Role Model

Witten by David Shore ad Matt Witen, Role Model, the first season episode of House which aired for the first time in April 12, 2005 is directed by Peter O’Fallon.

In summary, Role Model revolves around Vogler and House. A political friend of Vogler collapses at a rally and Vogler demands that House examines him to establish the problem. Subsequently, House takes an interest in the case but from the findings of the examinations, his conclusion seems to end the chances of the patient to pursue his political career. Meanwhile, Vogler continues to pressurize House to the point that he wants House to endorse his new pharmaceutical. My appologies if this is not as detailed as I’d like I’ve been dealing with painting my house this week.

The Plot

The episode opens with a politician giving a speech. Suddenly, he becomes unwell and from the judgment of his audience, he is seen to be struggling with the rest of his speech and ultimately his assistant does the finishing. Inasmuch as the politician says he is okay, his continued disorientation and collapse down a short flight of stairs confirms that indeed he has a problem.

When Vogler talks to House about the problem, House immediately thinks that food poisoning is to blame. Because food poisoning doesn’t take long to treat, Vogler and House get on to other matters and look at the possibilities of firing Foreman or Cameron. Vogler also tells House that he has to give a speech as a way of supporting a drug he is developing. According to House, the drug is expensive compared to the existing ones but Vogler insists that House endorses it anyway if he doesn’t want anyone to be fired in the hospital.

House then orders a lumbar puncture and MRI on realizing that the Patellar reflex of the patient is not responding. The tests come out negative and only a small smudge is seen in his brain. Thereafter, House explores the possibility of a tumor or infection of the brain of the patient and as such a brain biopsy would reveal it all. Cuddy who was to do the biopsy says she can’t do it and even they argue in front of the patient with House.

When patient agrees for the biopsy, the test shows the existence of a brain lesion which is caused by toxoplasmosis. Because this fungus causes brain lesions in patients who have immune deficiency, Foreman deduces that the patient may be having AIDs. The patient however refuses antiretroviral treatment and only says he wants to be treated for toxoplasmosis.

The AIDs test turns out positive and the patient is put on anti-virals. Due to his low T-cell count, the likelihood of the patient dying is high and as such they find it important to contact the sexual partners of the politician. The drugs do not however work and a second AIDs test is done which turns out negative. The patient is still suffering and they need to find what the problem is.