Last Resort (House)
Encyclopedia
"Last Resort" is the ninth episode of the fifth 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...

and the ninety-fifth episode overall. It aired on November 25, 2008. This episode is an "extended episode" as it runs for an extra seven minutes (excluding ads), taking the total episode's length without ads to 50 minutes.

Plot

A gun-wielding man named Jason (Željko Ivanek
Željko Ivanek
Željko Ivanek is an Emmy award-winning Slovenian American actor best known for his role as Ray Fiske on Damages. He is also known for playing Blake Sterling on short-lived NBC series The Event and Emile Danko on Heroes....

) from the waiting room at the Princeton-Plainsboro clinic takes House
Gregory House
Gregory House, M.D., or simply referred to as House, is a fictional antihero and title character of the American television series House, played by Hugh Laurie. He is the Chief of Diagnostic Medicine at the fictional Princeton-Plainsboro Teaching Hospital, where he leads a team of diagnosticians...

, Thirteen
Thirteen (House)
Remy "Thirteen" Hadley, M.D., is a fictional character on the Fox medical drama House, portrayed by Olivia Wilde. She is part of the new diagnostic team assembled by Dr. Gregory House after the disbanding of his previous team in the third season finale...

, a nurse, and several patients from the waiting room hostage in Cuddy
Lisa Cuddy
Dr. Lisa Cuddy, M.D., is a fictional character on the Fox medical drama House. She is portrayed by Lisa Edelstein. Cuddy was the Dean of Medicine and hospital administrator of the fictional Princeton-Plainsboro Teaching Hospital in New Jersey. She also becomes House's love interest through the...

's office. The man claims to be sick with a long undiagnosed illness and demands medical attention from the best doctor in the hospital, threatening to kill any hostages necessary along the way. With a room full of already sick patients, House must use them as guinea pigs to assure the hostage-taker that the medications he is administering to him are legitimate.

As Cuddy and the rest of House's team communicate with House over the phone to run tests and offer possible diagnoses, they ponder the possibility that Jason has nothing physically wrong with him and that everyone in Cuddy's office could wind up dead. With one hostage already shot, Thirteen wagers her own already diminished health as she simultaneously receives the experimental treatments the hostage-taker patient is receiving as he wants to make sure they are not sedatives. Her life lies in danger as House's own determination to diagnose the hostage-taker threatens to thwart the SWAT
SWAT
A SWAT team is an elite tactical unit in various national law enforcement departments. They are trained to perform high-risk operations that fall outside of the abilities of regular officers...

 team's plan to put an end to the standoff in the "Last Resort" fire.

At one point, House gets the gun in order to do an X-ray, but gives it back afterwards in order to continue the standoff and the search. After receiving medicine for Cushing's Syndrome
Cushing's syndrome
Cushing's syndrome is a hormone disorder caused by high levels of cortisol in the blood. This can be caused by taking glucocorticoid drugs, or by tumors that produce cortisol or adrenocorticotropic hormone or CRH...

, Thirteen develops kidney failure. This actually gives House a clue as Jason's kidneys are not failing and the team realizes that some of the drugs he'd previously taken must be protecting his kidneys and perhaps saved his life.

Next the team believes that its Melioidosis
Melioidosis
Melioidosis is an infectious disease caused by a Gram-negative bacterium, Burkholderia pseudomallei, found in soil and water. It is of public health importance in endemic areas, particularly in Thailand and northern Australia. It exists in acute and chronic forms. Symptoms may include pain in...

 but Jason says he's not been to tropical climates having never traveled farther south than Florida. Realizing that Florida is warm enough for the diagnosis to fit, House calls for drugs to treat the disease. Jason sends House out in exchange for the drugs and demands that Thirteen take the injection first to make sure its the real thing, despite knowing it would kill her in her current state. Thirteen refuses, tearfully pleading "I don't want to die." He prepares to fire at Thirteen, but at the last second grabs the drugs and injects them into himself as the SWAT team blows the wall down and storms the room.

Jason is taken down, and House reenters the room to find Thirteen still alive. When he asks her why she's alive, she responds, "he didn't make me take it." Outside, as Jason is arrested, House signals him to take a deep breath and let it out, and as he is able to do it, the diagnosis of Melioidosis
Melioidosis
Melioidosis is an infectious disease caused by a Gram-negative bacterium, Burkholderia pseudomallei, found in soil and water. It is of public health importance in endemic areas, particularly in Thailand and northern Australia. It exists in acute and chronic forms. Symptoms may include pain in...

 is confirmed. According to House, the disease was easy to miss on various tests, and the fact that Jason never mentioned his trip to Florida prevented the diagnosis earlier. After nearly dying, Thirteen asks Foreman
Eric Foreman
Eric Foreman, M.D., is a fictional character on the Fox medical drama House. He is portrayed by Omar Epps.-Background:A neurologist, Foreman was a member of Dr. Gregory House's handpicked team of specialists at Princeton-Plainsboro Teaching Hospital's Diagnostic Medicine Department...

 to admit her in to a clinical trial for Huntington's
Huntington's disease
Huntington's disease, chorea, or disorder , is a neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and dementia. It typically becomes noticeable in middle age. HD is the most common genetic cause of abnormal involuntary writhing movements called chorea...

.

At the end of the episode, Cuddy is looking around at her destroyed office when House enters. They argue over who is to blame, him for being so obsessed with solving the case that he gave the man back the gun, or her for doing everything he told her. Cuddy abruptly ends the conversation saying 'this' is why they wouldn't work in a relationship. House tells her that he's not sure how to help her then, since as they are not in a relationship now the only way to change would be to be together. Shocked, Cuddy asks if he wants a relationship with her. He hesitates, before sarcastically saying that he was just trying to follow her logic.

It is also revealed that the reason House was in Dr. Cuddy's office in the beginning of the episode was to pull a prank in which he turned a drawer in her desk upside down so when she opens it the contents all fall out, which ends the episode.

Music


This episode featured the song "Between The Lines" (feat. Bajka
Bajka (music)
Bajka is a female artist born in India and raised in Portugal and South Africa. She is a poet, singer, producer and songwriter. "Bajka" in some slavonic languages means "fable"....

) by British musician, producer and DJ, Bonobo, "Herzog" by Chris Clark, as well as "Glue of the World" by Four Tet
Four Tet
Kieran Hebden is a post-rock and electronic musician. Hebden first came to prominence as a member of the band Fridge before establishing himself as a solo artist under the moniker of Four Tet....

, "It's Not The Same" by Yppah
Yppah
Yppah is an electronic/rock band consisting primarily of Joe Corrales Jr., and is currently signed to Ninja Tune records. He resides in Long Beach, California.-Eighty One:Corrales announced that his upcoming album, entitled 'Eighty One', is complete...

 and "A Chronicle of Early Failures Pt. One" by The Dead Texan
The Dead Texan
The Dead Texan is an audio-visual musical duo comprising Adam Wiltzie and Greek video artist Christina Vantzou. Wiltzie is better known as one half of the ambient project Stars of the Lid...

.
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