No Reason (House episode)
Encyclopedia
"No Reason" is the twenty-fourth episode and the season finale of the second season of House
House (TV series)
House is an American television medical drama that debuted on the Fox network on November 16, 2004. The show's central character is Dr. Gregory House , an unconventional and misanthropic medical genius who heads a team of diagnosticians at the fictional Princeton-Plainsboro Teaching Hospital in...

. It premiered on the Fox
Fox Broadcasting Company
Fox Broadcasting Company, commonly referred to as Fox Network or simply Fox , is an American commercial broadcasting television network owned by Fox Entertainment Group, part of Rupert Murdoch's News Corporation. Launched on October 9, 1986, Fox was the highest-rated broadcast network in the...

 network on May 23, 2006. The episode features creator David Shore's directorial debut.

Plot

As House and his team work on the diagnosis of Vincent, a man with a giant swollen tongue and a high temperature, a disgruntled former patient named Jack Moriarty walks into House's office and shoots Dr. House twice with a handgun
Handgun
A handgun is a firearm designed to be held and operated by one hand. This characteristic differentiates handguns as a general class of firearms from long guns such as rifles and shotguns ....

. Vincent develops two additional symptoms: blood leaking into his left eye, causing it to swell outward (and eventually be removed), and a burst testicle. The symptoms appear to have no possible connection to each other.

Waking up from a coma
Coma
In medicine, a coma is a state of unconsciousness, lasting more than 6 hours in which a person cannot be awakened, fails to respond normally to painful stimuli, light or sound, lacks a normal sleep-wake cycle and does not initiate voluntary actions. A person in a state of coma is described as...

 two days later, House continues to treat Vincent from his hospital bed in the ICU
Intensive Care Unit
thumb|220px|ICU roomAn intensive-care unit , critical-care unit , intensive-therapy unit/intensive-treatment unit is a specialized department in a hospital that provides intensive-care medicine...

 with Moriarty, shot by hospital security and handcuffed to his bed, as his roommate. House wakes up Moriarty and asks why he wanted him to die. Moriarty replies that it was not his intention to kill House, and that he wanted to see House suffer. The reason Moriarty wanted to see House suffer was because his wife was a recent patient that House previously treated. While diagnosing her, House badgered Moriarty until he admitted that he had cheated on her. Despite this fact having no medical relevance to his wife's illness, House told her about the affair anyway. Moriarty's wife then committed suicide shortly after being released from the hospital. He tells House that he realizes that his affair led to his wife's suicide, however he feels that House should take part of the blame because there was "no reason" to tell her about it.

Since the shooting, House feels decreased pain in his leg. He finds out from his records that during the surgery to treat the gunshot wounds, a treatment of ketamine
Ketamine
Ketamine is a drug used in human and veterinary medicine. Its hydrochloride salt is sold as Ketanest, Ketaset, and Ketalar. Pharmacologically, ketamine is classified as an NMDA receptor antagonist...

 to induce a coma had been given to relieve his leg pain, but he experiences neurological side effects. It becomes clear that House cannot separate fact from fiction, as hallucinations begin to get a stronger grasp on his sense of reality, from hitting Wilson to eating tacos. He begins to question his own ability to diagnose, while hostility increases between him and Moriarty. As Vince’s body begins to deteriorate, House struggles through his own self-doubts and must try to make sense of his life and world.

House is seen hallucinating sitting in the passenger seat of Moriarty's wife's car next to her as she commits suicide by carbon monoxide poisoning (by starting her car with the garage door closed). House comes back to his hospital room from his daydreams and with sincerity tells Moriarty "I'm sorry."

After several hallucinations, House determines that nothing he has experienced since the shooting is real, and in order to snap out of his hallucination, decides to kill Vincent with a new surgical robot. House theorizes that doing this will push his mind past the point of reality and force it to believe the truth - that he is hallucinating. This is further proven when House's team tries to stop him from using the robot, seemingly knowing he is going to kill Vincent; something that would not be possible unless everything he is experiencing is in his own mind.

House rips the surgical robot into Vincent and his vital signs disappear. At first, it seems House really killed him, but then Vincent drops a bullet he held in his hand. This is for House the proof everything was just a hallucination, and he says "goodbye" just before snapping back into reality. His theory proves to be true, and in the final minutes of the episode we see House being rushed into the ER
Emergency department
An emergency department , also known as accident & emergency , emergency room , emergency ward , or casualty department is a medical treatment facility specialising in acute care of patients who present without prior appointment, either by their own means or by ambulance...

 moments after he was shot. Before the episode ends, House asks for ketamine, which he supposedly received prior to the imagined events of the episode. It is important to note that although the episode is almost entirely a hallucination, the patient (Vincent, nicknamed "Harpo" by House) and the shooter both exist outside of the hallucination. The next episode reveals that the actual shooter was never caught.

External links

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