Watch House Season 4, Episode 12, Don’t Ever Change
March 24, 2009 by House MD Episodes
Filed under House MD Episode Summaries
Watch House Season 4, Episode 12, Don't Ever Change
This is 82nd episode of House M.D. series and also was the last episode of the series. This series had been showing different medical stories and ailments and the way doctors handle it and come out successfully and sometimes with failure.
Roz starred by Laura Silverman acts as a person who converted to Hasidic Judaism and has been a music producer prior to her marriage and during her marriage ceremony, her gall bladder loses control and large blood colored urine appears. Roz falls down unconscious and breaks her leg. She is admitted to Dr. House hospital for diagnosis and her urine test results negative to urinary infection and also for sexually transmitted disease. The result showed negative in CT scan and hence cancer and kidney stones ruled out. A conclusion is also done that it could be due to mental state after conversion. Taub names cryoglubulinemia (irregular proteins in the blood that solidify in cold temperatures) and Dr. House names porphyria (harms in fusion of hemoglobin). Roz becomes hypoxic as oxygen dispersion drops to 85%. This stands against the symptoms to both cryoglobulinemia and porphyria.
Watch House Season 4 Episode 12: Don't Ever Change Here
Dr. Foreman refers about Wegener’s Granulomatosis and House refers to Lupus and suggests a stress test. Roz comes out well and has no support for heart problems. She then gets leg pain and doctors think it to be blood clot but Functional MRI does not show any such clot. When Roz stands after the test her blood pressure and heart rate comes drastically down, but all is normal when she sits or in lying position. There is low pressure while standing and this is termed as Orthostatic Hypotension. The results shows normality for pheochromocytoma (tumor that discharges high intensity of adrenalin), systemic sclerosis (an autoimmune disease). A lot more test is conducted on Roz and she comes out well in all but her health keeps deteriorating.
Thirteen finds internal bleeding and perplexed, the doctors suggest operation and as a sudden eye-opener Dr. House says that Roz has Nephroptosis also called Floating kidney was diagnosed. The kidney is usually firmly held in its place by a set of tissue lying beneath. In case of Roz, her kidney is not held by any tissue but just supported by a few blood vessels. This had been the reason for blood in her urine, the internal bleeding and orthostatic hypotension. The other indications were due to the pressure put on the right adrenal gland placed on top of the kidney.
The scans did not display the floating kidney as they were all done with Roz in lying position. The standing position would have shown the floating kidney readily. A surgery will fix her troubles and also stop the flow of blood.
The remaining part of the episode shows the effort made by Dr. House to persuade Dr. Wilson to get out from the relationship with Amber Volakis. Also there is another part mentioning that Thirteen is bisexual with both Dr. Foreman and Dr. House at different times in the whole episode and she accepts it.
