to know that we
didn't tell you.
HOUSE: Was she vaccinated? The biological mother, when she was
a baby, did she get her vaccinations?
So the title of the episode was a red herring. The case didn't hinge
upon paternity at all, but upon maternity. But if House had to ask this
question, then that meant there was no record of maternal vaccinations
in the medical history. House made it sound like the problem was that
he was given the wrong maternal vaccination history (i.e., Dan's parents
screwed up), but to get this line to make sense, the problem had to be
that the Diagnostics Dept. failed to ask about any maternal vaccination
history at all (they screwed up). Given the later dialogue, this
couldn't have been the writer's intention, but if we follow this line of
reasoning, then it wasn't like House would have been able to figure out
the solution if only the adoptive parents had told the truth about the
adoption from the beginning. In fact, it wouldn't even be clear why the
answer finally dawned on House at that moment rather than back when he
was scaring the antivaccination mom in the clinic, which would have more
typically been the moment of greater _satori_.
No doctor after my college's health department has asked me about my own
vaccinations, much less about my biological mother's. In fact, my
current doctor insisted on running an antibody test before she'd give me
the chickenpox vaccination that I asked for. (I tried to tell her the
test was a waste of money, but she wouldn't listen.) The automatic
assumption seems to be that everyone in the U.S. has been vaccinated for
all childhood diseases that they haven't had, which isn't a safe bet
these days.
Even in this more enlightened age, you're probably lucky if you get a
single typewritten page of medical history on the biological parents of
a child put up for adoption.
When Team House discussed the correct diagnosis, there were two lines in
the original broadcast closed captions that did not have any audio
counterpart on the soundtrack and were not included in the DVD
subtitles. Ordinarily, I would just chalk it up to last-minute
revision. In fact, I could buy this in the case of the first line.
However, the absence of the second line from the soundtrack struck me as
stranger because the dialogue would have made more sense to me if it had
been left in. The dialogue with the two missing lines replaced in all
caps (attribution uncertain):
FOREMAN: Subacute sclerosing panencephalitis.
?????: MISSED IT ON MY BOARDS.
HOUSE: I know. There's only been twenty cases in the United
States in the last thirty years.
FOREMAN: I suppose you could make an argument the kid's still in
stage one. Once SSPE moves to stage two --
HOUSE: -- boom. Stage two is universally fatal.
CAMERON: I assume it's impossible to know when he might move
into stage two.
HOUSE: He's already started showing symptoms. Could be a
month, could be tonight.
CAMERON: Can we treat it?
HOUSE: Ask the neurologist.
FOREMAN: Intraventricular interferon.
CHASE: We're not gonna shove a spike into his brain and drip
interferon without confirming this diagnosis.
HOUSE: Tap him.
FOREMAN: We won't get a reliable result for measles antibodies
in his CSF, not after everything we've given him.
HOUSE: So the wrong treatment kills any hope of the right
diagnosis. Why do people lie to me?
CHASE?: BRAIN BIOPSY WILL CONFIRM IT.
HOUSE: It could also kill him. Your ball, Foreman. Tell me I
don't have to biopsy his brain.
"After everything we've given him"? Did they actually start Dan on
drugs for multiple sclerosis? Because the only drug they mentioned by
name was penicillin.
Twenty cases in the U.S. in 30 years? That's some long odds.
Also, House continuing to harp on the parents' lie reinforced my sense
that the writer meant for there to be a false maternal vaccination
history in the medical record and didn't adjust the dialogue
accordingly.
FOREMAN: [To Dan] The needle travels to the back of the eye,
which is where we perform the biopsy on your retina.
From the sound of things, the two needle-in-the-eye shots on this show
have caused more vicarious viewer suffering than all the blood-&-guts
shots put together. (Me, I can eat dinner while watching _House_.)
On the other hand, it's probably pretty gross to be awake while they're
drilling through your skull. The sound via bone conduction alone ...
HOUSE: If not for the paternity bet, I never would have taken
their DNA. Without their DNA, we never would have
discovered that Dan was adopted, which was the key to
this case.
Again, the direct implication that there was a false maternal
vaccination record in the medical history.
CUDDY: [To House] Fine. I will let you out of clinic duty for
one week, after you pay the thirty-two hundred for the PCR
test.
I love it when Cuddy holds the line. And when House slapped his cane
down, she just laughed.
I started out simply ignoring the final song, but the more I hear it,
the more I hate it. It's intolerably sappy and sentimental.
They shot both lacrosse scenes at the same field (which would be the
practical thing to do to save production money), but the director tried
not to make it obvious. The game at the end had bleachers and
advertisements. The game in the prologue showed no bleachers,
advertisements, or even seated spectators, giving a much more low-budget
feel to the event.
House couldn't have been attending one of Dan's games. House rooted for
number 18 ("one-eight") on the Comets, who were playing against the
Raptors. Dan was number 29 for the Tartans, who had been playing
against the Adrenaline[sic] (which was evidently product placement for a
line of sportswear).
Seen on signs at the lacrosse field at the end:
South Swell
LACROSSE
www.southswellsports.com
(a real California-based sporting goods company)
Columbia
Sportswear Company
columbia.com
(a real sportswear company)
I originally thought the final lacrosse scene was a flashback to House's
youth and that #18 was House himself, but now that I've seen a better
copy of the episode, I have to take into account the potential
anachronism of the web URLs on the signs. Now I'm wondering if maybe
House had played in an adult league of some sort, so the memory wasn't
quite as distant. The only alternative is that House picked a game to
watch at random, which is kind of lame (no pun intended). In any event,
though, the way he moved and held the cane, as if mimicking holding a
lacrosse stick, seemed to be designed to say that he had once played
lacrosse himself.
Based on wardrobe changes and dialogue, the action took place on seven
or eight distinct days. The first day, when Dan collapsed, was
approximately three weeks before the second. The rest were probably
continuous, except for the last one or two, which may have been after
the final treatment had started to show results.
Vicodin count: 2
Medical synopsis:
A plot
sudden onset of double vision and night terrors
initial diagnosis: sexual abuse
head injury
diagnosis: concussion
myoclonic jerk
polysomnograph
CT, MRI, CBC, Chem-7, chest x-ray
bowing of the corpus callosum
diagnosis: blockage of CSF (cerebrospinal fluid)
radionucleotide cisternogram
insertion of a shunt in the brain
VEP (visual evoked potential test)
oligoclonal bands and an increased intrathecal IgG (Immunoglobulin G)
diagnosis: multiple sclerosis
conscious hallucinations
diagnosis: neurosyphilis
penicillin in the spinal cord
auditory hallucinations
EEG (electroencephalogram), left and right EOG (electro-oculograph),
esophageal microphones
retinal biopsy
final diagnosis: SSPE (subacute sclerosing panencephalitis) caused by a
mutated measles virus in the brain from having been infected after being
born of a biological mother without antibodies, but before having been
vaccinated at six months
interferon dripped directly into the left hemisphere of the brain
Clinic patients:
1) unvaccinated baby with a cold
2) litigant with a thigh abscess
--
>
> I originally thought the final lacrosse scene was a flashback to House's
> youth and that #18 was House himself, but now that I've seen a better
> copy of the episode, I have to take into account the potential
> anachronism of the web URLs on the signs. Now I'm wondering if maybe
> House had played in an adult league of some sort, so the memory wasn't
> quite as distant. The only alternative is that House picked a game to
> watch at random, which is kind of lame (no pun intended). In any event,
> though, the way he moved and held the cane, as if mimicking holding a
> lacrosse stick, seemed to be designed to say that he had once played
> lacrosse himself.
>
This scene has always perplexed me. I seem to recall we discussed this
back when the episode originally aired. The explanations I had come up
with were...
1. House was attending one of Dan's games, or was attending *a* game.
2. House was in an empty park on an empty lacrosse field, and he was
either flashing back to an earlier time in his life, or he was imagining
himself actually going out in public and seeing one of his patients in
their ordinary life.
The question I've never been able to answer... was the lacrosse match
real, or imagined?
: Micky DuPree wrote:
:: I originally thought the final lacrosse scene was a flashback to
:: House's youth and that #18 was House himself, but now that I've seen
:: a better copy of the episode, I have to take into account the
:: potential anachronism of the web URLs on the signs. Now I'm
:: wondering if maybe House had played in an adult league of some sort,
:: so the memory wasn't quite as distant. The only alternative is that
:: House picked a game to watch at random, which is kind of lame (no pun
:: intended). In any event, though, the way he moved and held the cane,
:: as if mimicking holding a lacrosse stick, seemed to be designed to
:: say that he had once played lacrosse himself.
:
: This scene has always perplexed me.
I originally thought it was straightforward and well-done. Then I saw
the web URLs and wasn't so sanguine. I considered the possibility that
the game was still supposed to be a flashback to House's youth and that
the web URLs were merely an unintentional anachronism, but since they
acknowledged one of the advertisers on the signs as a deliberate product
placement in the end credits (Warrior Lacrosse, Inc.), I'm pretty sure
that the powers that be did, in fact, pay attention to what went on the
signs and weren't just accidentally shooting signs that happened to be
at the location site.
: The explanations I had come up with were...
:
: 1. House was attending one of Dan's games ...
One of the few things we can be certain about is that it wasn't one of
Dan's games. It couldn't even have been intended to be. If the writers
had wanted it to be one of Dan's games, the director could have just
shot more footage of Dan in his previous jersey on the same team and
handed different jerseys to the other team to put on to indicate that it
was a different game from the one in the prologue. Since they chose to
depict two different teams playing at the end of the episode, I think
ruling out Dan's presence is safe. I'd love to get my hands on the
shooting scripts for this series.
: ... or was attending *a* game.
Possible.
: 2. House was in an empty park on an empty lacrosse field, and he was
: either flashing back to an earlier time in his life ...
Possible, but if so, he was playing as an adult after the advent of the
worldwide web.
: ... or he was imagining himself actually going out in public and
: seeing one of his patients in their ordinary life.
That doesn't make sense to me. I don't think the point was that House
wanted to reach out to a patient. I think the point of him handling his
cane like a lacrosse stick was that he's a former lacrosse player and
he's nostalgic for the days when he could do athletic things (hence him
tragically limping off at the end).
I think the whole point in having that final scene was that the writers
wanted to get across the idea that there was more significance to
House's physical injury than just the pain issue. He misses being
able-bodied. But House is one of those characters who, except for an
occasional fearless admission to Wilson, seldom externalizes what he's
feeling unless it's an antagonistic feeling. He's not going to walk up
to Foreman and say, "I really miss being able to move around normally."
So it's sometimes a challenge to the writers to indicate to the viewers
what's on House's mind since they can't just write dialogue to cover it.
: The question I've never been able to answer... was the lacrosse match
: real, or imagined?
The game was awfully specific to have been entirely imagined. House
rooted for a specific number on a specific team. The question for me
was whether the game was played in the past or in the present day. And
this is not one of those stories that benefits from ambiguity. The
story would have been a lot stronger if the game had been a flashback to
the past.
-Micky